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Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and BBAdi,+rj D10sion INSPECTION REPORT Sanitary Permit No: 395178 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: Village X Township Parcel Tax No: City Moulton, Raymond Springfield Townshi 034 - 1045 -80 -000 CST BM Elev: Insp. BM Elev: BM Description: TANK INFORMATION EL VA ON DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic / d�V Benchmark / 1 / 11 ' O O - / , Wdi �� Dosing ��(1 ��✓v� . �b Alt. BM �'L�' (o • /D Aeration k 1 — Q Bldg. Sewer / r7 ' G 3 22 Holding St/Ht Inlet 7 St/Ht Outlet TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Y!�ato Air Intake ROAD Dt Inlet Septic S,)-i / (7 Dt Bottom to/ l Lt t yd8 7 • o -7 J2 t Dosing / Head J Aeration Dist. Pipe V - 7 , W q 3 c U Holding Bot. Syste Tok qa, �v PUMP /SIPHON INFORMATION Final GVade S , A 4 V1 C_ Manufacturer Demand St Cover / GPM Model Number � �z• .i0 q /o TDH Lift TDH Ft 3 Friction Lps� ystem Hea�/ Forcemain nLe th Dia. Dist. to Well SOIL ABSORPTION SYSTEM ,j) , p, S'� 7 BED/TRENCH Width ,, Length / No. Of Trenches PIT DIM SIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS /1 lw / SETBACK SYSTEM TO P/L BLDG IWELL LAKE/STREAM LAC NG Manufacturer: INFORMATION T Of System: CHA R OR y���t � � f / 7 Model Number: DISTRIBUTION SYSTEM t Header /Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intah Pipe(s) '? 94 l'' l . o Z f, f {00' Length . Dia Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only r Over / Depth Over xx Depth of xx Seeded /Sodded xx Mulche cr Bed anch Center 7 Bedlrrench Edges Topsoil Yes n No p ® Yes No COMMENTS (Include code discrepencies, persons present, etc.) Inspection #1: / / _19_ Inspection #2: d / a7 / Od ��� Location: 855 280th Street Woodville, WI 54028 SW 1/4 NW 1/4 20 T29N R15W) NA Lot 1 Q Parcel No: 20.29.15.3118 1.) Alt BM Description = 5T r /�� � 0I ��� �v{a � +Ypt 0'f Gtb a wffvvcd eA¢ n- 373 SC l2 So 1 �S 2.) Bldg sewer length - amount of cover = 3.) Contour= O /V Plan revision Required? ❑Yes '�—' - q I Q Use other side for additional information. Date Insepctor's Sig ature Cart. No. SBD -6710 (R.3197) i /49/jU fe;rlW OT MCI v dl //o 12� �I 9O Safety and Buildings Division County N visc l 201 W. Washington Ave., P.O. Box 7162 �. CR on in Madison, WI 53707 - 7162 Site Address De artment of Commerce X55�t ee� Sanitary Permit Application -__----, Sanitary Per Number n In accord with Comm 83.21, Wis. Adm. Code, personal it*o ation you provide may be used for secondary purposes Privacy L •s15.04 1 m ❑Check if Revision I. Application Information - Please Print All Informatioly State Plan I.D. Number Property Owner's Name C - ; rt Parcel Number Z0. 2 -7. /9- 3((,g 7 er � 03Y- Id sr - eo -0170 Property Owner's Mail ng Address = g ,p,G Property Location A�� e- (f-A d� ' SVJ V J ik, S 20 T � 9 N, R City, State Zip Code Phone Number Lot Number / Block Number - = Subdivision Name CSM Number 38 P H. Type of Building (check all that apply) City 1 or 2 Family Dwelling - Number of Bedrooms h r e (z [)Village ❑ Public /Commercial - Describe Use II C1 State Owned ®Township _„S t-, n i C �G Nearest Road . 0100 �Qee� III. Type of Permit: (Check only one box on line A (numbering scheme for internal use). Complete line B if applicable) A. 1 11 New 2 Replacement System 3 C1 Replacement of 6 ❑ Addition to For County use S sum Tank Only Existing System B. ❑ Check. if Sanitary Permit Previously Issued Permit Number Date Issued IV. Type of Permit: (Check all that apply)(numbering schem is for internal use) 44 ❑ Non - Pressurized In- Ground 210 Mound �� . (� 3 k �� 47 ❑ Sand Filter 50 ❑ Constructed Wetland 22 ❑ Pressurized In- Ground 41 ❑ Holding Tank 48 ❑ Single Pass 51 ❑ Drip Line 45 ❑ At -Grade 46 ❑ Aerobic Treatment Unit 49 ❑ Recirculating 30 ❑ Other V. Dispersal/Treatment Area Information: P k ✓ 1 2. Z tr" , S p 4 5 TAI Design Flow (gpd) Dispersal Area Dispersal Area Soil Application Percolapon Rate System Elevation Final Grade Required Proposed Rate(Gals. /Days /Sq.Ft.) (Min./Inch) Elevation ?a4 7�'� 9 VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Tanks Concrete Constructed Glass New Existing Tanks Tanks Septic o /000 —11 OOC) ✓ o Dosing Chamber 016 y VII. Responsibility Statement- I, the undersigned, assume respons ibility fo Ilation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber Signature , I�IP/ H'RS iar Business Phone Number J1 -& a �aa a-�3 9 '7i5 a35- X63 Plumber's Address (Street, City, Sta"ip Code) 028/ `'y24 / ' ' VIII. County /De artment Use Onl l Approved ❑ Disapproved Sanitary Permit Fee (includes Groundwater Date Issued Issuing Agent Signature (No Stamps) Surcharge Fee) se . ❑ Owner Given Initial Adverse 32 S d v Determination l� 7 vv IX. Conditions of Approval/Reasons for Disapproval e ,, f 1 s y / ��,�, / 3, 3 3 F ���iccr✓t Yr /tCtr fo be fh 5 yap qn 6( tM1�Qitti �4ir�&1 P u.'F0 6 Oe(-a . Me4tt'�by� 5. Attach complete plans (to the County only) for the system on paper not less than 8V2 x 11 Inches in size SBD -6398 (R. 05101) Safety and Buildings 4003 N KINNEY COULEE RD LACROSSE WI 54601 -1831 T D #: 0 i D 68 264-877 7 www Visconsin www.commerc .vAs c on s i in.gov .wisonin.gov Department of Commerce Scott McCallum, Governor Brenda J. Blanchard, Secretary July 12, 2001 CUST ID No.222839 ATTIC• POWTS Inspector ZONING OFFICE JACK A BOWMAN ST CROIX COUNTY SPIA 2819 KNAPP ST 1101 CARMICHAEL RD MENOMONIE WI 54751 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 07/12/2003 Identification Numbers Transaction ID No. 660076 SITE• Site ID No. 632485 RAYMOND MOLTON Please refer to both identification numbers, 280TH ST above, in all correspondence with the agency. TOWN OF SPRINGFIELD ST CROIX COUNTY SW 1/4, NW 1/4, S20, T29N, R15W FOR: DESCRIPTION: THREE BEDROOM MOUND SYSTEM OBJECT TYPE: POWT SYSTEM REGULATED OBJECT ID NO.: 800860 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. 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.01 101) and the SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST SAS (0 1/8 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. In addition, the owner must insure that the operation, maintenance and monitoring duties as described in section VIII of the mound manual, and the pressure distribution component manual are complied with. A copy of this letter including instructions and information relating to proper use and maintenance of the system must be given to the owner and each subsequent owner upon completion of the project. • The existing POWTS must be properly abandoned. • Access to the filter for cleaning must be provided per Comm 84 product approval conditions. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required • Limited activities are allowed in the area 15 down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. • 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). In addition, 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 components) utilized in the POWTS. ' JACK A BOWMAN Page 2 7/12/01 • 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 83.52(3) The activities relating to evaluation and monitoring mechanical POWTS components after the initial installation of the POWTS in accordance with an approved management plan shall be conducted by a person who holds a registration issued by the department as a registered POWTS maintainer. • 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. A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. Sincerely, FEE REQUIRED $ 1750 FEE RECEIVED $ 175.000 BALANCE DUE $ 0.00 Charles L Bratz POWTS Plan reviewer 1I- Integrated Services (608) 789 -7893, Mon. -Fri. 7:45 AM to 4 :30 PM WiSMART code: 7633 cbratz@connnerce.state.wi.us cc: RAYMOND MOLTON MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: Molton Owner's Name: Raymond Molton Owner's Address: 855 280th Street Woodville, WI 54028 Legal Description: SW,NW,20,29,15W Township: Springfield County: St. Croix Subdivision Name: N.A. Lot Number: 1 Block Number: N.A. Parcel I.D. Number: Plan Transaction No.: Page 1 Index and title RECEIVED Condz'tionally Page 2 Data entry JUN 2 8 2001 APPROVED Page 3 Mound drawings Page 4 Lateral and dose tank SAFETY & BLOGS OW DEPARTMENT OF COMMERCE Page 5 System maintenance specifications ■ N OF EY 0 IWNGS page 6 Management and contingency plan SEE CORRESPONDENC Page 7 Pump curve and specifications Page 8 Site plan Page 9 Attachment: soil test to the state's plans Designer: loretta/Jack A. Bowman License Number: MP 222839 Date: 06 /22101 Phone Number: 715/235 -4634 Signatur • _ Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SDB- 10691 -P (N. 01/01), and SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01/81) Version 3.0 (03/01/01) Page 1 of 9 f Mound and Pressure Distribution Component Design Design Worksheet Site Information (r or c) R Residential or Commercial Design Note: Sand fill (D) calculations assume a 300.00 Estimated Wastewater Flow (gpd) Table 83 -44 -3 in -situ soil treatment for fecal 1.50 Peaking Factor (e.g. 1.5 = 150 %) coliform of - 36 inches. 450.00 Design Flow (gpd) 8.00 Site Slope ( %) 92.20 Contour Line Elevation (ft) 29.00 Depth to Limiting Factor (in) 0.50 In -situ Soil Application Rate (gpd /ft Distribution Cell Information 80.00 Dispersal Cell Length Along Contour (ft) = 5.63 Cell Width (ft) 1.00 Dispersal Cell Design Loading Rate (gpd/ft 1 Influent Wastewater uali Q t 1 or 2 y ( ) Are the laterals the highest point in the distribution Y Pressure Disribution Information network? Enter Y or N (c or e) a Center or End Manifold 7.81 lateral Spacing (ft) If N above, enter the elevation ft 2 Number of Laterals of the highest point. .156 Orifice Diameter (in) (e.g. 0.25) .00 Estimated Orifice Uacifxi m) = 8.33 ft /orifice Forcemain Diameter (in) 60.00 Forcemain Length (ft) Does the forcemain drain back? Y Pump Tank Elevation (ft) Enter Y or N 4.55 System Head (ft) x 1.3 9.79 Forcemain Drainback (gal) ( 7.45 Vertical Lift (ft) 72.04 5x Void Volume (gal) 1.10 Friction Loss (ft) 81.83 Minimum Dose Volume (gal) 13.10 Total Dynamic Head (ft) 29.08 System Demand (gpm) Lateral Diameter Selection Manifold Diameter Selection in. dia. options choice in. dia. options choice 0.75 1.25 x 1.00 1.50 x 1.25 2.00 x 1.50 x x 3.00 2.00 x 3.00 x Gallons /Inch Calculator (optional) Treatment Tank Information 650.001 Total Tank Capacity (gal) 1000.001 Septic Tank Capacity (gal) 38.501 Total Working Liquid Depth (in) Weiser JManufacturer 16.88 gal /in (enter result in cell B49) Dose Tank Information uent Filte Information 650.00 Dose Tank Capacity (gal) Zabel Filter Manufacturer 16.88 Dose Tank Volume (gal /in) A -100 Filter Model Number Weiser Manufacturer Project: Molton Page 2 of 9 Mound Plan View .... ...... t 1/10 B ;.... ;. ... a J . . Observation Pipe , . . . 3 •'r:, »• {; ':'�: 5 ..{{ ' t r�s�T����r.`�1���;t'��� : � •: J•' A .. .. .... .... . . . . . . . . . . . . . . . . . ............. I .. .. ... . ... . . . L Mound Component Dimensions A 5.63 ft E 12.40 in H 1.00 ft K Al ft B 80.00 ft F 9.50 in z E4.54 9.18 ft L ft D 7.00 i G 0.50 ft J ft W ft 450.00 (ft 2 ) Dispersal Cell Area 1184.21 (ft) Basal Area Available 5.63 (gpd/ft) Linear Loading Rate 1 8.00 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 94.58 (ft) -� " `.:c; � < '•'`` • ^;` - , r// fig :' a\ G H F Dispersal CeU E< 93.28 (ft) Lateral 92.78 (ft)--10- Invert Dispersal Cell : [3 D • E . �s Elevation ,[�� • " W . j. - - �v .�✓ �'v',�'1,f'•1Y �•J� '. _}ti c 4 ✓�, . 92.20 (ft) Contour Elevation 8.0 %Site Slope Geotextile Fabric Cover Shading Key m f. Dispersal Cell See lateral details on Topsoil Cap a 1.5 ft o ��,,; •:•f::r: ; }:;:; Page 4 for number Subsoil Cap size, and spacing of © ASTM C33 Sand `° ' f. f' •:w ?' �'j' v i' •�f' F laterals. Laterals are Tilled Layer m 0.5 ft Typical Lateral •• J. ye c equally spaced from 05 r.•.•:r: Aggregate o __1__ fr .•l:f: 5 1 the distribution cell's A -�� centerline in the distribution cell (AxB). Project: Molton Page 3 of 9 End Connection Lateral Layout Diagram Laterals centered over the A & 8 dimension • = Turn -up of ball valve or cleanoutplug P All laterals are identical IF )C I Holes drilled on the bottom of the lateral equally spaced S Force maid Connection Via tee or Cross to manifold at any point, Laterals &force main of PVC Sch 40 (per COMM Table 84.30 -5) Number of Laterals 2 Orifice Diameter 0.156 in Lateral Diameter 1.50 in Orifice Spacing (X) 3.02 ft Lateral Length (P) 78.52 ft Orifices per Lateral 27 Lateral Spacing (S) 2.81 ft Orifice Density 8.33 ft /orifice Lateral Flow Rate 14.54 gpm Manifold Length 2.81 ft System Flow Rate 29.08 gpm Manifold Diameter 2.00 in Total Dynamic Head 13.10 ft Forcemain Velocity I 2.97 ft/sec Dose Tank Information Locking cover with warning label and locking device and sealed watertight Electrical as per NEC 300 and -� Comm 16.28 WAC Disconnect 4 in. min. Tank component is properly vented E - Alternate outlet location Forcemain diameter Weiser Manufacturer 2 in. Capacityl 650.00 Gallons Volume 16.88 gal /inch A Weep hole or anti - Dimension Inches Gallons B siphon device A 21.06 355.48 C B 2.00 33.76 � P ume off e levation (ft) C 5.45 91.96 85.83 D 10.00 168.801 D Total 1 38.511 650.00 1 Dose tank elevation (ft) 3" Bedding un er tank. �- Alarm Manuafacturer ISJ Electro Alarm Model Number IS-J1 Pump Manufacturer Zoeller Pump Model Number 98 Pump Must Deliver 29.08 gpm at 13.10 ft TDH Project: Molton Page 4 of 9 Mound System Maintenance and Operation Specifications Service Provider's Name Bowman Plumbing Inc. Phone 715/235 -4634 POWTS Regulator's Name St. Croix Zoning I Phone 715/386 -4680 System Flow and Load Parameters Design Flow - Peak 450 gpd Maximum Influent Particle Size 118 in Estimated Flow - Average 300 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1000 gal Maximum TSS 150 mg /L Soil Absorption Component Size 450 ft' Maximum FOG 30 mg /L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 mL Service Frequency Septic and Pump Tank Inspect and/or service once every 3 years Effluent Filter Should inspect and clean at least once every 3 years Pump and Controls Test once every 3 years Alarm Should test month) Pressure System Laterals should be flushed and pressure tested every 1.5 years Mound Inspect for ponding and seepage once every 3 years i Other initially filter to be checked every year Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table Comm 84.30 -1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to Comm 84.30 (6)(i), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in Comm 84, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn-up Detail Finished • . .. Grade \ , 6-8" Diameter Lawn Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Distribution Lateral Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral i Project: Molton Page 5 of 9 Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code General This system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals [SBD- 10691 -P (N.01 /01) and SSWMP Publication 9.6 (01/81)) and local or state rules pertaining to system maintenance and maintenance repotting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8- inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October- February) dictate that the mound be heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mg1L BOD 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L BOD 30 mg/L TSS, 10 mg/L FOG, and 10 cfu/100 mL for highly treated effluent. Influent flow may not exceed maximum design now specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the System was installed to determine if orifice dogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Contirmency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page of this plan for the name and telephone number of your local POWTS regulator and service provider. 4' I Project: Molton Page 6 of 9 ......... nAWSWe ModelBN53 BN /BE Models available packaged with a Pictumd Caradw standards ' piggyback variable level float switch. Assoc SWMW • .3 H.P.,1 Ph., 115V or 230V. ,i TOTAL DYNAMIC HEAD /CAPACITY • Non - Clogging vortex impeller design. PER MINUTE • Passes 1 /2 inch solids (sphere). EFFLUENT AND DEWATERING 1'/2" NPT discharge. 53 -55 MODELS • Automatic reset thermal overload protection. Ft. Meters Gal. Ltrs. • Stainless steel screws. 5 1.52 43 163 • Cast iron switch case, motor and pump housing. 10 3.05 34 129 • Engineered, glass - filled impeller with metal insert (Model 53). 15 4.57 19 72 • Glass - filled polypropylene base. (Model 53). Lock Volvo: 19.25• • Model 57 all cast iron construction. 0096978 • UL listed 3 -wire 15 ft. standard cord. • Cast aon motor fausin9, pump housing and switch case. Glass4lied poIWWylene impeller and base. "98" CAST IRON SERIES o. 1jq oval" Model BN98 BN /BE Models available packaged with a Rchaed piggyback variable level float switch. TOTAL DYNAMIC HEAD /CAPACITY • %2 H. P.,1 Ph.,115V or 230V. PER MINUTE • Non - Clogging vortex impeller design. EFFLUENT AND DEWATERING • Passes % inch solids (sphere). MODEL 98 60 CYCLE ) • 1 %" NPT discharge. (1' /i X 2" PVC adapter Feet Meters Gallons Liters fitting included with BN and BE models.) s 1.5 72 273 • Automatic reset thermal overload protection. 10 3.1 61 231 • Stainless steel screws, guard, handle. 15 4.6 45 170 • Watertight neoprene "0" ring between motor and pump 20 6.1 25 95 housing. Look VOW 2S • UL listed 3 -wire 15 ft. standard cord. 0099718 • BN /BE Models available packaged with a CID Anoc *Tuvol piggyback variable level float switch. TOTAL DYNAMIC HEAD /CAPACITY ModeIBN137 • Durable Cast iron Construction. PER MINUTE red Pictu EFFLUENT AND DEWATERING • 1 & 3 Phase models available. (115, 200 -208 & 230V -1 Ph). MODELS 137 (200 -208, 230 & 460V - 3 Ph). • Non - Clogging vortex impeller design. Ft. Meters Go[. Ltrs. • Passes 518" solids (sphere). S 1.5 93 352 • 1'/: "NPT discharge. (1'/2" X 2" PVC adapter 10 3.1 79 299 fitting included with 8N and BE models.) 15 4.6 64 242 • Automatic reset thermal overload protection. 20 1 6.1 36 136 • Stainless steel screws, twits, guard, handle. 25 1 7.6 8 JO 26' • UL listed 3 -wire 15 ft. standard cord. Lock Volvo: 0099218 NOTE: No UL fisting for 200- 20811PIL pumps. w ,Y Lim ■SEEMS ■■■■■■■■■ ■n ■ ■S ■M ■ ■■M ■ ■ ■ ■ ■■ MWEEMEEEME■■MEE■■ MERNME LiE ME■ESMEE■ WINERM ME EEEEE ■�S�■EEEMEMME no ON EEEE m WN WEEEEEM ENE EE■ ►` ■��1■ ■■■ ■M■■■ ■ ■■ 10MIR 2EEE■0 MEM■EEE OE■EEMEE■E u�VI■11►g01M ■M■■ ■E■■ :. � ►►111111►E■E■EEEEEE ■►11 Rio 1014 ■■ U1 Elmo No \M►\ l V ■■ \ \ ■■ ■MME NVM►`Y 1111► EM�� \EEEE ■■ ■rm \1► \II■ \■ \MEE■■ ■MENI 11\! ■1 \ ■■ \ ■ ■E■■ ■ ■11►ii\ ■MME FEES \ \SEES \ \ ■E■■ ���►�.� \� \ 01 on ■ ■\MITI\\ \ \ ■M■ \E■■ M■■ ■11110ROW S ■■ \EM ■■■m■SaE■■■■■ ma E3 Mma sm�MMMMMIMMM MW so Mo = mmmmmmmm ® ®fm NM mmm®0mmm ® ®WME3 mmm ®m wy-mmam mmmmamm® ®ommuo gym ®m �m�m�mmlmm ® ®m6�MM EM mm ® ®m ��m�m�mmmmm�� ®mo© ®mmmmmmm =in WORM ��m���mmmmmmmmmmmm ® ©Om�7 ®m �s�m�m�mmmmmmmmmmmo ®mmmmo® ������mmm■�m�mm■�mmmmmmm�■om ��m�m�mmmmmm�mmmmmmmmmmmo _ 8 Y b V SITE PLAN Raymond Molton SW,NW,20,29,15W Springfield township 'S- St. Croix county �rR J LEGEND- AI �j q 4� System Elev. 92.78' on.,contour 92.2' I 401oi -1►nr. kuG� X -pits, dug with back hoe / , New - BM: 100.' top of well Scale 1 -40' except where indicated No Comm 83 setback problems / )/ vabohosD 1 , vbt4„ - -- I �o q%1D a o 10 upp S In9aw • 4y PAGE 8 of 9 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page +' of Z . Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code �r Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County ( X include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. 7 7 v2 t Please print all information. Revi wed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). �— Z G — i'. � — ' I � Prope Owner 1 Property Location I Qj - © r' C� �� C s�, Govt. Lot � 1/4 W 1/4 S d0 T g-j N R rj (or (W Property Ow s Mailing Address Lot # Block # Subd. Kame or CSM# `J L 4, R City State Zip Code Phone Number E] City r Village ® Town Nearest oad New Constructiop Use:M Residential /Number of bedrooms :_ Code derived design flow rate GPD Replacement ❑ Public or commercial - Describe: " 41 • C� r •�p Parent material I n/ �M > ro_�k* Rya Iti 1 Flood Plain elevation if applicable ft. General comments f and recd endations 't�I1l -nom' Ct fry �t twu �1�t�i �t� r° r� �� �� �t� Boring # ❑ Boring c� ' ® pit Ground surface elev. � q - 1 ft. Depth to limiting factor -�31_ in. Soil Application Rate Horizon Depth Dominant. Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 % Ell A cn rm=- t / �vjr� 1 yp� / Q S �i✓ —S r Sc f� r r cD' b l9fJ t'" (!, L AD ho k to J C '�ti F211 Boring # ❑ Boring pit Ground surface elev. o ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1, �o l b Y�� v� s -1 .5 ' Sot 3 17 -.3 'c� S/ si c. 1 T ;� k � � ,s -7- 41.3✓ ' 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) Signature CST Number MS. Loretta A. i/ / CSTM 224580 Address Date Evaluation Conducted Telephone Number N2089 Cty. Rd. Y, Menomonie, WI 54751 7 1 715/235 -4634 wk =:., -:� /. ool 715/664-8184 hm Property Owner v ( �0� ��Y� Parcel ID # Page of Boring # ❑ Boring ^ pit Ground surface elev. q .a + ` ft. Depth to limiting factor 1 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 17 C 2 0.kY. 3. 1'7 a9 iC '� a� -3 L, ��(� 'l.S �2 5 � C Sb►` ° 2L _3 5 --Aa I Dy2 S /rc � M� � � � � 4 Cb,� F -1 Boring # E] Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 ❑ Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 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 (R6(00) i r SOIL EVALUATION REPORT Page 3 of 3 Raymond Molton SW,NW,20,29,15W Springfield township�� St. Croix county �rF loretta larrabee CSTM 224580 / r LEGEND ) Soo/ X -pits, dug with back hoe BM: 100.' top of well Scale 1 " -40' except where / �1 indicated No Comm 83 setback problems S, "Q -E,\r\. Q too"() 5, a SLLr�a.c.6- �d,.islC.harS � � nK� ST CROIX COUNTY SEPTIC TANK :hIA T19NANCE AGREEMENT AND_..._. OWNERSHIP CERTIFICATION FORM i OwnerM Mr. Raymond Molton Mailing Address 855 280th Street roperty Address �ioodvilie WI 54028 (Verification required from Planning Department for new construction) City /State Parcel Identification Number Z LEGAL DESCRIPinON Property Location sw 1 / ; NW 1/, vec.2 1 NI i5 W, 1dV1m Ol S l j1 i l P1 d P inn- - - Subdivision N.A. Lot # N.A. Certified Survey Map # 3( Volume S . Page # 13 40 Warranty Deed FC") Volume Cq a - , Page # Spec house 0 yes 13 no Lot lines identifiable 13xyes 0 no SYSTEM MAINTENANCE h4m4nr and mamtenanceof your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumpmg cute task every throe years or sooner, if needed by a licensed Pumper. What you put into the can affect the fimchoa'of thd'sephc ten]c as a trratmenf stage in die waste disposal rystem. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a masterphmi1er.7ourneymanPlttmber; icitictedplumberor a licensedpuapex verifying that (1) the oa- rte wastewaterdisposal system is in proper operating condition and/or (3) after inspection and pumping (if necessary), the septic tank.is .less than 1/3 full of sludge. Uwe, the undersigned have read the above rnqu rements and agree to maintain the sewage disposal :system with the standards set forth, hereK as net by the Depar6ent of &:nme= and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system been maintained must be completed end metered to the St r—N-em cootaty Zc=ag office wi 30 days of the three year expiration date. 7 1 D SIGtAIUM `OF APPIUCANT DATE ow1vER :cERrC,.�orr I () y that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owners) of the property descrfijefl above, by virtue of a warranty deed recorded ul Register of Deeds Office. � • - / / / Ol SIGNATURE OF OPLICANT DATE ** * * ** Any infomration that is mis represented may result in the sanitary permit being revoked by the Zoning Department. « « «s «« ** Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed DOCUMEN w, T NO. _ + WARRANTY DEED ,. sr4ct scscnvcc t o �cco�oln DA14 • �, STATE BAR OF WISCONSIN FORS[ 2 --1168 -Y • 3��.��� "L 69.2m %345 REGISTERS OFFICE Bert E. Bloom and Mary L.Rloom, husbdnd and wife as ST. CROix CO., WIS. joint tenants. ......... .. Reed. for fl-cord this ... .. July _ ....... . ...... . - day ofA -D. 19 84 .. o f 10:45 A convk -Ss and warrants to Raymond S_ Moulton- and. Theresa .k _. Moulton, husband 3nd_wife as joint tenants_.. ... ' t L ) 130 _ QNOU}OW { the following described real estate to .. St Cr01 X .... .. ..- County, State of Wisconsin: ' Tax Parcel No: ..... ........................ Part of the Southwest One Quarter (SW94) of the Northwesu One Quarter (NW %) of Section Twenty (20), T ^Irnshir Twenty -nine (29) North, Rarge Fifteen (15) West, described a.; follows: L One (1) of Certified Survey Map t fi :- September 12, 1983 in Volume age _ (NO. -r FES is not This __ _ -.. -..- homestead property. d(;o (is not) Exception to warranties: None. Uated this _ 11th. -- -...._ ..._ ._.. _ _. - day of __ July 1984 - (SEAL) _._(SEAL) Bert E. Bloom (SEAL) /& Q - -`� � _. (SEAT.) • _ _ ___ . - _ ...... _ ._ __ _ Mary L.. Bloom AOTBENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN •--- •--- ------ -•-- - -- - -- --- -- -- -• --- -- - --- -_ - - --- -- ss. .- ............ Dunn --- .... count authenticated this ........day of ---- ------------ .......... 19...... Personally came before me this ._ 11 th_ - -. -day of ---- - - - - -- - -..- Ju y...... -... , 19...-...- the above named _Bert. E-. Bloom and.. Mary_ L_ Bloom ... ... _. . TiTLE: MEMBER STATE BAR OF WI i ONSIN --- - - . . .. ......... (If not .. .. . .. ..... ..- .......- - --- ...... authorized by § 706.06, Wis. Stats.) to me known to be the pens- wh - executed the foregoinOnstrament and ackno l Ig thame. 1 � THIS INSTRUMENT WAS DRAFTED BY --- - - - - -• Brent - D, . S - -------- N� r / - -... <otary Public _. DUfifY_ i 1 putty. W ;ggggggJ (Signatures may be authenticated or acknowledged. Both My t'nmmi,5inn is permanent.(ffl-'hnt, s f lxf�:ra are not necessary.) , ((^^ date: - `� } .y _. _ .> _. `, 19 J - T '..:.fir.. .. - J, •NAmeA of persona SitAipt is -nY c-p- ltp 0111,Id be t)pci .•r p.inb'd b: their -1K •iar.:: rer 1 :f (.ti N4 MNN+Conoany� STAT BAR HAM O! WISCONSIN Stock No 13002 V : SOIL EVALUATION REPORT Page 3 of 3 Raymond Molton SW,NW,20,29,15W Springfield township '6- UZ St. Croix county 1 1v1- 11 w e � —� P a' lop 4•1 ► / q�/ 4Vq , loretta larrabee CSTM 224580 LEGEND )300/ �o loi ling � (Xa ' kwo X -pits, dug with back hoe EM: 100.' top of well / Scale 1 "-40' except where indicated No Comm 83 setback problems 1 / 0 q mot c- 3BL..w. 7 o f J suv�aca Bo7�� O TA�JrL +'2oX. _ ` 'tom' te- Q /t vaf i Gri 4 w C P �- 3 � �ya SIo�e - - I-V-Word Y eaS-� i t - T - ' FORM N0. 985-A *Awl NGMx Carr"wow CERTIFIED SURVEY MAP NO. 1340 Stock No. 26273 Beinq oart of the Southwest 1/4 of the Northwest 1/4 of Section 20, Town 29 North, Range 15 West, Town of Springfield, County of St. Croix, State of Wisconsin as described in Volume 5 of Certified Survey Maps, Page 1340 as Certified Survey Number 1310 . . 387680 WEST LINE.NWI/4 NORTHWEST CORNER SEC.20.T29N: R.15W. q�jy�STTr SCALE 1% - 100' �X (EAST 143.13' S 7 o O 50 100 150 200 E _ g I 110,13' 5 � 0 3 "F 14.1 . 7 6 1 LE G 6 ' 33.od `s`Sdo � 4 1 O SET 314 "X24 "ROUND IRON ROD i gQ e F WEIGHING 1.502 LBS. / L.F. I Ig FOUND BERNMEN ALUM14UM I EXISTING CAP MONUMENT D RIVE / BUILDINGS f _ _ J ' 'Z Z I I Z o:rn I BEARINGS REFERENCED TO THE ;D yip :O = N WEST LINE OF THE NW 1/4 OF D SECTION 20. T. 29N - R.15 W. :0 LOT I ASSUMED AS NORTH. � I I n 217,800 SQ.FT± N c N O I I p 5.0 ACRES ± co i Ah ? EXCLUDING R.O.W. �? 2 i I 196,282 SQ.FT. f I 4,51 ACRES ± : n 8 9 jzo Of I I I 'I I � 33.00' 310.02' !•.••• C.o `••••• i aS' I I 1:0 WEST 343.02' • LEON R. 0) " i -+ °' UNPLgTTEO ERRICK _ _ - WEST QUARTER CORNER ° S - 1303 SEC.20,T29N: R.15W. LANDS o ? MENOMONIE. s� - - - - •., WIS. .• '• *QY i4u4d 03 4� SURVE* 0 APPROVED SEP 0 71983 S T' CROIX COUNTY COMPREHENSIVE PARKS PLAMANG AND ZONING COMMI1 ffE Volume 5 Page 1340 SHEET 1 OF 2 DOCUMENT NO +� WARRANTY DEED 1 TMIe •IaCt 091,911V90 0 IItCORQIMe OAT• �I STATIC IIAR OF ( WISCONSIN FORD[ t -100: .•8a8 ox 69.2mc - � ��- i REGISTERS OFFIC! Bert L.Rlooin E. Bloom and Mary , husband and wife as ST. CROIX CO., WIS, .' ..... ............................... . ................... ............................... f oint_ tenants._ . Ric d far R ecord a 13t k .......................................•..................................... ..................._........... dy of July A.D. 19_84 4 ............. ............................... ........... ........ " 10:45 A I conveys and warrants to ..Raymond.. S•.- Moulton . -and.. Theresa ..A......... ;! Moulton.,.. husband..3nd..w ife..as_. jaint.. tenants ........................ f it ..... ...................................... ............................... ..... ............................... ....... I ht URM T) JJ /log i! :. . ................................................................. ........................ o ................................................................ ............................... i ' U o rltx 8ol� 3 1 - I the following described real estate in I State of Wisconsin: II I Tax Parcel No: .............................. ! Part of the Southwest One Quarter (SWY4) of the Northwes One Quarter (NW%) - of Section Twenty (20), Township Twenty -nine (29) North, Range fifteen (15) j West, described as follows: Lot One (1) of Certified Survey Map I► !i filed September 12, 1983 in Volume 5, Page 1340 (N0. 132). i Tpp -Is , $ FEE i� ,i , This ---- is not . homestead property. d(� (is not) Exception to warranties: i 1 None. ,i 1 Dated this - ---- ---- -- --------------------- day of ._....... .. JUIy............... .........._..-- ----............ 19.84... ji (/' ......(SEAL) ...... - ................... ................ ...._...(SEAL) ' �+ a --------- ------------------ ------- - - - - -- - - - -__ • Bert . . . Bloom ......•- - - - - -- i -- ..(SEAL) .......(SEAL) ..... .................. . if ................. --------- ..•.. ................................ • . Mary L. Bloom..... - .. . j AUTHENTICATION ACKNOWLEDGMENT Signature s STATE OF WISCONSIN ! f SS. ------------------------- ---- •--- .....•..--------- - - -... --- •- •.......... • •...... ............... _Dunn ...... county. authenticated this ........da of ...................... y , 19...... Personally came before me this .. I I th ..... day of l j . -. meu �t 19_.•._.._ the above na -------------•-------------.. ............................................. _.B erl: ..E.._. Blo and,. Mary_ L... Bloom. ............... TITLE: MEMBER STATE BAR OF WISCONSIN .............................. ------.....-•---•-- •- •--- -•- -••............... (If not . ............................ ............................••• authorized by 1 908.08, Wis. Stata.) i to me known to be the person ............ _ wh executed the foregoin nstrument and ackn� 1 g �t same. THIS INSTRUMENT WAS DRAFTED BY ;-� � }. : � .......... Bent•...k. n . �nEr.-•••. ....-- •- •••- •.._........•....__ GyL /x. �!::.. , r � v`S ? • ...... ....... ... ...... .. ............................. .. •. , otary Public ............. : i�.L�cu ty. Wip.� (Signatures may be authenticated or acknowledged. Both My Commission is permanent.(Eft9lot, stte !s(fir 'o4t are not necessary.) f date .. I re •Name, of persons signing in any capacity should be tloed or printed below their signatures. ' a [ KG IaMMC7n ®_ TWITI 'a OF W ISCONSIN `r ,,.,,, .,,,,,,,. • : vc _ •:a. s _ „ »z Stock No. 13002 Emma& �••• "•• - uennu xott • a. ou Clifford & Annis Allan & Franco & Ma 120 V 1'mea conatnxt on Margaret & Judy Turner & Judith Hanaraha 95 Brahmer Michael & Gloria' Bergum Laventure 38.1 42.4 Cynthia Pen;neo Ceald 90 • Louie .V Thomas Whitten Krafve 128 Waldo & Gardner 160 & Mae• star g Marian Reimann Finder Bo 90 92 &Kathryn Otto 0 119 •Donna Rott sylvia • 55.6 40 40 W ab • • i• 80 Kiesow & a So d &Shat e • Robert a Waldo & Donna 20 r tl 0 Sheila 20 120 • roy 79 Crockett londieke David & 80 • & Phyllis 74.7 • Rott Qt� orrest Kathy it 80 140 �Qf 54 •• LeY Seim Smith � ti =• � Troy o &Bruce 2 1q Donald • • W1 0 Brad & 100 & Margaret a Pamela Richard � 204.7 t1a F 40 Johnson 80 DNR of Fox 35 Rathai & Donna 40 • ,g Wa I e3 CAP P James David McCarthy Victor 240 Haines Harold* 4 01 clarenre & • A `dam Robert & & 40 & Sheri 120 & Betty Wa a a� GH eV eye Q B 60 LPamela 90 • 438 Wendy T heresa Harris Ill Brandt J.0 n Keil WA 40 40 Fred Ethier Hoffman Jerry Teny P Fa th &de 1 Harold utzfeldt Bo o 40 Ly 74 7 H n 80 ry & Betty s Petra -6 Larson F . Brant • Brandt 0 GP • al id+ • 40 40 • .y 40 40 5 5 40 E Gnia 3.4 �+ lslrlo Fae 16 )Doer Kao � • St • 35 5 • G 4 Wa Lewis 40 e • V1IIman & la Vang Yangxtawa yang Eu ene Douglas • 9.4 McCarrth 371 Y llllll yang Yang etal 69.5 & weiyq j p, 30 40 A Farms Inc 90 39.3 & nna All • . • J&DB x James Joseph Sr & Gnia Yee R Terry N On 24.4 12.6 N J & Thomas 159 & Der Lo" si 125 w&T 5 Carol• Susan 0 Strehlo 120 Q Q Yang Tsuefu _ Schilling McCarthy Cr . G7 gp Vincent Y St an l ey 120 V Villman Carlos 59.9 • & a Harold & Betty Yan ' Farms Inc &Ruth Mary 0 Brandt 120 • e 79 v a R S ,.Boyd "� Lyons 188 hus t SO 80 1 0 3 t James 237.6 St aandall � 120 B Ma rYll & Ma one rY 37.2 20 20 �Clobes R&3 t a 3 ; 120 • • • T S' $Y • y E • Eric • Raymond lean a M arie • Charles • • TI1O°t • Robert & Karen Kim Glass Jeri •& Marie Kleven James tt & Sheila s Arian Mah 120 Tr 39 Mal40 one y Y Daly Mah & Mikla 80 40 Eicher & Martha 39.7 40 40 Tr 40 y C Ike 1:i� D&s Olson Stanley Stanley & M ry G&G Phyllis Bakke • Richard Oehlke Jack & Betty Davis Thomas & Louann 176 •20.5 N hus • etal J B � 120 �olbum ar 20 Quam a 146.4 75 .1 Smith LLP 80 • n 39 • 100 Ala r j 2 75 2 °&R 20 Howard & • Brunkow W� Steven noe w Victor & ath ne y low son• Charles Kildahl Harold &Delores Mahoney Hardwood & & ad to N Mitchell Bonita Mallet* 160 J L&e 20 & Mary • Mahoney 80 80 Suzzane ma Pelegrina " q Bloom Larson 40 R &Di Fortune• D etal 60 Reusch Thoms tk ° � Sevaron Donald H Hugh • Lee Leona & J a y & hard Bob Heath • .a • & • 1 ana & Karat 120 McGee Mar at 0 : 74.6 • Hubba • Sp ielman Lx • Lockerby 160 KundY • Cu� 91 80 00 • 80 u JA g 36.6 433 40 • 90 T Bottles • B&T F Bonita Martin• 8 R William • • John Charles &Martha 40 Pi Y Leroy KM.nda t &Marlene • u Robert , O Mears • 80 40 40 Krueger & Seim t�nf snl.d wolm an Hoppe B welters Pr irtsen Gerald q0 • 40 59.9 40 neon 188.5 n 109 Gerlach Lavern & Nola Donald & Eileen noon Julianne Jack Smith (] lie etal ors William Johnson • Finder 80 :9.7 & Frederick Colbur • 80 n Implement Co V • Ols n 70 Krueger 80 Lenertz 40 •' Gerald 127 J L a Hissay 80 • Leroy Robert Johnson 9 f Norman Allen & UP 12 c Dan & Lois t A, 114.8 80 v & Arlene J ost Leon &£ a "S'" ' McGrane Y Y I L S O N • 7 Nelson Vo bejda June T E s • Robert Michael 4 Dale 49.9 li .a Snyder & Sally & Kim • .n r75-8 & 67.7 67 Ringstad g 19.8 H&H GM etal Snyder Hemnke & 120 �. • e 52 & 6.2 y 4.5 36 • Larry ts • 24• d Gerald • Eugene Jeff & 0 Jill Menk Harold • Ha gen C an d ace & William K 40 & Eleanor Michael • 35 Larson Pete Krueger p ° c e• Family Mabel Mousel &Sally august Row etal 80 80 , a u viL Th Snyder Sachsm Trust P 120 Y W CjM 10.6 Trust mater Allen 155.5 70 etua 32 Steve Pas 32 105 41.2 r Wilson k 7 • L ML 0 c g �r pis EBefaon Keith dl • & Rudolph Laveme & Rod"ey ' • • 3 Farm c A v NN & 281 > 8 &Frances Robert c &Martha Sin e 39 12 • 12.4 0% y, Kromrey Leaf 128 Er'cJ�r' 0j $Gott Alice � 4 R Hrs • `,T 2 & R S t 168.8 Chris ° James �� 80 V `t� Peterson Grady ' 4wre & z f g �` • & L E unbo�vn • 91 Philli r i B 12 • xe i 43.7 38.8 KrWW Hit 40 3200 33 2800 2soo S� PnaE 22 3000 3100 Community j ust The Partner You Need... Bank M &I Bank is strong in resources to offer you the finest banking products St ate and services available. We strive to keep pace with the changing market to ® bring you services that fit your life style. In addition to our traditional retail and commercial products we offer. 3 S. 2nd St./425 -8131 • Investment Services • Trust Services ,rth Campbell/262 •24 -Hour Banking At Your Fingertips With MiLINE 1 -888- 464 -5463 1 • Convenience of 15 Bank Locations in Western Wisconsin - r 1 BOWMAN PLUMBING, INC. 2819 KNAPP STREET MENOMONIE, WI 54751 715- 235 -4634 715 -235 -3650 fax PROPOSAL SUBMITTED TO: Mr. Raymond Molton PHONE: (715)698 -2196 DATE: 5 -25-01 STREET: 855 280" Street JOB NAME: Same CITY,STATE & ZIP: Woodville, WI 54028 J LOCATION: Same We hereby submit estimates and specifications for: REPLACEMENT 3 BDRM. MOUND W/ 1 FT. SAND LIFT Approximate rock bed 6' x 75', Approximate total area 19' x 90' 1000 /650 combination septic /pump tank Effluent pump, High water alarm, floats and filter County permits and State approval Filling of existing septic tank day of system installation Excavating, Labor and miscellaneous material ** Black dirt (system cover) to come from 100' of mound area $9,655.00 HOMEOWNER TO SUPPLY: 1. Electrical to pump tank. 2. Seeding of septic system. 3. Pumping of existing tank day of system installation. 4. Mound area to be mowed short prior to system installation. WE PROPOSE hereby to furnish labor and material as stated above for the sum of PAYMENTS to be made as follows: _Upon request. Interest will be charged at the rate of 1 % % per month on all past due balances. Authorized Signature: S10wefraw Please note: Bid maybe withdrawn by us if not accepted within 30 days. ACCEPTANCE OF PROPOSAL — The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payments will be made as outlined above. Date of Acceptance: Signature: Please sign and return yellow copy. Thank you. January 26, 2001 RAYMOND MOULTON 855280 TH ST. WOODVILLE, WI 54028 Dear Mr. Moulton, Enclosed is the application for the Wisconsin Fund grant program. Processing of the applications will be in December and January of next year. There is not a lot of information to send you on this. I previously sent you an informational pamphlet on the program. You have indicated that you have already contacted a certified soil tester. A soil test will determine the type of replacement system that will be required. At the time of the soil test, you should have the soil tester determine the type of septic system that is currently serving the residence. If a septic drainfield is determined, a soil boring should be described in the immediate vicinity of the existing drainfield to determine soil types, and to be able to determine what type of failure should be assigned to the existing septic system. Determination of the type of system failure is a requirement of the Wisconsin Fund. If you have any questions, please feel free to contact me at the zoning office at 715 -386- 4680. Sincerely, Kevin Grabau Zoning Technician ST. CROIX COUNTY WISCONSIN - - � ZONING OFFICE f/M / /NNN• r���r ST. CROIX COUNTY GOVERNMENT CENTER _ 1101 Carmichael Road �••' , .� y-- Hudson, WI 54016 -7710 =Y (715) 386 -4680 FAX (715) 386 -4686 NOTICE OF VIOLATION March 25, 2001 RAYMOND MOULTON 855 280' ST. WOODVILLE, WI 54028 RE: Failing septic system at 855 280"' Street Town of Springfield - St. Croix County, WI Computer # 034 - 1045 -80 -000 Parcel #20.29.15.31113 Dear Mr./Mrs. Sandvig: As required by the ST. CROIX COUNTY ZONING ORDINANCE, notice is hereby given that you are in violation of § 254.59(2) Wisconsin Statutes, COMM 83.32(1) Wisconsin Administrative Code, and Article 15.04 of the St. Croix County Zoning Ordinance. This system has failed under the definition in § 145.245(4)(b) Wisconsin Statutes (Category I). This violation was first noted on 03/25/01. The violation noted is septic effluent discharging to zones of saturation. An on -site inspection by zoning staff confirmed that septic effluent has been discharging to zones of saturation. If fines and or forfeitures become necessary to bring about the abatement of this violation, they will be assessed as of 3/25/2001 in accordance with Chapter 145.12(4) Wisconsin Statutes. THE FAILING SANITARY SYSTEM ON THIS PROPERTY POSES IMMEDIATE HEALTH CONCERNS AND NEEDS PROMPT ATTENTION. REQUIRED ACTION: By May 01, 2001, contract with a certified soil tester to have a soil evaluation conducted. The soil evaluation will determine the type of septic system needed and it's location. Then contract with a licensed plumber, who will design the septic system and obtain a sanitary permit through this office. The septic system must be installed no later than June 1, 2002. If you have any questions or concerns that I can address for you in this matter, please feel free to contact me. I look forward to working together to resolve this matter. Since ly, Kevin rabau Zoning Technician cc: file ST. CROIX COUNTY WISCONSIN 1 Impious an _ \� — � ZONING OFFICE ST. CROIX COUNTY GOVERNMENT CENTER - _ _ - -- - 1101 Carmichael Road Hudson, WI 54016 -7710 (715) 386 -4680 - Fax (715) 386 -4686 December 10, 2001 7 Raymond S. Moulton tA 855 280 Street Woodville, WI 54028 Dear Mr. Moulton: Your application for Wisconsin Fund Sanitary System Replacement reimbursement was received by this office. I have checked items on the list below that are still needed from you in order to process your application. a/ $100 filing fee Copy of warranty deed showing ownership of property ❑ 2000 Wisconsin income tax form (total taxable household income must be less � han $45,000 for the fiscal year in which you apply) Cancelled check or copy of any paid receipts showing the amount you paid for the cost of the replacement system Please submit the necessary information before December 26, 2001, to St. Croix County Zoning Office 1101 Carmichael Road Hudson, Wisconsin 54016 Enclosed is a copy of the Wisconsin Fund brochure for your information. Should you have further questions, please call me at (715) 386 -4680. Sincerely, Judy Olson Zoning Secretary Encl. ST. CROIX COUNTY WISCONSIN ZONING OFFICE ST, CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road Hudson, Wf 54016 -7710 (715) 386 -4680 • Fax (715) 386 -4686 January 29, 2003 Raymond Moulton 855 280' Street Woodville, Wl 54028 Dear Mr. Moulton: The application materials for your Wisconsin Fund Sanitary Replacement reimbursement are currently being processed for submittal to the state. At this time, your application will be submitted as a Category 2, because the inspector was only able to verify discharge to the surface of the ground. Jean Joyce, from the Safety & Buildings grant office, recommends that additional data be obtained and then the 2002 application can be amended for consideration as a Category 1— discharge of sewage to a zone of saturation. Although the system was installed in August 2002 and most of the data necessary was provided, the following items still need to be field verified: 1. A soil boring near the abandoned tank and/or the former pipe location to describe the actual elevation of mottles and the zone of saturation at the former system area. 2. A measured elevation for the abandoned system and the area of surface discharge. The soil evaluation site plan gave an estimated elevation for the basement floor at 5 ft. below grade, but the inspector received an estimate for the building sewer on the north side of the house at 2.5 ft. below grade. We need to eliminate any discrepancies before sending in the amended application. 3. A failure letter will be issued that will demonstrate the need for this replacement system. Loretta Larrabee completed the report and plans and is very familiar with the location of the former system. Please coordinate any additional field work with our office so we can schedule time to field verify the information and assist with submitting your amended application. Should you have further questions, please call me at (715) 386 -4680. Sincerely, amela Quinn Zoning Technician I� SAFETY AND BUILDINGS DIVISION Field Operations P. O. Box 2538 is Madison, Wisconsin 53701 -2538 JwmDoVKGovww consin Department of Commerce 608!267 -7113 March 21, 2003 Kevin Grabau RECEIVED St. Croix Zoning Department 1101 Carmichael Road MAR 2 4 2003 Hudson, WI 54016 ST. CkOlx CUUN ZONING OFLit.? Re: Wisconsin Fund - Private Sewage System Replacement or Rehabilitation Program - Fiscal 2004 Applications Dear Mr. Grabau: The applications listed below that were submitted by your office for funding have been placed on HOLD because additional information is needed. Please respond with the additional information prior to June 2, 2003. Klescrwski Is the principal residence occupied 51 % of the year? What is the age of the existing failing system (prior to 12 -1 -69 or 12 -1 -69 to 7- 1 -78)? What is the separating distance from the bottom of the existing failed system to a limiting factor (0 -24" or 24 -36 ")? Larson The grant award was increased by $883. A reduction is not needed on the grant worksheet if the applicant is not a licensed installer. Moulter Will be listed as a category two failure until new ' i nform ion is rec What is the age of the existing failing syste rior to 12 -1 -6 r 12 -1 -69 to 7 -1 -78 ? What is the separating distance from the bottom o t e existing failed system to a limiting factor (0 -24" or 24 -36 ")? 0 -- - 3 g,, t , On what date was the order or determination of failure issued? If you have any questions or would like to discuss these applications with me, please call. Sincerely, Jean Joyce, Grant Specialist Wisconsin Fund — Private Sewage System Replacement or Rehabilitation Program j oyce @commerce.state.wi.us 608/267 -7113 ST. CROIX COUNTY WISCONSIN ZONING DEPARTMENT ' N N N N N ■ falls ST. CROIX COUNTY GOVERNMENT CENTER 1 101 Carmichael Road Hudson, WI 54016 -7710 Phone: 715 386 -4680 Fax 715 386 -4686 Me o to F From Pam Quinn -0 Date: 5/12/2003 Re: Soil on -site (SW % NW '/. Sec 20 Town of Springfield - Ray Moulton) On May 2, 2003 a soil on -site was completed due to a lack of information required for processing the owner's application for Wisconsin Fund assistance. Loretta Larrabee completed the original soil report on 4/27/2001 Staff (Jon Sonnentag & Pam Quinn) has determined that the failed system at 855 280 St., Woodville, WI does qualify as a Category 1 failure. The day was mostly sunny with temperatures in the upper 60's. A hand boring was completed just above the point of observed surface discharge from the abandoned system (estimated elevation @ 90.5'). Redoximorphic features [Many, coarse, prominent] were observed at approximately 3 inches below the surface. The boring was extended to 12 inches, where blackened soil was observed, apparently a result of organic /waste material deposits from the failed septic system. Another hand boring was dug approximately 15 ft. north of the system area to a depth of 15 inches, where common, medium, distinct 7.5 YR 5/6 mottles were observed at <10 inches from the ground surface. These borings indicate A +0" soil conditions in the vicinity of the failed system, which would have made that area unacceptable for a mound. Based on this soil investigation, it appears that the private septic system was discharging wastewater into saturated horizons, which is considered a Category 1 failure. This memo will be attached to documents requested by Jean Joyce, WI Dept. of Commerce.