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Wisconsin Department of commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 515298 0 GENERAL INFORMATION (ATTACH TO PERM 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 Aasen, Eric & Jeri S rin field, Town of 034- 1051 -20 -000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range/Map No: j ©� �0� �- •ri 23.29.15.354 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. L Septic Benchmark l0� D , UG /00. 6 Dosing 1 /- Alt. BM a 2_13 � p' CJ t7 � 0 Aeration d Bldg. Sewer 2 1 L J �� Holding StJ St/Ht Outlet TANK SETBACK INFORMATION TANK TO �/hn WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic �/�J��(,/ $A/ r f r Dt B � •� $7 Dosing AZ 7 t l � b j5 / T Heade an �• L � 7 7. 78 Ctf Z770, Aeration OL� Dist. Pipe cr7. 71 Holding Bot. System f 3.17 7 Final Grade •`Z PUMP /SIPHON INFORMATION Z •Z Manufacturer Demand St Cover GPM / / J Model Number / t Z• 7 �0,. Q �a s. s TDH Lifer I Friction1 q � System Head 6 TD} 7 t Forcemain Len h Dia. Dist. to Well SOIL ABSORPTION SYSTEM BEDITRENCH Width r Length No. Of nche SIONS PIT DIM No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/L JBLDG WELL LAKE /STREAM LEACHING Manufacturer. INFORMATION Type ystem: � I r CHAMBER OR �iSrr 1 //7 UNIT Model Number: DISTRIBUTION SYSTEM � " `' U + � Header /Manifo�d ! Distribution � t1( / � x Hole Size �! x Vent it Inta Pipe(s) S Z Length 3 Dia Length Dia /I Spacing SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center / �r-r Bed/Trench Edges Topsoil f � l ` � qq Yes [N No Yes [R No COMMENTS (Include code discrepencies, persons present, etc.) Inspection #1:/ I I b pection #2: ! / Location: 3163 Cty. Rd. E�Glen_wood City, WI 54013 (NW 114 NE 1/4 23 T29N R15W) NA Lot 1 &2 2 P rcel b 23.29.15. ?54� 1.) Alt BM Description = !+� "�'^ (,(,�(• O 7 / /'Ldl 2.) Bldg sewer length = / �_ 1 `�'�UI�Q�t / � �J - amount of cover - / nn 5 U40- (.S(,� � • , - n fo tS o QD— Plan revision Required? 0 Yes )41No { �-7 { 7 r Use other side for additional information. I _!1? � __ L_ 13D -6710 (R.3/97) Date Insepctor's 7 lure Cert. No. Safe and Buildings Division County commerce.wl.gov Y r r ZOl iV. Washington Ave.,,,, B 7162 S / �" t D ooplartrinent s e o n s i n Madison. W I 537 „,���Pfff��Oox 1 Sanitary Per Nu (to be filled ^ �?�O•) of Commerce Z C1 X State Transaction Nu ber Sanitary Permit Application "`� ��6��0'�� In accordance with S. Comm. 83.21(2), Wis. Adm. Code, submission of this form to the appropriate s�jmen unit is required prior to obtaining a sanitar pem,it. Note: Application forms for state -o—ed POW'tSil i c Project Address (ifdifferent thanmading address) submitted to the Depanment of Commerce. Personal information you provide may he used ror secondar p urposes in accordance with the Pt a Law. s 15 n- 1 0)(m) Stats I. Application Information - Plcase Print all Informatio Parcel R Property Owner's Name �/u C S ��,c/ �•�.sb✓ � � � � /_ Z d ^ / 00 X075” Property O net's Mailin Address G� !O Property Location 1! /0�����' s lQ g C a° 6u,eJ rY ;?04-16 JUN �J Govt. Lot (• 35� �'.3 J City, State Zip Code P v.. �` Section 23 e�+ T etl cv Si(4 PLAN ING & ZONING OFFICE p circle o I1. Type of Building (check all that apply) Lot a Subdivision Name �I or 2 Family nwelling - Number off; rooms /)S� p yam. /�S� Blockp �— ll...= ,,�a''tt ❑ Public /Commercial - Describe Use (� ❑ Csty of CSM Number ❑ Village of ❑State Owned - Describe Use / , t L vll I�Town of J Ill. Type of Permit: (Che k only one hoa on i' A. Complete line B if applicable) FIB. New System Replacement System ❑Treatment /Holding Tank Replacement Only List Previous Permit Number and Dare Issued Other .Modification to Existing System (explain) ❑ C1 Permit Renewal (D Pcrmii Revision ❑ Changc of Plumber ❑ PCITnit Transfer to N'ew i Before Expiration ° Owner IV. Type of POWTS System /Com oneiit/Dcvice: Check all that apply ❑ Non - Pressurized In- Ground ❑ Pressurized In-Ground ❑ At -Grade ❑ Mound ? 24 in of suitable soil Mound < 24 in. of suitable soil C ❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain) 119 711-- V. Dis ersal/i'rentment Area Information: Design Flow (gpd) Design Soil Applitatit Ratc(gpdsl) Dispersal Area Requir d (st) Dispers I Arca Pr posed (s() System Elevation ys s % - /.p I'll ��z5' �s'd fi .VF ysv �7, V L Tank Info pacify in Total N of Manufactupir e 7 Gallons Gallons Units / /_ /' S U o y _ New Tanks , Existing Tanks a U rn n aL (7 n Septic or Holding Tank Dosing Chamber Z_-.. �ps0 V11. Responsibility Statement- I, the undersigned, a3sume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) 2� MP /MPRS Number Business Phone Number / /�' d� -ter 26���5 7� s= 265 -Y Plumber',s Address (Street, City. State. Zip Code) VII County /De artment Us c Onll Permit Fee Date ttsstxd ! uing Age [gnat a Approved ❑Disapproved S / _� ❑ Owner Given Reason for Denial / , , IX. Conditions of Approval/Reasons for Disnpproval 3 CZrr� `S�i�C�- SYSTEM OWNER: / v 1 Septic tank, effluent filter and dispersal cell must all be serviced / maintained t �rn vLl as per management plan provided by plumber. • A i l Slu requirelTIM, W, MUN IFe ,riq $Irl 8I and submit to the Qoanty only o ap r nor Ir s than a in s 1 I inches In size as per applicable code /ordinances. �� ' C SBD -6398 (R. 01/07) Valid thru 01/09 n c 1' 1 J v�p �� % 4 L ei -c s Jam. ► � +�s ( b� 4 (,J V4 14E'lf S 2 3 T2V?,V K zo I � SPR rrtG F�EL °. S T, C tZot k C ry r T+ o r GP jK C6A J C tC - -TE kPC ens s� �5, /8 Ba - 9�• sit I X33 9sa / ' a a p SC. ALj-- - IYL:� jCS 2 - 4 - 1 (v Safety and Buildings 141 NW BARSTOW ST FL 4TH cornmerce.wi.gov WAUKESHA WI 53188 -3789 ■ Contact Through Relay ���O��I www.commerce.wi.gov /sb/ Department of Commerce www.wisconsin.gov Jim Doyle, Governor Aaron O lv e r, Secretary June 11, 2010 CUST ID No. 267985 ATTIC• POWTSInspector MICHAEL J MYERS ZONING OFFICE NORTHLAND PLUMBING INC ST CROIX COUNTY SPIA 2943 130TH AVE 1101 CARMICHAEL RD GLENWOOD CITY WI 54013 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 06/11/2012 Identification Numbers Transaction ID No. 1801638 SITE: Site ID No. 756942 Eric & Jeri Aasen Please refer td both identification numbers , 3163 Cty Rd E above, in all correspondenee with the Town of Springfield, 54013 aom G7. St Croix County NWl /4, NE1 /4, S23, T29N, R15W FOR: Description: Mound, 3 bedroom Object Type: POWTS Component Manual Regulated Object ID No.: 1267489 Maintenance required; Replacement system; 450 GPD Flow rate; 17 in Soil minimum depth to limiting factor from original grade; System(s): Mound Component Manual - Version 2.0, SBD- 10691 -P (N.01 /01), Pressure Distribution Component Manual - Version 2.0, SBD - 10706 -P (N.O1101); Effluent Filter 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. 145.06, stats. The following conditions shall be met during construction or i4mij*w an 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.O1 /01) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems VERSION 2.0" SBD- 10706 -P (N.01 /01). n A 6 .0 In the event this soil absorption system or any of its component parts malfunctions sous o �d the property owner must follow the contingency plan as described in the appr ved p1a46� e weer must comply with the operation, maintenance and monitoring duties as describe 'n sects mound component manual. A copy of this information must be given to the owner upon etion '♦project. �C All holding/treatment tanks are to comply with Comm. 84.25(7)(a). Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. Access to the filter for cleaning must be provided per Comm 84 product approval conditions. MICHAEL J MYERS Page 2 6/11/2010 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. Owner Responsibilities: • Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • Comm 83.55 The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. 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. The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 250.00 Fee Received $ 250.00 Balance Due $ 0.00 Julia Lewis- Osborne POWTS Reviewer 2, Integrated Services WiSIAi. cep. lb. (262) 397 -6005, Fax: (608) 283 -7481 julia.lewis@wisconsin. gov Notice: Starting July 1, 2009, no person or entity may engage or offer to engage in construction business in Wisconsin unless they hold a Building Contractor Registration, or equivalent, issued by the Safety and Buildings Division of the Wisconsin Department of Commerce. "Construction business" means a trade that installs, alters or repairs any building element, compono" material or device that is regulated under the commercial building code, chs. Comm 60 to 66, ths uniform dwelling code, chs. Comm 20 to 25, the electrical code, ch. Comm 16, the plumbing c� does supplies Comm 81 to 87, or the public swimming pools and water attractions code, ch. Comm 90. T rm not on not include the delivery of lies a buildrr Pp or materials, or the manufacture o f the building site. cogMm.litml For further information, go to our website: wwNv. commerce .wi.gov /SB /SB- BuildingContract i r Mound System Cover Page pa t of 6 MIESER coven TE Project Name: Aasen -Mound Owner's Name Eric & Jeri Aasen Owners Address 3163 County Rd E Glenwood City, WI 54013 Legal Description NW ! '/4, �NE • Y, Sec 23 T 29 N, R 15 H► '� Township Springfield RECEIVED County Saint Croix n MAY 17 2010 Subdivision SAFETY & BUILDINGS Lot# Parcel ID# Table of Contents pg- 1 Cover page 2 Mound Sizing Calculations 3 Pressure Distribution Layout and Dynamics 4 Dose Tank 5 Management and Contingency Plan 6 Plot Map 7.Pump Curve total # of pages: 6 Designer Name: Michael J. Myers MP /License #: 267985 Date: 5/11/10 J. Ph. #: 71 ' 265 -4115 ✓�`ts ¢I Signature: c Mound System Design Methods Used e',F,p O per "ound Component per " Pressure Distribution omponent manual for Private Onshe T Wastewater Treatment S (Version 2.0) SBD- 10708 -P (N 01 G,`Oy Spreadsheet provided by: 3b4dvisement N12486 220th St, Boyceville, WI 54725 Ph: 715 -843 -8068 email: 3baQ3badviserneht. Mound System Page 2 of 6 Mound Sizing Calculations Project Name: Aasen -Mound Site Conditions Design of Entire Fill Project Type: [—,or 2 Family Dwelling w Cell depth at upslope edge (D): 19.0 in. % Slope: 2 % Cell depth at downslope edge (E): 20.5 in. # of Bedrooms: 3 Distribution cell depth (F): 9.5 in. Depth to limiting factor: 17 in. Cover thickness over edge (G): 6 in. Absorbtion rate of fill material: 1 gal/fe /day Cover thickness over center (H): 12 in. Absorbtion rate of in -situ soil: 0.4 gat /fe /day End slope width (K): 10.4 ft. Effluent quality Eff#1 • Fill length (L): 95.8 ft. Max BOD effluent value: 220 mg /I Upslope width (J): 8.2 ft. Max TSS effluent value: 150 mg /l Downslope width (Toe) (1): 9.6 ft. Fill Width (W): 23.8 ft. Design of the Distribution Cell Basal Area System Design Flow: 450.0 gal /day Basal area required: 1125 fe Distribution cell width (A): 6.00 ft Basal area available: 1170 fl Distribution cell length (B): 75.0 ft Area of Distribution Cell: 450.0 fe Observation Pipes Contour Elevation of Mound: F 9 - .5 - 21 ft Location from end of cell (Z): 12.5 ft System Elevation of Mound: 97.10 ft Final Grade of Mound: 98.90 ft Mound Plan View Observation Pipes r_Z___ W K ---a Distribution Cell AA T B k I Tilled ArealFill Material L Mound Cross Section Final Grade Observation Pipe Synthetic Fabric Distribution Cell System Elevation an d ��•a. F 1 Cover Material Lateral 3 Fill Material Invert Tilled Area Slope �Forcemain SYstem Contour Notes: Fill material to consist of ASTM C33 Sand Distribution cell aggregate to comply with Comm 84.30(6)(1) Synthetic Fabric covering on cell per Comm 84.30(6)(g) Distribution Cell to have minimum 6" aggregate below lateral and 2" above. Mound System Page 3 of s Pressure Distribution Calculations Project Name: Aasen -Mound Lateral Layout Lateral /Manifold Design Lateral elevation: 97.6 ft Lateral diameter: In. Rows of Laterals: Z Lateral spacing (S): ft Manifold type: center • Lateral to cell edge: 1.5 ft Orifice diameter: 0.125 In. Lateral discharge rate: 6.18 gpm # of Laterals: 4 System discharge rate: 24.72 gpm Distal Pressure: 5 ft Manifold diameter: 2 • In. Lateral Length: 37 ft Manifold length: 3 ft Orifice Spacing /Distribution Forcemain Friction Loss Orifice spacing (X): 30.62 Inches Forcemain length: 120 ft Orifices per lateral: 15 Forcemain diameter: Z 1 • In. Avg. ft /Orifice: 7.50 ft Friction loss in forcemain: 1.626 ft Lateral Side View Manifold Lateral Lateral x x x Ir x 11 x x x x i x x x 2 Lateral Length Lateral Length Lateral Plan View Lateral Length Turn -up wlball valve or cleanout plug a o S 0 0 Orifices on bottom of lateral equally spaced PVC laterals and Forcemain to comply with specifications per Comm 84.30(2Xe) Forcemain connection via tee or cross to manifold at any point Clean Out Detail Observation Pipes Clean -out plug Final Grade or ball valve Water tight cap or plug Lawn Sprinkler Box lot Note. Closet Collar Long Sweep 90 6" Minimu Im d� of 3M in or two 45's +L 3/8" Bar Lateral 6 Mound System rye a of s Septic, Pump and Dose Tank Project: Aasen -Mound Tank Information Dosage Volume Pump tank manufacturer: Wieser Concrete Forcemain drains back to tank? OQ yes O No Pump tank size/model: Wi000 /650 -MR � Lateral void volume: 15.6 gal Pump tank gal /inch: 17 Dosage to absorbtion Cell: 78.2 gal Actual Pump Tank Volume: 646 gal Forcemain volume: 20.9 gal Tank bottom elevation (inside): - 1 ft Total dosage: 99.1 gal Septic tank size/model: W1000 /650 -MR IVI Pump and Filter Total Dynamic Head Pump Manufacturer. Goulds Are laterals highest point? y Pump Model: PE51 P1 if not, enter highest elevation: p ft Effluent Filter: Pol lock System head (distal x 1.3) 6.50 ft Vertical Lift ( "D" to lateral) 10.94 ft Note: Access opening of sufficient size to be provided to allow Friction loss in forcemain: 1.63 ft removal of filter. Opening to terminate at or above grade. Pressure loss from filter: ft Total dynamic head (TDH): 19.06 ft Pump Tank Diagram Dose Tank Levels Watertight Locking Cover In. Gal 4Inch � Warning Label W A Reserve 22.2 376.9 Minimum B Pump off to Alarm 2.0 34.0 Altematez C Total Dosage 5.8 99.1 Outlet Location D Effluent depth for pump 8.0 136.0 I Forcemain 16.20 and Total Capacity: 38.0 646.0 NEC 300 Weep Hole A or Anti - Siphon B Device C L9 D x (�3 Pump must be capable of: 24.7 GPM and head pressure of: 19.1 Feet Mound System stem Mana ement Plan pursuant to comet 83.54 W. A. C. page 5 of 6 i Owner's Responsibility: The component owner is responsible for the operation and maintenance of the component. The county, department or POWTS service contractor may make periodic inspections of the components, checking for surface discharge, treated effluent levels etc. The owner or owner's agent is required to submit necessary 9 , 9 q maintenance reports to the appropriate jurisdiction and /or the department. Septic Tank: Septic tank are to be inspected routine and maintained b department approved individuals when P (s ) Pe IY Y p PP necessary in accordance with their approvals. The use of chemical /biological "treatments" is not required or recommended. If such additives are used, make sure they are approved by Department of Commerce, Safety and Buildings Div.. Effluent fitters are to be removed & cleaned as necessary, with provisions to keep solids from passing the septic during removal. No more than 1/3 of the usable tank volume may be occupied by sludge /scum. 3 year inspection: If tank has greater than 113 volume sludge, tank contents must be emptied and disposed of in accordance with NR 113 Wisconsin Administrative Code by an approved individual. If the inspector does not recommend pumping of the septic tank, then the owner must be notified of when pumping should be done as to not exceed 1/3 sludge volume. Septic tank should be routinely inspected to be watertight and of good repair. Pump /Dose Tank If an effluent filter has been installed in the pump /dose tank, it must be removed & cleaned as necessary, with provisions to keep solids from passing to the mound component during removal. The pump, float switches and alarms must be inspected at least every three years for proper operation. Pump /dose tank should be routinely inspected to be watertight and of good repair. Mound and lateral System The mound system component must remain free of ponded surface water prior to pump operation. If 4 inches or more water level is detected in the observation pipes, the owner must be notified of possible problems/failure. The designed daily flow capabilities of the component should never be exceeded. Trees and any other deep rooted vegetation should never be planted, or allowed to grow anywhere on the component. Activities OTHER than mowing /maintenance (i.e. excessive walking, pets, vehicles, etc...) could compress the component and reduce it's absorbtion capabilities and /or possibly cause it to freeze in winter conditions. Lateral distribution pipes should be flushed out/tested every 18 months using the cleanout points at each end of the component to remove scum that may clog orifices. Performance Monitoring: Performance monitoring must be done at least once every three years following the installation or at the time of a problem, complaint, or failure. Contingency Plan: If the septic tank, pump tank or any of their components therein (including floats, alarms, pumps, etc) become defective, the defective tank or component must be replaced immediately to ensure that the system can operate as designed. If the mound component cannot accept wastewater or ponds wastewater to the surface, the component must be repaired or replaced in its current location by either: extending basal toe to provide added absorbtion area; or by removing the clogged bacterial mat,aggregate cell, and distribution piping within the mound and replacing said components in order to return system to proper working order as required. E �u 1 ,t D f lp) q i 4� q � I e►c J 4 ,qaL=Yf S Z 3 7 9 R/ 'D I Slap CR.oix CrV MTy o — i toP 0 F GP 7, 7 C-6AJeIZC-7r 1 I Gplef46C, I 9 3, ( ( S ►. ?tcSfi 24-1 f y [qGOULDS PUMPS Submersible Effluent Pump PE "Kum pump SPECIFICATIONS MOTOR FEATURES Pump — General: General: ■ Corrosion resistant • Discharge: 1 ' /2 " NPT • Single phase construction. • Temperature: 104 (40 • 60 Hertz ■ Cast iron body. maximum, continuous when • 115 and 230 volts ■ Thermoplastic impeller and fully submerged. • Built -in thermal overload pro- cover. • Solids handling: 'A" tection with automatic reset. ■ Upper sleeve and lower maximum sphere. • Class B insulation. heavy duty ball bearing • Automatic models include a • Oil - filled design. construction. APPLICATIONS float switch. • High strength carbon steel ■ Motor is permanently Specially designed for the • Manual models available. shaft. lubricated for extended following uses: • Pumping range: see PE31 Motor: service life. performance chart or curve. • .33 HP, 3000 RPM ■ Powered for continuous • Mound Systems operation. • Effluent/Dosing Systems PE31 Pump: • 115 volts ■ • Low Pressure Pi S Maximum capacity: 53 GPM • Shaded pole design All ratings are within the Pe Systems working limits of the motor. • Basement Draining • Maximum head: 25: TDH PE41 Motor: ■ Quick disconnect power • Heavy Duty Sump/ PE41 Pump: • .40 HP, 3400 RPM cord, 20' standard length, Dewatering • Maximum capacity: 61 GPM a 115 and 230 volts heavy duty 16/3 S1TW with • Maximum head: 29' TDH • PSC design 115 or 230 volt grounding PE51 Pump: PE51 Motor: plug. • Maximum capacity: 70 GPM • .50 HP, 3400 RPM ■ Complete unit is heavy duty, • Maximum head: 37' TDH • 115 and 230 volts portable and compact. • PSC design ■ Mechanical seal is carbon, METERS FEET ceramic, BUNA and stainless 40 QE5 - - - - MODELS: PE31, PE41, PE51 steel. HP: .33, .40, .50 ■ Stainless steel fasteners. 10 - a— -� - -► 2 GPM AGENCY LISTINGS 30 i - 1 Fr I _ 25 _. C� us Tested to UL 778 and Z zo CSA 22.2108 Standards t { By Canadian Standards Association 15 15 File #tLR38549 Id ISO 9001 - Goulds Pumps is Registered. 10 5 0- 0 0 10 20 30 40. 50 60 70 GPM 80 0 5 10 15 m3 /h Goulds Pumps / CAPACITY 2004I Water Technology Inc. E ITT Industries Effective June, 2004 BPE31 /41 <& NVI SOIL EVALUATION REPORT #72 Deparh of Commerce in accordance with Comm 85, Wis. Adm. Code Page 1 of 3 Division of Safety and Buildings Northland Plumbing, Inc. Attach complete site plan on paper not less than 8% x 11 inches in size. Plan must County St. Croix include, but not limited to: vertical and horizontal reference point (B direction and parcel I.D. percent slope, scale or dimensions, north arrow, and location d1l r�r1rd. Q) / 20.. -100 Please print all informadon. 1 11 Revie Date Personal information you provide may `'"'L�9 (+}(m)). C/ 1 Property Owner Property Location Eric Aasen �I Govt. Lot NW1 /4, NE114, S23, T29N, R15W Property Owner's 3163 County Rd E 0 Mailing Address J U N 2 f 2 O � O Lot # Block # Subd. Name or CSM *� f q6 City S to 4144 l0lXl�lptlpl Number City [] Village ® Town Nearest Road Glenwood City P & ZO Springfield County Rd E ❑ New Construction Use: ® Residential i Number of bedrooms 4 Code derived design flow rate 600 GPD ® Replacement ❑ Public or commercial - Describe Parent material Glacial Till Flood plain elevation, if applicable ft. 2, Gen eral comments N f 4.4 Jn Wt-& ,,,,(, k- ri" lT� and recommendations: F-11 Boring # E] Boring ® Pit Ground surface elev. 95.18 ft. Depth to limiting factor 24 in. Sod Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Ee#1 •ENC 1 0 -9 10YR3 /3 sit 3sbk mvfr Cs if .6 .8 2 9 -17 7.5YR4/4 s Osg ml Cs if .7 1.6 3 17 -24 7.5YR4/6 SCl 2sbk mfr Cs if .4 .6 4 24 -36 7.5YR4/6 7.5YR6/8C1d spots Sd 2sbk mfr gs .4 .6 5 36 -62 5YR 4/4 Cos Osg mfr Cs .7 1.6 6 62 -68 10YR6 /8 fS Osg mfi Cs .5 1.0 2] Boring # Ej Boring ® Pit Ground surface elev. 96.55 R Depth to limiting factor 19 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fr in. Munsell Qu. Sz. Cont. Color Gr. Sz- Sh. *Eff#1 *Eff#2 1 0-11 10YR3 /3 sil 3sbk mvfr CS if .6 .8 2 11 -19 7.5YR4/4 9d 2sbk mvfr Cs if .4 .6 3 19 -29 7.5YR4/4 7.5YR6 /8cid spots sd 2sbk mfr gs if .4 .6 4 29-46 7.5YR3/4 Cos Osg ml Cs .7 1.6 5 46 -54 10YR5/4 7.5YR6 /8C1d spots d Om mefi Cs 0.0 0.0 ' Effluent #1 = BOD? 30 < 220 moll. and TSS >30 < 150 mg/L ` Effluent #2 = BOD <_30 mg/L and TSS S30 mg/L CST Name (Please Print) Sig ure CST Number Michael J. Myers 267985 Address Northland Plumbing, Inc. Date Evaluation Conducted Telephone Number 2943130th Ave GWmKiod City, Wi 54013 3/26110 715 - 2654115 SB"30QL07100) 1 Property Owner Eric Aasen Parcel ID # Page 2 of 3 F3 Boring # Pit Ground surface elev. 95.21 ft. Depth to limiting factor 17 in. ® oil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDlft= in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Efr#t 1 0 -10 10YR3 /3 3s1* mvfr cs if •6 .8 2 10-17 7.5YR4/4 sd 2sbk mfr cs if .4 .6 3 17 -22 7.5YR4/4 7.5YR6 /8cid spots sd 2sbk mfr gs if .4 .6 7. R4 7.5YR6 8 fif fs 4 22-32 5Y /6 / spots Osg MA cs .5 1.0 5 32-68 7.5YR5/4 7.5YR6 /8cid spots d 0m mefi a 0.0 0.0 * Effluent #1 = BOD 30 < 220 mgA- and TSS >30 < 150 mgA- * Effluent #2 = BOD < 30 mgA. and TSS <30 rng/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 TFY 608 -264 -8777. r - E OXH V" �A, i jl ti s' 0 7�Uuti o Ho�� Ocil �.o. ✓Y1�Q dt t"/# $ 1 7 / d 71na116 q � � � � � c s JET. ► � +�s �n( �•1 k, 'I NL'/ 2 N Scv b { y � S 2 3 T 9 R/ � � S �R►�G�Ec.�j `r". - � e, S T. CR -&tmc CrV MTy i � 1 tx (� 16'0 o" =- 1 `d P e F L� Tiz�IK kP�e e Blc ' I S C ALE M- :�JCSJ- 2.47125 _• E �u , i t b� N w V Y t�E yf S 2 3 7 APIK/S&J � � S�R►riG F�Ec.7� 7"� 1, ST. Ctzo-ik Orv (z 160 t "P' 5 f LP iK Ba = 9�• -cr 93 4 S c AI,E M.�Ics? 2.u79g5 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer ef" e 3 t - c 4 Mailing Address 3 r to 3 (7 C10'"rt y � Property Address (Verification required from Planning Department for new construction) City/State _ 6-crcx�� �- ( Parcel Identification Number 03 L /' 165 i �2 D a y - -- /o S -1- 20 D L LEGAL DESCRIPTION Property Location ' /., ` /., Sec. 93 , T 2-�' -R t W, Town of SP►2rN� c- AM - !& !b Lot # Subdivision J r �yy�a� Certified Survey Map # _ Volume , Page # 2ygU c1'2 , / 1 /6 , Page # 247 Warranty Deed # 59�9 , Volume se O no Lot lines identifiable CA�yes no Spec hots es y SYSTEM MAINTENANCE Improper use and maintenance ofyour septic system could result in its premature failure to handle wastes. Proper maintenance a licensed pumper. What You put into the system consists of pumping out the septic tank every three years or sooner, if needed by can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensedpumper verifying that (1) the on site wastewater disposal system is in lx ro er operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. P P Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposa oasis Cc fi cahon set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, tare of Wis Zoning Office within on stating that your septic system has been maintained must be completed and returned to the St. C County days of the three year expiration date. (pr DATE SIG O OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owners) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. X DATE SIG ATURE OF APPLICANT • • • +• • Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department• •• Include with this application: a stamped warranty detid from the Register of Deeds offrce a copy of the certified sbrvey map if reference is made in the warranty deed YOE 140SFAW?67 �.gss42 KATHLEEN H. WALSH Document b r WAR RANTY DEED REGISTER OF DEEDS ST. CROIX CO.,, WI RECEIVED FOR RECORD Raymond M. Mahoney and Marie C. Mahoney conveys and 03 - 04 - 1999 11:00 AM warrants to Eric J. Aasen and Jeri L. Aasen, husband and wife, holding as survivorship marital property, the following WAAREMPTTY DEED described real estate in St. Croix County, State of CERT COPY FEE: Wisconsin: COPY FEE: TRANSFER FEE: 81.00 RECORDING FEE: 10.00 PAGES: 1 Recording Area Name and Return Address rTtj�f?3�ri 12&S�n! C f 034 - 1051 -20 —100 (Parcel Identification Number) Part of the Northwest Quarter of the Northeast Quarter (NW % of NE %) of Section Twenty - three (23), Township Twenty -nine (29) North, Range Fifteen (15) West, Town of Springfield, I St. Croix County, Wisconsin, more particularly described as follows: Lot 2 of Certified Survey Maps recorded in Volume 9 of Certified Survey Maps, at Page 2480, office of the Register of Deeds for St. Croix County, Wisconsin. Exception to warranties: all easements and restrictions of record. This is not homestead property. Dated this .�,' day of �%r , 1999. • 'Ra and M. Mahoney "M 'e C. Mahoney f AUUTHENTICATII ACKNOWLEDGMENT Signature(s) f Cr`l`>` i�� /�laGt2�fe•%f'� STATE OF WISCONSIN ST, CROIX COUNTY Personally came before me this day of 1999, the above named Raymond M. Mahoney and Marie authenticated. ?.'A pay of o'� C. Mahoney to me known to be the person(s) who r _ executed the foregoing instrument and acknowledge the same. signature ..,-1 A type or print name signature type or print name TITLE: MEMBER STATE BAR OF WISCONSIN (If not, Notary Public St. Croix County, Wisconsin. authorized by §706.06, Wis. Slats.) My commission is permanent. (If not, state expiration date: THIS INSTRUMENT WAS DRAFTED BY Thomas A. McCormack 'Names of persons signing in any capacity should be typed or Baldwin, WI 54002 printed below their signatures. tre ` lion Professionals Co yww Fond du LeC. Wisconsin 800855-2021 FORM NO. 985-A J � -mr1.C.fT— ` Stock No. 26273 9 FILED 483946 MAY 2 81992► 5 JAMES O'r ONNELL gesister of 2leodi CERTIFIED SURVEY MAP NO. 2480 VOLUME g , PAGE 2480 THE NORTHWEST I14 OF THE NORTHEAST I/4, SECTION 23, TOWNSHIP 29 NORTH, RANGE IS WEST, TOWN OF SPRINGFIELD, ST. CROIX COUNTY, WISCO,,NSIN SCA L E 1 i" = 300' LEGEND: . ' :I k 1. 01 so' too! 200' 300• .500 70o' 1000' 1 GOVERNMENT CORNER (AS � 1V*EO6 o - S£T 314" x 24" RE -BAR WEIGHING OWNER: 1.502 LBS. PER LINEAL FOOT �'�. 1 r RAY MA H. 316 3 C. . r. H. .0 T. 'E" GLENWOOD Cl TY, wt , 34013 C UNPLA_ TTED LANDS NORTH 114 ONER NORTH LINE OF THE NW -NE 4 . NORTHEAST CORNER SEC. 23, T2SN, R,SW SEC. 23, rN, R13 FOUND 314" /4' RE-BAR 8.49 ° t2'67 "E. 2636.78' FOUND PK NAIL 1 Ti - �'t Tt� +-�T o._... m 20.39 m - 13 Ip.3 _ n S.89 57 ° E. I 1318.46 0 —� 220.39'2 N£. COR. f f p q LOT —' su1LO`1Ka rem ul � f0' ' GRAY. OR. - Mi W M NW-NE �- o R/W 36,235 SO. FT. R -R/W 395,396 SO. FT, t STORY Ko, WSA R. TOTAL 431 SO. FT. p, Gax PTtc VLNTa Z: co ( 9.909 AC.) we« Uj QI Z 2 Qt w N.89 )098.82 �� In fit'! -• ze R � ' 3 8• 2 x w 3 tu -3i = x O N. ~ O N � O O - Q Z "N Y z 0 LOT 2 ti 2 a y vt "'�iu s• tt p W R/W 7,273 SO. FT. W W 4i m R/W 1, SO. FT. � TOTAL 1,302,300 SO. FT, r, (29.897 AC.) 4. „�q, y Q_ p� Zt APPROVED 1321.17' SW. CDR. .�-._ SE. CDR. NW NE N.89006,20 "W. NW- NE ��:�` 17' SOUTH LINE OF THE NW -NE ' UNPLATTED LANDS Zoiiio MrM , . ' ����rirz t�dES 6rMrlli� .•'fig C 0 Ns� • • •. /y 'k DONALD M. ° : * �� /!Jo�ta -G( 777. � � d =s S CLARK I -1580 MENOMONIE, Q. 2 ��. WI C! DRAWN BY , ••'•4 uq ��� O. CLARK +iilliaii� CEDAA CORPORATION VOLUME 9 PAGE 2480 MENOMONIE W N 51 tT1a1 z35 eaaf PAar I OF-1i FORM N0. M-A �M7G I11.IV . Stock No. 26273 CERTIFIED SURVEYMAP NO. 2480 VOLUME 9 , PAGE 2 180 . THE NORTHWEST I14 OF THE NORTHEAST 114, SECTION 23, TOWNSHIP 29 NORTH, RANGE 15 WEST, TOWN OF SPRINGFIELD, ST. CROIX COUNTY, WISCONSIN SURVEYOR'S CERTIFICATE I, Donald M. Clark, Registered Land Surveyor, hereby certify: That I have surveyed, divided and mapped the Northwest a of the northeast 4 of Section 23, Township 29 North, Range 15 West, Town of Springfield, St. Croix County, Wisconsin, more particularly described as: Beginning at the North 4 corner of said Section 23; Thence S.89 "E. 1318.39 feet; Thence S.00 "E. 1315.27 feet; Thence 14.89 "W. 1321.17 feet; Thence 11.00 "W. 1312.68 feet to the point of beginning. Containing 1,733,931 square feet (39.806 acres) more or less and being subject to existing easements. That I have made such survey, land division and map at the direction of Ray Mahoney, 3163 County Trunk Highway E, Glenwood City, Wisconsin, 54013, Owner. That this map is a correct representation of the exterior boundaries of the land surveyed and the subdivision thereof made. That I have fully complied with the provisions of Chapter 236.34 of the Wisconsin State Statutes and the subdivision regulations of the Town of Springfield and the County of St. Croix in surveying, dividing and mapping the same. ♦•' 0006sWWO NO ••• .•��S C o N S��L•••• t5onald M. Clark. rk. R.L.S. 1580 yt; *•� DONALD M. a CLARK Dated this � ay o day 1992 s e S -9580 i - +�--.— MENOMONIE, �zo.. wl •� $LIRA v� Each parcel shown on this map (plat) is subject to State and County laws, rules and regulations (i.e.. wetlands, minimum lot size, access to parcel, etc.) Before purchasing or developing any parcel contact the St. Croix County Zoning Office for advice. VOLUME 9 PAGE 2480 W rw M � CC N 6604 WILSON AVENUE N MEAIOMONIP W/ 54751 (71JJ z3s -9o8f A4GE? OP? c caO 3m o eD �1 CD n CD d � CD 11 '` O a w w w o cn ry o w a o C a m o w p N A Oft N Cn O O Ja 0 00 V CD CD y N N N N N N N N N OL 3 � W N r s. 0 0 0 0 0 0 0 0 tV0 n j fD J 1 o m a a o O w !I ° Cy o D d Z D C a n! ( D W co !G O O A O O V v C CL O O a N N N N N N N N 3 O p m l� O_ O O O O O O O O O O O O O � O O O 0 CO 00 co O v ., r Z o -4 � n P o c rA N e 0 0 o II 3 .. c ° a v o n °: O O O rr I 0 (0 o " v C4 3 Ol O ° N Z Z Z O D D o cn O "ad• CD H N p (D i N 'D C O fD (D A N CL O Q. N � N CO 3 T ye A 1 CA CD I � c = �' �_ �_ CD co a^m z a m c 0 D) O Z N W to a o C. N Z 3 ° c Q A Z 0 0 r! Z CT �0 N Z ' � � A I w CD C V C]. !I . F'S Qo=r Q. C p C7 O 7 O 0. O W 7 ` N T { fD p, p 7 C O D. III 14 - O Q N O _ 3 10 o rnx Z r � CL CA o,m5�n' ya30� A. p A v N 0 O N 0 zr H a to CD O _p N 3 C N O O . 0 CO O O N p (D ti 0 Op CD oq ro o° o a �? a Parcel #: 034 - 1051- 20-000 07/19/2010 11:18 AM PAGE 1 OF 1 Alt. Parcel #: 23.29.15.354 034 - TOWN OF SPRINGFIELD Current IX ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner O - AASEN, ERIC J & JERI L ERIC J & JERI L AASEN 3163 CTY RD E GLENWOOD CITY WI 54013 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description " 3163 CTY RD E SC 2198 GLENWOOD CITY SP 1700 WITC Legal Description: Acres: 9.909 Plat: N/A -NOT AVAILABLE SEC 23 T29N R1 5W PT NW NE BEING LOT 1 OF Block/Condo Bldg: CSM 9/2480.032 AC PERMANENT LIMITED EASEMENT TO ST CROIX CTY HWY PROJ Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) 1505/2959 23- 29N -15W NW NE Notes: Parcel History: Date Doc # Vol /Page Type 07/23/1997 929/01 07/23/1997 763/611 2010 SUMMARY Bill M Fair Market Value: Assessed with: 0 Valuations: Last Changed: 08/31/2009 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 9.909 46,700 139,200 185,900 NO Totals for 2010: General Property 9.909 46,700 139,200 185,900 Woodland 0.000 0 0 Totals for 2009: General Property 9.909 46,700 139,200 185,900 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch #: 123 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 yy II 8002323 Tx: 4001910 919180 BETH PABST REGISTER OF DEEDS ST. CROIX CIO., WI RECEIVED FOR RECORD 07/16/203.0 14:52 AM i EXEMPT #: REC FEE. 34.00 CC FEE: 4.00 PAGES: 2 I (Return to:. IThomas A. McCormack IPO Box 2120 ( Baldwin, WI 54002 034 - 1051 -20 -000; 034 - 1051 -20 -100 Parcel Numbers AFFIDAVIT FOR EXISTING PARCEL AFFIDAVIT State of Wisconsin ) ss County of St. Croix ) Your affiants, being duly sworn, state under oath that: 1. They are the owners of a parcel of land located in St. Croix County, Wisconsin, recorded in Volume 953, Page 54, as Document No. 484051, St. Croix County Register of Deed's Office, described as follows: Part of Northwest Quarter of Northeast Quarter (NW 1, 4 of NE 1 -4 , ) of Section Twenty -three (23), Township Twenty -nine (29) North, Range Fifteen (15) West described as follows: Lot One (1) of Certified Survey Map filed May 28, 1992 in Vol. "9 ", Page 2480. 2. They are also the owners of a parcel of land located in said County, recorded in Volume 1408, Page 267, as Document No. 598842, St. Croix County Register of Deed's Office, described as follows: Part of Northwest Quarter of Northeast Quarter (NW 1 -4 of NE 'k4) of Section Twenty -three (23), Township Twenty -nine (29) North, Range Fifteen (15) West, Town of Springfield, St. Croix County, Wisconsin, more particularly described as follows: Lot Two (2) of Certified Survey Map filed May 28, 1992 in Vol. "9 ", Page 2480. 3. By this Affidavit, your affiants hereby merge sai d lots, resulting in a single parcel. The merger is a transfer exempt from Chapter 13 of the St. Croix County Land Regulations pursuant to Section 13.1 (B) (3) (a) (3) . The purpose of this affidavit is to satisfy the 4. T e pu p Y requirements q of the St. Croix County Planning and Zoning Department for the issuance of a septic system permit on Lot 2 to serve the residence located on Lot 1. Dated this day of 2010. Eric J. as fAA, Y_ U"A Jeri Aasen i AUTHENTICATION ACKNOWLEDGMENT Signature of 6SEbscribed and sworn to before,,�p authenticated this day s y f , ' hots h N©:tarY P i' * St. Croix County, Wiscon Ird,, : U3 TITLE: MEMBER STATE BAR OF WI My commission ?� kV THIS INSTRUMENT DRAFTED BY: Thomas A. McCormack Attorney at Law 1020 10 Ave. PO Box 2120 Baldwin, WI 54002 State Bar No. 01011884 St.D& County, Wkonsh i hereby Hd IM Inslnnd k a U; h* and corned MY of #4 doomed on file and of read In my do and 10 been ed CA f� WW er Of DM V 2c o ..;- o1c qU"f- �'� r � t w� s Alex Blackburn From: Alex Blackburn Sent: July 12, 2010 3:44 PM To: 'Aasen, Jeri' Cc: Kevin Grabau; Ryan Yarrington Subject: property in Town of Springfield Jeri, I talked with your attorney Tom McCormack and he states that you were planning to combine your 2 lots with an "affidavit of add on ". By doing this you will then own a 39.79 acre parcel instead of 2 lots. This will then allow us to issue the sanitary permit for this newly described parcel. We wanted to make you aware that if you ever wanted to sell any portion of your property, it will need to go through the land division process. This will include hiring a surveyor and a soil tester and then submitting Certified Survey Maps and soil tests along with all applicable county fees. Let me know if you have any additional questions. Alex Blackburn St. Croix County Zoning Specialist 715-386-4680 v 9 O 4� mod - - .AlexA�31ackburn From: Alex Blackburn Sent: June 28, 2010 11:20 AM To: ' Aasen, Jeri' Subject: RE: Sanitary Sewer Application on lot 2 for residence on lot 1 Jeri, For the taxes you will need to call the tax assessor, Bob Irwin. His phone number is 715 - 235 -6941. It's not a requirement, but it's best to have a surveyor or attorney record the affidavit. They have the knowledge on making sure it's done correctly. Alex Blackburn St. Croix County Zoning Specialist 715 - 386 -4680 - - - -- Original Message---- - From: Aasen, Jeri [ mailto :jeri.aasen @medtronic.com] Sent: June 28, 2010 10:49 AM To: Alex Blackburn Subject: RE: Sanitary Sewer Application on lot 2 for residence on lot 1 Can you tell me if this entire lot will then be assessed at G1, Residential or G4 Agricultural or G5M Agricultural Forest... The house and lawn take up only about 2 acres. We have a 13 acre field (G4) that is farmed, and the balance would then be wooded. I just don't know how that works. If you could help I'd sure appreciate it. Also, this affidavit.. Is that something that I go to the govt. center in Hudson to get? Sorry if I appear to be so "dumb" about this.. But I guess I am! =0) Thanks again. Jeri - - - -- Original Message---- - From: Alex Blackburn [ mailto :alexb @CO.Saint- Croix.WI.US] Sent: Monday, June 28, 2010 10:46 AM To: Aasen, Jeri Cc: jbsurvey @dishup.us; Pam Quinn Subject: RE: Sanitary Sewer Application on lot 2 for residence on lot 1 Jeri, You can combine both lots and since the resultant parcel will be over 35 acres it can be done with an "affidavit of add on ". This affidavit then has to be recorded with the register of deeds. Alex Blackburn St. Croix County Zoning Specialist 715 - 386 -4680 - - - -- Original Message---- - From: Aasen, Jeri [ mailto :jeri.aasen @medtronic.com] Sent: June 28, 2010 9:09 AM To: Alex Blackburn; Kevin Grabau Subject: Sanitary Sewer Application on lot 2 for residence on lot 1 Hello, I know that we have played phone tag, so I thought I'd quick send an email regarding our situation. We are in need of a new septic system, applied for state permit and have been informed by our sewer contractor that the permit is held up at the county level due to the 1 fact that our property is owned in two lots. We apologize as we were not aware that this wpul(4 be an issue and, in fact, never even thought to ask the question. The septic system would be installed on lot 2 for the residence located on lot 1. Kevin, I did receive your voice mail regarding the opportunity to increase the size of lot 1 to include the property where the septic system would sit. This would, of course, incur costs for a surveyor. Is there another possibility? Can we do a sanitary easement? Can we simply combine the two lots into one? Please let me know as soon as you can. I will be available all day at either my residence cell: 715.265.7342 or my work cell 715.401 -0892. Thank you so much for your help. Jeri L. Aasen Sr. Supplier Development Engineer Medtronic Spine and Biologics Memphis, TN phone: 715.401.0892 [CONFIDENTIALITY AND PRIVACY NOTICE] Information transmitted by this email is proprietary to Medtronic and is intended for use only by the individual or entity to which it is addressed, and may contain information that is private, privileged, confidential or exempt from disclosure under applicable law. If you are not the intended recipient or it appears that this mail has been forwarded to you without proper authority, you are notified that any use or dissemination of this information in any manner is strictly prohibited. In such cases, please delete this mail from your records. To view this notice in other languages you can either select the following link or manually copy and paste the link into the address bar of a web browser: http: / /emaildisclaimer.medtronic.com i 2 Pam Quinn From: Alex Blackburn Sent: Monday, June 28, 2010 10:46 AM To: Aasen, Jeri Cc: jbsurvey @dishup.us; Pam Quinn Subject: RE: Sanitary Sewer Application on lot 2 for residence on lot 1 Jeri, You can combine both lots and since the resultant parcel will be over 35 acres it can be done with an "affidavit of add on ". This affidavit then has to be recorded with the register of deeds. Alex Blackburn St. Croix County Zoning Specialist 715 - 386 -4680 - - - -- Original Message---- - From: Aasen, Jeri [ mailto :jeri.aasen @medtronic.com] Sent: June 28, 2010 9:09 AM To: Alex Blackburn; Kevin Grabau Subject: Sanitary Sewer Application on lot 2 for residence on lot 1 Hello, I know that we have played phone tag, so I thought I'd quick send an email regarding our situation. We are in need of a new septic system, applied for state permit and have been informed by our sewer contractor that the permit is held up at the county level due to the fact that our property is owned in two lots. We apologize as we were not aware that this would be an issue and, in fact, never even thought to ask the question. The septic system would be installed on lot 2 for the residence located on lot 1. Kevin, I did receive your voice mail regarding the opportunity to increase the size of lot 1 to include the property where the septic system would sit. This would, of course, incur costs for a surveyor. Is there another possibility? Can we do a sanitary easement? Can we simply combine the two lots into one? Please let me know as soon as you can. I will be available all day at either my residence cell: 715.265.7342 or my work cell 715.401 -0892. Thank you so much for your help. Jeri L. Aasen Sr. Supplier Development Engineer Medtronic Spine and Biologics Memphis, TN phone: 715.401.0892 i [CONFIDENTIALITY AND PRIVACY NOTICE] Information transmitted by this email is proprietary to Medtronic and is intended for use only by the individual or entity to which it is addressed, and may contain information that is private, privileged, confidential or exempt from disclosure under applicable law. If you are not the intended recipient or it appears that this mail has been forwarded to you without proper authority, you are notified that any use or dissemination of this information in any manner is strictly prohibited. In such cases, please delete this mail from your records. To view this notice in other languages you can either select the following link or manually copy and paste the link into the address bar of a web browser: http: / /emaildisclaimer.medtronic.com 1 r Parcel #: 034 - 1051 -20 -100 05/10/2005 10:29 AM PA 7 OF 1 Alt. Parcel #: 23.29.15.354A 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): ' = Current Owner * AASEN, ERIC J & JERI L ERIC J� 3163 CTY RD E GLENWOOD CITY WI 54013 D s SC = School SP = Special Property Addres (es): * = Primary Type Dist # Description 4 SC 2198 OD CITY ...... SP 1700 WITC Legal Description: Acres: 29.897 Plat: N/A -NOT AVAILABLE SEC 23 T29N R15W PT NW NE BEING LOT 2 OF Block/Condo Bldg: CSM 9/2480 29.897 ACRES Tract(s): (Sec- Twn -Rng 401/4 1601/4) 23- 29N -15W Notes: Parcel History: Date Doc # Vol /Page Type 03/04/1999 598842 1408/267 WD 2005 SUMMARY Bill #: Fair Market Value: Assessed with: Use Value Assessment Valuations Last Changed: 05/26/2004 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 20.000 3,050 0 3,050 NO PRODUCTIVE FORST LANC G6 9.897 17,800 0 17,800 NO Totals for 2005: General Property 29.897 20,850 0 20,850 Woodland 0.000 0 0 Totals for 2004: General Property 29.897 20,850 0 20,850 Woodland 0.000 0 0 Lottery Credit Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 n Parcel #: 034 - 1051 -20 -000 05/10/2005 09:40 AM PAGE 1 OF 1 Alt. Parcel #: 23.29.15.354 034 - 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): * = Current Owner * AASEN, ERIC J & JERI L ERIC J & JERI L AASEN 3163 CTY RD E GLENWOOD CITY WI 54013 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 3163 CTY RD E SC 2198 GLENWOOD CITY SP 1700 WITC l�� Legal Description: Acres: 9.909 Plat: N/A -NOT AVAILABLE SEC 23 T29N R15W PT NW NE BEING LOT 1 OF Block/Condo Bldg: CSM 9/2480.032 AC PERMANENT LIMITED EASEMENT TO ST CROIX CTY HWY PROJ [Clg Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) 1505/2959 23- 29N -15W NW NE Notes: Parcel History: Date Doc # Vol /Page Type 07/2311997 929/01 07/23/1997 763/611 2005 SUMMARY Bill M Fair Market Value: Assessed with: 0 Valuations st Changed: 06/24/2003 Description Class Acres Land t124,400 ve Total State Reason RESIDENTIAL G1 9.909 46,150 170,550 NO Totals for 2005: General Property 9.909 46,150 124,400 170,550 Woodland 0.000 0 0 Totals for 2004: General Property 9.909 46,150 124,400 170,550 Woodland 0.000 0 0 Lottery Credit Claim Count: 1 Certification Date: Batch #: 123 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 I Del O FORM NO. 9855-A C z A e5 YKCmmar 1�-I Z45 / ,G� o fir/ o �/1T Stock No. 26273 FILED � 1 483946 p,�tz ����� MAY 2 81992 JAMES O'CONNELL p�1 Register of tio9ds t CERTIFIED SURVEYMAP NO. 2480 VOLUME PAGE 2480 . �L THE NORTHWEST 114 OF THE NORTHEAST I/- ' ' ` - SECTION 23, TOWNSHIP 29 NORTH, RANGE 15 WEST., TOWN OF SPRINGFIELD, ST. CROIX COUNTY, WISCONSIN' SCALE 1 0� LEGEND: 't ' r 0' 30;100' 200' (300' 500' 700' 1000' ► ' . 0 - GOVERNMENT CORNER (AS • - SET 314 "x 24" RE -BAR 1YEIGNING ` OWNER 1.502 LOS. PER LINEAL fc9r Z RAY MAHONEY T� - 3163 C. T. H. 'E' '�, ..• • f GLENWOOD CITY, WI t }: 54013 r . C x• i ' UNPLATTED LANDS NORTH 114. CORNER THE NW -NE NORTHEAS CORNER NORTH LINE OF SEC. 23, T29N, R15W S£C:23, !'2'TN, R13'►Y FOUND 314" RE-BAR S.8 • 9 12 5T "E. 2636.78' FOUND PK. NA1L . ,. r '�l �— -- --r• -.�� ..—.. � 'tai ,,, g to 220.39 +o - 131Q: 39 M p S.89 'E. 1318:46 p .1098.07' 1000 220.398 NW - NE NE. CDR. ....• ,. ti� a C LOT SulL0/n SE47V f 1+N -- -"' W, M r, c WW 36,235 SO. FT. Z`1� c - rn iii Y9 M -R/W 395, 396 SQ. FT. .2 8TORY No. \� M M ; TOTAL-431,631 SO. FT. W /6A R. - L7, •SEPTIC veRrs o r, O. ZI ( 9.909 AC.) Wft N . cV Z. i3 J1 N N.89 ° 12'57 "W. 1 1 98. '" Q1 ui 3 6 tj 2 r N E ~ p YJ ° Z A C) l i 8 I LOT 2 W � W �, W OI R/W 7,27 3 SQ. FT. W m . W' - R/W 1,295,027 S O. FT. 01 ` ? �I DUI • t WW TOTAL 1,302,300 SO. FT. xx � J 29.897 AC.) a Q1 Q ~ ( y : JI 21 Q.1 ` J1 61 >GL 1321.17 SW. COR. _,._ , „ SE. COR. J NW-NE N.89 °06 20 W, NW - N£ '17'r - SOUTH LINE Of THE NW -NE /7' +�• UNPLATTED - LANDS Pales Cerrrrm" c 0 Nq 4 4 of ♦ � I Y of . y DONALD M. '•. *� CLARK S -1580 s ; ¢ - 30 - 9 2 a ., MENOMONIE, Wl DRAWN • BY + 0. CLARK fE f 6 1Ex��11�� ♦► CEDAR CORPORATION VOLUME 9 PAGE 2480 604 WILSON AVENUE MENOMONIE WI 54751 (715) 23,&9081,- PAGE _I OF 2 I DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDI� "INDUSTRY, CC DIVISION LABOR HUMAN REDLATIONS Preliminary PERCOLATION TESTS (11J) MADISON WI 53707 land sale 0LHR 83.0911) & Chapter 145) LO CATION: NW V NE Y4 23 29 N/R 15 j7Springfield � LOT NO.: BLK_NO.: SUBDINASION NAME: COUNTY: 1 MAILING ADDRESS: St. Croix Ray Mahoney 3163 CTHW " E " , Glenwood City, WI 54013 USE DATES OBSERVATIONS MADE NO. BEDRMS.: COMMERCIAL DESCRIPTION: TESTS: Residence _ NA QNew ❑Replace I 5/12/92 RATING: S= Site suitable for system U= Site unsuitable for system �_� r " ��" i CONVENTIONAL: MOUND: IN- GROUN - PRESSURE: SYSTE IN-FILLHOLDIING TANK: RECOMMENDED SYSTEM: (optional) ❑J EU �S ❑� EI DU ❑S DU ❑S DU Mound If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the under s. ILHR 83.09(5) (b), indicate: NA Floodplain, indicate Floodplain elevation: NA PROFILE DESCRIPTIONS BORING TOTAL DEPTH TO GROUNDWATER - INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN, ELEVATION OBSERVED EST. IGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B 1 32 - No 10 0 -10 10YR 313 sil, 10 -32 10YR 4/6 sil w/ c1d R -Gy mots becomin m2p 7.5YR 5/8 - 10YR 613 mots w/ 2.5YR 3/4 iron concretions 2 2 24 - No 2 0 -24 Bn sil w/ c2d becoming m3p - y mots - B- - No 4 U-4 n Sil 4-16 Bn s1I grading w - B_ f gr w/ s content increasing w/ increasing depth, 18 -29 10YR 613 - 10YR 4/4 sl /ls till poorly sorted w/ c1d R mots B -4 24 - No 8 0 -8 10YR 3/2 sil 8 -15 10YR 5/4 sil w/ s content increasin w/ increasing depth & w/ f1f R -G mots becoming 2d R -Gy mots, 15 -24 7.5YR 4/4 scl (till) w/ c1d Gy mots & B w/ f r cob & occ st 5 29 - No 25 0 -12 7.5YR 3/2 sl, 12 -25 7.5YR 3/4 sl, 25 -29 7.5YR 6/4 is B w/ f1d Gy mots PERCOLATION TESTS DROP IN WATER LEVEL - INCHES RATE MINUTES N PERIOD 1 PERIOD 2 PERIOD PER INCH P P F 16CNrV1/' F tr P PL( s and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- zor location on the plot plan. Show the surface elevation at all borings and the direction and percent of vv S1 Avr\- �� 2-- � _ _ _- r -i -- f- I 44 backh pit v�rifrca io of hand bo it ;_raga] ' -Ile a pa ote: €system installat>o�h nit new p�ann6d - th �s w rk s s�'m to C �NBb - _ _ �- - - residence no food for mold, B 4 i g>lound road e E stf _ - house also n¢ god for mound B -5 is on a °small knoll in field s uth of -41- other•knolls ;in this!field are e -K— *-r t a •,u ( ; I z _ i ■Yth I i t I, the undersigned, hereby certify that the soil tests rep is form we me in accord with the procedures and methods specified in the Wisconsin Administrative Code, and that the data recorded and th o n of th�ests are co the best of my knowledge and belief. NAME (print): (7, TESTS WERE COMPLETED ON: { Henry F. Grote n a.o N G 5/12/92 ADDRESS: C� " tt CERTIFICATION NUMBER: PHONE NUMBER (optional): v PO Box 57, Knapp, WI 54749 - 0057 r� 3065 665 - 2681 CST SIGNATU E: DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. 6DILHR-SBD-6395 (R. 10/83) —OVER — & A.. l ' J INSTRUCTIONS FOR COMPLETING FORM 115 - SBD - 6395 To be a complete and accurate soil test, your report must include: 1. Complete legal description; 2. The use suction must clearly indicate whether this is a residence or commercial project; 3. MAXIMUM number of bedrooms or commercial use planned; 4. Is this a new or replacement system; 5. Complete the suitability rating boxes. A SITE IS SUITABLE FOR A HOLDING TANK ONLY IF ALL OTHER SYSTEMS ARE RULED OUT BASED ON SOIL CONDITIONS: 6. PLEASE use the abbreviations shown here for writing profile descriptions and completing the plot plan; 7. MAKE A LEGIBLE diagram accurately locating your test locations. Drawing scale is prefered. A separate sheet may be used if desired; 8. Make sure your benchmark and vertical elevation reference point are clearly shown, and are permanent; 9. Complete all apropriate boxes as to dates, names, addresses, flood plain data, percolation test exemption, if appropriate; 10. If the information (such as flood plain, elevation) does not apply, place N.A. in the appropriate box; 11. Sign the form and place your current address and yur certification number; 12. Make legible copies and distribute as required. ALL SOIL TESTS MUST BE FILED WITH THE LOCAL AUTHORITY WITHIN 30 DAYS OF COMPLETION. ABBREVIATIONS FOR CERTIFIED SOIL TESTERS Soil Separates and Textures Other Symbols st — Stone (over 10") BR — Bedrock cob — Cobble (3 - 10 ") SS — Standstone gr — Gravel (under 3 ") LS — Limestone 's — Sand HGW — High Groundwater cs — Coarse Sand Perc — Precolation Rate med s — Medium Sand W — Well Is — Fine Sand Bldg — Building Is— Loamy Sand > — Greater Than 'sl — Loamy Sand < — Less Than '1 — Loam Bn — Brown 'sil — Silt Loam BI — Black si — Slit Gy — Gray cl — Clay Loam Y — Yellow scl — Sandy Clay Loam R — Red sicl — Silty Clay Loam mot — Mottles sc — Sandy Clay w/ — with sic — Silty Clay III — few, fine, faint 'c — Clay cc — common, coarse pt — Peat mm — Many, Medium m — Muck d — distinct p — prominent HWL — High water level, surface water Six general soil textures BM — Bench Mark for liquid waste disposal VRP — Vertical Reference Point TO THE OWNER: This soil test report is the first step in securing a sanitary permit. The county or the Department may request verification of this soil test in the field prior to permit issuance. A complete set of plans for the private sewage system and a permit application must be submitted to the appropriate local authority in order to obtain a permit. The sanitary permit must be obtained and posted prior to the start of any construction. J