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HomeMy WebLinkAbout034-1062-95-050 i — - Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and By;ldip Division INSPECTION REPORT Sanitary Permit No: 430689 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: Erickson, Sheri I Springfield Townshi 034 - 1062 -95 -050 CST BM Elev: Insp. BM Elev: BM Description: L_ S t fj Section/Town/Range/Map No: 5 ( , e 28.29.15.433A10 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Ben ark v im) Dosing Alt. BM Aeration Bldg. Sewer Holding St/Ht Inlet 97,3 TANK SETBACK INFORMATION (� St/Ht outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic � � Z ` � � / � Dt Bottom Dosing s Header /Man. b 2. Z Aeration Dist. Pipe Holding Bot. System 3,30 /U /• (o Final Grade PUMP /SIPHON INFORMATION J03 -y5 Manufacturer Demand St Cover GPM 25-' 1 V Yhai Model Number TDH Lift Friction Loss System Head TDH Ft �? 4 (0 15 3. X15 oZ�f, I (�}^'` y. oY. l Forcemain Length Dia. Dist. to Well Gc. ol aD a > /oc) SOIL ABSORPTION SYSTEM BED /TRENCH Width Length No. Of Trenches PIT DIMENSI No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 5 / * g l CC SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type Of System: UNIT 5 ' 8v Model Number DISTRIBUTION SYSTEM J Header /Manifold Distribution x Hole Size x Hole Spacing Vent t Intake i ri Pipe(s) p 1 u 11 <D S !v' !r Length • 5 Dia Length 10 Dia 4 , Spacing ' J SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over j xx Depth of / j xx Seeded /Sodded j xx Mulched Bed/Trench Center BedJTrench Edges Topsoil I Yes No �(9es 7N, COMMENTS: (Include code discrepencies persons present, etc.) Inspection #1: /7 / ? Inspection #2:� ! � 7 / o V Om L Location: 2981 72nd Avenue Wilson, WI 54027 (SE 1/4 SE 1/4 28 T29N R15W) NA Lot 1 Parcel No: 28.29.15.433A10 1.) Alt BM Description = 5 2.) Bldg sewer length = 7 0 4 , ��� r� P (t,,,,,, � 3� amount of cover = t GQ1� +� � Use other side for additional informati n. Plan revision Required? Yes No q � SBD -6710 (R.3/97) Date Insepctor's Signature Cert. No. Safety and Buildings Division County C� 74i ` 201 W. Washington Ave., P.O. Box 7162 Madison, WI 53707 - 7162 iseonsin Sanitary Permit Number (to filled in b) (608) 266 -3151 3t7�og9 Department of Commerce State Plan LD.Number IRS yroo= / • *) Sanitary Permit Application x UAM la In accord with Comm 83.21, Wis. Aden Code, personal information you provide Adams (if different t1�an a>siling address) may be used for secondary purposes PnvacY Law, s15. 1 /., -E L Application Information - Please Print All lnformation pp f LS OV riV (. !• �' t D 1 a el ` Luc # >TM Propeny Ovmer's Name r z Jl .5 i �Gf� s a - UJIJ ST . lion I Properly Owner's Mat'lu)g Address ZONING OFFICE (Z g _5� t V,, Section �� 1 C1 ,State Zip Code Phone Number ��� ► 1 --�(7� rr _ V7 �� ' trcleoon g e) hJ 6l J DL� �� T N; R J E uE„/ r 11. Type of Building (check all that apply) eo S t CSM Number 4(1 or 2 Family Dwelling - Number of Bedrooms t ❑ Pubbc/Commercial -- Describe Use( — 0D'0 p r x 91. 2 r n ❑City_❑Village'dTownship of S f�R IN F f C 0 State Owned - Describe Use ill. Type of Permit: (Check only one box on line A. Complete line B If applicable) A. N ew S stem ❑ Treatment/Holding Tank Replacement Only C] Other Modification to Existing System System ❑ Replacement S y list Previous Permit Number and Date lssued B. ❑ Permit Renewal C1 Permit Revision ❑ Chang of C3 Permit Transfer to New Before Expiration Plumber Owner 1V. -r of POWTS System: Check all that a 1 ❑ 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ At - Grade ❑Single Pass Sand Filter ❑ Non -Pressurized in-Ground A0 > Mound _ ❑ Constructed Wetland ❑ Pressurizod ln- Ground ❑ Holding Tank 11 Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter Recirculating S tbetic Media Filter ❑ Lewhing Leaching Chamber ❑ Line ❑ Gravel -less P1 ❑ Other lam) V. Dis ersaifl'reatrnent Area information: Oe�� 22- Syst Elevation Ap Design Flow (gpd) `O � Soil f�lJ Z� S� Di R � \ Dispel /l Arm J � �5�� Y 45'b 1r S/ 73 D �. V1. Tank Info Capacity in Tom Number Manufacturer Concrete Constructed Glass Glas Plastic s (}alloas Gallons of Units New Exining Tacky Tanits / Septic Ul_mv�nk Aerobic Tmtmcru Unit D,uinK Chamber Aft Vil. Respooslblli Statement- 1, the under a nslbW for installation of the POWTS shown on the attached plans. htp�PRS Number Business Phone Numbs Plumber's Name (Print) s Signs Plumber's Address (Street, City, State, Zip ) 4/7 i Vlll. Count / artment Use Onl Sanitary Penxtit Fee (includes Groundwater Date issued !ss ing gent Signature ( Stamps) X Approved ❑ Disapproved Surcharge Fee) ❑ Owner Given Reason for Denial * 1X. Conditions of Approval/Reasons for Disapproval SYSTEM OWNER: 1 Septic tank, effluent filter and dispersal cell must ail be serviced I maintained as per management plan provided by plumber. 2. All setback requirements must be maintained as per applicable code /ordinances. Attach complete plans (to the County only) for the system oo paper oot �u than atlt x 11 Inehn In size SBD -6398 (R. 01/03) I CA r-, S` , ST -7_w < O r3 wN ; (� a �^ Ck — 0 vs WLNw \Zg Cp U� 4 Y PUL n ACC I l S LI- IV It copy � Safety and Buildings 4003 N KINNEY COULEE RD I N v insconsin LA CROSSE WI 54601 -1831 TDD #: (608) 264 -8777 www. commerc .wis ons .gov Department of Commerce www.wisconsingov Jim Doyle, Governor Cory L. Nettles, Secretary I June 03, 2003 CUST ID No. 139462 ATTN: POWTS Inspector TODD L SINZ ZONING OFFICE T L SINZ PLUMBING INC ST CROIX COUNTY SPIA E5609 708TH AVE 1101 CARMICHAEL RD MENOMONIE WI 54751 -5520 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 06103/2005 Identification Numbers Transaction ID No. 873400 SITE• Site ID No. 659691 Sheri Erickson Please refer to both identification numbers, 72nd Avenue above, in all correspondence with the agency. Town of Springfield St Croix County SE1 /4, SETA, S28, T29N, R15W FOR: Description: Proposed Three Bedroom Mound System Object Type: POWT System Regulated Object ID No.: 905210 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: Conditions of Approval: • This system is to be constructed and located in accordance with the enclosed approved plans. • Limited activities are allowed in the area 15 feet down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. • A state approved effluent filter is required. 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. • 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. • Comm 83.22(7) - A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. Con IM " . may A P p t o, ;`�, H TODD L SINZ Page 2 6/3/03 Owner Responsibilities: • Comm 83.52(1)(a) - 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. In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. • The owner is responsible for submitting a maintenance verification report per Comm 83.55, that is acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 175.00 Fee Received $ 175.00 Gerard M. Swim Balance Due $ 0.00 POWTS Plan Reviewer - Integrated Services (608)- 789 -7892, Mon. - Fri. 7:30 am to 4:15 pm jswim @commerce.state.wi.us WiSMART code: 7633' cc: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544 Henry F Grote , Certified Soil Testing c , Sheri Erickson - Mound Transaction # Construction Materials and Techniques All materials must comply with Comm 84 and be installed in accordance with manufacturer's specifications. Construction methods must comply with the following Component Manuals: Mound, SBD - 10691 -P (01/01) Pressure Distribution, SBD - 10706 -P (01/01) Location: SE 1/4, SE 1/4, Sec. 28, T 29 N, R 15 W Town: Springfield County: St. Croix Date: June 2, 2003 Owner: Sheri Erickson Address: 633 State Vad 128 Wilson, 54027 Plumber: Todd ' z Signature: License # MP 03 462 (j Attachments: 6748 -Plan Approval Application SBD -8330 page 1: cover 2: design criteria &calculations vE� 3: plot plan R E CEr 1 4: system cross section 2003 5: plan view, lateral detail �I pY 21 6: pump tank exit detail & B` pGS 10 7: pump curve SAFETY 8: system management yr , sAfETYAND BUILDINGS SEE CORRE 0NDENCE page 1 of 8 Design Criteria �5 Residential Wastewater Contaminant Load: 30 mg /L < BOD < 220 mg /L Anticipated septic tank effluent 30 mg /L < TSS < 150mg /L Fecal Coliform > 10,000 efu/100 mL Fats, oils, grease < 30 mg /1, 3 Bedrooms x 100 gal /bedroom /day x 1.5 4-sp gallons /day hydraulic load Design Calculations In situ designed loading rate c A b gallons /sq. ft. per day Depth to estimated high ground water ?, l - 4 in. Depth to bedrock > 1 6 in. Cross slope at system % �k Force main length ft. of z in. Manifold /header length z 5 ft. of Z in. Drain -back Z 9 gallons Lateral length Z @ CL ' ° ft. of ` in. r Lateral elevation °Z ft. @ bottom of lateral Lateral hole size 3�i� in. @ �' ° 'O in. - ° ft.) Spacing C( holes /lateral 3 �' holes total Lateral volume b•s b gallons Total lateral discharge rate V gallons /minute @ ft. head Network pressure compensation losses ° ' ft. 02 a.v K Elevation difference Friction loss Z Ar t, ft. @ gallons /minute Total dynamic head 2, 4 • • ' ft. Pump /si*on 34 gpm @ �-�� _ ft. of head Manufacturer e a,v Model # Z Dose volume lt'S•2.�ir gallons Lift/si0hon tank �•� -���w tev� gallons Septic tank - t �' gallons Effluent filter r — 7 oIS zz - k 4 vj A Measurement pump on and off — 4•6 Height alarm from tank bottom ` , b in. Reserve capacit 3 � `� } gallons p Y specs.calcs.res Page Z of �' r CA �, C� Q,,�.�:, CL n \ 'o WL\aw kme c Ck Ct K t laic 'FA �c gz S`O O lw0.o Y 1 ° �L cJA �rov C.Q h r (z t).o \. — / �,: � moo.. � _ �� r �,- - z-�•�g Ttk Q - M oLL++o "Tip s LW cc 1� qjc \n.o y T, (9 b totn V:aQ 3 0 c 8 0, v (V Y -4-q „ ry J T 1 1 Q {� � .1 9 VA,4 �� S�bto:1 14y � o.v tea►, ( 0 '(9. O ( I r 1 oc \04a a-y kw.,c�.bl 1 1 V - T S vi , O v l \S�l LA ., T O A p •, C�. L. a � j� •,� C � v C o \o S �r v ► � o h �.. al l � '4-'O `O o Y � o .-, o � r o L`� \o i U rI t't z • P v c s �-, a-o / / ` ct e C o � � to " \� o` � o .-, 1 e�� A.� .]L e�.�� �-�- �2 c R o ... `; ., c,.S �' °'° o, o-..� � S • O' i W✓r47HLRPRC�F LACKIwG�COVER JvNcT ch QUIC DI4cDjj CT--\ c, IL ' r 4m PI P6 3' no NDi5)%ReEo 1' Sol L, 24 u I, p , MANQ0LE / r • � airs � i ,� �..� =_.= - SKET - VZ),4r,-, � _ c FLE L P I P'�L -� iAL 3' G•7 c r - EC7iOr+S dr c p 0 8LL- 1 A 7 1 I Cue., \ �� 0, }1 �'�t �.�,' �L•, D P "kP . 4C' L�" I CO�CR�c I I I ; bock r Z o SEPTIC ( _SPECIFICATIOQ or � 005 E Tnu..S MA►JU FACT URCR; QU/M6ER OF Dobcs: S' � Q-t7 - Ls Q17 TA1JK 51ZE; _ GALLOWS DOSE VOLUME ALARP'1 M./JIUFACTURCR; S yIt4-_ Y.. llJCLUDIrJ& 6ACKFLOW: nODCL QU;A5CR: _ z3.�• 1 CAPACITICS� A - �`" -Q.N SWITCH TyPC: PUMP M',AQUFACTUR[R; C A iUC HE 5 Cn M°MCDEL 1JUMDCR', Z �(• � t "` D rv� HES G.• J'WITCH TdPC; V%w�v _- uOTE' PUMP A1J0 ALARM ARC T; EL MI►JIMUM 0 15CKA KGC RATC t5 GPM IN TALLER ou VfR71C ^L DiFFE1tf1JCf 6ETW[CU PUMP OFF A►J0 013TItIbUTIO PIPE.. FE S t r, ulnuM IJETWORK SUPPLY PRELSU , {� F C E T 4 ' p'�-5 + i FEET OF FORCE MA4J X 1.1q F%to o ►cFRICTIO►J FACTOR. � 410 lo FEET TOTAL. C)J JAMIC. HEAD k6r •�I FEE r I IIJTEK►JAC. DIMEIJSIO►JG ' O( TAWK: LE►JC.TH rZ Z —:_;W DTH _____ Iqulo oCF TOTAL DYNAMIC HEAD /'CAPACITY HEAD CAPACITY CURVE PER MINUTE EFFLUENT AND DEWATERING N MODEL 152/153 - -- W w w MODEL 152 153 50 - - - T Feet Gal. Lile's Gal. Li!ers 153 5 5 69 261 77 ' 2 � 12 1 0 �� T 23 1 70 265 40 152 3. , 6'. � 0 15 4.6 53 I 201 6 - 1 it 231 a i 20 6.1 44 67 52 X97 30 --- - -- - -- - - - -- - - - -- - 25 -7 .6 34 129 42 59 0 30 911 - 23 87 3 3 25� ;- — 20 35 10.7 -- - -- 22 _3� a ° `'` ! 12.2 � ;2 4 10 Lock wive: 38.0 -'. t1 1 61 Ti" C Ft `^ ) 04506 20 40 60 80 100 GALLONS LITERS 6 /4 0 80 160 240 320 FLOW PER MINUTE _ - - - - - f 3 =7/3: CONSULT FACTORY FOR SPECIAL APPLICATIONS - - {- Timed dosing panels available. �. • Electrical alternators, for duplex systems, are available and supplied with an alarm. 1 • Variable level control switches are available for controlling single phase systems. Double piggyback variable level float switches are available for variable level long and short cycle controls. Sealed Owik -Box available for outdoor installations. See FM1420. Over 130 °F. (54 °C.) special quotation required. 1 1521153 Series 1521153 MODELS Control Selection Model Volts—Ph Mode ___ Amps_ Simplex Duplex N152 _115 1 Non 8.5 1 2 or3 BN152' 115 1 Auto 8.5 Included 2 o r 3 _ E152 r w _230 1 Non 4.3 1 2or .1__- __ _�_ sK2o B E152 2 1 Auto 4.3 Included 2 or 3 N153 115 1 Non 10.5 1 2 or j3 BN15 1 1 Auto 10.5 Included 2or3 SELECTION GUIDE E 230 t Non 5 230 .3 1 20r3 1. Single piggyback variable level float switch or double piggyback variable level float 1 5.3 Included 2 or 3 _BE15 Auto switch. Refer to FM0477. D CAUTION 2. See FM0712 for correct model of Electrical Alternator E - Pak. All installation of controls, protection devices and wiring should be done by a qualified 3. Variable level control switch 10 - 0225 used as a control activator, specify duplex (3) licensed electrician. All electrical and safety codes should be followed including the most recent National Electric Code (NEC) and the Occupational Safety and Health Act (OSHA). or (4) float system. RESERVE POWERED DESIGN 0 For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAIL TO: P.O. BOX 16347 Louisville, KY 40256.0347 Manufacturers of . SHIP TO: 3649 Cane Run Road , Louisville KY 40211.1961 7 p& • � . >., - .u* ® QU4L /TY P UMPS S�'C� � ✓J�/ ., PUMP !O. (502) 778 -2731 - 1(800) 928 -PUMP http: / /www.zoeller.com FAX (502) 774.3624 © Copyright 2000 Zoeller Co. All rights reserved. ` System Management Management of this system is critical. As a condition of approval of these plans this system management section must be reviewed with the owner, and the owner must be provided with a complete set of plans including this management section. if problems develop with the adsorption system or any other system components, the installing plumber, T.L. Sinz Plumbing, 715- 235 -2644, or the St. Croix County Zoning Office, 715- 386 -4680, should be contacted for assistance. General Proper functioning of an on -site disposal system, "septic system," is significantly dependent on the volume of water which flows into the system and the level of contaminants in that volume. The lower the volume of water and the lower the level of contaminant,, the better and longer the system will function. Typical system components include aseptic tank or compartment to settle out solids and contain greases and oils, a filter on the outlet of the septic tank to retain small particles of the same density as water, a pump tank or companment to allow a dose to be accumulated, a pump and controls, and finally some type of soil adsorption cell to recycle the water in a manner to protect ground water quality and public health. I . If the septic tank is installed prior to sheet -rock and/or painting, pump the septic tank before normal use begins to ensure adlr_ ence to contaminant load design criteria. 2 Install water - saving appliances whenever and wherever possible. 3. Repair even small water leaks as soon as possible. 4. Never pour grease or oil down any drain or stool. 5. Garbage disposals are not recommended; if you must have one, use it sparingly. 6. No paper products other than tissue should go into the system. 7. No chemicals should go into the system. 8. Avoid surge flows of water; try to spread laundry throughout the week. 9. Septic tank effluent must be less than or equal to the design criteria specified in page 2 of these plans. 10. If septic or pump tanks are no longer used, they must be properly abandoned. 11. If construction timing and weather could create a frozen infiltration system, weather- proofing with plastic sheeting and heavy mulching may be required to maintain a functional system at start-up. Maintenance 1. The septic tank must be inspected every three years by a properly licensed person. 2. If necessary, the septic tank must be pumped to remove solids and scum; pumping is required if the combined scum and solids volume equals one third of the tank volume. 3. When the septic tank is pumped, any solids in the bottom of the pump tank must be pumped, and the filter must be back - washed into the septic tank to remove accumulated material. 4. Periodic observation pipe inspections should be made by the homeowner to examine the state of the in -situ soil adsorption cell. Quarterly inspections are recommended; a licensed plumber should be notified if effluent is consistently ponded in the adsorption cell. 5. If this system contains specific treatment components other than those mentioned here, maintenance requirements will accompany their specifications. 6. The pumping components for this system include an alarm which must be installed and remain on a separate circuit from the pump. If the alarm is activated, minimize water use and notify a licensed plumber for service as soon as possible. The system allows reserve capacity to accumulate some necessary flow until normal service can be restored; this volume is minimal, and no more than one or two days should pass before any necessary repairs can be made. 7. Avoid compaction such as vehicle traffic within 15' down -slope of the adsorption system. 8. Avoid disturbing the system itself such that might encourage erosion or disturb the required seeding of the system. 9. Particularly avoid winter traffic such as sliding or snowmobiling which might compact snow and lead to increased frost depth. 10. Surface drainage must be diverted around the system; avoid landscape changes which might send surface run -off into the system area 11. Warning: Do not enter septic, pump or other treatment tanks; death may result because they may contain lethal gases or insufficient oxygen. Contingency Plan Wastewater monitoring of volume and quality is not a normal requirement for low effluent strength systems. such monitoring may become necessary if problems develop. Any necessary monitoring shall be done in accord with the requirements of Comm > 3. (2). Pumping and hauling of wastewater may be necessary while analysis and repairs are implemented. Additional testing, desi,_ning,. and/or installation of additional treatment components or conversion to a holding tank may be necessary. Page 8 of 8 o ORIGINAL 1730 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page I_ — of 3 _ Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Certified Soil Testing 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 (BM), direction and percent slope, scale or dimemsions, north arrow, and location and distance to nearest road. Parcel I.D. CSM Pe nding _ Please print all information. R iewed By Date Personal information you provide may be use r s. 15. (t) (m)). f 1 G� Property Owner Pr perty Location 1 Ericks Sheri Go Lot SE 1 /4 1/4 S 28 T 2 — NR 15 W Property Owner's Mailing Address `; ? v. L,3 of Block # Subd. Name or CSM# 633 State Road 128 q --10.5 A. CSM Pe nding _ City State Zip tode Rhohe`NUrhbee City Village V Town Nearest Road Wilson WI I 54 - Springfield i 72Nd Ave. ✓ New Construction Use: r y,r�, Residential / Number of bedrooms 3 Code derived design flow rate _ 450 _GPD Replacement Public or commercial - Describe Parent material loess over till Flood plain elevation, if applicable NA_ General comments and recommendations: install 5'x 91.2' rock cell mound on 100.0 contour as upslope edge of rock w/ 1.6' sand fill -� Boring # _j Boring 1/f Pit Ground Surface elev. 100.0 ft. Depth to limiting factor 2 6 in Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure tConsistence oundary Roo ts GP D /ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0 -6 10YR 3/2 sil 2 f sbk cs 1f /m .5 .8 2 6 -16 10YR 4/3 sil 2 m sbk gs if .5 .8 3 16 -26 5YR 4/4 - sl 1 m sbk mvfr I cs 1 m .4 .6 4 26 -36 5YR 4/4 f2f 7.5YR 5/3 sl 0 m mfr .3 .5 M Boring # — Boring ej Pit Ground Surface elev. 99.4 ft. Depth to limiting factor — 17 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence I Boundary Roots GPD /ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 'Eff#2 1 0 - 10YR 3/2 - sil 2 f sbk mvfr cs 1 f/m .5 _8 2 6 -17 10YR 413 - sil 2 m sbk mvfr cs if .5 .8 3 17 -28 5YR 4/4 f1 p 7.5YR 5/8,5/3 sl 1 m sbk mvfr 1 m .4 .6 Effluent #1 = BOD 30 < 220 mg /L and TSS >30 150 mg /L ' Eff ent #2 = B05 30 mg/l- and TSS < 30 mgr. CST Name (Please Print) Signat e: CST Number Henry F. Grote 222774 Address Certified Soil Testing Date Evaluation Conducted Telephone Number E. 4366 353rd Ave., Menomonie, WI 54751 4/21/2003 715 - 233 -0398 f Property Owner Erickson, Sheri Parcel ID# CS Pending _— Page'__2__of_3__ ❑ Boring # Boring f Pit Ground Surface elev. 99.4 ft. Depth to limiting factor 20 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots — BPD /f__ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0 -5 10YR 3/3 - sil 2 f sbk mvfr cs 1 f/m .5 i .8 2 5 -20 10YR 4/4 - sil 2 m sbk mvfr cs 1 m I .5 .8 3 20 30 5YR 4/4 f1 pi 7.5YR 5/8,5/3 sl 1 m sbk mvfr — 1 m .4 .6 i F-1 Boring # j Boring ft. Depth to limiting factor _:::�I Pit Ground Surface elev. P 9 _ _ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots _ _ CzPD1I1' _ -_ in. Munsell Qu. Sz, Cont. Color Gr. Sz. Sh. Eff#1 'Eff#2 I I i I -- - - -- ----------- - - ❑Boring # J 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 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Eff#1 Eff#2 I - - -- j _ I *Effluent #1 = BOD 30 < 220 mg /L and TSS >30 < 150 mg /L ' Effluent #2 = BOD < 30 mg /L and TSS < 30 mg /L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608 -266 -3151 or "f'FY 608 -264 -8777. SBD -833u (R 07/00) Certified Soil Testing ♦ .. ^ Q�V\ C �-C G.�sO � � 1 1 O� �14y CA Q�K.O7�.r ►U 7-%- tiS w WCKw \2g Ct Tk 0') `L O 1s C"� 1 L�S 7 �14-�t ^^� b rl L D Q- s =_ - - -- Caoc��oL z 4 -. ;�1 axe _= 1 ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner /Buyer b r ►, /A - Fr i cks a r) Mailing Address 633 )40 A wu� wj SL/oa Property Address nd (Verification required from Planning Department for new construction.) City /State W Soh Parcel Identification Number /06 ,;Z - 9 5-00 0 LEGAL DESCRIPTION C / Property Location SE '/4 , S£ '/4 , Sec. oQ8 , T ! N R-Z,5 W, Town of Subdivision , Lot # l Certified Survey Map # y.� 9,5`/ , Volume S ,Page # Warranty Deed # 75 © Y6 - 7 , Volume d , Page # 4 Spec house r:] yes:.-{ no Lot lines identifiable '::i yes C:', no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix County Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper operating condition and /or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have react the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County 'Zoning Department within 30 days of the three year expiration (late. V SIGNATURE OF APPLICANT DATE OWNER CERTIFICATION I /we certify that all statements on this form are true to the best of my /our knowledge. I /we am /are the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. / ,R.7 l O 5/ SIGNATURE OF APPLICANT DATE * * * ** Any information that is misrepresented may result in the sanitary permit being revoked by the Zoning Department. * * * * ** Include with this application a stamped warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is trade in the warranty deed. V 2483P `i00 - 7�fj -4 El> � EATHLEEN H. WALSH STATE BAR OF WISCONSIN FORM 2 - 2000 REGISTER OF DEEDS Document Number WARRANTY DEED ST. CROIR CO. WI This Deed, made between Michael J. Snyder and Sally L. Snyder, RECEIVER FOR RECORD husband and wife 01/02/2004 09 :30AM WARRANTY DEED EXEMPT # Grantor, and Sheri Erickson, a single person AEC FEE. 11.00 - -- _ TRANS FEE: 135, 00 _ COPY FEE: CC FEE: Grantee. PAGES: I Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate in St. Croix County, State of Wisconsin (if more space is needed, please attach addendum:) Part of the Southeast Quarter of Southeast Quarter (SE 1/4 of SE 1/4) of Section Twenty -eight (28), Township Twenty -nine (29) North, Range Recording Area Fifteen (15) West, Town of Springfield, St. Croix County, Wisconsin Name and Return Address more particularly described as: Thomas A. McCormack jLjot:0:ne�(1) of Certified Survey Map filed November 6, 2003, in Volume 1020 10th Avenue 48, as Document No. ' 45951, Office of the Register of D ee ds Baldwin, WI 54002 - for 9t. Croix County isconsin. Reserving, however, to Grantors, their heirs, succcessors and assigns, an 0 3 y_ zb / oZ _ S — D D D easement for ingress and egress of the 66' access easement as shown on Parcel Identification Number (PIN) said Certified Survey Map. This is not homestead property. (as) (is not) Exceptions to warranties: Easements and restrictions of record. Dated this day of Michael J. Snyde Sally L. Snyder - AUTHENTICATION AC OWLED ENT Signature(s) STATE OF WIS ) ) ss. St. Croix County ) authenticated this day of LL- Personally came before me this day of , 2003 the above named Michael J . Sny and S ally L. Sny husband and wife TITLE: MEMBER STATE BAR OF WISCONSIN (If not, to me known to fHe ;Ors xecuted the foregoing authorized by § 706.06. Wis. Stats.) -- instrument ecLhe a THIS INSTRUMENT WAS DRAFTED BY Th A. McCormack Notary Pub IN _ Baldwin, WI 54002 V My Comm' a nt: (IT not, rate expiration date: (Signatures may be authenticated or acknowledged. Both are not necessary.) * Names of persons signing in any capacity must be typed or printed below their signature. U STATE BAR OF WISCONSIN; WARRANTY DEED FORM No. 2 - 2000 INFO -PRO (800)655 -2021 www.infoproforms.com FORM NO 985 -A �- uher Stock No. 26273 VOL 18 PAGE 4648 KATHLEEN H. WWI.. REGISTER OF DEEDS ST. CROIX CO., WI RECEIVED FOR RECORD 11/06/2003 11:30AM CERTIFIED SURVEY MA CERTIFIED SURVEY MAP REC FEE FEE, 3.0 VOLUME PAGE . LOCATED IN PART OF THE SE 1/4 OF THE SE 1/4 SECTION 28 T. 29 N. - R. 15 W. TOWN OF SPRINGFIELD, ST. CROIX COUNTY, WISCONSIN. EAST 1/4 CORNER SECTION 28 ......_. -___ . FOUND COUNTY PK NAIL (COUNTY COORD) W IV C 72ND AVE. " " " " " " "? NORTH LINE OF THE SE 114 OF THE f SE 1/4 , SECTION 28 g 89° 39' 08" W 352.60' - 1 z _r _ _ _ _ _ _ _ _ _ _ _ \ -•- - •- •- •- •- •- •--- •--- ._._._._._.. _._.................. ._.. . .. 897.29' _.'.- - - - - -- m o N 89 39 08 E ;� 3. - N 89° 39: 08" E 897_27' 300' •- 66' A CESS EASEMENT Z C/L DRIVEWAY N E: TRANS 233 NOTE.' EXISTING BUILDINGS - -- O ARE L CA TED /N EXCESS OF W 5 o 100' OM FUTURE RD. RNV 443,347 SO. FT. o ; N 10.18 ACRES (INCLD. RAN) . N 413,737 SO. FT. 100• SETBACK LINE - �? A �_ J o N 9.50 ACRES (EXCLD. R!W) � i ! T Ce 1 l �? F UTURE m rn i r 100' SETBACK LINE y _ I A GO¢ �0 E�2S NOTE: THERE ARE NO IMPROVEMENTS � c ON THIS PARCEL AT THIS TIME rn; E ~ THERE ARE NO SLOPES OF 20% OR � ; tD GSlr 0 PpG �* GREATER ON THIS SITE -4! J OV , i._ V Lu � EXISTING FENCE 831.02' r SOUTH EAST CORNER SECTION 28 1 o S 89 39 ' 08" W 897 FOUND COUNTY PK NAIL (COUNTY COORD) r Z N Q F- N $ `�VO�{s'_ LL N '*� Z � - J. `• N Ao 7"l 55 -- 12� 334 r Zoo3 �' ' FEDDERIY S-2360 e - - -- WYCEYILIE EACH PARCEL SHOWN ON THIS MAP IS SUBJECT TO STATE, I COUNTY, AND TOWNSHIP LAWS, RULES. AND REGULATIONS `F • ' "r.,� w` (i.e. WETLAND, MINIMUM LOT SIZE, ACCESS TO PARCEL. etc.) ' BEFORE PURCHASING OR DEVELOPING ANY LOT, CONTACT may, THE ST. CROIX COUNTY ZONING OFFICE AND THE TOWN OF 3 u. ••' 0 / LEGEND A • FOUND 1" IRON PIPE I O SET 1.25" O.D. X 24" IRON PIPE N WEIGHING 1.13 LBS. /L.F. BEARINGS REFERENCED TO THE EAST LINE OF THE SE 114 SECTION 28 T. 29 N . - R.15 W. ,� SECTION CORNER (COUNTY COORD.) N 00° 17 48" W, 2642.59 (ST. CROIX COUNTY COORD.) / APPROVED , X PERK TEST LOCATIONS ST. CROIX COUNTY Scale: 1 In. = 200.0 ft. 9%nnina 7rnninn and Parks Comm'Rtelr �: .1 200 N o 6 2003 It nct recorded within 30 days of approval date approval shall be n„p o vold PREPARED FOR: PREPARED BY: MIKE SNYDER DANIEL J. FEDDERLY P.E.;R.L.S. 720 MAIN STREET D.J. FEDDERLY WILSON, WISCONSIN MANAGEMENT CONSULTANT LLC N9387 330TH STREET BOYCEVILLE, WISCONSIN 54725 PAGE 1 OF 2 Vol 18 Page 4649 FORM H0. 985•A . ..... .' �C�i�fer Stock No. 26273 CERTIFIED SURVEY MAP NO. r VOLUME , PAGE LOCATED IN THE SE' /A OF THE SE'/ OF SECTION 28, T.29 N. — R 15 W., TOWN OF SPRINGFIELD, ST. CROIX COUNTY, WISCONSIN. DESCRIPTION A parcel of land located in the southeast' /4 of the southeast 1 /4 of Section 28, Township 29 North, Range 15 West, Town of Springfield, St. Croix County, Wisconsin. More particularly described as follows: Commencing at the Southeast Comer of said Section 28, Thence, North 00 12' 48" West, along the East line of the Southeast %4 of said Section 28, 1321.30 feet to the northeast corner of the- southeast 1 /4 of the southeast 1 /4; Thence, South 89' 39' 08" West along the north line of the southeast 1 /4 of the southeast 1 /4, 352.60 feet, to the Point of Beginning. Thence, South 00 12' 48" East, 494.17 feet; Thence, South 89° 39' 08" West, 897.02 feet; Thence, North 00° 14' 42" West, 494.17 feet; Thence, North 89° 39' 08" East, Along the north line of the southeast 1 /4 of the southeast 1/ of said Section 28, 897.29 feet to the Point of Beginning. Containing 443,347 square feet or 10.18 acres, Subject to right of way for 72 "d Avenue as shown. Also subject to the 66 foot access easement as shown as well as any and all additional easements, right of ways or conveyances of record. SURVEYOR'S CERTIFICATE I, Daniel J. Fedderly P.E., Registered Land Surveyor, hereby certify: That I have Surveyed, Divided, and Mapped the above described parcel of land in full compliance with the provisions of Chapter 236.34 of the Wisconsin Statutes along with the provisions of the St. Croix County Comprehensive Zoning Ordinance (Chapter 18 SUBDIVISION REGULATIONS). And that Said Survey was done under the direction of Mike Snyder with this map being a correct representation thereof. Dated this 2 day of _AO P 05 - T — , 2003. %sG. DA '} ' • FEDDER Y S -2380 ' Daniel 360 ':tiOMEV1LLE %. ' Q D. J. Fe er y Management Consultant . O _._ _... Approved by the St. Croix County Zoning Office this day of sT A" P cRO ; Ty Planning 7on1no and Parks rnr�m nnP N OV 0 6 2003 If not recorded within 3U days of Approved by the Town of Springfield this day of approval d 9tjJ0 'k va1 shall be By order of the Springfield Town Board: i Richard Haines Chairman, Town of Springfield This instrument drafted by Daniel J. Fedderly P.E.; R.L.S. page 2 of 2 Vol 18 Page 4648