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HomeMy WebLinkAbout034-1087-20-050 Parcel #: 034 - 1087 -20 -050 01/04/2006 08:40 AM PAGE 1 OF 1 Alt. Parcel #: 28.29.15.565A -10 034 - TOWN OF SPRINGFIELD Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner WALTER J & DEBORAH A BRISKIE O - BRISKIE, WALTER J & DEBORAH A 2911 72ND AVE WILSON WI 54027 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description * 720 292ND ST SC 2198 GLENWOOD CITY SP 1700 WITC SP 7059 SPRINGFIELD SAN DIST 41 Legal Description: Acres: 2.220 Plat: 4626 -CSM 17 -4626 034 -03 SEC 28 T29N R15W PT SW SW CSM 17 -4626 Block/Condo Bldg: LOT 01 LOT 1 (2.22 AC) Tract(s): (Sec- Twn -Rng 401/4 1601/4) 28- 29N -15W SW SW Notes: Parcel History: Date Doc # Vol /Page Type 10/02/2003 742297 2426/611 QC 10/02/2003 742295 17/4626 CSM 04/16/2003 717488 2207/535 MISC 2005 SUMMARY Bill M Fair Market Value: Assessed with: 82598 10,400 Valuations: Last Changed: 06/03/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 0.000 9,000 0 9,000 NO Totals for 2005: General Property 0.000 9,000 0 9,000 Woodland 0.000 0 0 Totals for 2004: General Property 0.000 9,000 0 9,000 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 Parcel #: 034 - 1087 -20 -075 01/04/2006 08:41 AM PAGE 1 OF 1 Alt. Parcel M 28.29.15.565A -20 034 - TOWN OF SPRINGFIELD Current X I ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner WALTER J & DEBORAH A BRISKIE O - BRISKIE, WALTER J & DEBORAH A 2911 72ND AVE WILSON WI 54027 Districts: SC = School SP = Special Property Address(es): ` = Primary Type Dist # Description * 2911 72ND AVE SC 2198 GLENWOOD CITY SP 1700 WITC SP 7059 SPRINGFIELD SAN DIST #1 Legal Description: Acres: 0.250 Plat: 4626 -CSM 17 -4626 034 -03 SEC 28 T29N R15W PT SW SW CSM 17 -4626 Block/Condo Bldg: LOT 02 LOT 2 (.25 AC) Tract(s): (Sec- Twn -Rng 401/4 1601/4) 28- 29N -15W SW SW Notes: Parcel History: Date Doc # Vol /Page Type 10/02/2003 742297 2426/611. QC 10/02/2003 742295 17/4626 CSM 2005 SUMMARY Bill M Fair Market Value: Assessed with: 82599 14,000 Valuations: Last Changed: 05/26/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 0.250 900 11,200 12,100 NO Totals for 2005: General Property 0.250 900 11,200 12,100 Woodland 0.000 0 0 Totals for 2004: General Property 0.000 900 0 900 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch M Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 -r Wisconsin Depaeanent of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and wilding division INSPECTION REPORT Sanitary Permit No: 430665 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)]. S - 7 Permit Holder's Name: City Village X Township Parcel Tax No: Briskie, Walter I Springfield Townshi Q31/-/ CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: ����..,« , _� ,+ t 7 r : 1, t✓; �� ,,> 28.29.15.5& TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing Alt. BM Aeration Bldg. Sewer iU - 7 (, qa 5 . 1 Holding ..•._ _......... St/Ht Inlet �> _ZC TANK SETBACK INFORMATION SuHt Outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic wo- Dt Bottom Dosing �}a _ Header /Man. �. > `�z; 3 � �1 5.0`1 Aeration Dist. Pipe i� Holding / Bot. System 5.7 9 "- Final Grade PUMP /SIPHON INFORMATION Manufacturer / ` Demand St Cover GPM q &? (�. Model Number T CIA �/-� �`. 1. (, • lc, 7 7 L ; y . TDH Lift Friction Loss System Head TDH Ft Forcemain Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM BED /TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P /L- BLDG WELL - -- LAKE /STREAM LEACHING Manufacturer INFORMATION CHAMBER OR Type Of Systel'm: 'I N e- ; >E UNIT Model Number DISTRIBUTION SYSTEM Header /Manifold Distribution x Hole to Air Intake Size x Hole Spacing Vent Pipe(s) ii t/ 118i` z Lf ik Length_ Dia Length �9 5 Dia l ` Z Spacing J 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 Bed /Trench Edges To Yes No Yes No COMMENTS: (Include code discrepencies persons present, etc.) Inspection #1: / 17 / C'! Inspection #2: / Z7 i 0 � � �lu ti'.. ^t✓ / 5.,,S'4a+ Ins�wul Location: Woodville, WI 54028 (SW 1/4 SW 1/4 28 T29N R15W) NA Lot 1 Parcel No: 28.29.1. -I��n� �S no ,r1 Py✓'mR, r , "e, �- I o / Ge� P 1.) Alt BM Description = S I" �-� - ., Gvlu.�.� Se wl" , iS 2.) Bldg sewer length = 33' s +,• 6 c.� rZ c.� ��; amount of cover J 1 �' I r . ,_ 1 l informat o _ Plan revision Required? Yes I No � _ � -Date V Use other side for additiona sepctor's'�Signature- _ -- - ! / "' "'rt Jo. SBD -6710 (R.3/97) MA 1 \ Safety and Bu' ' gs i 1Y Coun 0 201 W. Washington ve., . Box 7162 S 1 ►sconsin Madison, WI 3707- 7162 1 ZQ anita Permit Number (to be led in by Co.) Department of Commerce (�8) 26 -31s1 �NtA 2 0 (a & 5- Sanitary Permit Application S�.�RO� rote PI I. Number In accord with Comm 83.21, Wis. Adm. Code, personal information yo provid��N1NC 0 qS - f 30 TnAIn5. 1 1, �`- may be used for secondary purposes Privacy Law, s15 .04(1)(m Project Address (if different than mailing address) 1. Application Information - Please Print All Information O JAW Property Owner's a me Parcel y t Property Owner's M ailing Address Property Location City, State Zip Code Phone Number 't'�k,Section t G circie one) ✓ ��� �� T ( N; R 5 E or W II. Type of Building check all that apply) 1 or 2 Family Dwelling - Number of B rooms CSM Number -.. ❑ Public /Commercial -Describe Use . S0 ('W V " ' V P 4z 3- 4 f 2,2-15 — ❑ State Owned - Describe Use City_ Village Township of ,- III. Type of Permit: (Check only one box on line A. Complete line B if applicable) `-' )dNew System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner IV. Type of POWTS System: (Check all that apply) ❑ Non - Pressurized In- Ground Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter ❑ Constructed Wetland ❑ Pressurized In- Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatmeni Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter ❑ Leaching Chamber ❑ Drip Line ❑ Gravel -less Pipe ❑ Othe (explai V. Dispersal/Treatment Area Information: r Design Flow (gpd) Design Soil Applicapp II��aa �,�� Dispersal Area Required (sf) Dispersal Area Proposed (sf) System Elevation 1.1 •o 14 -�7.( VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank Aerobic Treatment Unit C Dosing Chamber g Ll VII. Responsibility Statement- I, the undersigned, assume responsibility or LpAallation of the POWTS shown on the attached plans. Plumber's Na me (Print) Plumber's Si nature &WMPRS Number Business Phone Number Pl ber's Addre ss (Str et, City, Stat4 pp C VIII. ount Department Use Onl Approved ❑ Disapproved Sanitary Permit Fee (includes Groundwater Date Issued Is uing ent Signa,= (No Stamps) Surcharge Fee) 3 > ._ 22 ?,� ` ❑ Owner Given Reason for Denial IX. Conditions of Approval /Reasons for Disapproval 3) SYSTEM OWNER: 1 Septic tank, effluent filter and dispersal cell must all be serviced / maintained as per management plan provided by plumber. 2. All setback requirements must be maintained as per applicable code /ordinances. Attach complete plans (to the County only) for the system on paper not less than 81/2 x 11 inches in size SBD -6398 (R. 01/03) l W Ir I (1 9 fl I W � W . u LV N ai 7 t} o ti Po y � 12 �J I I f � s l�7 � • 5 5 i it cl M LU 0p`+f ' I Safety and Buildings PO BOX 7162 MADISON WI 53707 -7162 V-isconsin TDD #: (608) .wi.us 77 www.commerce.state.wi.us /sb Department of Commerce www.wisconsin.gov Jim Doyle, Governor Cory L. Nettles, Secretary January 16, 2004 CUST ID No.224617 ATTN.- POWTS Inspector LYLE J MYERS ZONING OFFICE NORTHLAND PLUMBING INC ST CROIX COUNTY SPIA E1556 STATE ROAD 64 1101 CARMICHAEL RD BOYCEVILLE WI 54725 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 01/16/2006 Identification Numbers SITE: Transaction ID No. 957304 Site ID No. 669701 Walt Briske Walt is Please refer to both identification numbers, Town of Springfield above, in all correspondence with the agency. St Croix County r? r SW1 /4, SW1 /4, S28, T29N, R15W 5 Lot: 1, Ca : ! FOR: Object Type: POWTS Component Manual Regulated Object ID No.: 937184 E Maintenance required; 450 GPD Flow rate; System(s): Mound Component Manual - Version 2.0, SBD- 10691�'P'�:;5?!) : (N.01101) DIVE51i1Ia i:F '_ y The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative oC tees - — -- SL� and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in � chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. 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 to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 Robert Kanter POWTS Plan Reviewer, Integrated Services WiSMART code: 7633 (608)261-7735, Monday -friday 8:OOAM - 4:45PM rkanter@conimerce.state.wi.us cc: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544 � M � i I Mound System Cover Page ve I d 6 CORGRETE Project Name: BRISKIE MOUND Owner's Name Walter Briskie Owners Address 2911 72ND Ave. Hersey, Wi. 54027 Legal Description Sw Y., Sw � Y/. Secr T F 29 N, R 15 w Township Springfield County Saint Croix . T. S. Subdivision N/A Lot# 1 E Parcel ID# Pending u t (,;iCs Table of Contents RE VE® p9- 1 Cover page JAN 1 5 2004 2 Mound Sizing Calculations 3 Press Distribution L and Dynamics su y y SAFETY & B LDGS. DN, 4 Dose Tank 5 Management and Contingency Plan '.!,T. 6 Plot Map t, .: 1 T . i . •l f �. 1 . :) J total # of pages: 6 �- Designer Name: Lyle J. Myers MP /License #: I.D.# 224617 Date: 1/9/04 Ph. #: 7156432520 Signature: Mound System Design Methods Used per "Mound Component Manual For Private Onsite Wastewater Treatment Systems" (Version 2.0) SBD- 10691 -P (N.01101) per" Pressure Distribution Component manual for Pmrate Onsite Wastewater Treatment Systems" (Version 2.0) SBD - 10706 -P (N 01/01) Spreadsheet provided by: 3bAdvisement N12486 220th St, Boyceville, WI 54725 Ph: 715 - 643-6068 email: 3ba @3badvisement.00m III r Mound System Pap 2 of 6 Mound Sizing Calculations Project Name: BRISKIE MOUND Site Conditio Design of Entire Fill Project Type: 1 or 2 Family Dwelling I 1W Cell depth at upslope edge (D): 24.0 in. % Slope: 6% Cell depth at downslope edge (E): 27.3 in. # of Bedrooms: 3 Distribution cell depth (F): 9.5 in. Depth to limiting factor: 12 in. Cover thickness over edge (G): 6 in. Absorbtion rate of fill material: 1 gal/ft /day Cover thickness over center (H): 12 in. Absorbtion rate of in -situ soil: 0.2 gal/ft /day End slope width (K): 11.8 ft. Effluent quality Fill length (L): 123.6 ft. Max BOD effluent value: 220 mg /I Upslope width (J): 8.4 ft. Max TSS effluent value: 150 mg /I Downslope width (Toe) (1): 18.0 ft. Fill Width (W): 30.9 ft. Design of the Distribution Cell Basal Area System Design Flow: 450.0 gal /day Basal area required: 2250 ft Distribution cell width (A): 4.50 ft Basal area available: 2250 ft' Distribution cell length (B): 100.0 ft Area of Distribution Cell: 450.0 ft Observation Pipes Contour Elevation of Mound: 95.51 ft Location from end of cell (Z): 16.67 ft System Elevation of Mound: 97.51 ft Final Grade of Mound: 99.30 ft Mound Plan View I Obsenvation Pipes 1 `\ L 1 'I Distribution Cell T E I Tilled AreaiFill Material L Mound Cross Section Final Grade Observation Pipe Synthetic Fabric N G Distribution Cell System Elevation a a, e�o F 1 Cover Material Lateran 3 Fill Material E 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)(8) Distribution Cell to have minimum 6" aggregate below lateral and 2" above. r Mound System P°' °' 6 Pressure Distribution Calculations Project Name: BRISKIE MOUND Lateral Layout Lateral /Manifold Design Lateral elevation: 98.0 ft Lateral diameter. 1� In. Rows of Laterals: 2 Lateral spacing (S): 3 ft Manifold type: center Lateral to cell edge: 0.75 ft Orifice diameter: o.1z5 In. Lateral discharge rate: 10.30 gpm # of Laterals: 4 System discharge rate: 41.19 gpm Distal Pressure: 5 ft Manifold diameter: i . In: Lateral Length: 49.5 ft Manifold length: 3 ft Orifice Spacing /Distribution Forcemain Friction Loss Orifice spacing (X): 24.24 Inches Forcemain length: 80 ft Orifices per lateral: 25 Forcemain diameter. 2 In. Avg. ft /Orifice: 4.50 ft Friction loss in forcemain: 2.788 ft l� Lateral Side View t Manifold Lateral Lateral x x x x x �� x x x x x 2 2 LatereJ Length 01 I V Lateral Length Lateral Plan View Lateral Length Turn -up w /ball valve or cleanout plug 1 S ° ° i Orifices on bottom of lateral equally spaced PVC laterals and forcemain to comply with specifications per Comm 84.30(2)(e) Forcemain connection via tee or cross to manifold at any point I Clean Out Detail Observation Pipes Clean -out plug Final Grade or ball valve Water tight cap or plug Lawn Sprinkler Box Slot Note: Closet Collar 6" Minimum may be used in Long Sweep 80 place of 318" bar or two 45's 3/0" Bar Lateral Wound System %W4d6 Septic, Pump and Dose Tank Project: BRISKIE MOUND Tank Information Dosage Volume Pump tank manufacturer. Wieser Concrete Forcemain drains back to tank? *Yes O No Pump tank size /model: W1WCi /6so - Lateral void volume: 20.9 gal Pump tank gal /inch: 17 Dosage to absorbtion Cell: 90.0 gal Actual Pump Tank Volume: 646 gal Forcemain volume: 13.9 gal Tank bottom elevation (inside): 88 ft Total dosage: 103.9 gal Septic tank size /model: w1.0001650 - Pump and Filter Total Dynamic Head Pump Manufacturer: Little Giant Are laterals highest point? y Pump Model: 9EH if not, enter highest elevation: 0 ft Effluent Filter: Zabel A100 System head (distal x 1.3) 6.50 ft Vertical Lift ( "D" to lateral) 9.34 ft Note: Access opening of sufficient size to be provided to allow removal of fitter. opening to terminate at or above grade. Friction loss in forcemain: 2.79 ft Pressure loss from filter. 0 ft Total dynamic head (TDH): 18.63 ft Pump Tank Diagram Dose Tank Levels � Locking Cuver In. Gal 4 Inch \ With Warning Label Finished A Reserve 21.9 372.1 P Grade B Pump off to Alarm 2.0 34.0 HlternaW_ % C Total Dosage 6.1 103.9 Outlet Location Elect per r =ornm D Effluent depth for pump 8.0 136.0 1 6.28 and Total Capacity: 38.0 646.0 or . rn in NEC 300 VVeep Hole A ur Siphon ! >, B Device FLOW- LITERS /HOUR - 0 1000 2000 3000 f'. D 30 10 r y WW 7.5 W Li I S 1 Pump must be capable of: 41.2 GPM 10 and head pressure of: 18.7 Feet a5 0 0 fill 0 20 40 60 80 Little Giant FLOW- GALLONS /MINUTE 9EH PUMP PERFORMANCE CURVE 115V 60HZ Mound System Management Plan pursuant to comm 83.54 W. A. C. page 5 of 6 Owners Responsibility: The component owner is responsible for the operation and maintenance of the component. The county, department or POWTS service contractor may make periodic inspections of the components, checking for surface discharge, treated effluent levels, etc. The owner or owner's agent is required to submit necessary maintenance reports to the appropriate jurisdiction and/or the department. Septic Tank: Septic tank(s) are to be inspected routinely and maintained by department approved individuals when necessary in accordance with their approvals. The use of chemical /biological "treatments is not required or recommended. If such additives are used, make sure they are approved by Department of Commerce, Safety and Buildings Div.. Effluent filters are to be removed & cleaned as necessary, with provisions to keep solids from passing the septic during removal. No more than 1/3 of the usable tank volume may be occupied by sludge/scum. 3 year inspection: If tank has greater than 1/3 volume sludge, tank contents must be emptied and disposed of in accordance with NR 113 Wisconsin Administrative Code by an approved individual. If the inspector does not recommend pumping of the septic tank, then the owner must be notified of when pumping should be done as to not exceed 1/3 sludge volume. Septic tank should be routinely inspected to be watertight and of good repair. Pump /Dose Tank If an effluent filter has been installed in the pump /dose tank, it must be removed & cleaned as necessary, with provisions to keep solids from passing to the mound component during removal. The pump, float switches and alarms mast be inspected at least every three years for proper operation. Pump /dose tank should be routinely inspected to be watertight and of good repair. Mound and lateral System The mound system component must remain free of ponded surface water prior to pump operation. If 4 inches or more water level is detected in the observation pipes, the owner must be notified of possible problems /failure. The designed daily flow capabilities of the component should never be exceeded. Trees and any other deep rooted vegetation should never be planted, or allowed to grow anywhere on the component. Activities OTHER than mowing /maintenance (i.e. excessive walking, pets, vehicles, etc...) could compress the component and reduce it's absorbtion capabilities and /or possibly cause it to freeze in winter conditions. Lateral distribution pipes should be flushed out/tested every 18 months using the cleanout points at each end of the component to remove scum that may clog orifices. Performance Monitoring: Performance monitoring must be done at least once every three years following the installation or at the time of a problem, complaint, or failure. Contingency Plan: If the septic tank, pump tank or any of their components therein (including floats, alarms, pumps, etc) become defective, the defective tank or component must be replaced immediately to ensure that the system can operate as designed. If the mound component cannot accept wastewater or ponds wastewater to the surface, the component must be repaired or replaced in it's current location by either: extending basal toe to provide added absorbtion area; or by removing the clogged bacterial mat,aggregate cell, and distribution piping within the mound and replacing said components in order to return system to proper working order as required. i � T I i I P 4 �r W W > � v � — o LY N LA 7 I I L ' ac V� ,17 J � i w i � o M vi o 4,0 �- �� 0. - � 1 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page of Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Attach complete site plan on paper not less than 8 112 x 11 inches in size. Plan must County 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. Please print all in rmail� f CEO p fi:1 ed Dat Personal information you provide may be used for seco dary purposes (Privacy Law, s. 15,0 (1) (m) f l -- �Cl��` j 9 Q Property Owner S E P 2 20 rope y Location I Govt. of S Lv 1/4 Sin7114 S T d17 N R /,j E (o W Property Owner's Mailing Address ROIX COUN 11 of # Block # a a or CSM# d ZONING OFFICE // City State Zip Code � P lRhone Number City Village Town Nearest Road Gr Se L✓� I 5410x7 5 -'e; e./ of S New Construction Use: ❑ Residential / Number of bedrooms 3 Code derived design flow rate /7C S J GPD ❑ Replacement ❑ Public or comm rcial Describe: Parent material / II 7C & Z/ � Fiood Plain elpvation�if a ft. General comments j)fi lg�s 4o" Tr /1e( tor/;r+e }! wl1� SaI m �e/°Yr/S 7�rn. `�i�5u5�rne aj•S', Qhjsj al's, e and recommendations: C^ Jf 'eA/' /•A!'lr'!lrt Elr .-16 - f 4 // J. v r �o.is" cor i w In L $'g <!/1IC/'� �J�' /d��/NP� °` Cl�t/'- C / ,X / "f /Cr� AI�T /��'TL� /n air 6"GVip f dol. Jor�rCt a F G.fr1lPY`S' ! S t CSTIM .*ZA 20's oc > 5 �•'COt /".� ILS 7 /i /.S" �ef <- +I� tJst W „S 1`t�'�K G �� /n e-. r 00 . 0 ' � • �I /7 /tS SirJ f'R/tcn � r�t�r��r u fn !•� /� ✓r ✓ sbk'sfn�zt S�fc /1 an rrau� Go „ s F Lev. /ii i.r 95.5 /EL ® Boring # ❑ Boring Pit Ground surface elev. ft. Depth to limiting factor 3 .). in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz in. Mun J sell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 / 0 ° l a /v T 3 � ' S ('i JA /� ► ►� Fr i m f►- i tv 3 .� 3 �� 5�� -- grout /Ir C Lv / tf 0 1 j- 3,a -/- i `r 5 //- 5 YR s M Q, s Boring # ❑ Boring �3 Pit Ground surface elev. ,C S' /� ft. Depth to limiting factor_ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *E61 *Eff#2 1 >O U • S S ,, 1 r 1 3 2 /30 jo Yf s� �,Si fL c i / 0.5' 30+ sya4 s/ j m sA /Oc 6. S * 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 -n W&tl A/C 44 i (5 � -, e " ZL'�� d -7 8'70 L4 Address / Date Evaluation Conducted Telephone Number C L�1 J L'��✓(C I t r� l f "l e9 / {' - / /e,f ,4-yj SBD -8330 (R07/00) Property Owner Parcel ID # Page of 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 /ftz in. Munsell Qu. Sz. Cont. Color / Gr. Sz. Sh. *Eff#1 I *Eff#2 /t 3/ ern o- 3 /d, 41, 1 4 /4 -It? Y s i S/ �k ,�,fri' / .5 sh yf ©. - ` Boring # ❑Boring 4 Pit Ground surface elev. ft. Depth to limiting factor 3 s 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. I *Eff#1 *Eff#2 5 S lo 'I- C / � Sf 5' 6 / s h,f� i. O.S F-51 Boring # fL1l Boring El Pit Ground surface elev. ,���- ft. Depth to limiting factor a- 4 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 'Eff#2 I * Effluent #1 = BOD > 30 < 220 mg /L and TSS >30 < 150 mg /L * Effluent #2 = BOD < 30 mg /L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608- 266 -3151 or TTY 608 -264 -8777. SBD -8330 (R.07 /00) I SAFETY AND BUILDINGS DIVISION Integrated Services Bureau 13 East Spruce Street INSPECTION REPORT Chippewa Falls, WI 54729 www. com m erce. state. wi. us Ivisconsin An Doyle, Governor Department of Commerce I MAT y a Date of Inspection: August 25, 2003 Plumber Name and Address. Project Name: Briskie Mike Wilson, MP SFP 0 2 2003 Use: New Residential ST. CROIX COUNTY Legal Description: SW S, 28, 29, 15W ZONING OFFICE Site Number: Certified Soil Tester Name and Address: Subdivision: Kim O'Connell, CST Municipality: Town of Springfield Rick Vanden Heuvel, RPSS County: St. Croix Plan Transaction Number: NA Owner Name and Address: Sanitary Permit Number: NA Walter Briskie 2022 Hwy 12 Wastewater Flow: 450 gpd Baldwin, WI 54002 Persons Present: M. Wilson, K. O'Connell, and R. Vanden Heuvel An onsite investigation was completed on this site in an attempt to locate a suitable area for a system -in- fill or mound system. During a previous visit to this site I believed that it might be possible to engineer a system -in -fill if sandy soil conditions were available at 5 -6 feet below grade in the far NE portion of the property. However, sandy conditions were not found to exist at reasonable depths and this concept was deemed unacceptable. Additional soil borings were constructed in the old railroad track right -of -way, and it was determined that this area was potentially the best soil area available for a onsite system. The site has been filled, but the fill is very old and rather sandy and /or well structured. No redox features were above 16 inches depth and were generally not observed in the fill material. Redox features in this particular fill material would be considered contemporary and an indicator of saturated conditions. A typical pedon along the proposed contour fine would be as follows: T -1 00 -09" 10YR 3/2 gr Is (15% cinders), Osg, dl, cw (fill). 09 -16" 2.5Y 5/4 s, Imsbk, mvfr, cw (fill). 16 -22" 7.5YR 3/3 gr cos, Osg, dl, cw (fill). 22 -32" 10YR 5/2 sl, 2msbk, mfi, w /c3d 10YR 5/6 rmfs. Fill conditions can be very variable and thus additional soil borings within the proposed area need to be completed to verify conditions are somewhat uniform. Recommendations for this site include the possible use of a mound system designed to ensure adequate treatment and overcome limitations of a high level of seasonal soil saturation and moderate permeability present in the natural subsoil. A mound design for this site should utilize a linear loading rate of 4.5 gpd /ft and a basal wastewater application rate of not more that 0.2 gpd /ft The longest portion of the mound must be orientated along the contour. The minimum sand lift (D dimension) should be 24 inches. To ensure deep infiltration of wastewater out of the mound system it is recommended that the soil be subsoil plowed (or ripped) to a depth of 30 inches. Basal area plowing should be with a chisel plow to 12- 16 inches. Page 2 of 2 Briskie Site 8/25/2003 This ro'ect will require P 1 q an individual system design since the mound component manuals assume the sand is placed on in -situ soil material, not fill. In addition, a code variance to Comm 83.44 (3)(b)1., Wis. Adm. Code will be required to allow less than 6 inches of in -situ soil to be used (the fill will be a substitute for the in -situ soil). Note that the purpose of the 6- inchdepth is stated in 83.44 (3)(c). It is my opinion that an interpretive determination is not required for this site since the depth to saturation is not being contested. If there are any other questions regarding this report, please contact me. oy G. (J nsky . Waste r Specialist Ljansky@commerce.state.wi.us E -mail 7151726 -2549 Fax 715/726 -2544 Voice cc: ,®County Plumber ( CST Owner ❑ Other Ii Property Owner k o Parcel ID # Page 2� of © Boring # Boring ® pit Ground surface eiev. yam_ 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 t Gr. Sz. Sh. `Eff#1 I •Eff#2 R 3 / - 5 r1 6k r C 2- O•? 3 / - a -a--1- s S� 6 / - s an, a F L-41 Boring # ❑Boring Pit Ground surface elev. ft. Depth to limiting factor 3 s in. Soil Applic 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 R — 5 rh fe c 3 Sf V V4 D. S ❑ Boring # WI Boring Ground ound surface elev. 9S � ft. Depth to limiting factor � a4 in. V*E cation Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary RooDAt in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#2 D z JoyR .-- ��' /` /� /� mfr• cw �- o . ` 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. SB"330 (R.07/00) Property Owner 1" Parcel ID # Page J of 7 F-61 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 /ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 'Eff#2 Boring # Jq I Boring F71 ❑ pit Ground surface elev. ft. Depth to limiting factor 5 I in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 - Eff#2 Oaf 3 � 5 /K n-, fr i f w ay,� 0. Z F-1 Boring # El pit ❑ Boring Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz 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 (R.07 /00) I I I I � -�- I I , I D t. I I I i, 1 I , i 1 I I I \ i I I t I I I I I i j I \IV I , K If -- - ! - -� - - - -+ v � � k � fit �- ► i\` i o 00 � � a i i ST CROW COUN'1'Y SEPTIC TANK MAINTENANC. L AGREEMENT' AND OWNERSHIP CERTIFICA.'T'ION FORM Owner/Buyer Mailing Address Property Address (Verification required dorn Planning a e t far nrw construction) City /State _- Parcel Identification Number -�y EGAL DESCRIPTION 0 Property Location 2C4j "1 <, Sec. f - T- `' N -R _15W, Town of I '} Subdivision Lot # Certified Survey Map # ' . Volume _ / l , Page # �K - AL . Warranty Deed # 1 / 0 Z 7 . Volume ,42 `1Z 6_ . Page # /t Spec house ❑ yes Of no Lot lines identifiable ❑ yes ❑ no S YS e M MAINTENANCE Improper use and maintenance of your septic system could result in it. 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 Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days of the three year expiration date. 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. 2 � /' /0 SIGNA OF APPLICANT . DATE * * « * «« 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 deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed I ----------- rl u c 6 p • QUIT CLAIM DEED q; 2 4 2 f 6 11 - 7,4 2a! c3 7 1` DOCUMENT NO. KATHLEEN H. WALSH Gerald Sarsland REGISTER OF DEEDS ST. CROIX CO.. WI quit claims to Walter J. Briskie and Deborah A. RECEIVED FOR RECORD Briskie 10/02/2003 03:50PH the following described real estate in QUIT CLAI?! DEED St Croix County, State of Wisconsin: EXEMPT # 3 REC FEE: 11.00 Lots 1 & 2 of Certified Survey Map # q(Q &(p TRANS FEE: COPY FEE: as recorded in Volume CSM, page � , CC FEE: Document # , being located in the PAGES: 1 SW 1/4 of the SW 114 of Section 28, Township 29N, Range 15W, Town of Springfield, St. Croix County, Wisconsin. THIS SPACE RESERVED FOR RECORDING DATA NAME AND RETURN ADDRESS OWEN R WILLIAMS � 314 KELLER AVE N STE 16 AMERY WI 54001 PARCEL ID NUMBER This IS NOT Homestead property. is /is not Dated this 2nd day of October 2003. eef `r 2 (SEAL) Gerald Sarsland (SEAL) ST1fiE OF,yjF'IN) r.. " . " �y } V �l,. ) s s . 1 p: T me before me this 2nd day of October 2003, the nown to be the person who executed the foregoing instrument and lank theme . •z,_. blic This instrument was drafted by: P County, W c in OWEN R. WILLIAMS #100903 My commission expires•_ 314 KELLER AVE N STE 16, AMERY WI 54001 1� a . 3 74ca295 VOL 17 PAGE 4626 KATEM H. NAM — r REGISTER OF DEEDS ST. CROIK CO. L MI N r N x RECEIVED FOR K ECORD moo W H O � m � m 10/02/2003 03:56PH o r r� � m c N $ c �'� / CERTIFIED SURVEY NAP m 0 y1Z�'� ' REC FEE: 13.00 g� ��� mmwg3 �Z, '� COPY FEE: 3.00 zQ6 m�A p C ' 6q ivg PAGES: 2 0 o g S 0 0 - ER_ST. co1� Zrom �� 100, O O O O C � � ppZZ � 4l N yk 10 11 N 0 m y 0A. � j yg0 , , my O O INS n �L1 f�n ZZZ f3 m r S Z PCB 1Tlz w yy P -+y mm, ym !n / § 'Z ! �o � 0 O•® rd , V / Z Z v l 1 1 H / ' z m 5 m g $ o N ,0 , W' q , / r,, czm O z ° '` i �e r iL 0G) �� a ' �� / _ x - v M� z-m S00°13'5TE-�= 0 C -`` Z N O i 0 42.32/ ' ci 1 D LOT5 is S a ,- 0 ® l / - -_ 66 s v m V trrr�' rI m z Dp 8 Gj ? 2S �}C ''�.Or hr 9 Cam' 0 i�LOT4 0 "4 w m S00°13'57'E I g O Z m M C I / / 97.49 m Om ® ®/ / LOT 3 A i fll I m OM r a m F� m S m (C�1 <q T m 1016.61' ®94. 177.70 I HOUSE m X y N00 W 1 m 06 3�57'E , DECK �, — - Oz CO MMERC I AL I / WEST UNE OF -- - O O COMMERCIAL ST. r z C ;o mm g mo a n Z D �• C z o z C A'� 70 m Z �� �{A m 6 m mZ5 m 2 � 1a o /rtJTn (/1, 'C ♦• I nl y g 0 F. 111 7 y D cn ° �y 2� ? p m $ O19 BEARINGS ARE REFERENCED TO THE m m Z SOUTH UNE OF THE SE1 /4 OF SECTION g 28, ASSUMED TO BEAR NW332WE Vol. 17 Page 4626