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O Y 7S $, 2 1 ^ °— to o i ' P t'. 'r Q Q ' ?� 7 _ n P $ @�L R O m_ >1 ro '+� " � gg � ~ 1 �^ OCy i . Z en Y � crc++"11' S. � p 4 m � r � } ?� � � 'y i[ O o c C v n a M t1 R m g d z R f p'M a G a S R ^ + Y °, 7 r.� tx' 3.5 a x _ � � �� p7 ao ^o �m M � c$ Q R w< u C 1E 1 7 E Z 0. r Q li 90 cc, U 4 .{ u y - M j m > r � kw o ,� �� � ~tf � � ��'" Ste■ � rA 15' o m 3 � N er - m m o v — fD ' C C a� m r �D ch CD z CD �O rY 9 � r s' .' r a' O CD CD o a nrt � b tD CD a o 1 p v, 0 ''" O C 0. �• vJ rO I �7 C� C7 � Q1 s N 01/07/2008 14:29 7152352592 T L SINZ PLUMBING PAGE 01/05 :)io(Q 4 t (OZi to T.L. S tanz plumbing Inc. E5609 7080 Avenue Phone: (715) 235 -2644 Menomonie, WI 94761 Fax: (715) 239 -2592 FAX TRANSMITTAL Date: I �1 © No. of Pages: J (including cover) To: ' Attn; From Subject: 1.��'� SDq•Ct^P�� -` PST All � Message: Signature: 01/07/2008 14:29 7152352592 T L SINZ PLUMBING PAGE 05/05 C mplete section ONLY if the FAST* was installed in tank at the jobsite. Tank Manu I LI A) L �� ) Q 5 e`2 (� ryu c k Tank Model No. 1 S / Working Liquic Volume in Trash Collector Chamber, Working Liquic Volume in FAST Treatment Chamber: FAST systein installed using which method; Lid Suspension A def,J (Check one - X) _ Leg Suppo FAST system installed into tank by whom: $ Tankage Yes No Service & Access Ports Yes No Concrete T ank C 5 Trash Tank Clean Out Present t16 Fiberglass Tank 00 FAST Chamber Clean Out Present Anti-Flotation Installed � Trash Tank Vent e, S H Loading Capabilities L Inspection Pori Access to Grade Fili Over FAST Lid Tank Level Watertigh Joints & Piping F C Ala m Panel/Piping . Yes No Visual Elern nt Operating V�_• Length of Air Supply Line: tiJ l Audio Alarm Operating Q,� Olameter of Air Supply Line: Sensor Swit h Installed V IA X-3 D ,Air Blower Yes N Yes No V Filter Element Inside QiS Inlet and Outlet Pipe Installed Correctly I C6 Blower Hood Installed Blower Operates Correctly YG Blower Hood Secure Vf Blower Area Subject to Flooding Blower Area Ventilated Blower Area Subject to Snow Load Wired for Hit h of Low Voltage (Circle on Blower Hood Vents Clear -5 V )Itage: Uo r+ Single Phase or Three Phase: B and: 50 Hz or 60 Hz: E Treatment Unit Ye No `Ares No Air Lift Operates ( es Correctly S Remote or Inspection Port Vent 5 Module Inse Stable Z Module Seated & Bolted to Tank 4' Outlet Pipe Placed P.;S Air Line Connection Glued to Airlift 25 Length of Vent Line: Size of Vent Line Pipe: ' T Tre atnieot Unit Yes I No Yes No Manuals Ons to for Owner eb NSF Inspection Service Given to Owner Warranty to O wner E After NSF Service Contract to Owner G Remarks & Describc/Sketch Treatment System Components and Configurations Attach Additional Sheets if Necessary) V i t P'A' ' Product Registration Report must be comp leted and returned to Sio- Micrpbics Inc, to effect warranty.- Ps fast product replslrabmAoc 01107/2008 14:29 7152352592 T L SINZ PLUMBING PAGE 04/05 8450 CoW Parkway - Shawnee. KS 66227 Fmr*'. 913422 • Fax; 913422-0808 a omheAbbmicmbics,�om • www.biamk i .wm 800.7WAST (3278) i 0 0 p P 0 R A T E 0 Warranty Registration & Start -Up Report Plcaso Circle or Hi Model. Micr FASTo HighStrengthFASTo RetroFAST® NItrIFAST® LagoonFAST® Model Size: 0.25 0 -375 0.5 0.75 0.9 .1.0 1.5 3.0 4.5 '9.0 Serial Number: �� 3 Date of Installation: 10 — I 0 INS SIT NAME — Company: ADDRESS p?7 3 CITYISTATE21 ` ' Ai f� oaf W , PHONEIFAX S - _57i OWNER (if different than INSTALLATION SITE) NAME Company: ADDRESS CITY /STATEIZI PHONE /FAX BIO- MICROBICS' DISTRMUTOR NAME Petersen Supply ADDRESS PO Box 340, 421 Wheeler Avenue CITY /STATUZI Fredonia, WI 53021 -0340 PHONE/FAX 262692 -2416 252 -692 -2418 ,INSTALLER NAME L /N Z_ ADDRESS �O T �' U UP CITYISTATFJZI A,l (1 Lf L4 PHONEIFAX / CONSULTING ENGINEER if a USIble NAME ADDRESS C rY/STATE/ZIP PHONETAX Please mail or fax completed form to Petersen Supply, PO Box 340, over Fredonia, iffll 53021 Tel: 888- 455 -6864 Fax: 800 -669 -1232, Thank you. 01/07/2008 14:29 7152352592 T L SINZ PLUMBING PA \ GE 03/05 wm wd_a, _ n m o n m D m f•3�� y,_. °cam- o n e I c a u � � � $ ° ate R� e° $ c m � m m� o� A w ro m c m �gao y� mmm c :m ° ;o ��m �,,, ;� �� m roro� �•� maw �,£ m ,wmcnr m o to 000 @ �' �'m CD 'm c m u,3 w 6 0 y to m c° N H o c ° `�_ b a �'o CL Z �m ° - p •�* ems„ q _a •Ci w { °. to Q '� 7 to Cl w COD w y �.m c wm NO n�Q '��< DAN `a� ryrc� m y mho �t�c� m c m g 3 w_o o Cr 3 o° wv m Tm 3 o m a m �� th ` d m 3 °tam w Co $ moo, m a, ac s o' ro .0 a "' n ^ F cD -. r+ x �` , v o o -n ° � ! a Ca v' o ° �_ �p t �c ci 'o r " °��,� y3N I m t �ao � mod F �'���c 7 n S 7 t0 7 O N w CL m D a Q Fp o my 3 in p w O r]. 6 � M �3ga H•0 o a c t"v ii m a < p ` S m� �•�� srt� c '< yt C° c X v Q Q) o rn c0 w m =r u p. 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T CA , fDD C ,;r L -e o, Ewa CL D dw SimS " m k ° I v a p to O m -o a' m 3 p_ CD T ? O ° �'�`d ,•� a� Q ^ „K' tCb O ST. CROIX COUNTY WISCONSIN PLANNING & ZONING DEPARTMENT 4 7 ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road Hudson, WI 54016 -7710 Phone: (715) 386 -4680 Fax (715) 386 -4686 January 2, 2008 Mark & Marilyn Lester 2730 72 "" Ave. Wilson, WI 54026 RE: POWTS with Aerobic Treatment Unit Installation for Sanitary Permit #453331 Location of Property: St. Croix County, Wisconsin Municipality: Springfield Township Subdivision or Plat: CSM #665969, NW1 /4 of SEl /4 Certified Survey Map: Section 30, T29N, R15 W Lot Number: 2, Vol. 15 /Pg. 4224 Address: 2730 72 Ave. Dear Mr. & Mrs. Lester: A Private On -site Wastewater Treatment System ( POWTS) installation inspection of the above referenced property was conducted on October 19, 2004. The inspection report and related documentation of this POWTS is on file at the Planning & Zoning Department. A condition on the permit for this POWTS was that a service contract for the BioMicrobics FAST aerobic pre - treatment unit be completed for this property. On 6/17/04 Todd Sinz, T. L. Sinz Plumbing, faxed a letter to our office stating that his company would provide ATU inspections at 6 month intervals for the first 2 years of system use. We have not received any inspection reports as of 12131107. In addition, you were notified in a letter dated 2/1/05 that a recorded ATU servicing agreement was a requirement in the state approval letter for installation of this 5- bedroom mound system. To date the agreement has not been recorded against the deed for this parcel. Enclosed is the ATU agreement form that must be signed by owners, notarized, and submitted to the St. Croix County Register of Deeds office (here at the government center) for recording on the warranty deed #763685. Please request that a copy of the recorded document be sent to our office. If you have any question regarding this system, please contact our office at 715.386.4680. nice ly, Pamela Quinn Zoning Specialist Cc: Todd Sinz, Master Plumber / POWTS Installer Leroy Jansky, WI Dept. of Commerce Regional Wastewater Specialist file it n y O g m n � o 3 c 1 c d O Ln N -� co ci •i • = N w O CO CD j N CO a < 0 o o m m E a g m cn C CD N a O = N a 0 0 0 0 'p o CD x -� w Ln c J 3 0 N X 0 0 p y CA m o � a v D CD o j (D .c- .p N Q. 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Hudson, WI 54016 -7710 Phone: (715) 386 -4680 Fax (715) 386 -4686 February 1, 2005 Mark & Marilyn Lester 2730 72 °d Ave. Wilson, WI 54026 RE: POWTs with Aerobic Treatment Unit Installation for Sanitary Permit #453331 Location of Property: St. Croix County, Wisconsin Municipality: Springfield Township Subdivision or Plat: CSM #665969, NW1 /4 of SETA Certified Survey Map: Section 30, T29N, RI 5W Lot Number: 2, Vol. 15/Pg. 4224 Address: 2730 72 Ave. Dear Mr. & Mrs. Lester: A septic system installation inspection of the above referenced property was conducted on October 19, 2004. The inspection report and related documentation of this POWTS is on file at the Zoning Department. A condition for installation of this septic system was that a service contract for the BioMicrobics FAST aerobic pre- treatment unit be completed and the form recorded against the deed for this property. A copy of this form was included with the owner copies of the permit and maintenance agreement packet. Your plumber, Todd Sinz, is required to provide this owner packet to you. If you did not receive these forms, please contact T. L. Sinz Plumbing at (715) 235 -2644 and ask that they send the information to you. The ATU servicing agreement was a requirement included in the state approval letter for installation of this 5- bedroom mound system. The state's regional wastewater specialist will be conducting annual audit inspections of our files and will specifically look at all pre - treatment systems in the county this spring. The ATU agreement form must be signed, notarized, and submitted to the St. Croix County Register of Deeds office (here at the government center) for recording on the warranty deed #763685. Please request that a copy of the recorded document be sent to the zoning office. If you have any question regarding this system, please contact our office at 715.386.4680. Sinc rely, Pamela Quinn Zoning Specialist Cc: Todd Sinz, Master Plumber /POWTS Installer Y AEROBIC TREATMENT UNIT (ATU) _ SERVICING AGREEMENT This agreement is made pursuant to Comm 83.21(2)(c)(5), Wis. Adm. Code �a Agreement Date Plan Transaction Number % 4 ,11 Property Owner(s) - ems► �� c�.�+ Legal Description of Property ! �-� r day As an inducement to the county to issue a sanitary permit for a POWTS equipped with an aerobic treatment unit on the above - described property, we agree to do the following: 1) The owner agrees to conform to all applicable requirements of Ch. Comm 83, Wis. Adm. Code relating to aerobic treatment units and the maintenance requirements for the proposed POWTS (Private Onsite Wastewater Treatment System) technology. 2) The owner agrees to maintain a contract with a licensed POWTS maintainer for the life of the system. The POWTS maintainer will perform periodic inspections and maintenance as required by the manufacturer and the department, including, but not limited to: the blower, electrical controls, and treatment unit operation and sludge depth. These inspections are to be scheduled every 6 months for the first two years of operation and yearly thereafter. 3) The owner agrees to contact the POWTS maintainer immediately upon any malfunction of the treatment unit and to maintain the unit so as to not create a human health hazard as described in s. 254.59, Stats. 4) The owner recognizes that the county, department or POWTS maintainer may make periodic inspections of the components to complete performance monitoring of the unit. 5) The owner or the owner's agent agrees to report to the department or designated agent at the completion of each inspection, maintenance or servicing event in a manner specified by the department or designated agent within 10 business days from the date of inspection, maintenance or servicing. 6) This agreement will remain in effect only until the county office responsible for the regulation of private onsite wastewater treatment systems certifies that the aerobic treatment unit no longer serves the property. In addition, this agreement may be cancelled by executing and recording said certification with reference to this agreement in such manner which will permit the existence of the certification to be determined by reference to the property. 7) This agreement shall be binding upon the owner, the heirs of the owner, and assignees of the owner. The owner shall submit this agreement to the register of deeds, and the agreement shall be recorded by the register of deeds in a manner, which will permit the existence of the agreement to be determined by reference to the property where the aerobic treatment unit is installed. Owner Name (Print) Subscribed and sworn to before me on this date: Notarized Owner Signature Notary Signature My commission expires: Drafted By Ilk 06/17/2004 16:41 FAX 7152352592 T L SINZ PLUMBING INC 0 001 T.L. Sinz Plumbing Inc. E5609 708th Avenue Phone: (715) 235 -2644 Menomonie, W154751 Fax: (7I5) 235 -2592 FAX 'MMA,NNLT'�A L Date: /7 No. of Pages: (including cover) Attu: Subject: QOAJL U.A Message: Cl� Signature: i Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 453331 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 Holders Name: City Village X Township Parcel Tax No: Lester, Mark I Springfield Townshi 034 - 1067 -95 -100 CST BM Elev: Insp. BM Elev: BM Description: Sectionrrown /Range /Map No: /vG - 6 }4 I`' S c , .F (3 30.29.15.463A10 TANK INFORMATION ELEVATION DA TA tv TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic j Benchmark � 4r a �, .' }..�. o A � / / Y � J '� Q 1 io3 -`� I w � y -. co Dosing Y � f Alt. BM C> G L. 7 R q.7- Aeration Bldg. Sewer .��. �... �.... s3 q 1. 37 Holding St/Ht Inlet �.r.. 61.19 97.0 SbU TANK SETBACK INFORMATION Outlet 3 TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Dt Bottom /-fro'- Dosin Header /Man. Aeration Dist. Pipe Holding --- •.�- ......�__, Bot. System PUMP /SIPHON INFORMATION Final Grade Manufacturer ` Demand St -�ouer rayt. �� GPM, Model Number U TDH Lift Friction L9ss System Head TDH �1 I. C L Forcemain L l Uia. Dist. to Well SOIL ABSORPTION SYSTEM BED/TRENCH Width l Length No. Of Trenches PIT DIMENSIONS No. Of Pi n`sidreiat_ ` Liquid Depth DIMENSIONS Cr It, I i SETBACK SYSTEM TO P/L BLDG r WELL LAKE /STREAM ACH Manufacturer: INFORMATION CHA BER OR Type Of System: �d UNIT Model Numbe . DISTRIBUTION SYSTEM Header /Manifold Distribution // x Hole / Size x Hole Spacing Vent to Air Intake Length Dia L ngth '7(v Dia -S Spacing 3 / �� J I i SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over / Depth Over j xx Depth of Ix Seeded /Sodded Mulched F Bed/Trench Center ) Bed/Trench Edges ' Topsoil Yes [H No D& Yes 0 No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / v / /`t / `1 Inspection #2: N � P /czr Location: 2730 72nd Ave. Wilson, WI 54027 (NW 1/4 NW 1/4 30 T29N R1 5W) NA Lot 2 �< <., Parcel No: 30.29.15.463A10 1.) Alt BM Description /bfo ® Y 2.) Bldg sewer length = r - amount of cover Plan revision Required? ❑Yes No Use other side for additional informs ' - Date Signature Cert. No. SBD -6710 (R.3/97) i Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7162 5r- N VIsconsin Madison, W1 53707 - 7162 Saniwy Pammit Number (to be filled is by Co.) (608) 266 -3151 5-3 3 , Department of Commerce Sanitary Permit Application ® V � St ate "°'�' N"�°r In accord with Comm 93.21, Wis. Adm. Code, personal information you • ' � Ioqiizcr St may be used for secondary purposes Privacy m ;ject Address (if different lei ofiding address) NE L Application ilntormation - Please Print All Information - f.W , ` it�if *, Ownor's Noma / 2 O i Parcel # # Block # - S-- oo Property owner's Mailing Address Property location � Ave � 1 3 —'_�� t, i �r�-„ ._._1 t0 city, state Zip code Phone Number y '' " '�•, whim 3 d (/40r- O T 1-11 N; /� os j ) IL of Balldi check all that appl c �'Pe � ( K or 2 Family Dwelling - Number of Bedrooms Subdivision Name C Numbe pp�� i q ❑ Pubh'clCammerciol - Describe use 1J l S � eEZ.e � f' S f!! ll S / � 9 � X to � -_ , ❑ State Owned - Describe Use ��'l�7NL lOn . D � �.� OcitY ovillV ".dP of C'i T ta 11L Type of Permit: (Cbeck only one btu on line A. Complete line B if applicable) A NOW System ❑ Replacement System ❑ Tium unent/Wding Tank Replaoament Only ❑ Other Moditication 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 1V. IM of POWTS rem: Cbeck all that a ❑ Non - Pressurized b4kound Maud >_ 24 in. of suitable soil ❑ Mound < 24 ir. of suitable soil ❑ At-0sade ❑ Single Pau Sand Filter ❑ Constructed Wetland ❑ Pressurized In Oramd ❑ HoWW Tank ❑ Peat Filter k"ic Treatment Unit ❑ Recirc Sand Filter ❑ Recirculating Synthetic Media Filter ❑ ❑ Line ❑ Caravel -less Pi ❑ Otha (explaht) V. Dispersal/Treatment Area Information; S Design Flow (gpd) Design so Application Anna Required (at) Dispersal Area (at) system Elevation ✓ ;,� �, ?5u ,� 5/V - C ( � 23. o `l� 9z3• 3 8 urn ,S— VI. Tank Into capacity in Total Number ufinchmttir Site Steel Fiber Plastic Gallons Cwims of emits Concrete Constructad Glass Ncw Existing Twlu Tsnb x� -' 9Z t 4 1 Aerobic Tmxt=zs Unit Haring Cbamtxx VIL Responsibility Statement- 1, the nnd for irsWdttion of the POWTS shown on the attached Pl (Print) P s 3 MP/MPRS Number Business Phone Number DU L V IP t Vz— Z(S". - xr- uq$ Plumber's Address (Street, City, 3tabe p Cody V11L an /De t use only ved ❑ Disapproved Sanitary Permit Fee (includes Cmnmdwater Date issued S' ) ❑ Owner Owen Realm for Denial Fee) �3 �, 0'0 ` Z) IX. Conditions at ApprovsllReatentt-f�piow D nkt� YSTEM OWNER: rii � �2"GG` {Lam I 1 Septic tank effluent Tilter an p ? is P7/ � 6i - s�TG aF �cuTS dispersal cell must all be serviced / maintained as per management plan provided by plumber. fi?t ;t4ztiYy.a� iwt'm� All setback requirements must be maintained as per applicable code/ordinances ._ dZdyt P lr` tu IN HIS a" lv /000/ X.!!l,, n✓ -0 /� /7 SBD -6 98 1 'd '� Hof /.yea '2 , �ayr dye L DT ftvn t �- 06/17/2004 16:41 FAX 7152352592 T L SINZ PLUnING INC Z002 T.L. Sinx Plumbing Inc. E5609 708th Ave. Phone: (715) 235 -2644 Menomonie, W154751 Fax: (715) 255 -2592 www.r1sinzp1umbing.Goin St, Croix County Zoning 101 Carmichael Rd. Hudson WI 54016 June 17, 2004 St, Croix County Zoning; Inspectors: We will be installing Mark Lester's Mound Aerobic Treatment System in the summer of 2004. Under our signed contract with him we will be inspecting the system every 6 months for the first two years. If you sh 1 have any questions please feel free to contact me at the above phone number. Sincerely Todd L. Si smc .�0.V`t_ � ��+•V:`� L_- Q�l TQN. ��10� �0� �� -v-S� _�� -�� 4�.0) ��ab) o�N• 13� 4 .0� Zo.o` � 11 l�o(.Qw..�W Jc..�e �. G4..p t (� v CA T- l3 b u � 1��•O � � t } 5 � I I ,� y✓ (((fff � mil. � b 4 .. S u �.: • Q c� a3 ) kr W + Safety and Buildings Cot1'1111ePCe.WI. ov 4003 N KINNEY COULEE RD g LA CROSSE WI 54601 -1831 TDD #: (608) 264 -8777 i sco n s i n www.commerce.state.wi.us /sb Department of Commerce www.wisconsin.gov Jim Doyle, Governor Cory L. N S May 28, 2004 CUST 1D No.222774 ATTN.• POWTS Inspector HENRY F GROTE ZONING OFFICE CERTIFIED SOIL TESTING ST CROIX COUNTY SPIA E4366 353RD AVE 1101 CARMICHAEL RD MENOMONIE WI 54751 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 05/28/2006 Identification Numbers Transaction ID No. 1004412 SITE• Site ID No. 684208 Mark & Marilyn Lester - Mound Please refer to both identification numbers, 72ND Ave above, in all correspondence with the agency. Town of Springfield St Croix County NW1 /4, SE1 /4, S30, T29N, R15W FOR: Description: Five Bedroom ATU Mound System Object Type: POWTS Component Manual Regulated Object ID No.: 960677 Maintenance required; 750 GPD Flow rate; 37 in Soil minimum depth to limiting factor from original grade; System: Mound Component Manual - Version 2.0, SBD- 10691 -P (N.01/01), Pressure Distribution Component Manual - Version 2.0, SBD- 10706 -P (N.01 /01); Aerobic Treatment Unit; Biofilter 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. con di 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 installation and prior to occupancy or use: t3EF RTMt=PtT N 0 F,l General Approval Requirements: SEE CORRE • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Private Onsite Wastewater Systems VERSION 2.0" SBD - 10691 -P (N.01 /O1) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems VERSION 2.0" SBD - 10706 -P (N.01 101). • The Bio Microbics FAST 0.75 unit must be installed in accordance with the manufacture's printed instruction and system sizing criteria found in Comm 83, Wis. Adm. Code. If there is a conflict between the manufacturer's instructions and the plan approval, the plan approval and code requirements will take precedence. • A maintenance and monitoring contract for the FAST 0.75 unit is required for the life of the system. — Zyrzs� W /add q SlnZi • Access to the filter for cleaning must be provided per Comm 84 product approval conditions. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required • Per manual cited above, 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. I HENRY F GROTE Page 2 5/28/04 • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption area. chs. NR 811 & 812c • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of See. 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. Stat • 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. 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. 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 Charles L Bratz POWTS Reviewer I1, Integrated Services WiSMART code: 7633 (608)789 -7893 , 7:45 am - 4:30 pm Monday - Friday cbratz @commerce. state. wi. us cc: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544 Mark & Marilyn Lester - Mound 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: NW '/4, SE ' /4, Sec. 30, T 29 N, R 15 W Town: Springfield County: St. Croix Date: May 31, 2004 Owner: Mark & Marilyn Lester Address: N 3988 810 Ave. �� If/// Elk Mound, WI 54739 ` .�� `S C Q NSA HENRY F. Designer: He y Grote , GROTE D -1699 ENOMONIE t = Signature: WIS License: WI D-164-007 �i ED Attachments: SBD -10577 - Plan Approval Application OF CogfWEI? SBD -8330 i�c li ,. SPpN Page 1: cover 2: design criteria & calculations 3: plot plan 4: system cross section 5: plan view, lateral detail 6: pump tank exit detail 7: pump curve 8: system management page 1 of 8 RECEIVED MAY 2 5 ?004 SAFETY & BLDGS DIV.' OLD I 16 ko 1� 4.09 \ ,� u.� ? C, a.s• G. q 20 4 o Z4, AW `ice oc- �4 S � X E l i-A. Q, q, n Q•� °� Sc, 4-0 b �c 4 0-,o. gy p- A TV �, k \4z� c.o••- � d ,� , ..w� (l o�.o> C. 4 °"5 O I Design Criteria \ ' f' Residential Wastewater Contaminant Load: 30 mg /L < BOD < 220 mg /L j Anticipated septic tank effluent - o 30 mg/L < TSS < 150mg /L Fecal Coliform > 10,000 cfu/100 mL Fats, oils, grease < 30 mg/L Bedrooms x 100 gal/bedroom/day x 1.5 �S fl gallons /day hydraulic load Design Calculations n _'d In situ designed loading rate CO, � C� gallons/sq. ft. per day Depth to estimated high ground water Z IS in. Depth to bedrock S g in. Cross slope at system 5 0 Force main length S ft. of Z in. Manifold/header length ft. of in. Drain -back gallons Lateral length Z @ e ft. of z in. Lateral elevation ` 0 1, ° ft. @ bottom of lateral Lateral hole size <<° in. @ 3 l. ° in. ( �' ° ft.) Spacing holes /lateral Z holes total Lateral volume g allons Total lateral discharge rate gallons /minute @ 2 ' �� ft. head Network pressure compensation losses Elevation difference Friction loss ft. @ �' Z gallons /minute Total dynamic head Pump /si fron gpm @ -2-0 ft. of head Manufacturer e. ( ell Model # 1 Y Z Dose volume gallons Lift/si0hon tank ' 'a tr �' t c� u-O ►� 2 t "�� gallons Septic tank e-�-Q , 9 7 DI, S " -1 2 gallons �a� (A -ice Effluent filter Measurement pump on and off in. Height alarm from tank bottom in. Reserve capacity S75 + P Y gallons specs.calcs.res Page 2 of g %, 11 .1 Ou.atl� ` ` l0 1►�bco:1 p 1 410 Pbk AR 1 l a %A V : e. w, �y k 16` 4,4 _2.0 t r �— 1 � I ztl .tiL l V t 2 v I 1 t+b Q�r I t 4b.s ` U VENT CAP 'i "C.Z. VEtiT PIPE WEATHER PROOF APPROVED LOCKINJG 25 FROM DOOR, JUNCTION BOX MANHOLE COVER Z1 �� w fit N� a G WINDOW OR FRESH I t gQ12 L- AIR INTAKE GRADE I m \ems •�q9 I Q" I MJDUIT -- �` PROVIDE ( _ AIRTIGHT SEAL S�6,b lrR�S � gg � 2VLT � (I` PPROVED JOIWT I� A s I tll W/ PIPE I ALARM EXTEUDIUG 3' I ONTO SOLID SOIL. I I oN PUMPS - -� OFF r BLOCK O -- � qq�, cc g 3 S A J. V I � o� g TOTAL DYNAMIC HEAD /CAPACITY HEAD CAPACITY CURVE PER MINUTE EFFLUENT AND DEWATERING MODEL 152/153 W w MODEL 152 153 50 Feet Meters 0 . Liters Gal. Liters 153 5 1.5 69 261 77 291 12 40 152 10 3.1 61 231 70 265 0 15 4.6 53 201 61 231 a w = 20 61 44 167 52 197 30 z 8— 25 7.6 34 129 42 159 1 0 30 9.1 23 ! 87 33 1 20 35 10.7 -- -- 22 85 _._ 40 12.2 1 -- 1 42 4 10 Loc Veive _ 380 Ft (1'.6.- )144 0 Ft. ( 0145M 0 20 40 60 80 100 GALLONS LITERS I b / a --- 0 80 160 240 320 3 2 32 � _— _a 8--� FLOW PER MINUTE i 3 27/32 CONSULT FACTORY FOR SPECIAL APPLICATIONS a • Timed dosing panels available. OO e 3 27'32 • Electrical alternators, for duplex systems, are available and supplied with an alarm. Tom_ • 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. T • Sealed Owik -Box available for'outdoor installations. See FM 1420. = , = • Over 130 °F. (54 °C.) special quotation required. — 152/153 Series _ 1521153 MODELS Control Selection —�— Model Volts -Ph Mode Amps Simplex Du lex N152 115 1 Non 8.5 1 2 or 3 -- - BtJ 152 1 152 115 1 Auto 8.5 Included 2 or 3 E152 230 1 Non 4.3 1 2 or 3 1 8 L y SK2064 BE152 ; 230 1 Auto 4.3 Included 2 or 3 N 153 115 1 Non 10.5 1 2 or 3 BN153' 1 1 Auto 10.5 Included 2or3 SELECTION GUIDE E153 230 1 Non 5.3 1 2 or 3 BE153 230 1 Auto 5.3 Included 2 or 3 1. Single piggyback variable level float switch or double piggyback variable level float switch. Refer to FMO477. o CAUTION 2. See FM0712 for correct model of Electrical Altemator 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 6y For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAIL T0: P.O. BOX 16347 Z Louisville, KY 40256 -0347 Manufacturers of. . O SHIP T0: 3649 Cane Run Road ° ® Louisville, KY 40211.1961 htt : / /www.z lel �,/o (502) 778.2731. 1(800) 928 -PUMP Qva/ /rr PUMPS S NCE /9�9 " oel corn PU /Y // P O FAX (502) 774.3624 0 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 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 contaminants, the better and longer the system will function. Typical system components include a septic 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 dose tank or compartment to allow a dose to be accumulated, a pump and controls or automatic siphon, and finally some type of soil adsorption cell to recycle the water in a manner to protect ground water quality and public health. 1. If the septic tank is installed prior to sheet -rock and /or painting, pump the septic tank before normal use begins to ensure adherence 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 dose 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. 12. If possible, the upslope toe of the mound system should be landscaped with additional fill to blend this area into the upslope natural grade; this will minimize the possibility of the system trapping surface run - off; final settled slope should be 2 -3% over the system or 2 -3% diverting surface run -off around the ends of the system. 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 dose tank and aerobic treatment tank must be pumped, and the filter must be back - washed into the septic tank to remove accumulated material. System use may require more frequent filter cleaning; initial inspections of the filter should be made every 6 months until a minimum time sequence is determined. 4. Periodic observation pipe inspections should be made by the owner 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. This system has an which must be inspected every six month according to specifications and contract. 6. e pumping components for this system include an alarm which must be installed and remain on a separate circuit from t e 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, dose 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 83.54 (2). Pumping and hauling of wastewater may be necessary while analysis and repairs are implemented. Additional testing, designing, and /or installation of additional treatment components or conversion to a holding tank may be necessary. Page 8 of 8 08101 M L' �v�t Y 2033 Wisconsin Department of Commerce SOIL EVALUATION REPOR �/ Page 1 of 4 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 1. D. (J 3 pendin 9 $_ _ X60 en m Please print all information. _ __ _ eview Date Personal information you provide may be us aw, S. ate: (� 0 Property Owner P rty Loc ion ` /� Lester, Mark & Marilyn "G' : L NW 1/4 SE 1/4 S 30 T 29 N R 5 W Property Owner's Mailing Address R 20 4 L #� Block # Subd. Nam o N 3988 810th St. City State Zi Code` Cab pFFC;t' City Village 16 Town Nearesf Road Elk Mound WI 5 - � - Springfield 72Nd Ave. � New Construction Use: Residential / Number of bedrooms 5 Code derived design flow rate 750 GPD Replacement _j Public or commercial - Describe Parent material loess over till Flood plain elevation, if applicable NA General comments 7 and recommendations: using highly treated effluent install 4' x 96' rock cell � ouncl on 100.0 contour as upsl a edge of rock w/ saniTfi D Boring # Boring r ❑ --- g ! Pit Ground Surface elev. 100.0 ft. Depth to limiting factor 41 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDIft° in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0 -2 10YR 3/3 - sl 2 m gr mvfr gs 1f /m .6 1.0 2 2 -6 10YR 3/3 - sl 2 f sbk mvfr gs 1M .6 1.0 3 6 -18 10YR 4/3 - sl 2 m sbk mvfr gs 1M .6 1.0 4 18 -32 7.5YR 3/4 - sl 2 m sbk mfr cs 1M .6 1.0 5 32 -41 10YR 4/6 - s 1 0 sg ml Cs if .7 1.6 6 41 -42 10YR 4/6 f2f 7.5YR 4/6 s 0 sg ml as - .7 1.6 7 42 -43 7.5YR 3/4 - sl 0 m mfr cs - 2 .6 FalBoring # Boring ✓' Pit Ground Surface elev. 100.0 ft. Depth to limiting factor 41 in. Soil Application Rate Horizon I Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fh__ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 'Eff#2 8 43 -48 10YR 4/6 f2p 7.5YR 5/8,5/3 s 0 sg ml as - .7 1.6 9 48 -58 10YR 4/6 c2p 7.5YR 5/8 l OYR 6/2 scl 0 m mfr 0 0 I ' Effluent #1 = BOD 30 < 220 mg /L and TSS >30 i 15P mg /L nt #2 = BOD < 30 mg /L and TSS _< 30 mgr CST Name (Please Print) Signatur CST Number Henry F. Grote - 222774 Address Certified Soil Testing Date Evaluation Conducted Telephone Number E. 4366 353rd Ave., Menomonie, WI 54751 5/10/2004 715- 233 -0398 Property Owner Lester, Mark & Marilyn Parcel ID # CSM pending Page 2 of 4 F2 ] Boring # A Boring Id Pit Ground Surface elev. 100.0 ft. Depth to limiting factor 31 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 1 0 -3 7.5YR 3/2 - sl 2 m gr mvfr gs 1f /m .6 1.0 2 3 -11 7.5YR 3/2 - sf 2 f sbk mvfr Cs 1M .6 1.0 3 11 -26 7.5YR 3/3 - sl 2 m sbk mvfr gs 1m .6 1.0 4 26 -31 10YR 3/4 - sil 2 m sbk mvfr cs 1M .6 .8 5 31 -35 10YR 3/4 f2f 7.5YR 4/6 1 OYR 6/2 sil 2 m sbk mvfr as 1m .6 .8 6 35 -37 7.5YR 3/4 - sl 0 m mfr as - .2 .6 7 37-47 7.5YR 3/4,4/4 - s 0 sg ml as 1M .7 1.6 2a Boring # Boring Y' Pit Ground Surface elev. 100.0 ft. Depth to limiting factor 31 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 8 47 -57 10YR 4/6 c2p 7.5YR 5/8 scl 0 m mfr - - 0 0 l OYR 6/2 3� I � I i I I F Boring # � Boring e Pit Ground Surface elev. 96.8 ft. Depth to limiting factor 37 in. Soil Application Rate Horizon Depth Dominant Color Redox Description 11lxtrre Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0 -4 7.5YR 312 - sil 2 m grt mvfr gs 1M .6 .8 2 4 -10 7.5YR 3/2 - sil 2 f sbk mvfr cs 1M .6 .8 3 10 -24 1 OYR 4/4 - sil 2 m sbk mvfr cs 1m .6 .8 4 ! 24 -37 7.5YR 4/4,4/6 - Is 1 m sbk mvfr cs 1M .7 1.6 5 37 -48 1 OYR 4/6 f2p 7.5YR 5/8,5/3 s 0 sg ml as - .7 1.6 6 48 -54 10YR 4/6 c2p 7.5YR 5/8 scl 0 m mfr - - 0 0 IOYR 6/2 i i i ' Effluent #1 = BOD 30 < 220 mg /L and TSS >30 < 150 mg /L ' Effluent #2 = BOD < 30 mg /L and TSS < 30 mg /L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608 - 266 -3151 or TTY 608- 264 -8777. SBD -8330 (R.07 /00) Certified Soil Testing r�RIC 2033 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 4 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 pending Please print all information. Reviewed By Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location Lester, Mark & Marilyn Govt. Lot NW 1/4 S 1/4 S 30 T 29 N R 15 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# N 3988 810th St. City State Zip Code Phone Number vj City _j Village ✓' Town Nearest Road Elk Mound i WI j 54739 1 715 - 879 -5839 Springfield 72Nd Ave. New Construction Use: �I Residential / Number of bedrooms 5 Code derived design flow rate 750 GPD Replacement Public or commercial - Describe Parent material loess over till Flood plain elevation, if applicable NA General comments and recommendations: using highly treated effluent install 4' x 96' rock cell mound on 100.0 contour as upslope edge of rock w/ 0.5' sand fill � // d F T] Boring # =) Boring YJ, Pit Ground Surface elev. 100.0 ft. Depth to limiting factor — 41 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDIft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0 -2 10YR 3/3 - sl 2 m gr mvfr gs 1 f1 6 1.0 2 2 -6 10YR 3/3 sl 2 f sbk mvfr gs 1 m .6 1.0 _3 6 -18 10YR 4/3 - sl 2 m sbk mvfr gs 1m I .6 1.0 f- r 4 18 -32 7.5YR 3/4 sl 2 m sbk mfr Cs 1 m .6 1.0 5 32 -41 10YR 4/6 1 s 0 sg ml cs If .7 1.6 6 41 - 42 10YR 4/6 f2f 7.5YR 4/6 s 0 sg ml as 7 1.6 7 42 -43 7.5YR 3/4 - sl 0 m mfr cs 2 .6 F Tal Boring # 3 Boring i Pit Ground Surface elev. 100.0 ft. Depth to limiting factor 41 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDW in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#f 'Eff#2 8 43 -48 10YR 4/6 f2p 7.5YR 5/8,5/3 s 0 sg ml as - .7 1. c27 5/8 9 48 -58 10YR 4/6 p I OYR 6/2 scl 0 m mfr - 0 0 I i i 1 ' Effluent #1 = BOD 30 < 220 mg /L and TSS >30 1 mg /L OD < 30 mg /L and TSS < 30 mgr CST Name (Please Print) Signatur CST Number Henry F. Grote 222 Address Certified Soil Testing Date Evaluation Conducted Telephone Number E. 4366 353rd Ave., Menomonie, WI 54751 5/10/2004 715 233 - 0398 I Property Owner Lester, Mark & Marilyn Parcel ID # CSM pending Page 2 of 4 i 27 Boring # Boring Pit Ground Surface elev. 100.0 ft. Depth to limiting factor 31 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots PD/ft'- in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 r' - 1 0 -3 7.5YR 3/2 - sl 2 m gr mvfr gs 1f /m .6 1.0 N 2 3 -11 7.5YR 3/2 - sl 2 f sbk mvfr cs 1M .6 1.0 3 11 -26 7.5YR 3/3 - sl 2 m sbk mvfr gs 1m .6 1.0 4 26 -31 10YR 3/4 - sil 2 m sbk mvfr cs 1M .6 .8 5 31 - 35 10YR 3/4 f2f 7. 4!6 I OYR sil 2 m sbk mvfr as 1M .6 .8 6 6/2 6 i 35 -37 7.5YR 3/4 - sl 0 m mfr as - .2 .6 7 37 -47 7.5YR 314,4/4 - s 0 sg ml as 1M .7 1.6 72a Boring # -. -j Boring l Pit Ground Surface elev. 100.0 ft. Depth to limiting factor 31 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDtftl in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 8 47 -57 10YR 4/6 c2p 7.5YR 5/8 scl 0 m mfr - - 0 0 l OYR 6/2 i I j I I 7 Boring # 1 Boring ✓! Pit Ground Surface elev. 96.8 ft. Depth to limiting factor 37 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 [� 1 0 -4 7.5YR 3/2 - sit 2 m grt mvfr gs 1M .6 .8 2 ! 4 -10 7.5YR 3/2 - sil 2 f sbk mvfr cs 1M .6 .8 3 10 24 10YR 4/4 - sil 2 m sbk mvfr cs 1M .6 8 4 j 24 -37 7.5YR 414,4/6 - Is 1 m sbk mvfr cs 1 m .7 1.6 5 37 -48 10YR 4/6 f2p 7.5YR 518,513 s 0 sg ml as .7 1.6 6 l 48 -54 10YR 4/6 c2p 7.5YR 5/8 scl 0 m mfr - 0 t 0 10YR 6/2 I ' I i Effluent #1 = BOO S > 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) Certified Soil Testing r Property Owner Lester, Mark & Marilyn Parcel ID # CSM pending Page 3 of 4 47 Boring # _I Boring 16 Pit Ground Surface elev. 97.0 ft. Depth to limiting factor 23 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots ' 1� in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -3 7.5YR 3/2 - sil 2 m grt mvfr gs 1f /m .6 .8 2 3 -9 7.5 R 3/2 - sil 2 f sbk mvfr cs 1 m .6 I .8 3 9 -23 10YR 4/4 - sil 2 m sbk mvfr cw IM .6 .8 4 23 -29 7.5YR 4/6 f2d 7.5YR 5/8,5/3 sl 1 m sbk mfr cs if .4 1 .7 5 29 -35 7.5YR 3/4 - s 0 sg ml as - .7 1.6 6 35 -45 10YR 5/6 c2p 7.5YR 5/8,5/3 scl 0 m mfr - - 0 0 I OYR 6/2 57 Boring # -LJ Boring r6 Pit Ground Surface elev. 97.7 ft. Depth to limiting factor 42 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 1 0 -5 7.5YR 3/2 _ sil 2 m grt mvfr gs 1f /m .6 ! .8 2 5 -12 7.5YR 3/2 _ sil 2 f sbk mvfr cs 1M .6 .8 3 12 -29 7.5YR 3/3 sl 3 m sbk mvfr gs IM .6 1.0 4 29 -42 7.5YR 3/3 _ sl 2 m sbk mvfr aw if .6 1.0 5 42 -52 10YR 5/6 c2p 7.5YR 5/8,5/3 scl 0 m mfr - - 0 0 I OYR 6/2 1 I ❑ Boring # Boring i 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 I I i * Effluent #1 = BOD 30 < 220 mg /L and TSS >30 < 150 mg /L * Effluent #2 = BOD < 30 mg /L and TSS < 30 mg /L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608- 266 -3151 or TTY 608 - 264 -8777. SBD -8330 (R.07 /00) Certified Soil Testing r r � 9 .0 1 ID �+ 13 2„ Ibo 17,07 O a I Y5 - AtA ��1 6 (( O I QtA 4 U-0 1 L - I - „d Vucs� (6k I ►)� �,' Sov�' I o- I Iwo- T Aw 7 t 00 tJ Z�9 �a ct \ LEGAL ST. CROIX COUNTY, WISCONSIN OLD TXSCR02 REAL ESTATE TOWN OF SPRINGFIELD COMPUTER NUMBER 034 - 1067 -95 -100 Parcel Number 30.29.15.463A -10 OWNER NAME: First MARK & MARILYN Last LESTER PROPERTY ADDRESS: Hse # 1/2 PD -- Street Name -- Type SD Apartment SECTION 30 TOWN 29N RANGE 15W 1 /4160 1 /440 Line Description Line Description TOTAL ACREAGE 40.000 PLAT CSM 15/4224 LOT2 BILK 01 SEC 30 T29N R15W NW SE 15 02 BEING LOT 2 CSM 15/4224 16 03 IT 04 18 05 19 06 20 07 21 08 22 09 23 10 24 11 25 12 26 13 27 14 28 F1- General, F4 -Prev, Parcel, F5 -Next Parcel, F7- Valuations, F8- History, F10 -Exit 6654 0 IL._. /6 F=• A 0 E KATHCER • H. WALSH _ — /067 ST. CROIX D yG/ RECEIVED FOR REED 12 -21 -2001 9:15 AM COPY FEE: 3.00 RECORDING FEEs 13.00 �I PAGES- 2 aem —o �..Ib z C/L 72nd AVE 00 ° o `: 'coo. . UNPL LAND loo N 00e53'09'W 1499.21' WEST LINE NEI /4 -SWI /4 V Nr 412.11' n z N 1 Q OE `; qS Ms• z c — m co z -a cn _ N 0 ` ;O V ► �-� lJl r �3 ,JJJ `ot c Co O C> > C D a , �• iJ 1�� cn N • M Z r ; � '`�z ;O• !_ .G • Oid., co .�� 1 cn 198.60' r,� .... ,,��. M 0 e 1217.23' to o S00 1254.00' m > r •� �;� �Q� �' Ln 00 0 O C � �7 y ,1 1``. A Nz ' N 1. � " N ' •y W -) O ` n • m �--� ;: MCD *. \ C O N��w.;:i �,: NU1 — z� 0 • -N a ` z l „ NtmAX — '<�x 40 ' j N c) 14 � � m M O �0 D A { '0 O (7 p.N O O 0 4 Nrm o y 0 . Z —0 �' o 0;0 Q Q 2 D C�J mm o w ` Z 4 00 W zcAzz r O e > ca N CA 0 V rnm 0 0 0 cA Ow O O+ • O ` O H . M ,1 N 'TI O m O — y C C 3E A. v — w O cAh) ` r A zzz O O r $ co r m z r X " " { cD ;v m Qb1n m .54� A Z O n�iu$ mT► 71 O m v CA: A 0 o m ��a S 00 - E 732.35' n z "w EAST LINE NWI /4 -SE1 /4 — °� ; z UNPL LAND mZ 0 . �j O -o b m Volume 15 Page 4224 06/03/2004_ 13,:1 @ „FA_X. 715Zj5_20Q2 , , , ., , . T L SINZ ,PLUMBING INC X1002 ST cRoxx couNTY SEPTIC TANK MAINTENANCB AGRBEM9NT AND OVMR Hrp CERTMCAI"ION FORM ' 0wn5r/13uy0r r mailing Address Z n Properly Address lanning 17cparaneat for new coostrucrioa) (Ycriftcatioa roquircd from P 1 ) :) ��,,, 2 parcel Identification Number d3y—loco7 -_ a -- o0 City /State - 3a propoM L,ocadon � /.> %., Sec. T RAJ1, Tawn of Lot Subdivision Z �, Certified Sarvey Map # V01=0 S Page # 'FVarranty Deed # �( 3 Volume _2 5, Page # Spec boost d yes no Lot lines •identifiabi4yes D no SY &TExs M bYT1'I'RNA mairttenaafle Doper use and mainteuane-e o f your septic system could result in its PMWAtare £>I1v t dl wast�s. P ato tlu system consists of ptunping out the septic septic evcsy three years or sooner, if needed by al P P can g lect the tltaedon of the sopde tank as a treatment stage iu the was te �o on fotsa, sign b y the owaa and by a a The property owner arsons to subaoit to St. Croix Zoning DePut" catt3tiead tit (I)theon- eltowastn�tertiispossl system masterplumber, jour» cytasttPi�r resttiCt cd p lt � mbectntliceasedpuas � t ��� nS op tic tank fs lass than 113 full Of slud is ip proPcT t�r+� 0° adidou snd/ot_,(2) altar i�poCtion and Pumping (if nece � "M�, the pdvato sewage disposal $ystcm with the stnduds Uwe, the nudccsig aed bave trtd the above Cyqu nments and agrc a to taafata in n the Resour=, State of wiscAusin. ' CartlRcadon cet Eortb, herein. s as set ry by UCPsttattnt of Cammetss tied tho DqWftlo has been malntttia must t be aompict oMraod to the St. Croix stating tint your County 7.otiunS OPFoe aithip 3 days cf the t ex don date. 1 ! G� pAT.S SI NA OF pI,ICAN'L arc the oaoer(s) of r nuns on this form are teat to the best of my {our) lmawledge. I (we) am ( ) I (we inter of Deeds, Office. 0 d tue of a warren decd recorded is Xteg Co I U DAM .�..,. •..... roay result is the sanitary permit being revofoed by the Zonsng Deputatcac q.ny iaformatiop that is mi:•rtpresented • r Include With this stppliextiow a stimpod wsrranty deed from the Regv of Deeds oPiiae IL copy of the certified surrey snap if wfcmucc is a the vrstranty deed U 2 5 7 9 P 4 11 76-Z3 STATE BAR OF WISCONSIN FORM 2 - 1999 KATHLEEN H. YAL.SH WARRANTY DEED REGISTER OF DEEDS Document Number ST. CROIX CO., MI RECEIVED FOR RECORD This Deed, made between Scott R Lingerfelt and Susan E Hoff 05/24/2004 12 :15PH f/k/a Susan E Linerfelt Grantor, and Mark Lester and Marilyn Lester husband and wife and WARRANTY DEED Wayne er and Betty Inter. bus and wife. all as Joint tenants EXEMPT it Grantee, REC FEE: LL. 00 Grantor, for a valuable consideration, conveys and warrants to Grantee TRANS FEE: 315.00 the following described real estate in St. Croix County, State of Wisconsin COPY FEE: (if more space is needed, please attach addendum): CC FEE: PAGES: 1 Parcel 1: Lot Two of Certified Survey Map recorded in Volume 15, page 4224 as Document No. 665%9 located in part of the Northwest Quarter of the Southeast Quarter (NW 1 /af SE 11 /•) and the Northeast Quarter of the Southwest Quarter (NE 1 /,of SW 1 /.), Section Thirty (30), Township Twenty -nine (29) North, Range Fifteen (15) West, Town of Springfield, St. Croix County, Wisconsin. Recording Area Parcel 2: A 66 foot wide road easement for the benefit of Parcel 1 over Name and Return Address and across Lot 1 of subject Certified Survey Map. 'T j H "— dw e. �reyns �r XU(a ( q `{-h Qom- 1067 -95 -100 Parcel Identification Number (PIN) This is not homestead property (is) (is not) Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any. Dated this �1..— day of May 2004._ * * Scott R. Lin erfelt ' P � * * Susan E. Hoff AUTHENTICATION ACKNOWLEDGMENT Signature(s) Scott R. Lingerfelt and Susan E. Hoff STATE OF __ ) Ukle Susan E. Lingerfelt ) ss. County ) authenticated this d- y of May 2004 Personally came before me this_ — day of the above named KrLgtina Ogland TITLE: MEMBER STATE BAR OF WISCONSIN (If not, _ to me known to be the person(s) who executed the foregoing authorized by § 706.06, Wis. Scats.) instrument and acknowledged the same. THIS INSTRUMENT WAS DRAFTED BY Attorney Kristin Ogland — * -- _ - -_ -- —_ — —.. - - - -_— . - -. - -._— Hudson, WI 54016 Notary Public, State of My Commission is permanent. (If not, state 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. Information Professionals Co., Fond du Lac. WI STATE BAR OF WISCONSIN 804653..:021 WARRANTY DEED FORM No. 2 - 1999 _7� S r 3 �^ 3 EsC- s�r969 r ! ��jj KATHLEEN'H. WALSH RFOISTER OF DEEDS S RECEIVED FOR 12-21 -8002 9:15 AM a 0PY FEE: 3.00 OCf•RING FFF. 3.00 lbES C e� C/L TZud (!YE• UN4sA ED— ,po' .Yiri tm> . N 0() 140.21' WEST LINE NEI /4- SWt / V ' \ N t Ci Q sFyFNT R0 s 44 co 4 r� y \ \\ ,o R7 coo fit �-1 yr +. I98.60' ��1ti11 {S { {4 ` c szs OO 1 � SOO 1254.00' m \ $► GAO \'f -` vs qa $ p ' ►� O 001 A rn O \ c N (i � rO a,'4i Ln • m m O NO �l C ca to m \ m w _ -i c A. - W I 7 1 :\ m • lA1r ,(', 00 16 A. b'��^ S ' l0'E 732.35' $ m � ; \ EAST LINE NWI 4 -SEI /4 a, ? UN L TTED [.AND - a o .o rn Volume 15 Page 4224 � �`,3y /GG c 9�' i4o �.SB9 - •665969 { ' � / A . '4�� I- -. /y 0 -d �(i11 C•+�'c %.7 / 4 aau C 1L.... F. n C'Y E: ! �� KATHUM" H. WALSH - - -- REGISTER OF DEEDS y )JY /067 (,o ��/.8 ST. CROIX Co. W I RECEIVED FOR REEAD 12 -21 -2001 9:15 AN COPY FEE: 3.00 _ RECORDING FEE: 13.00 PAGES: 2 �m -0 z C/L 72nd AVE 0 C %0 UNPL LAND N 00 1499.21' WEST LINE NEI /4 -SWI /4 v me \ 1412.11' o r wC N C 0X 4 j R ❑ z 0 m L o ' -4 O 0 c: N lJl 0-4 L i z \ a' o w 0 v0 > !, cp m is qq O� ��. aD � • \ZOm :Q� z so � .`�� 198.60' �'''••'•.... m O� 1217.23 ° S00 1254.00' 40 rn> om C. r�i r N rn O ^ moo o is j ,,,l�U; 0 N :0 F� MR-Z . §t: en •. -- '41sconfNoepartment of Industry SOI A A1 SITE EVALUATION ` Labor and Human Relations Page of Division of Safety and Buildings aF otdahce with.s. ILHR 83.09, Wis. Attach complete site plan on paper not less than 1l��ki 11 inc Plan must. County include, but not limited to: vertical and horizonta rb(QeJience po'{SM)'Y�laction and percent slope, scale or dimensions, north arrow, anc! location and distance to nearest rgad. parcel I.D. # ;� ��qg - ; p • .� . Doh APPLICANT INFORMATION - Please it all in>��n, j R ed y Date Personal information you provide may be used for second {rCjllgos}(Jppy :15.04 Property Owner P erty Location 11 — D G J Govt. Lot 1/4 S'LCi /4,S T. N,R 1 Or) W Property Owner's Mailing Address Lot # Block# I Subd. Name or CSM# 03 y _`� 7 " Z - City State Zip Code Phone Number Nearest Road (71j) 7 ` ❑ city Villa e To �© ,�D tK New Construction Use: ® Residential / Number of bedrooms 3 Addition to existing building ❑ Replacement ❑ Public or commercial - Describe: �^ Code derived daily flow gpd �`' Recommended design loading rate bed, gpd/ft gpd/ft Absorption area required '� bed, ft .� ��/ trench, ft Maximum design loading rate a bed, gpd/ft trench, gpd/ft Recommended infiltration surface elevation(s) q / , -/ 0 ft (as referred to site plan benchmark) Additional design /site considerations t , Parent material 6 & d A / 7: f� Flood plain elevation, if applicable /y A ft S = Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank U = Unsuitable for system El [A U cgs El ❑ S ®U ❑ S ®U ❑ S U EIS ® U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench a _ 1(4f /0 L 1 ) 0 S" I V J Ground 3 s/ lay Med S 4 w -- • 7 $ elev. q�ft. FAQ s f9eR IrJ Depth to limiting factor &K, �in. Remarks: Boring # Ground . ilem.7p d elev. Depth to limiting factor Remarks: CST Name (Please Print) gnature - Telephone No. r Address Date CST Number w f7o 6 SOIL DESCRIPTION REPORT PROPERTY OWNER Q6 NNld 604441 �iP e40 Page of PARCEL I.D.# /O y / ✓ ' ��� f Boring Horizon Depth Dominant Color Mottles Structure 2 g Texture Consistence Boundary Roots < in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench Ground , - "r Zf lev Depth to S CA l51 limiting c in. Remarks: Boring # Ground elev. ft. Depth to limiting factor in. Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench Boring # ; t OM- Ground elev. ft. Depth to limiting factor in. Remarks: Boring # Ground elev. ft. Depth to limiting factor in. Remarks: SBDW -8330 (R. 08/95) i I I i Z Tt I i i -- - -- - - -� - -I - - - L -- - - - H- - - - - -- - - -- - ee- i - I 9 N IZAO o Mo te, �- -- -_ -a - -- - - -- - - �- -- -- _ �- - - - _ -- - -- -- k - d - -- -- -- -- - -- - - - -- - Jnh d -4 �- -� - - -� -J -t I - - C- !- - - -� - -� - -�- - - -- I LI F I f I I I , - i -- I I 1 LEGAL ST. CROIX COUNTY, WISCONSIN OLD TXSCR02 REAL ESTATE TOWN OF SPRINGFIELD COMPUTER NUMBER 034 - 1067 -95 -100 Parcel Number 30.29.15.463A -10 OWNER NAME: First SCOTT R & SUSAN E Last LINGERFELT PROPERTY ADDRESS: Hse # 1/2 PD -- Street Name -- Type SD Apartment SECTION 30 TOWN 29N RANGE 15W '/4160 '/440 Line Description Line Description TOTAL ACREAGE 40.000 PLAT CSM 15/4224 LOT2 BLK 01 SEC 30 T29N R15W NW SE 15 02 BEING LOT 2 CSM 15/4224 16 03 17 04 18 05 19 06 20 07 21 08 22 09 23 10 24 11 25 12 26 13 27 14 28 F1- General, F4 -Prev. Parcel, F5 -Next Parcel, F7- Valuations, F8- History, F10 -Exit 665969 , 4,r ,f C-tnl /5��22� u �:::0 N...... IF' 1=11 0 E KATHL*FEN* H. WALSH o 3y /GG7 9 �/�,�� \' y JAY /0 67 ST. CROIX NkA A'' RECEIVED ��/ RECEIVED FOR REED 12 -21 -2001 9:15 AM COPY FEE: 3.00 RECORDING FFFe 13.00 PAGES: 2 —o �Az •.1� C/L 72nd AVE O4 UNPL LAND � ' c• ,p0 m \ - \ N 00 1499.21' WEST LINE NEI /4 -SWI /4 v cn r 1412.11' n K z O x `-4 gsF • R m z NT 0,4 M z Nin 0 C) _�� � z � gar,• °0 O > cp rn M i 1 Z o ^� Q • co 1 \ (p 198.60' 1217.23 ✓,, ��'��ll�I�rt���� ,,. v ° C a , • r S00 42' E 1254.00' CA j ot Qf CA'V 40 rn> r m to -1-1 O - .1 O ^^ Q T Is y z-n -;o N n• ;:TM w-q Iz N-- O Gy' G fi` Z 2Pt'. Ut M n' Ln IECCO C! z�� v ca (AM (•) ��_ � a r — CD ��m r n ° N o O Z -n —v mR -1 ` ` v ° o0i t' N tnz o w � o �. W z. M -{ o - n ° A �i tV z i w m c' 'o oo c: w Z 0 0 14 MM N v� � o Qi • o o m cr 2 I ca -n w —1 m o m o — CO) c -4 c 3E ch p -w p rrr M O O- . r• s r z 4$ _ z r x — " - , 4#A `" —I w ;a m wca : %00* m a) O z 4.- • • • A z ° "CA i.4 m -n O - - 0 limi m -O N Z - - 4 C c r. o m °;� S 00 16' 10'E 732.35' n°z �p EAST LINE NWI /4 -SEI /4 w 0 ; y z UNPL LAND Mz c Y v M w— ° o m Volume 15 Page 4224