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Home My WebLink About034-1072-40-125 Sajr adaa caaah► WNW. MI W. Wa~gOm Ave., P t) Ban 7152 CrO i ParmiitPhaaibec(lshefind ~Co.) s iwonsin W[ 53707<71 S1le Tmrnetiaa Nunbcs Sanitary Perffirt Appllication In accordsoOe vn& !L Comm. 3322(21 Wis Ado Cove, a - - efthis farm io tho soaeaameaarl unit is mqueea prior to obtaims a amMmy pewit NoW AnftMm ftw fior FOVM am PADject Aa~emstifd~maltdaaalirsaddnsrs) srib®idai to the Dcpwoucin of Cowmaca. Prssmai ifmmeiaa you provide msy 6c G~ n MftwMbffv is a~ceadnrce vridr tie Lrw a IS 1 Stags Z O I -1 Y I l/ r- W 4tJ S4A L - rlaae Print At Lfiaaaawtiaaw Pr+opdtytwaer's a 9 ax 7 r~~`~ y Lecalin MMC LAX 9 city, Sine Zip Code Pboae Nmaber E !c, N C YS Section 3Q 11 , o L'J -1 5,Y6 a 7 Ta9K R " ~~►j 1L Tjrpe eft (Cbw k aR dot apply) Lat • 1-2FmmlyDwd>iog-Numbrraf Bodroams 3 Sab*,~~ B xk# Csfq use I 1 1-1 0 city of O viBadeof t~M Nraw6a O Swat owned - Desmbe use Two of $ r- & HL T (Ciadk entj► me box an Bwe A. 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O7Y [S drawn an the ailacbed Baas Plumber's Name (Print) 's f !►tPRAPRS Naa>1 Biniaess Pbme Number Lees ~K a5397~ 15-as1- Plua>bar's AAkess City, Sidle, Zip Code) F_ I ~qz Pi C r_ tAen ` c.J',I- 5y761 VIM v ed O Disapproved Pemrit Foe Ji dale hswd Agent O Owner Cma9 Rcmoa fir DaniW C~ ' -7 2 U /3 LY. Cowditioaa< ~ ia' ~pp~ 3 Y>~ s~~' lLf~ SYSTEM OWNER: -C- t 1..Septic tank, effluent filter and ~ C J G dispersal cell must be serviced / maintained as per management plan provided by plumber. S, KIW ~ . Sai w - GVi9 y` • wl . US i. All dadaaimitr fleCwr wFf m tNar art ens tlus tl tax Il imbed UTA as per applicable code/ordinances, b, Q Z) 1~/ I Sp arrfr,rY Perm, te- ~ rrn SBD-6398 (R. 02/09) valid thru 02112 Safety and Buildings 10541 N RANCH ROAD I ; HAYWARD WI 54843 3 ' a Contact Through Relay K www.dsps.wi.gov/sb/ P S www.wisconsin.gov Scott Walker, Governor A~O'ssl A~Sw~ ort Dave Ross, Secretary December 27, 2012 CUST ID No. 253976 ATTN.- POWTS Inspector LEWIS C BJORK ZONING OFFICE LEWIS BJORK LLC ST CROIX COUNTY SPIA E7818 CTY RD E 1101 CARMICHAEL RD MENOMONIE WI 54751 HUDSON WI 54016 CONDITIONAL APPROVAL Identification Numbers PLAN APPROVAL EXPIRES: 12/27/2014 Transaction ID No. 2191827 SITE: Site ID No. 786990 Duane Mitling Please refer to both identification numbers, 65TH Ave & 290TH St above, in all correspondence with the agency. Town of Springfield St Croix County S32, T24N, R15W FOR: Description: Mound, 3 bedroom residence P ,O odd Object Type: POWTS Component Manual Regulated Object ID No.: 1407022 ttil Maintenance required; 18 GPD Flow rate; 18 in Soil minimum depth to limiting factor from original grade; Systei Pressure Distribution Component Manual - Version 2.0, SBD-10706-P (N.01101), SSWMP Pub. 9.6, ICC Flowtec Mound Manual, Version 1.2 (5110); Effluent Filter p~ ~ ON 4F SFir The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plans and with any component manual(s) referenced above. SEC C The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: The mound shall be installed in accordance with the approved plans and the ICC FLOWTECH MOUND COMPONENT MANUAL, VERSION 1.2 (5110). Key Item(s) • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. In addition, the owner must insure that the operation, maintenance and monitoring duties as described in section VIII of the mound component manual are complied with. A copy of this information must be given to the owner upon completion of the project. • The gravelless system components must be installed in accordance with the manufacturer's printed instructions, the plan approval, and SPS 383 system sizing criteria. If there is a conflict between the manufacturer's instructions and the plan approval, the plan approval and code requirements will take precedence. • Care must be taken to preserve the bench mark during construction or establish a new bench mark with the elevation set to relate to the original bench mark. LEWIS C BJORK Page 2 12/27/2012 Reminder • The float switch shall be a type that does not contain mercury. 2009 Wisconsin Act 44 prohibits the installation of float switches or relays that contain mercury. • The designer proposes to install a state approved effluent filter to achieve the requirement of wastewater particle size. Pursuant to outlet filter product approval stipulations, maintenance information must be given to the owner of the POWTS explaining that periodic cleaning of the effluent filter is required. The access opening used to service the filter shall terminate at or above finished grade with a watertight cover. • The orientation of the mound system must be such that the longest dimension is oriented along the surface contour per SPS 383.44(6)(a)2. • Limit activities in the area 15' beyond the down slope edge of the mound per Mound Component Manual. • Surface water drainage shall be diverted away from the system area per Mound Component Manual. • Materials shall conform to the requirements of SPS 384.10. No fixture, appliance, appurtenance, material, device or product may be sold for use in a plumbing system or may be installed in a plumbing system, unless it is of a type conforming to the standards or specifications of chs. SPS 382 and 383 and this chapter and ch. 145, Stats. • Maintain well and waterline set backs per SPS 383.43(8)(i). Consult the Department of Natural Resources for well setbacks and other regulations and exceptions. A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing.a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, ) Fee Required $ 250.00 Fee Received $ 250.00 Balance Due $ 0.00 Patricia L Shandorf POWTS Plan Review tegrated Services WSMART code: 7633, (715) 634-7810, Fax: (715) 634-5150, M - F 8:00 a.m. - 4:45 p.m. pat.shandorf@wisconsin.gov cc: Charles L Bratz, POWTS Reviewer II, (608) 789-7893, 7:45 am - 4:30 pm Monday - Friday Note: Effective January 1, 2012, all codes under the jurisdiction. of the Division of Safety& Buildings will be modified. Code references with prefixes starting with "Comm" will be replaced with "SPS" to recognize the relocation of the Division of Safety & Buildings from the former Dept. of Commerce to the Dept. of Safety & Professional Services. Additionally, all S&B codes will be renumbered and addressed in a "300" series. For future reference, the Wisconsin Commercial Building Code will be addressed by SPS Chapters 360-366. ICC FLOW TECfe AROUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: Duane Mining -New Mound Owner's Name: Duane Mitling Owner's Address: P.O. box 67 Wilson Wisconsin 54027 715-265-7099 Legal Description: SE NE 32 2915 West Township: Springfeild County: St. Croix Subdivision Name: #773772- CSM 18-4832 Lot Number 2 Block Number _ Parcel I.D. Number: 034-1072-40-125 (.485c) l t 7 1' Plan Transaction No.: Page 1 Index and title Page 2 Data entry Page 3 ICC Flow Tech mound drawings Page 4 Lateral and dose tank Spe~~N Page 5 Distribution media Page 6 System maintenance specifications Page 7 Management and contingency plan Page 8 Pump curve and specifications Page 9 plot plan Z,1 Page 10 plot plan legend Page 11 soil report Page 12 septic and dose tanks Designer Lewis Blark License Number. 253976 Date: 1 Phone Number: 715-231-7375 Signature: Designed Pursuant to the ICC Flow Tech Mound Component Manual (N. 05/25/10) and SSWMP Publication 9.6 Design of Pressure Distribution Networks for S7 SAS (01/89) and Pressure Distribution Component Manual Ver. 2.0 SBD-10706-P (N. 01/01) ICC Flow Tech Mound Version 2.0 (R.. 03/01/12) Page 1 of 12 ICC Flow Tech Mound and Pressure Distribution Component Deign Design Worksheet Site Information (r or c) Residential or Commercial Design 300.00 Estimated Wastewater Flow (gpd) 1.50 Peaking Factor (e.g. 1.5 = 150%) 450.00 Design Flow (gpd) 6.60' Site Slope 100 installation Contour Line Elevation (ft) 104.ao Contour Length Available (ft) T 1800 ; Depth to Limiting Factor (in) 0.601 In-situ Soil Application Rate (gpd/ftz) Distribution Cell information 600 Celt Width (ft) 3 4. 5.6. 7.8. 9 or 10 Oniv Dispersal Cell Length (ft) !-W Dispersal Cell Design Loading Rate (gpd/l?) 1J Influent Wastewater Quality (1 or 2) Are the laterals the highest point in the distribution I Y Pressure Disribution information network? Enter Y or N (c or e) z l Center or End Mandbld Lateral Spacing (ft) If N above, enter the elevation ftNumber of Laterals of the highest point. - .1 88 Orifice Diameter (in) (e.g. 0.25) 3.75 Estimated Orifice Spacing (ft) 11.25 fe/orifice 2.00; Forcemain Diameter (in) i . f 180:bi j Forcemain Length (ft) Does the forcemain drain back? Y r- 80.001 inside Pump Tank Elevation (ft) Enter Y or N . 0.00 Forcemain Filter Loss (ft) 3.25 System Head (ft) x 1.3 29.36 Forcemain Drainback (gal) 21.00 Vertical Lift (ft) 67.47 5x Vold Volume (gal) 2.72 Friction Loss (ft) 96.83 Minimum' Dose Volume (gal) 26-97! Total Dynamic Head (ft) 26.21 System Demand (gpm) Lateral Diameter Selection Manifold Diameter Selection in. dia. options choice in. dia. bons choice 0.75 1.25 X: 1.00 A 1 1.50 x 1.25 2.00 a 1.50 x l 3.00 2.00 x a w 3.00 x Gallons/dnch Calculator (optional) Treatment Tank Information a Total Tank capacity (gal) 1400 00 ~ Septic Tank Capacity (gal) Total Working Liquid Depth (in) Lewis B ork l Manufacturer gal/in (enter result in cell 849) Dose Tank Information Effluent Filter Information 700.00_; Dose Tank Capacity (gal) ' Bear Filter Manufacturer 18.85' Dose Tank Volume (gal/in) m 3 Filter'Model Number ~n__ -s Brk Manufacturer Project: Duane.Mitiing -New Mound Page 2 of 12 ICC Flow Tech@ Mound Plan View 1 1 t ,1/10 B B 1--- Observation Pipe 3.•:''• K s tt A "was:+c+e+e+-~-a a' sirrv+r B L Mound Component Dimensions A 6'.00 ft E 22.32 in H 1.00 ft K 11.04 ft B 75.00 It F 12.00 in r 12.29 ft L 97.08 It D 18:00 In G 0.50 ft 1 7.63 It W 25;92 ft 450.00 (fe) Dispersal Cell Area 1371.95 (fe) Basal Area Available 6.00 (gpd/ft) Linear Loading Rate 9 7.50 (it) 1110 B Qbs. Pipe Placement Mound Cross Section View ICC Flow Tech Dispersal Area Finished Grade 103.50 (ft) H t F Dispersal Cell 142.00 (ft) Lateral 101.50 ft i 6 Invert Elevation % Dispersal Cell Elevation D :.a ),w• Ai,y) .,:Sly a a`'.";- 'a ~ A 100.00 (ft) Contour Elevation 6.0 % Site Slope Shading Key Typical Dispersal Cell M . Topsail Cap 3~. See Page 5 2 Subsoil Cap 0 c 2A ft T Approved Geotexfle Fabric Cover ASTM C33 Sand 4 Tilled Layer Z b a r~ Flow Teat Media F 0.5 ft A~- +f See details on page 4 for number, size. and spacing of later&ls. Laterals are located in the 4" gravity distribution pipes as shown on page 5. Project: Duane Mining --Mew Mound Page 3 of 12 ICC Flow Tech End Connection Lateral Layout Diagram ' P Turn-upwrbtt ksv.T a:pl„ z --'~I 1 a oritte I(cated at z k- x--~) Orifices pwd w) exceo every St+a i am pw is dovnn tat dresnage. Force tt * m*Wica Via lot at Cross to MW* N at -V4 POO, f:.ktras & fcoo* main d} PVC Sch is AN tslers is kWftat with orftes equavy spar,w, W Sn T*% 3".30.6 Plumber of Laterals 2 Orifice Diameter 0.188 in Lateral Diameter 1.50 in Orifice Spacing (X) 3.87 ft Lateral Length (P) 74.27 ft Orifices per Lateral 20 Lateral End (Z) 0.73 ft Orifice Density 11.25 ft forifice Lateral Spacing (S) 3.00 It ft Manifold Length Aft/sec, Lateral Flow Rate 13.11 gpm Manifold Diameter in System Flow Rate 26.21 gpm Forcemain Vei+acity Dose Tank Information Lacking carter with wanting label and ioWng device and sealedwatertight Electrical as per NEC 300 and SPS 316.300 WAC Disconnect j 4 in. min. - Tank component is properly vented E--- AI*mate pullet location Fomemain diameter L_ewls_13jork Manufacturer 2 in. Ca 700.00 Gallons Volume 18.85 gal/inch q Weep hole or anti- Dimension Inches Gallons g sown device A 18.00 339.27 B 2.00 37.70 P C um off elevation (ft) C 5.14 96.83 81.00 D 12.00, 226.20 Total 37.14 700.00 D Pow tank elevation Bedding And Baddill As Per Manu&actuT 80.00 Alarm Manufacturer S'e-Rombas Alarm Model Number ftn~ i Pump Manufacturer Zohler 'Pump Model Number [N140 Pump Must Deliver 26,21 gpm at 26.97 ft TDH Project: Duane Miffing -New Mound page 4 of 12 ICC Flow Teche Distribution Cell Media Layout .00 Cell width (ft) 1.5o sidewall to Lateral (ft) Distribution Cell Cross-section Arrangements Component Legend 6" ICC Flow Tech Bundle - FTS or FTSG 061, 5 or 10 Foot Lengths 12" ICC Flow Tech Bundle - FTS or FTSG 121 H-1 OC or 123H-1 OC, 5 or 10 Foot Lengths 12" ICC Flow Tech Bundle - FTS or FSTG 121 H-1 OC or 123H-1 OC, 5 or 10 Foot Lengths 0 4" Perforated Distribution Pipe With Pressure Lateral Inside Tumup Enclosure - - - - Pressure Lateral Bundles are covered with approved geotextile fabric as per the their product approval. Distribution Cell Plan View Layout - Typical G.00 Celt width - A (ft) 75.E Cell Length - B (ft) Center Connection Lateral Layout Diagram Project: Duane Mitling --New Mound Page 5 of 12 00%0% We Mound System Maintenance and Operation Specifications Service Provider's Name Lewis Btork LLC - Phone71-5-231-73754 POWTS Regulator's Name ;St Croix County Zoning Phonea715-386-4680 System Flow and Load Parameters Design Flow - Peak 450 gpd Maximum Influent Particle Size 118 in Estimated Flow - Average 300 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1400 gal Maximum TSS 150 mg/L Soil Absorption Component Size 450 ftz Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Colifortn ?10E4 cfu/100 mL Service Freauencv Septic and Pump Tank Inspect and/or service once eve 3 acs Effluent Filter lnsptd and clean as necessary at least once eve 3 years Pump and Controls Test once eve 3 ears Alarm Should test periodically Pressure System Laterals should be flushed and re-!sure tested eve , Yiiw rs Mound ins for ndin and epage, once every-3 years 1,`Ie Call Lewis For Pumping 715-231-7375 Misoelaneous Construction and Materials Standaft 1. Observation pipes are slotted and materials conform to Table SPS 384.30-1, have a watertight cap and are secured in as shown in the ICC Flow Tech Mound Component Manual approved 5/24/2010. 2. Dispersal cell media conforms to ICC Flow Tech products approved for use with the ICC Flow Tech Mound Component Manual approved 5/24/2010. Media is covered with an approved geotexdle fabric. 3. All gravity and pressure piping materials conform to the requirements in SPS 384, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost, penetration. Lateral Tum-up Detail Finished Grade - 6-8" Diameter lawn Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Lateral Ends at Last Orifice When: Variable Length Cleanouf Begins Long Sweep 90 or Two 45 Degree Bends Same F+--Distrribution Tech Media Diameter as Lateral 1.97 Feet Lateral Lateral Cleanout Project: Duane Mitling -New Mound Page 6 of 12 Mound System Management Plan Pursuant to SPS 383.84,1ift. Adm. Code This system shall be operated in accordance with SPS 382-384 Wis. dm. Code, and shall maintained in accordance with Its' component manuals (ICC Flow Teat Mound Component Manuel 5124/10, Pressure Distribution Component Mlinual Ver. 2.0 SM10706-P (N. 01101) and SSWMP Publication 9.6 (01/81)]' and local or state rules pertaining to system maintenance and maintenance reporting. Septic and pump tank abandonment shall be in accordance with SPS 383.33, Wis. Adm. Cade when the tanks are no longer used as POWTS components. Septic or pwrrp tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Acoess openings used for service and assessment shalt be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced; Exposed access openings greater than 84nches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Seotic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48. Stets. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition if the septic tank and outlet filler shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the fitter when removed from its, enclosure. If the filter Is equipped with an alarm, the filter shall be serviced If the alarm is activated continuously. Intermittentfllter alerts may indicate surge flows or an i mpen ft continuous alarm. The septic tank shag have its contents removed when the volume of sludge and scum in the tank exoaeds 1/3 the liquid volume of the tank. If the contents of the lank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner as to when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shag be approved for septic tank use by the Wisconsin Department of Commerce. Puma Tank ' The dosing (pump) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent fitter is installed within the tank it shall be inspected and serviced as necessary. If the force main has a weep hole, it - should be noted K it is functional during pump operation, and if not, it should be cleaned. -No one should ever enter a Wac or dose tank since dmrgw vm gases may be pmerrt Mat could cause deaf . No anciPm"MoIstrikuftfiftm No trees or shrubs should be planted on the mound. Plantings maybe made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snout compaction in the winter will promote frost penetration. Cold weather installations (October-February) dictate that the mound be heavily mulched as protection from freezing. influent quality into the mound system may not exceed 220 mg/L SOD,,, 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 R mglL BODE, 30 mg/l. TS8,10, mg/L FOG, and 104 c fu/100 ml for highly treated effluent. Influent flow may not exceed maximum design flow specified in the permit for this inafallation. The pressure distribution system is provided with a flushing flushed of accumulated solids at (east once a pant at the end of each lateral, and it is recommended that each lateral be very 3 years. When a pressure testis perihrmed.it should be compared to the Initial test when the system "a ins)aged to determine if orifice cl099in9 has occurred and if orfios cleaning is required to maintain equal distribution within ` the dispersal; «s. Observation pipes within the dispersal cell shall be checked for efttuem ponding. Ponding levels shall be reported to the owner, and any levels above 4 inches considered as an Impending hydraulic failure requiring additional, more frequent monitoring. • If the septic tank or an of its Corntinosncy Plan proper operating components become defective the tank or component shall be coxfiftn. repaired or replaced to keep the system in If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shall be Immediately repaired or replaced with a component of the same or equal performance. If the mound corrrponent fags to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by Increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal piping, media, and related and replacing said components as deemed necessary to bring the system Into proper operating condition. See Rage 6 of this plan for the name and telephone number of your local POWTS regulator and service provider. Project: Duane Mitling -New Mound Rage 7 of 12 ~oo~ R9R Z®~«E~~>~ SN = w/ Float In Box EFFLUENT M = Auto Float Attached (vertical) PUMPS N Non-Auto (manual) Q[ rr pi~vcs rcE my, E = 230V Non-Auto (manual) "FLOW-MATE" 137 HPsccintio ' ZBN 137 -~-------n _ • ' SN137 1/2 HP 115/1 Automatic Cast iron 5/8" Solids, 1-1/2" Disc, Tethered Float (15') t ZN137 N137 1/2 HP 115/1 64 Manual Cast Iron 5/8" Solids, 1-1~ Disc. _ 459.36 HEAP caPacmr cuavE FEATURES: Mont L 137 1)2 Hp The "Flow-Mate" moor, pump housing, base, BN137 [ZC 5 MOON t97 F,. Mews Go. impeller and switch case s 1.92 as 392 are constructed cf.durable $05 79 9" 64 2a cast iron. Non-clog vortex 2 6'0 90 30 25 7.92 3 30 impeller. 15' Cord Lark VMw: 28• 0` 0 0 10 20 30 40 50 60 70 gp g0 ,00 110 "FLOW MATE" 140 ' ZBN140 BN140 1 HP 115/1 s ZN140 N140 1 HP 115/1 Automatic Cast Iron 1/2" Solids, 1-1/2 D~sc. Tethered Float 15' Cord 675.84 Manual Cast Iron 1/2" Sallds, 1-1/2" Disc. 636.24 HEAD cAP►cny CURVE FEATURES: IaooEc"14W' 1 HP The "Flow-Mate" is T constructed of durable 45 TOTAL D, MI N CAPACir cast iron. Ikon-clog vortex BN140 EcFtuEP v1o oEwaeaNa bronze impeller. 15' Cord 40 MMM eM. 91 3" F. ,5 `.l.~ 0 318 G. t.. 20 8.,0 93. 297 23 7.92 se 223 30 9.14 49 1 _ Sµ 39 10.97 33 1" 25 40 12.19 21 79 4„\ 45 13.72 5 19 Lack MMro: 5a. 20 ~ev$ 15 ~1 10 5 10 ~20 30 400 50 60 70 s0 80 100 t10 14&J Y/IV 2aq w ~P a z ya X10 9~ , ~°3 AC(,. ~~S ~1,dis too` 91,_88. lam I ~c a n 5 Q' 4 ;z 7Ap 7A0 5P 3 Plot Plan Legend 4" PVC ASTM D 3034.42"Min Cover where snow is not removed. 10 24" inside, diameter concrete manhole brought m n.4 above surrounding grade. Concrete covers chained and padlocked . Precast concrete septic tank. - WUV-Q~ 2,071 4 Effluent filter location. S 4" PVC ASTM D3034-18" Min cover. Effluent piping or building sewer where tank is within 30'. Precast concrete dose/pump/filter to nk.✓ O 12-2 OF-B Power conductor . 14-2 OF-B alarm circuit conductor. Both wires are UL listed A-2057 Q 2" PVC ASTM D-2665 -09 Schedule 40 Pipe Force main. 4" PVC ASTM D-2665 -09 Schedule 40 Pape . Entering and exiting concrete tanks min 10' in length. 10 Carlon All weather vc 'unction box. p 1 UL listed # A-241: 11 treatment/dispersal cell 12 Inspection wells Project ' / / ``A Page I~''d~l (e `J ~-rte (o42DL ~-c12 ~ Zo zo~~~ ftz OU%ff n6yo - - 4 a Fame wm _ - 6411 _ 7211 r SECTION A--A Kim En VI~ EW LB 7,00 Fans TANK SPECIFICATI04S cove A 4^ REB#Mft~j COW ~M nscr aunrr~ ► or 9a- fsscesr+os ~.a~ 2- ~ nWIBs.~rI%rt+TOAai. umm" mss r,AtLOHS Pa VE TM& pt" a= -raw Ftrt UM As f1lM /UpTM/IQMG TANG. XME tNf7iRIN71 AVAYAX£ CMACT, LEM lj= 64A , 72.p PLAN VIEW - TCP SLAB LEWIS BJORKl LL C NOT TO SCALE AUGUST 20, 2012 DRAWN BY: jep 7-ro EpART SAFETY AND BUILDINGS DIVISION S~~o Plumbing Product Review 0~5 9 P.O. Box 2658 D .1 Madison, Wisconsin 53701-2658 a SP S TTY: Contact Through Relay Scott Walker, Governor ti5 ~~ESSIONP Dave Ross, Secretary June 28, 2012 LEWIS BJORK, LLC LEW IS BJORK E7818 COUNTY RD E MENOMONIE WI 54751 Re: Description: SEWAGE TANKS, CONCRETE Manufacturer: LEWIS BJORK, LLC Product Name: SEPTIC, PUMP OR HOLDING (TANK AND ADAPTOR) Model Number(s):LB700, LB1150 (700 AN 50 aFs-.~----- [LB700 BASE TANK; LB1150 CONSISTING OF 3 SECTIONS WITH THE 450-GAL. ADAPTOR AS THE MI - [38 IN. L.L., 18.85 GAL/IN.; 96 IN. MAX. DEPTH OF BURY, 335 OR 551 GPD WHEN USED AS A SEPTIC TANK BASED ON A 3 YR. SERVICE INTERVAL FOR RESIDENTIAL WASTEWATER; TANK DIMENSIONS = 66 IN. L X 36 IN. W X 54 IN. H; ADAPTOR DIMENSIONS = 66 IN. L X 36 IN. W X 24 IN. H] Product File No: 20120193 The specifications and/or plans for this plumbing product have been reviewed and determined to be in compliance with chapters SPS 382 through 384, Wisconsin Administrative Code, and Chapters 145 and 160, Wisconsin Statutes. The Department hereby issues an approval based on the Wisconsin Statutes and the Wisconsin Administrative Code. This approval is valid until the end of June 2017. This approval is contingent upon compliance with the following stipulation(s): • This tank must be designed to withstand the pressures to which it will be subjected. • The manufacturer must keep at the manufacturing plant a set of plans and specifications bearing the department's stamp of approval. The plans and specifications must be open to inspection by an authorized representative of the department. • All manhole covers terminating above grade must have effective locking devices. • When this product receives wastewater from dwellings, it will produce an effluent quality with a maximum monthly average value for BOD5 of less than or equal to 30 mg/L, TSS of less than or equal to 30 mg/L TSS and F.O.G. of less than 30 mg/L. • Bedding: Tanks must be placed on soils capable of bearing the weight of tank and its contents, when full. Soft soils or bedrock must have 3 inches of tamped material, sand or gravel, 100% of which passes 1/2 -inch screen. • LABELING: This tank must have a permanent warning label as per s. SPS 384.25. SBD-10564-E (N.10/97) File Ref: 12019303.DOC LEW IS BJORK, LLC Page 2 June 28, 2012 Product File No: 20120193 • This product is approved to use the following: - Pipe materials constructed in conformance with Table SPS 384.30-2 or 384.30-11, Wis. Admin. Code poured into access cover. For holding tanks, tank alarm installed via approved 4 in. dia. PVC vertical pipe through access cover. Four inch inlet in tank cover for holding tanks only. - The tank label shall indicate the capacity as required by s. SPS 384.25 (11) (a), Wis. Adm. Code. - Department approved effluent filter installed in accordance with the product approval for the filter including a properly sized and located access opening for service and maintenance. - Conseal CS 301 or 302 or meeting or exceeding ASTM C990 or equal joint sealant for tank wall, tank cover and riser joints, specifically on contacts with tank adaptor and risers. • BACKFILL: Fill must contain no stones or debris larger than 3 inches in diameter. Place backfill in uniform layers no larger than 24 inches. The department is in no way endorsing this product or any advertising, and is not responsible for any situation which may result from its use. Sincerely, Jean M. MacCubbin, CST Engineering Consultant--Plumbing Products Review DSPS WEST, Safety & Buildings Div. PO Box 2658 201 W Washington Ave. Madison WI 53703-2658 Phone: 608-266-0955; Fax: 608-283-7456 E-mail: Jean. MacCubbin@WI.GOV ALARM SYSTEMS `?ark Alert" Series. ROLM Indoor Tank Alert® AB Alarm System - . ~ D~seeantian SJE1011421 . • _ . 1011421 Liquid Level Alarm for Indoor Use, w/Auto Reset & Battery Back-up Features 100.40 SJE1011423 1011423 Liquid Level Alarm Only - No Float 71.02 INDOOR ALARM This alarm system monitors liquid levels in lift pump chambers, sump pump basins, holding tanks, sewage, and diner non-potable water applications. The alarm horn sounds when a potentially threatening liquid level condition occurs. The horn can be turned off, but the warning light remains on until the condition Is remedied. A green "power on, light indicates power to the alarm panel. Once the condition is cleared, the alarm will automatically reset with a low battery chirp. NEMA 1 Enclosure rated for indoor use. Red war ring light, green "power on" light, alarm test switch, and horn silence switch Alarm system (when installed on separate circuit) operates even if pump circuit fails Switching mechanism operates on low voltage and is isolated from the power line to reduce the possibility of shock. Complete package includes 15' Sensor Float control switch, pipe clamp for mounting and UL authorized, waterproof splice kit, Outdoor Tank Alert@ XT Alarm System SJETAXT0IH 1004442 Without Termial Block, Indoor or outdoor Liquid Level Alain, 177.73 INDOOR/OUTDOOR ALARM W/terminal block indoor or outdoor liquid level alarm (Pre-mounted terminal block allows enclosure to be used as Junction box for splicing pump, pump switch, and power meets NEC standard). W/O terminal block this alarm system monitors liquid levels in lift pump chambers, sum basins holding tanks, sewage, and diner non-potable water applications, The Tank Alert XT pump a indoor/outdoor alarm can serve as a high or low level alarm depending used. The alarm horn sounds and the red beacon itluminateswg on t a h potentially tswitch threatening liquid level condition occurs. NEMA 3R water-tight standards Automatic alarm re-set, horn silence switch, and alarm test switch. Alarm system (when installed on separate circuit) operates even if pump circuit fails. Complete package includes 15' Sensor Float control switch and pipe mounting clamp. Alarm Sensor Float Only ; SJEISPCNQ 15PCN0 15' Mercury activated, narrow-angle float switch SJE15SWINO 15SWINO 15' Sensorfloat switch- normall 37.79 y open t2oV 40.58 14-13 f r z FILTER CARTRIDGE INSTRUCTIONS Instaftt" STEP i Dry fit the finer case onto the end of the outlet pipe to env" it is centered under the access opening. if not, titan eldw in w roans pipe inta the tank through the outlet or solvent weld (glue) additional pips onto the outlet pipe- STEP 2 WIWe the case is sti deer Ifuwi en the outlet piper measure the length of ii-inch pipe neaded to brace the flfDer to the tank mW wall V Wing the optional supplemental side support. N side: support method is not utUnd, proceed to step four: 4. =TEP -4 For inskaiiations utft" 'the optional supplemental side support: solvent weld the'A-imh pipe onto the filter lease. V side support modtod is not utirrzed, proceed to step four s,.. Savant weld the fitter case onto the outlet pipe. Insert the filter cartridge into the case, pressing down until the filter locks into the !rotten of the case. YC If a VRS switch is utilized: insert into the flffar and iock by turning dodcwise 9Mr. IMaf~t~nar~ 1. The effluent filter should be cleaned every time the septic tank is serviced. 2. Open the uutW access opening to "inspect the tank and fiber 3. Pump the septic tank aomplately, making sure to remove the sludge layer on the bottom of the tank orW not just the scum and effluent, 4. Once the of hmnt level has been lowered below the invert of the outlet pipe, tirrriy pug up on the fitter handle to dislodge the cartridge from the case. S. Slide the cartridge up and out of the case for cleanirm. 6. If a VRS switch aonwdm2od to an aims. is'presw*, the switch should be removed by righting 90' and rlooned with water only. A 7. whde holding the cartridge an ft side (large flat surface farces down) over the arras opening, tense off the cuftidge wkh water \ only, making sure si septage reaterial is rinsed back into the tank. 8. If VRS switch is utilized replace by insetting into titer and turning clockwise Or. - 9. Insert the filter cwbidge back moo the case, pressing down untN e. the Alter locks info the bottom of the ease. fi.Repiace and secure the access opening on the tank. t3f AR i1N.5f",. ;')-t'VA CARTRIDrit • YrVf Y!'RR LIftlIED WARRAN-" Parcel 034-1072-40-125 01/07/2013 01:08 PM PAGE 1 OF 1 Alt. Parcel 32.29.15.485C 034 - TOWN OF SPRINGFIELD Current [X1 ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units 09/08/2004 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner O - MIDTLING, DUANE H DUANE H MIDTLING PO BOX 67 WILSON WI 54027 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description ' 2894 65TH AVE SC 0231 SCH D BALDWIN-WDVILLE SP 1700 WITC Legal Description: Acres: 3.100 Plat: 4832-CSM 18-4832 034-2004 SEC 32 T29N R15W PT SE NE CSM 18-4832 Block/Condo Bldg: LOT 2 LOT 2 (3.1 AC) Tract(s): (Sec-Twn-Rng 401/4 1601/4) 32-29N-15W SE NE Notes: Parcel History: Date Doc # Vol/Page Type 06/06/2005 796800 2816/10 WD 06/02/2005 796503 2813/508 TD 09/08/2004 773772 18/4832 CSM 03/08/2004 756115 2523/117 EZ-1 more... 2012 SUMMARY Bill Fair Market Value: Assessed with: 178688 18,200 Valuations: Last Changed: 08/07/2012 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.100 18,400 0 18,400 NO 10 Totals for 2012: General Property 3.100 18,400 0 18,400 Woodland 0.000 0 0 Totals for 2011: General Property 3.100 23,500 0 23,500 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch Specials: User Special Code Category Amount i Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 -0 C, 0 °va ao ~ I w C ~ O N O C II N ~ Z c LL c O Q 3 M ~ I Z N 7 ,Lo W E E Z O O Z O a a ` a m ~o M H U) to C O 2 c9 U d Z rn c O CL N N C a 0 .3 c w O L (n 11 co N -0 Cl 7 N O O O Z Z M N C co E N 10 i 0- G 'm U h n d i O y~ N ❑ ❑ a a w _O N Z N J F- F- F- Q U •N m ~aaaaa N c 7 o N v_Oi !A J U O N Z c O L u LO U) ~ Q Z C~ O ;^y N 3 N C _O O O to I- N U c co z y N Q rn c (D O 0) :E C~ r c~ O) O "o CD ~'V ~ N 'c co O A > • o M~ l v o Z Y Z CQ III ~ f V~ y m IL CL L) E i c c 3 t A U d O U) U Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 488066 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: Midtling, Duane Springfield, Town of 034-1072-40-125 CST BM Elev: Insp. BM Elev: BM Description: Sectionlrown/Range/Map No: 32.29.15.4850 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing Alt. BM Aeration Bldg. Sewer o mg St /Ht Inlet St/Ht Outlet TANK SETBACK INFORMATION Vent to it Intake ROAD Dt Inlet ep lc Bottom osmg 115a er n. Aeration Ipe Holding Bbt,. stem Final Made PUMP/SIPHON INFORMATION manufacturer em n ov GPM model um er I UM 1L.111 nc Ion oss ys em e ore ain 11-engin Ina. I L"5, iAu K"" Sol SORPTION SYSTEM orullmr-MIn MUE11 ILUNYL11 ri I 011VIENS101 a Mu. 01 PIL5 insiae Did JUICIU10 LJt:PL I DIMENSIONS INFORMATION CHAMBER OR UNIT SpdL;Illy Pipe(s) Length Dia Length Dia Spacing x Pressure Systems Only xx Mound Or At-Grade Systems Only lucpul -1 A IIIUIUI-11111 Bed/Trench Center Bed/Trench Edges Topsoil Yes No Yes 7N. COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Inspection #2: / / Location: 2894 65th Avenue Wilson, WI 54027 (SE 1/4 NE 1/4 32 T29N R15W) NA Lot 2 Parcel No: 32.29.15.485C 1.) Alt BM Description = 2.) Bldg sewer length = - amount of cover = - Plan revision Required? Yes No I Use other side for additional information. Cert Na I -per - - - Tnsepctor'sSignature- _ SBD-6710 (R.3/97) Safety and Buildings Division County ® . 201 W. Washington Ave., P.O. Box 7162 SCo j~SIn Madison, WI 53707 - 7162 Sanitary Permit Number (to be filled in by Co.) De artment of Commerce (608)266-3151 9Syo/_ (O Sanitary Permit Application State Plan I.D. Number \ In accord with Comm 83.2 1, Wis. Adm. Code, personal information you provide i s J maybe used for secondary purposes Privacy Law, sl5.04O1(m - ~ ~a ) p' ) roject oAddress (if dill than marlin address) .3 I. Application Information - Please Print All Information 2 O 9 14 S Property, Owner's Name Parcel !I Lot k Block !1 Property wner's Mailing A dress Property Location City, State , ip Code Phone Number st-E- V., ' `r' V4• Section s V rV9 ,.(circle ) Ti N, RE_W S ' H. Type of Building (ch k all that apply) 1 or 2 Family Dwelling -Number of Bedrooms V C Number ~ P• ~Z ❑Public/Commercial -Describe Use #7~~3-+) ❑ State Owned -Describe Use ❑City ❑Village T s n1-ffft lop hip of Id- III. Type of Permit: (Check only one box on line A. Complete line B if applicable) 0 3 - o-4Z -,{O- la r_A. N New System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System B• El Permit Renewal El 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) ice'--- ❑ 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 ~P tea Filter Aerobic Treatment Unit El Recirculating Sand Filter El Recirculating Synthetic Media Filter ❑ Leaching Chamb ❑ Drip Line avel-le Pipe . ED Other (explain) V. Dis ersal/Treatment Area Information: "D - 0 SD Design Flow (gpd) Design Soil Application Rate(gpds Dispersal Area Required (sf) Dispersal Area Proposed (st) System Elevation 0 D y8 VI. Tank Info Capacity in Total Number Manufacturer Prefab Sit, Steel Fiber Plastic Gallons Gallons of Units W / S /t 1 Concrete Constructed Glass New E)dsting ( ~'f1 l Tanks Tanks Septic m,44shlitrg+rank p Aerobic Treatment U Dosing Chamber sI VII. Responsibility St tement- I, the under 'geed, assum re onsibility r installation. of the POWTS shown on the attached plans. ness Phone Number PI tier's Name (Print) a 's Signabrre /MPRS umber R s1i*1'_S_C13&8 T Plumber's,Address (Street, City, Sta ode) A/ Vq 5-5 - C-t4P LXAASej-~( Sy89,5 VIII. Conn /De artment a Onl Approved ❑ Disapproved Sanitary Permit Fee (i ludes Groundwater Date Issued Issuing Agent Signature TO Stamps) ( Surcharge Fee) ❑ Obar iven Reason for ial ~ OIQ, Zoo t~ IX. Conditions Approv al SYSTEM OWNER: 1 Septic tank, effluent filter and ~Pei O-e-. Lf C~~ dispersal cell must all be serviced / maintained as per management plan provided by plumber. or t~ \ p~,~ ttn 2. All setback requirements must be maintained as per applicable code/ordinances. C~~►.aQ Q~1~- Attach complete plans (to the County only) for the system on paper not less than 8112 :11 inches in size SBD-6398 (R. 01/03) -----_,..q,.. .~.x.._a, a • J l.✓.~ f i'Ai~ I • ~ ! i 1 i ! H i _ ..r...._......:. i ! l............:............i............d I... i + - _ } ' ! i .._.....}_....,.._i............:,...,...... i i i f ! «....,.....1....._.....«...._...:._-. : t i ....j... f I i... 1 1 ! 1 1 i 3 ! i I z i ; ! ; i • : ' 3 1 i ~ t ' i; i ! ! i 1B M ...........~......_....i.. i ; _ i s 's E i ! ! s s. .1'- • 1 i ] ! I Ills s rdo ! 3 f rh._.... I ! r ...k 1. ...:.,...._....:........................1..__......• ' _ + i... , i : i ' ! i JJ ! ~ i 1 ! S i . .~..._{.«...._...i..« _ . .'.._....__L._.......d............;....__....{..............-.......s...... ~ s ~ i i I ; _s..., 5....:....._i i i ' « Clarence Glotfelty Enviro-Tech Systems & Services C'o J N4955 Sunny Hill Road Weyerhaeuser, WI 54895 .h ` Safety and Buildings 10541N RANCH ROAD commerce.Wi.gov HAYWARD WI 54843 TDD (608) 264-8777 isconsin www.commer n / Department of Commerce www.wisconsin.gov Jim Doyle, Governor Mary P. Burke, Secretary July 29, 2005 CUST ID No.220728 ATTN.• POWTS Inspector CLARENCE L GLOTFELTY ZONING OFFICE ENVIRO-TECH SYSTEMS & SERVICE ST CROIX COUNTY SPIA N4955 SUNNY HILL RD 1101 CARMICHAEL RD WEYERHAEUSER WI 54895 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 07/2912007 Identification Numbers Transaction ID No. 1152753 SITE: Site ID No. 701412 Duane Midtling Please refer to both identification numbers, 290TH St above, in all correspondence with the a enc . Town of Springfield St Croix County SETA, NE1/4, S32, T29N, R15W FOR: 3 bedroom mound system Object Type: POWTS Component Manual Regulated Object ID No.: 1028146 Maintenance required; 450 GPD Flow rate; 18 in Soil minimum depth to limiting factor from original grade; System(s): Ezflow Mound Component Manual, (N.6/03), Pressure Distribution Component Manual - Version 2.0, SBD- 10706-P (N.01/01) 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. 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: Please see corrections in red made to the plan. Also note the original page four has been voided and a correct page four, with corrections in red, has been added to the end of the submittal. Reminders • This system is to be constructed and located in accordance with the approved plans and with the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems Version 2.0" SBD-10706-P (N.01101). • This system is to be constructed and located in accordance with the enclosed approved plans and with the EZ FLOW Mound Component Manual (June 6, 2003). 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. ` CLARENCE UGLOTFELTY Page 2 7/29/2005 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 Carl J Lippert Wastewater Specialist, Integrated Services WiSMART code: 7633 (715)634-3484, clippert@commerce.state.wi.us cc: Leroy G Jansky, Wastewater Specialist, (715) 726-2544 .w s MOUND AND PRESSURE DISTRIBUTION;COMPONENT DESIGN Commercial Application » INDEX AND TITLE PAGE Project Name: Nod, j a ?o OTt) Owner's Name: 1A ft," Owner's Address: X X01 7 15 - ;WS -''7®99 Legal Description: Dzi Ir't i n SEEK 1V 6 Y ~e - 31 T2Z991, 0 Township: ~ '.DrrI A a P1 91 I~ County: O o i X Subdivision Name: Lot Number. Block Number. Parcel I.O. Number. ? Condi bill ffj'1Y- Plan Transaction No.: A D DEPARTMENT OF COMMERCE Page 1 Index and title p ON S Y D BU WINGS Page 2 Data entry Page 3 Mound drawings ppNDENGE Page 4 Lateral and dose tank SEE C Page 5 System maintenance specifications 41 A Page 6 Management and contingency plan Page 7 Pump curve dnd specifications fir P16-1- PAA 1 Designer. 2 cense Number. Date: I rDhone Number -l-S X31„ 5831 Signatu Designed Pursuant to the Mound Component Manual for POWTS Version EZ FI&W il&o D3 SSWMP Publication 9.8 Design of Pressure Distribution Networks f r b f-SAS (01/81) Version 4.0 (R. 04/03) Page 1 of g Mound and Pressure Distribution Component Design Design Worksheet Site Information (r or c) Residential or Commercial Design Note: Sand fill (D) calculations assume a Estimated Wastewater Flow (gpd) Table 83344-3 in-situ sal treatment for fecal Peaking Factor (e.g. 1.5 = 150%) coliform of - 38 inches. 1450.00 Design Flow (gpd) CO Site Slope Contour Line Elevation (ft) Depth to Limiting Factor (in) .S In-situ Soil Application Rate (gpd/ft2) Distribution Cell Information = Dispersal Cell Length Along Contour (ft) = Cell Width (ft) Dispersal Cell Design Loading Rate (gpd/ft2) Influent Wastewater Quality (1 or 2) Are the laterals the highest point in the distribution Pressure Disribution Information network? Ent Y or N (c or e) Center or End Manifold Lateral Spacing (ft) If N above, enter the elevation ft Number of Laterals of the highest point. Orifice Diameter (in) (e.g. 025) dl. Estimated Orifice Spacing (ft) = Q, ftzlorifice t Forcemain Diameter Cin) Forcemain Length (ft) Does the forcemain drain back? Pump Tank Elevation (ft) Ente Y orN Y / ~3 Enter Y or N System Head (ft) x 1.3 Forcemain Drainback (gaq a Vertical Lift (ft) 90. -5 , 5x Void Volume (gal) (x) bD x . pfo7x6 y► .Friction Loss (ft) Minimum Dose Volume (gaq Total Dynamic Head (ft) System Demand (9pm) Lateral Diameter Selection Manifold Diameter Selection in. dia. options choice in. dia. options choice 0.75 1.25 1.00 1.50 1.25 2.00 1.50 Y 3.00 2.00 3.00 naflp ch Calculator (optional) Treatment Tank Information To ank Capacity (gal) Sep is Tank Capacity (gal) 4111 tat Working Liquid Depth (in) Manufacturer ga enter result in cell B49) Dose Tank Information Effluent Fitter Information Dose Tank Capacity (gal) Jim 0 _j Filter Manufacturer Dose Tank Volume (galrn) Filter Model Number anufacturer Project: Page 2 of J MOUND PLAN VIEW qbservation pipes (typical) 1/6 B J A = e ft .D A B = . J = ft W T- B. I = JZA2 I K K = Ila k 1/6B = ~t 1/6B J typ. obs. pipe (anchored securely) I = down slope dimension = absorption cell (AxB) J = up slope dimension plowed area (LxW) K = end slope dimension 6~ T MOUND CROSS SECTION D = in topsoil G H subsoil cap E _ ' in latent F - in invert MI Z7 elev. F G = 6.0 in T AS TM C33 H = 12.0 in 4 0 Sand Fill E Sys. ft y.,~ ` y elev.. ,a fCcontour ` J>r % IL slope D =,%upslope fill depth plowed layer El- 8ownslope fill depth Uq& Absorption cell media will consist F = absorption cell depth of `l~ Z4F(ow di-a;W 6~ -CM, PDrrn+l ry/(fP- IS G = subsoil + topsoil depth at cell wall centered across AxB media. The cell H = subsoil + topsoil depth at cell center media is covered with geotextile fabric. Designer notes: ligmiqls, E- a 0 O in v Project: Transaction Number: Page3, of g t Center Connection Lateral Layout Daigram Faroe main connection via we or doss to manifold at any point. laterals are identical P S 0- Tu wtball va"or IE X--) ( 1102 N02+1 Laterals Q force main of PVC Soh 40 teen luq , per CON" Table 84.30-5 i tt 11.0in ;J ('o d. e E Z /"'w AR.N Number of Late 44 Orifice Diameter in Lateral Diameter in Orifice Spacing (X) , p ft Lateral Length (P) 80.0 ft Orifices per Lateral Lateral Spacing (S) . D ft Orifice Density p s Lateral Flow Rate gpm Manifold Length ft System Flow Rate gpm Manifold Diam a in Total Dynamic Head 3A' ft Forcemain V ft/sec SEPTIC TANK AND PUMP MBER CROSS SE NAND SPE IFICATIONS LWAM with w Nn la W r a . Vent Pipe openng, net t ewer. a N > 12 above 9Aa arntak bove #MWtW e , Access opening. not top of cover, must ektew to over Tank a pock no grater bran 6 below finished grays. . Dboonsu 1Q'mM. to 0 1 I 127' MIn. Main op-ml fiRN area ~V` ~ •etza A W no ~ I D poeaw._ Dow T arq - tank acoorying to ma epecAk@WM f a naceaaary ro "pate M r Note: All pipe and vent materials comply with Comb . `,Tank Manufactun3r- Doses Per Day: ~1 J Tank Sizes: c lions VVV GPs/ # of Doses: ~ gallons R ump - A )Gallons BaCkflow: 2e-- _a-gallons \ Gallons Per Inch:a Total Dose Volume: / 7 . gallons liquid Level: Yo Required GPM: Pum anufacturer. zo 1/ L'(J ~1 Dimensions Inches Gallons Pu Model: lV I T A ;X4. 1 rm Manufacturer Alan" Model: W 1 D I I D ! Total Vertical Difference between pump off and distribution pipe v7~ -Minimum Required Supply Pressure (0 for dosed conventional) = tP , tf l Feet of force main x !.!~riction factor / 100 = Total Dynamic Head Q/ Mound System Maintenance and Operation Specifications Service Provider's Name v Z 0. A Phone / _162v- POWTS Regulator's Name ui y, CAm, ;,,L Phone - System Flow and Load Parameters Design Flow - Peak 0 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average gpd Maximum BOD5 30 mg/L Septic Tank Capacity gal Maximum TSS 30 mg/L Soil Absorption Component Size ft2 Maximum FOG 10 mg/L Type of Wastewater Domestic Maximum Fecal Coliform 10E4 cfu/100 mL Service Frequency Septic and Pump Tank Ins ect and/or service once eve 3 ears Effluent Filter Should inspect and clean at least once eve 3 ears Pump and Controls Test once eve 3 ears Alarm Should test month) Pressure System Laterals should be flushed and pressure tested eve 1.5 ears Mound tns ct for pondin and seepage once eve 3 ears Other e Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table Comm 84.30-1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to Comm 84.30 (6)(1), Wis. Adm. Code. - 3. All gravity and pressure piping materials conform to the requirements in Comm 84, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Tum-up Detail Finished Grade 6-8" Diameter Lawn Threaded Cleanout Plug or Ball Valve Sprinkler Valve Box . , . Distribution Lateral Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Page 5 of $ Mound System Management Plan ` Pursuant to Comm 83.54, Wis. Adm. Code Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Slats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce, Safety and Buildings Division. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October-February) dictate that the mound be heavily mulched for frost protection. Influent quality into the mound system may not exceed 220 mg/L 8005, 150 mg/L TSS, and 30 mg/L FOG. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 4 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. General This system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall maintained in accordance with its' component manual [SBD-10572-P (R. 6/99)] and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8-inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Contingency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged adsorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. Questions on the operation or maintenance of this system should be directed to your county zoning or health inspector. Past _6~ 8 It, . ( "TOTAL DYNAMIC HEADICAPACITY SingleSeal HEAD CAPACITY CURVE PER MINUTE J 7/6 6 1/4 Weight 53 lbs. MODELS "140/4140" EFFLUENT AND DEWATERING 4 s/S---I Ft. Meters Ccl. Ltrs. 14 , 45- 1.52 at 34. J 7/e 10 3.05 84 JIB `L. 40- 15 4.57 75 25a ° I 12 1 40, 4 1 40 20 6.10 as 257 1 1/2 - It 1/2 40- 35 - 25 7.52 59 22! 10 30 9.14 49 155 30- 35 10.67 35 144 40 12.19 21 79 8 25 45 13.72 5 19 0 1 5/6 Lock 11.1,.: 46' x 6 20- -r ~ i 4 5/t6 0 15 I SK 152" 4 O to- 2 Double Design g 3 7/5 r+ 6 t/a Weight 73 lbs. III-` 4 s/e 0 U.S. CALLONS 10 20 30 40 50 60 70 80 go 100 110 0 3 7/6 LITERS 80 160 2I 40 320 400 + 0 FLOW PER MINUTE o 010940 ' 1 1/2 - It 1/2 NV7 CONSULT FACTORY FOR SPECIAL APPLICATIONS r ' . . I P 5 a Electrical alternators, for duplex systems, are available and supplied 1e 13/32 with an alarm. a Mechanical alternators, for duplex systems, are available with or without alarms. a 5/te a Control alarm systems are available for 1 phase pumps used in simplex sK1a24e system. See FM0732. a Variable level control switches are available for controlling single phase systems. a Double piggyback variable level float switches are available for variable SELECTION GUIDE level long cycle controls. 1. Single piggyback variable level float switch or double piggyback variable level a Sealed Qwik-Box available for outdoor installations. See FM1420. float switch. Refer to FM0447. a Over 1300F. (540C.) special quotation required. 2. Mechanical alternator M-Pak 10-0072 or 10-0075. a Refer to FM0806 for 200" F. applications. 3. See FM0712 for correct model of Electrical Alternator E-Pak. 4. Variable level control switch 10.0225 used as a control activator, specify duplex (3) or (4) float system. 5. Four (4) hole J-Pak, junction box, for water tight connection or wired-in simplex 140 Series - 53 lbs. 4140 Series - 73 lbs. or 2 pump operation, 10-0002. 14014140"' MODELS Control Selection Model Model Volts-Ph Mode Amps nSimlex *10,uplex N140 N4140 115 1 Nan 15.0 CAUTION E 140 E4140 230 Non 7.5 All installation of controls, protection devices and wiring should be done by BN140 BN4140 t 15 t Nan 15.0 a qualified licensed electrician. All electrical and safety codes should be BE140 BE4140 230 1 Non 7.5 followed including the mos t recent National Electric Code (NEC) and the Double seal pumps are available with oplonelmoisture sensors, Seal Fall indicatorlight available in NEMA1aNEMA4X Occupational Safety and Health Act (OSHA). control panels. RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAIL TO. P.O. BOX 16347 Louisville, KY 40256.0347 Manufacturers of.. SHIP v 3649 Cane Run noad Louisville, KY 40211.1961 61 ,Quu/rr P.nr+os SNCE /999 PUMP !O. (502) 778.2731.1(800) 928-PUMP FAX(502)774.3624 7 f9 I i i ; i... i i i ' _.r .........................i.:............... _ f i... . . - - - - - • i j ! ! ; ! : ...........:............5........................ i.... V f i { ...........................!............i............;.............. ...i.._ . _ i , ! ........t.................... ! ! ! ! i ...5... z ............i.............;............ ..i... i i ! ' ._....t ........................j............,............ _ ; I + . ; i............n........._.. I i i i ! i ! i : ' , i r..,~. 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(.G • .l i~ ela ta.7z.........r>r~...... s.... ...,rr._..c~r.......... .:............:.........._...T : ~f f A i owne~t' , kA LAA Clarence Glotfelty Bnviro-Tech Systems & Services ~r N4955 Sunny Hill Road i Weyerhaeuser, WI 54895 r Center Connection Lateral Layout Daigram Force main connection via tee or cross to manifold at any point. Laterals are identical IE P ~ Turin-up wf bail valve or IE X-+IEd2 I102+I Laterals & forte main of PVC Sch 40 9 cleanoutplug , per CONW Table 84.30-5 n rot to 16, zf- EZF &M Number of Laterals Orifice Diameter in . !7 Lateral Diameter in Orifice Spacing (X) ft .3 Lateral Length (P) ft~" Orifices per Lateral I"L Lateral Spacing (S) ft Orifice Density ft2/orifice q, 5'1 x Lateral Flow Rate gpm qb Manifold Length ft System Flow Rate gpm 7-4.0; Manifold Diameter in i . S Total Dynamic Head ft Forcemain Velocity ,t ft/sec SEPTIC TANK AND PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS Locking cover with warring label. Access Weather Proof Junction Box. opsnM not top of cover. Eleemoal as per NEC 300 and Vent Pipe mtrat extend at met a• Comm 16.28 WAC > 17 above grads above finished grade. Access opetkng, not top of cover. moat extend to Maximum Cover war Tank a Pont no greater than 6' below 8nathed grade. D iarlrtect 23' Min. opening I 18' min. ' Alternate outlet I location N 23- Min. Form Main alanater opening Approved ZZ;3 ef8uera filth ~ Length 6Sttal~ealp tit nt f me Man - panieles¢s A Weep bola or anti mT~ t siphon device. ~71/Op C 0 P-motrhyv. J nose Tank -.&LD Bad arq be odls tank aooardklg a ma "a deMre apseficedprle A" k ea ^°p°'n ro negala r _ p t Note: All pipe and vent materials comply with Comm 84. Tank Mantaturer, Doses Per Day: -iT- Tank Sizes: Septic Ilons GPO/ # of Doses: •V gallons Pump Gallons cut Bacldlow. D -gallons Gallons Per Inch: / s v v Total Dose Volume: / gallons Liquid Level: 10 Required GPM: Pump Manufacturer. Z.-,,,A l (z-r- ~ / ) 7 n cJ fry ;Dimensions Inches Gallons Pump Model: A V/ A i. B Alarm Manufacturer 9 s Alarm Model t D Total Vertical Difference between pump off and distribution pipe ( q l Minimum Required Supply Pressure (0 for dosed conventional) _ ! , E J 17 07~ Feet of force main z !A' ction factor / 100 = 5 P61 Tota l Dynamic Head `abte..r~ Wisconsin Department of Commerce ;f7~)SD{ E~ TION REPO Page of / Division o' L.5afety and Buildings c in accordance with r Code c Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must ty J include, but not limited to: vertical and horizontal reference point (BM), direction and I percent slope, scale or dimensions, north arrow, and location and distance to nearest road. C 0 3y -(mod -Xv a- Please print all information. evie&" Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). ZON/~/~ X N % d l Property Owrier °tL 0- Property Location e+ S+ v z.l( Govt. Lot SE 1/4Nr' 1/4 S 3 a Ta N R IS E( W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# gb-7 5+, Ra . I -D, a ~oI . 100 1 . q00 3"~, city State Zip Code Phone Number ❑ city ❑ Village own Nearest Road Wilson WI 5 Oa (-)15 )b %-3014 S F;eQ 0190+~ S+. New Construction Use: Residential / Number of bedrooms -3 Code derived design flow rate y S~ GPD it ❑ Replacement ❑ Public or commercial - Describe: Parent material _ o-1 Q- L i & * `t Flood Plain elevation if applicable 1 ft. General comments Q~ S S V 5 5 a S f~ X 7 5 and recommendations: t oa.a~' E] Boring M [g Boring # All Pit Ground surface elev. JOD •S I ft. Depth to limiting factor al in. Soil Application Rate. 4A- Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 I o-9 loy 33 L @FsaC as aF' a 9-a0 WR 51 L o1Fs4 mF cw I F .5 .g 3 oZ0-33 7.5~ I= 1,SyIZ 6~8 "ta-3 IF-SR mF kl Iv y .Io L4 33-31 S yR y q ScL- IC589, MF I C~.1 . d , 3 Z S 3~-, S VR 4 1 P. s R b 1s FS a FSa " 3 also klas l.5 yR qj Sl. rni ea C00964 Boring # ❑ Boring G, Q ) p Fa-1 ~ pit Ground surface elev. 1 I a ft. Depth to limiting factor I O in. ate Soil nD Horizon Dep th Dominant Color Redox Description Texture Structure Consistence joundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Ef2 1 0-3 10- q /a L a s& ,5 a 19 ~,s L a sa MER ,s • ~ 3 Ig•d ~,SyRs -5 y g eA- 1 58 m CW►J vF .14 .4 ay- 0 5y -15 'PIS <.L ilk mF& - - n a oZ 3 1 So 6s 7 .5 l,Iq SL i &nou Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD 130 mg/L and TSS 130 mg/L CST Name (Please Print) Signatu CST or~n 7. S+ac K a I NWnber Address Date Evaluation Conducted Telephone Number 7b a00 S~ S+bkv PrQ,r;e wt 5g0510 6-L(- 03 X15 -aq9 -3588 J Property Owner f- H L Parcel ID # Page of 3 Boring # Boring FKrpit Ground surface elev. s ft. Depth to limiting factor I in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDtfF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 o-tv 10yRyja L-. a sa MP a aF d - Iq ~.s~IRsl sue" a sa m c~ ,s 3 19- SyR "16 1 `1,5 yR 6 $ ScL alnnSQ m F - , L F-1 Boring # ❑ Boring ❑ pit Ground surface elev. ft. Depth to limiting factor in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft? in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 a Boring # Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 ' Effluent #1 = BODS > 30 5 220 mg/L and TSS >30:<_ 150 mg/L ' Effluent #2 = SODS < 30 mg/L and TSS 130 mg& 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) E;m e- 1 i 7 _ S 1 t 00 -ro vvx ° L7 A- c- / s7' h /00,00 lie a a Iao,S 1 ~ , ' o o cr r ~ ~a qbY' IL f 4 773772 VOL 18 PAGE 4832 SAT6L'h'~i N. REGISTER CIF DBBDS ST. C:ROIX CO. VI RR=191V$D_FOR02tC@WN 2~ u CERTIFIED SURYEY MAP L i BIG ra In-go CERTIFIED SURVEY MAP PAGES, 2 LOCATE) 3N THE SEl./4 OF THE HEi14 AND THE NEi~4 OF THE SES 4 NSIN. OF !,3MTMl4 32- TOWN OF 5RINC =L 0. 3T. CAOIX LAITY, W 2867 HNY, '12 D.D.T. FILE NUNEER w-5-12--37B3-2003 YfILSON. MI. 54027 BEARINGS REFE!7=.NCED TO THE EAST LINE N OF THE NE1/4 OF SECTION 32. ASSLCD TO BEAR S00 S3-45"W ( PREVIOUSLY RECORCEO As N00°D5'361W I. C/O STAN 7 .OMPSON 2669 HWY -12- WILSON, WILSON, NI. 54027 4 J, 7 ACCESS AT THE LEGfw WE C . SEE S TLION 32EY F FO L'NTJL13:ALST. DEVELOPMENT. SENED EH FC OF ANY LOT S _ INOICATES SECTION CORNER MONUMENT. MARKER NAIL FOIt~ ) HC;JLD 9E EDR AS N DTED ) - ( ACCESS THAT NAY OCCUR - :NIDiCAT£S i' X 19' l OUTSIC£ DTANE'T`R 1 DIRECTLY NORTH 6F LOT S, IRON PIPE WEIGHING 1.13 LBS. / !TWEAK THE VISI8ILIT! TO.T~f SC4JTH FOCI SET. W OF THIS POS:.TION W0.)LD BE (p) - INDICATES PREVIDUS Y R'L'CO9DED OBSCURED IF AN ACCESS WAS INFORM o-710 1. PLACFO FLIRTHER SJUTH. -jr1- 85'X33' :OINi SCALE IN FEET 1' 150'; a EE NDS; , 0` 75' ISO` 300` LANDS-. iN~ AAA 3A' 18~ ` 11N N79°41 110.7gffi ~J t * r E ERQ * LOT I ti R 0 {j W ~t 183,638 SSW .s~ - i ~+L !Q, Yt INES.LlDIN6_fiI6HT-OF~YIAY FEET I t V 9 ti. ,r' O ~`7j Q 48f13.402 ACFT •SIJRV E~ EXCLUDING RZ-OF-WAY ' I tI I NS9'!SS3s'E 349.92' is NS9°5531"E 437.C0': LOT 3 404 .00' 33.00' SgS,11 Ac FEET ku LOT 2 {q 9 F f I $ (3.01.011 ACRES I W ~i s~ 5 $ a `-3`('`3.100 ACFIES ) i $ 95'1 XS DJCLUOING RIGHT-OF-MAY : R { m 124.843 SQUARE FEET i 66 w ( 2866 ACRES~]_ m EXCLLt~INtG RIGHT- WAY133 t a i . .••...100 BUILDING SETBACK ,.INE P048IBLE FUTURE H:O-rT-DF-WAY i Q 1-i I( I $ SS9°56 I-W 753.59' 437.00 33.0C I i. 404.00' I NSS^56 31'E " 349.£9 7 .59' 451C.85 -1 OUfLaO7 ky E 16 6, A A f91 I 524°55x1"W 73553• 33.00~-~ T i $ i/a CORNER, SECTIDN 32• UNrY1RED 4, iD Px NAIL FVUNIQ CIECKS I r~$ WITH TTES OF RECORD 1 ,41/4 ',X7iV;, SECTION! 32, EAST=REST 1!d SECTION LZNE ( 2' iRF)N °IFE FMPn ) OUTLOT 1 CONTAINS:' 51,912 SQUARE FEET ( 1.192 ACRES ) ,.NCLWING RIGHT-OF-WAY AWE 49.734 SQUARE FEET ( 1.142 ACRES ) OUTLOT L -S THE ACCESS EASEWVNTT EXCLUDING R:GHT-•OF-WAY MRYIN3 LOTS 2 AND 3 AS SHOWN HEREON. HE OUTLO- WZL SERVE PROAqSD ■V. AS *r t ACCESS FOR `!HESS TWO LOTS UNTI_ SUCH TINETHEE OU?LOT G .'~,(/'yJJ 1 IS O£DICATEC TO THE TOWNSHIP AS A TOW ROAD OR IT NAY BE l2*C.T.li.'P SE_ CDP4~R SECTiDN 32 DEEDED TO ETn-ER LOTS 2 ~ 3. NEW RVCHM010. YA W17 i OME STEEL SURVEY THIS iN5TRUNIENT DRAFTED 8': WDW ~ NAWCER NAIL FOUVD ! SW-F- 1 OF 2 JOB ,MT )SETaF W. GRAN3ERG vol 18 Page 4832 Parcel 034-1072-40-125 06/21/2005 11:24 AM PAGE 1 OF 1 Alt. Parcel 32.29.15.485C 034 - TOWN OF SPRINGFIELD Current ! X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 09/08/2004 00 0 Tax Address: Owner(s): = Current Owner MABEL A TR THOMPSON ' THOMPSON, MABEL A TR 2891 HWY 12 WILSON WI 54027 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description 660 290TH ST SC 0231 BALDWIN-WOODVILLE AREA SP 1700 WITC Legal Description: Acres: 3.100 Plat: 4832-CSM 18-4832 034-04 SEC 32 T29N R15W PT SE NE CSM 18-4832 Block/Condo Bldg: LOT 2 LOT 2 (3.1 AC) Tract(s): (Sec-Twn-Rng 401/4 1601/4) 32-29N-15W SE NE Notes: Parcel History: Date Doc # Vol/Page Type 09/08/2004 773772 18/4832 CSM 03/08/2004 756115 2523/117 EZ-1 07/23/1997 1150/265 QC 07/23/1997 1031/327 TI 2005 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 05/26/2005 Description Class Acres Land Improve Total State Reason AGRICULTURAL FOREST G5M 3.100 2,800 0 2,800 NO Totals for 2005: General Property 3.100 2,800 0 2,800 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 _-S -7 -72 VOL 18 GE 4832 2005 m KATHL>~A H. ALSH REGISTER OF DEEDS ST. CROIX CO. YI Si ateNX "~'^i N Y RECEIVED FOR f1ZE&D HPORD OW8812694 R2:98PM CERTIFIED SURVEY MAP FENt 3.60 CERTIFIED SURVEY MAP PAGES= 2 LOCATED IN TFE SEi/4 OF TFE NEi/4 AND TFE NEi/4 OF THE SEi/4 OF SECTION 32, TOM OF SPRIN6FIEL0 ST. CROIX COINTY. WISCONSIN. Z91- 15 L&T%% NZEL D.O.T. FILE NUMBER 55-12-3783-2003 2867 HWY. "12" BEARINGS REFERENCED TO THE EAST LINE WILSON. WI. 54027 OF THE NEI/4 OF SECTION 32. ASSUMED TO BEAR SOO 13.45"W ( PREVIOUSLY RECORDED OWNERS: AS NOO°05.36'•W MABLE 7M&. TfUg C/O STAN THOMPSON /~(p~ 2859 HWY "12•• -Ti~".7d W ACCESS AT THE WILSON. WI. 54027 NORTHEAST CORNER OF LOT i NE CORNER SECTION 32 SHOULD BE USED FOR ANY INDICATES SECTION CORNER MONUMENT. ( 1" ROUND STEEL SURVEY POTENTIAL DEVELOPMENT OR ( AS NOTED) MARKER NAIL FOLINCI) ACCESS THAT MAY OCCUR INDICATES i" X i8•' ( OUTSIDE DIAMETER ) DIRECTLY NORTH LOT 1. IRON PIPE WEIGHING 1.13 LBS. / LINEAR THE VISIBILITY TO O THE SOUTH FOOT SET. OF THIS POSITION WOULD BE (fl ) - INDICATES PREVIOUSLY RECORDED -N- PLACED OBSCURED FUR HEERR ASOOUTH. WAS INFORMATION. (pi SCALE IN FEET 1" 150' 66' X 33' JOINT ACCESS EASEMENT ( * SEE NOTE ) I 01 75' 150' 300, ee ~ ~ Aw~, I UN MM1~ 1~ i p179147'46"E 44A•3A 33` A p 33 I I ~ SCONS~~ - I I W. * LOT ; ► "I W 161.608 SQUARE FEET I II ( 3.710 ACRES ) $ I y Q•° INCLUDING RIGHT-OF-WAY 146.191 SQUARE FEET a `S VR EXCLUDI3.402 NG RIGHT-OF I WAY I -LL I i~ IQ N89°56'31'£ 349.92' $ I W~ NB9°56 31"E 437.00': -1 Z ~i LOT 3 404.00 ..I u 131.159 SQUARE FEET 33.00-' N I UII 3.011 ACRES ) w ~~c LOT 2 = ~ ~ I Wr 11 $ 135.036 SQUARE FEET I I v Qk 3. 100 ACRES 33 INCLUDING RIGHT CF WAY ~ $gl ( ~w - a-3 w 124.(82 866 A(7IEST j''I m XCL.UDING RIGHT-OF-WAY S 133 I g _6p 14 S00' BUILDING SETBACK LITE POSS FUTURE RIGHIT-OF-WAY g SB9°56'31"W 753.59' 437.00 33.00 N89°56'31 £ 349.59' 4.00' 4510.86 OUTLOT i 7 9 $ 66'W01M AS HNTD~kvVfXMU 7686, PA 7 S89056'31"W 786.53 33.00' UNPL4,7FD LAND (P x. NC AIL F WITH TIES OF RE OUNDCORD CHECKS)I $ W114 CORNER SECTION 32, EAST-WEST 1/4 SECTION LINE F (2" IRON PIPE FOUND ) v~ OUTLOT i CONTAINS: 00.1 51.912 SQUARE FEET ( 1.192 ACRES AWE INCLUDING RIGHT-OF-WAY 49.734 SQUARE FEET ( 1.142 ACRES ) OUTLOT 1 IS THE ACCESS EASEMENT EXCLUDING RIGHT-OF-WAY SERVING LOTS 2 AND 3 AS SHOWN HEREON. THE OUTLOT WILL SERVE AS THE ACCESS FOR THESE TWO Pf*FI 7{Ys LOTS UNTIL SUCH TIME AS OUTLOT i IS DEDICATED TO THE TOWNSHIP GQANB. AS A TOWN ROAD OR IT MAY BE 129 C LH. 'E' , DEEDED TO EITHER LOTS 2 OR 3. 1 RK**A0M.%M 6/017 SE" CORNER SECTION 32 THIS INSTRUMENT DRAFTED BY: PHONE(776)y~,7~y ( i ROAD STEEL suRVEv JOSEPH W. GRANBERG JOB NO OS•021 MARKER NAIL FOUND) SHEET 1 OF 2 WOW Vol 18 Page 4832 vi r ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer Du a-A, ~L_ I V a Mailing Address OLR 17 Property Address a 65 r (Verification required from Planning & Zoning Department for new construction.) City/State Parcel Identification Number 3 - O}2-'IO-1 ZS C LEGAL DESCRIPTION Property Location 5-C , ~J i~ Sec. T 39 N R~W, Town of Y ►'1 l SO I C4 Subdivision , Lot # of . Certified Survey Map # Volume t , Page # p Warranty Deed # 1 Volume Page # (D/ s Spec house yes no Lot lines identifiable yes no SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & 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. I/we, 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 Planning & Zoning Department within 30 days of the three year expiration date. 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. Phtxqber of bedrooms SIGN TURF OF PLIC S) DATE ***Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV. 08/05) U 2 8 1 6 P 0 1 0 -7 cIiS, 4B iZ la KATHLEEN H. WALSH DOCUMENT No: STATE BAR OF WISCONSIN FORM 1-1982 REGISTER OF DEEDS ST. CROIX Co., WI WARRANTY DEED RECEIVED FOR RECORD THIS DEED made between Lee R. Stenzel and Mary Beth Stenzel ("Grantor") 06/06/2005 03:15PM and Duane H. Midtling ("Grantee"), WARRANTY DEED EXE1l'Pl' # REC FEE : 11.00 TRANS FEE: 108.00 WITNESSETH, that the said Grantor, for valuable consideration conveys to Grantee COPY FEE: the following described real estate in ST. CROIX County, State of Wisconsin: CC FEE: PAGES: 1 00f Certified Survey Map #4832, recorded in Volume 1 of Certified Survey RUTURN TO Maps, Page 4832 as Dom a #t 77 77 . Being a part of the SE 1/4 of the NE 1/4 and a part of the NE 1/4 of the SE 1/4, Section 32, Township 29 North, Range 15t!5 b West, Town of Springfield, St. Croix County, Wisconsin. Including and easement for ingress/egress as shown on said Certified Survey Map #4832 and also described E6 in Volume 1688 of Records, Page 174. c~ Tax Parcel No: part of 034-107240-000 This IS NOT homestead property. (is)(is not) Together with all and singular the hereditaments and appurtenances thereunto belonging; And Lee R. Stenzel and Mary Beth Stenzel warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except Easements, restrictions, and encroachments of record. and will warrant and defend the same. Dated this 31 day of 2005. (SEAL) (SEAL) * *Lee R. Stenzel (SEAL) (SEAL) * *Ma eth Stenzel AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN 1 ss. _ authenticated this day of , 2005 ST. CROIX County- I * Personally came before me this day of May TITLE: MEMBER STATE BAR OF WISCONSIN 2005 the above named Lee R. Stenzel and Mary Beth Stenzel of (If not, me known to be the person who executed th~fe ly,4rstrument authorized by § 706.06, Wis. Stats.) and a o d e. •°°~~0,•,'.; P THIS INSTRUMENT WAS DRAFTED BY Q~. Rick L Pendergast 1O e-'~h ERIC P. • Notary Public CoI,F~ Attorney-At-Law • ;V My Commission is permanent. (If not, 461A rration dat P fl• (Signatures may be authenticated or acknowledged. Both are not Oj••'•••••..•„•••'''~ necessary.) qRY Pv • •~~•ganlll~~~~°° "'Names of persons signing in any capacity should be typed or printed below their signatures. WARRANTY DEED File # 05000943 ftZ Vision Form SDD03WI Rev. 01/18/88 CERTIFIED SURVEY MAP LOCATED IN THE SE % OF THE NE % AND THE NE % OF THE SE OF SECTION 32, TOWN OF SPRINGFIELD, ST. CROIX COUNTY, WISCONSIN. DESCRJPTION. A parcel of land located in the SE'/, of the NE and the NE'/. of the SE'/. of of Section 32, T29N, R15W, Town of Springfield, St. Croix County, Wisconsin, further described as follows: Beginning at the E'/. Comer of said Section 32; thence S0011345'W 33.00' along the East line of the SE %of said Section 32; thence S89W31'W 786.53'; thence N0010'43'E 441.00'; thence N89~56'31'E 349.97; thence N00° 13'45'E 264.64'; thence N79'47'46'E 444.34' to the East line of the NE % of said Section 32; thence S0013'45'W along said East line of the NE % of said Section 32, 750.91' to the point of beginning, containing 479,715 square feet (11.013 acres ) more or less and being subject to any easements, restrictions and covenants of record. SURVEYOR'S CERTIRCATE I, Joseph W. Granberg, Registered Wisconsin Land Surveyor, hereby certify that under the direction of Lee and Beth Stenzel and with the permission of the owners Mable Thompson Trust ( C 10 Stan Thompson ) I have surveyed and mapped the above described lands in accordance with official records, Chapter 236.34 of the Wisconsin Statutes, the St Croix County Subdivision Ordinance and the Town of Springfield Subdivision Ordinance and that this map and description are a true and correct representation to scale thereof. THIS INSTRUMENT DRAFTED BY: JOSEPH W. GRANBERG. DATED THIS 6TH DAY OF AUGUST, 2003. GENER4L NOTICE STATEMENT each parcel shown hereon is subject to State, County and Township laws, rules and regulations ( i.e. , wetlands, minimum lot size, access to parcel, etc. Before purchasing or developing any parcel contact the St. Croix County Zoning Office and the appropriate Town Board for advice. I NOTE REGARDING DISTURUR84NCE OF 20% AND GREATER SLOPES A special exception use permit is required for the * 132 disturbance of slopes 20% or greater not identified on the NEW RICHMOND approved C.S.M. This permit is applied for through the WI zoning office and is reviewed through a public hearing ! Q process by the St. Croix County Baoard of Adjustment. URV ~r0 APPROVED ST. CROIX COUNTY Ph w"" ZWdm and Parks Committee SEP 0 8 2004 If not rsoor"ad vAthin 30 days of approval date approval shall be null and void PREPARED BY: GRANBERG SURVEYING 1239 C.T.H. 'E' NEW RICHMOND, Wl. 54017 PHONE (715) 246-7529 JOB NO. 03-023 SHEET 2 OF 2 Vol 18 Page 4832 773772 VOL 18 PAGE 4832 KATHI6)Mi H. WALSH REGISTER OF DEEDS ST. CROIX CO. MI RECEIVED FOR ~tBCORD 09/08/2004 02:00PM CERTIFIED SURVEY MAP ffjyEffi, CERTIFIED SURVEY MAP PAGES= 2 LOCATED IN THE SEi/4 OF THE NEi/4 AND THE NEi/4 OF THE SEi/4 OF SECTION 32, TOWN OF SPRINGFIE! n- ST. CROIX COUNTY. WISCONSIN. SURVEYED L&TWY H F SOR: L D.O.T. FILE NUMBER 55-12-3783-2003 2867 HWY. ••12" BEARINGS REFERENCED TO THE EAST LINE WILSON, WI. 54027 OF THE NE1/4 OF SECTION 32, ASSUMED TO BEAR SOO 13'45"W ( PREVIOUSLY RECORDED OWNERS: AS N00005'36"W )-MABLE ON TRUST C/O STAN THOMPSON AAOTE WILSON, WWI. 5 027 ANT ACCESS AT THE LEGEND NE CORNER, SECTION 32 NORTHEAST CORNER OF LOT 1 SHOULD BE USED FOR ANY - INDICATES SECTION CORNER MONUMENT. ( i" ROUND STEEL SURVEY POTENTIAL DEVELOPMENT OR ( AS NOTED ) MARKER NAIL FOUND ) ACCESS THAT MAY OCCUR INDICATES 1" X iB" ( OUTSIDE DIAMETER ) DIRECTLY NORTH OF LOT 1. IRDN PIPE WEIGHING 1.13 LBS. / LINEAR THE VISIBILITY TO THE SOUTH FOOT SET. OF THIS POSITION WOULD BE ( R ) - INDICATES PREVIOUSLY RECORD W I OBSCURED IF AN ACCESS WAS INFORMATION.I _N_ PLACED FURTHER SOUTH. SCALE IN FEET i" - 150' 66' X 33' JOINT I ACCESS ( NT SEE NO DS JI 0. 7 5 150' 300 'L)S- 444.34' UNPLA D .41.46.F 4'10.79' '3311 I I C O IV6, I W. ( I * I s LOT f 161.608 SQUARE FEET s ( 3.710 ACRES ) cn INCLUDING RIGHT-OF-WAY : ¢ mI ~/y d ~0 A3 14R I91 SQUARE FEET F ( 3.402 ACRES ) I I E3.~ v SUIRM EXCLUDING RIGHT-OF-WAY LL I I o a $ I i J NB905631'E 349.92' eo ~ S n I ~j 41I N89056"3VE 437.DO LOT 3 m 404.00' ; j ( ~ [ 33.00' I ¢I3 131,159 SQUARE FEET to I 8 ( 3.011 ACRES , ul) _ LOT 2 0 v Q g 1 ET I_ I 3.100 ACRES ) I 5$~ 334 n, I124.8430SOUARE FEET AY gl c5S ( 2 J966 ACRES -WAY v EXCLUDING RIGHT-OF) S 133 I Z3 N ° 100' BUILDING SETBACK LINE P065TW F FUTURE RIGHT-0F-WAV a jl 3- I 111'11 589°56'31"W 753.59' 437.00' 33 00 -81 cri m 349.59' 404.00' NB 51O..B6' E QKMOT I 7 59 m 66' YME~DESC IN V XL&IE 7686, 5PA T7A 18 i8 S89056'31"W 786.553 33.00' R $ \ m Ei/4 CORNER, SECTION 32a UNPL4TTFD LAND.$ (Px. NAIL FOUND, CHECKS ~ o WITH TIES OF RECORD ) I/4 CORNER, SECTION 32, EAST-WEST 1/4 SECTION LINE WAR i ( 2" IRON PIPE FOUND OUTLOT i CONTAINS:^ 51,912 SQUARE FEET ( 1.192 ACRES) INCLUDING RIGHT-OF-WAY Ab7E 49,734 SQUARE FEET ( 1.142 ACRES ) OUTLOT i IS THE ACCESS EASEMENT EXCLUDING RIGHT-OF-WAY SERVING LOTS 2 AND 3 AS SHOWN HEREON. THE OUTLOT WILL SERVE AS THE ACCESS FOR THESE TWO PREPARED By' LOTS i TOWNSHIP GRAN SIRWYNG IS DEDICATED TOITHEA AS A TOWN ROAD OR IT MAY BE 1239 C.T.H.*F DEEDED TO EITHER LOTS 2 OR 3. NEW WC MOp•VA X17 SE CORNER, SECTION 32 THIS INSTRUMENT DRAFTED BY: PHONE (716) 24&7629 ( MARKKEER N FOUNSURVEY D) JOSEPH W. GRANBERG ice NO. 03-023 SWEET 1 OF 2 Vol 18 Page 4832 • 577-GM-1406 Price Code:A N ~ M • Asa W Tai A = { w - J J O - ~ I - J J II p - - rrr r rrr° a - = - - rrr rrr ~ ~ - - ~ II o kl ~ o I~Covered Breezeway To Garage Total Living Area: 1,406 ■ Master bedroom has a sloped ceiling l ■ Kitchen and dining area merge becoming a gathering place ■ Enter family room from charming covered front porch and find fireplace and lots of windows ■ , be aths, 2-car detached garage / VIP I_b or crawl s ce foundation, please specify when ordering Garage & Storage cfl Rear Porch 22 x 24 .Master 12/4)(8 e,Cig 15 x 14 i 9 x 1014 O e, Chg. 1Walk O O i ~ W D Slope CIO. Dining Kitchen 10x11/4 E S' CIO. 1 9 x 13/3 0 B.R. #3 0/8 x 5 Family Room -111, 1, 10/4x11 15x19 With Garage a G,. 9' CIO. Width: 76'-6" ~ B.R. #2 lox 13 Depth: 57'-1" e' p9. Without Garage Porch Width: 47'-0" 25 x 6 Depth: 46'-0" - Z al oc