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sconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division < J, INSPECTION REPORT Sanitary Permit No: 420378 0 GENERAL INFORMATION (ATTACH TO PERMIT) S i te Plan ID No: -7- Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. 4 T 2 f 4 Permit Holder's Name: City Village X Township arcel Tax No: Frye, Kurt & Julie I Springfield Townshi 034 - 1073 -30 -200 CST BM Elev: 1 Insp. BM Elev: BM Description: -4 60 .6 ^ - 1 0D.0 • a 1 T �tvc- TANK IN ORMATION U ELEVATION DATA /sw) 12. 5-r TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic O >✓�S� OU'D 6dO Benchmark 1C0. 1T f Dosing L Alt. BM ' Vj— t 2.0 .31 Aeration Bldg. Sewer 1 2.8 Ti. IS Holding St/Ht Inlet St/Ht Outlet TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt inlet Septic -. fi S 2 g/ Dt Bottom /4 - I Dosing ?,b t, U _ I leader /Man. o ST 2 -Z0 Aeration Dist. Pipe ,ZG Z9 Holding Bot. System .9 D ell, 0 or Final Grade PUMP /SIPHON INFORMATION �ytC' ��� � - \ Manufacturer Demand St Cove x,.11 ` } GPM ofd Vodel Number O' DH Lift Friction Loss / System Head T Ft 9 i l • � 9 2.5n X9.1 Forcemain Length I Dia. N Dist. to Well SOIL ABSORPTION 77 SYSTEM BED /TRENCH Width Length No. OfzFmiches PIT DIMENSIONS No. Of Pits Inside Dia. DIMENSIONS 9 I O (33 SETBACK SYSTEM TO P/L JBLDG IWELL LAKE /STREAM LEACH Manufacturer: INFORMATION CHAM Type Of System: w r r ' 3OO t ' 3W1 NIT umber. DISTRIBUTION SYSTEM J Header /Manifold Distribution // I x Hole Size I x Hole Spacing Vent to Air Intake 11 Pies L Dia 11-ength Dia 1 Spacing 3• D SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil , Yes [] No ❑ Yes U No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1�/ O / d pection --p Location: 2844 60th venue Wilson, WI 54027 (SE 114 SW 1/4 32 T29N R1 5W) NA Lot IN : 32. 9.1 1.) Alt BM Description =� 4.Lk cre ('ICo1 r -+•,a, ewe+ • ;� 2.) Bldg sewer length = Z9" Uv •� - amount of cover = > it?" SA � '• b �•� 3.) Contour = 9(, . Stb t (S�44J ik eS' off k� z lab .SY �) -- Plan revision Required? Yes No O Use other side for additional information. _ __� i_ f F�1�T. Insepctor's Signature _ _ Cert. No. BD-6710(R.3 /9 �)�,�, ba- a(�3 d, e auw � .q .�►,. s,�R�w�.l� �e.,.l�_ L..�,� - �.,ct' f\ � w� - w�t� • -b kW ; „ Me 'a {" -u ll wj <,S�ds J- 0 • I 1 4 �z IZ L V " r m Safety and Buildings Division County ,. 201 W. Washington Ave., P.O. Box 7162 St. ( X lseonsln Madison, WI 53707 - 7162 Site Address Department of Commerce D /q/ 1 1 P 9;; i F- r- =ff 2,$tf A6, Sanitary Permit Application Sanitary Permit Number In accord with Comm 83.21, Wis. Adm. Code, pers rovide y�l) �{ " R may be used for secondary purposes Privac Law, 4 •- Check if Revision I. Application Information - Please Print All Informat' n State Plan I.D. blumber Property Owner's Name _ k 1li 1 F=` U y� � Q 200? Parcel Number rt i �r Property Owner's Mailing Address Property Location r SE '4S W S4; S p(T - N. R'!5 City, State Zip Code Phone Number Lot )per Block Number w —. W Subdivision Name CSM Number ism z � - 9g -aa�q �V.16 e �� � (Z Type of Building (Check all that apply.) ❑ City 1 or 2 Family Dwelling - Number of Bedrooms 3 i?Yed ro ❑ . e • Public/Co cial - Describe Use Willa i • State Ow tt 1`� is- Barest Road I i f , [.0(12- `fin III. Ty a of Permit: (Check only one box on line A. Numbering is for internal use.) (Complete line B, if applicable.) A. 1 New 2 ❑ Re placement System 3 ❑ Replacement of 6 ❑ Addition to S stem P y I Tank Only Existing Sys For County use B ' 13 Check if Sanitary Permit Previously Issued Permit Number Date Issued Iv. Type of POWT System: (Check all at apply. Numbering is for internal use * (OU 44 ❑ Non - Pressurized In- Ground 21 Y Mound 47 ❑ Sand Filter 50 ❑ Constructed Wetland 22 ❑ Pressurized In- Ground 41 ❑ Holding Tank 48 ❑ Single Pass 51 ❑ Drip Line 45 ❑ At -Grade 46 ❑Aerobic Treatment Unit 49 ❑ Recirculating 30 ❑Other V. Dis ersal/Treatment Area Information: Design Flow (gpd) Dispersal Area Dispersal Area Soil Application Percolation Rate System Elevation Final Grade Required Proposed Rate(Gals. /Days /Sq.Ft.) (Min. /Inch) 1 %. 7r Elevation 460 90 q61 4_7 " 99. z-r5 Vi. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Tanks Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank IDOO Dosing Chamber X / t VII. Responsibility Sta tement- I, the undersigned, assume responsib' ' installation of the POWTS shown on the attached plans. Plumber's Name (PrirA Plumber' gnattr MP /MPRS Number Business Phone Number Plumber's Address (Str t, City, State, Zi e) - Z75j VIII. Coon /De artment Use Onl Disapproved Date Issued Is A gent Si na a No Stamps) �Q Approved ❑Owner Given Initial Adverse Sanitary Permit Fee (includes Groundwater g g g ( P ) Determination Surcharge Fee) ?j2�� bj 2jp IX. n�Clondit_�i of proval/Reopus for Disapprov_1a -1 - /1 • A �l St7bro ►a�6 r1114►.w�'Cn� .Rf/ �Ca -V-� C64 741- cx^ / iMtu.�� JCo �ef Tl .e Cbf12 l f 1 • Attach complete plans (to the County only) for the system on paper not less than 8112 x 11 inches In size J � 1 sod WO Ol t r` +, �- r r � � P g f J r� r Safety and Buildings ' 4003 N KINNEY COULEE RD LACROSSE WI 54601 -1831 TD #: (608) 264 -8777 erc \*isconsin www.wisconsin.gov .wis c ons .wisonsin.gov Department of Commerce Scott McCallum, Governor Philip Edw. Albert, Secretary August 23, 2002 CUST ID No.225094 A7TN: POWTS Inspector MICHAEL P ROGERS ZONING OFFICE ROGERS PLUMBING ST CROIX COUNTY SPIA N4563 320TH ST 1101 CARMICHAEL RD MENOMONIE WI 54751 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 08/23/2004 Identification Numbers Transaction ID No. 778281 SITE: Site ID No. 649424 Kurt Frye Please refer to both identification numbers, 60TH Ave above, in all correspondence with the agenc Town of Springfield St Croix County SE1 /4, SWIM, S32, T29N, R15W FOR: Description: Three Bedroom Mound System Object Type: POWT System Regulated Object ID No.: 867115 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: General Approval Requirements: • 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.01 101) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems VERSION 2.0" SBD - 10706 -P (N.01/01). • 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. C0111r1 • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption APPF area. chs. NR 811 & 812c MINI OF • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. SEE CORRE • 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. MICHAEL P ROGERS Page 2 8/23/02 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/instal lation /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 q g P Y 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 II , Integrated Services WSMART 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 Henry F Grote , Certified Soil Testing Fly < Z40 Kurt Frye - Mound O o, Transaction # As o /`j Construction Materials and Techniques All materials must comply with Comm 84 and be installed in accordance with manufacturer's specifications. Construction methods must comply with the following Component Manuals: Mound, SBD - 10691 -P (01 /01) Pressure Distribution, SBD- 10706 -P (01/01) Location: SE 1/4, SW 1/4, Sec. 32, T 29 N, R 15 W Town: Springfield County: St. Croix Date: August 24, 2002 Owner: Kurt Frye Address: 684 CTHW NN Wilson, WI 54027 Plumber: Mike Rogers Signature: C ' f License # MP 225094 Attachments: 6748 -Plan Approval Application SBD -8330 page 1: cover 2: design criteria & calculations 3: plot plan tivn�j 4: system cross section a VED 5: plan view, lateral detail oFCo 6: pump tank exit detail �EYi011t� MERLE 7: pump curve �� N GS 8: system management -SPONDE page 1 of 8 Design Criteria " ACS Residential Wastewater Contaminant Load: 30 mg /L < BOD < 220 mg /L Anticipated septic tank effluent 30 mg /L < TSS < 150mg/L Fecal Coliform > 10,000 cfu/100 mL Fats, oils, grease < 30 mg/L 3 Bedrooms x 100 gal/bedroom/day x 1.5 4 m gallons /day hydraulic load Design Calculations In situ designed loading rate o , 4 gallons /sq. ft. per day Depth to estimated high ground water y� in. Depth to bedrock in. Cross slope at system 3 % Force main length 4. 1 Z ft. of z- in. Manifold /header length ft. of z- in. Drain -back gallons Lateral length @ �} $•o ft. of � in. Lateral elevation ft. @ bottom of lateral Lateral hole size 3 �i6 in. @ 4-V - 0 in. ( d r • O ft.) Spacing 3 holes /lateral 3 -A holes total Lateral volume 1 3 • Z4t gallons Total lateral discharge rate gallons /minute @ Z • ft. head Network pressure compensation losses � ft. Elevation difference �Z•�� ft. Friction loss 9 bg ft. @ 2.6 gallons /minute Total dynamic head 3 6.4 3 ft. Pump /si Zon 1 "'I gpm @ ' ft. of head Manufacturer o eA Q �. Model # 1 4'co Dose volume k gallons Lift /siphon tank (-o 6 �o gallons Septic tank ° I macro gallons Effluent filter - Measurement pump on and off 1. *)C in. Height alarm from tank bottom 16.4 in. Reserve capacity 'SL3.5 gallons specs.calcs.res Page 2 - of ,I M -;3S , -- a n I _ J . ru� co U p 4 �, a ( A Cl) .[ 2 f c� 80! s Z r^ 9 rn ( - , i —_ ry V � z .� c a ��3y I � �I Z• �+ � L w a.S�t;.� i h �.v X 4 ` tL � V : t k 4NO O �witrNC O 1 1 r� �w. b �o�ptm,, b p S l 1 o w Q,1t3.V a�.,� g 3 9�iLi. e..w�,c.w�o-•�c,� m O.�,q�� I I • 1 O • Z 10 k'� S . b •o � J to.�}� iVo•4•t; \�tv... \S� �.l. -- � + 4t.or o.� •1• �•oc.y� �� y. 3 e' • I l � J . 3 / ► b " \� o\ c� o ... 1 . T A a• Q �,.•i 2.• c c \ : -. c.� CJ •� " °��p ° ( • �' o\ IL \ r WEATNERP WOO F Wc KIWG OVER JL ION Booc lvx, 1v /N6 A pvICK G1+1C.OVy�GT -- b" > �} T $ 4 IL 4 ° DIg6 3' P u no NDISSuaeED SOIL_ 2 4" Z.D. �I d 4 o iok," r r� aW ILOVLO A 4.3 l 1 .. 4 r 0 SJC�T 3bJKr� �� gAF F L E. 1 A L &APtT 3' owr o Km E G.T I o ►+S �! `'y .� �X � vb ON — 0 w v o PUAP Go^/GRFrc 1L. - +b. SEPTIC t -5 p C C I F I - C A T 10 Q DOSE e-Ar' S MAWUFACTURCR: (JUM6ER OF DOSES: 19.6 PEK CAz TAWK SIZ E : k �' �"° GALL0IJS DOSE VOLUME S X �rv INCLUDIMG OACKFLOW: A�APY1 11AA�UiACTURCR; vA -vtiS /%�ODCL QUAbEK: CAPACITIES: A= I►JCHES OK SWITCH TYPE: _ G. " X3.151 u PM wcHE s OR Ar-% ,P /1AWUFAC.TURCR: � C • �'} IuCHE$ OR 'A,LCI j 7► MODEL QUMBER', 1 0■ IN�.HES OR 1`-0 ;,A. SWITCH TYPE; � `"`� ROT E: PUMP AWD ALARM ARC TO 9C MIWIMUM DISCHARGE RAT Z GPM INSTALLED O u SEPARATC CiKC- VORTICAL DIFFEIIEWCC OETWEEU PUMP OFF A1J0 O(STRIbUTIOW PIPE.. 23 '� FEET + M uIMUM WETWORK SUPPLY PREtLURE • • , • , • . . . • . 2 S FCCT4 ID�'� 3a— FEET OF FORE[ MAIIJ X 2�� Fy 100 FtFKICTIOW FACTOR. 9 * FEET �Io� 3L.43 TOTAL DyWAMIC. HEAD = FEET IIJTEKIJAL DIME1J610AJi Of TAWK: LEWC.TH _,WIDTH � LIQUID C)EPTH ^1 J a- HEAD CAPACITY CURVE TOTAL DYNAMIC HEAD /CAPACITY PER MINUTE 3 7 /8 6 V° MODELS "140/4140" EFFLUENT AND DEWATERINC 4 5/8 Ft. Meters Gol. Ltrs. 14 45 5 1.52 91 344 0 0 3 7/e 10 3.05 84 318 + 12 40 15 4.57 76 288 0• o 1 40 140 20 6.10 68 257 1 112 - 11 1/2 NPT 35 25 7.62 59 223 10 30 9.14 49 185 30 35 10.67 38 144 8 40 12.19 21 79 25 45 13.72 5 19 c p 12 5/8 2 6 20 Lock Vulva: 46 u a 4 5/16 0 15 1 4 SK1524A a 10 2 e e 5 3 7/8 6 1/4 4 5/8 ' , 0 U.S. GALLONS 10 20 30 40 1 50 60 70 80 1 90 100 110 0 3 7/6 LITERS 0 80 160 240 320 400 0 FLOW PER MINUTE + 010904 0 0 r 1 1/2 - 11 1/2 NP1 dam/ QQA�• CONSULT FACTORY FOR SPECIAL APPLICATIONS Electrical alternators, for duplex systems, are available and supplied with an alarm. 12 5/8 Mechanical alternators, for duplex systems, are available with or without alarms. - � Control alarm systems are available for 1 phase pumps used in simplex ° 5 system. See FM0732. f SK15248 Variable level control switches are available for controlling single phase systems. Double piggyback variable level float switches are available for variable level long cycle controls. SELECTION GUIDE • Sealed Owik - Box available for outdoor installations. See FM1420. 1. Single piggyback variable level float switch or double piggyback variable level float Over 130 °F. (54 °C.) special quotation required. switch. Refer to FMO477. Refer to FMO806 for 200° F. applications. 2. Mechanical alternator M -Pak 10 -0072 or 10 -0075. 3. See FM0712 for correct model of Electrical Altemator E -Pak. 4. Variable level control switch 10 -0225 used as a control activator, specify duplex (3) 140 Series - 53 lbs. 4140 Series - 73 lbs. or (4) float system. 140/4140"' MODELS Control Selection Model , Model VoIts-Ph Mode Am s Simplex Du lox N140 N4140 115 1 Non 15.0 1 or 1& 5 2 or 3&4 E 140 E4140 230 1 Non 7.5 1 or 1& 5 2 or 3& 4 BN140; BN4140 115 1 Non 15.5 1or1 &5 2or3 &4 CAUTION 9E140 BE4140 230 1 Non 7.5 1 or 1 8 5 2 or3&4 All installation of controls, protection devices and wiring should be done by a qualified 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). RESERVE POWERED DESIGN g For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAIL TO: P.O. BOX 16347 L Louisville, KY 40256-0347 Manufacturers ol O .. ® SHIP T0: 3649 Cane Run Road �! A ® Louisville, KY : rL(Wlr,' PUMP6 S NCE 19,79 http: / /www.zoeller.com PUMP !O. (502) 2) 778 - 2731.1(800) (800) 928-PUMP UMP FAX (502) 774.3624 © Copyright 1999 Zoeller Co. All rights reserved. I b 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, Rogers Plumbing, 715- 235 -1132, 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 pump tank or compartment to allow a dose to be accumulated, a pump and controls, and finally some type of soil adsorption cell to recycle the water in a manner to protect ground water quality and public health. I . If the septic tank is installed prior to sheet -rock and/or painting, pump the septic tank before normal use begins to ensure 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 pump tanks are no longer used, they must be properly abandoned. 11. if construction timing and weather could create a frozen infiltration system, weather - proofing with plastic sheeting and heavy mulching may be required to maintain a functional system at start-up. Maintenance 1. The septic tank must be inspected every three years by a properly licensed person. 1 If necessary, the septic tank must be pumped to remove solids and scum; pumping is required if the combined scum and solids volume equals one third of the tank volume. 3. When the septic tank is pumped, any solids in the bottom of the pump tank must be pumped, and the filter must be back - washed into the septic tank to remove accumulated material. 4. Periodic observation pipe inspections should be made by the homeowner to examine the state of the in -situ soil adsorption cell. Quarterly inspections are recommended; a licensed plumber should be notified if effluent is consistently ponded in the adsorption cell. 5. If this system contains specific treatment components other than those mentioned here, maintenance requirements will accompany their specifications. 6. The pumping components for this system include an alarm which must be installed and remain on a separate circuit from the pump. If the alarm is activated, minimize water use and notify a licensed plumber for service as soon as possible. The system allows reserve capacity to accumulate some necessary flow until normal service can be restored; this volume is minimal, and no more than one or two days should pass before any necessary repairs can be made. 7. Avoid compaction such as vehicle traffic within 15' down -slope of the adsorption system. 8. Avoid disturbing the system itself such that might encourage erosion or disturb the required seeding of the system. 9. Particularly avoid winter traffic such as sliding or snowmobiling which might compact snow and lead to increased frost depth. 10. Surface drainage must be diverted around the system; avoid landscape changes which might send surface run -off into the system area. 1 1. Warning: Do not enter septic, pump or other treatment tanks; death may result because they may contain lethal gases or insufficient oxygen. Contingency Plan Wastewater monitoring of volume and quality is not a normal requirement for low effluent strength systems; such monitoring may become necessary if problems develop. Any necessary monitoring shall be done in accord with the requirements of Comm 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 l V4 .:o Department of Commerce SOIL EVALUATION REPORT Page � of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. 3 -000 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 Vba�'� L- T ' :: ' RI- 0- �t L Property Location Z' VC-(J Efe- Geyt. Let S E 1/4S W1/4 S 3 IT Z N R 1 S E (o W L� Qj Property Owner's Mailing Address ' Lot # Block # Subd. Name or CSM1a CpUlvhf N N" _ City State Zip Code Phone Number E city E] Village [Q Town Nearest Road Wt Z ZS9 6 O `t t1 Pry/ New Construction Use: RL Residential / Number of bedrooms Code derived design flow rate S V GPD ❑ Replacement ❑ Public or commercial - Describe: 4 Parent material G IJ�L trl. Flood Plain elevation if applicable General comments and recommendations: N1t� uy1'1 W / Ct l"1 l iv l M U" 1Z" (-)I=- S AIAJ FILL F — ) I Boring # ❑ Boring Pit Ground surface elev. S I ft. Depth to limiting factor 3 Z _ in. �. S ication 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 O - I Till 9- 1z- - S► I Z'�Sb12 w� e�, - ,s -8 Z 13 3Z ►p� +r e9 — •y . 3 32- S� � s� R -y16 t�1. k YVI F Boring # ❑ Boring ® pit Ground surface elev. S _7 ft. Depth to limiting factor S in. �` Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 1 o - VI ltJ�t IZ�1 1 s l I Z �'s b k r✓1� ew - . •� z 1ZZS 1o�1z�1� - sll 3�sbk m�Fy- cS - �S 3 Z 3s �•sLi uiV /6 ��& �.sLi rzs�s sal 1 �sb wl�- �s — • `Z . 3 y 3 -�13 Lo R- ulb 1 i s bar w, v `F� y-' 6 Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 _< 150 mg/L ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) I Signature CST Number Arthur L. Wegerer 1 . c)Z - 1 220254 Address W e g e r e r Soil Testing &, Design Service Date Evaluation Conducted Telephone Number 421 N. 1 St. River Falls, WI 54022 OZ 715 -425 -0165 ' z Property Owner _ F\Z-9 E Parcel ID # 0 3 y — l U - 121 — - OI 0 Page - Z, of 3 3 [� ❑ Boring # Boring tt51 Pit Ground surface elev. r '1. �• q ft. Depth to limiting factor _ Z m. T S oil Applic ation 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 Z - S ) 1 2`F�b1T h - FV Z )fl -Z6 t071z �� Si 1 Z'�sbk y,��t, �S .S • $ ❑ Boring # ❑ Boring pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 'Eff#2 ❑ Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Ef<#1 •Eff#2 Effluent #1 = BOD, > 30 < 220 mg/L and TSS >30 < 150 mg /L • Effluent #2 = BOD < 30 mg /L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608- 266 -3151 or TTY 608- 264 -8777. SB13-8330 (R. W00) PLOT PLAN Page 3 of 3 kale 1' =L40 ' LU 3 LIN t e.I � 18-F orb Dvtii LSla Car IPl� -e� dZ PoUF 5 T3 rI � I Bljjj4 LI T s ,-q coR sic 3 z � @3-• lDO.D'o� �P �F 3•q'�p V.S_ ?UaLIC LPr'►-� Suliu" SLGN nosr , I ZI 15 -425 -0165 220254 Oz _ 1 2. CST Signature Date Telephone No. CST No. Job NO. y Private On -Site Wastewater Treatment System (POWTS) Index and Title Sheet Owner: I& r + ( ej Project Name and System Type: I3ed room ffl Location: Street Address 14 Y q, . Legal Description 1 Township /County Contents: Page 1: r Page 2: _�L \A/ IL Page 3: 1 11 Page 4: , Page 5: Page 6: Page 7: a Page 8: Page 9: b b / Attachments: Plumber/Designer: igned: .Credential Number: Date: 7' OCZ.-I POWTS OWNER'S MANUAL MANAGEMENT PLAN FILE INF RMA ON SYSTEM SPECIFICATIONS Owner Septic Tank Capacity gal ❑ NA Permit # Septic Tank Manufacturer ❑ NA DESIGN PARAMETERS Effluent Filter Manufacturer ❑ NA Number of Bedrooms 100gpd/bedroom ❑ NA Effluent Filter Model 1900 ❑ NA Number of Commercial Units NA Pump Tank Capacity gal ❑ NA Estimated flow (average)* Q gal/day Pump Tank Manufac r ❑ NA Design flow (peak), estimated x 1.5* gal/day Pump Manufacturer Ecr�L¢ E3 NA PP Model ❑ NA Soil Application Rate y gal/da Pretreatment Unit ❑ NA Influent/Effluent Quality (NA❑) Monthly Average ** ❑ Sand/Gravel Filter ❑Peat Filter Fats. Oil & Grease (FOG) 5 30 mg/L ❑ Mechanical Aeration ❑ Wetland Biochemical Oxygen Demand (BODs) ❑ Disinfection 10 Other: Total Suspended Solids (TSS) < 220 mg/L 5 250 mg/L Manufacturer: Model: Pretreated Effluent Quality ❑ Monthly Average * ** Dispersal Cell(s) Biochemical Ox Demand ODs [3 In-ground (gravity) [3 In-ground (pressurized) Total Suspended Solids((TSS)) 5 30 mg/L [3 At �vlound Fecal Coliform (geometric mean) 5 30 mg/L ❑Drip -line ❑Other: 510 { cfu /1 OOml ❑ Leaching Chamber Manufacturer Maximum Effluent Particle Size 1/8 inch diameter Model Approval Stipulation *Wastewater Flow Verification on and calculations: Soil Application Rate Area Req. ' Y (Other than bedroom based) Absorption Area Credit per unit ft Minimum Number of Chambers ❑ Aggregate Design Flow/L Rate ft min ** Values typical for domestic (non - commercial wastewater Materials: all materials must comply with WI Adm. Code and septic tank effluent. COMM84 and be installed per manufacturers specifications ** *Values typical for pretreated wastewater. and approval letters. DESIGN CRITERIA ❑ "Wisconsin At -grade Soil Absorption System, Siting, Design & Construction Manual" (Converse et.al.1990) ❑ "Wisconsin Mound Soil Absorption System: Siting, Design & Construction Manual" Converse, J.C. and E.J. Tyler. Publication 15.22 ❑ . "Design of Pressure Distribution Networks for Septic Tank -Soil Absorption Systems" Publications 9.6 ❑ "Design of Conventional Soil Absorption Trenches and Beds". R.J. Otis - ASAE Publications 5 -77 and "Design Manual - Onsite Wastewater Treatment and Disposal Systems ". EPA 625/1 -80 -012 October 1980 ❑ SBD - 10570 -P (8.6/99) "At -Grade Component Manual Using Pressure Distribution" ❑ SBD - 10567 -P (8.6/99) "In Ground Absorption Component Manual" ❑ SBD - 10705 -P (N.01101) "In Ground Soil Absorption Component Manual" Version 2.0 ❑ SBD - 10628 -P (N.6199) "Recirculating Sand Filter System Component Manual" ❑ SBD - 10656 -P (N.6199) "Split Bed Recirculating Sand Filter System Component Manual" ❑ SBD - 10572 P (8.6/99) "Mound Component Manual" ❑ SBD =10691 P (N.01101) "Mound Component Manual" Version 2.0 ❑ SBD - 10595 -P (8.6/99) "Single Pass Sand Filter Component Manual" ❑ SBD - 10657-P (8.6/99) "Drip -line Effluent Disposal Component Manual" ❑ SBD - 10573 P (R 6/99) "Pressure Distribution Component Manual" ❑ SBD - 10706 -P (N.01/01) "Pressure Distribution Component Manual" Version 2.0 p Drip -line Effluent Dispersal Component Manual for Multi -flo Onsite Wastewater Treatment Units MAINTENANCE AND MANAGEMENT M AINTENANCE MONITO SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every ❑ months years) (Maximum 3 yrs.) Pump out contents of tank(s) When combined sludge and scum equals one -third (1/3) of tank volume Inspect dispersal cell(s) At least once every ❑ months Pq year(s) (Maximum 3 yrs.) Clean effluent filter At least once every ❑ months years) Inspect pump, pump controls & alarm At least once every ❑ months JX year(s) ❑ NA Flush laterals and pressure test At least once every ❑ months ❑ year(s) ❑ NA Valves At least once every ❑ months ❑ year(s) ❑ NA Other: At least once every ❑ months ❑ year(s) ❑ NA Page of I .,TART UP For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that may impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. OPERATION The property owner is responsible for the operation and maintenance of the POWTS and submission of required reports. The quantity and quality of the wastewater stream will affect the performance and longevity of your POWTS. The installation of water - saving appliances and fixtures along with prompt repair of leaks reduces the wastewater volume. Also the brine or waste from water softeners, iron removal units, other clear water treatment devices and foundation drains should be discharged to the ground surface whenever possible. Note: this does not include laundry waste, showers, dishwater, etc. This system is designed to handle domestic strength wastewater, however the disposal of food based greases and oils, vegetable /fiuit peels and seeds, bones, and food solids such as those produced by a garbage disposal should be minimized. Toilet tissue is the only paper that should be discharged into the system. Other non - biodegradable items such as baby wipes, tampons, sanitary napkins condoms, cigarette butts, dental floss, and cotton swabs should not enter the system. Chemicals such as petroleum products, paint, disinfectants, pesticides, antibiotics, solvents, etc., should not be flushed into the system as they can seriously damage your POWTS and contaminate your drinking water supply. Maintain a regular steady flow by spreading laundry washing throughout the week. Avoid vehicle traffic over all system components. Compaction of snow over the dispersal unit may cause it to freeze up. ❑ Valves Valves shall be operated in the following manner: p Alarms Alarms should be tested on a regular basis by the home owner. If an alarm sounds, contact an individual licensed to service POWTS, There is normally a 1 day reserve under regular operating conditions, however water should be conserved until any problems with the system are corrected to prevent back -up of sewage into the dwelling or surfacing. INFECTIONS Inspection shall be made by an individual carrying one of the following licenses or certifications: Master Plumber, Master ,,�� Plumber Restricted Sewer, POWTS Maintainer or Septage Servicing Operator (per the attached Maintenance Schedule). �•�],Septic Tanks Component �� Tank inspections must include a visual inspection of the tank to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any backup or ponding of effluent to the ground surface. Access openings used for service or assessment shall be sealed and/or locked upon completion of service. Any defects shall be promptly corrected. Exposed openings greater than 8 inches in diameter shall be secured with an effective locking device to prevent accidental or unauthorized entry into the tank. When the combination of sludge and scum in any tank exceeds one -third (1/3) or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with Chapter NR113, Wisconsin Administrative Code. The outlet filter(s) shall be inspected and cleaned to remove any accumulated solids according to manufacturer's specifications. Provisions are to be made to retain solids in the tank. Filter cleaning may be necessary at more frequent intervals than stated in the maintenance schedule to keep the system operating. Pump Chamber/Treatment Tanks Component The inspection must include a test of all electrical equipment such as pumps, alarms and floats. A visual check must be made for leaks, backups, surfacing, missing or broken security devices and other hardware and the condition of the filter. Any service needs or repairs shall be promptly taken care of p In- Ground Gravity Component Dispersal Cells The inspection shall include recording the levels of ponding, if any in the observation tubes and a visual inspection for any evidence of surface seepage or discharge. Any discharge to the ground surface must be promptly reported to the regulatory authority. Ponding at depths greater than 75% of the height of the component may indicate overloading or impending hydraulic failure necessitating more frequent monitoring. Page of I ❑ Mound, At- Grade, In- Ground Pressure The'inspection shall include recording the levels of ponding, if any in the observation tubes and a visual inspection for any evidence of surface seepage or discharge. Any discharge to the ground surface must be promptly reported to the regulatory authority. Ponding greater than 75% of the height of the component may indicate overloading or impending hydraulic failure necessitating more frequent monitoring. The pressure distribution system is provided with an opening at the end of each lateral to be used for flushing. The laterals should be flushed at least once every three (3) years. Pressure checks of systems with multiple laterals should be done to ensure that equal distribution of effluent is occurring to promote the longevity of the system. REPORTS Reports for maintenance, inspection, and monitoring shall be submitted in accordance with COMM 83.55 Wisconsin Administrative Code. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to ensure that the system is properly and safely abandoned in compliance with Ch. COMM 83.33, Wisconsin Administrative Code. - All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. - The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. - After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or other inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system: ❑ A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. ❑ A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. X The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed as a last resort to replace the failed POWTS. ❑ Mound and at-grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. <<WARNING>> SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTIAN LETHAL GASSES AND /OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IN[POSSIBLE. ADDITIONAL COMMENTS POWTAINSTALLF POWTS MAINTAINER Name Name Phone 1 Phone '0 SEPTAGE SERVICING OPERATOR (Pumper) LOCAL REGULATORY AUTHORITY Name Agency. c no ( u 1�1 / Phone Phone KAWPDATME"OWTS OWNER'S MAMAL.doe Page of r 08/22/02 THU 13 :48 FAX 851 733 9887 Jack Baehman Law Office 0002 FROM : ROME PLUMBING FAX NO. 715 235 0667 Aup, 22 2002 02:44PM P2 S' COUN"17Y SEPTIC TANK kATt- iTV14ANCR AGODUMNT AN73 OW1 IRS11n CT:'1 %`rrrICATI0M POW OwnodB uyor Mailing Address Property Address 0 (Veriticattan required fi I'laualag tepartment for ndwY coa9truction) City /State r In W Parce! Identification Nurnher Q� CAL DESCWTI Property 140ati=QLt:,-- tA, y,, Se , 0q,6 , 7•OSN_ W, Town of � f� Sub IY131Pa Lot # �. CettUled Survey Map # �� I u e ic_�� Volume / `tt' � page # /30 'S'i,'a!n'aaly Died # f�l - .�!'1n C .�. volume Page # `f3 �0 3 eo house 4 is no P Y Lot lines idortitifiaolc ❑ yes O no r I Improperunaadmaintenunceofyottrpoptioeyetem could reeultin its pl* Wmikil uretonandIewastes . Proper rnaiat"=e. consist of pUWW out the septic tank every tbm years or aoottor, ii seeded by e,l iGeuse�i Pumper. What you put into the aystera esm aflbot the rw* ion of Wa septic task as a trutrnent stage in the waste disposal iaystertt. 'The property OW= agraea to submit to ST. Croix Zoning Department s occii$cation form, aignod by the ownar and by a ma.s tor plumber, jaWmeymanplumber, mtri-Ctedplumberor a Uoen3od puit,per1VOW itlg tliut (1) 66 a0 - silo waatewatcrdispoaal system is in proper operating eoodidoa andlot (,q) After iespecdoa and pumping (if necessary), the sdptic zAnk is less d= 113 full of sludge. I1Wa, tb4 undersigned stave rasa the above requirements and agree to ruatamfo the private sewage disposel system with the staadards sot forth, bereln, as set by the Department of COmmtrcc and the Dcpa=eurof Natival Rcsouroea, State of Wiaeousin. Corr !cation stating lira your septic system his been maintained must be CoMpleted and retutnedlt4 the St_ Croix Couaty Zoning Oftiec witlia 3o &Y3 of the duvc YOU expinttion data A 'iM OF AMICANT DAIS Cg=MCATION r(wa ) as i r* that all statements on wa form are eve ro the best of my (qur) lrnowledgo. I (we) am (ate) the Owmar(s) of the property daaeribed abova, by vime of a warranty deed moorded in Reglater of Deeds Office_ NATURE OF AP L`ANl' DATTa . ■.0r M A,xy iaformat'oa that is mss- repres=Wd may result in the esrnitary r4r nit t�ring rcvolred by dtia Zoning r De umtent. I11alnde with tbis allglic =01011: a stamped warranty dacd ;sure tho Pwgiswr of otods CUM A -COPY of the certified survey nup if refcrc11co is =do fu the vtarraoty dead U 19 4 7 P 13 0 686845 S UE BA : OF WISCONSIN FORM I - 1998 KATHLEEN H. WALSA WARRANTY DEED REGISTER OF DEEDS ST. CROIX CO., WI Dxumed Number RECEIVED FOR RECORD 08 - 13 -2002 11:45 An This Deed made between . _HAROLD L_ __FRYE AND - _ WaRW - ,CFIERYL A. FRYE, HU_S.BAND AND W EXDPT IFE TY DM XE?Gi i g REC FEE: 11.00 - ( TRANS FEE: a „ KURTISS L. FRYE AND JULIE A FRYE _-- ._____ COPY FEE: CERT COPY FEE: PAGES: 1 Cranim, fur a valuable coltsklrranon. conveys lo Grapier the lullowing describe) real estate in _ - __, - __ ST,. �..Q9Y�. _._.. —. - County. Seale of Wisauisin (the - Property - ): of I f Certi ed Survey Ma #684956, Volume 1 p age e 4340 Name and netkon Address 1� as recorded in the office of Register o eeds for St. Croix County, STEIGAUF & BAUMANN, P.A. Wisconsin. Said Certified Survey Map being located in part of the 7616 CURRELL BLVD., SUITE 240 Southeast Quarter of the Southwest Quarter of Section 32, Township WOODBURY, 1'41 55125 29 North, Range 15 West, Town of Springfield, St. Croix County, Wisconsin, described as follows: Beginning at the South Quarter corner of said Section 32; thence along the south line of said Southwest Quarter S89 °42'22 "W a distance of 034 - 1073_30 - 200_ 641.17 feet; thence NO2 °1 2 "59 "E a distance of 412.37 feet; thence aar a lienelKation Number )PIN) N89 °20' 12 "E a distance of 285.05 feet; thence S05 °47'57 "E a distance This _- IS., -_ honiestead property. of 266.79 feet; thence S89 1 59'54 "E a distance of 312.95 feet to the (is) (is not) north -south quarter line of said section 32; thence along said north -south quarter line S00 °06'36 "E a distance of 146.64 feet to the point of beginning. Containing 4,0 t l acres or 174,711 square feet. I Together with all appurtenant rights, title and interests. Grantor wartanis that the title to the Property is good, ludrreasible lit fee siniple and free and clear of encumbrances except Dated this _.--.._ __ _. clay of --- 71ucUS T _- ,— -_ -__ 2002. _ (SEAL) (SEAL) • -- -- - -_ -- HARO L. FRYE - -- - - - -- -- - -- - - -- (SEAL) 1U _ (SEAL} CH ERYL A. FRYE AUTHENTICATION ACKNOWLEDGMENT Signatrtre(s) - - -- -.. -.__ ...-_------ ...... - State of Wisconsin, ss. Count . authenticated this — day of —_ __•._.. Per3umlly came before mr; this day or _ ! L : d . abtwe nan W e Hi L �..@ i�' A1� �HG8Y�10 Ttr. y.--- _ .. HUS$ip . TIRE: MEMBER STATE BAR OF WISCONSIN '� t_.' - o Of not. n" known to be tlK authorized by §7011.06. Wis. Slats.) tltsnumetN vui arknilml t(ge Ilse san r THIS INSTTiUMENT WAS ORAFTEO SY t, t STEIGAUF b BAUPIAtIN, P.A. _ . u � i `,� T3eC�1 - � b�b CUZItELL BLVD. , SUITS 24� .... Notary Rdtdtr Slatr++� Wiuwtwt ;s "��'�I � `� WOODBURY. 11N 55125 _ My cnnnn x1011 1wrmane it (Ir not, state expirarolf date• (Slgtullures uuy Ix aud"•nticatorl or ark,wwIiv4Fvt.. Bruit ate IMN .. s ,�..Y r ..Q. . _ ..__,��..- �.,,.,,...•1 Y ;, Iter essary ) .` r ��',�Irv�nw .iatAtyl Yt t,tiY Nj•r'a) w Mryj f M iMltMtt�NY II x .q.tw".. ., . , +.. - . •. STATi. PAR OF 1VISt nNSIN W ; CERTIFIED S V RVEY MAP ro t;OCATED IN PART OF THE SE1 /4 OF THE SW1 /4 OF SECTION 32, T29N, R15W, TOWN OF SPRINGFIELD, ST. CROIX COUNTY, WISCONSIN. G1�VNER SURVEYOR c MOLD FREY S & N LAND SURVEYING DOUGLAS J. ZAHLER iON,�W154027 2920 ENLOE STREET " HUDSON, WI 54016 t. A n. SURVEYOR'S CERTIFICATE ),Douglas J. Zahler, registered Wisconsin Land Surveyor, hereby certify that by the direction of Harold Frey,1 have surveyed and mapped a parcel of land located in part of the Southeast Quarter W_ Southwest Quarter of Section 32, Township 29 North, Range 15 West, Town of Springfield, St. ix County, Wisconsin; described as follows: innng at the South Quarter comer of said Section 32; thence along the south line of said h W Quarter S89 0 42 1 22 "W a distance of 641.17 feet; thence NO2 °1 2 "59'E a distance of 412.37 �et tha ►ce N89TU12'E a distance of 285.05 feet; thence S05 °47 1 E a distance of 266.79 feet; tt5ence S89 0 59 1 54 "E a distance of 312.95 feet to the north -south quarter line of said section 32; , ',t noe along said north -south quarter line S00 0 06 1 36 "E a distance of 146.64 feet to the point of 66ginning: Containing 4,011 acres or 174,711 square feet. Subject to all easements, restrictions and covenants of record. r I. also certify that this Certified Survey Map is a correctly dimensioned representation to scale of the boundaries surveyed and described; that I have fully complied with the provisions of Chapter 236.34 Jls,1(lsconsin Statutes and the Land Subdivision Ordinance of the County of St. Croix and the own 'o Springfield in surveying and mapping same. x' a. G Or W /SC0 . ' ted {�rr.1 day of ,2002 DOUGLAS J, �Z 2AHLER S -2145 Dougl"'J ahle S 2145 HUDSON, S`& N " Surve 'ng, I nc. WIS ""2920 Enloe St: $ . Hudsot7;11V154016 �T 6-386-2007 I #sown on this map is subject to State, County and Township laws, rules and regulations 4 " d13, minimum lot size, access to parcel, etc. Before purchasing or developing any Parcel " .P ) P g P� 9 to y e S' Croix County Zoning Office and the Town of Springfield for advice. s. APPROVED ST. CROIX COUNTY Planning Zonino and Parks committee JUL 2 4 2002 If not recordad within 30 days of approval data approval shall be F " null and void �d f . THIS INSTRUMENT DRAFTED BY KEVIN REED JOB NO. 6147 -01 DATER /25/02 SHEET 2 OF 2 Vol. 16 Page 4340 k;� *x VOL 16 PAGE 4340 � KATHLEEN H. WALSH 'T REGISTER OF DEEDS € ST. CROIX CO., MI RECEIVED FOR RECORD O n j 07 -25 -2002 8:00 AM 8 O CERTIFIED SURVEY MAP RE FEE: 13.00 C 3 > 2 A g 0 "icy oocZC � vO� OmW N � � r. zZ' o ° N t y U nl i s jm 3 r $ zN K m cn c� aZ c{ CA A n rr O Z c Z 7J u: t7 t, w,Z N N 2 �� W C z g N xi co::i� 8 } � ° r �-z I gm m ems ?� 0 ° �a _MM_p_L G;1 4_4_GD_ lah HIM NO 0 12'59 11 E 412.37 ' Z ' cn Of 33.03' I 379.34' Z 0 1 i T i V 0 IG � 1 W 0 4- o I iaN� r -: I� Im O °� z v �r $ Vi �i N In z i o m ' O�o� m I I� �N N� P v 0 1 CI� C a as '.w rt Iq Iz I� N m 0 m I N 0� S05 °47'57 "E 266.79' .r m 0 x 003 0 m � z [n, BEARINGS ARE REFERENCED TO THE W fill SOUTH LINE OF THE SW1 /4 OF SECTION �/� 32, ASSUMED TO BEAR SB9'42'22'W - Z Oi a 0 m p A 0 4J W o . " A �Q m cf z N Z. m r4 ni t �� w Z z m �$ ; N m T1 113.64' I 6'i 67.68' 77 rh ; 146.64' 800 °08'36 "E 6314.32' " S00 ° 06'36 "E NORTH SOUTH QUARTER LINE x.. 3T33 �� yM Vol. 16 Page 4340 .� `� ` r / u� � v` /� V l f �,�/� s V i � � Parcel #: 034 - 1073 -30 -100 09/22/2005 09:27 AM PAGE 1 OF 1 Alt. Parcel #: 32.29.15.493A 034 - TOWN OF SPRINGFIELD Current I X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner HAROLD L & CHERYL A FRYE O - FRYE, HAROLD L & CHERYL A 181 CTY RD NN SPRING VALLEY WI 54767 Districts: SC = School SP = Special Property Address(es): " = Primary Type Dist # Description SC 0231 BALDWIN - WOODVILLE AREA SP 1700 WITC Legal Description: Acres: 35.990 Plat: N/A -NOT AVAILABLE SEC 32 T29N R15W SE SW EXC CSM 1614340 Block/Condo Bldg: Tract(s): (Sec- Twn -Rng 401/4 160 114) 32- 29N -15W Notes: Parcel History: Date Doc # Vol /Page Type 07/23/1997 908/523 07/23/1997 903/106 2005 SUMMARY Bill #: Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 05/26/2005 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 14.990 2,500 0 2,500 NO UNDEVELOPED G5 1.000 50 0 50 NO AGRICULTURAL FOREST G5M 20.000 18,000 0 18,000 NO Totals for 2005: General Property 35.990 20,550 0 20,550 Woodland 0.000 0 0 Totals for 2004: General Property 35.990 38,550 0 38,550 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel #: 034 - 1073 -30 -200 09/22/2005 09:00 AM PAGE 1 OF 1 Alt. Parcel #: 32.29.15.493B 034 - TOWN OF SPRINGFIELD Current FX I ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner KURTISS L & JULIE A FRYE O - FRYE, KURTISS L & JULIE A 2844 60TH AVE WILSON WI 54027 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description SC 0231 BALDWIN - WOODVILLE AREA SP 1700 WITC Legal Description: Acres: 4.011 Plat: 4340 -CSM 16/4340 SEC 32 T29N R15W SE SW LOT 1 CSM 16/4340 Block/Condo Bldg: LOT 1 Tract(s): (Sec- Twn -Rng 401/4 1601/4) 32- 29N -15W SE SW Notes: Parcel History: Date Doc # Vol /Page Type 12/26/2002 703429 2089/282 QC 08/13/2002 686845 1947/130 WD 07/23/1997 908/523 903/106 more... 2005 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 05/26/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 4.010 25,350 139,700 165,050 NO Totals for 2005: General Property 4.010 25,350 139,700 165,050 Woodland 0.000 0 0 Totals for 2004: General Property 4.010 25,350 139,700 165,050 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 f — T DEPARTMENT OF RE PORT ON SOIL BORINGS AN D SAFETY & BUILDINGS DIVISION INDUSTRY, P.O. BOX ( ) MADISON, WI 533707 707 LABOR AND PERCOLATION TESTS 115 HUMAN RELATIONS ` (ILHR 83.0911) &Chapter 145) LOCATION: SECTION: TO NSHIP MUNICIPALIT IL OT NO.: BL . NO.: SU VISION NAME: SE' /4SW' /a W ` COUNTY: OWNER' BUYER M A.LZING ADDRESS: I 3 9 USE DATES OBSERVATIONS MADE NO. BEDRMS.: COMMERCIAL DESCRIPTION: PRO L D S R PTI NS: PERCOLATION TESTS: Residence aew ❑Replace RATING: S= Site suitable for system U= Site unsuitable for system /n � I (' v S cj ONVENTIONAL: MOUND: IN- GROUND - PRESSURE YSTEM- IN- FILLHOLDIN TANK: RECOMMENDED SY TEM:(optional) E]S 1�m 0S CCU ❑S DESIGN RATE: : S CU ❑U Q - I If Percolation Tests are NOT required //�� If an portion of the tested area is in the under s. ILHR 83.09(5)lbl, indate: N/� Floodplain, indicate Floodp elevation: N 4 PROFILE DESCRIPTIONS BORING TOTAL DEPTH TO GROUNDWATER- INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN, ELEVATION OBSERVED EST. IGHEST TO BEDROCK IF OBSERVED (SEE A BRV. ON BACK.) S 3'- �rM FM_f 84 of S / Its - C L M�� o '`'• B - n o va --e- t c> L o dar, 8 -S T5 6 ° 9- 5 C L & SC L B3 1 " S ' B- 3 '4 8^ 5 B- B- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL - INCHES RATE MINUTES i NUMBER INCHES AFTER SWELLING INTERVAL -MIN. PERIOD 1 PERIOD 2 PERIOD3 PER PER INCH P_ P- P P P P PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent of land slope. V yk SYSTEM ELEVATION h� � -- Y € , V 3 e t� I € I P , k € , € q ` N i T � N 5P pate- #_4`D J i I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin Administrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. NAME (prin TESTS WER COMPLETED ON: ADDRESS: CERTI I ATION NUMBER: PHONE NUMBER (optional ): I✓� 2 30 �- CST SIGNATURE: DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR -SBD -6395 (R. 10/83) — OVER — INSTRUCTIONS FOR COMPLETING FORM 11 - SBD - 6395 To lie a complete and accurate soil ttst., v Ers- report must include 1. Complete )pg al description; 2. The use setion roust clearly indicate whethpr this is a rosidew_e or commercial ;project; 1 MAXIMUM r urnbi.r' of bi €�(Jr'oorras or C,aMWI — cia; =<sa f +farmed; 4. Is tt - iss a neis. of replacement system; h. Corot let:e the suitabi'ity )°at.ing boxes. A SITE= IS SUI7 ABLE FOR A HOI PING TANK ONLY IF ALL OTHER SY STEMS ARE RULED OUT BASED N xCAL CONDITIClI S; 6, PLEASE us,l ^,he abb e viations shovoa )c re foi vv acing profile descriptio'ns Sara €,i complaating the plot plan; ?. lVlAd<E A LEGIBLE siianram ac<;asrately Icrr`,a ti a3 your test locations, D a =w=ng to scale is preferred. A Separate Sheet may be Lased if desired; 8, Make, sure your benchr;aark and Sierticat i=trual;on reef= ?serace point are clr�arl'y shown, and are permanent; 9. Complete all appropt iat.e boxes as to dates, ra;, roe's addresses, `food plaln, rata" percolations test exemp- tion, it appropriate; 10, If the information tsuch as flood plain, eel vation) does not app y, ialac� Wll. in the appsota,iate box; 11. Skin the form and plane Vour Cur rent adr:lness and your certification nulnbrr; 12. Make legible copies and distribute as roquiie(t ALL SOIL TESTS aJUST BE FILED WITH THE LOCAL AUTHORI kh'ITHIN 30 DAYS OF CONIPL TION. ABBREVIATIONS FOR CERTIFIED SOIL TESTERS Soil Separates and Textures other Symbols st. Stc;nar (over 10") BR Bedrock cots Connie (3 - 10 ", SS -- Sandstot gr Grave =i (under 3 ") L - Lirnestorw "s - Sand I IGW High G(aund Cs C; €arF?r e Sa nd Porc Percola;ion RcCe med s .._ Me: , kJm Sand t; f .... 'sell i s Fine Man Loanv L.Ls- I' "'a. r� Ba ck Gy f)di Y '"` 7 $I OVIV so( -_ Sandu Cl�,tiv Loarn R Re-"I sit;l -- Silty City Loam mot N.lottles sic Silty Clay fiff - fK fine, faint " C --_ Clay €`C corrillion" co3Grse Pt ... pcat mr -, -__ Many, me ilium v''ftC :i<. d — d stinct: P prornin.w HV`VI_ High v,/atear ie °vel, ' Six €3f.'("npn Sol; - text,oes Surface water for hquir+ a;{ :ast , :i spt3 a> Eiittl - Bench Mark VRP Vertica' 42 r. # # „; ac;e Point TO THE OWNER: This soil test report is the first step in securing a sanitary permit. The county or the Department may request verification of this soil test in the field prior to permit issuance. A compiete set of plans for the private sewage system and a permit application must be submitted to the appropriate local authority in order to obtain a permit. The sanitary permit must tae obtained and posted prior to the start of any construction. ,r - • � / ra ' -P ID Lei N Z � r c l Y - r c 4 J r s �— os Iz e f � j 8 �- ; I r Ivi o o f `' 1p C r r �J \ v r \s ^r: r G1 r 77� � r - -- SE -Sw • 9� f17 a