Loading...
HomeMy WebLinkAbout034-1075-95-000 Parcel #: 034 - 1075 -90 -050 04/01/2008 04:06 PM PA 1 O 1 Alt. Parcel #: 33.29.15.511A -10 034 - TOWN OF SPRINGFIELD Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 06/09/2006 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner O - LEAF, SARAH M SARAH M LEAF 2972 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: 35.400 Plat: N/A -NOT AVAILABLE SEC 33 T29N R15W PT W 1/2 OF SE 1/4 COM Block/Condo Bldg: S1/4 COR OF SEC 33; TH N89' E 958 FT TO POB; TH N00' W 426 FT; TH S89' W 263.12 Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) FT; TH N00' W 2211.81 FT; TH N89' E 33- 29N -15W 625.06 FT; TH S00' E 2633.48 FT; TH S89' W 366.47 FT TO POB (PARCEL B) Notes: Parcel History: Date Doc # Vol /Page Type 06/09/2006 827144 WD 2008 SUMMARY Bill #: Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 06/15/2007 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.000 12,700 78,600 91,300 NO AGRICULTURAL G4 26.900 5,250 0 5,250 NO UNDEVELOPED G5 8.500 11,050 0 11,050 NO Totals for 2008: General Property 36.400 29,000 78,600 107,600 Woodland 0.000 0 0 Totals for 2007: General Property 36.400 29,000 78,600 107,600 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 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croi Safety and quildirq, Division ��► INSPECTION REPORT Sanitary Permit No: 488247 0 (ATTACH TO PERMIT) GENERAL INFORMATION 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: Leaf, Sarah I S rin field, Town of 034 - 1075 -95 -000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: `m $ � 1� 33.29.15.512A TANK INFORMATION ELEVATION DATA TYPE MANUFACTURE CAPACITY STATION BS HI FS ELEV. 5 Septic Benchmark Dosing ( Alt. BM l t o �e% Avgt ort Bldg. Sewer Fi a 25 '7(, Holding St/Ht Inlet '73 • 3 l !1•�5 TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic A) A 21 1 Z I Dt Bottom /4-9 rag . , Dosing ' /:56 A)� Z ( i Z I / Header /Man. � (,. 0 3 • l y Aeration Dist. Pipe Holding Bot. System Z . z(e / Z. S PUMP /SIPHON INFORMATION Final Grade - 0,6 - L / ate -114 Ok Manufacturer a � De and St Cover t�, S /00 • Z(11 Model Number E'P aS 3/m,", C a,r• o.� �' 1 4 . 7 6 /ob TDH Li�ft3• Z$ Friction Loss System Head TDH Ft /• 5y ,5 1 ZI -3Z Forcemain Length Dia. Z r/ Dist. to well A SOIL ABSORPTION SYSTEM Rt— BED/TRENCH Width Length No. Of rent s PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS LJ� s / 1_ SETBACK SYSTEM TO P/L JBLDG IWELL LAKE /STREAM LEACHING Manufacturer. INFORMATION CHAM Type Of System: �� N T OR I /1 U Q Model Number: DISTRIBUTION SYSTEM �c A)& DISTRIBUTION Header/Manifol Distribution r/ // x Hole Size 11 x Hole Spacing �� Vent to r Intake Length Di , 2 Length q, (Z Dia ' Spacing Z $ 3�• 7`S 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 Bedlrrench Center / / �[ Bed/Trench Edges Topsoil 0 �+ es No �,l Yes Fffl No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: 7 / Z 7 / i7 fe n Inspection #2: Location: 2972 60th Ave. Wilso WI 54027 (SW 1/4 SE 1/4 33 T29N R15W) >35 acres Lot G (l Parcel No: 33.29.15.512A t I t I S;cy 1.) Alt BM Description = P�av~ 4 r �' ~ " C �"''�� "'� + 2.) Bldg sewer length = 7-1 7 (b\ o'~ - amount of cover = y / i t,, Plan revision Required? ❑8 Yes No `•"7 2 b / Use other side for additional information. Ip SBD -6710 (R.3197) Date Insepctor's Si ature Cart. No. uzucty d11U "U11U111KJ "Iv1J1V11 ....W.� 201 W. Washington Ave., P.O. Box 7162 ST. CROIX ,sconsn Madison, WI 53707 - 7162 Sanitary Permit Numbe o be filled in by Co.) Department of Commerce (608)266 -3151 a Q Sanitary Permit Applicat State Plan I.D. Number In accord with Comm 83.21, Wis. Adm. Code, personal inforion you provide TRANS. I D NO. 1279323 mat may be used for secondary purposes Privacy Law, sl5.0 WN0100 Project Address (if different than mailing address) I. Application Information- Please Print All Information PAY TO THE ORDER OF Property Owner's N bN EI_LS FA r aroe 7 t Block # SARAH LEA o HUDSON, Wl54018 JUN 2, 6 2006 034 1075 95 -00 _P 075911988 Property Owner's NhiailistfAddrcss FOR OEPQ5TT UNLY ST. CROIX COUNTY / operty Location ( 1360 6TH AVENUE #6 ST. CROIX COUNTY rs W SE A. -cT #3877919724 �� 1�. y, section 33 City, State Zip Code Phone Number BALDWIN WI 54002 715/977 -0242 T 29 N, R i 4circle ✓ e) ' II. Type of Building (check all that apply) 3 Subdivision Name CSM Number 1 or 2 Family Dwelling - Number of Bedrooms �/ N/A N/A Public /Commercial - Describe Use W r;1r,, ❑ State Owned - Describe Use �- ❑City_QViliage uownshipof Springfield III. Type of Permit: (Check only one box on line A. Complete line it U applicable) A. 0 New System y ❑Replacement System ❑ Treatment/Holding Tank Replacement Only 13 Other Modification to Existing System B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner i f IV. Type of POWTS System: Check all that appl Ot ❑ ❑ Non - Pressurized In -Ground 0 Mound > 24 in. of suitable soil C D<ound 124 in. of suitable s ❑ At -Grade ❑ Single Pass Sand Filter l Constructed Wetland ❑ Pressurized In -Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter ❑ Leaching Chamber 11 Drip L ❑ Grav Wess Pipe ❑ Other (explain) t �S V. Dis ersal/Treatment Area Information: Design Flow (gpd) Design Soil ication Rate(gpdsf) Dispersal Area Required (sf) Dispersal a Proposed (sf) Sys em Elevation 450 1 / 0 , Z 450 Z 2-S L) 450 Z 2 102.5 VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank 1000 1000 1 Wieser Concrete X Aerobic Treatment Unit , . / 0 ] o / 5.)- Dosing Chamber 600 600 1 Wieser Conc ete /_ X !' VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber's Signature MP/MPRS Number Business Phone Number Bennie Helgeson 2 715/772 -3278 Plumber's Address (Street, City, State, Zip Code) W122 � P 770th Avenue, Spring Valley, WI 54767 VII . County /De artment Use Onl Approved ❑ Disapproved Sanitary Permit Fee (in ludes Groundwater Date Issued Is mg Agent S gna (l`1 nips) Surcharge Fee) ❑ Owner Given Reason for Denial IX. Conditions of Approval/Reasons for Disapproval SYSTEM OWNER: 1 Septic tank, effluent filter and d'spersal cell must all be serviced / maintained i �� as per management plan provided by plumber. v 2. All setback requirements must be maintained as per applicable code /ordinances. Attach complete plans (to the County only) for the system on paper not less than 81/2 x 11 inches in size SBD -6398 (R. 01/03) pl ot i 1 � cam' x-37° Tle o f y RUC p'P-e -- / e. to i 3 ✓r puc p rof Osc 3 S 3 ecQ w/ Poly 1p� sus IJ VV kx- I II, � I-J c � i� 1 Ate _. -. -- .,-_ - � .._�— _ __.�. -- -- .� .-- �► - - - -- Ua Safety and Buildings 4003 N KINNEY COULEE RD t r commerce.wi.gov LA CROSSE WI 54601 -1831 TDD #: (608) 264 -8777 i sconsin www.w www.commer isco govsb, isconsin.gov Department of Commerce Jim Doyle, Governor Mary P. Burke, Secretary June 19 2006 CUST ID No. 220292 ATTN: POWTS Inspector BENNIE W HELGESON ZONING OFFICE HELGESON EXCAVATING ST CROIX COUNTY SPIA W1229 770TH AVE 1101 CARMICHAEL RD SPRING VALLEY WI 54767 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 06/19/2008 Identification Numbers Transaction ID No. 1279323 SITE: Site ID No. 711952 Sarah Leaf Please refer to both identification numbers, 60` Avenue above, in all correspondence with the agency. Town of Springfield St Croix County SW1 /4, SE1 /4, 533, T29N, R15W FOR: Description: Three Bedroom Mound System Object Type: POWTS Component Manual Regulated Object ID No.: 1080641 Maintenance required; 450 GPD Flow rate; 6 in Soil minimum depth to limiting factor from original grade; System: Mound Component Manual : Version 2.0, SBD- 10691 -P (N.01 /01), Pressure Distribution Component Manual - Version 2.0, SBD- 10706 -P (N.01101). 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: Reminders • This system is to be constructed and located in accordance with the enclosed approved plans and with the component manuals listed above. • This plan has an approved. Interpretive Determination (Transaction I.D. #1265467) associated with this design. All of the conditions of that approval shall be upheld for the construction of this system. • Per manual cited above, limited activities are allowed in the area 15 feet down slope of the component area. APPTI Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and DE RTMFIVT • dispersal are prohibited. N OF I • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption SEE CORRE area. chs. NR 811 & 812c • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. . s t BENNIE W HELGESON Page 2 6/19/2006 • Inspection of the POWTS 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 inspecto t/ • The changes made to this plan on 6/19/06 by this reviewer were acknowledged and approved by the system designer. 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(l). • Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • Comm 83.55 The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any other's 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 WiSMART coder 7633 (608)789 -7893 , 7:45 am - 4:30 pm Monday - Friday charlie.bratz @wisconsin.gov cc: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544 I I C INDEX SHEET S ON/a71[78 'L13�ys PROPERTY OWNER: SARAH LEAF 9001 Z O N nr 2487 20TH AVE A �� BALDWIN, WI 54002 a3`1 13 PROJECT NAME: SARAH LEAF PROJECT LOCATION: SW 1/4, SE 1/4, S 33, T 29 N, R 15 W MUNICIPALITY: TOWN OF SPRINGFIELD COUNTY: ST. CROIX DESIGN: PRESSURE DISTRIBUTION MANUAL SBD- 10573- P(R/99) MOUND COMPONENT MANUAL SBD- M7-2 -F- R� ) JC CORRESPONDENCE CONTENTS: Page 1: Plot Plan Page 2: Cross Section and Plan View of Mound Page 3: Distribution Pipe Layout Page 4: Septic Tank & Pump Chamber Cross Section and Specifications Page 5: WLP1000 /600 -MR Tank Specifications Page 6: Pump Specifications Page 7: POWTS Owner's Manual & Management Plan - Pg. 1 Page 8: POWTS Owner's Manual & Management Plan - Pg. 2 Name: Bennie Helgeson Signe Address: W1229 770th Avenue Spring Valley, WI 54767 'on�rlty Credential Number: 220292 Date: June 6, 2006 OvEn OF COnIERCE tY INGS SPONDE CE— x r BJ11_ I Co. ea � Puc- I Prop o5 e 7,- k h=' 4 1 1 ` I v I IL i - ug Page Of � � r Synthetic Covering Distribution Pipe Medium Sand FI - F G ft✓ t Topsoil = = = =_ 3 E � b 3 % Slope Plowed CE.Lb -0f 2 2 %2 Force Main PICA, 3 "fd y,. Sa�� oh q regote From Pump Layer MOL�c� �rca Pr��t- �o ChiSc 99 Ft. ta. a cr epf� a > f2 " E.3 Ft. Cross Section Ot A Mound F Ft. G , S Ft. A y Ft. H / Ft. Signed: g /G' Ft. K / Ft. {� License Number: t Ft. Date: j ZC, S Ft. W Ft. L --_ Observation Pipe J K B --- — — - - , x 6e G - ;fir_ --- --- f \, C - 5 �.L. O f 2 „_ 2 L „ Distribution Pipe Aggregate p Observation Pipe aSO�`�CI Plan View Of Mound Pa.lorolad PIP. Oaloll ��f r5c C IectKCx�7 / End Vltw Pat iotoIcd PVC PiP. L✓�K rTvl� �C Q� Holes Located on Bottom are Equally Spaced l IE °cs, x cKl7 5 "' Qitl(lbullon PIP. Distribution Pine Layout P.� �G R S — 3 r� x 31 ti y 3 �r Hole Diameter Inch Signed: ' '• Lateral Inch (es) License Number: Manifold " Inches Dace: Force Main Inches 6u) Yips,, Say Lex, Page I Of 8 SEPTIC TANK E PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS 4 " fL -VENT PIPE 12" MIN. ABOVE GRADE E WEATHERPROOF >_25' FROM DOOR, WINDOW OR JUNCTION BOX APPROVED FRESH AIR INTAKE WITH CONDUIT M 1 VER WARNING LABEL v" MIN. 98.5 2y „ lg" IN. �g rniN. INLET WATER TIGHT SEALS GAS - TIGHT \/APPROVED A SEAL JOINTS WITH FILTER A� S - � ALM APPROVED PIPE APPROVED Y B ON 3' ONTO PIPE 3' T SOLID SOIL ONTO SOLID C SOIL PUMP OFF E L EV . _�RFT OFF D 3" APPROVED BEDDING UNDER TANK CONCRETE PAD SPECIFICATIONS SEPTIC / DOSE x S TANK MANUFACTURER : __� I_�! -� - - — TANK SIZES: SEPTIC _T^� GAL. DO 17 q:3 ME FLOWBACK: /(�7 GAL. DOSE _��u --- ALARM MANUFACTURER: c. CAPACITIES: A = / INCHES =jo / 6 GAL. -MODEL NUMBER: w B : 2 INCHES = 3 3. 5` - ) GAL. SWITCH TYPE: oa.- PUMP MANUFACTURER: �De� /Er �. C = INCHES = / GAL. MODEL NUMBER : / INCHES = f '��y GAL • D SWITCH TYPE: /yJercc�ry REQUIRED DISCHARGE RATE .3J.J� GPM PUMP E ALARM WIRING AS PER ILHR 16.23 WAC (� FEET VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE • --�"Z' FEET + MINIMUM NETWORK SUPPLY PRESSURE . . . . • • ' • . ' ' . FEET + III FEET FORCEMAIN X p.,) FT /100 FT. FRICTION FACTOR . -• FEET TOTAL DYNAMIC HEAD INTERNAL DIMENSIONS OF PUMP TANK: LIQ WIDTH DIAMETER UID n 3 S� �a�tk Sp��. SIGNED: LICENSE NUMBER: DATE: 1/88 a D cl. L) LwJ m 0 z tL< N0. Lo D p: CL c, N O Z I o a\ O Y a? k' �ZN S D O C:) < e 0 1. O m o_ I CL (� V m aa� �� < (']( �p d a- t�i� c Ix V m W C7 C9 � inJ � y C O tri p I Ci � � a0 cO L.__J � W � W �p� N6J N�j <WN °°n ° c I � C5 'n �- mWW Nco O `vI rn J �N J Nr i� s -- 17 Z i Z JU hZN r F- C Y Z n .. 4i 00 —) Der azm U in O p �2p 0o � � C � N O U C) �3 C8�x�J` o z F- r < J o a J w Zti z r� I I r 1 ' z 1 1 I . 1 I ' ' u II ws i w 8t S LtJ LLJ ui 1 I 1 . I ; O J 1 1 (7) U U N N � r � 1 I N _ WlI 1 1 W 1, 1 I 1 1 1 I `d -------- ` ' -- - - - - -- Y ~ 1 w�g O ws£ t „gC r • TOTAL DYNAMIC HEAD /CAPACITY HEAD CAPACITY CURVE PER MINUTE EFFLUENT AND DEWATERING MODEL 152 /153 MODEL 152 153 50 Feet Meters Gol. Liters Gol. Liters 153 5 1.5 69 261 77 291 12 40 152 10 3.1 61 231 70 265 15 4.6 53 201 61 231 z 20 6.1 44 167 52 197 �_ 30 t3 __ -- 25 7.6 34 129 42 159 30 9.1 23 87 33 125 0 20 35 10.7 -- -- 22 85 o —_ __ � 40 12.2 11 42 4 Lock Volve: 38.0 Ft. (11.6m) 44.0 Ft. (13.4m) 10 oi4soe 2 0 40 60 80 100 GALLONS LITERS 0 1 160 240 320 6 1/4 3 27/32 4 5/B FLOW PER MINUTE CONSULT FACTORY FOR SPECIAL APPLICATIONS 3 27/32 si anels available. • Timed d0 n9 P ® 3 27/32 • Electrical alternators, for duplex systems, are available and supplied with an alarm. • Variable level control switches are available for controlling single phase i systems. • Double piggyback variable level float switches are available for variable level long and short cycle controls. • t r inst llations. See FM1420. Sealed Qwlk -Box available for ou doo a • Over 130 °F. (54 °C.) special quotation required. 152!153 Series 12 1/8 1521153 MODELS Control Selection 1 Modal Vob-ph Mode Am Sim lex Du ex 5 1/8 Nt 115 1 Non 8.5 1 2 or 3 SN152 115 1 Auto 8.5 Included 2 or 3 SK2084 E152 230 1 Non 4.3 1 2 or 3 BE152 230 1 Auto 4.3 Included 2 or 3 N153 115 1 Non 10.5 1 2 or 3 BN153 115 1 Aura 10.5 Included 2or3 SELECTION GUIDE E153 230 1 Non 5.3 1 2 or 3 1. Single piggyback variable level float switch or double piggyback variable level float SE153 230 1 Auto 5.3 Included 2 or 3 swtch. Refer to FM0477. O CAUTION 2. See FM0712 for correct model of Electrical Altemator E -Pak. A8 hotallation of controls, protection devices and wiring should be done by a qualified 3. Variable level control switch 10-0225 used as a control activator, specify duplex (3) licensed electrician. All elecMcal and safety codes should be followed including the most recent Nod" Electric Code (NEC) and the Occupational Safety and Health Act (OSHA). or (4) float system. 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 `, � Loui 3 49 4025 un Ro Manufacturers ol. . �` � SHIP T0: 3649 Cane Run Road ® Louisville, KY 40211 -1961 QlLd[/TY �UMP9 S.vCE /999 ® (501) 778 - 2731.1(800) 928 -PUMP " P�lMP !O. Atrp:/ANww.zoeller.com FAX (502) 714624 ® Copyright 2001 Zoeller Co. All rights reserved. • POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page 7 of - 6 FILE INFORMATION SYSTEM SPECIFICATIONS Septic Tank Capacity 1000 al ❑ NA Owner 7S)ar ;r1 d r7 q Septic Tank Manufacturer Wieser Concrete ❑ NA Permit Effluent Filter Manufacturer Polylok ❑ NA DESIGN PARAMETERS ❑ NA Number of Bedrooms 3 ❑ NA Effluent Filter Model polylok 5`15 NA Pump Tank Capacity 6U0 al ❑ NA Number of Public Facility Units � DNA gal/ Pump Tank Manufacturer Wieser Concrete Estimated flow (average► Pump Manufacturer Zoeller )'utu Co ❑ NA Design flow (peak), (Estimated x 1.5) 4 at /da ❑ NA allda /ft2 Pump Model 152 Soil Application Rate 13 NA Standard Influent /Effluent Quality Monthly average" Pretreatment Unit Fats, Oil & Grease (FOG) 530 mg /L Q Sand /Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BOD 5220 mg /L IS NA ❑ Mechanical Aeration D Wetland Total Suspended Solids (TSS) 5150 mg /L ❑ Disinfection ❑Other: ❑ NA Pretreated Effluent Quality Monthly average Dispersal Cell(s) Biochemical Oxygen Demand (BOD51 530 mg /L ❑ In- Ground (gravity) ❑ In- Ground (pressurized) Grade M Mound Total Suspended Solids (TSS) 530 mg /L ❑ NA ❑ At-Grade Fecal Coliform (geometric mean) 510 cfu /100m1 ❑ Drip -Line Maximum Effluent Particle Size Y in dia. ❑ NA Other: ❑ NA Other: ❑ NA Other: ❑ NA Other: ❑ NA "Values typical for domestic wastewater and septic tank effluent. MAINTENANCE SCHEDULE Service Frequency Service Event ❑ month(.) At least once every: 1 D earls► (Maximum 3 years) ❑ NA Inspect condition of tank(s) hird IY,) of tank volume ❑ NA Pump out contents of tank(s) When combined sludge and scum equals one -t D month(s) (Maximum 3 years) ❑ NA Inspect dispersal cell(s) At least once every: 1 Q year(s) Q month(.) ❑ NA Clean effluent filter At least once every: 13 ❑ year(s) 13 month(s) O NA Inspect pump, pump controls & alarm At least once every: 13 ❑ year(s) ❑ months) E3 NA qAt ast once every: 3 01 year(s) Flush laterals and pressure test ❑ month(s) D NA Other: east once every: El year(s) ❑ NA Other: MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the Sept g Servicing Operator. T nk Master Plumber; Master Plumber Restricted Sewer; POWTS In POWTS Maintainer, inspections must include a visual inspection and scum and to o check for any back g up or pond ng effluent t on the ground surface. measure the volume of combined sludge The dispersal cell(s) shall be visually inspecte t of c heck ffluent on th ground surface may indicate a failing cond t on and a requi es the the observation pipes and to check for of effluent on the ground surface. The p 9 immediate notification of the local regulatory authority. When the combined accumulation of sludge a nd Se tae Servicing Operator and disposed)ofrin more of the tank volume, accordance with chapter t NR e 11 1 3 contents of the tank shall be removed by a p 9 Wisconsin Administrative Code. All other services, including but not limited to the serviccil be o f ef fluent fby a certifiednPOWTS MaintainerCOmponents, pretreatment units, and any servicing at intervals of 512 months, sh perf A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. OWNER: Sarah Lest Page b_ of 6_ START UP AND OPERATION For n9w 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. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal cell(s) in one large dose, overloading the cell(s) and may result in the backup or surface discharge of effluent. To avoid this situation have the contents of the 'pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at -grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water soften'er brine. ABANDONMENT When the POWTS fails and /or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with chapter 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 another 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 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. ❑ 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. Q) 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 CONTAIN 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 IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER POWTS MAINTAINER Name iiel Exc v- ' Name Phone 71.5/771 - 3278 Phone 715/273 - 5811 SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name Johnson Sanitation Name Phone 715/273 -5811 Phone 719/386 This document was drafted in compliance with chapter Comm 83.22(2)(bI0)(d) &(f) and 83.540►, (2) & (3), Wisconsin Administrative Code. ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer s alas1 ry) Les& Mailing Address of Ln 1P l4 �il� qC E Property Address (Verification required from Planning Department for new construction) City /State Parcel Identification Number 63`��/0 �✓�" 4� °- /o 7 s- 9 D �a'`� c� � LEGAL DESCRIPTION Property Location - a&2 - '' /<, 5 '/.,Sec. _3 , T 9_ N -R Town of �. Subdivision .� �. Lot # li� ,�— t Certified Survey Map # ' LA , Volume , Page # Warranty Deed # g -P? , Volume MLO (a , Page # Spec house Cl yes $ no Lot lines identifiable yes ❑ no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days of the three year expiration date. SIGNATURE.OF APPLI r T DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. SIGNATURE OF APPLIC DATE * * * * ** Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department.""" ** Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed KATHLEEN H. WALSH State Bar of Wisconsin Form 2 -2003 REGISTER OF DEEDS WARRANTY DEED ST. CROIX Co.. MI RECEIVED FOR RECORD Document Number Document Name 06 /09/20% 11 t WARRANTY DEED THIS DEED, made between Robert E. Leaf _ EXEMPT # REC FEE: 13.00 TRANS FEE: 150.00 _ _ - -- COPY FEE: ( "Grantor," whether one or more), and Sarah M. Leaf, a single person PAGES: E • 2 ( "Grantee," whether one or more). Grantor for a valuable consideration, conveys and warrants to Grantee the following described real estate, together with the rents, profits, fixtures and other appurtenant Recording Area interests, in St. _C County, State of Wisconsin ( "Property") (if more Name and Return Address space is needed, please attach addendum): { Thomas A. McCormack Parcel "B" description contained ou Exhibit 1 atiached hereto RESERVING. HOWF ' I R, to grantor, : 1020 10th Avenue his heirs, successors, and assigns, an easement for ingress and egress over and across said Parcel 'B" Baldwin, WI 54002 description in favor of Parcel "A" description on Exhibit 1, which easement is described as follows: V Part of the Southwest Quarter of the Southeast Quarter (SW 114 of SE 1/4) of Section 33, Township 29 I f North, Range 15 West, Town of Springfield, St. Croix County, Wisconsin, more particularly described as follows: 034 1075 - 9 0, 034 - 1075 - 95 Commencing at the South quarter corner of said Section 33, Thence N89 "E, along the south line Parcel Identification Number (PIN) of the Southeast quarter of said Section 33, a distance of 991.00 feet, to the point of beginning and centerline of the 66 foot wide ingress - egress easement herein described: This is no t homestead property. Thence NI00*21'15 "W, along said centerline, a distance of 459.00 feet; thence S89 1 28'50 "W, a distance fig) (is not) of 296.05 feet, therein terminating. Exceptions to warranties: easements and restrictions of record. Dated (SEAL) * Robert E. Leaf (SEAL) - -- t� ?0 y• AUTHENTICATION ACKNOWLEDGMENT - Signature(s) STATE OF WISCONSIN - -- ) ssr���� authenticated on _ _ ST. CROIX – COUNTY) , �zOF yy►SG��` Y1111 1% Personally came before me on V,C) — — _ the above -named Robert E. Leaf _ TITLE: MEMBER STATE BAR OF WISCONSIN -- (If not, to me known to be the person(s) who executed the foregoing authorized by Wis. Stat. § 706.06) instrument and acknowledged the same. THIS INSTRUMENT DRAFTED BY: Ata , h `_ _ -- Tho A. McCormack c , Sta WISCONSI -- Baldw WI 54002 My commission (is permanent) (expires: _. ) (Signatures may be authenticated or acknowledged. Both are not necessary.) NOTE: THIS IS A STANDARD FORM. ANY MODIFICATION TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. WARRANTY DEED STATE BAR OF WISCONSIN FORM NO. 2-2003 * Type name below signatures. ® State Bar of Wisconsin 2003 INFO -PRO Legal Forms - (800)655 - 2021 - infoprofo ms com I y p rn c N �-. .s y O ° , ° v _ .. _ ° o 7 O y- + U 0 O,r U 0 3 O O y N— c ` in O O C O C) t 4 4) v U o '- N o in '* Q o 0 o's — r d 0 m I c ° 0 , cow = o c �_ Z U to M C a y N N L- C , C �O ° v N C t. O c c ,,S w w 0 C_ to O O C O 0 4 , 0 3 0 a: C O Q " O° C p O p 0 U 0 N I rLJ C .aU O U 4) U U V=-0 U 0 �_ ° V I y CmN '� O 0 C x p .`i c Q C .-� N 0 -0 00 N .tn, CD ° _ N Q O } O 0) {n �{ 3. W C O `j O T3 «. �_ rn 0 L 0 O+ - O 0+ N O W to .0 0 p C '' C o O N O N V) 'o O O 7 r0. UM ° ` ° ° 3 N w a� a r� 3 In v M v LlJ O c 0 N N 4) O N a `� C7 to . C O '' O O LO rJ d N O+ O CO O a 00 't to N - .0 00 — 0 — Z 3 - C� N �' N O C-4". CV U U p V) U aa) O 00 o co ° s o w u co l ai r L.J O r C c y� D Z V) Z C Z w j (n V) ` (q l.Y L 0 0 O _C W o z N N (D N 0 W st d am Q .. E P - C. U U U U U Uet, r i Q O 3 C O 00 ( N N G 0 . m f') 0 '61:2 O 3 p O No O to N t L O L O r to C L to O C ¢ of-- U ro (n O) 'O F- M- f - c F- (n F N O F - ro : 0 O H H CA O (n c t p �(u .. a O »- 0 - 0� N p 0 (D y O O V 0 3 N 0. �4O c O p Z r r C ' 0 O O N to (D � y C - '0 O to N © O N _ y O - O 7 N r7 0 O C O .c N U tD a °° O O V .. ° C U ` D c N ._ U ° e C_ 0 . - y i tv .�. U Qj W — 00 Q) O CL p?i `; N O Q) D O C D Z M - a r .+ L a N _. 7. U N r7 O cn N r N ► O (D O) C 0 C O '0 O U) C N O U 3N p o 0 0_ 3 v c o 0' ��! O d :r _ (A O w V/ r s U O Q+ U to o CL r t7 N O tU O N _ to :3 C U-i 3 X 0 0 N 0 r o y &n 3 0 c C O` d - 0 ;v LO (D OI L C 0 U O O 'S �- 00 3 - of Q) 0M to 0 r Z to rn� O C' O O 0 = N < U PO O U) O O Co.- CO w to Q) to O O C O t Co ` C N C O 3 W W - 01 0 O 0 O ' L 0�0 N N O p 0 0' O00 0�" N -0 0 c i "N O c p— Z ° C N ha U U w O 0) Q' Cy Qy 4) C Q Q O O� c 00 ., 4).0 C Q) O ". .' C _ � O N (� CD C c to I - s c UI ; Z C) y Z '42) t a� v Q `O O _CNO ~ O N OO 4) C ►- r o Q U S- .� U c U 0 U a`v 3 E a7 0 (u (U O a Q "tic .-v O o O n O to Or r O O c N c!rO)ir p O C ¢0E- Un(n w.� r+.0 00 i I Parcel #: 034 - 1075 -95 -000 06/27/2006 02:07 PM PAGE 1 OF 1 ' Alt. Parcel #: 33.29.15.512A 034 - TOWN OF SPRINGFIELD Current j ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 06/09/2006 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner ROBERT LEAF O - LEAF, ROBERT R1 GLENWOOD CITY WI 54013 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description SC 0231 BALDWIN - WOODVILLE AREA SP 1700 WITC Legal Description: Acres: 31.000 Plat: N/A -NOT AVAILABLE SEC 33 T29N R15W 31A SW SE EXC W 958 FT Block/Condo Bldg: OF S 426 FT Tract(s): (Sec- Twn -Rng 401/4 1601/4) 33- 29N -15W Notes: Parcel History: Date Doc # Vol /Page Type 2006 SUMMARY Bill #: Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 04/14/2006 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 22.500 3,450 0 3,450 NO UNDEVELOPED G5 8.500 7,000 0 7,000 NO Totals for 2006: General Property 31.000 10,450 0 10,450 Woodland 0.000 0 0 Totals for 2005: General Property 31.000 10,950 0 10,950 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 o o S213HJ.0 Me 03NM0 ,b0 01�'S SN3Hy0 .CB Q3NM0 � n c SQNtl'I 03.L.Ltl'IdNR m 3 •• SQNtl'I O3.L,Ltl'IdNR \ I z a N <• F � F M,ZL,bl.00N F ,099LZZ M „ZI,I LOON M „Z L,tr WON 3 �O ,00 9Ztr \ �i?n/ ,tr4 "L99Z 3cn 'm- z \ n Z D A Z b N a O l z N < O N W p O O — O I b ^' :O W fD t Z m to Im I> � � � n z n < a 4 _ I to l� �hI ix Iz 10 I= id ,L8'IIZZ M „Z l,b t.00N IIxI Itn I(n 1� I� = Ila I '° m Ij lio \\Il m N W O m \I I N N 0 0 I'.0 1 19 00WIl ° w I z i I. M t,lZ.00N _ w � r-1 fit z ;U o OD cn LA O N N a s O N Z ,84 009Z �I ,8b £'£9Z z 3 „9 L, LZ.00S o iI? I,a - - --- - -- SN3H.L0 Cfl Q3NM0 SiIMO AG Q3NM0 - - -- 03,L tl'IdN f ° - - - - SQNV7 y R I I '> Sawn Q3J.,Gd'IdNR O p D D T 3 n C - Jn 00 J p c O i J n v _. O .1 3 O O D '^ o m m Om p pm m m m 0 .1 O o m O m Ln z T Z _. F 0 0 00 0 u On m m �L f-1 ^ .« m =' o .° cn _ (Tl ° o o? Nm ^A c Qfn'o W ,pn f ° w °.m D m l am ” ° n .00 TG's _ 3cn�a 0 o 0 oori_ �n 0 O Ll .p O N E �� i I - N O m m p „ O m O i (n Oo O O' n F1 �oN O m d r n JG n U! n�0 l n ?m ✓� O "O T o �.n ° o o n �O ° gym` . % r 3 O O N '' J.N.. O_ a_ m n O w N O ID In N D N J N N N J m a W 0 p Z^ c0 ° 0 0� ou °m a� m 0 a^ N o N ° rn n a o o ° — V 0w m 0 an c °p m � m Z N to F to S 'o S00 m O A Am - "o. m T O N Q N N S 0 O O F O n N ^O a Oi O m N (PC O T N 0 p o o J _ o In Cl _ m O . u t1 O NO O d _ N m \ E-o IU o l ^ : T rn a v Iv _ m O ^ ' _ _ o n ZJ ro M 0 Z 0 to w O N - O -� --� o. w -� .Z7 .< -� O d O O Z J O OI J 7 O) S O N 0, o m n -t o D N J O S 7 S m (JI O W O O C (,/j aQ rnm awm ay,m m m m NO�c 3 F0v D N fD `G �7 Sl 7 w J 7 3 7 7 0 n 7 o - tn n tT Q. _ �'o.lm �A o Om _m m m mOOm 0 m / T L a� N �c m o m_: -�0 o�0 a%D O (n rn C cp O O O 0 Iv N N (P N LJ c Z O I — p pI Q Tl J _ W �O� ? QNp� ri N�E F m 0O-m a 00 • w so_ I � a J`° m � 0 coo 0 �oo� I c m 3 a5 *° moo o o rnaa° -: °° n - o - 0 o v N yl ^ J 0° O (n 7 N^ U') � N O ^ j O o y N « O O 0 0 0 �. O m C N T O N j N w 0 0 -� z ] O = W0, O 3 —0 0 0 yam a� O m S N O O- _ O 0 0 O °co mp � m � A^ b N �, m m , o 0 0° Z VIA Q O 0 0 » n o O n 7 !n 7 y• \ or 7 O 0 n m T m O m n w O S S1 � O p -., 0 s � •�-z Parcel #: 034 - 1075 -90 -000 06/27/2006 02:22 PM PAGE 1 OF 1 Alt. Parcel #: 33.29.15.511 034 - TOWN OF SPRINGFIELD Current LI ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 06/09/2006 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner ROBERT LEAF O - LEAF, ROBERT R1 GLENWOOD CITY WI 54013 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description SC 0231 BALDWIN- WOODVILLE AREA SP 1700 WITC Legal Description: Acres: 40.000 Plat: N/A -NOT AVAILABLE SEC 33 T29N R1 5W 40A NW SE Block/Condo Bldg: Tract(s): (Sec- Twn -Rng 401/4 1601/4) 33- 29N -15W Notes: Parcel History: Date Doc # Vol /Page Type 2006 SUMMARY Bill #: Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 04/14/2006 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 40.000 5,400 0 5,400 NO Totals for 2006: General Property 40.000 5,400 0 5,400 Woodland 0.000 0 0 Totals for 2005: General Property 40.000 6,100 0 6,100 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- 1076 -30 -000 06/27/2006 02:23 PM PAGE 1 OF 1 ' #Jt. Parcel #: 33.29.15.513B 034 - TOWN OF SPRINGFIELD Current , X! ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 08/15/2005 00 5 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner RETIRED LEAF O - LEAF, RETIRED Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description SC 0231 BALDWIN- WOODVILLE AREA SP 1700 WITC . Legal Description: Acres: 20.000 lat: N/A -NOT AVAILABLE SEC 33 T29N R15W 20A S 1/2 SE SEC lock/Condo Bldg: TAKES ALL // Tract(s): (Sec- Twn -Rng 401/4 1601/4) 33- 29N -15W Notes: Parcel History: Date Doc # Vol /Page Type 2006 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 01/26/2006 Description Class Acres Land Improve Total State Reason Totals for 2006: General Property 0.000 0 0 0 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 a1 &Tracy I d OeB 160 10 & P Kath 159 Sylvia 1 dner Ott 40 Kiesow 95 Ba11 Nuttnu aul @ 1 t oni @B 18 Hula° @ Sc wolf t\ David Allan & Robert Gary & Richard vae�e°dae Crockett N` H & Kathy Cynthia 128 & Phyllis Cheri „8 ` 3 Johnson 37 90 79 izop' Krafve 80 Ryan 80 69 i e f LL 2C Kurt ~ . 1`4..... a ... Glenn ebn.ter°e° a rna H Luc 120 Bruce & 2 Steven l d` Maleein 65 carat °la Leroy & Donn o s Dianne & Blle Donald a r ' @ 1a e1 e 75 w r Seim Haines a o°, 4o ^ M 40 eY 80 Fo son ; 334tCamd 5 240 110 r& r s7 Howazd c &P l Jerry Graham N H s L Robert P 10 Forrest & Jennifer & u= Wa a Fred & Pamela a 7 Drew 99 Y°berty3s Kreutzfeldt Clere°r g Kell 130 & Genevlere EP Betty Paul ed'"& C� tadmta, Steven GLE Matthew o lamas John & Hazold F at Oe111ke "' Faith ormmn Pamela Brandt & Btt - F� - 3 s � RicRichard d eenendall 3Jarvis GP King 58 all " 48 40 40 60 40 E Jerry & Gula: 3 iO3 1 2 1 1 Ott AV V L D&C Sterile Mar ian Son & Der R &S on & 13 Et ene @ � 15 w&v Song McGee valerk q Alvan. .1 . 40 34 s 6 40 Her 40 Yang 39 20 S m & ttnna S Bhaa�ron Gessler Donna Rmond Jr Leon & Ne on el Mac & Edward & line - Her & Neng Kou B13 tie Conner June &s n,,, Heur a der Y � '�` "��, James & OM 59 80 Wollack 159 ° 77 O S r 4 s '.�1� Carol 08 224 3 ` McCarth Harold Chong C ' ord Jr Carlos & Ruth ! 188 Shawn 7 & Betty Her carmine v's911 & ew Frye O ^: Ma lina Y 40 . 116 dt 4 r 159 1 son 80 by S &K tsM Sarah Boyd 'e}' ,s, Gane 80 warren aJ 00 0 Lyons w &Inn a b o . � ,, James Chao stev & B— o on F 35 r C7 q'o H 3 S Fern Her Globes hrke r 120 l Ll Z r 38 NP ti 90th AVE a o p 40 80 Trust 73 &E a 30 g I 0 James Thomas Bruce a & A &E E 40 - 4 Daly Charles & Shelia P & Karen }eri 8 Wall Mal O D �v Daly rust Mahoney Miva Peterson Tang Eich / smith Aasen of a G Ray 0 120 Scott 40 80 40 B 176 25 4 D nnis Nelson Richard &Cary N &p iarke n Thomas / z1 \ M 00 - l snlrley & usan 80 hl M 5 & Nancy 80lee o e B 20 & Louann N US Oe a Bloom AVE l� Faber40 M,na 0�0 4 M alt 7 LE 1 1 C°b'r° Smith 0. fin Laurence Mark & LE & A P Grant H aid Smith Barry r &Diana Mitchel t Kathrine RW & Kildahl Mallet we°dy David & & Mary � Rickard Alan & Bloom aark 16o u L&E 2 Ronald etal 120 Anita 71 Victor & .e Fortune & KaY 120 l.- Lesley Mahoney Larson 60 Meech e 1 1 9eR Leon & Shat � a, � � Diana 60ban Lee & c Leona lay & eeof 80 @ sn ld Ka en Mary Ka 3 ( s Spiel 9 r Lockerby K d c McGee Curry 97 a '° i » L1 n 2 40 4 y c� 80_ - 4p o lul,e ° 1 80th AVE 3 N � i °im@ harles o Butties t0 lbnih art o Mulene ark Frank t R chard NM h {j I w Im an °P Bonnie OMeaza ` f Marl 0 Daniel Robert B & Lyla arld n E°ae • I Leroy 29 12 :�Z t 40 Christian y lets Prinsen erald & 80 40 Laral ?i Imothy Griffin x 60 t Seim Julianne & e�m F - Smith 8O Ricky 8O G erlach sii ek 80 a 60 t 185 Frederick t ,`�e° ° Implement Young 70 >: i ----29 Lenertz ;1;, Co 109 40 rene UP RR rn 2 Cr Wl ' pw{Iu MarRMarilyn 1 - 12 ;` : . p � : . N ry Y arson &tmda &way°e I Lou w anovsky so 40 ti $ oaws tercet ao I •• , . � s obert .� z7 Norman 13 ,� 40 72 d AVE h Dani I &Arlene Kodney @ „'f +i.; q Robert & Di Nelson R D&K ` o ert Dale 160 i : SE 10 / 4 c &C &Linda Bee I64 Cook � ?_ ';� {` : exa Snyder &Kim Krteaer Mott X etal 32 116 Kuhn 75 t St z4 �; Behnke 5 16 40 Reuben & Karl Allen Mabel Larry & V Richard Hermanson M NN v beach Thompson Eleanor 24 Hagen erald & Eug 7$ 1 Mouse 35 �z £ s _ 40 Trust 120 119 Michael ` iaam° a Tru Bruce & Hazold '� &Salty tai 6t & i.eslle so Sharon Ovila Frye BK & Snyder sz — • • s�xaR,et " Achterhof Stang Famlly 70 Allen ; t ��u: �� it r { I ( l ' hrhol E @Avis 55 BBchad Lee & i] udo 10 i Mary 3 j�pph ti�nd Keith & " °° & Mathha M st 9 LE & /acobson Stenzel h KeNn z7 77 C0 Eri i iji9q y;, 'o e Frances Le ekso s n & Eltl°nd 97 E &7513 33 'iY s 168mrey ° LE 1 5 39 Burton Hs& y" 12 Bonald & Duane Rs R& 1 &o Harold Ann ght[oot W Debora ° Bnal Tod I Ma ,' Vei'SOn Marilyn pi avert & Cheryl R 79 N C & 8o Vol 7 zmmer B 10 13 JS o rust 4 y f ert 43 CADY PAGE 24 RB , s STOC FA] yo Uc -- f Wilson, WI WILSON, WI 715-772-312S.- . Ww Dry Vans - Reefers - Augers Hoppers - Brokerage Hwy 128 S. Phone: (715) 698 -2442 JAW -, Fax: (715) 698 -2962 Redwing Shoes Farm Si 421 Toll Free: 1- 800 - 219 -6926 Appliances Groce Safety and Buildings • 10541 N RANCH ROAD Colt merCe.wl.gov HAYWARD WI 54843 TDD #: (608) 264 -8777 isconsin www.wisconsin.go isco n sin.go iscosin.gov Department of Commerce Jim Doyle, Governor Mary P. Burke, Secretary May 11, 2006 CUST ID No. 46672 ATTN POWTS Inspector ZONING OFFICE MARK W IVERSON ST CROIX COUNTY SPIA PO BOX 155 1 101 CARMICHAEL RD HAMMOND WI 54015 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 05/11/2008 Identification Numbers Transaction ID No. 1265467 SITE: Robert Leaf Site ID No. 711952 Town of Springfield, St Croix County Please refer to both identification numbers, SW 1/4, SE 1/4, S33, T29N, R 15 W above, in all correspondence with the agenc FOR: Object Type: Soil Saturation Determination Regulated Object ID No.: 1072348 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: 1. Approval is hereby granted pursuant to s. Comm 85.60(2), Wis. Adm. Code, to estimate the depth to seasonal soil saturation based on an interpretive determination process. Approval of the interpretive determination negates the requirement in s. Comm 85.30(2)(b), Wis. Adm. Code to designate the ground surface as the highest level of soil saturation when redoximorphic features are less than 4 inches below the bottom of the A horizon. 2. The estimated highest level of prolonged soil saturation approved under this determination is seven inches below grade. AJeast 30 inches of sand lift on top of 6 inches of unsaturated, in -situ soil is required for adequate treatment and dispersal. ✓ 3. The basal soil application rate for the mound shall be 0 .20 gpd /sf, and the linear loading rate 4.50 gpd/ft. The down slope toe slope should bej.1 to increase the basa ink �trative area. 4. Placement of 3 -4 inches of ASTM C -33 sand prior to chisel plowing (through the sand) to a depth of >12 is required to improve vertical water movement into the soil solum. 5. Landscaping up slope of the mound shall be incorporated into the POWTS design to prevent surface water from concentrating along the up slope edge of the mound and to divert surface water drainage away from the system. 6. This approval shall remain valid unless the site is altered in such a way that the depth to soil saturation would change or if saturated conditions are observed for seven consecutive days at depths less than 3 feet below the infiltrative surface of the POWTS distribution component. 7. This approval in no way relinquishes the use of color patterns to estimate the depth to high groundwater on any other parcels or portions of parcels. 8. A copy of this approval letter and attachments must accompany the mound system design for this site for purposes of plan approval and sanitary permit issuance. If the Interpretive Determination Report was accompanied with a plan and an expiration date is shown on this letter, the expiration date only applies to the plans for the design, not to the decision on the Interpretive Determination Report. MARK W IVERSON Page 2 5/11/2006 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. If plan index sheets were submitted in lieu of additional full plansets, a copy of this approval letter and index sheet shall be attached to plans that correspond with the copy on file with the Department. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /installation /operation. If this construction project will disturb one or more acres of land, an Erosion Control Notice of Intent (NOI) shall be filed with the department 14 days prior to any earth disturbing activities. In granting this approval the Division of Safety & Buildings reserves the right to require charges 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 the at the telephone number listed below, or at the address on this letterhead. Sincerely, Fee Required $ 100.00 Fee Received $ 100.00 4 . Balance Due $ 0.00 eroy G. risky, PSO Specialist Integrated Services Bureau WiSMART code: 7633 (715)726 -2544 Voice Ijansky@commerce.state.wi.us INTERPRETIVE DETERMINATION REPORT Property Owner: Robert Leaf 2928 Co. Rd. BB Glenwood City, WI 54013 r Site Location: SW '/4 of the SE '/4, Sec. 33, Town 29N, Range 15W To �,opIneeld o1�gftyyy APPROVED DEPARTMENT OF COMMERCE DWI WN Of SAFETY AND BUILDINGS SEE C RESP DENC Prepared by: Mark Iverson, PSS #197, CST #46672 April 18, 2006 Date Evergreen Irrigation Inc. Mark Iverson, Professional Soil Scientist P.O. Box 155 Hammond, WI 54015 Phone: 715- 796 -5664 Fax: 715- 796 -5246 e -mail: evergreenetc @baldwin - telecom.net TABLE OF CONTENTS I . Introduction ............................................................................... .............................. II. Project Information .................................................................... .............................. III. Method ....................................................................................... .............................. IV. Discussion of Results ................................................................. .............................. A. Local Hydrology ............................................................ .............................. B. Geomorphology ............................................................. .............................. C. Soil Disturbance and Hydraulic Modifications .............. ..............................3 D. Landscape Position and Local Topography ................... ..............................3 E. Soil Series and Mapping Units ...................................... ..............................4 F. Additional Data .............................................................. .............................. G. Comparative Analysis .................................................... .............................. H. Government Reports and Comments ............................. ..............................6 V. Conclusions and Recommendations .......................................... ..............................6 VI. References .................................................................................. .............................. TABLES Table 1 - Soil Series Characteristics Table 2 - Hydric Soil Classification FIGURES Figure 1 - USGS Topographic Map Figure 2 - Soil Map APPENDICES Appendix A - Soil Evaluation Report Appendix B - Soil Borings and Percolation Tests completed on Adjacent Properties i I. INTRODUCTION On January 26, 2006 Mark Iverson, Professional Soil Scientist # 197 and Certified Soil Tester #46672, completed an Interpretive Onsite Soils Evaluation. An interpretive evaluation is required because the site does not meet the requirements to install a new private on -site waste treatment system (POWTS) through completion of a conventional onsite soils evaluation ( <A +4 inches of acceptable soil is be present). The onsite evaluation was completed through the observation of the soil profiles at five hand dug test pit locations. This report has been prepared to present the results of an interpretive determination completed to determine site suitability for installation of a POWTS. The evaluation was completed at the request of Sara Leaf. The property is located one mile north of I94 and approximately'/4 mile west of Hwy 128 off of 60` Avenue and is owned by Robert Leaf. In the fall of 2005 an interpretive determination was completed on a portion of the property northwest of the current proposed location. The results of the assessment concluded that there was no area suitable for a system at that location. Following the first assessment Sara Leaf received permission to seek out an acceptable area on additional property owned by Robert Leaf. A preliminary soil evaluation was completed the Fall of 2005 on the additional property. The preliminary evaluation concluded that A +4 soils were not present on the site. However, potential sites were identified to complete an interpretive assessment of the soil charctoristics. No data from the preliminary assessment has been included. II. PROJECT INFORMATION The following is site - specific background information, which has been collected: Property Owner: Robert Leaf 2928 Co. Rd. BB Glenwood City, WI 54013 715- 265 -4964 Site Location: SW %4 of the SE 1 /4, Sec. 33, Town 29N, Range 15W Parcel ID # 034 - 1075 -95 -000 Town of Springfield St. Croix County Historic Land Use: Fallow for 20 plus years according to the landowner Current Land Use: Fallow Vegetation: The site is currently fallow and has been fallow for over 20 years. The vegetation within the proposed system area consists of primarily miscellaneous grass, including foxtail. Hydric vegetation was not observed within the project area. III. METHOD This interpretive evaluation and report was completed following the guidelines set forth in Comm 85.60(2) of the Wisconsin Administrative Code and in the summary provided by Leroy Jansky titled, "Preparing the Interpretive Determination Report" (March 13, 2002) IV. DISCUSSION OF RESULTS A. Local Hydrology 1. Surface Water Drainage Patterns — Surface water drainage is uniform over the majority of the proposed system area. The proposed system location is at the shoulder of the slope at the end of an interfluve. The slope within the proposed system area varies from 1 to 3 %. Evidence of concentrated surface water flow was not observed within the proposed area of the system. 2. Subsurface Water Drainage - The silt loam texture and lack of compaction within upper 7 to 9 inches of the A horizons offer good infiltration for the typical rain event. During and immediately following frozen conditions and following heavy precipitation events, runoff will be much greater. Water percolation is limited in the soil profile at 7 plus inches below surface by a number of factors. The factors observed include: • Platy structure observed at 9 to 10 inches below surface • Weak structure observed below the A horizon (topsoil) • Increase in clay content in the B horizon (subsoil) 3. Artificial Drainage Devices — No artificial drainage devices were observed during the completion of the evaluation. 4. Contributing Drainage Area — The system is located near the end of the interfluve along the shoulder of the slope. The proposed area was moved as far up the slope as was possible to reduce the amount of area contributing surface water to the proposed system area. The distance from B -1 to the summit of the slope is approximately 70 feet. Boring B -2 is located on the nose of the slope so very little surface water drains to B -2. 5. Soil Saturation — Saturated soil was encountered at 20 inches below surface in B -2, however saturated soil was not encountered in the other borings within 20 inches of the surface. 6. Surface Water Elevations - Surface water within 1/4 mile of the site has been identified on Figure 1. The nearest surface water feature is an intermittent steam located approximately 500 feet north of the site. 2 B. Geomorphology 1. Parent Material — The parent material is loess over dense glacial till. 2. Landform Type — The proposed system is in loess over glacial deposits. C. Soil Disturbance and Hydraulic Modifications The proposed system location is in a fallow field. The field has been out of agricultural production for 20 plus years. The proposed system location has not been severely disturbed by cutting or filling. No hydraulic modifications, such as drain tile or ditches, were observed at the time of the assessment. No additional surface water is received from impervious surfaces. D. Landscape Position and Local Topography The regional topography is shown on figure 1. The proposed system location is near the highest point in the immediate vicinity. The ground surface elevation is approximately 1280 feet mean sea level (msl). The topography within the proposed system area is shown on the site map included in Attachment A. The proposed system is located near the highest position on an interfluve. The proposed system elevation is 100.00 feet msl. The shape of the slope within the proposed system area is linear to slightly convex (perpendicular to the contour) and slightly convex (parallel to the contour). FIGURE 1— USGS TOPOGRAPHIC MAP Leaf ProVert"r Proposed -` System � , Location 1280 1280 126-4 Leaf Property ke 1 60th Avenue 3 E. Soil Series and Mapping Units The Soil Survey of St. Croix County maps the soils on the Leaf property as Amery loam (AmC2), Freeon silt loam (FnB), and Magnor silt loam (MaB), and Santigo silt loam (SaB). The location of each soil type is identified on Figure 2. The primary soil characteristics as described in the series description are identified on the Table 1. TABLE 1— SOIL SERIES CHARACTERISTICS Texture Parent Material Permeabili Soil A E or B Drainage Series Horizon Horizon Surface Subsurf. Surface Subsurf. Class AmC2 SL SL Till* Till* M MS W FnB SIL SIL Loess Till* M MS to S MW MaB SIL SIL Loess Till* M MS to S SP SaB SIL SIL(SL Loess Till* M S to MS W *Sandy loam till of the Wisconsin age Abbreviations Permeability IM = Impermeable MS = Moderately Slow RA = Rapid VS = Very Slow M = Moderate VR = Very Rapid S = Slow MR = Moderately Rapid Drainage Class VP = Very Poorly W = Well P = Poorly SE = Somewhat Excessively SP = Somewhat Poorly E = Excessively MW = Moderately Well TABLE 2 — HYDRIC SOIL CLASSIFICATION NRCS - USDA Soil Series Component Inclusions USACOE AmC2 No None No FnB No None No MaB No Adolph No SaB No None No 4 FIGURE 2 — SOIL MAP i AVENUL F. Field Observations The soil identified during the completion of the test pits resembles the mapped soil units, Santiago and Freeon in regards to texture however the soil saturation indicators vary significantly. The soil profile within the proposed system area consisted of 9" to 12" SiL topsoil over a variety of subsoil types to variable to summarize. Redoximo hic features were observed in borings B -1 thru B-4 within the A rP g horizon beginning at 7 to 9 inches below surface as Fe and possibly Mn concentrations (spots <1 mm in size). The redoximorphic features were more distinct in lighter colored the subsoil. The redoximorphic features observed in B- 5 (the most upslope boring) are below the A horizon (>I 0 inches below surface). While the redoximorphic features in B -4 (the most downslope boring) included low chroma colors directly below the A horizon. This indicates that the duration of saturation is greater downslope and additional surface water received down slope and the influence of subsurface drainage does have an effect on the depth of regular saturation in the soils. 5 The cause of the redox features observed in the E and E/B horizon is most likely attributed to short-term seasonal saturation. The soil on site does not meet the hydric soil criteria. The lack of hydric soils indicates that the soil is likely not saturated for greater than 5% of the growing season (approximately 7 consecutive days). A dominance of hydrophytic vegetation was not observed within the proposed system area. The lack of these features does not preclude the possibility that the soil is saturated for a prolonged period of time prior to or on occasion during the growing season. G. Comparative Analysis Soil borings (B -1, B -2, and B -3) were completed within the proposed system area. Two additional borings were completed one upslope (B -5) and one downslope (B- 4) of the proposed system area. Boring B -5 was completed to assess the conditions above the proposed system. This boring was the only boring with no redoximorphic features in the A horizon. Boring, B -4, was completed further down slope to document conditions at a location that was likely to experience saturation more frequently and for longer durations. The Redoximorphic features observed at B -4 included low and high chroma colors directly below the A horizon (11" below surface). The Redoximorphic conditions observed at B -4 are most likely due to a longer duration of saturation. However the prolonged saturation still appears to be primarily 7 plus inches below surface. H. Government Reports and Comments No government reports or comments were available for this site. The adjacent property to the west was approved for installation of a replacement mound system in July 1989. The system was installed in the approved location. Interpretive determination reports were completed on the leaf property to the east of the area summarized in this report. V. Conclusions and Recommendations The site is suitable for installation' of a POWTS (mound system) for the following reasons: 1.) Redoximorphic features were not observed in the upper 7 to 9" along the proposed system contour at B -1 and B -2 or at B -3, 30 feet downslope from the system contour. 2.) Neither hydric soils nor a dominance of hydrophytic vegetation are present within the proposed system area. 3.) The proposed system is located near the highest position on the slope. The influence of surface hydrology at this point will be minimal. 6 4.) There are no features that concentrate surface water flow toward the proposed location of the system. 5.) The slope at the proposed system location is 1 to 3 %. The slope is uniform with no dips or valleys. 6.) The site has not been tilled in 20 plus years. The lack of redoximorphic features in the upper portion of the surface horizon after that time period indicates that there is not prolonged saturation in the upper 7 inches during the growing season. The following recommendations should be considered during installation of the proposed system: 1.) The system should be installed on the 100.0' contour to stay within the tested area. 2.) Sand fill shall consist of 2.5' of material meeting ASTM C -33 specifications. 3.) Four to six inches of sand should be placed on the system area immediately prior to tilling. 4.) The tillage must be completed with a chisel plow to a minimum depth of 12 inches below surface during dry condtions. 5.) The basal loading rate shall not exceed 0.2 GPD /ft for EFF #1. 6.) The system shall be designed to have a linear loading rate of 4.5 GPD /ft or less. 7.) The system will follow the contour (100.0') and be slightly convex. 8.) The slope upslope of the system should be modified to reduce surface runoff toward the system. 9.) The mound downslope should be constructed at 1:4 rather than 1:3 to increase the toe absorption area. The final approval of this site must be made by the Wisconsin Department of Commerce and the St. Croix County Zoning Department. This report represents the observations and professional opinion of Mark Iverson, Professional Soil Scientist ( #197) and Certified Soil Tester ( #46672). VI. REFERENCES 1. United States. United States Department of Agriculture Soil Conservation Service, in cooperation with Research division of the College of Agriculture and Life Sciences University of Wisconsin. Soil Survey of St. Croix County, Wisconsin. 1978. 2.) State of Wisconsin. Department of Commerce Code, Chapters 83 and 85. 3.) US Department of Agriculture, Natural Resources Conservation Service. 1996. Field Indicators of Hydric Soils in the United States. G.W Hurt, Whited, P.M., and Pringle, R.F. (eds). USDA, NRCS, Fort Worth, TX. 7 4.) Schoenberger, P.J., Wysocki, D.A., Benham, E.C., and Broderson, W.D. (editors), 2002. Field book for describing and sampling soils, Version 2.0. Natural Resources Conservation Service, National Soil Survey Center, Lincoln, NE. 5.) United States. Us Geological Survey. Topographical downloaded from http : / /terraserver.microsoft.com/ 6.) St. Croix County. St. Croix County Land Information System. http• //72 21 230.178 /website /pas s� tem /gisportal.htm 7.) United States. United States Department of Agriculture - Natural Resources Conservation Service. Hydric Soil List for St. Croix County, Wisconsin. ftp://ftp-fc.sc.epov.usda.�ov/WI/Soil/hyd/hydIO9.htm 8.) United States. Us Army Corps of Engineers. 1987. Corp of Engineers Wetland Delineation Manual, Technical Report Y -87 -1. USAEWES Environmental Laboratory, Vicksburg, MS. 8 APPENDIX A SOIL EVALUATION REPORT 9 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page I of 3 Division,of Safety and Buildings In accordance with Comm 85, Wis. Adm. Code County Attach complete site plan on paper not less than 8 `/2 x I I inches in size. Plan must St. CT01X Include but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. 034 - 1075 -95 -000 Percent slope, scale or dimensions, north arrow, and BM referenced to nearest road. Reviewed by Date Please print all information Personal information you provide may be used for secondary purpose (Privac Law, s. 15.04 (1) (m)) Property Owner Property Location Robert Leaf Govt. tot SW i4 SE i, s 33 T 29 N R 15 w Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 2928 County Rd. BB City State Zip Code Phone ❑ City ❑ Village B Town Nearest Road Glenwood City WI 54013 715- 265 -4964 Springfield 60` Ave. 0 New Construction Use: 21 Residential / Number of Bedrooms —_ Code derived design flow rate 450 GPD ❑ Replacement ❑ Public or Commercial — Describe: Parent Material Loess Flood Plain elevation if applicable NA ft. General comments and recommendations: F� ❑Boring Boring # M pit Ground Surface Elevation 100.0 ft. Depth to Limiting factor 9 in. oil — ADDocation Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 "Eff#2 F F 0 -5 10YR3 /2 - SIL 2 -f -gr mfr cs 2f 0.6 0.8 2 5 -9 10Y - SIL 2 -m -sbk mfr cs 2f 0.6 0.8 3 9 -11 10YR3 /2 5YR f -1 - f SIL 2 -f -pl mfr as If 0.0 0.2 4 11 - 10YR5/4 7.5YR5/6 c -1 -f SIL 1 -m -sbk mfr as if 0.4 0.6 5 20 -26+ 10YR4 /3 5YR4/6 m -2 -p LS 0 -sg ml - - 0.7 1.6 ❑ Boring a Boring # Mpit Ground Surface Elevation 100.0 ft. Depth to Limiting factor 7 in. Soil ADDlicati n Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots PD/Re in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff*1 "Eff#2 1 0 -3 10YR3/2 SIL 2 -f -gr mfr cs 2f 0.6 0.8 2 3 -7 10YR3/2 SIL 2 -m -sbk mfr cs 2f 0.6 0.6 3 7 -9 10YR3 /2 5YR3/2 f -1 -f SIL 2 -f -sbk mfr as if 0.6 0.8 4 9 -20 10YR514 7.5YR5/6 f -1 -f SIL 1 -m -pl mfr as 1f 0.4 0.6 5" 20 -25+ 5YR4/4 5YR3/4 f-1 -d LS 0 -sg ml - - 0.7 1.6 " saturated El * Effluent # 1 = BODs> 30 <_ 220 mg/L and TSS > 30<_ 150 mg/L * Effluent #2 = BODs 5 30 mg/L and TSS <_ 30 mg/L CST Name (Please Print) Signature CST Number Mark Iverson 46672 Address Date Evaluation Conducted Telephone Number P.O. Box 155 Hammond, WI 54015 January 26, 2006 715- 796 -5664 1 V Property Owner Robert Leaf Parcel ID# 034 - 1075 -95 -000 Page 2 of 3 ❑ Boring 3 Boring # opit Ground Surface Elevation 99.4 ft. Depth to 1. i n i iting factor 7 in. Soil ADDlication Rate Horizon Depth Dominant Color Redox Description Texture Structure 1 Consistence Boundary Roots QP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. I •Eff#1 *Eff#2 1 0 -3 10YR3/2 - SIL 2 -f -gr mfr cs 3f 0.6 0.8 2 3 -7 10YR3/2 - SIL 2 -f -sbk mfr cs 2f 0.6 0.8 3 7 -13 10YR3/2 5YR3/2 f -1 -f SIL 2 -m -sbk mfr as If 0.6 0.8 4 13 -19 5YR4 /4 5YR513&5YR4/6 c -2 -d CL 1 -m -sbk mfr as - 0.2 0.3 C 5 19 -24 5YR4 /4 5YR3/4 f -2 -f LS 0 -sg ml - - 0.7 1.6 I- ? O Boring a Boring # opit Ground Surface Elevation 98.7 ft. Depth to limiting factor 7 in. So il Application Rat Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots Gpime in. Munsell Qu. Sz. Cont. golor Gr. Sz. Sh. I 'Eff#1 •Eff#2 1 0 -3 10YR3/2 - SIL 2 -f -gr mfr cs 3f 0.6 0.8 2 3 -7 10YR3/2 - SIL 2 -f -sbk mfr cs 2f 0.6 0.8 3 7 -11 10YR3/2 5YR3/2 f -1 -f SIL 2 -f -sbk mfr as 1f 0.6 0.8 4 11 - 19 10YR4 /4 10YR5/2 &7.5YR4/6 f - - SIL 1 -m -sbk mfr gs 1f 0.4 0.6 5 19 -24+ 7.5YR4/4 10YR5/2 &7.5YR4/6 f -2 -d SICL 1 -m -sbk mfr - - 0.2 0.3 Boring # ❑ Boring �5 opit Ground Surface Elevation 100.5 ft. Depth to Limiting factor 10 in. _ Soil Application Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. t_ *Eff#1 'Eff#2 1 0 -3 10YR312 - SIL 2 -f -gr mfr cs 3f 0.6 0.8 2 3 -10 10YR3/2 - SIL 2 -f -sbk mfr cs 2f 0.6 0.8 3 10 -14 10YR4/4 10YR4/6 & 5/3 f-1 -f SIL 1 -f -pl I mfr as 1f 0.4 0.6 4 14 -18 10YR4/4 10YR4/6 & 5/3 f -2 -f SCL 2 -m -sbk mfr cs 1f 0.4 0.6 5 18 -24+ 7.5YR4/4 7.5YR4/6 f-1 -f SCL 1 -m -sbk mfr - - 0.2 0.3 ' Effluent # 1 = BOD5> 30:5 220 mg/L and TSS > 30:5 150 mg/L • Effluent 42 = BOD55 30 mg/L and TSS _5 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. Page 3 of 3 0 ft. 24 ft. 40 ft. 80 ft place system on the 100.0' contour p - f '1 0. B� �b goo e c15 B -5 03 5' m c B .J a 100 5' n o p o 31. O o d CD N .. n a° 4 co W 1 00.0 100.0 g9.4 g9.5' � N g9.0 B -1 is approximately 270 feet north of 60th Ave BW & Descrip =Bench Mark Elevation 1 00, = Boring Location & Elevation House and well location to be determined Owner: Robert Leaf Site Information: Completed By: Mark Iverson, PSS #198 2928 Co. Rd. BB SW 1/4, SE 1/4, S33, T29N, R15W 680 Larcom Street Glenwood City, WI 54013 Town of Springfield Hammond, WI 54015 St. Croix County 715 - 796 -5664 Phone: 715 - 265 -4964 CST# 46672 i i Appendix B Soil Borings and Percolation Tests completed on Adjacent Properties 10 08/12/05 FRI 08:01 FAX 715 386 4686 I�tUU2 1 1 . 1 1 6-i S�1 � + Y� �' ire.. t: Y• fx.air. - .. to S O +LL h � w. ..•sa_ e t �. e ............. N IOUSTMENT DF RE PORT ON S OIL B ORING S AN D SAFETY & BUILDINGS A ( LABOR AND - ` PERCOLATION TESTS 115 P.O. DIVIS 7969 Hk "JIVaREL:!►TIONS ) MADISON. WI 53707 (ILHR 63.08(1) 6 C"llier 1451 SW !/4 S E 1/4 33 /T29 NIN 15 w Springfield T - u 1 NAIL a LINTY: MAILING ^DMCEB. St. Croix Bon Berkely RR l 60th Ave., Wilson. WI 54027 USE GATES OBSERVATIONS MADE Ci7Rasinlwto - C1 3 NA ONew PRa 4 4/12/68 RATING: S- Sha sritable for syatam U- Shia rputtsbla fa Igrtam 0 L' 1- � OL I K: ECOMMENOEO SysT6M:(op.iowl u S MU M S ❑V ❑ S LJU ❑ S Y Q S bound via petition - via tition If petition den It Percolation Tests aft NOT ,,,,k d DESIO A Nan y portion of the tasted a!m Is in Mo under s. ILHR 83.Oef6Hbl, indicate•. NA I Floo Indicate Fhoodolsin eleva NA PROFILE DESCRIPTIONS BORING ELEVATION H L W MI KNES COLOR. TEXT E. AND DEPTH NUMBER OEM IN. F 093ERVED ISEE A BRV. ON BACK.) & 1 24 300.1 No 1s 0-8 10YR 5/3 sil 8-15 7.5YR 4/4 heavy sl. 15 -24 SYR 4 4 sal M/ ey loots 2 24 99.6 No 12 0-11 dk Bn sil 11 -24 10YR S73 sil wl card -p R oats Wow & 3 26 100.1 No 13 0 dk On Sil. 4 - 18 10YR 5/4 all w/ fmd R mats below 13. 18.26 Q-111a dons Sr (+41111 & 4 24 99.5 No 12 0=4 dk So $11. 4 - 24 on sil w/ fm R - 8n mots below 12 li 5 15 100.0 No 13 0-6 dk se sill 6 -15 Bn siI w/ efd-p R -en mots below 13 8- PERCOLATION TESTS NIJ�R NE H H wA ERSWELLIN IN VALiAI L M RA PER INH MIN P. 1 le 1 No 30 17/16 12116 12/16 40 P. 2 14 No 30 17116 19/16 18116 26.7 P. 3 18 No 30 21/16 11716 13/16 36.9 P. P- Eleval lonst P -1 - P-2 P•3 contour Is 100.1 P . PLOT PLAN: Show locations of percolation Costs. soil borerµ and the dimensions of suitable soil areas. indicate sow at distances. Describe WWI; are the hori- zontal and verbal Nevation reference points and slow their lo=tion on the plot plan. Sfwlw the surf&= elevation at all borings and the direction and peront of 1" $low. SYSTEM ELEVATION 102.1 • Site is almost dead flat old pasture sod W/ occasional small brush - very moderate topography w/ occasional Small (3-S' diameter) shallow (4-6-) dips possibly old `wallas' e Due to old pasture use there is high organic matter in upper 12 -15 including old roots and apparent old manure giving in places a R -Bn organic matter - this is possibly somewhat hydrophobic and accounting in part for the slow perk rates (;ST estimated perks at 120-,¢0 minfin 6 was surprised to obtain less than 60 min /in i • Due to the above observations a very conservative design is recommended to obtain a low loading rate - a petition for variance for less than 24 of suitable soil must be obtained - • Recommend 2 of sand fill on 100.1 contour as upslope edge of rock bed. a 10 x 60 rock bed will fit the site nicely and w/ 2 of fill using 2S cross slopes as the maximum encountered a loading rate of 0.38 gallons per day per square.foot would be gbtained, • See fttached page 2 for. plot plan • s 1, the undersigned, hereby certify that the toil tats reported on this for ! mods by tow nth ro=duM &cad methods soeeified in the Wisconsin Administrative Code, and that the du& recorded and the lo=tion Of tlw t is an txmnat�R f�p�f>'tlf "M r " Ion as and beliel. M K , i, NAM DrinU: O tt S RE COMPLETED ON: Henry F. Grote �p .��. 4/12/68 ADDRESS: FICATI N NUMBER: PMONE NUMBER(optionail: 615 Second Ave.. Eau Claire. WI $4703 7 ' �� : . 065 839 - 9496 1 TUR t DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tatter. page 2 of DILHR- COO.6395 1R 101831 - OVER - 1 M i 1 M OD EL 3871 .!, EPO Vertical • • • • • • Ak; .i 1 I I Pump Specifications 1 h H 10 ! MODEL: 3871 Up to 40 GPM Q Discharge size 17," NPT '° Solids: J ae" Illaxif hill 2s Motor 7 i - Single phase: 115V 6 20 ' Materials of Construction 5 I Brass /thermoplastic a 5 - [Pas Features and Benefits J a • Top suction eliminates o ` - j EPO4 . t impeller clogging. 2 51 • Corrosion resistant _ - . l .... L... _. a .... .. __. .. .. .o 50 LLSOM Construction. J0 n. ° 0 0 . o •Float actuated swilcll. � �- z -" 6 ° �o � �t: �• CAPACI T Y M1,1HS r1�t Pump Specifications Features and Benefits MODEL DVP03 'i, and'12 NP •EPO4 impeller- semi -open design 20 Up to 60 GPM with pump out vanes to protect = 5 Maximum head to 32' mechanical seal. t5 EP05 impeller - enclosed design a 1 Discharge size 1' /: "NPT for improved performance. Solids: /< IIIaXIITIUnI 0 •Rugged glass - filled thermoplastic 2 or 6 Mot Afl motors feature ball casing and base design provides superior slrength and corrosion bearing construction. resistance. " O ° g 1° t5 20 25 JO 16 a0 U.S.GPM Single phase: 115V .Cast iron motor (lousing for 0 7 4 CAPACITY 6 B 10 MIAIr Materials of Construction efficient heat transfer, strength, Cast iron and durability. Thermoplastic -Corrosion resistant threaded Stainless sleet stainless steel shall. -Available for automatic and manual uperatio 1- • GSA lislcd models available. All A4odels are designed for continuous operation and leature stainless steel hav(Jware. 0 d dJ� Wisconsin Department of Commerce SOIL EVALUA E D Page I of 3 Division of Safety and Buildings In accordance with Comm 85, ' Attach complete site plan on paper no�11 'h x 11 inches in s' Plar >I( 1 6 Z Q 6 unty St. Croix Include but not limited to: vertical and horizontal M , direction and P cel I.D. 034 - 1075 -95 -000 Percent slope, scale or dimensions, and BM refere d t nearest road. Please p f ST. CRO1X COUNTY R view by Da�te Personal information you provide may be used for secon vac �� Property Owner Property Location Robe Leaf Govt, Lot SW � SE �i, s 33 29 N R 15 w Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 2928 County Rd. BB City State Zip Code Phone ❑ City ❑ Village 0 Town Nearest Road Glenwood City WI 54013 715- 265 -4964 1 Springfield 60'' Ave. 0 New Construction Use: 0 Residential / Number of Bedroom Code derived design flow rate 450 GPD ❑ Replacement ❑ Public or Commercial — Describe: Parent Material Loess Flood Plain elevation if applicable NA ft. General comments and recommendations: O� Boring # ❑Boring 0 Pit Ground Surface Elevation 100.0 ft. Depth to Limiting factor 9 in. Soil ADDlication 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 0 -5 10YR3/2 - SIL 2 -f -gr mfr cs 2f 0.6 0.8 2 5 -9 10YR3/2 - SIL 2 -m -sbk mfr cs 2f 0.6 0.8 3 9 -11 10YR3/2 5YR3/2 f -1 -f SIL 2 -f -pl mfr as 1f 0.0 0.2 4 11 -20 10YR5/4 7.5YR5/6 c-1 -f SIL 1 -m -sbk mfr as 1f 0.4 0.6 5 20 -26+ 10YR4/3 5YR4/6 m -2 -p LS 0 -sg ml - - 0.7 1.6 ❑ Boring 2 Boring # 0pit Ground Surface Elevation 100.0 ft. Depth to Limiting factor 7 in. Soil AoDlication 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 0 -3 10YR3/2 SIL 2 -f-gr mfr cs 2f 0.6 0.8 2 3 -7 10YR3/2 SIL 2 -m -sbk mfr cs 2f 0.6 0.8 3 7 -9 10YR3/2 5YR3/2 f -1 -f SIL 2 -f -sbk mfr as 1f 0.6 0.8 4 9 -20 10YR5/4 75YR5/6 f -1 -f SIL 1 - - -pl mfr as 1f 0.4 1 0.6 5* 20 -25+ 5YR4/4 5YR3/4 f -1-d LS 0 -sg ml - - 0.7 1.6 * saturated * Effluent #1= BODs> 30:5 220 mg/L and TSS > 30:5 150 mg/L * Effluent #2 = BOD <_ 30 mg/L and TSS <_ 30 mg/L CST Name (Please Print) Signature CST Number Mark Iverson °r'� �- 46672 Address Date Evaluation Conducted Telephone Number P.O. Box 155 Hammond, WI 54015 January 26, 2006 715- 796 -5664 Property Owner Robert Leaf Parcel ID# 034 - 1075 -95 -000 Page 2 of 3 Boring # 0 Boring ®Pit Ground Surface Elevation 99.4 ft. Depth to Limiting factor 7 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 0 -3 10YR3/2 - SIL 2 -f-gr mfr cs 3f 0.6 0.8 2 3 -7 10YR3/2 - SIL 2 -f -sbk mfr cs 2f 0.6 0.8 3 7 -13 10YR3/2 5YR3/2 f -1 -f SIL 2 -m -sbk mfr as 1f 0.6 0.8 4 13 - 19 5YR4/4 5YR5/3 &5YR4 /6 c - 2 - d CL 1 - - sbk mfr as - 0.2 0.3 5 19 - 24 5YR4/4 5YR3/4 f - 2 - f LS 0 - sg ml - - 0.7 1.6 �4 Boring # 0 Boring ®Pit Ground Surface Elevation 98.7 ft. Depth to Limiting factor 7 in. Soil ADDlication 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 I *Eff#2 1 0 -3 10YR3/2 - SIL 2 -f-gr mfr cs 3f 0.6 0.8 2 3 -7 10YR3/2 - SIL 2 -f -sbk mfr cs 2f 0.6 0.8 3 7 -11 10YR3/2 5YR3/2 f -1 -f SIL 2 -f -sbk mfr as 1f 0.6 0.8 4 11 -19 10YR4/4 10YR5/2 &7.5YR4/6f -2 -d SIL 1 -m -sbk mfr gs 1f 0.4 0.6 5 19 -24+ 7.5YR4/4 10YR5/2 &7.5YR4/6 f -2 -d SICL 1 -m -sbk mfr - - 0.2 0.3 Boring # 0 Boring OPit Ground Surface Elevation 100.5 ft. Depth to Limiting factor 10 in. So il Application Rat Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 I *Eff#2 1 0 -3 10YR3/2 - SIL 2 -f -gr mfr cs 3f 0.6 0.8 2 3 -10 10YR3/2 - SIL 2 -f -sbk mfr cs 2f 0.6 0.8 3 10 -14 10YR4/4 10YR4/6 & 5/3 f-1 -f SIL 1 -f -pi mfr as 1f 0.4 0.6 4 14 -18 10YR4/4 10YR4/6 & 5/3 f -2 -f SCL 2 -m -sbk mfr cs 1f 0.4 0.6 5 18 -24+ 7.5YR4/4 7.5YR4/6 f -1 -f SCL 1 -m -sbk mfr - - 0.2 0.3 • Effluent #I = BOD 30!5 220 mg/L and TSS > 30!5 150 mg/L s 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 Nee material in an tern f 1 -3151 or TTY 608 -2 - Need al alternate format please contact the department at 608 -266 64 777. 8 Page 3 of 3 o ft. 24 ft. 40 ft. so ft place system on the 100.0' contour S \o 0 0 c1 5 m N 'p B -5 `0 3 100.5 9 N 'o n La �o 2 a. N -o � n w o SA 0 W �000 100. gg 4 0 0 m 8 gg.7 g90 B -1 is approximately 270 feet north of 260th Ave BM# & De scription = Ben ch Mark &� Elevation goo = Boring Location & Elevation House and well location to be determined Owner: Robert Leaf Site Information: Completed By: Mark Iverson, PSS #198 2928 Co. Rd. BB SW 1/4, SE 1/4, S33, T29N, R15W 680 Larcom Street Glenwood City, WI 54013 Town of Springfield Hammond, WI 54015 St. Croix County 715 - 796 -5664 Phone: 715 - 2654964 CST# 46672 Safety and Buildings 10541 N RANCH ROAD commerce .Wi,gov HAYWARD WI 54843 TDD #: (608) 264 -8777 iscon 'sin www.commerce. o www.wisconsin.gov Department of Commerce Jim Doyle, Governor Mary P. Burke, Secretary May 11, 2006 CUST ID No. 46672 ATTN: POWTS Inspector ZONING OFFICE MARK W IVERSON ST CROIX COUNTY SPIA PO BOX 155 1101 CARMICHAEL RD HAMMOND WI 54015 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 05/11/2008 Identification Numbers- Transaction ID No. 1265467 SITE: Robert Leaf Site ID No. 711952 Town of Springfield, St Croix County Please refer to both identification numbers, , SW 1/4, SE 1/4, S33, T29N, R15W above, -in.a corres dhdence. _ theta enc. FOR: Object Type: Soil Saturation Determination Regulated Object ID No.: 1072348 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: 1. Approval is hereby granted pursuant to s. Comm 85.60(2), Wis. Adm. Code, to estimate the depth to !*�al soil saturation based on an interpretive determination process. Approval of the interpretive determination negated the requirement-in -s Comm- 8-5.30(2)(b), Wis. Adm: Code to designate the-ground surface as the-higmest level of soil saturation when redoximorphic features are less than 4 inches below the bottom of the A horizon. 2. The estimated highest level of prolonged soil saturation approved under this determination is seven inches below grade. At least 30 inches of sand lift on top of 6 inches of unsaturated, in -situ soil is required for adequate treatment and dispersal. 3. The basal soil application rate for the mound shall be 0.20 gpd/sf, and the linear loading rate 4.50 gpd/ft. The down slope toe slope should be 4:1 to increase the basal infiltrative area. 4. Placement of 3 -4 inches of ASTM C -33 sand prior to chisel plowing (through the sand) to a depth of >12 is required to improve vertical water movement into the soil solum. 5. Landscaping up slope of the mound shall be incorporated into the POWTS design to prevent surface water from concentrating along the up slope edge of the mound and to divert surface water drainage away from the system. 6. This approval shall remain valid unless the site is altered in such a way that the depth to soil saturation would change or if saturated conditions are observed for seven consecutive days at depths less than 3 feet below the infiltrative surface of the POWTS distribution component. 7. This approval in no way relinquishes the use of color patterns to estimate the depth to high groundwater on any other parcels or portions of parcels. 8. A copy of this approval letter and attachments must accompany the mound system design for this site for purposes of plan approval and sanitary permit issuance. If the Interpretive Determination Report was accompanied with a plan and an expiration date is shown on this letter, the expiration date only applies to the plans for the design, not to the decision on the Interpretive Determination Report. MARK W IVERSON Page 2 5/11/2006 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. If plan index sheets were submitted in lieu of additional full plansets, a copy of this approval letter and index sheet shall be attached to plans that correspond with the copy on file with the Department. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /installation /operation. If this construction project will disturb one or more acres of land, an Erosion Control Notice of Intent (NOI) shall be filed with the department 14 days prior to any earth disturbing activities. In granting this approval the Division of Safety & Buildings reserves the right to require chmges 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. Sincerely, Fee Required $ 100.00 Fee Received $ 100.00 4 - . Balance Due $ 0.00 eroy G. nsky, PS , Waste er Specialist Integrated Services Bureau WiSMART.COd6. 7633 (715)726 -2544 Voice Ijansky@commerce.state.wi.us INTERPRETIVE DETERMINATION REPORT Property Owner: Robert Leaf 2928 Co. Rd. BB Glenwood City, WI 54013 126546'7 Site Location: SW ' / 4 of the SE ' / 4, Sec. 33, Town 29N, Range 15W Town of Springfield Vnty Conditionally APPROVED DEPARTMENT OF COMMERCE DIVI ON OF SAFETY AND BUILDINGS EE C C We NCE Mark Iverson, PSS #197, CST #46672 April 18, 2006 Date Evergreen Irrigation Inc. Mark Iverson, Professional Soil Scientist P.O. Box 155 Hammond, WI 54015 Phone: 715- 796 -5664 Fax: 715- 796 -5246 e -mail: evergreenetc @baldwin - telecom.net TABLE OF CONTENTS I . Introduction ............................................................................... ..............................I II. Project Information .................................................................... ..............................I III. Method ....................................................................................... ..............................2 IV. Discussion of Results ................................................................. ..............................2 A. Local Hydrology ............................................................ ..............................2 B . Geomorphology ............................................................. ..............................3 C. Soil Disturbance and Hydraulic Modifications .............. ..............................3 D. Landscape Position and Local Topography ................... ..............................3 E. Soil Series and Mapping Units ...................................... ..............................4 F. Additional Data .............................................................. ..............................5 G. Comparative Analysis .................................................... ..............................6 H. Government Reports and Comments ............................. ..............................6 V. Conclusions and Recommendations .......................................... ..............................6 VI. References .................................................................................. ..............................7 TABLES Table 1 - Soil Series Characteristics Table 2 - Hydric Soil Classification FIGURES Figure I - USGS Topographic Map Figure 2 - Soil Map APPENDICES Appendix A - Soil Evaluation Report Appendix B - Soil Borings and Percolation Tests completed on Adjacent Properties I. INTRODUCTION On January 26, 2006 Mark Iverson, Professional Soil Scientist #197 and Certified Soil Tester #46672, completed an Interpretive Onsite Soils Evaluation. An interpretive evaluation is required because the site does not meet the requirements to install a new private on -site waste treatment system (POWTS) through completion of a conventional onsite soils evaluation ( <A +4 inches of acceptable soil is be present). The onsite evaluation was completed through the observation of the soil profiles at five hand dug test pit locations. This report has been prepared to present the results of an interpretive determination completed to determine site suitability for installation of a POWTS. The evaluation was completed at the request of Sara Leaf. The property is located one mile north of I94 and approximately' /4 mile west of Hwy 128 off of 60 Avenue and is owned by Robert Leaf. In the fall of 2005 an interpretive determination was completed on a portion of the property northwest of the current proposed location. The results of the assessment concluded that there was no area suitable for a system at that location. Following the first assessment Sara Leaf received permission to seek out an acceptable area on additional property owned by Robert Leaf. A preliminary soil evaluation was completed the Fall of 2005 on the additional property. The preliminary evaluation concluded that A +4 soils were not present on the site. However, potential sites were identified to complete an interpretive assessment of the soil charctoristics. No data from the preliminary assessment has been included. II. PROJECT INFORMATION The following is site - specific background information, which has been collected: Property Owner: Robert Leaf 2928 Co. Rd. BB Glenwood City, WI 54013 715- 265 -4964 Site Location: SW' /4 of the SE 1 /4, Sec. 33, Town 29N, Range 15W Parcel ID # 034 - 1075 -95 -000 Town of Springfield St. Croix County Historic Land Use: Fallow for 20 plus years according to the landowner Current Land Use: Fallow Vegetation: The site is currently fallow and has been fallow for over 20 years. The vegetation within the proposed system area consists of primarily miscellaneous grass, including foxtail. Hydric vegetation was not observed within the project area. III. METHOD This interpretive evaluation and report was completed following the guidelines set forth in Comm 85.60(2) of the Wisconsin Administrative Code and in the summary provided by Leroy Jansky titled, "Preparing the Interpretive Determination Report" (March 13, 2002) IV. DISCUSSION OF RESULTS A. Local Hydrology 1. Surface Water Drainage Patterns — Surface water drainage is uniform over the majority of the proposed system area. The proposed system location is at the shoulder of the slope at the end of an interfluve. The slope within the proposed system area varies from 1 to 3 %. Evidence of concentrated surface water flow was not observed within the proposed area of the system. 2. Subsurface Water Drainage - The silt loam texture and lack of compaction within upper 7 to 9 inches of the A horizons offer good infiltration for the typical rain event. During and immediately following frozen conditions and following heavy precipitation events, runoff will be much greater. Water percolation is limited in the soil profile at 7 plus inches below surface by a number of factors. The factors observed include: • Platy structure observed at 9 to 10 inches below surface • Weak structure observed below the A horizon (topsoil) • Increase in clay content in the B horizon (subsoil) 3. Artificial Drainage Devices — No artificial drainage devices were observed during the completion of the evaluation. 4. Contributing Drainage Area — The system is located near the end of the interfluve along the shoulder of the slope. The proposed area was moved as far up the slope as was possible to reduce the amount of area contributing surface water to the proposed system area. The distance from B -1 to the summit of the slope is approximately 70 feet. Boring B -2 is located on the nose of the slope so very little surface water drains to B -2. 5. Soil Saturation — Saturated soil was encountered at 20 inches below surface in B -2, however saturated soil was not encountered in the other borings within 20 inches of the surface. 6. Surface Water Elevations - Surface water within 1/4 mile of the site has been identified on Figure 1. The nearest surface water feature is an intermittent steam located approximately 500 feet north of the site. 2 B. Geomorphology 1. Parent Material — The parent material is loess over dense glacial till. 2. Landform Type — The proposed system is in loess over glacial deposits. C. Soil Disturbance and Hydraulic Modifications The proposed system location is in a fallow field. The field has been out of agricultural production for 20 plus years. The proposed system location has not been severely disturbed by cutting or filling. No hydraulic modifications, such as drain tile or ditches, were observed at the time of the assessment. No additional surface water is received from impervious surfaces. D. Landscape Position and Local Topography The regional topography is shown on figure 1. The proposed system location is near the highest point in the immediate vicinity. The ground surface elevation is approximately 1280 feet mean sea level (msl). The topography within the proposed system area is shown on the site map included in Attachment A. The ro osed system is located near the highest position on an interfluve. The P P Y � P proposed system elevation is 100.00 feet msl. The shape of the slope within the proposed system area is linear to slightly convex (perpendicular to the contour) and slightly convex (parallel to the contour). FIGURE 1— USGS TOPOGRAPHIC MAP - Leaf Property Proposed System. Location 1280 'i c Cj 1280 { 2 • Leaf Property " - 1 60th Avenue 3 E. Soil Series and Mapping Units The Soil Survey of St. Croix County maps the soils on the Leaf property as Amery loam (AmC2), Freeon silt loam (FnB), and Magnor silt loam (MaB), and Santigo silt loam (SaB). The location of each soil type is identified on Figure 2. The primary soil characteristics as described in the series description are identified on the Table 1. TABLE 1— SOIL SERIES CHARACTERISTICS Texture Parent Material Pe abili Soil A E or B Drainage Series Horizon Horizon Surface Subsurf. Surface Subsurf. Class AmC2 SL SL Till* Till* M MS W FnB SIL SIL Loess Till* M MS to S MW MaB SIL SIL Loess Till* M MS to S SP SaB SIL SIL /SL Loess Till* M S to MS W *Sandy loam till of the Wisconsin age Abbreviations Permeability IM = Impermeable MS = Moderately Slow RA = Rapid VS = Very Slow M = Moderate VR = Very Rapid S = Slow MR = Moderately Rapid Drainaize Class VP = Very Poorly W = Well P = Poorly SE = Somewhat Excessively SP = Somewhat Poorly E = Excessively MW = Moderately Well TABLE 2 — HYDRIC SOIL CLASSIFICATION NRCS - USDA Soil Series Component Inclusions USACOE AmC2 No None No FnB No None No MaB No Adolph No SaB No None No 4 FIGURE 2 — SOIL MAP 3 ENU F. Field Observations The soil identified during the completion of the test pits resembles the mapped soil units, Santiago and Freeon in regards to texture however the soil saturation indicators vary significantly. The soil profile within the proposed system area consisted of 9" to 12" SiL topsoil over a variety of subsoil types to variable to summarize. Redoximorphic features were observed in borings B -1 thru B -4 within the A horizon beginning at 7 to 9 inches below surface as Fe and possibly Mn concentrations (spots <1 mm in size). The redoximorphic features were more distinct in lighter colored the subsoil. The redoximorphic features observed in B- 5 (the most upslope boring) are below the A horizon ( >10 inches below surface). While the redoximorphic features in B -4 (the most downslope boring) included low chroma colors directly below the A horizon. This indicates that the duration of saturation is greater downslope and additional surface water received down slope and the influence of subsurface drainage does have an effect on the depth of regular saturation in the soils. 5 The cause of the redox features observed in the E and EB horizon is most likely attributed to short-term seasonal saturation. The soil on site does not meet the hydric soil criteria. The lack of hydric soils indicates that the soil is likely not saturated for greater than 5% of the growing season (approximately 7 consecutive days). A dominance of hydrophytic vegetation was not observed within the proposed system area. The lack of these features does not preclude the possibility that the soil is saturated for a prolonged period of time prior to or on occasion during the growing season. G. Comparative Analysis Soil borings (B -1, B -2, and B -3) were completed within the proposed system area. Two additional borings were completed one upslope (B -5) and one downslope (B- 4) of the proposed system area. Boring B -5 was completed to assess the conditions above the proposed system. This boring was the only boring with no redoximorphic features in the A horizon. Boring, B -4, was completed further down slope to document conditions at a location that was likely to experience saturation more frequently and for longer durations. The Redoximorphic features observed at B -4 included low and high chroma colors directly below the A horizon (11" below surface). The Redoximorphic conditions observed at B -4 are most likely due to a longer duration of saturation. However the prolonged saturation still appears to be primarily 7 plus inches below surface. H. Government Reports and Comments No government reports or comments were available for this site. The adjacent property to the west was approved for installation of a replacement mound system in July 1989. The system was installed in the approved location. Interpretive determination reports were completed on the leaf property to the east of the area summarized in this report. V. Conclusions and Recommendations The site is suitable for installation of a POWTS (mound system) for the following reasons: 1.) Redoximorphic features were not observed in the upper 7 to 9" along the proposed system contour at B -1 and B -2 or at B -3, 30 feet downslope from the system contour. 2.) Neither hydric soils nor a dominance of hydrophytic vegetation are present within the proposed system area. 3.) The proposed system is located near the highest position on the slope. The influence of surface hydrology at this point will be minimal. 6 4.) There are no features that concentrate surface water flow toward the proposed location of the system. 5.) The slope at the proposed system location is 1 to 3 %. The slope is uniform with no dips or valleys. 6.) The site has not been tilled in 20 plus years. The lack of redoximorphic features in the upper portion of the surface horizon after that time period indicates that there is not prolonged saturation in the upper 7 inches during the growing season. The following recommendations should be considered during installation of the proposed system: 1.) The system should be installed on the 100.0' contour to stay within the tested area. 2.) Sand fill shall consist of 2.5' of material meeting ASTM C -33 specifications. 3.) Four to six inches of sand should be placed on the system area immediately prior to tilling. 4.) The tillage must be completed with a chisel plow to a minimum depth of 12 inches below surface during dry condtions. 5.) The basal loading rate shall not exceed 0.2 GPD /ft for EFF #1. 6.) The system shall be designed to have a linear loading rate of 4.5 GPD /ft or less. 7.) The system will follow the contour (100.0') and be slightly convex. 8.) The slope upslope of the system should be modified to reduce surface runoff toward the system. 9.) The mound downslope should be constructed at 1:4 rather than 1:3 to increase the toe absorption area. The final approval of this site must be made by the Wisconsin Department of Commerce and the St. Croix County Zoning Department. This report represents the observations and professional opinion of Mark Iverson, Professional Soil Scientist ( #197) and Certified Soil Tester ( #46672). VI. REFERENCES 1.) United States. United States Department of Agriculture Soil Conservation Service, in cooperation with Research division of the College of Agriculture and Life Sciences University of Wisconsin. Soil Survey of St. Croix County, Wisconsin. 1978. 2.) State of Wisconsin. Department of Commerce Code, Chapters 83 and 85. 3.) US Department of Agriculture, Natural Resources Conservation Service. 1996. Field Indicators of Hydric Soils in the United States. G. W Hurt, Whited, P.M., and Pringle, R.F. (eds). USDA, NRCS, Fort Worth, TX. 4.) Schoeneberger, P.J., Wysocki, D.A., Benham, E.C., and Broderson, W.D. (editors), 2002. Field book for describing and sampling soils, Version 2.0. Natural Resources Conservation Service, National Soil Survey Center, Lincoln, NE. 5.) United States. Us Geological Survey. Topographical downloaded from http://terraserver.microsoft.com/ 6.) St. Croix County. St. Croix County Land Information System. http://72.21.230.178/website/pasystem/gisportal.htm 7.) United States. United States Department of Agriculture - Natural Resources Conservation Service. Hydric Soil List for St. Croix County, Wisconsin. ftp:// ftp- fc. sc. egov .usda.gov /WI /Soil/hyd/hydIO9.htm 8.) United States. Us Army Corps of Engineers. 1987. Corp of Engineers Wetland Delineation Manual, Technical Report Y -87 -1. USAEWES Environmental Laboratory, Vicksburg, MS. 8 APPENDIX A SOIL EVALUATION REPORT 9 Appendix B Soil Borings and Percolation Tests completed on Adjacent Properties I 10 08/12/05 FRI 08:01 FAX 715 386 4888 p la 002 kj • 6 a • p . Q w.�) U Z ..., VL VA lk All Cw.K1 t S�o � ��410tA�st,. S o Ai �cv..xa e _ . ..... . . . . . . �o�' emu` . ®.S •.�`� -�„ • . . . .._ .... ._ . .. . . .. . .. . . . . . . . . . . . . ... . Va /lI /VD rat Vtl.ul r RE PORT 4N S R I NGS AN D I f3tE1'ARTMENT OF, - 4�Ly SAFETY & BUILD OS iNOUSTR Y; D) V ISION HUMA REL MR- MLAT0_ _ NT ESTS 115 P.O. B OX 1g69 R J MADISON. WI 53707 (ILfiR 83.09111 & CTlapter 1451 SW l� SE• 1� 33 /T29 N/A 15 V T SpMngfield - uSol N N COUNT . St. Croix ON Ourkely RR 1, 60th Ave„ Nilson, NI 54027 USE OATEs OBSERVATIONS MAOB _ A y. QR atidwas 3 ONew �ReWeca 4/11/88 4/12/88 J I RATING: 9 - &w srlteble fw rnmm w sift mama 6b iw avaem QNA L* 1 K: ECOMMIINOEO SYSTEM:(optionatl S QU I ®S clu ❑S X ❑$ U 1 X S Q U Hound via petition via pmClon If pet on denied M Prrmtation Tom aro NOT r ESiO A any Portion of the toned arse is in the tnMdars. ILHR 83.0915)(b). irto NA Floodploin. In Ftoodplem elevatio KA PROFILE OE$CRIFI'IONB RING ELEVATIOai N IL HI K E . COLOR. . AND DEPTH NlM W IN. F Q=fLVED (SEE AOOAV. ON BACK.1 1 24 100.1 No 1s 0.H 10YR S/3 Sil, 8-15 7.5T9 4/4 heavy 91. 15-24 SYR 4/4 scl w/ B mot 2 24 99.6 No 12 0-11 dk Bn sil. 11 -24 10YR s w cmd-p mots Ow 3 26 100.1 No 13 0 dk Bn sil. 4 10YR 514 sil w/ fmd R mats below 13, & 4 24 99.5 No 12 064 dk 89 sil. 4-24 on sil w/ fbf-cd R -Bn mots below 12 8- S 15 100.0 No 13 0-6 dk on sil. 6-1S an sil w/ cfd R mots below 13 PERCOLATION 7ES1 S TEST DEPTH WATER IN L TEST TI NUMBER 1 EASiNELLt 1 RVALiNN. H PER IH M INU TE S P. 1 is No 30 17/16 12/16 12/16 40 2 14 No 30 17/16 19/16 18/16 26.7 V. 3 is No 30 ET26 I2 6 13/16 36. P. a Eleva Ions: R-1 - P-2 P -3 contour 100.1 P. PLOT PLAN. Show kma h m of preWafion gem. sail borkw aid the dhrm dens of mdtahta soil ones. kuke . sate or distances- Dasoan swrat we the hod. . IOntaf and vartiai eievetion reference volats aM stow dish lomdion on em plot pim. Show mm MWSW elevation at all bwmo end the direalon mid pereem _ Of tend 000 SYSTEM ELEVATHM 102.1 ' Site is almost dead flat old pasture sod /t/ occasional wall brush - very moderate topography w/ occasional Sftll (3 dieveter) shallow (448") dips possibly old `wallows` • On to old pasture use there is high organic letter in upper 12 -15 including old roots and apparent old mnure giving in places a R4o organic ratter - this is possibly somewhat hydrophobic and accounting In Part for the slow perk rates (;ST estimated perk} at 12.0:¢0 Mn/in a was surprised to obtain less than 60 win /in ' Due to the above observations a very Conservative design is reCanmerAted to obtain a low loading rate - a petition for variance far less than 24 of suitable soil must be obtained - • RK0011end 2' of SOW fill an 100.1 Contour as upslope edge of rock bed: a 10' x 60 rock bed will fit the to site nicely and w/ 2' of fill Using 29 cross slopes as the soxifelm encountered a loading rate of 0.36 gallons per day per square.foat would be gbtained See Attached page 2 for plot plan i - 1, dw undersigned hereby mn tlmA dm Wit ma rapmtW at tha tm.d. j16N fly rm in &rAff&1th cedum aid mathtWs Svocifivd;n tht VO4Mmin Avanbtisarstive Code. and that the dare reaoMed arid the loation of the t we W kn ..ad belief. AM im ,s► Syv R£ C L D ON: Henry F. Grote ZC' .�, 4/12/88 R FICA I N NUMBER: PHONE NUMBER (aptionall: 515 Second Ave., Eau Claire, w1 $4703 j ' �4 j 5 839.4496 1 IJRE: t DISTRIBUTiON. Original and one copy to Kcal Aattority, Wopm" Own. end So Tester. page 2 of OILH Ra'BD 6395 1R. 10/8:1) - OVER - i -V— P.O. Box 166: Hemnand, w164015 r f a r o T & 0. wane: 716-796-6684 Fwa 715 -796- -5246 May 15, 2006 Sarah Leaf 2487 20' Ave Baldwin, WI 54002 RE: Interpretive Site and Soil Evaluation Dear Sarah: Enclosed two copies of the Interpretive Determination Report and Wisconsin Department of Commerce approval letter for the Interpretive Determination Report completed at the your property. A copy of the report and approval letter has been submitted to St. Croix County. If you have any questions or comments please feel free to contact me via e-mail at eNTer!reenetc tL,baldwin- teiecom.net or telephone at 1- 715- 796 -5664. Sincerely, Evergreen Irrigation Inc. Mark Iverson Professional Soil Scientist Enc. CC. St. Croix County Zoning Department Leroy G. Jansky State of Wisconsin s INSPECTION Department of Commerce Department of Commerce 13 E Spruce Street Safety & Buildings Division REPORT Chippewa Falls wi 54729 Bureau of Field Operations (715) 726 - 2544 Inspection Date _ A ,( 5 2 Personal information you provide may be used for secondary purposes [Privacy Law, s.I5.04(t)(m)l- Name of Premises Address or Legal Description ./Township County SW -5E- 33 --ZR--13t S IX)Gi::l15 LD �D.N Master Plumber Name and Address Master Plumber Firm Name and Address Plan I. No. 114a3z s/ . Te 74G E4 /Soil Tester Licensed Person's Name(s) and License Number(s) Mz12, r� �+ ��� �+ 1st w . M �rvsor,) ..._...._...___ ... ..� .._ Own is Name and Address 2-jZ X1.1.., w�,..�3 , N1f Crr{ Wr- S4 - --r — I E # � 5 — E E i i i s E z 1 i i 1 ` t s 7 t a .._. f a j k 7 t 3 s i f t j F 1 a s E a i f Page Of Signature of Responsible Licensed Person (only one needed) Signs re o lumbing Consul nt/P ' to Sewage Consultant Copies t0: Check all Original: ^ that apply rl;� *r;n► n 090 I I DI rwncr M r:nnnfii nrol Inen (lthor Safety and Buildings commerce.Wi.gov 4003 N KINNEY COULEE RD LA CROSSE WI 54601 -1831 ■ ■ TDD #: (608) 264 -8777 i sco n s i n www.commerce.wi.gov /sb/ Department of Commerce www.wisconsin.gov Jim Doyle, Governor Mary P. Burke, Secretary June 19, 2006 CUST ID No. 220292 ATTN.• POWTS Inspector BENNIE W HELGESON ZONING OFFICE HELGESON EXCAVATING ST CROIX COUNTY SPIA W1229 770TH AVE 1101 CARMICHAEL RD SPRING VALLEY WI 54767 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 06/19/2008 Identification Numbers Transaction ID No. 1279323 SITE: Site ID No. 711952 Sarah Leaf Please refer to both identification 60' Avenue numbers, above, in all Town of Springfield correspondence with the agency. St Croix County SW1 /4, SETA, S33, T29N, R15W FOR: Description: Three Bedroom Mound System Object Type: POWTS Component Manual Regulated Object ID No.: 1080641 Maintenance required; 450 GPD Flow rate; 6 in Soil minimum depth to limiting factor from original grade; System: Mound Component Manual - Version 2.0, SBD- 10691 -P (N.01 /O1), 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: Reminders • This system is to be constructed and located in accordance with the enclosed approved plans and with the component manuals listed above. • This plan has an approved Interpretive Determination (Transaction I.D. #1265467) associated with this design. All of the conditions of that approval shall be upheld for the construction of this system. BENNIE W HELGESON Page 2 6/19/2006 • 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. • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption area. chs. NR 811 & 812c • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the POWTS installation is required. Arrangements for inspection shall be made with the designated .2 2 d Wis. nated count official in accordance with the provisions of Sec. l 5 0 g Y p ()( )� 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. • The changes made to this plan on 6/19/06 by this reviewer were acknowledged and approved by the system designer. Owner Responsibilities: • Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • Comm 83.55 The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. BENNIE W HELGESON Page 3 6/19/2006 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 WiSMART code: 7633 (608)789 -7893 , 7:45 am - 4:30 pm Monday - Friday charlie.bratz@wisconsin.gov cc: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544