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HomeMy WebLinkAbout034-1078-40-100 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County. St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 479400 0 GENERAL INFORMATION ` (ATTACH TO PERMIT) State Plan ID No: Personal informat!on 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: Hoyt, Chad I Sp Town of 034 - 1078 -40 -100 CST BM E4% Insp. SM Elev: BM Description: Section/Town /Range/Map No: 34.29.15.5238 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI I FS ELEV. Septic 4 Benchmark ' /' I • `�� l�v � Q: s 0 Dosing Alt, BM Co Bldg. Sewer Holding _ St/Ht Inlet / 3. 55 ZS TANK SETBACK INFORMATION St/Ht Outlet --- TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic <0 1 7 5 7 5 1 Dt Bottom Dosing ' 6 4 ' fil 76 ' / Header /Man. ib �6 101 •�S Aeration Dist. Pipe Ia.aS X6(.75 Holding Bot. System Final Grade PUMP /SIPHON INFORMATION `J• OS �@ Z •75 1, S Manufacturer )-Ake-, / L Demand St Coverer lJ c� ,..J� GPM +�- ` !✓o �S • �o A3 - Z Model Number 7— :5 - �o r1.'�'o v� !Z . 9S • TDH Lift 3S Friction Loss System Head TDH Ft b,s� z.5 1 16,q Forcemain Leng th ► Dia. / Dist. to Well SOIL ABSORPTION SYSTEM BEDITRENCH Width ► Length i No. Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO J P /L JBLDG IWELL LAKE /STREAM LEACHING Manufacturer. INFORMATION CHAMBER OR �\ Type O tem: - 3 76' i � /� _ UNIT Model Number. DISTRIBUTION SYSTEM Header/Manifold Distribution C Z x Hole Size r r I x Hole Spacing Vent to Air Intake %� Pipe(s) 3 fi /_ Length y Dia Z Length �� Dia 1 Z Spacing ` (0 SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over i Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center l -7 5 BedlTrench Edges Topsoil r ,\ _, Yes No s No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / Z/ / Inspection #2: Location: 3036 60th Avenue Wilson, WI 54027 (SE 114 SW 1/4 34 T29N R15W) NA Lot 2 `- arce o: 34.29.15.5238 1.) Alt BM Description = 9 ti 4c, C b Jew p/ �a uj � r 2.) Bldg sewer length = j 6jPA+._p C,� - amount of cover = i P la n revision Use other side for informaLon. No — - 4 r Date Insepcto Signat Cert. No. SBD -6710 (R.3/97) Safety and Buildings Division County o N V I 3.01 W. Vi'ashington Ave., P. ox 7162 scons n Madison, WI 53707 Sanitary Permit Number (to be filled in by Co.) Department of Commerce (608)26 Sanitary Permit Application State Plan t I.D. Number In accord with Comm 83.21, Wis. Adm. Code, personal i gpaati t f l y 4 may be used for secondary purposes Privacy w, sl Project Address (if different thane Tpailing address) I. Application Information — Please Print All Information X036 (vo Property Owner's Name f ] 2 Parcel # Block # / (D\ 7 . I. CROIXCOI EV j/� �� • Property Owner's Mailing Address Property Location \ ' /. V C- SG ' /., c ca aw , Section City, State p Zip Code s� , Phone Number X11 �y c J X S y 3 G:, ircl� o>Le) a 3 II. Type of Building (check all at a PP y) 1 T N, R E �i� , 1 9 1 or 2 Family Dwelling —Number of Bedrooms Subdivision Name l PM Number El Public /Commejcial — Describe Use f y . / ? ❑ State Owned — Describe Use IV. A • ❑City ❑Villag.XTownship o 0 III. Type of Permit: (Check only one box on line A. Complete line B if applicable) r A. )(New System ❑ Replacement System ❑ TreatmentlHolding Tank Replacement Only ❑ Other Modification to Existing System B• El Permit Renewal El Permit Revision 11 Change of ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner IV. Type of POWTS S tem: Check all that appl / El Non — Pressurized In -Ground El Mound > 24 in. of suitable soil M ound <24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter Constructed Wetland ❑ Pressurized In- Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter ❑ Leaching Chamber ❑ Drip Line ❑ Grav -less Pipe Other (explain) V. Di s ersal/Treatment Area Information: Design Flow (gpd) Design Soil App 'cation Rate(gpdsf) Dispersal Area Requir (sf) Dispersal S! 2 D , Z y _- 2aK ersal Area Pro os (s System Elevation 11 LP 205 t1 VI. Tank Info Capacity n Total Number ufacturer Pre Site Steel Fiber Plastic Gallons Gallons of Units Concrete Site Glass New Existing Tanks Tanks �pr� Septic or r aWi ag T. as X / rO Aerobic Treatrnent U ' k D Ile osing Chamber '4J �. 1( ,Q VII. Responsibility Statement- I, the unde igned, assume r asibili for installation of the POWTS shown on the attached plans. Pl ber's Name (Print) 11 P er's Signature NOYMPRS Number Business Phone Number Plum sAd Tess (Street ity, State Zip ) ^ 1 l - 11 t✓_ 1 �J 0 A P A I r Conn /De artment Use On Approved ❑ Disapproved Sanitary Permit Fee (includes Groundwater I Date Issued Iss g A t Signature o tamps) Surcharge Fee) ya C % �! l ' ` L ❑Owner Given Reason for Denial IX. Conditions of Approval/Reasons for Disapproval 03 S SYSTEM OVVNER: 4a �` R Septic tank, effluent filter and cvtj t-Vl � — • 4-� 2 l� dispersal cell must all be serviced / montained V 4 as per management plan provided byplumber. 2. All setback requirements must be maintained as per applicable code /ordinances. trY�GC� 0 Attach complete plans (to the County only) for the o Y n ch SBD -6398 R. 01/03 1 1 s.2 4-o Co„�Q 6•s�b G �.�> LZ a0 F � ..- }Y� �•� Svrv� -p A Safety and Buildings 4003 N KINNEY COULEE RD commerce.Wl.gov LA CROSSE WI 54601 -1831 TDD #: (608) 264 -8777 iscons n www.commer isco gov/sb/ Department of Commerce www.wisconsin.gov Jim Doyle, Governor Mary P. Burke, Secretary March 03, 2005 CUST ID No.222774 ATTN: POWTS Inspector HENRY F GROTE ZONING OFFICE CERTIFIED SOIL TESTING ST CROIX COUNTY SPIA E4366 353RD AVE 1101 CARMICHAEL RD MENOMONIE WI 54751 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 03iO3/2007 Identification Numbers Transaction ID No. 1114436 SITE: Site ID No. 695450 Chad Hoyt Please refer to both identification numbers, 60` Avenue above, in all correspondence with the agency. Town of Springfield St Croix County SE1 /4, SWI /4, S34, T29N, R15W FOR: Description: Proposed Three Bedroom Mound System Object Type: POWTS Component Manual Regulated Object ID No.: 1006868 Maintenance required; 450 GPD Flow rate; 20 in Soil minimum depth to limiting factor from original grade System(s): 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); Biofilter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. 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: • This sysiem is to be constructed and located in accordance with the approved plans, and the "Aiound Component Manual for Private Onsite Wastewater Systems Version 2.0" SBD - 10691- P(N.01 /O1). • The pressure network is to be constructed in accordance with publications SBD - 10706- P(N01 /01) "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems - Version 2.0" and/or the sizing methods of publication "SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01/81)". • 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 private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. • The area within 15 feet horizontally below the system shall remain undisturbed. Vehicular traffic or soil compaction in this area is prohibited. • A state approved effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. Access to the filter for cleaning must be provided per Comm 84 product approval conditions. P.O.Is'lI.T.S. Conditionally A10PROVED nFPARTUFNT nFSnu urorc HENRY F GROTE Page 2 3/3/2005 • Comm 83.22(7) - A copy of the approved plans specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department which may include local inspectors. Owner Responsibilities: • The current owner, and each subsequent owner, shall receive 'a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and /or owner's manual for the POWTS described in this approval. • Comm 83.52(1)(a) - 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. In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. • The owner is responsible for submitting a maintenance verification report acceptable to the county for s. Reports shall be submitted at intervals appropriate for the aintenance tracking purpose p component(s) utilized P in the POWTS. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 175.00 Fee Received $ 175.00 ��- --�. Balance Due $ 0.00 Gerard M. Swim POWTS Plan Reviewer - Integrated Services WiSMART code: 7633 (608)- 789 -7892, Mon. - Fri. 7:30 am to 4:15 pm jswim@commerce.state.wi.us cc: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544 Design Criteria Residential Wastewater Contaminant Load: 30 mg/L < BOD5 < 220 mg/L Anticipated septic tank effluent 30 mg/L < TSS < 150mg/L Fecal Coliform. > 10,000 cfu/100 mL Fats, oils, grease < 30 mg/L 3 Bedrooms x 100 gal/bedroom/day x 1.5 k� gallons /day hydraulic load Design Calculations LL' 4 <� 5 - � In situ designed loading rate (9, ZZ gallons /sq. ft. per day Depth to estimated high ground water ?� 1 0 in. Depth to bedrock ?� in. _ Cross slope at system ' % Force main length 2 ° ft. of -2_ in. Manifold/header length N ft. of in. Drain -back gallons Lateral length @ S's' S ft. of V t z in. Lateral elevation 3 o o 1, 6, ft. @ bottom of lateral Lateral hole size �� b in. @ 16,o in. ( 3, ° ft.) Spacing ' 9 holes /lateral 3 g holes total Lateral volume ° ' Z-\ Z gallons Total lateral discharge rate zs. 2 gallons /minute @ �'S ft. head Network pressure compensation losses Elevation difference Friction �. z g Zs� tion loss ft. @ gallons /minute 4 Total dynamic head Cl, 4" Pump /sip*on gpm Z ft, of head Manufacturer Model # Dose volume g 3- �9 gallons Lift/siPhon tank ��- `�"O� ' �'O �� 19 `'�' gallons Septic tank 'p'r'o gallons Effluent filter Measurement pump on and off S d in. Height alarm from tank bottom o in. Reserve capacity `� S S� gallons specs.calcsses Page Z of g ' � .• c��� 1�� - �10� ale.. ���z, �,r-. � \Z, ��3�� J�+•.: cvti �.p � "s try \` e.. l: o�. pro \ \ io v„S �'l q . � �.b„� 7p• z _ E l <.o y 4 Lo I , y , 4L a. \-10%0 IL ` .r z R 4.5 �8 Sri i 'i , Q V � S•S'� �4p �o tea. t, �.,.. „� o l o ti ` • 1 Q!. ttiy, �o o �r. ` ..O_ �c . C7 f h S v T r Mn�+ I WEATHERPROOF LOCKING COVER .J CT C ayv w/lf� Qvt / IT PIPE 3' o►�p ND15T L R D . SO) 2G u I. D. 4 ' 1 1 �• Z MLW ll O I r :. 1 I r � C �a SY.F.T OburJ eAFF ALL P^ � 1 Al 2 .. V-O I 1sRD w i i p ualP � I CoA�eE � FLT"- b�oCK SEPTic t _ SPEC.IFI DOSE `..9 TAUr.S MAUUFACTU0.CR: (DUMBER OF DOSCS: TA%♦JK SIZE: � — GALLOWS DOSE VOLUME •c,� IWCLUDIWG 6ACKFLOW: A�AR11 /`1/WUiACTUi�CR: /'MOOCI CAPACITIES. A= 23. WCHC5 Ck g S•S/ r SWITCH TyPC; ' Z HC S 09 r h,� /'1AQUFACTURCR: °` �C C a �` 1 irtC5 Ok , ''MODEL IJUM15EV S �O 1�0. y O■ IN HES CR SWITCH TdPE; DOTE' PUMP AWO ALARM ARC TO BC MI►JII�UM DISCNARG[ RATE 2S^ GPM INSTALLED OW 5EPARATC C,h__ VERTICAL DIFFCRCWCE DCTWECU PUMP OFF A►JO 0I5TRIbUTIOW PIPE.. �� 9 FEET + M, aJIh1uM ►JETWORK SUPPLY PKItSLIKE . . . �' FE. CT `- 0 '�� / iCE , O�Z T O F // C� iORC[ MAIW X �IOortFKICTIOW FACTOK. FEET — TOTAL Dy1.1AMIC HEAD = �` � Ff.ET ILJTCR►JAL DIMLW61OWJ OF TAWK: L E -QC.TH �4 ;W IDTH LIQUID ocPTH (� + D etails / Pump Characteristics Performance Data bietnotk N44h $NIF3Ul i M Lava Asys .�- NNIa TM S1wW tale 14 ) R.F,AL i SSC Phu" @ Wt op Vert: b0 I I. {ernpK•twe 12tJ'f Atlt�iant c,�a+ s '° _ .i. ... , r__ . " a K NENIA Ws4m A wn/S44W s t t hsslatw Gass A NOW" $he 1 - 1 /2'NI11JW iotol New feet 4 i 12 1 14 20 1 24 Solids Nustinq 3 /4' 1 9MW 0'M (V.=.1 44 1 36 211 23 12 0 Utt1t wait 3 0 1A hwsr Cad 11/3, S JTW, 20'sta- Dimensional Data .—raw M I 1. /lM�aoMtbi t tic) Materials of Construction i +M P A t (Mpel I�wrer mry NO& SMblass Stoll "I rry :111 �d an •.,q l IIm [tr untrun P Ltrbrtr oN DWKtric Of ,r, w1w (W" wy 4 L 1Aeta Ness Cast Iron a send+ wt �,, o�wwnot prmdmor Cas k pit) S. km 6w a4°iawl Paw t, We murre A* * e,mb s1w 1 wwt4wsd w �y� / fpldlmbR! Am MMc► Madattlt>el Sesl IOtal: w7w/ CMaeic � ,,.. • - v �. Shaft Sell $W blip A"AZW Staff $Pg SWASO Stw labwss hrm-N r E * „•tic Gst Ina SIN" caou Lower Sho Rwr MN Comm Ilste tk s au s ; °M LM 1Wrtt pOn tk Festealt► Stiles Staff — A _ ` System Management Management of this system is critical. As a condition of approval of these plans this system management section must be reviewed with the owner, and the owner must be provided with a complete set of plans including this management section. If problems develop with the adsorption system or any other system components, the installing plumber or the St. Croix County Zoning Office, 715- 386 -4680, should be contacted for assistance. General Proper functioning of an on -site disposal system, "septic system," is significantly dependent on the volume of water which flows into the system and the level of contaminants in that volume. The lower the volume of water and the lower the level of contaminants, the better and longer the system will function. Typical system components include a septic tank or compartment to settle out solids and contain greases and oils, a filter on the outlet of the septic tank to retain small particles of the same density as water, a dose tank or compartment to allow a dose to be accumulated, a pump and controls or automatic siphon, and finally some type of soil adsorption cell to recycle the water in a manner to protect ground water quality and public health. I . If the septic tank is installed prior to sheet -rock and/or painting, pump the septic tank before normal use begins to ensure adherence to contaminant load design criteria. 2. Install water- saving appliances whenever and wherever possible. 3. Repair even small water leaks as soon as possible. 4. Never pour grease or oil down any drain or stool. 5. Garbage disposals are not recommended; if you must have one, use it sparingly 6. No paper products other than tissue should go into the system. 7. No chemicals should go into the system. 8. Avoid surge flows of water; try to spread laundry throughout the week. 9. Septic tank effluent must be less than or equal to the design criteria specified in page 2 of these plans. 10. If septic or dose tanks are no longer used, they must be properly abandoned. 11. If construction timing and weather could create a frozen infiltration system, weather - proofing with plastic sheeting and heavy mulching may be required to maintain a functional system at start-up. 12. If possible, the upslope toe of the mound system should be landscaped with additional fill to blend this area into the upslope natural grade; this will minimize the possibility of the system trapping surface run -off; final settled slope should be 2 -3% over the system or 2 -3% diverting surface run -off around the ends of the system. Maintenance 1. The septic tank must be inspected every three years by a properly licensed person. 2. If necessary, the septic tank must be pumped to remove solids and scum; pumping is required if the combined scum and solids volume equals one third of the tank volume. 3. When the septic tank is pumped, any solids in the bottom of the dose tank must be pumped, and the filter must be back - washed into the septic tank to remove accumulated material. System use may require more frequent filter cleaning; initial inspections of the filter should be made every 6 months until a minimum time sequence is determined. 4. Periodic observation pipe inspections should be made by the owner to examine the state of the in -situ soil adsorption cell. Quarterly inspections are recommended; a licensed plumber should be notified if effluent is consistently ponded in the adsorption cell. 5. If this system contains specific treatment components other than those mentioned here, maintenance requirements will accompany their specifications. 6. The pumping components for this system include an alarm which must be installed and remain on a separate circuit from the pump. If the alarm is activated, minimize water use and notify a licensed plumber for service as soon as possible. The system allows reserve capacity to accumulate some necessary flow until normal service can be restored; this volume is minimal, and no more than one or two days should pass before any necessary repairs can be made. 7. Avoid compaction such as vehicle traffic within 15' down -slope of the adsorption system. 8. Avoid disturbing the system itself such that might encourage erosion or disturb the required seeding of the system. 9. Particularly avoid winter traffic such as sliding or snowmobiling which might compact snow and lead to increased frost depth. 10. Surface drainage must be diverted around the system; avoid landscape changes which might send surface run -off into the system area. 11. Warning: Do not enter septic, dose or other treatment tanks; death may result because they may contain lethal gases or insufficient oxygen. Contingency Plan Wastewater monitoring of volume and quality is not a normal requirement for low effluent strength systems; such monitoring may become necessary if problems develop. Any necessary monitoring shall be done in accord with the requirements of Comm 83.54 (2). Pumping and hauling of wastewater may be necessary while analysis and repairs are implemented. Additional testing, designing, and /or installation of additional treatment components or conversion to a holding tank may be necessary. Page 8 of 8 REC E "R%NdA.L ' 2188 Wisconsin Department of Comi ierce s':`i S01 ALUATION REPORT Page 1 of 3 Division of Safety and Building in accordance wit o i�A Code Certified Soil Testing County Attach complete site plan paper rtot3Q9S4fl4gtlt1flnches in ize. Plan St. Croix include, but not limited to: ), direction and D percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel 1. D. — Z 34.29.15.5236 Please print all information. Reviewed 6 Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). 1 ' Pr wner Property Location Z d ' O 1 u Ge rlC4" — re Govt. Lot SE 1/4 SW 1/4 S 34 T 29 N R 15 W Pro y wner's Mailing Address Lot # Block # Subd. Name or CSM# 1508 15th Ave., E. # 5 2 CSM V 12, P 3393 City State Zip Code Phone Number City Village id Town Nearest Road Menomonie WI 1 54751 1 715 - 235 -4036 1 Springfield 60Th Ave. t/i New Construction Use: j o Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD Replacement Public or commercial - Describe Parent material loess over till Flood plain elevation, if applicable NA General comments and recommendations: install 4' x 112.5' rock cell mound on 99.5 contour as upslope edge of rock w/ 1.4' sand fill I—q Boring # __j Boring 16 Pit Ground Surface elev. 98.3 ft. Depth to limiting factor 21 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 -6 10YR 3/3 - sil 3 m gr mvfr gs 1f /m .6 .8 � 2 6 -11 10YR 3/3 - sil 2 f sbk mvfr cs inn .6 .8 3 11 -21 10YR 4/3 - sl 1 m sbk mvfr cs 1m 4 .7 4 21 -26 10YR 4/3 f2f 7.5YR 4/6 sl 1 m sbk mvfr cs if .4 .7 5 26 -36 10YR 5/4 c2p 7.5YR 4/6 scl 0 m mfr - - 0 0 2 Boring # Boring Pit Ground Surface elev. 100.0 ft. Depth to limiting factor 20 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 -8 10YR 3/3 - sil 3 m gr mvfr cs 1f /m .6 .8 2 8 -16 10YR 413 - sl 1 m sbk mvfr cs 1 m .4 .7 3 16 -20 10YR 4/3 - Is 1 m sbk mvfr cs 1 m 1.6 4 20 -25 10YR 4/3 f1f 7.5YR 4/6 Is 1 m sbk mvfr as - .7 1.6 5 25 -30 10YR 5/4 c3p 7.5YR 4/6,5/8 scl 0 m mfr - - 0 0 1 OYR 6/2 Effluent #1 = BOD 30 < 220 mg /L and TSS >30 150 mg * Effluent #2 = BOD < 30 mg /L and TSS < 30 mgr CST Name (Please Print) Signatur CST Number Henry F. Grote 222774 Address Certified Soil Testing Date Evaluation Conducted Telephone Number E. 4366 353rd Ave., Menomonie, WI 54751 6/14/2004 715 - 233 -0398 I ` Y Property Owner Hoyt, Chad Parcel ID # 34.29.15.523B Page 2 of 3 37 Boring # Boring Pit Ground Surface elev. 100.0 ft. Depth to limiting factor 26 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GED ' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0 -8 10YR 3/3 - sil 3 m g mvfr cs 1f /m .6 .8 2 8 -15 10YR 4/3 - sl 1 m sbk mvfr cs 1 m .4 .7 3 15 -26 10YR 4/3 - Is 1 m sbk mvfr cs 1 m .7 1.6 4 26 -31 1OYR 4/3 f1f 7.5YR 4/6 Is 1 m sbk mvfr as - . 7 1.6 5 31 -36 --1 OYR 5/4 cap 7.5YR 4/6,5/8 scl 0 m mfr - 0 1 0 1 OYR 6/2 horizon 4 @ field capacity 28 -31" F-1 Boring # _ LJ Boring Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD ' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 'Eff#2 i F-1 Borin Boring # Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD1ft in. Munsell Cu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 I ' Effluent #1 = BOD 30 < 220 mg /L and TSS >30 < 150 mg /L ` Effluent #2 = BOD <30 mg /L and TSS < 30 mg /L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608 - 266 -3151 or TTY 608 - 264 -8777. SBD -8330 (R.07 /00) Certified Soil Testing f 2 ct -„ w ~0�� � bass• ;5sp 13 -� � C - 4 TH) Z h N �T' �- c. wC. S % �'G► l�-4 i v Parcel #: 034 - 1078 -40 -100 06/21/2005 01:01 PM PAGE 1 OF 1 Alt. Parcel #: 34.29.15.523B 034 - TOWN OF SPRINGFIELD Current X: ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): ' = Current Owner FRENCH, BRUCE A & RUTH A BRUCE A & RUTH A FRENCH 3026 60TH AVE WILSON WI 54027 Districts: SC = School SP = Special Property Address(es): ` = Primary Type Dist # Description ' 3036 60TH ST SC 5586 SPRING VALLEY SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 10.050 Plat: 0621 -CSM 12/3393 SEC 34 T29N R15W PT SE SW BEING LOT 2 Block/Condo Bldg: LOT 2 CSM 12/3393 7.480AC & W1/2 OUTLOT 1 Tract(s): (Sec- Twn -Rng 401/4 1601/4) 34- 29N -15W Notes: Parcel History: Date Doc # Vol /Page Type 07/11/2000 626187 1525/330 WD 07/11/2000 626186 1525/329 WD 2005 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 06/25/2003 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 10.050 46,600 0 46,600 NO Totals for 2005: General Property 10.050 46,600 0 46,600 Woodland 0.000 0 0 Totals for 2004: General Property 10.050 46,600 0 46,600 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 - 1078 -40 -100 08/17/2005 03:57 PM PAGE 1 OF 1 Alt. Parcel #: 34.29.15.523B 034 - TOWN OF SPRINGFIELD Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner BRUCE A & RUTH A FRENCH 0 - FRENCH, BRUCE A & RUTH A 3026 60TH AVE WILSON WI 54027 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description " 3036 60TH ST SC 5586 SPRING VALLEY SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 10.050 Plat: 0621 -CSM 12/3393 SEC 34 T29N R15W PT SE SW BEING LOT 2 Block/Condo Bldg: LOT 2 CSM 12/3393 7.480AC & W1 /2 OUTLOT 1 Tract(s): (Sec- Twn -Rng 401/4 1601/4) 34- 29N -15W Notes: Parcel History: Date Doc # Vol /Page Type 07/11/2000 626187 1525/330 WD 07/11/2000 626186 1525/329 WD 2005 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 06/25/2003 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 10.050 46,600 0 46,600 NO Totals for 2005: General Property 10.050 46,600 0 46,600 Woodland 0.000 0 0 Totals for 2004: General Property 10.050 46,600 0 46,600 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 i FORM NO. 985-A i ' 414G1i1�mr � .� FEB 2 5 1998 Stock No. 26273 l ST. —1y11 COU RV R D _ Oj FILED 3 SUEYOR'S RE CQR �. DEC 0 8 1997 6 ..69596 :.:; KOLM H.WMM pepisielof Deeds CERTIFIED SURVEY MAP NO. 3393 s VOLUME 12 , PAGE 3393 f. ' 97 rd ;.y. THE SOUTHEAST 1/4 OF THE SOUTHWEST 1/4, SECTION 34, TOWNSHIP 29 NORTH, RANGE 15 WEST,F - L ar�mitt9 TOWN OF SPRINGFIELD, ST. CROIX COUNTY, WISCONSI11In ° SCALE: 1"=200' SEC °' OWNER: pn im cm HUDSON DIESEL, INC., MPPP D 3 null and volido& i w o' 100' 200' 400' CHRISTINE SEIDUNG, TRUSTEE DRAFTED BY: EAU (X� R CLAIRE. N 54 703 i o UNPLATTED DONALD M. CLARK, RLS LANDS 1 i S 89"48'19" E G0 1318.30' -- ,� -- --- --- --- k5. 9 ' 1.' i- --------- �- •-- °----- - --- - ' _�_ ; NW. COR. SE -SW NORTH UNE Of THE SE 1/4 - SW 1/4 NE. COR. SE -SW LEGEND 1 7- L $ GOVERNMENT CORNER (AS NOTED) 0 UTL T 1 I • SET, 3/4 "X24" REBAR g 224,856 SQ.FT.(5.1 ±AC.) TOTAL N L WEIGHING 1.502 LBS. �y 1 IN PER LINEAL FOOT. o iM 3 3 ` E 659.32' j w _M DRAFTED BY: 329'66 329. ' � w d i � w o , Donald M. Clark J� I I z o 6' � Z in 01 I I A c6 o� o o f I D IA .i M N I I N w3 °I I cli o� 0 g^ wl I 876,284 Q.FT. 0.12± TOTAL LOT 2 W I . I ' LOT 3 C , 3 1 z ) 21,77 SQ.FT.(0.5 AC.) RW ! 1-= 0I - I I to A 85 11 SO.FT- (19.62 ±AC.) LESS RW m W I a I M '0 �7 Z w �s•�"`............,� • %�j 3 O W fQ I I O W _ m m * : DONALD M. ';* o ci ^ ci z 1 I ci ci N CLARK : ° m Q a Q — I I Q U Q No ci w t ur W — 0 I - H ai 5 1580 a °V ^ z «� N • �' ; MENOMONIE : C) ` �` 1 ^ a! 6pI �ir� C W r O Aw + l - C I M 1 C�1 z `# %% ++ to Cy to to I o I � CJ a to ���p0�� -�`''� N o W I N r` A Q ' co Q `� f " ) (01 ` J M A N I 1 M A N SETBACK LINE 133 FROM CENTERLINE (100' FROM R \W) 33' o M N 89'41'39" W 1319.59' M SW. COR. SE —SW 659.79' r) — 329.90' 329.90' 659 81 4 - ---� -- 329 91 _.._ V -- _____ -- N 89 41'39' W 1319.63' 329.91' 9.63' N 89 41'39" W SOUTHWEST CORNER 2639.26' SEC.34, T29N, R15W SOUTH 1/4 CORNER FND CONC. NAIL UNPLATTED LANDS SEC.34. T29N. R15W MO FND COUNTY MON. CEDAR CORPORATION moo 604 WILSON AVENUE MENOMON/E, W154751 PAGE / OP�, (715) 235 -9081 Vol. 12 Page 3393 * ;^�sconsin Department of Commerce SOIL AND SITE EVALUATION Page !.- of VA Division of Safety and Buildings v ith Comm 83.05, Wis. Adm. Code comp lete site Ian on p aper not less t a' h size. Plan must p p p p Attach con include, but not limited to: vertical and horizontal reference point (BM County ), direction and St. C roix percent slope, scale or dimensions, north arrow, and location and distance to nearest road. -- Parcel I.D.# -7 4 - \,U - A- APPLICANT INFORMATION - Please print all information. -- - -- - - Personal information you provide may be used for secondary purposes (Privacy Law s. 15.04 (1) (m)). Reviewed By Date Property Owner Property Location Seidling, Bernard Govt. Lot , SE 1/4 SW 1% S 34 T 29 AR 15 Property Owner's Mailing Address Lot # Block # Tubd. Name or CSM# 1212 Glade Drive E 1 /2,E 1 /2 (10 Acres) Cit State Zi Code PhoneNumber City Villa a XTown Nearest Road Aftoona WI 5720 715- 839 -7969 Springt 60Th Ave. New Construction Use: X Residential / Number of bedrooms 3 Addition to existing building Replacement Public or commercial describe Code Derived daily flow 450 gp Recommended design loading rate .5 bed, gpd /ftZ .6 trench, gpd /ft Absorption area required 900 bed, ftZ 750 trench, ftz Maximum design loading rate .5 bed, gpd /ftZ • t rench, gpd /ft Recommended infiltration surface elevation(s) 102.3 ft (as referred to site plan benchmark) Additional design / site considerations install 5' x 75' rock bed mound on 101.3 as upslope edge of rock w/ I' sand fill Parent material l oess over glacial till Flood plain elevation, if applicable ft S= Suitable for system Conventional Mound In Ground Pressure AT - Grade System in Fill Holding Tank U= Unsuitable for system X U X S U S X U S X U U U Depth Dominant Color Mottles Structure GPD /ftZ Boring# Horizon in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed ! Trench 1 1 0 -6 l OYR 3/3 - sl 2 f -m sbk d gs 1 f/m .5 .6 2 6 -16 10YR 3/4 - sl 2 in sbk dsh cw lm .5 .6 Ground 3 16 -32 1 OYR 4/4 - sl I in sbk mvfr cs if 4 .5 elev - - .. -- -- - - - 98.4 ft 4 32 -47 l OYR 4/4 c2d 7.5YR 5/8 A 2 rh sbk mfr cw if j 5 .6 10YR 6/2 Depth to - - -- - - - - -- - - limiting 5 47 -55 l OYR 6/4 - fs 0 sg will - - .5 .6 factor - -- — - - - - - -- 32" Remarks: occasional gr, cob, & st 6 -32 "; horizon 5 is residual SS derived w/ inclusions 7.5 5/8 fs & SS gr 2 1 0 -5 l OYR 3/3 - sl 2 f -m sbk ds cs 2f /m .5 I .6 2 5 -26 IOYR 6/3 - fs 0 sg dl cs Im 5 6 Ground 3 26 -45 10YR 6/3 - fs 0 sg ml cs If .5 .6 elev 101.2 ft. 4 45 -65 IOYR 6/3 - fs Om mfi - - NP Depth to -- - -- } limiting factor -- - EIVE - Remarks: fs is residual SS derived; horizon 3 has large inclusions 7.5YR 5/8 fs; horizon 4 is weakly ceme n!!�d S B re t c - - -- -- penetration _— - - -- ROiX (monolithic) C W ILINTY CST Name (Please Print) Signature: Tele o o.ZONINGOFFICE Henry F. Grote 715- " PR Box 57 Knapp, WI 54749 ��13/97 -- ZZ��� -.R f 117 PROPERTY OWNER: Seidling Bernard SOIL DESCRIPTION REPORT Page 2__ of PARCEL I.D.# 34.29 .15.523 4 Depth Dominant Color Mottles Structure - GPD /ft Horizon Texture onsistence Boundary Roots -- Bed 1 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Trench 3 1 0 -4 l OYR 3/3 - sl 2 f sbk ds cs 2f /m .5 } .6 2 4 -17 l OYR 6/3 - fs 0 sg dl gs l m .5 .6 - - - - - -- - -- Ground 3 17 -43 10YR 6/3 - fs 0 sg ml cs if .5 6 elev - -_ - — – - -- -- -- - - ; 10 1.5 ft. 4 43 -60 10YR 6/3 - fs 0 m mfr - 4 - NP NP Depth to 4 limiting -- - -- -_ . - - - -- - - _- factor 43 " - - - - -- - I Remarks: fs is residual SS derived, horizon 3 has large inclusions 7.5YR 5/8 fs & occasional SS gr, horizon 4 is weakly cemented 713R by r is a ce r t - Ground � - - -- .- - -- - elev - -- - — - -- -- - - - - -- - Depth to limiting I factor _ Remarks: _ -- - - - -__ Ground elev – ft. Depth to limiting factor Remarks: I Ground elev _ ft. Depth to limiting - factor _ Remarks: r 34-•zq.�i.sz1 a.. ( � ok.s Ot M6 ►3 h 0. 1 ( (� t3 N �3•i -�3•i t %� i Yv�a1� w2�i isa�►.r� S)�� Z vuSNw f �o � / Z Wiscnn7n Department of Commerce SOIL AND SITE EVALUATION Page_!__ of . _ __ !:>'tvision of Safety and Buildings ! "v' ;Comm 83.05, Wis. Adm. Code r . y nt ou C Attach complete site plan on paper not less tttai 1 ize. Plan must include, but not limited to: vertical and horizontal re eret3� ( l), direction and S t. Croix percent slope, scale or dimensions, north arrow, and location and distance to nearest road. — Parcel I. D.# -7_� APPLICANT INFORMATION - Please print all information. -- -- -- Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Reviewed By Date Property Owner Property Location Seidltng, Bernard Govt. Lot SE 1/4 SW 1 /4,S 34 T 29 N,R 15 — - Property Owner's Mailing Address Lot # Block # 1 !ubd. Name or CSM# 1212 Gl Dri W 1/2, E 1 /2 (10 Acres) Cit State Zip Code PhoneNumber City Villa a ;Tow Nearest Road Aftoona WI 54720 715- 839 -7969 Springfield 60Th Ave. New Construction Use: / Residential / Number of bedrooms 3 Addition to existing building Replacement Public or commercial describe Code Derived daily flow 450 9P Recommended design loading rate -5 bed, gpd /ft2 .6 trench, gpd /ft Absorption area required 900 bed, ft 750 trench, ft Maximum design loading rate • bed, gpd /ft • t rench, gpd /ft Recommended infiltration surface elevation(s) 101.9 ft (as referred to site plan benchmark) Additional design / site considerations install 4'x 95' rock bed mound on 100.9 as upslope edge of rock w/ 1' sand fill NA Parent materiall over glacial till Flood plain elevation, if applicable ft S= Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank U= Unsuitable for system X U X S" U S X U S X U U U MINI L IJh5(;KIPTI0N REPUK I Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2 Boring# in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 1 1 0 -8 7.5YR 2.5/2 - Is 2 f sbk ds cs 1 f/m .7 .8 2 8 -24 7.5YR 4/4 - Icos I msbk dsh gs If .7 .8 Ground 3 24 -42 7.5YR 4/4 - mcos 0 sg ml aw Inn 7 8 elev - — - -- -- . - - -- 4___ _ - 100.9 ft, 4 42 -50 10YR 5/6 cIp 7.5YR 5/8 scl 0 in mvfi - - NP .2 Depth to - -- limiting factor - - -- - - -- - -... — -- - 42" Remarks: occasional gr especially 8 -24 Z 1 0 -6 l OYR 3/3 - sl 2 f sbk ds cs 2f /m .5 .6 2 6 -24 10YR 3/4 - A 2 m sbk dsh cs if .5 .6 Ground 3 24 -40 7.5YR 4/4 - lmcos 0 sg ml I as ]m .8 elev -- — - -- - -- - I r 100.0 ft. 4 40 - 44 1 OYR 4/4 m2p l OYR 6/2 SO Orin mvfi r�_� Depth to . - -- -- -- - - -- _ .. }REC limitin fa for Remarks: occasional gr & cob especially 24 -40" COUNTY C f CST Name (Please Print) Signature: Telephone Henry F. Grote 15- 665 -268 Add Box 57 Knapp, WI 54749 6/4/97 S �(�J 7ber Ref # 116 I / �4 PROPERTY OWNER: Seidling, Bernard SOIL DESCRIPTION REPORT Page 2 - orl PARCEL I.D.# 34.29.15.523 1 A,. Horizon Depth Dominant Color Mottles Texture Structure onsistence Boundary Roots __ - GPD /ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 1 0 -6 l OYR 3/3 - sl 2 f sbk ds cs 1 f/m .5 .6 3 i 2 6 -18 IOYR 3/4 - sl 2 m sbk dsh cs j if .5 .6 Ground 3 18- 7.5YR 3/4 - mcos 0 sg ml aw if .7 .8 elev 100.9 4 24(28)- l OYR 4/4 m2p IOYR 6/2 scl 0 m mvfi - - NP .2 Depth to limiting - factor - - -- -- - f Remarks: occasional gr & cob & occasional 10YR 4/6 mcos & s inclusions 6 -24" - 1 Ground elev -- -- - -- -- - -- - - - -- -- - - -- - - - ft ' l Depth to limiting — - - - - - -- -- - - - - - -- — - -- - - - -- _. { factor Remarks: i Ground — elev -- - - - - -- - - -- ft. Depth to limiting - -- -- factor ......... Remarks: I Ground - - -_ elev Depth to limiting -- — - - -- factor Remarks: CA QA a��Lg I'1 - 2 C1 �►v. o � A*- IL ff1 Q_� M `/ l Zt� V'o' l.� 1 0 N.isconsin Department ofCommerce Min VALUATION Page -._�_ of_ - _ - 5ivision of Safety and Buildings 05, Wis. Adm. Code Attach complete site plan on paper not less than 84 xl P an must County include, but not limited to: vertical and horizontal reference point (BM), direction and St. Cro percent slope, scale or dimensions, north arrow, and location and distance to nearest road. - -- — Parcel I.D.# APPLICANT INFORMATION - Please print all information. - - - - -- - - Personal information you provide may be used for secondary purposes (Privacy Law s. 15.04 (1) (m)). Reviewed By Date Property Owner Property Location Seidling, Be rnard Govt. Lot SE 1/4 SW 1/4 S 34. T 29 N, R 15 Property Owner's Mailing Address Lot # Block # Name or CSM# Tubd. 1212 Glad Drive E 1 /2,E 1/2 (10 Acres) Cit State Zip Code PhoneNumber City Villa ,x '.Town Nearest Road Altoona WI 5720 715- 839 -7969 Springfield' 60Th Ave. New Construction Use: X Residential / Number of bedrooms 3 Addition to existing building Replacement Public or commercial describe Code Derived daily flow 450 9P Recommended design loading rate • bed, gpd /ft' .6 trench, gpd /ft' Absorption area required 900 bed, ft' 750 trench, ft' Maximum design loading rate • bed, gpd /ft' .6 t rench, gpd /ft' Recommended infiltration surface elevation(s) 102.3 ft (as referred to site plan benchmark) Additional design / site considerations install 5' x 75' rock bed mound on 101.3 as upslope edge of rock w/ I' sand fill Parent material l oess over glacial till Flood plain elevation, if applicable ft S= Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank U= Unsuitable for system X U X S U S X U S X U ; U U Depth Dominant Color Mottles Structure GPD /ft' Borin # Horizon Texture Consistence Boundary Roots - - - - - -- - 9 In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 1 1 0 -6 l OYR 3/3 - sl 2 f -m sbk ds gs I f/m .5 .6 2 6 -16 l OYR 3/4 - sl 2 m sbk dsh cw ]in I .5 .6 Ground 3 16 -32 l OYR 4/4 - sl 1 in sbk mvfr cs if .4 .5 elev 98.4 ft 4 32 -47 l OYR 4/4 c2d 7.5YR 5/8 sl 2 to sbk mfr cw If , .5 .6 10YR 6/2 Depth to - — - - - - -- - - - - -- - �. - r - -- j limiting 5 47 -55 10YR 6/4 - fs 0 sg ml - I - 5 I 6 factor 32" Remarks: occasional gr, cob, & st 6 -32 "; horizon 5 is residual SS derived w/ inclusions 7 .5YR 5/8 fs & SS gr 2 1 0 -5 10YR 3/3 - sl 2 f -m sbk ds cs Will .5 .6 2 5 -26 IOYR 6/3 - fs 0 sg dl cs Inn .5 .6 Ground 3 26 -45 l OYR 6/3 - f s 0 sg ml cs 1 f 5 .6 elev - -- — - 101.2 ft 4 45 -65 IOYR 6/3 - fs 0 m raft - - NP NP �j'/ ' P -- - -- — — - - - -- _ De th to - -. -- __ -__ . __ 2 limiting factor -- -- - - - - 45 fs is residual SS derived; horizon 3 has la inclusions 7.5YR 5/8 fs; horizon 4 is weak) cc m SS r Remarks: _ g Y _ _ spinc7 penet ration mono t tc S CROIX IP v� CST Name (Please Print) Signature: Tel 0NINGOFFIGg' Henry F. Grote 7 15- T- i Ad ox 57 Knapp, WI 54749 23 P.O /97 1 PROPERTY OWNER Seidling, Bernard SOIL DESCRIPTION REPORT Page 2_ of PARCEL I.D.# 34.2 Depth Dominant Color Mottles Structure GPD /ft2 Horizon Texture onsistence Boundary Roots - - -- - in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 3 1 0 -4 10YR 3/3 - sl 2 f sbk ds cs 2f /m .5 - .6 2 4 -17 IOYR 6/3 - fs 0 sg dl gs IM 5 .6 Ground 3 17 -43 lOYR 6/3 - fs 0 sg ml cs if .5 .6 elev-- - --- - - - - -- - - -- - + - 101.5 4 43 -60 IOYR 6/3 - fs 0 m mfr - - NP NP Depth to limiting - - -- - - - - - -- - -- - . ,_ - - -- factor Remarks: fs is residual SS derived, horizon 3 has large inclusions 7.5YR 5/8 fs & occasional SS gr, horizon 4 is weakly cemented SSBIZ by r s► - Ground elev- - -- -- -- - - -- - - - - -- -- - - _ Depth to limiting factor I � I Remarks: - — - - -- - - -- - Ground elev ft. Depth to limiting -- - -- - -- ---- - - - -=— -- - - - -_ - - - -- ,_ _ _.._ _ I _. � I} f factor -L �- I Remarks: Ground - - - - - -.. - _ -- - -- elev - ft. Depth to limiting factor Remarks: i i ` 1 sty.» a� - l � j l ( S a.; 1:.. ��` o� `�.... �4•Zg.�j .`S z l �3�4- 1 �i -1�4� N� s =� I �► o t. t CL 1 o%oo R t3- (q g �� �A r ►� M �R� W T 1i ua too % co� �I W isconsin Department of Commerce ,� S IL AND SITE EVALUATION Page ! of 3 ` Division of Safety and Buildings ' i c m 83.05, Wis. Adm. Code p plan pap Attach complete site Ian a er not less th /2 s in si Plan must Count include, but not limited to: vertical and horizontal reference point (BM), direction and St . Croix percent slope, scale or dimemsions, north arrow, and location and distance to nearest road. -- - - - -- -- - - - - Parcel I.D.# APPLICANT INFORMATION - Please print all information. - Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Reviewed By Date Property Owner Property Location Seidling, Bernard Govt. Lot SE 114 SW 1/4 S __ 34 T 29 ,N R 15 - - - - - - -- Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 1212 Glades Drive W 1/2,E 1/2 (10 Acres) Cit State Zi Code PhoneNumber ' City Villa e : Town Nearest Road Altoona WI 5720 715- 839 -7969 Springfield ' 60Th Ave. New Construction Use: X Residential / Number of bedrooms 3 Addition to existing building Replacement Public or commercial describe Code Derived daily flow 450 gp Recommended design loading rate • bed, gpd /ft2 .6 trench, gpd /ft Absorption area required 900 bed, ft- 750 trench, ft Maximum design loading rate • bed, gpd /ft • t rench, gpd /ft Recommended infiltration surface elevation(s) 101.9 ft (as referred to site plan benchmark) Additional design / site considerations install 4'x 95' rock bed mound on 100.9 as upslope edge of rock w/ 1' sand fill Parent material l oess over glacial till Flood plain elevation, if applicable NA ft S= Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank U= Unsuitable for system X U X S U , S X U S X U < U U Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots _ - GPD /ft2 Boring# in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 1 1 0 -8 7.5YR 2.5/2 - Is 2 f sbk ds cs 1 f/m .7 .8 2 8 -24 7.5YR 4/4 - Icos I m sbk dsh gs { if 7 .8 Ground 3 24 -42 7.5YR 4/4 - mcos 0 s ml aw lm .7 .8 elev - — - -- -- - - - -- - -- - __ __ - - 100.9 ft. 4 42 -50 IOYR 5/6 clp 7.5YR 5/8 scl 0 m mvfi - - NP .2 i Depth to limiting factor 42" Remarks: occasional gr especially 8 -24 2 1 0 -6 10YR 3/3 - sl 2 f sbk ds cs j 2f /m .5 .6 2 6 -24 1 OYR 3/4 - sl 2 m sbk dsh cs I 1 f .5 .6 Ground 3 24 -40 7.5YR 4/4 - Imcos 0 sg ml as i m .7 i 8 elev - - - — — 100.0 ft. 4 40 -44 l OYR 4/4 m2p l OYR 6/2 scl Ora mvfi Depth to - - - -- -- limiting REC�IkQ , fa for -- - - 1111 A1 jnn� Remarks: occasional gr & cob especially 24 -40" COUNTY CST Name (Please Print) Signature: T o o. Henry F. Grote 7 15- tS Addre�s Box 57 Knapp, WI 54749 '6�N/97 C191 be f 116 PROPERTY OWNER Seidl ing, Bernard SOIL DESCRIPTION REPORT Page 2 of PARCEL I.D.# 34.29.15.523 Depth Dominant Color Mottles Structure GPD /ft 2 Horizon in Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. C onsistence Boundary Roots — -- -� Bed Trench 3 1 0 -6 10YR 3/3 - sl 2 f sbk ds cs 1 f/m .5 i " .6 2 6 -18 1OYR 3/4 - sl 2 m sbk dsh cs if .5 .6 Ground 3 18- 7.5YR 3/4 - mcos 0 sg ml a if .7 .8 elev 100.9 4 24(28)- 1 OYR 4/4 m2p IOYR 6/2 scl 0 m mvfi - - NP .2 Depth to limiting factor 2 4" -- — - - - -- _ - - - I Remarks: occasional gr & cob & occasional 10YR 416 mcos & s inclusions 6 -24" Ground elev - Depth to j { limiting — - - — - - -- - - factor Remarks: i Ground - - - -- i _ —_- -_ -- elev ft. I Depth to limiting - - -- - - - -- factor Remarks: I Ground -- - - -- - -- - - _ elev ft. i Depth to limiting - -- - -- } -- factor Remarks: CA 34. IvL ® ,^ L/ / L • �s0� we ww (so u'"Q� l 2Cj t yQ,w 3 0 � 3 STC- 105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County O WNER:/B� A L f j MAILING ADDRESS I :3L • I5 Tom( l� PROPERTY ADDRESS 3 0 3G (location of septic system) Please obtain from the Planning Dept. CITY /STATE W i l SGm VjT_ q— 10 - 7 X y Q�- - - PROPERTY LOCATION -DC7--_ 1/4, 1/4, Section } TN -R TOWN OF ` t �- _I ST. CROIX COUNTY, WI SUBDMSION A/A LOT NTUN13ER c CERTIFIED SURVEY MAP Jr & VOLUME.PAG, LOT NUMBER 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 licensed septic tank pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. St. Croix County residents may be eligible to receive a grant for a maximum of 60% of the cost of replacement of a failing system, which was in operation prior to July 1, 1978. St. Croix County accepted this program in August of 1980, with the requirement that owners of all new systems agree to keep their system properly maintained. The property owner agrees to submit to St. Croix Zoning a certification form, signed by the owner and by a mater plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper operating condition and (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge and scum. 11We, the undersigned have read the above requirements and agree to maintain the private sewage disposal system in accordance with the standards set forth, herein, as set by the Wisconsin DNR. Certification stating that your septic has been maintained must be completed and returned to the St. Croix County Zoning Officer within 30 days of the three year expiration date DATE: St. Croix County Zoning Office Government Center 1 101 Carmichael Road Hudson, WI 54016 11/93 S T C - loo This application form is to be completed in full and signed by the owner(s) of the property being developed. Any inadequacies will only result in delays of the permit issuance. Should this development be intended for resale by owner /contractor, (spec house), then a second form should be retained and completed when the property is sold and submitted to this office with the appropriate deed recording. ------------------------------------------------------------------- Owner of property �' �-, �: �( ct �., c( �,,, n cv V� Location of property /4 /1/ 1/4, Section 3 TAN -R W Township 5 pD r r c�4 jC i c & Mailing address Address of site &5 . Lv s ,� _ I,✓T S'f U L-7 Subdivision name PV & Lot no. Other homes on property? Yes x No Previous owner of property Q r n rl Total size of property 1 Q tt r rC3 Total size of parcel I u t rr.� Date parcel was created S e : j2 ( 2 UU Are all corners and lot lines identifiable? _ Yes No Is this property being developed for (spec house) ? Yes No Volume and Page Number as recorded with the Register of Deeds. ------------------------------------------------------------------- INCLUDE WITH THIS APPLICATION THE FOLLOWING: A WARRANTY DEED which includes a DOCUMENT NUMBER, VOLUME AND PAGE NUMBER AND THE SEAL OF THE REGISTER OF DEEDS. In addition, a certified survey, if available, would be helpful so as to avoid delays of the reviewing process. If the deed description references to a Certified Survey Map, the Certified Survey Map shall also be required. PROPERTY OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge that I (we) am (are) the owner(s) of the property described in this information form, by virtue of a warranty deed recorded in the office of the County Register of Deeds as Document No. , and that I (we) presently own the proposed site for the sewage disposal system or I (we) obtained an easement, to run the above described property, for the construction of said system, and the same has been duly recorded in the office of the County Register of Deeds as Document No. Signatu e of App icant Co- Applicant Date of Signature Date of Signature U, Z 8 6 0 F 114 80255 KATHLEEN H. WALSH State Bar of Wisconsin Form 2 -2003 REGISTER OF DEEDS ST. CRQIlC CO.. WI WARRANTY DEED RECEIVED FOR RECORD Document Number Document Name 08/05/2005 01: 35PM WARRANTY DEED EXEMPT tl 17 THIS DEED, madebetween Bruce A. French and Ruth A. French husband and wife REC FEE: 11.00 TRANS FEE: ( "Grantor," whether one or more), COPY FEE: and Chad J. Hoyt and Dawn G. Hoyt' husband and wife CC FEE: PAGES: 1 ("Grantee," whether one or more). Recording Area Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate, together with the rents, profits, fixtures and other appurtenant Name and Return Address interests, in St. Croix County, State of Wisconsin ( "Property ") (if more space is EAGLE VALLEY BANIK NJL needed, please attach addendum): �..O. BOX 70 Part of the SE 1/4 of SW 1/4 of Section 34, Township 29 North, Range 15 West, St. 2501 Hanley Road Croix County, Wisconsin described as follows: Lot 2 and W %: of Outlot 1 of Hudson, VW 64016 Certified Survey Map tiled December 8, 1997 in Vol. 12, Page 3393, Doc. No. 569596. Together With and Subject To a 66 foot easement for ingress and egress as shown on said Certified Survey Map. 034 - 107&40-100 This deed is given in fulfillment of that ertain Land Contract between the parties Parcel Identification Number (PN hereto dated recorded A azt S Zlx in Vol This is not homestead property. C2 R , Page I iLl , as Doc. No. VCqp SZ;t (is) (is not) Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any. Dated L Flk J (SEAL) (SEAL) * *Br e ,, tA.. French (SEAL l.c.A 1 r Q.c � (SEAL) * *Ruth A. French AUTHENTICATION ACKNOWLEDGMENT Signature(s) authenticated on STATE OF l.JL I jClDn5 } ) ss. COUNTY } TITLE: MEMBER STATE BAR OF WISCONSIN Personally came before me on J-Jlt u U_=> t ` , CO Q (if not, the above -named Bruce A. French and Ruth A. French, authorized by Wis. Stat. § 706.06) husband and wife to me known to be the person(s) who executed the foregoing THIS INSTRUMENT DRAFTED BY: instrument and acknowledged the same. .- Attorney Kristina Oeland Hudson. WI 54016 �• •' 1 8 — � •• •' 7 r � Notary Public, State of My Commission (is permanent) (expires: - (S ur ppl�yy� be a enii or acknowledged. Both are not necessary.) NOTE: THIS IS A STANDF9ili11?'ODI*ATIONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. WARRANTY DEED 4r� E BAR OF WISCONSIN FORM NO. 2-2003 Type name below signatures. �I /t�tltttllt�l,` INFO -PROTM Legal Forms 800 - 855 -2021 www.infoproforms.com STATE BAR OF WISCONSIN FORM 11 - 1982 LAND CONTRACT Individual and Corporate (TO BE USED FOR ALL TRANSACTIONS WHERE OVER Document Number $25,000 IS FINANCED AND IN OTHER NON- CONSUMER ACT TRANSACTIONS) CONTRACT, by and between Bruce A French and Ruth A French, husband and wife. ( "Vendor ", whether one or more) and Chad J Hoyt and Dawn G Hoyt h3lsband and wig ( "Purchaser ", whether one or more). Vendor sells and agrees to convey to Purchaser, upon the prompt and full perfomance of this contract by Purchaser, the following property, together with the rents, profits, fixtures and other appurtenant interest (all called the "Property"), in St. Croix County, State of Wisconsin: Part of the SE 1/4 SW 1/4 of Sec 34- T29N-RISW, described as follows: Lot 2 of Certified Survey Map in Vol. 12, Page 3393 and the W lA of Outlot I of said Certified Survey Map. Recording Area Name and Return Address 034- 1078 -40 -1000 Parcel Identification Number (PIN) This is not homestead property. (is not) Purchaser agrees to purchase the Property and to pay to Vendor at place vendor directs the sum of $ 40,000.00 in the following manner: (a) S M.00 at the execution of this Contract; and (b) the balance of $ 39.500.00 , together with interest from date hereof on the balance outstanding from time to time at the rate of 6 percent per annum until paid in full, as follows: Commencing October 11, 2003 and on the 11's day of each and every month thereafter, monthly payments of principal and interest in the amount of $236.82. Provided, however, the entire outstanding balance shall be paid in full on or before the Ill day of September 2004 (the maturity date). Following any default in payment, interest shall accrue at the rate of_ %per annum on the entire amount in default (which shall include, without limitation, delinquent interest and, upon acceleration or maturity, the entire principal balance). Purchaser, unless excused by Vendor, agrees to pay monthly to Vendor amounts sufficient to pay reasonably anticipated annual taxes, special assessments, fire and required insurance premiums when due. To the extent received by Vendor, Vendor agrees to apply payments to these obligations when due. Such amounts received by the Vendor for payment of taxes, assessments and insurance will be deposited into an escrow fund or trustee account, but shall not bear interest unless otherwise required by law. Payments shall be applied first to interest on the unpaid balance at the rate specified and then to principal. Any amount may be prepaid without premium or fee upon principal at any time after day of closing. In the event of any prepayment, this contract shall not be treated as in default with respect to payment so long as the unpaid balance of principal, and interest (and in such case accruing interest from month to month shall be treated as unpaid principal) is less than the amount that said indebtedness would have been had the monthly payments been made as first specified above; provided that monthly payments shall be continued in the event of credit of any proceeds of insurance or condemnation, the condemned premises being thereafter excluded herefrom. Purchaser states that Purchaser is satisfied with the title as shown by the title evidence submitted to Purchaser for examination except: N(:::e Purchaser agrees to pay the cost of future title evidence. If title evidence is in the form of an abstract, it shall be retained by Vendor until t1he full purchase price is paid. Purchaser shall be entitled to take possession of the Property on day of closing. " Cross out one. STATE BAR OF WISCONSIN Information Professionals Company, Fond du Lac, WI LAND CONTRACT - Individual and FORM No. 13 - IM 800.655.2021 Corporate Purchaser promises to pay when due all taxes add assessments levied on the Property or upon Vendor's interest in it and to deliver to Vendor on demand receipts showing such payment. Purchaser shall keep the improvements on the Property insured against loss or damage occasioned by fire, extended coverage perils and such other hazards as Vendor may require, without co- insurance, through insurers approved by Vendor, in the sum of S /A , but Vendor shall not require coverage in an amount more than the balance owed under this Contract. Purchaser shall pay the insurance premiums when due. The policies shall contain the standard clause in favor of the Vendor's interest and, unless Vendor otherwise agrees in writing, the original of all policies covering the Property shall be deposited with Vendor. Purchaser shall promptly give notice of loss to insurance companies and Vendor. Unless Purchaser and Vendor otherwise agree in writing, insurance proceeds shall be applied to restoration or repair of the Property damaged, provided the Vendor deems the restoration or repair to be economically feasible, Purchaser covenants not to commit waste nor allow waste to be committed on the Property, to keep the Property in good tenantable condition and repair, to keep the Property free from liens superior to the lien of this Contract, and to comply with all laws, ordinances and regulations affecting the Property. Vendor agrees that in case the purchase price with interest and other moneys shall be fully paid and all conditions shall be fully performed at the times and in the manner above specified, Vendor will on demand, execute and deliver to the Purchaser, a Warranty Deed, in fee simple, of the Property, free and clear of all liens and encumbrances, except any liens or encumbrances created by the act or default of Purchaser, and except: Easements, restrictions and rights -of -way of record, if any. 3 Purchaser agrees that time is of the essence and (a) in the event of a default in the payment of any principal or interest which continues J'pr �r a period of '� y days following the specified due date or (b) in the event of a default in performance of any other obligation of Purchaser wh;.h continues for a period of 20 days following written notice thereof by Vendor (delivered personally or mailed by certified mail), then the enure a` outstanding balance under this contract shall become immediately due and payable in full, at Vendor's option and 'without notice (which Purchaser hereby waives), and Vendor shall also have the following rights and remedies (subject to any limitations provided by law) in addition to those provided by law or in equity: (i) Vendor may, at his option, terminate this contract and Purchaser's rights, title and interest in the Property and recover the Property back through strict foreclosure with any equity of redemption to be conditioned upon Purchaser's full payment of the entire outstanding balance, with interest thereon from the date of default at the rate in effect on such date and other amounts due hereunder (in which event all amounts previously paid by Purchaser shall be forfeited as liquidated damages for failure to fulfill this Contract and as rental for the Property if purchaser fails to redeem); or (ii) Vendor may sue for specific performance of this Contract to compel immediate and full payment of the entire outstanding balance, with interest thereon at the rate in effect on the date of default and other amounts due hereunder, in which event the Property shall be auctioned at judicial sale and Purchaser shall be liable for any deficiency; or (iii) Vendor may sue at law for the entire unpaid purchase price or any portion thereof; or (iv) Vendor may declare this Contract at an end and remove this Contract as a cloud on title in a quiet -title action if the equitable interest of Purchaser is insignificant; and (v) Vendor may have Purchaser ejected from possession of the Property and have a receiver appointed to collect any rents, issues or profits during the pendency of any action under (i), (ii) or (iv) above. Notwithstanding any oral or written statements or actions of Vendor, an election of any of the foregoing remedies shall only be binding upon Vendor if and when pursued in litigation and all costs and expenses including reasonable attorneys fees of Vendor incurred to enforce any remedy hereunder (whether abated or not) to the extent not prohibited by taw and expenses of title evidence shall be added to principal and paid by Purchaser, as incurred, and shall be included in any judgment. Upon the commencement or during the pendency of any action of foreclosure of this Contract, Purchaser consents to the appointment of a receiver of the Property, including homestead interest, to collect the rents, issues, and profits of the Property during the pendency of such action, and such rents, issues and profits when so collected shall be held and applied as the court shall direct. Purchaser shall not transfer, sell or convey any legal or equitable interest in the Property (by assignment of any of Purchaser's rights uh lir this Contract or by option, long -term lease or in any other way) without the prior written consent of Vendor unless either the outstanding balance payable under this Contract is first paid in full or the interest conveyed is a pledge or assignment of Purchaser's interest under this Contract soli Ay as security for an indebtedness of Purchaser. In the event of any such transfer, sale or conveyance without Vendor's written consent, the en't re outstanding balance payable under this Contract shall become immediately due and payable in full, at. Vendor's option without notice. Vendor shall make all payments when due under any mortgage outstanding against the Property on the date of this Contract (except for any mortgage granted by Purchaser) or under any note secured thereby, provided Purchaser makes timely payment of the amounts then due under this Contract. Purchaser may make any such payments directly to the Mortgagee if Vendor fails to do so and all payments so made by Purchaser shall be considered payments made on this Contract. Vendor may waive any default without waiving any other subsequent or prior default of Purchaser. All terms of this Contract shall be binding upon and inure to the benefits of the heirs, legal representatives, successors and assigns of Vendor and Purchaser. (If not an owner of the Property the spouse of Vendor for a valuable consideration joins herein to release homestead rights in the subject Property and agrees to join in the execution of the deed to be made in fulfillment hereof.) Dated this day of September , 2003 (SEAL) — —� (SEA ) * B urrcel!A. Fre " Chad J. Hoyt 1a✓CJ �-�! 0Jf ej t , _ (SEAL) (SEAL) * Ruth A. French * Dawn G. Hoyt _ AUTHENTICATION ACKNOWLEDGMENT Signature(s) Bruce A. French, and Ruth A. French, husband STATE OF } and wife; Chad J. Hoyt and Dawn G. Hoyt, husband and ) ss. County ) authenticated this day of September , 2003 Personally came before me this day of the above named * Kristina Ogland TITLE: MEMBER STATE BAR OF WISCONSIN to me known to be the person(s) who executed the foregoing (If not, instrument and acknowledged the same. authorized by § 706.06, Wis. Stats.) THIS INSTRUMENT WAS DRAFTED BY Attorney Kristina Ogland Hudson, WI 54016 Notary Public, State of My Commission is permanent. (If not, state expiration date: (Signatures may be authenticated or acknowledged. Both are not necessary.) � ) • Names of persons signing in any capacity should be typed or printed below their signature. Information Professionals Co., Fond du Lac, W1 STATE BAR OF WISCONSIN 800.655 -2021 LAND CONTRACT - Individual and Corporate FORM No. 11 -1982 /.2 040 YOW MO. Oft A m1�rPmw r Stock No. W273 �! � al FILED �g5 DEC U 8 1997 two 6 �eia•o a`� CERTIFIED SURVEY MA NQ. 3393 s VOLUME' 12 PAGE' 3393 � 47 THE SOUTHEAST 1/4 OF THE SOUTHWEST 1/4, SECTION 34, TOWNSHIP 29 NORTH, RANGE 1.5 WEST, TOWN OF SPRINGFIELD, ST. CROIX COUNTY, WISCONSIN SC A 1 �� ' Ndt11f..1' OWNER: lt63+. - u' A l K ! qp FWD C' 100' 200' 400' OHR15'k9 !k'1 UV40. 7RJSM U ' • ar.0 vow !1� DRAFTED BY: a 'e,+s � J1� T_nD OC NAM W. Cast. RLS I.AND3 ............ -- .�1Y1.1ti:.. _ S &W4E'19' E le 93iQ30' ,g•r .. t7 I x a NORTH UMC Tme SE 1/4 - Sw 1/4 NE. COW SE--Sw LE END r " GOVERN!61ENT CORNER (AS NOTED) f s ~� ` SET. 3/4'X.50 2 U35. R 13S. WE!t11FNNG '1.30 224.856 SOFT- (5.16 *AC.) TOTAL 1 _~ PER LINEAL FOOT. 1p bf v Ix E a39.J DRAFTED BY: Danaw M. Clark M� 1 O 876,2x!14 .FT.(20.123AC.) TOTAL �^ LOT 2 M. i LOT 3 o 21.77 SQ.FT.(d.S03 AC.) RW ,- 11 SQ.F`T.s99.62*AC.) LESS RW La I i C 0 - 1 rMw rrawydr` I 8 I • r `!: �0 � s sL yt 1 I t y-, r5c ti GC3NALd M. Wl �, MEIWOtrIOr�FE. I M v R fir 3l11lA�JS UrE 133 FROM WvTER�riE (]00' fR011! R \1Vj �•+'" - "! i� COFt. SE-SW _- lam-- y�•---_.._- •----- - ---- iK 99'41'39' W 1319.39 ,•t I -. I a Sw. 32W 00 _' --.... J79.9o' -- rs,ws3 -- ____ -_ - -- - - -- ------------------- -- - - -- +arm M 0 -wit 89`41'39' w 283D.2a.• i