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Parcel #: 038 - 1019 -50 -400 01/24/2006 12:31 PM
PAGE 1 OF 1
Alt. Parcel #: 3.31.18.76B -20 038 - TOWN OF STAR PRAIRIE
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
THOMAS M & ELIZABETH C BOUMEESTER O - BOUMEESTER, THOMAS M & ELIZABETH C
1157 CTY RD H
NEW RICHMOND WI 54017
Districts: SC = School SP = Special Property Address(es): * = Primary
Type Dist # Description
SC 3962 NEW RICHMOND
SP 1700 WITC
Legal Description: Acres: 28.450 Plat: 3885 -CSM 14/3885
SEC 3 T31 N R1 8W SW SE LOT 2 CSM 14/3885 Block/Condo Bldg: LOT 2
EXC COM SE COR SEC 3;TH S 89 DEG W
1303.52'POB;TH S 89 DEG W 440.12 ;TH N Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4)
01 DEG W 527.98';TH N 89 DEG E 440.13 03- 31N -18W SW SE
FT;TH S 01 DEG E 527.79'POB ALSO COM
S1/4 COR SEC 3;TH N 00 DEG E 1354.95';TH
more...
Notes: Parcel History:
Date Doc # Vol /Page Type
06/07/2001 647640 1655/321 LC
02/21/2001 638920 1589/392 WD
06/03/1999 604228 1431/99 WD
07/23/1997 1220/19 TI
more...
2005 SUMMARY Bill #: Fair Market Value: Assessed with:
118685 382,400
Valuations: Last Changed: 10/13/2004
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 2.000 32,000 277,700 309,700 NO
UNDEVELOPED G5 26.450 66,100 0 66,100 NO
Totals for 2005:
General Property 28.450 98,100 277,700 375,800
Woodland 0.000 0 0
Totals for 2004:
General Property 28.450 98,100 277,700 375,800
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch #: 550
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
� 1 kiscansin Department of Commerce
" Sa PRIVATE SEWAGE SYSTEM fety and Buildings Division ro7X`
INSPECTION REPORT
GENERAL INFORMATION (ATTACH TO PERMIT) Sanitar iltWilliff
Personal information you provice maybe used for secondary purposes [Privacy Law, X15.04 (1)(m)]. 34f
%o> ft dThomas & El ❑ city ❑ vbt rma(b owns ip State Plan ID No.:
CST BM Elev. : - Insp. BM Elev.: BM Description: r
I _�' q a 9 ?, q s'
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION B5 HI FS ELEV.
Septic S D Benchmark y, 3 Z Z
Do in
A Ion Bldg. Sewer Par r✓ �. 3 3 qs 3 �'
Holding St Ht Inlet
TANK SETBACK INFORMATION Ht Outlet
TANKTO P/L WELL BLDG. Ventto ROAD 17 1
Air Intake
Septic NA
I
NA Header / Man. �,y , 3
Aeraiiers NA Dist. Pipe c ^^ r r
olding
Bot. System �z•
PUMP / SIPHON INFORMATION
acturer %
Model Num
TDH ift Friction S stem TDH Ft
oss ad
Forcemain Length Dia. w
SOIL ABSORPTION SYSTEM
BED/TRENCH Width Length , No. Of T PIT No. Of Pits Inside Dia. Liquid Depth
IMEN I N S i nches D IMENSION S
SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACHING Manufa ur
SETBACK g
INFORMATION T pe O A Mo a Numbe
System: C'6� >(ao' -� y ± (00 ` '— OR IT
DISTRIBUTION SYSTEM
Header 1 Mani old Distribution Pi e(s) x Hole Size x Hole Spacing Vent To Air Intake
b
Length Dia. `I r/ Length z f " Dia. Spacing y E �� --- U
SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only
Depth Over Depth Over xx Depth Of xx Seeded/ Sodded xx Mulched
Bed/ Trench Center Bed /Trench Edges Topsoil InS eCtlO #IC]Yes/ ❑ /NO In o eotten M No /
- COMMENTS: (Include cod screp r�cies, pers n res nt etc. M Z2 /m/
Location: 11b7 Cty Rd �I New �2lchmonc 1 5 0'f7 (�W 1/4 SE 1/4 3 T31 N - 03311876B -Lot 2
1.) Alt BM Description = y.) 5Pe
2.) Bldg sewer length=
- amount of cover
d se'11 0
eti •xt awd
2.4 lw -/4
Plan revision required? ❑ Yes l No
Use other side fora itional inform6tion.
SBD -6710 (R.3/97) kJ066• Inspector's ignature Cert No
vs
�w.
b
O
•
I
I
�J
I � P
0
Po v
i � y-
i Safety & Buildings Division
Sanitary Permit Appl rn - 2 01 W. Wa PO Box 302
NVI scvnsnn In accord with 83 Comm .21, c �' , Madison, WI 53707 -7302
Department or commerce Personal information you provide may secondary.twrpo s (Privacy Law, s. (> (m (Submit completed form to county if not
state owned.
Attach com lete plans to the county copy only) for t r not I ss than -1 /2 x 1 I inches in size.
County // /� State SanitalxPstoA Number if reviWrTo previoti 'cation State Plan 1. D. Nu
S
I. Application Information - Please Print all Information o ': 'Location:
Property Owner Name y ei Property Location
. ° ' SL IMS F 1/4,S T31 N 4%E or W
Property Owfier's Mailing Ad dreg t / Lot Number Block Number
/
City, State I Zip Code PhqCe Number Subdivision Na CSM Number
II Type of Building: (check one) ❑ City
1 or 2 Family Dwelling — No. of Bedrooms:_ ❑ Village
Cl Public/Commercial (describe use): lyTown of
0 State -owned -- -- SI rL ( P
R/0) K )
III Type of Permit: (Check only one box on line A. Check box on line B if applicable) Nearest Road P H
A) 1. ew System 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Addition to Parcel Tax Number(s)
System Tank Only Existing System !.) Iq — J0 - 0
B) Permit Number Date Issued
A Sanitary Permit was reviousl y issued
IV. Typi of POWT System: (Check all that apply)
9 Non- pressurized In- ground ❑ Mound ❑ Sand Filter ❑ Constructed Wetland
Pressurized In- ground ❑ llolding'fank ❑ Single Pass ❑ Drip Line
❑ At -grade ❑ Aerobic'rrea fnent Unit ❑ Recirculating ❑ /Other: ( 38
V Dis ersaUTreatment Area Information: ( 'S t - 7
1. Design Flow (gpd) 2. DispersalArea 3. Dispersal A 4. Soil Application 5. Percolation Rate 6. Sy to EI vation 7. Final G egpp
Required Proposed Rate(G /d 7q. f1.) Min. /inch) � � L Elevation b o
17.0
.f
VI Tank Capacity in Total # of M ufacturer refab Site Steel Fiber- Plastic
Information Gallons Gallons Tanks Con- Con- glass
New Existing crete strutted
Tanks Tanks
Se / �� o s -- Uk ❑ ❑ ❑ ❑
❑ ❑ ❑ ❑
VII Responsibility Statement
1 the undersigned assume responsibility for installation of the POWTS shown on the attached plans.
Plumb er's Name (print) Plumber's Si tum ): MP/MPRS No. Business Phone Number
�2
Plumber's Address (Street, City, State, Zip C ')
VIII County/Departm nt Use Only
❑ Disapproved Sanitary Permit Fe (Includes Groundwater Date Issued Issui nt Si ature (No sta4s)
.Approved ❑ Owner Given Initial Adverse Surcharge F,
Determination
Ap
I onditions of Approval /Reasons for Disapprov :
fie, J \ tw (�sz Sez`�i u trcoG(O��YL 1 1 `�
1. This revision was submitted to reflect a change in system location. _The site has been cut.
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Wisconsin Department of Commerce SOIL EVALUATION REPORT Page of
Di, ision of Safety and Buildings
in accordance with Comm 85, Wis. Adm, Code
Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must C oun ty r
include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel LD.
percent slope, scale or dimensions, north arrow, and location and distance to nearest road.
Please print all information. I Re sewed by Date
Personal Information you provide may be used for secondary purposes (Privacy Law, S. 15.04 (1) (m)).
Property Owner �_. Property Location
/ m 0 /Lj e e Govt. Lot j L j 114,5 1/4 S 3 T 3 l N R E (or
Property Owner's Mailing Address Lot # Block # Subd. Name or CSM#
City State Zip Code Phone Number ❑ City [] Viilage Town Nearest Road
New Construction User Residential / Number of bedrooms 3 Code derived design flow rate GPD
Replacement ....- ...._ ._°
P ❑ Public or commercial - Describe:
Parent material Flood Plain elevation if applicable oe
pP ft.
General comments
and recommendations: (� e' t'�v� oc . S ) 3e�oi v q✓ �f ftCC71VE8
Baring / X
i_--1 Boring # tO
pit Ground surface elev& ft. Depth Co limiting factor � in. ��; s': -z�G •
Soil A piicatlorn`Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary ofs QP ! t-
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. e{q *Eff#2
l y
.g
Boring # ❑�fy goring X �J
L pit Ground surface elev.� / ft, Depth to limiting factor 2-L
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
I C9- s, r /r! Al) y 7
* Effluent #1 = BOD > 30 < 220 mg1L and TSS >30 150 m9 0 Effluent #2 = BOO, < 30 mg/L and TSS < 30 mg/L
CST Name (Please Print) i S Nu be
ti
Address n u� Dat Eva ation Conducted Telephone Number
ys/
S.BD -9330 (Iti)7 /0oi
Soil Test Plot Plan
Project Name Tom Boumeester Sh
Address 887 170th Ave
New Richmond Wi 545017 CSTM #226900
Lot ------ Subdivision - ------ Date 9/24/01
SW 1/4 SE 1/4S 3 T 31 N /R W Township Star Prairie
Boring Q Well PL Property Line County ST. CROIX
BM or VRP Assume Elevation 100 ft. Base of Window
System Elevation 2.5 Below Grade *HRpSame as Benchmark
Alt. BM Base of Siding @ 97.4'
County Road H
1000'
96' 97' 98'
9% B -2
Slope
0'
B -3 3
6 '
Area has Been Cut
B -1
50'
* Alt.
300' 35' M.
a Pro 3
Bedroom
0
House
Property Owner Parcel ID # Page of
Boring # ❑ Boring
Pit Ground surface eiev. � ft. Depth to limiting factor in.
Soli Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDlft
In, Munsell Qu. Sz. Cont. Color Gr, Sz. Sh. "Eff#1 •Eff#2
A22E Al
Boring #❑ -- Boring
[] pit Ground surface elev. ft. Depth to limiting factor in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft
In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 •Eff#2
Boring # ❑ Boring
® Pit Ground surface elev, ft. Depth to limiting factor in.
Soli Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/ft 2
In. Munsell Qu, Sz. Cont. Color Gr. Sz. Sh. •Eff#1 "Eff#2
Effluent #1 = $OD > 30 < 220 mg/L and TSS >30 < 150 mg1L ' 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
aced material in a r ultcnaatc format, plcasc coacac +. tt— dopatrra=a st co¢- z�U -�is �r rrSr Goes- zca - a���.
SBD -8330 (R.07!00)
I
Private Onsite Wastewater Treatment System Management Plan
Septic Tank And Gravity In- Ground Soil Absorption Component
Pursuant to Comm 83.54 Wis. Adm. Code each Private Onsite Wastewater Treatment
System (POWTS) shall include information and procedures for maintaining the system within
the parameters of Comm 83 and 84, and the conditions of approval by the department, agent,
or governmental unit. The approved plans and permits for system are on file at the county
zoning or health department.
This management plan complies with Comm 83.54, Wis. Adm. Code, and the In- Ground
Soil Absorption Component Manual for Private Onsite Wastewater Treatment Systems SBD-
10567-P (R.6/99).
Table 1: System Design Specification
Sanitary Permit Number $
Number of Bedrooms
Design Flow - Peak (gpd)
Estimated Flow - Average (gpd) - 7
Septic Tank Capacity (gal) )QbU
Soil Absorption Component Size (ft')
Type of Wastewater Domestic
Table 2: Soil Absorption Component - Limits of Reliable Operation
Septic Tank Component Soil Absorption CoMponent
Design Flow - Peak (gpd)
Maximum Influent Particle Size (in) 1/8
Maximum BOD (mg /L) 220
Maximum TSS (mg /L) 150
Table 3: Maintenance Schedule
Septic Tank Inspect and /or service once every 3 years
Outlet Filter Inspect once a year and clean at least once every 3 years
Soil Absorption Component Inspect once every 3 years
Septic Tank
The septic tank shall be maintained by an individual certified to service septic tanks
under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with
NR 113, Wis. Adm. Code (Servicing Septic or Holding Tanks, Pumping Chambers, Grease
Interceptors, Seepage Beds, Seepage Pits, Seepage Trenches, Privies, or Portable
Restrooms).
The operating condition of the septic tank and outlet filter shall be assessed at least
once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure
proper operation. The filter cartridge should not be removed unless provisions are made to
retain solids in the tank that may slough off the filter when removed from its enclosure. If the
r
Management Plan for a Septic Tank and Soil Absorption Component
filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously.
Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The
septic tank shall have its contents removed when the volume of scum and sludge in the tank
exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the
time of an assessment, maintenance personnel shall advise the owner of when the next service
needs to be performed to maintain less than maximum scum and sludge accumulation in the
tank.
Manhole risers, access risers and covers should be inspected for water tightness and
soundness. Access openings used for service and assessment shall be sealed watertight upon
the completion of service. Any opening deemed unsound, defective, or subject to failure must
be replaced. Exposed access openings greater than 8- inches in diameter shall be secured by
an effective locking device to prevent accidental or unauthorized entry into the tank.
No one should enter a septic or other treatment or holding tank for
any reason without being in full compliance with OSHA standards for
entering a confined space. The atmosphere within the septic or other
treatment of holding tank may contain lethal gases, and rescue of a
person from the interior of the tank may be difficult or impossible.
Tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the
tank is no longer used as a POWTS component.
Soil Absorption Component
The soil absorption component serving this structure is designed to accept domestic
wastewater from a residential facility. The limits of operation of this component are shown in
Table 2.
The longevity of a soil absorption component depends greatly on proper and timely
maintenance, and system use within or below the limits of reliable operation. Good water
conservation practices by all occupants and the installation of water conserving plumbing
fixtures are key factors in extending the useful life of this component.
The soil absorption component's operation must be assessed by inspection at least
once every three years. The inspection shall include recording the levels of ponding, if any, in
the observation pipes, and a visual inspection for any evidence of surface seepage or discharge
from the component. On steeply sloping sites, areas of erosion should be identified and
reported to the owner for repair. The surface discharge of domestic wastewater or sewage
from the system is prohibited and considered a human health hazard.
Traffic around or over the soil absorption component should be avoided particularly
during winter months. The compaction or removal of snow cover over the component may lead
to hydraulic failure by freezing. This type of failure is usually temporary, but is difficult or
impossible to repair until weather conditions improve. In general, soil compaction over this
component will reduce diffusion of oxygen into the soil and dispersal cell, which may lead to
more intense, and earlier, organic clogging of the soil.
2
Management Plan for a Septic Tank and Soil Absorption Component
Plantings of deep - rooted trees and shrubs directly over or within ten feet of the
component should be avoided since root intrusion into the component may obstruct wastewater
flow.
When system fails, we will replace with another system
at owner's expense. Alternate area must be left undisturbed.
St Croix County Zoning Office 386 -4680
Boumeester & Sons Excavating 386 -9020
Tri- County Sanitation 386 -2130
3
7302
Box .� 115 MR — H Safety & Buildings Division
Sanitary Permit Application
*14�ons W Ave.
In accord with Comm 83.21, Wis. Adm. Code 201 W. Wa Madison, vin PO O Box 7302
Department of commerce Personal information you provide may be used for purposes (Submit completed form to county if not
[Privacy Law, s. 15.04 12
state owned.
Attach complete 131ans to the county copy only) for th n paper n sthp 8 - 1/2 x 11 inches in size.
County V tate Sanig 3 g� �*� -• ❑ Ch r ision to ou a li o State Plan 1. D. Number i PP ! .9
�':
I. Application Information - Please Print all Information — Location:
Pry Owner Name MA G�Q� roperty Location
Fi G GFOX 1/4 6C 1/4, S 'T N R/ or W
Property Owner's Mailing Address a Lot Number Block Number
OFFICE //J7 a .1. -1 CA
/ �..
City, State Zip a Phon �tb r �y Subdivision �ptame or CSM Number
��►� - )
II Type of Building: (check one) �/ - 4. ',,,sue oM 13 C'
L� 1 or 2 Family Dwelling - No. of Bedrooms: ❑v illage
• Public/Commercial (describe use): Town of
• State -owned s f p
III Type of Permit: (Check only one box on line A. heck box on line B if applicable)' Nearest Road
A) 1. Ilk New System 2, ❑ Replacement 3. eplacement of 4.. ❑ Addi 'on to Parcel Tax Numb (s)
System Ta Onl Existi System 0,3 - �Q pp
B) 13 Perm Number Date Issued
A Sanitary as Permit w reviousl issued 3. , IF, 7 1p
IV. Type of POWT System: (Check all that apply) 94 •/o'
❑ Non- pressurized In- ground ound ✓` ❑ Sand Filter ❑ Constructed Wetland
❑ Pressurized In- ground ❑ Holding Tank ❑ Single Pass ❑ Drip Line
❑ At -grade , Aerobic Treatmen' n'e' l ❑ Recirculating ❑ Other:
V Disperiditreatment Area Information: E;' 'A 'k
1. Design Flow (gpd) 2. DispersalArea 3. Dispersal Area 4. Soil A lication 5. Percolation Rate 6. System Elevation 7. Final Grade
�j Re i �, r t�{ ed 0 Proposed Rate (pi 1s. /day /sq. ft.)' (Min. /inch) (/� Ele atipn
_ 7 760 1,0 VI Tank Capacity in Total # of v Manufacturer Prefab Site Steel Fiber- Plastic
Information Gallons Gallons Tanks; Con- Con- glass
New Existing "' b crete structed
Tanks Tanks /�
�� ",� I��o �� °`�?
(,v�ekS a ❑ ❑ ❑
`In Chn►� �nez. I CF W ❑ ❑ ❑ ❑
VII Responsibility Statement
I the undersigned, assume responsibility for installation of the POWTS shown on the attached plans.
Plumber's Name ring Plumber's Si t4PQ tAo atatnps MP/MPRS No. Business Phone Number
Plumber's Address (Street, City, State, Zip Cod
dSQIJ
VIII County/Depa tment Use Otily
❑ Disapproved y ;'' Sanitary Permit Fee (Includes Groundwater Date Issued Issuin Agept Signature (No stamps)
F , Approved ❑Owner Give# Initial Adverse Surc a Fea)
Determinatio 3Q5 ' Moil 2,1 Zoo
IX. Conditions of A pr al /Reasons for Disapproval: ,
-C(,,i s 0- 3 - 6e� «y -« rxs�iti SAS- �oc. o�. - t 3 O csc.t �atitcc,Q
�s ors �S ,IS
1 • 1
/ / Qer ✓a�ipn
♦ Ele '/a.,ibv)
N
tjA,
e. ssa mea(c le &.,:
Coro,de elegy = 9G.So: \
f( . B .:T,o of cvti , - fe
Grade
Proposed /,000 2aP Se &n, -r
Pro posed
Pc.,.. p 661n
j("s4.1/0 Pile.
.
Pao posed � ' � i
�/ "A•S.T, nt 3031/ , Yap_/ �
30 of S/ "Sc.(. S/ P. V e- z "Sa. V o At,
o bai
P.o oscdcc9d i i 4•��
� s�cr» :k�� PI-oPosed 1 ?(O(t170'Q 6
Y �.yXQ,�88'wisx �s'
QI7S0('�i07 CC • r"OKr' Y
/4�ev�s at 1 "X 3G.25'
W/ y "0 rq - , -ccs k E 30 "
5 fac:.y.
Safety and Buildings
10541 N RANCH ROAD
HAYWARD WI 54843
TDD #: (608) 264 -8777
Visconsin www
www•commerc . ' wisc o ns ov
.wiscnsin.gov
Department of Commerce
Scott McCallum, Governor
Brenda J. Blanchard, Secretary
May 10, 2001
CUST ID No.222904 ATTIC• POWTS Inspector
ZONING OFFICE
JAMES W BOUMEESTER ST CROIX COUNTY SPIA
1070 HWY 35 N 1101 CARMICHAEL RD
HUDSON WI 54016 HUDSON WI 54016
RE: CONDITIONAL APPROVAL
PLAN APPROVAL EXPIRES: 05/10/2003 Identification Numbers
Transaction ID No. 638500
Site ID No. 628719
SITE: Please refer to both identification numbers,
SITE ID: 628719, TOM BOUMEESTER L above, in all correspondence with the 'agenc
ST CROIX COUNTY, TOWN OF STAR PRAIRIE; CTH H
SWIA, SEl /4, S3, T3 IN, RI 8W
FOR: NEW MOUND, 450 GPD
OBJECT TYPE: POWT SYSTEM REGULATED OBJECT ID NO.: 789085
The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes
and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in
chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements.
The following conditions shall be met during construction or installation and prior to occupancy or use:
General Approval Conditions:
• This system is to be constructed and located in accordance with the enclosed approved plans and with the Gv
"Mound Component Manual for Septic Tank Effluent for Private Onsite Wastewater Systems" SBD- 10691 -P
( N.01 /O1) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment
Systems" SBD- 10706 -P (N.01 /01).
• In the event this soil absorption system or any of its component parts malfunctions so as to create a health
hazard, the property owner must follow the contingency plan as described in the approved plans. In addition,
the owner must insure that the operation, maintenance and monitoring duties as described in section VIII of
the mound component manual are complied with. A copy of this information must be given to the owner upon
completion of the project.
• 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 maintenance plan for this system must be given to the owner of the POWTS.
Site Specific Conditions:
• The orientation of the mound system must be such that the longest dimension is oriented along the surface
COMM 83 per contour P OO
.44 6 a 2.
gn
This mound is designed to be installed on a 16% land slope in the area of the
mound.
• Limit activities in the area 15' beyond the down slope edge of the mound per Mound Component Manual.
• Surface water drainage shall be diverted away from the system area.
F JAMES W BOUMEESTER Page 2 5/10/01
I
• well an waterline set backs per COMM 83.43 i
Mamtam d 8 p ()( . )
• Insulate building sewer per COMM 82.30(11)(c).
• The designer proposes to install an outlet filter to achieve the requirement of wastewater particle size.
Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the septic
tank outlet filter will be required. The outlet filter shall be installed per product approval stipulations.
• The management plan / users manual must contain the telephone numbers of persons to contact in case of any
component failure (generally the installer of the system and the county agency). Amend your plan and provide
this information to the owner.
• The changes made to this plan on 5110/01 by this reviewer were acknowledge and approved by the system
designer.
A copy of the approved plans, specifications and this letter shall be on -site during construction and open to
inspection by authorized representatives of the Department, which may include local inspectors. All permits
required by the state or the local municipality shall be obtained prior to commencement of
construction /instal lation/operation.
In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should
conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review
shall relieve the designer of the responsibility for designing a safe building, structure, or component.
Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address
on this letterhead.
Since y,_ DATE RECEIVED 04/16/2001
FEE REQUIRED $ 175.00
FEE RECEIVED $ 175.00
PATRICIA L SHANDO BALANCE DUE $ 0.00
POWTS PLAN REVIEWER, INTEGRATED SERVICES
(715) 634 -7810, FAX: (715) 634-5150, M -F 7:45 AM - 4:30 PM
PSHANDORF @COMMERCE.STATE. WI.US WiSMART.code. 7633'
cc: THOMAS M BOUMEESTER
MOUND SYSTEM DESIGN
Residential Application
INDEX AND TITLE SHEET
Project Tom Boumeester 3 bedroom residential mound
Owner Tom Boumeester
Address 8871170th Ave.
New Richmond, WI 54017
Legal Description SW1 /4SE1/4, Sec. 3, T.31N., R.18W.
Township Star Prairie County St. Croix
Subdivision Name Lot No. d y
Parcel ID Number 038 - 1019 -50 -000
ERCE
Plan Transaction Number J
Index and title sheet Page 1 ,
D C
Mound calculations Page 2
Mound drawings Page 3
Pres. dist. calcs. and laterals Page 4'��j
TDH and pump tank drawing Page 5
Pump specifications Page 6
Site plan Page 7
Tum -up detail Page 8
Management plan Page 9
Attached soil evaluation Report Page 10
Designer Jim Boumeester License Number 222904
Signature � Phone No. 715 - 386 -9020
Date April 3, 2001
Page 1 of 10
s
MOUND SYSTEM DESIGN
Complete red boxes as necessary. 750 gpd maximum design flow.
Residential or commercial? (r or c)
Slope 16 %
Design flow rate 450 gpd
Depth to limiting factor 26 in
In situ soil infiltration rate 0.5 gpd/ft
Contour line elevation 96.1 ft
Use standard fill depths? x OR Design depth? in
Place X in box to use standard depths (24 and A +4 inclusive) OR specify design fill depth.
Orifice density 7.50 Orifices per ff
Center or end manifold C (c or e) Orifice diameter 0.125 in 0.125, 0.158, 0.188, 0.219, 0.25,
0.281, or 0.313 inch only.
Lateral spacing 3.00 ft Use 0 lateral spacing for trenches.
Estimated orifice space 2.50 ft Not a final calculation.
Number of laterals Pump tank elevation 92 ft Outside bottom of tank.
Forcemain length 30.0 ft Forcemain diameter 2.0 in 1.5, 2, 3 or 4 inch only.
2.067 in Actual I.D.
DIAMETER CONVERSIONS
1/8 = 0.125 1/4 = 0.250
SYSTEM SOLUTIONS 5132=0.156 9132=0.281
Design flow rate 450 gpd 3116=0.188 5116=0.313
7/32 = 0.219
Absorption cell
Application rate & area 1.0 gl 450.0 f
Linear loading rate (LLR) 6.00 gpd/ft
Design width (A) 6.00 ft
Cell length (B) 75.0 ft
Depth of cell (F) 10.0 in
Sand filter
Upslope fill depth (D) 10.0 in
Downslope fill depth (E) 21.5 in
Basal area required (gpdfinfiltration rate) 900.0 ly
Supporting components
Topsoil depth 3.0 in
Subsoil depth at center 9.0 in
Subsoil depth at cell wall 3.0 in
End slope toe length (In 9.44 ft
Up slope toe length (J) 4.90 ft
Down slope toe length (1) 19.50 ft
Total mound length (L) 93.88 ft
Total mound width (W) 30.40 ft
Project: Tom Boumeester 3 bedroom residential mound
Transaction Number: Page 2 of 10
I
MOUND PLAN VIEW
observation pipes (typical)
A 1/6 B
A = 6.00 ft
30.4 ft :: :;::::;:::::::;: ' A B= 75.0 ft
J= 4.90 ft
W �-- B I = 19.50 ft
I K K = 9.44 ft
W
1/613 =[12.50 ft
� _ 93.88 ft
typ. obs. pipe
(anchored securely)
I = down slope dimension = absorption cell (A)6)
J = up slope dimension = plowed area (LxW)
K = end slope dimension s
T
MOUND CROSS SECTION
D = 10.0 in
lateral
topsoil H subsoil cap E = 21.5 in
ft
97 43 = 10.0 in
invert 0 - - - - -- F -
elev. F G = 6.0 in
T ASTM c 33 H = 12.0 in
D Sand Fill y
sys. 96.93 ft -�
elev. 96.10 ft contour
slope
D = upslope fill depth plowed layer
E = downslope fill depth Note: Absorption cell media will consist
F = absorption cell depth of aggregate and pipe with laterals
G = subsoil + topsoil depth at cell wall centered across AxB media. The cell
H = subsoil + topsoil depth at cell center media is covered with geotextile fabric.
Designer notes:
Project: Tom Boumeester 3 bedroom residential mound
Transaction Number: Page 3 of 10
PRESSURE DISTRIBUTION CALCULATIONS
Dispersal cell
Width (A) 6 ft
Length (B) 75.0 i ft
Lateral specifications
Number laterals 4
Orifice/lateral 15 holes
Lateral length (P) 36.25 ft
Orifice diameter 0.125 in
Lat. dis. rate 6.18 gpm
Sys. dis. rate 24.72 gpm
Orifice spacing (X) 30 in
Lateral diameter Pipe diameter Design options Design choice
Designer must 1 in x Place X in red
X' one choice 1 114 in x box of chosen
from the options 1 1/2 in x diameter.
provided. 2 in x
3 i x
Manifold diameter Pipe diameter Design options Design choice
arab 1 in x
X' one choice 1 1/4 in x Place X in red
from the options 1 1/2 in x box of chosen
provided. 2 in x x diameter
3 in x
4 in L x
Distribution system contains: 4 Lateral(s)
LATERAL DIAGRAM - CENTER CONNECTION
Place correct lateral diagram by clicking in one of the drawings at right and dragging the diagram into this area.
Force main connection Via tee or cross to manifold at any point. Laterals are identical
I P
= Turn -up vdball valve or IE X—+-02 I xf2 jI Laterals & force main of PVC Sch 40
cleanoutplug per COW Table 84.30 -5
Holes drilled on the bottom of the lateral.
Lateral length (P) 36.25 ft
Lateral spacing (S) 3.00 ft
Orifice spacing (X) 30 in
Manifold length 3.00 ft
Orifice diameter 0.125 in
Lateral diameter 2.00 in
Forcemain diameter 2.00 in
Project: Tom Boumeester 3 bedroom residential mound
Transaction Number: Page 4 of 10
TDH and Pump Tank Drawing
Total Dynamic Head
Operational head 6.50 ft
Vertical lift 4.13 ft Are laterals the highest pant in the
Friction loss 0.33 ft system? Yes 'X here.
Total dynamic head 10.96 ft If no, what is the highest elevation
Dose Volume downstream of pump?
Dose is > 5 times lateral volume Forcemain drain
Lateral void volume '- �— gal back to tank? (' X' one)
Minimum dose - ,89-.8 gal x Yes
Drain back 5.2 gal No
Dose volume 485:9— Igal
Typical Pump Chamber Layout
In combination with state approved treatment tank.
approved manhole cover with
7� weather proof warning label and locking device
grade L-Ms junction box grade levels
disconnect
altemate
4" vent pipe electric as per NEC 300 and E— outlet
Comm 16.28 WAC location 18" min.
V all of pump L—" approved
chamber or outlet joint
combination tank
A Provide 1/4" weep hole or anti -
alarm on siphon device as necessary
pump on B
Grade levels
pump 93.3 ft C - pump tank manhole = 4"
off elev. minimum above finished grade
D - vent = 12" minimum
above finished grade
92.0 ft Pump tank elevation
3 " of bedding under tank at bottom of tank
Tank manufacturer Weeks Concrete
Pump tank capacity 19.5 galAn
Pump tank volume 799.5 gal
Pump manufacturer JZoeller Inches Gallons
Pump model number 57 0 A �, 934-6 438.
'W B 2 39.0
Alarm manufacturer LevelArm 4) C 41, 4"- Wi.0— 8 7 . 7:�
Alarm model number JDLV 0 D 12 234.0
Project: Tom Boumeester 3 bedroom residential mound
Transaction Number: Page 5 of 10
HEAD /CAPACITY CURVE
j EFFLUENT and DEWATERING
W ARNING: Model 185/4185 should not be subjected to less than 30 feet TOH.
TOTAL DYNAMIC HEADICAPACITY PER MINUTE
In
w s2ss
w
}� SERIES 43 49 S7 -59 9s 127 -139 14014140 16114161 1631163 16514165 1/314fes 8614166 IW4111 91914109 191
f7. 14.: Gal. L&L Gal. Lhs. Gal. Lb Gal. Loa Gal LOa Gal Us Gal. LOs Gal. Lim Gal. LOa, Cal. LM. Gal. Lel, Gal. L06. Gal. LAm Gal. Lim
1 S 1.SI 16.5 u 21 115 p 113 71 273 13 352 H 356 106 101 el 271 61 231
51 220 ISS Sol 155 Sp ' 43 1J/
42 10 2.06 133 W 22 V 34 129 61 221 79 300 90 341 100 371 61 221 61 221 $1 220 111 $60 131 172 45 11170
13 is 4 .41 1.9 A 15 P 19 71 45 170 61 144 17 114 11 U4 60 47 60 4 Se 210 112 7 145 s IS J - 1.
20 1.10 2.5 9 7 11 xs 15 36 121 72 216 12 310 59 '223 60 321 51 221 126 315 140 S31.'. 45 v1'
40 13 a r A2 a 30 63 221 74 210 S7 216 $9 222 Is 220 126 414 132 303 4S 110
30 1.14 S3 201 65 244 55 216 Se 320 90 340 Se 221 121 431 121 411. 45 Sjig>
40 mu 30 114 46 174 46 112. SS 206 75 .263 Se 220: 105 397 I14 431;:- 45 170 - <
38 - 125— SO 1511 21 w' 33 12S SI 111 se 211 SO US 90 341 IN m i 4s iJl;
60 - 1S 43 111 26 126 Se MO if 2H :: 1S 32 ;: 45 1T
12 l0 2 21UM 34 V 30 114 10 U 52 '117 51 193 70 213: 45 41
36 1 1 90 2JA3 10 VAS 14 63 45 171 21 110' 54 264 ! 45
11 - 32 121 2 /'.. 37 140, 4S 111:'
100 A40 11 61 21 N :: 40 131 I:
34 N5O no uoo
1 1 7 25 - 1 30 -: 30 114 !6!1 32 10130 ' Au
Lock valve. 21-C x1' 1915' 22' 26' 46' s6' 66' or IT 115' 91' 112 12T
100
1 30
95
28
90
86,
26 186
85
165,
24 80 4165
75
0 a 22
LJ 70
x
U 20
M 65
z
0 18 60--163 ,
4163 189,
J
O
55 4189
16
50
14 45
12 40
140, 188,
35 4140 4188
10
30
8 137, 185,
25 139 4185
6 20
1
' X
5
10
2
5—
43 43 3,55
5 98 161.
7,59
0 4161
U.S. GALLONS 10 201 30 401 50 60 70 801 90 100 11 10 120 130 140 150 160
LITERS 80 160 240 320 400 480 560 640
0 FLOW PER MINUTE
.Z S! 7,Z�P•,If. i+c,rl. S4PP /S, �4zEe r �j wired 009922
Note: For Head Capacity on Model 112, industrtal column- explosion pr000f pump, see FMO219. off, /0
■ Soy / CQ - r7
♦ Ele da�ibvi
IV
70,0
Q, 3S" m td a be v - /
Gro.de elegy = 96.60. \
,4 . B :T,o o ► F Cvti, fe
S4a,fe. E/et�
�� .0 G r a&
0 9 ,
aoposeuad /, coo Sw6(c an i 1 , i 1 Iqy I P
Proposed B
4'1 at o e.� m�.Q.
1
P. ", JL&4pn
1
inB ouf o� Ean7�
Pio posed 1 ' r 1 � �
36edreas„�
303
�/ ",4•S.T, nt
lb (A; Idi fewer .ForCe --K n.
°
p,opos4LdLidl
moo, of , ♦. � ��
t
.110, ��, I Proposed &jo(o,17 <
t 07 :W. $/X 0?3 88 'w /S
C'Orltoee!
,As ion eel • Fo -(y)
/2><e.- a,L a t ,Z ' X 3 4-2
w/ j8 3o
Access Box
Threaded Plug
Lateral Manifold
\ ^� Orifices
Mound System Management Plan
Pursuant to Comm 83.54, Wis. Adm. Code
General
The mound septic system shall be operated in accordance with Comm 82 -84 Wis. Adm. Code, and shall be maintained in
accordance with component manual SBD- 10572 -P (R.6/99). All local and/or state rules pertaining to system maintenance
and maintenance reporting shall be complied with.
No individual should ever enter a septic tank or pump tank as dangerous gases may be p resent that could cause death. Septic
and pump tank abandonment shall be in accordance with Comm83.33, Wis. Adm. Code when the tanks are no longer used as
POWTS components. Septic or pump tank manholes risers, access risers, and covers should be inspected for water tightness
and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service.
Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8
inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or
component.
Septic Tank
The operating condition of the septic tank and outlet filter shall be assessed at least once every two years by inspection. The
septic tank contents shall be removed when the sludge and scum in the tank exceed 1/3 the liquid volume of the tank. The
contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code, by an individual certified to
service septic tanks under s. 281.48, Stats. If the contents of the tank are not removed at the time of a biannual assessment,
maintenance personnel shall advise the owner of when service will be needed to maintain less than 1/3 scum and sludge
accumulation in the tank. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge
should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed
from its enclosure, If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated. The addition of
biological or chemical additives to enhance septic tank performance is generally not required. If such products are used they
shall be approved for septic tank use by the Department of Commerce, Safety and Buildings Division.
Pump Tank
The pump (dosing) tank shall be inspected at least once every two years. All switches, alarms, and pumps shall be tested to
verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary.
Mound and Pressure Distribution System
Trees or shrubs should not be lanted directly on the mound. Plantings may be made around the mound's perimeter. The
P Y g
mound shall be seeded and mulched as necessary to prevent erosion and provide some degree of frost protection. Traffic
(other than for vegetative maintenance) on the mound is not recommended. Soil compaction may hinder aeration of the
infiltrative surface within the mound and will promote frost penetration during cold weather months. Cold weather
installations (October - February) dictate that the mound be heavily mulched for frost protection.
Influent quality into the mound system may not exceed 220mg/L BOD5, 150 MG /L TSS, and 30 mg/L FOG. Influent flow
may not exceed maximum design flow specified in the permit for the installation.
The pressure distribution system is provided with a flushing point at the end of each lateral. Each lateral should be flushed of
accumulated solids at least once every 18 months. A pressure test should be performed with the results compared to the
initial test taken at the time of system installation to determine if orifice cleaning is required to maintain equal distribution
within the dispersal cell.
Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the
owner. Levels above 4 inches indicate an impending hydraulic failure requiring additional, more frequent monitoring.
Contingency Plan
If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the
system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring become defective the
defective component shall be immediately repaired or replaced with a component of the same or equal performance. If the
mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or
replaced in its' present location. Toe leakage will be eliminated by increasing the basal area of the system. Excessive
ponding within the dispersal cell will be eliminated by removing biologically clogged adsorption and dispersal media and
replacing said components as deemed necessary to bring the system into proper operating condition.
Questions on the operation or maintenance of the system should be directed to your county zoning or health inspector.
Pg. 9 Of 10
wiq con Department of Commerce S OIL AND SITE EVALUATION
Division Safety and Buildings Page of
Bureau o 1/ttegrat: Services in accordance witb�Goittm ,83:09, Wis. Adm. Code
Attach complete site plan on paper not less than 8 1/2 x 11 inches fn -size. Plan Plust - -',,, County
include, but not limited to: vertical and horizontal reference point 10M) direction/and'
percent slope, scale or dimensions, north arrow, and location ano distance, to nearest road, Parcel I. D. #
APPLICANT INFORMATION - Please print all information. J Rev' ed by Date
Personal information you provide may be used for secondary purposes (Privacy Law, p, (t);(rq)): Y�tA�fiVIW
Property Owner Propeit bcauun; _
) 77 e (n- 5 r Govt. Lot. 1/4 5&1 T ' ,N,R ? E (0 6
Property Owner Mailing Address - Lot #_. . Btock# Subd. Name or CSM#
City tate Zip Code Phone Number ❑ City ❑ Villa e Town Nearest Road
.e a (1
(g.New Construction Use: residential / Number of bedrooms Addition to existing building
C Replacement ❑ Public or commercial - Describe: //
Code derived daily flow gpd Recommended design loading rate bed, gpd/ft 3� trench, gpd/ft
Absorption area required 3,2 bed, ft 3; 5 trench, ft Maximum design loading rate _gi bed, gpd /ft2 _ _A;5 trench, gpd/ft
a
Recommended infiltration surface elevation(s) �� SyS"+^ �E' . ft (as referred to site plan benchmark)
Additional design /site considerations 1 `�� °
Parent material � � / d �cy C� — 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 ❑ S U `5.S ❑ U [:Is 0 U ❑ S � ❑ S R� U ❑ S ,2T-U
SOIL DESCRIPTION REPORT ( 7:�fl " cj-e-
Boring Horizon Depth Dominant Color Mottles Structure GPD /ft
g Texture Consistence Boundary Roots
- in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. Bed , Tren
f< 1 z l e
r
Ground
elev d
lol
Depth to
limiting
factor
t in.
Remarks:
Boring # � 5
Ground
elev
Depth to
limiting
factor
m in. Remarks:
CST Na (Please Print) Signature Telephone No.
Acf d ' re - _ Date CST Number
�` �i/Ok rl'I ��� f DESCRIPTION REPORT
PROPERTY OWNER
Page f
PARCEL I.D.#
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots 2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. L Bed Trench
V
Ground �2 G z o G ` -
lleev�J G�
Depth to
limiting
factor
in.
Remarks:
Boring #
ism •......,:: >�;.:
Ground
elev.
ft. '
Depth to
limiting
factor
in.
Remarks:
Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench
Boring #
Ground
elev.
ft.
Depth to
limiting ;
factor
in. Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
in.
Remarks:
SBD -8330 (R.9/98)
Soil Test Plot Plan
Project Name' ,
osy, ��� �,5 /e4 1 Byron Bird Jr,
Address
C M X02 o�:) .s ?
Lot Subdivision — Date
�1/4�1/4S T N/R W_ _
✓ /� Township
I301•in9 O Well PL' Property Line County
1 13M or vRP Assume Elevation 100 ft;
System Elevation s ue!
Y ton * �S . H R P
`V
do
6,e �f ,
�S
r
a .
r -
1 V
Scale 114" = 10 Pt. When Dimensions aren't stated ®�--
ST CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
Owner/Buyer I �,� �/� ��Um
Mailing Address �
Property Address /�T 7 0 T
, (Verification required from Planning Department for new construction)
City /State r �� j �
ke, / ii Parcel Identification Number - Q 36 -
LEGAL DESC ipTiON
Property Location .6 %,, 6_ y,, Sec. 3 T / N -R 5J
/� .�_ ��W, Town of �
Subdivision Vd , Lot
Certitled Survey Map # e5 rj h ( 9-4 Volume �(_ Page #
.1
Warranty Deed # Volume _ .31 , Page #
Spec house O yes no Lot lines identifiable O yes O no
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 firnation 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 wastewaterdisposal system
is in rver meting condition and/or (2) aftari Lupection and pumping (if necessary), the septic tank is lea than 113;litll of sludge•
I/we, the undersigned have read the abov r and agree to maintain the private sewage disposals r attttadat+ds
set forth, herein, a set thee D ',
� epattment � and Wo Department of Natural Resources, State of Wistcntin. Qertllicatiat
d that Your septic system has been maiahtiged trust be completed and returned to the St. Croix County Zoning Office within 30
days of the three year expiration date.
SI NATURE OF APP
LICANT DATE
I (we) certify that all statements on``,1*f0ga are true to the best of my (our) knowledge. I (we) am (ate) the owner(s) of
w.:
e p ropert y described above, by virtue of a;waaaaty deed recorded in Register of Deeds Office.
SIGNATURE OF APPLICANT
r =' DATE
' * * * *• Any information that is mis -rep spa .result in the sanity ••••••
ry permit being revoked by the Zoning Department.
••
Include
elude with this application. a atamped.,Vuragty deed from the Register of Deeds office
2 copy of the certified survey map if reference is made in the warranty deed
1431 PAGE 99
604225
STATE BAR OF WISCONSIN FORM 2 - 1998 KATHLEEN H. WALSH
Document Number WARRANTY DEED REGISTER OF DEEDS
ST. CROIX CO., WI
This Deed, made between Gary O. Moe and Cindy L. Moe, husband RECEIVED FOR RECORD
and wife, Grantor, and Thomas M. Boumeester and Elizabeth C.
Boumeester, husband and wife, as survivorship marital property, Grantee. 4fi -03 -1999 9:30 AM
Grantor, for a valuable consideration, conveys and warrants to Grantee WARRANTY DEED
the following described real estate in St. Croix County, State of Wisconsin (The EXEMPT #
Property ): CERT COPY FEE:
COPY FEE:
TRANSFER FEE: 555.00
SW 1/4 of SE 1/4 of Section 3- 31 -18. RECORDING FEE: 10.00
TOGETHER WITH easement 1 ent Lots "5" and "6" of PAGES: 1
Section 3 -31 -18 as shown i ol. "32 ,page 196.
1 Name and Area
1 ��" ! � �� Name nd Return Address
Ronald L. Siler
/ VAN DYK, E &SILER, S.C.
Post Of'f'ice Box ox 127 127
New Richmond, WI 54017
4 O- 038 - 1019 -5
22 t ' e � i / Parcel Identification Number (PIN)
This is homestead property.
Exceptions to warranties: Subject to all easements, restrictions and covenants of record.
i
Dated this S day of a , 1999.
— haa 6,
*Gary O. Moe
*Cin .Moe
AUTHENTICATION ACKNOWLEDGMENT
Signature(s) �y 0 • M oe a� d C �� y L . STATE OF WISCONSIN )
M0 e ) ss.
+ County )
authenticated this (S day of J u.h e 1999 Personally came before me this day of
19_ the above named
�,QJ II L r to me known to be the person(s) who executed the foregoing
* G l o�ci d instrument and acknowledge the same.
TITLE: MEMBER STATE BAR OF WISCONSIN
(If not,
authorized by § 706.06, Wis. Slats.)
*
THIS INSTRUMENT WAS DRAFTED BY Notary Public, State of Wisconsin
Ronald L. Siler My Commission is permanent. (If not, state expiration date:
VAN DYK, O'BOYLE & SILER, S.C. )
Post Office Box 127
New Richmond W154017
(Signatures may be authenticated or acknowledged. Both are not
necessary.)
� JUN 1
3 0 2000 ► 625695
KATNIEEW H. %It 2
L RegislOr of Deeds �r
St. Crok Co., wl
N CE _�� _ S V RVEY MAP
LOCATED IN THE SW1 /4 OF THESEI /4 OF SECTION 3, T31N, R18W, TOWN OF
01 STAR PRAIRIE, ST. CROIX COUNTY, WISCONSIN
CURVE DATA OWNERS:
NUMBER 1 APPROVED TOM & BETTY BOUMEESTER
a
RADIUS 57.62' ST. CROIX COUNTY 887 170tH AVENUE
w Plannin Zoning and Parks Cornm-Mee NEW RICHMOND, WI 54017
U CENTRAL�ANGLE 22 °48'07" 9 ,
w CHORD BEARING N48 °45105' J UN 3 0 2000
CC o w CHORD LENGTH 22.78'
w 't i3 ARC LENGTH 22.93'
w � TANGENT IN N60 °09'1 4 "E If riot recorded within 30 days of
w TANGENT OUT N37 021'07 "E approval date approval shall be
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75 '
WETLAND (TYPI AL)
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N89 "45'33 "E 1303.52'
S114 CORNER SOUTH LINE OF THE SEi/4 N89 °45'33 "E
SECTION 3 — N89 °4633 "E 2607.04' — 1303.52
En dIMEaD MGvIGPRA _tt`�_ _GD (�lHM o 0
ALUMINUM COUNTY SECTION CORNER QO J� [JflCSD o 'y VN ` n@ w Z
MONUMENTFOUND - - - - - - -
• 2" IRON PIPE FOUND ® EXISTING SEPTIC VENTS
c 1" X 24" IRON PIPE SET WEIGHING ® EXISTING WELL
1.13 LBS. PER LINEAR FOOT
............. 83 ROADWAY SETBACK LINE
FROM CENTERLINE OF TOWN ROAD
SCALE IN FEET I ° = 200'
o EXISTING POWER POLE � / 3 g0 � Mm
(( •.J! 200 0 200. 400
2 FILEp
2 J 0 20
KATHLE W 00
► 625695
CR01R COON RID •
S RE �p Register of Dq y 2 l
SUR�RY � St. Crobc Co WI '
CER SV RVEY MAP
5 LOCATED IN THE SW1 /4 OF THE SE1 /4 OF SECTION 3, T31 N, R18W, TOWN OF
STAR PRAIRIE, ST. CROIX COUNTY, WISCONSIN
i � CURVE DATA OWNERS:
ri NUMBER 1 APPROVED TOM & BETTY BOUMEESTER
p RADIUS 57.62' ST. CROIX COUNTY 887170TH AVENUE
w U CENTRAL ANGLE 22 °48'07" Planning Zoning and Parks Committee NEW RICHMOND, WI 54017
Uw
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w o w CHORD LENGTH 22.78' z���
r ARC LENGTH 22.93'
w in a TANGENT IN N60 4"E If not recorded within 30 days of
W i� TANGENT OUT N37°21 "E approval date approval shall be -
C/) Z and void
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---- --------
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839.84' 440.13' ?®1 44' +/-
2 ,
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1 1% EXISTING E=10' 1 2
o OUTBUILDINGS
\� ( 75' POND 66' WIDE ACCESS a m
EASEMENT .. m
��'� m LOT 1 °� $ I o
CS� I`�7
� 5.000 ACRES INC.
�� r= ESMT. I w
o 217,800 SQ. Fr. N)
1 T 4.474 ACRES EXC. aDI
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m 75 i 194,875 SQ. FT. z
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EROSION CONTROL PLAN WILL m 2 I� o
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o0 1,486,913 SO. FT. CONSTRUCTION ON LOT 2. i
I I
l O
�] 7' +/-
I�
I
J 751
E OF EXISTING
WATT= WETLAND 75' I FENCELINE� 7' +/-
10' +/ 863.40' (TYPICAL) 44 .12'
N89 0 45'33 "E 1303.52'
S1/4 CORNER L SOUTH LINE OF THE SE1 /4 N89 °4 5'33 "E
SECTION 3 — N89 °45'33 "E 2607.04' -- 1303.52' (n 07
MfI�JG°�dQ4�CD1D% R
o m
B ALUMINUM COUNTY SECTION CORNER QO HR DD o u QO ir -M W m ,
MONUMENT FOUND -------------------
• 2" IRON PIPE FOUND ® EXISTING SEPTIC VENTS domr
0 1" X 24" IRON PIPE SET WEIGHING 0 EXISTING WELL
1.13 LBS. PER LINEAR FOOT 0
......••..... 83' ROADWAY SETBACK LINE
FROM CENTERLINE OF TOWN ROAD SCALE IN FEET 1" = 200'
g o EXISTING POWER POLE
200 0 200 400
Vol. 14 Page 3885
ns;n Department of Commerce SOIL AND SI VALUATION
,ion of- Sat�ty and Buildings Y Page of
eau of Integrated Services in accordance _�, Wis. Adm. Code
rA ttach complete site plan on a r not le an 6 112 x 11 inch e e. Pia 6punty
u no imited to: vertical nd horizontal reference ce lope, scale or dimens' nort arro d tion a d nc to nearest road.. ParFel I.D. #
PPLICANT NFOR - lease rnt all in f do c�':k d ie fewea by Date
Persona in ormation you provide may be used for secondary purposes ( n c 1 ' f
Property Owner Property l.oeattph
G- / �f" `.. ' ;G v1 k c 1/4,! :5, ,&1/4,S T N,R �E (o W
Property Owner'9 Mailing Address o . 9 "` Block# Subd. Name or CSM#
City tate Zip Code Phone Number ❑ City ❑ Villa e �" Town Nearest Road
ew Construction Use: Residential / Number of bedrooms Addition to existing building
LJ Replacement ❑ Public or commercial - Describe:
Code derived daily flow gpd Recommended design loading rate bed, gpd /ft - Ste trench, gpd /ft
Absorption area required . 7 .�? bed, ft 3 t rench, ft Maximum design loading rate � bed, gpd /f1 =4c trench, gpd /ft
Recommended infiltration surface elevation(s) ft (as referred to site plan benchmark)
Additional design /site. considerations
Parent material ���G�.�_ /�z� �Cc� Gc r� Gj Flood plain elevation, if applicable
T
5 = Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank
U = unsuitable for system I ❑ S u t &s ❑ u ❑ S .S u ❑ s � I ❑ s ,em ❑ s ,
SOIL DESCRIPTION REPORT
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench
Ground �Q
elev.
ft.
Depth to
limiting
f
G ain.
Remarks:
Boring #
Ground
_elev�
Depth to
limiting
f t�
.n. Remar
CST Naar e (Please Print) Signature Telephone No.
/'���, f ^L: �, � ��.• � (/' ,-' /.S .-��"- ?mil'
A dre Date CST Number
���.,�,� f SOIL DESCRIPTION REPORT
PROPERTY OWNER Page of ,•+
r
PARCEL I.D.#
Boring 41 Horizon Depth Dominant Color Mottles Structure Dft
in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots
Bed , Trench
f d d .�� 4:� /I
.. �'
Ground i2 � -2- o
� f ,�
7-4-.e .
Depth to
limiting
fa o ;
Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
in.
Remarks:
Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPO/
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench
Boring #
Ground ,
elev.
ft.
Depth to
limiting ;
factor
in. Remarks:
Boring #
Ground
elev.
ft.
4 Depth to
limiting
factor
in.
Remarks:
SBD -8330 (R.9/98)
. M . Soil Test Plot Plan
Pr P, ct Name /oir mp e57e Byron it
Address
cif o;w
Lot Subdivision Date
w i1/41/4S� T
N /R��W -,- Townshlp
I3orint O Well PL' Property Line County
1
BM or VRP Assume Elevation 100 ,ft' 1
System Elevation
F F -'O
op
�Q
f
I
�. 6u
� Q 3
I �I
�I
Scale 1/4" = 10 Ft. When Dimensions aren't stated ��-
Parcel #: 038 - 1019 -50 -000 01/24/2006 11:51 AM
PA 1 OF 1
Alt. Parcel #: 3.31.18.76 038 - TOWN OF STAR PRAIRIE
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
O - BOUMEESTER, RETIRED
RETIRED BOUMEESTER
1157 CTY RD H
NEW RICHMOND WI 54017
Districts: SC = School SP = Special Property Address(es): * = Primary
Type Dist # Description * 2321 117TH ST
SC 3962 NEW RICHMOND
SP 1700 WITC
Legal Description: Acres: 40.000 Plat: N/A -NOT AVAILABLE
SEC 3 T31 N R1 8W SW SE NKA CSM 14/3885 Block/Condo Bldg:
EZ -UT- 1666/05
Tract(s): (Sec- Twn -Rng 401/4 1601/4)
03 -31 N-1 8W
Notes: Parcel History:
Date Doc # Vol /Page Type
06/03/1999 604228 1431/99 WD
07/23/1997 1220/19 TI
2005 SUMMARY Bill M Fair Market Value: Assessed with:
0
Valuations: Last Changed: 07/18/2000
Description Class Acres Land Improve Total State Reason
i
Totals for 2005:
General Property 0.000 0 0 0
Woodland 0.000 0 0
Totals for 2004:
General Property 0.000 0 0 0
Woodland 0.000 0 0
Lottery Credit: Claim Count: 0 Certification Date: Batch #: 124
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00