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Parcel #: 034 - 1041 -80 -050 06/18/2007 04:13 PM PAGE 1 OF 1
Alt. Parcel M 18.29.15.2776 -20 034 - 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
O - HAGER, PETER D & TRINA J
PETER D & TRINA J HAGER
2737 CTY RD E
WOODVILLE WI 54028
- = Districts: SC - School SP - Special Property Address(es): Primary
Type Dist # Description ` 2737 CTY RD E
SC 0231 BALDWIN - WOODVILLE AREA
SP 1700 WITC
Legal Description: Acres: 5.066 Plat: 4644 -CSM 18 -4644 034 -03
9 p
SEC 18 T29N R1 5W PT NE NW CSM 18 -4644 Block/Condo Bldg: LOT 02
LOT 2 (5.066 AC)
Tract(s): (Sec- Twn -Rng 401/4 1601/4)
18- 29N -15W NE NW
Notes: Parcel History:
Date Doc # Vol /Page Type
05/05/2004 761697 2565/291 WD
11/03/2003 745424 18/4644 CSM
07/02/1999 606167 1439/227 QC
2007 SUMMARY Bill #: Fair Market Value: Assessed with:
0
Valuations: -_ � � Last Changed: 06/15/2007
Description Class Acres Land I prove Total State Reason
RESIDENTIAL G1 2.000 25,400 188,850 214,250 NO
UNDEVELOPED G5 3.660 4,750 0 4,750 NO
Totals for 2007:
General Property 5.660 30,150 188,850 219,000
Woodland 0.000 0 0
Totals for 2006:
General Property 5.660 15,950 154,750 170,700
Woodland 0.000 0 0
Lottery Credit Claim Count: 1 Certification Date: 09/29/2005 Batch M 05 -24
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
Wisbnsin Department of Industry,
Labor and Human Relations SOIL AND SITE E V A L U A T Page _ of 3
Division of Safety & Buildings in accord with ILIA R 83.0 M. 0
A. UNTY
Attach complete site plan on paper not less than 81/2 x 11 inches in si e. an m %_04&t
not limited to vertical and horizontal reference point (BM), direction an o f slope, scale or _ CEL I.D. If
dimensioned, north arrow, and location and distance to nearest road. t r 10 ° ? ` 5 0 3 c 8 O
APPLICANT INFORMATION- PLEASE PRINT ALL INFORMA ION EWEDBY DATE All
PROPERTY OWNER: C S`J LU 2 "" PBOPFR
7Z IVIE: /4 �,41 18T 1 ,N,R IS E (` rQ)
PROPERTY OWNER':S MAILING ADD , LC D. NAME OR CSM #
Z1 3 `7 Cw E —
CITY STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE ®TOWN NEAREST ROAD
3'SLlh�t�J of S4130L ( 6 98 -ZS 6Z S I.>2LAv 6 F eouyu" y
(] New Construction Use Residential / Number of bedrooms 3 [ J Addition to existing building
Replacement [ J Public or commercial describe
Code derived daily flow LA Sty gpd Recommended design loading rate b gpd /ft - trench, gpd /ft
Absorption area required 11 S bed, ft2 3 ` ] S trench, ft Maximum design loading rate o S bed, gpd /ft D • � trench, gpd /ft
Recommended infiltration surface elevation(s) 015 • fl ft (as referred to site plan benchmark)
Additional design / site considerations VloUhA'_�. W j 8'y -t4 $Qtl _ " Iry , l' of S Mj)b Ft LL
Parent material G '711. L Flood plain elevation, if applicable It
S = Suitable for system CONVENTIONAL MOUND IN GROUND PRESSURE I AT - GRADE SYSTEM IN ILL HOLDING TANK
U = Unsuitable fors stem [IS N U ®S ❑ U ❑ S ®U ❑ S O U ❑ S ®U ❑ S PdU
SOIL DESCRIPTION REPORT
Depth Dominant Color Mottles Structure GPD /ft
Boring # Horizon in. Munsell Qu. Sz. Cont Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed Trench
-S S o•b
" Z $ 3 S f o'jti' 316 s t I 3 sbk
�' Yn'�f- cs - o -s o•7
Ground 3 3S -SIB lu`1 v
elev
a e ft S6--)2 101 t S)y �- ,_s`7R Qswl —
Depth to ElLAS
limiting
factor
s6"
Remarks:
Boring # 7 ' (Y v) W1 Q c L
' 2 - K. Z 9 -Zz torttZ316 _ s >1 Z`Fsb1� m`F� Ct•�, — o.S o. b
- - 3 zz-33 �.S`iR Sly S � Zwts bk �� cS - o.S o•.�
Ground
elev. y 33 �O S `fQ 3ly �tS�iQ S/$
Depth to
limiting
factor
33 t
Remarks:
CST Name:- Please Print Phone:
Arthur L. We erer 715- 425 -0165
Vegerer Soil esting & Design Service -P.O. Box 74 River Falls,WI 54022
Signature: 5 _ Zg 3 Date: ZS – p 5 CST Number:
L_ z2tautl � 1 M00576
PROPERTY OWNER SOIL DESCRIPTION REPORT
Page ',-- of
3
PARCEL I.D.# O'JO— Lo41 — Qjb
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft
in. Munsell Qu. Sz. Cont. Color Gr, Sz. Sh. Bed Tw&
t> �
3 � � o -B 10-I%z. 3a Z sl` Z`�sDk r-►. �. �S o•s o.6
10`1 tip. 3 /(, `f>•-
Cw
Ground 3 16-30 S yR 3!y - c l Z� sbh m'F�. �, a•�( a.S
OL a o ft. y 3u_6 LO`2 V 1 � - — —
n -syQ s!8 t�
Depth to
limiting
factor
Remarks:
Boring #
1 0 -9 1b4lp-31 sL� 3 �a- bk -►'F1- Z — 0 .So.6
n,, 0j-V-) toKVz31c. - .I Z`F m'�!- C - o.S ' --z
Ground
S '1 R 3 /'y s c 1 C 1't o • o.
elev. 26 -31 S`Z2 3L- �_sYtZ —
c -o ft,
Depth to
limiting
factor
2.6
Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
Boring #
Ground
elev,
ft.
Depth to
limiting
factor
Remarks:
SBD- 8330(R.05/92)
PLOT PLAN Pa 3 of 3
SCALE 1 "= WD '
c "o"
j A
J
7
P
I '
n
t1_ lA n v s c
v prime6E FL b ol2 'W L73`7
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t�9.S_ 69'
COAJnUri L" q K.8 a.y
OF g� S�oPL's �� J
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n
64
�o ►�ioT PiRcT oR zs' 6
zs
q5 -Z�3
Zs` �S ( 715 4L M00576
CST Signature Date Signed Telephone No. CST #
Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page of 3
Labor and Human Relations
Division of Safety 3 Buildings in accord with ILHR 83.05, Wis. Adm. Code
COUNTY
s7-. C_k'to ►.x
Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but
not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. #
dimensioned, north arrow, and location and distance to nearest road. (3 - , -, 3 u— y - C a a
APPLICANT INFORMATION- PLEASE PRINT ALL INFORMATION REVIEWED BY DATE
PROPERTY OWNER: C Sy LU `f 'V:A"" PROPERTY LOCATION
- T-Z 1 z- " M NF 1/4 1/4,S g T Z Qt ,N,R 1 S E (o�W
PROPERTY OWNER':S MAILING ADDRESS , LOT # I BLOCK # SUBD. NAME OR CSM #
Z13 1- ) C-OvKtTy E • — — .'
CITY STATE ZIP CODE PHONE NUMBER []CITY []VILLAGE ®TOWN NEAREST ROAD
3��1w11J �J1 S4,00'L nis) 698_ZS s l�2.t/u 6t =l�X> eou>u " ' �: Y
[ j New Construction Use (kJ Residential / Number of bedrooms 3 [ J AdditiQn to existing building
[�. Replacement [ J Public or commercial describe
Code derived daily flow Lts� gpd Recommended design loading rate _!�• y bed, gpd$ 1 trench, gpolft
Absorption area required 3� S bed, ft 31 S trench, ft Maximum design loading rate _ 0 • S bed, gpd/ft D trench, gpd/ft
Recommended infiltration surface elevations) 5 8 It (as referred to site plan benchmark)
Additional design / site considerations I'10UhA�N W a'x111 1 _ "tN , `' o)f S Mjb Ft Lt_
Parent material G LA\ L fV L_ L Flood plain elevation, if applicable 1y - It
r S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE AT -GRADE SYSTEM IN �L HOLDING TANK
= U nsuitable for s stem I ❑ S N U ®S O U EIS R U ❑ S O U [IS ®U El S [$
SOIL DESCRIPTION REPORT
Depth Dominant Color Mottles Structure GPD /ft
Boring # Horizon in. Munsell Qu. Sz. Cont Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed rertdi
I o - 1��'►1Z312 SlI Z Q Sb[c S
Z $ 3S lOy( o•S o.7
�-S
Ground 3 3S _SIo ll) %Z_ Yl6 - S v S 9 M 9S — 0.7 e•
a , It U/ S6 lo `1 2 S ) y sy 5 /e, U _
Depth to - S T
limiting
factor
56"
Remarks:
Boring #
0_9 10�2 — s�1 Z 3 Vt C�, S
h .•j..`'
Z Z 9_ZZ Z'�sbk
vY
3 Z z - 3 - ) .S `i 2 3l S Zvn �rr'�► o.S D.6
Ground y k C S
elev. y 33 S k-I t2 15� �� S r Q
`- - o ft .
Depth to
limiting
factor
3 3'
Remarks:
CST Name: — Please Print Arth L. We erer Phone. 715 - 425 -0165
drrss: Soil esting & Design Service -P.O. Box 74 River Falls,WI 54022
Signature: S — g 3 Date: (� _ Z S — 5 CST Number:
M00576
PROPERTY OWNER SOIL DESCRIPTION REPORT Page? --of 3
PARCEL I.D.# OZ�0- LOqI —8Co
Boring # Horizon
Depth Dominant Color Mottles Texture Structure Consistence Boun Roots GPD /tt
Trends
In. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed
0 -I %a- ly l, 77 - o•S o.6
3A. S1 j 2. FS�h vn CLO — a -S o- 6
Ground 3 16�� S ytZ 3!y — c 2,wi sbk m � — o.�( o.S
O y ft.
S
IS C� o
Depth to
limiting
factor
Remarks
Boring #
1b`j -312 — st, 3 `Fa.bk -►'F4- �S - o•Sio
y t 1L - s t J z `�Sl01rC ►'►1'Fh C—,3 -- o. S o .
Ground
3 11- 'Z..ra '�. S Y rL 3! y S c\ t C �h �t 'F1- C.s - o - � o.
v
ele Z6 -31 7•S`t 3l n.S sJg C --
ft
Depth to
limiting
factor '
Z6
Remarks:
Boring #
Ground
elev. '
ft.
Depth to
limiting
factor
Remarks:
Boring #
E.31
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
SBD- 8330(8.05/92)
PLOT PLAN Page 3 of 3
SCALE 1 "= yO '
L
O
ot) E x SL3'wTic.
C- A r a E 1=r_ o 1Z :W Z 3'7
l i
x
0
6
o
tL `t S c 69'
a -y vMZtrrg
C L'L- q q. �
s oY
OF $ems
eL. q s. 31 31'tlJ°�► �I
h
t 69,
o t�JT �0►1P 1? ok ' 2S -
�iS�VR(� `)tL3 PnLeA -T '
t L 3� ,a
'L - ---
1
qS -Z�33
ZS --1l ( 715 42.5 -n1 14 00576
CST Signature Date Signed Telephone No. CST #
f
I _
ST. CROIX COUNTY ZONING DEPARTMENT
AS BUILT SANITARY REPORT
Owner , l Con rl i e - j z, en
Property Address
City /State
Legal Description:
Lot Block — Subdivision/CSM # —
2,E 1 1 .) '/4, Sec. ,TAN- RZt��W, Town of PIN # _03T JOVl eQ
SEPTIC TANK -- DOSE CHAMBER -- HOLDING TANK INFORMATION
Tank manufacturer Gtr: eSB /CaYiC Size ST/PC &V/-- Setback from: House /-s Well 3� P/L y0-
i
Pump manufacturer �� Model /
Alarm location /
(HOLDING TANKS ONLY)
Setbacks: Service road Ve esh air intake Water Line
Meter location
Alarm location
SOIL ABSORPTION SYSTEM:
ivo
Type of system: 3 Length !U, 7_5 Number of Trenches Z
Setback from: House 31 ' Well ZO & ' P/L S� , Vent to fresh air intake 7�d
ELEVATIONS
Description of benchmark �,� o�n js�e a��c�i" o �'��. -�� Elevation 160. CO
Description of alternate benchmark Elevation i ? y9
�
Building Sewer K. ' ST/)IWInlet 7.Z, 7 ST Outlet 9,Z. Sly PC Inlet
PC Bottom Headerimar 4.33 ' Top of ST/PC Manhole Cover
Distribution Lines
Bottom of System Q) 9. elf � ( )
Final Grade (1) 9-7 • 60' (v-) 93. ( )
Date of installation /0 V 2Rermit number 3`(g4*6 State plan number
Plumber's signature License number Z 2 SDI Date Date /0
Inspector
Complete plot plan
NOTICE Please provide the following:
• A plan view sketch showing everything within 100 feet of the system.
• Two horizontal reference points to center of septic tank manhole cover.
• Show alternate benchmark, if applicable.
Ca
PLAN VIEW
d cite +may
4�.•r+.: Top��•n;sAe v
{'Loo #- - /W.
wa� -3 �,Q
ALL. 6. � Top c
CaS , . EIeJ
= 99.30
9� u
3 lu
re c Vc lee
ioG' �I
►s'
o.
,z �/eneK�S tc.f 3 "X fJ 7S y ea c�
INDICATE NORTH ARROW
I
Wisconsin Department of Commerce
Safety and Buildings Division PRIVATE SEWAGE SYSTEM County:
INSPECTION REPORT St. Croix
GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No.:
Personal information you provice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)). 344678
Permit Holder's Name: ❑ City ❑ Village EDXTown of: State Plan ID No.:
Juen Bill & Connie I Town of Springfield
CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.:
tlt3 • 0 CSO O 034- 1041 -80 -000
TANK INFORMATION E EVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic ��� Benchmark �;k,
Dosing ��.°_ " -- - Alt. BM a. g9.3
Aeration Bldg. Sewer gl Gl(� Z�
Holding St/ Ht Inlet
TANK SETBACK INFORMATION St/ Ht Outlet r 6g
TANKTO P/L WELL BLDG. Ventto ROAD Dt- +ntet - ----
Air Intake
�r
Septic r -41 ' NA Dt
Dosing y .= NA Header /Man. Iz AQ
Aeratiorli NA Dist. Pipe
Holding _. ww Bot. System 13� g$.y/
PUMP/ SIPHON INFORMATION Final Grade
Manufactur Demand St cover
Model Number GPM
TDH Lift F fii n Syete TDH Ft
Forcemain Length Dia. HH Dist. To Well r�2
SOIL AB RPTION SYSTEM J-
TRENCH Width t Length / N f enches PIT No. Of Pits Inside Dia. Liquid Depth
DIME N 3 3•�
DIMENSION
f tur r:
SETBACK SYSTEM TO P / L BLDG WELL LAKE /STREAM LEACHING Many _
IiNFORMATION Type O f � / /I � �� CHAMBER M del Number:
System: e a 3 ( IO OR UNIT Cwxu
DISTRIBUTION SYSTEM 2
2
Header/Manifold U Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake
Length Dia. Length Dia. Spacing �' oZ
SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only
Depth Over Depth Over xx Depth Of xx Seeded/ Sodd d xx Mulched
Bed /Trench Center Bed /Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No
COMMENTS: (Include code discrepancies, persons present, etc.) Inspection #1: / Inspection #2: ! !
Location: 2737 County Road E, Baldwin, WI (NE1 /4, NW1 /4, Section 18 T29N -R15W) - 18.29.15.277B
s . C Out `. „� � � 4tr , J- �.t�aJGC
ZS' — 3a'
Plan rev requir d? ❑ Yes Q No
Use other side for additional information. �o
SBD -6710 (R.3/97) Date Inspector's Signature Cert. No.
Safety and Buildings Division
- `� SANITARY PERMIT AQN 2 01 W. Washington Avenue
►scons►n In accord with ILHR 83.0 , •' " P O Box 7302
Department of Commerce Madison, WI 53707 -7302
• Attach complete plans (to the county copy only) for the , on les3, ; unty
1.
than 8 1/2 x 11 inches in size. +vCU
• See reverse side for instructions for completing this ap i iog = e Sanitary Permit Number
r. n S E P 0 3
Personal information you provide may be used for secondary purposes ST GROIX heck it revision to previous application
[Privacy Law, s. 15.04 (1) (m)]. COUNTY l to Plan I.D. Number
I. APPLICATION INFORMATION -PLEASE PRINT AL Z l��f��
Pr ert Own Name n
/4, S /3 ^ / T oG , N, R W
Property Owner's Mail Address Lot um er Block Number
• �—
City tate Zip Code Phone Number Subdivision Name or CSM Number
11. TYPE OF L ING: (check one) ❑ State Owned >own Nearest Roaad
Public or 2 Famil Dwellin - No. of bedrooms 3 of din
Ill BUILDING USE (If building type is public, check all that apply) Parcel Tax V
1 ❑ Apartment/ Condo 034 /0 g o — cm
2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 10 ❑ Outdoor Recreational Facility
3 ❑ Campground 7 ❑ Merchandise: Sales/ Repairs 11 ❑ Restaurant/ Bar/ Dining
4 ❑ Church/ School 8 ❑ Mobile Home Park 12 ❑ Service Station/ Car Wash
5 ❑ Hotel /Motel 9 ❑ Office/Factory 13 ❑ Other: specify
IV TYPE OF PERMIT (Check only one box on line A. Check box on line B, if applicable)
A) 1. M, de 2. � Replacement 3. ❑ Replacement of 4_ ❑ Reconnection of 5. ❑ Repair of an
------ System ,_______System __ ___________ Tank Only_________ Existing System ________ Existin System
B) ❑ A Sanitary Permit was previously issued. Permit Number Date Issued
V. TYPE OF SYSTEM: (Check only one)
Non- Pressurized Distribution Pressurized Distribution Experimental Other
11 ❑ Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank
12 eepage Trench vj,; l'iitF h48k22 E] In-Ground Pressure A e i 42 ❑ Pit Privy
13
43.
Seepage Pit a { 7S 4 Vault Privy
� 3 ut
❑ �-4P c �1r�s«le t�dar i K�= '�+'+at�tX's a �C 3 X ❑ Y
14 ❑ System -In -Fill 3 f. Y . F'f.. eAA nk4- - e -r Q T L
VI. ABSO RPTION SYSTEM INFORMATION:
1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate Elev. 7. Final Grade
Required (sq. ft.) Prop osed (sq. ft.) (Gals/da /sq. ft.) ( �,SO Elevatiojl
41540 900
S 0 . �F O. O.S Feet 7O o'.` O av • Feet
in gall Site
Capacity
VII. TANK Total # of Prefab. Fiber- Exper.
INFORMATION New Existing Gallons an Manufacturer's Name Concrete stun- Steel glass Plastic App
Tanks Tanks I
�1 �f
Septic Tank or Holding Tank �/ Gp1O L(/ eSCr `*we_ ❑ ❑ ❑ ❑ 1 ❑
Lift Pump Tank /Siphon Chamber ❑ ❑ ❑ 1 ❑ ❑ 1 ❑
VIII. RESPONSIBILITY STATEMENT
I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans.
Plumber's Name: (Print) Plumber's gnatur (No St ) MP /MPRSW No.: Business Phone Number:
Plumber's Add ess (Street, Ci , State, Zip de):
070 wn,�er R
It.(,� �.
IX. COUNTY / DEPARTMENT USE ONLY
❑ Disapproved S itary Permit Fee (Includes Groundwater ate I ssued Issuin Agent Signature No Stamps)
r
'GApproved ❑ Surcharge Fee)
Owner Given Initial �� ofl 4
Adverse Dete rmination
' j. CQN ITI NS QF QPPROV� FOR IS�APPR �gL:� ��..�...dQQ
J 3
SBD- 6398 (R.11/97) DISTRIBUTION: Original to County, One copy To: Safety & Buildings Division, Owner, Plumber
INSTRUCTIONS
1. A sanitary permit is valid for two (2) years.
2. Your sanitary permit may be renewed before the expiration date, and at a time of renewal any new criteria in the
Wisconsin Administrative Code will be applicable.
3_ All revisions to this permit must be approved by the permit issuing authority.
4. Changes in ownership or plumber requires a Sanitary Permit Transfer/ Renewal Form (SBD -6399) to be submitted to the
county prior to installation
5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed pumper whenever
necessary, usually every 2 to 3 years.
6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of
Wisconsin, Safety and Buildings Division, 608 - 266 -3151.
To be complete and accurate this sanitary permit application must include:
I. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the
system is to be installed.
II. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling.
III. Building use. If building type is public, check all appropriate boxes that apply.
IV. Type of permit. Check only one on line A. Complete line B if permit is for tank replacement, reconnection, or repair.
V. Type of system. Check appropriate box depending on system type.
VI. Absorption system information. Provide all information requested for numbers 1 through 7.
VII. Tank information. Fill in the capacity of every new /or existing tank, list the total gallons, number of tanks and
manufacturer's name, indicate prefab or site constructed and tank material. Complete for all septic, pump /siphon and
holding tanks for this system. Check experimental approval only if tanks received experimental product approval from
DILHR.
VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.),
address and phone number. Plumber must sign application form.
IX. County/ Department Use Only.
X. County/ Department Use Only.
Complete plans and specdfications not smaller than 8 112 x 11 inches must be submitted to the county. The plans must
include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic
tank(s) or other treatment tanks; building sewers; wells; water mainstwater service; streams and lakes; pump or siphon
tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served;
B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume;
elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section
of the soil absorption system if required by the county; E) soil test data on a 115 form; and F) all sizing information.
----------------------------------------------------------------------------------------------------
GROUNDWATER SURCHARGE
1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can
effect groundwater.
The monies collected through these surcharges are used for monitoring groundwater contamination investigations
and establishment of standards.
„ 3 OF
Glad �� i reside` ce-
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Owner : Loc�a �'� : I■ So; / ✓ct�r
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dvisconsin'DepartmentofCommerce SOIL AND SITE EVALUATION Page 1 of 3
Division of Safety and Buildings in accord with Comm 83.05, W is. Adm. Code
A. C.E. Soil &Sit Evaluations
Attach complete site plan on paper not less than 8' /Z x 11 inches in size. Plan must County
include, but not limned to: vertical and horizontal reference point (Btu), 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 034 - 1041 - 80 - 000
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Reviewed By Date
Property Owner Property Location
Bill & Connie Juen Govt. Lot NE 1/ NW 1/4 S 18 T 29 N,R 15 W
Property Owner's Mailing Address Lot # Block # Subd. Name or CSM#
1829 30th Ave.
City State Zip Code PhoneNumber City [] Village ❑Town Nearest Road
Baldwin WI 54002 715- 796 -8804 Springfield County Hwy. E
❑ New Construction Use: ❑ Residential / Number of bedrooms 3 ❑Addition to existing building
Z Replacement ❑ Public or commercial describe
Code Derived daily flow 450 gpd Recommended design loading rate •4 bed, gpdff •5 trench, gpd/ft'
Absorption area required 1125 bed, ft 900 trench, fF Maximum design loading rate .4 bed, gpd/fF •5 trench, gpdr
Recommended infiltration surface elevation(s) Existing system elevation = 98.65 ft (as referred to site plan benchmark)
Additional design / site considerations Addendum to soil evaluation report dated 7/10/99 for Wisconsin Fund existing system failure verfication.
Parent material Glacial outwash Flood plain elevation, if applicable NA ft
S= Suitable for system Conventional Mound In Ground Pressure AT - GradR ` - ' Tank
U= Unsuitable for system ❑ S® U ❑ S❑ u ❑ S® U ❑ S E r' ® U
R
SOIL DESCRIPTION REPORT
Horizon Depth Dominant Color Mottles Texture Structure Con ; _,i f� / f / ,� )fft2
Boring# in. Munsell Cv. Sz. Cont. Color Gr. Sz. Sh. Trench
6 1 0 -11 10yr3/2 None sil 2fcr n 0.6
2 11 - 17 10y r5 /2 None sil 2msbk n 0.6
Ground ' 3 17 -35 10yr4/4 None sil 2msbk mfr gs 2f 0.5 0.6
elev
102.33 ft 4 35 -45 10yr5/4 2md7.5yr5/8 sil lcsbk mfr cw if 0.2 0.3
Depth to 5 45 - 60 10yr5/4 2md7.5yr5/8 sicl 0 m mfr - - NP 0.2
limiting
factor
35"
Remarks:
CST Name (Please Prin 'nrA,, ' / one No.
James K Tir 5 � y r � �� 18 -7767
Address A.C.E. Soil amber Ref#
340 Paulsor. � 1073
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is 50
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18 Z- 30 t?. / 5W, n. off' SPr ;ng Ft��e / ;ne /
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CanCrc. pad
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Prop used i, ��
Sep��� dwilS� Proposed
3 bed rco, G. PP /, 3.20'
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WisoonsidDepartmentofCommerce SOIL AND SITE EY, �I 1 of 3
�►. 'Division of Safety and Buildings '. I / /
in accord with Comm 83. ti y1f Atfm. Code, / . '\
A.C.E. Soil & Site Evaluations
Attach complete site plan on paper not less than 8'/2 x 11 inches in size. Plan m � i , '� C'n
include, but not limited to: vertical and horizontal reference point (BM), direction St. Croix
percent slope, scale or dimemsions, north arrow, and location and distance to t rojy ��.1 Pardel' A
:
APPLICANT INFORMATION - Please print all information - ? f y 034 1041 - 80 - 000
Personal information you provide b'.04 (1) (m)) C/�
ide may be used for secondary purposes (Privacy Law, s s 5 r C , 'a . R Vp�YN By D to
-� -4
Property Owner opertl! L
Bill & Connie Juen Go f`oy'_,` DPP ]7S . "N i 1/4 S 18 T 29 N,R 15 W
Property Owner's Mailing Address Lot # or CSM#
1829 30th Ave.
City State Zip Code PhoneNumber 71 City Village ZTown Nearest Road
Baldwin WI 54002 715- 796 -8804 Springfield I County Hwy. E
® New Construction Use: Z Residential / Number of bedrooms 3 ❑Addition to existing building
Replacement ❑ Public or commercial describe
Code Derived daily flow 450 gpd Recommended design loading rate •4 bed, gpdfftz .5 trench, gpolftz
Absorption area required 1125 bed, ft 900 trench, ft Maximum ign loading rate •4 bed, gpdffN •5 trench, gpd/ft
Recommended infiltration surface elevation(s) 88.5' upper trench 8 .5 low ft (as referred to site plan benchmark)
Additional design I site considerations Install high capacity infiltrators with i c es fo tours. Replacement area requires mound system.
Parent material Glacial outwash F lain vation, if applicable NA ft
S= Suitable for system Conventional Mound In ound T - Gr ystem in Fill Holding Tank
U= Unsuitable for system M S❑ u ® S❑ U ® ® S❑ u El S I [I S® U
SOIL DESCRIPTION REPORT
Boring# Horizon
Depth Dominant Color Mottles Structure GPDIfl
in Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Roots Bed Trench
1 1 0 -7 10yr3 /2 None sl 2fcr. mvfr cs 2f,lm 0.5 0.6
2 7 - 17 10yr4 /4 None is 0 sg ml cs 2Qrn. 0.7 0.8
Ground 3 17 - 40 7.5yr4/4 None scl 2csbk mfr aw if 0.4 0,5
elev
93.30'ft 4 40 -43 7.5yr4/4 f2p5yr5 /8 scl 0m ml aw if X -P 0.,t
Depth to 5 43 -97 7.5yr4/6 None St. s &ls 0 sg ml - - 0.7 '0.8
limiting
factor
>97" Apo
Remarks: Redox. features desscrtbed in horizon #4 are due to greater matric potential of massive scl. 12" rue applied to dismiss mottles as limiting
factor.
2 1 0 -8 10yr3 /2 None A 2fcr. mvfr cs 2f,lm 0.5 0.6
2 8 -16 10yr5 /4 None sil lthinpl mvfr cs 2Qm NP 0.3 rre
Ground 3 16 -27 10yr4/4 None A 2msbk mfr aw if 0.5 0.6
elev
93.37'ft 4 27 -34 7.5yr4/4 None scl 2msbk mfi gw if 0.4 0.5
Depth to 5 34 -99 7.5yr4/6 None st.s/ls /sl 0 sg ml - - 0.4 0.5
limiting
factor
>99"
Remarks: Horizon #5 consists of jkveral bands of stratified s, K & sl that umerous to seperate out as seperate horizons. Loading rate
repo rted reflects the m4t restrictive 4d component of this csbk SO.
CST Name (Please Print) Signa Telephone No.
James K. Thompson 5 715- 248 -7767
Address A.C.E. Soil & Site Evaluations Date CST Number Ref #
340 Paulson Lake Lane, Osceola, WI 54020 7/10/99 3602 1073
P RIPM OW100t Bill & Connie 7uen SOIL DESCRIPTION REPORT 1073 Page 2 of 3
�PARM WJ 034 -1041- 80-000 ACE. Soil & Site Evaluations
Depth Dominant Color Mottles Structure GPDIft'
Horizon in Munsell Qu. $z. Cont Color Texture Gr. Sz �o nsistence Boundary Roots
Bed Trench
3 1 0 -9 10yr3/2 None sl 2fcr. mvfr cs 2f,lmc 0.5 0.6
2 9 -19 10yr4 /4 None Is 0 sg ml cs 2f &m 0.7 0.8
Ground
elev 3 19 -34 7.5yr4/4 None scl 2msbk mfr aw if &m 0.4 0.5
92.57' ft 4 34 -48 10yr4 /4 None Is & gr 0 sg ml gw if &m 0.7 0.8
Depth to 5 48 - 86 None st. s &gr. 0 sg ml - if 0.7 0.8
limiting
factor
>86"
Remarks.
4 1 0 -12 10yr3 /2 None sil 2fcr mvfr as 2f & m 0.5 0.6
2 12 -25 10yr5 /2 None sil 2msbk mvfr cs 2f, lm 0.5 0.6
Ground
elev 3 25 -38 10yr4/4 None A 2msbk mfr gs 2f 0.5 0.6
90.34'ft 4 38 -51 10yr5/4 2md7.5yr5/8 sill lcsbk mfr cw if 0.2 0
De t 5 51 -79 10yr5 /4 2md7.5yr5/8 sill 0 m mfr - - NP 0. pre
factor
38"
Remarks:
2fcr mvfr as 2f& m 0.5 0.6
5 1 0 -11 10yr3/2 None sil
2 11 -17 10yr5/2 None sil 2msbk mvfr cs 2f, lm 0.5 0.6
Ground -
elev 3 17 -35 10yr4 /4 None A 2msbk mfr gs 2f 0.5 0.6
90.89'ft 4 35 -45 10yr5 /4 2md7.5yr5/8 sill lcsbk mfr cw if 0.2 0.3
Depth to 5 45 -60 10yr5 /4 2md7.5yr5/8 sil 0 m mfr - - NP 0.2 pre
limiting
factor
35"
Remarks:
Ground
elev
Depth to
limiting
factor
Remarks:
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SYSTEM ELEVATION AND SIZING CALCULATIONS
Below Grade Chamber Soil Absorption Systems
Permit Number 9/7/99 Date
x "X ^ Gravity Distribution
only 1 Pressure Distribution
3 ft Suitable Soil , Note 1: Bury depth as per manufacturer
16 in Chamber Height 2
8 ft Maximum Bury Depth 3
450 gpd Estimated Daily Peak Flow
0.50 gpd /ft Wastewater Infiltration Rate 900.0 ft Code SAS Size
40 % Down Sizing Credit 360.0 ft Reduction ( -)
540.0 ft Min. SAS Size
88.50 ft Proposed SAS Elevation
Soil Surface Acceptable Finished Grade EL 4 (ft)
Boring Grade Limitation SAS Elevation (ft) System Minimum Maximum
Number Elevation (ft) Depth (in) Lowest Highest Elevation? 91.33 97.83
1 93.30 97 88.22 91.30 Yes
2 1 93.37 99 88.12 91.37 1 Yes
1. Depth of suitable soil required below the infiltrative surface for treatment.
2. Total height of chamber in inches.
3. Maximum bury depth as per manufacturer's recommendations.
4. Based on chosen system elevation, and chamber height. Top of chamber is
equivalent to top of aggregate. The addition of fill for cover or the reduction of
finished grade may be required to meet minimum or maximum code standards.
SBD- 10553 -E (R.05/98)
4 .
SYSTEM ELEVATION AND SIZING CALCULATIONS
Below Grade Chamber Soil Absorption Systems
Permit Number 9/7/99 Date
X "X" Gravity Distribution
only 1 Pressure Distribution
3 ft Suitable Soil t Note 1: Bury depth as per manufacturer
16 in Chamber Height 2
8 ft Maximum Bury Depth 3
450 gpd Estimated Daily Peak Flow
0.50 gpd /ft Wastewater Infiltration Rate 900.0 ft Code SAS Size
40 % Down Sizing Credit 360.0 ft Reduction ( -)
540.0 ft Min. SAS Size
88.50 1 ft Proposed SAS Elevation
Soil Surface Acceptable Finished Grade EL 4 (ft)
Boring Grade Limitation SAS Elevation (ft) System Minimum Maximum
Number Elevation (ft) Depth (in) Lowest Highest Elevation? 91.33 97.83
92.57 86 88.40 90.57 Yes
1. Depth of suitable soil required below the infiltrative surface for treatment.
2. Total height of chamber in inches.
3. Maximum bury depth as per manufacturers recommendations.
4. Based on chosen system elevation, and chamber height. Top of chamber is
equivalent to top of aggregate. The addition of fill for cover or the reduction of
finished grade may be required to meet minimum or maximum code standards.
SBD- 10553 -E (R.05/98)
ST CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP C RTIFICATION FORM
( Owner uyer ,
Mailing Address ,[ )f 64
Property Address • '6
(Verification required from Planning Department for new construction)
City /State Parcel Identification Number /53 l
LEGAL DESCRIPTION
Property Location AS 1 /4, '/4, Sec., T,�q N -R_a_W, Town of A,
Subdivision , Lot #
Certified Survey Map # , Volume , Page #
Warranty Deed # �.g ! l ��n 1 (e , Volume Page #
Spec house ❑ yes 17< no Lot lines identifiable 9 yes ❑ no
SYSTEM MAINTENANCE
Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance
consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system
can affect the function of the septic tank as a treatment stage in the waste disposal system.
The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a
master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewaterdisposal system
is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge.
I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards
set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification
statin that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30
days e e expiration date.
7 /
SIG PLI - DATE
OWNER ERTIFICATION
I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of
th perry des c " bove, by virtue of a warranty deed recorded in Register of Deeds Office.
SIGNATURE OF LICANT DATE
* * * * ** Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department.
** Include with this application: a stamped warranty deed from the Register of Deeds office
a copy of the certified survey map if reference is made in the warranty deed
r VOL I .' 39 PAGE 227 b as 167 /!E/
KATHLEEN H. 4ALSH.
REGISTER OF DEEDS
• ST. CROIX CO., YI
4 OEM11E0 FOR 0ECW
• DEED 07 -WI"9 1145 M
im
� FEE: t
TREO R FEET
P I16 FEE: 1
1. .�•
I�� rl SiaYir
{ j
1
I
PAGE u P.JW OF 2M LZQL DoCaMr - 00 Apr alkloW
Zf i.�.M.d....;.a.OY.da...i. Y:
04 0an&f . aa -- -Ji A -r&W4aa -rfi mmd- -A
~.t �W.IOwA.Ammm. Ap jty WNU 2m
,r
VOL cJUPAGf
UNITED STATES DISTRICT COURT
NORTH CENTRAL DISTRICT
CIVIL NO. 97-2387 (DDA/FLN)
THE UNITED STATES OF AMERICA,
Plaintiff,
`& CASE NO. 97-2387
2737 COUNTY ROAD E
WOODVILLE, WISCONSIN,
As more fully described in Exhibit "A °,
attached hereto and made a part hereof.
Defendant.
UNITED STATES INTERNAL REVENUE SERVICE DEED
KNOW ALL MEN BY THESE PRESENTS:
THE UNITED STATES OF AMERICA, acting by and through the INTERNAL REVENUE
SERVICF. as grantor, Janet Shoup, Asset Forfeiture Coordinator, Criminal Investigation Division,
Internal Revenue Services, North Central District, in consideration offie bid ofFifty Five Thousand
and 001100 and (S55,000.00) Dollars by D. William Juen and Coustanct L. Jaen, husband and
wide as sarviv nbip m rltal property, as grantees, whose mailing address is:
4 !_ �N%Nn, ut 64W.7- has granted, bargained, sold and transferred
and by these presents do grant, bargain, sell and transfer unto grantees ali right, title and interest in
and to the following property:
Wed 40 rods of the East 60 rods of NE-1 /4 of NW - 1,4 of Section 18, Township 29
North, Rasyte 13 West, St. Crok County, Wisconsin,
I
No warranties, expressed or implied, with reference to marketability, salability, transferability or
huan2bility of title are included herein and the grantee expressly agrees to accept whatever quality
of tide the United States ma possess at this time.
TO HAVE AND TO HOLD THE SAME together with all and singular the appurtenances
thereunto belonging or in any wise appertaining, and all the estate, right, title. interest and claim
whatsoever in the said property either in law or equity, to the use, benefit and behoove of the grantee,
his successors and assigns forever. Said property has been in custody and control of the United
States of America, and pursuant to the order of this Courtin Case No. 97 -2387, the Asset Forfeiture
Coordinator, Criminal Investigation Division, Internal Revenue Service, has been directed to dispose
of said ;property.
This deed is executed to consummate the sale made by the Asset Forfeiture C.:wrdinator, Criminal
Investigation Division, Internal Revenue Service, North Central District, in accordance with the
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