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HomeMy WebLinkAbout034-1072-95-000 d ° 3 0 'n O c ti oq 0 Y C U � O L U O U @ N CO a CD r 0 Q N co s as a � — c � 3 @ o U w O N y Z N O O O N N C Z _ ` LA- C O N d N D O E Q = U � O O_ _ N E u c £ 0 z �, a a m C14 Z cl 0 c C7 io o z v U 0 z d C Z U) F- a) E - �1 c • Aye i � s O Ca O O Q Q 2 Z Z o N c z -n CO E N d' N a d L 0 1� U) w w O c� O e0 N IA N a7 O� O Z > c 00 a z o rn rn in J U Z rn rn z 0 0 0 :I ' m G' < �u LO ❑ O M y N C) 3 . a c L" In y C (9 U d O O n j c o m w u c i a`) 5 c \ ~ N M O a) U co M (n W m O v' Z Y :. fn r w � E m z* a a w a m d y c D U d L O N 0 Parcel #: 034 - 1072 -95 -025 09/24/2007 05:10 PM PAGE 1 OF 1 Alt. Parcel #: 32.29.15.491A 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 - JACOBSON, MICHAEL D MICHAEL D JACOBSON C - CHADWELL, CHARLEENE CHARLEENE CHADWELL 635 CTY RD NN WILSON WI 54027 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description 635 CTY RD NN SC 0231 BALDWIN- WOODVILLE AREA SP 1700 WITC Legal Description: Acres: 27.280 Plat: 4662 -CSM 18 -4662 034 -03 SEC 32 T29N R15W PT NW SW CSM 18 -4662 Block/Condo Bldg: LOT 01 LOT 1 (27.28 AC) Tract(s): (Sec- Twn -Rng 401/4 1601/4) 32- 29N -15W NW SW Notes: Parcel History: Date Doc # Vol /Page Type 12/02/2004 781469 2707/254 WD 12/01/2003 747887 18/4662 CSM 07/23/1997 725/75 2007 SUMMARY Bill M Fair Market Value: Assessed with. Use Value Assessment Valuations: Last Changed: 06/15/2007 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 9.000 450 0 450 NO AGRICULTURAL FOREST G5M 8.000 14,000 0 14,000 NO OTHER G7 10.280 47,000 271,450 318,450 NO Totals for 2007: General Property 27.280 61,450 271,450 332,900 Woodland 0.000 0 0 Totals for 2006: General Property 27.280 54,550 235,200 289,750 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: 09129/2005 Batch #: 05 -24 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 ST. CROIX COUNTY ZONING DEPART 9 u. AS BUILT SANITARY REPORT �( l � Owner 19 v e, Property Address 1 3 5 C, t �-( N N co Q dl City /State L✓ - Ise n Legal Description: Lot Block Subdivision/CSM # bLLI 1 /4 S w 1 / Sec. , T_g�_N -R 1 W, Town of SEPTIC TANK -- DOSE CHAMBER -- HOLDING TANK INFORMATION: Tank manufacturer cstc'� Size ST/PC 1 Ub/ 4 0 Setback from: House I? Well (//,t- P/L Pum p manufacturer Z a le 2 Model 1 4 CO Alarm location (HOLDING TANKS ONLY) a- • Service road Vent to .fresh air intake Water Line Setbacks. Meter location Alarm location SOIL ABSORPTION SYSTEM Type of system: Mo tt n Width '1 Length L 3 Number of Trenches ' Setback from: House ) U y Well P/L 34 Vent to fresh air intake ELEVATIONS far G C Description of benchmark N 4% o h 1 �aS �a �f. g 1 Elevation Description of alternate benchmark Elevation t W. 3 9 Building Sewer f). IfK ST/HT Inlet ST Outlet PC Inlet gt.i3 PC Bottom Y Header/Manifold / To of ST/PC Manhole Cover Distribution Lines Bottom of System O r! O I L. 't O ( ) Final Grade Date of installation /I / Permit number 3 1 g State plan number �- Plumber's signature - -j l License number a 3 �1 `� Date'TM / � Inspector ��t v Complete plot plan a X N NOTIC eas ovide the following: • A ketch showing everything within 100 feet of the system. • Two horizontal reference points to center of septic tank manhole cover. • Show alternate benchmark, if applicable. PLAN VIEW JbD �b fi l I I INDICATE NORTH ARROW �t�{ NN �`�� Wisconsin Department of Commerce Safety and Buildings Division PRIVATE SEWAGE SYSTEM Count y INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No.: ST CR IX P information you provice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)J. 338975 m g PerttLFdnldQrMIT DAVE ❑ City []Village Town of: State Plan ID No.: LL��tt vvllVV , SPRINGFIELD ZP 19 - f CST BM Efev.: Insp. BM Elev.: BM Description: Parcel Tax No.: gal ,� w ��,G9 034- 1072 -95 -000 TANK INFORMATION ELEVATION DATA 229 TYPE MANUFACTURER CAPACITY STATION BS �JI) FS ELEV. Septic 'fib Ben Dosing G,5S0 C tk p ct 1 -.64 (a°. Aeration Bldg. Sewer i Holding D /.alt - 9nlet TANK SETBACK INFORMATION S- Aert+et TANK TO P/ L WELL BLDG. Ventto ROAD Air Intake Septic /oU - 33 V NA Dt Bottom loZ�bS $�. 3 Dosing > /do L 31 NA Header / Man. off . f o -M=W /o 3 9 Aeration NA Dist. Pipe Holding Bot. System j•% • y�_ PUMP / SIPHON INFORMATION Final Grade Manufacturer e 1 3. 9 6, ( 3 Model Number v � GPM - �Z q � TDH Lift 5- Friction ZZ System , t Loss Forcemain Length , Dia. I t t Dist. To Well SOIL ABSORPTION SY TEM `3 ' BED Widt f Length / No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth MEN I N J2- 1 DIMENSION SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACHING Manuf acturer: SETBACK INFORMATION Type Of CHAMBER model Number: System: /� /tTt� d �L - OR UNIT DISTRIBUTION SYSTEM Header /Manifold Distribution Pip%, u 2 t x Holl Size k x Hole Spacing Vent To Air Intake Length _ Dia. Length la Dia. Spacing • I / Y 3 u -� SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only T11 Depth Over Depth Over xx Depth Of xx Seeded/ Sodded xx Mulched Bed /Trench Center Bed /Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) Ivrs —A�tw L � j LOCATION: SPRIN / GFIELD 32.2 .15.491,NW,SW 615 CT RD N g'Y cz ®" an revision required? ❑ Yes KNo Use other side for additional information. SBD -6710 (R.3/97) Date Inspector's Signature Cert. No. f Safety and Buildings Division 201 W. Washington Avenue 4 SANITARY PERMIT APPLICATION NO scons i n P O Box 7302 ' Department of Commerce In accord with ILHR 83.05, Wis. Adm. Code Madison, WI 53707 -7302 • Attach complete plans (to the county copy only) for the system, on paper not less Court than 8 112 x 11 inches in size. � ? • See reverse side for instructions for completing this application State sanitary Permit Number Personal information ou p rovide may be used for seconds ��� y p y second purposes Check if revisio to previous application [Privacy Law, s. 15.04 (1) (m)]. State Plan I.D. Number I. APPLICATION INFORMATION -PLEASE PRINT ALL INF RMATION 0� V Prop Hy Owner Name Property Location ' Lt/' rS W 1 3 Z T� , N, R /) - -("or) W Property Owner's Mailing Address Lot Number Block Number City, State ,o Zip Co 4 Phone Number Subdivision Name or CSM Number II. TYPE OF BUILDING: (check one) ❑ State Owned o v ta a Nearest Road Public or 2 Fam Dwelling - No. of bedro 3 To of �� t ��% G t N 111. BUILDING USE (If building type is public, check all that apply) Parcel Tax Number(s) 32 ­ 14 K , q9 1❑ Apartment / Condo 1 d 1 0 2 `i_ 0 00 2 Assembl Hall 6 ❑ y ❑Medical Facility/ Nursing Home 10 E] 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. ❑ New 2. Dd, Replacement 3. ❑ Replacement of 4_ ❑ Reconnection of 5_ ❑ Repair of an ------ System System Tank Only Existing System Existing 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 E] Seepage Bed 21 %Mound 30 C] Specify Type 41 []Holding Tank 12 E] Seepage Trench 22 E] In-Ground Pressure 42 ❑ Pit Privy 13 ❑ Seepage Pit 43 ❑ Vault Privy 14 ❑ System -In -Fill VI. ABSORPTION SYSTEM INFORMATION: 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System Elev. 7. Final Grade �/ ui Re re q. ft.) Proposed (sq. ft.) (Gals/day /sq. ft.) (Min. /inch) Elevation I -,� ? F 11 l /v2,,q7 Feet I & Y, Y Feet Cap acit y VII. F a ORMATION in g Total # of Manufacturer's Name Prefab. Con- Steel Fiber- plastic Exper- New Existin Gallons Tanks Concrete strutted glass App. Tanks Tanks rep o I d. 1 1(�G +C� (.��„v ❑ ❑ ❑ ❑ El ift Pump Tank i heri- Clherntber (.5 L� 1 l E3113111+0 ❑ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation f the onsite sewage system shown on the attached plans. Plumber's Name: (Print) Plumb s Signature: (N t ps) PRSW No.: Business Phone Number: �e StIQ � 2� 3y75� Plumber's Address (Street, ity, ate, Zip Code): S "vG � It.- 0 �/a0 d/,,`//e- C"/. 5 GZ IX. COUNTY/ DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (includes Groundwater D ate I ssued Issuin A t Si ture (No Stamps) tj' Approved []Owner Given Initial Surcharge Fee) Adverse Determination X. CONDITIONS OF APPROVAL/ REASONS FOR DISAPPROVAL: SBD- 6398 (R.11/97) DISTRIBUTION: Original to County, One copy To: Safety & Buildings Division, Owner, Plumber Safety and Buildings 2226 ROSE ST LACROSSE WI 54603 -1905 TDD #: (608) 264 -8777 ) Pisconsin www.cornmerce.state.wims C Department of Commerce Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary June 02, 1999 CUST ID No.223475 ATTN.- POWTS INSPECTOR ZONING OFFICE JOE STANG ST CROIX COUNTY SPIA 506 WILLOW DR 1101 CARMICHAEL RD WOODVILLE WI 54028 HUDSON WI 54016 RE: CONDITIONAL APPROVAL APPROVAL EXPIRES: 06 /02/2001 Identification Numbers Transaction ID No. 228871 Site ID No. 16950 SITE: Please refer to both identification numbers, Site ID: 16950 above, all correspondence with the agenc St. Croix County, Town of Springfield NW1 /4, SW1 /4, S32, T29N, R15W Facility: Dave Ellefson FOR: Description: Mound System Object Type: POWT System Regulated Object ID No.: 471545 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED The following conditions shall be met during construction or installation and prior to occupancy or use: • 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. 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 /installation/operation. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. Sincerely DATE RECEIVED 05/24/1999 L FEE REQUIRED $ 180.00 FEE RECEIVED $ 180.00 erard M. Swim BALANCE DUE $ 0.00 POWTS Plan Reviewer - Integrated Services (608)785-9348, Mon - Fri, 7:15 AM - 4:00 PM jswim @commerce.state.wi.us WiSMART;code: 76331 MOUND SYSTEM DESIGN FC Residential Application INDEX AND TITLE SHEET S SAY 2 4 79 AI�F�, � 99 DID/ Project Dave Ellefson 3 bedroom residential mound e � D ys Owner Dave Ellefson Address 6 3 County Hwy. NN (/� L /s, yl weedyifte, WI 64028 v -Z Legal Description NW1/4SW Sec. 32, T.29N., R.15W. P �• . � i ��l�y Township Springfield County St. Croix Subdivision Name NA Lot No. NA � O Parcel ID Number 034- 1072 -95 p PROF SAFti�� Plan Transaction Number SEA GC'�`�� Index and title sheet Page 1 Mound calculations Page 2 Mound drawings Page 3 Pres. dist. talcs. and laterals Page 4 TDH and pump tank drawing Page 5 Pump performance curve Page 6 Site plan Page 7 Attached soil evaluation report Page 8 Designer Joe ang License Number 223475 Signature 6_& Phone No. 715 -698 -2266 Date 5/17/99 Notice: Tampering with this file by unauthorized persons is prohibited. Deliberate modification will result in disciplinary action under s. 145.10, Wis. Stats. Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. SBD- 10462 -E (8.05/98) Page 1 of 8 MOUND SYSTEM DESIGN Complete red boxes as necessary. 1000 gpd maximum design flow. Inch- pounds Metric Residential or commercial? r (r or c) (y or n) �� Replacement system? Creviced bedrock site? n (y or n) Slope 4 % Wastewater flow rate 450 gpd 1703 Lpd Depth to limiting factor 10 in 25.4 cm In situ soil infiltration rate 0.6 gpd /W 24.4 Lpd /m` Contour line elevation 00.3 ft 30.57 m Use standard fill depths? x OR Design depth? in cm Place X in box to use standard depths (24 and A +4 inclusive) OR specify design fill depth. Center or end manifold a (c or e) Hole diameter r in 0.125, 0.156, 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 hole space 3.00 ft Not a final calculation. Number of laterals 2 Pump tank elevation 86 ft Outside bottom of tank. Forcemain length 110.0 ft Forcemain diameter 2.0 in 1.5, 2 3 or 4 inch only. 2.067 in Actual I.D. HOLE DIAMETER CONVERSIONS 1/8 = 0.125 1/4 = 0.250 SYSTEM SOLUTIONS Inch-pounds Metric 5/32=0.156 9/32=0.281 Estimated daily flow 450 gpd 1703 Lpd 3/16=0.188 5/16=0.313 7/32 = 0.219 Absorption cell Design load rate & area 1.2 gpcw 375.0 ft` 34.84 m` Linear loading rate (LLR) 7.14 gpd /ft 88.5 Lpd /m Design width (A) 6.00 ft 1.83 m Cell length (B) 63.0 ft 19.20 m Depth of cell (F) 10.0 in 25.4 Jcm Sand filter Upslope fill depth (D) Zft2 in 66.0 cm Downslope fill depth (E) in 73.4 cm Basal area required (gpd /infiltration rate) 69.68 m Supporting components Topsoil depth 6.0 in 15.2 cm Subsoil depth at center 12.0 in 30.5 cm Subsoil depth at cell wall 6.0 in 15.2 cm End slope toe length (K) 13.86 ft 4.22 m Up slope toe length (J) 10.70 ft 3.26 m Down slope toe length (1) 14.50 ft 4.42 m Total mound length (L) 90.72 ft 27.65 m Total mound width (W) 31.20 ft 9.51 m Project: Dave Ellefson 3 bedroom residential mound Transaction Number: Page 2 of 8 MOUND PLAN VIEW observation pipes (typical) �J - 31.2 ft : :-: q A= 6.00 ft 1.83 m 9.51 m': '::':':''-':':`': ' ::':` ::': B = 63.0 ft 19.20 m W B J= 10.70 ft 3.26 m 1 K I= 14.50 ft 1 4.421 m K = 113.86 ft 4.22 m - L -F - 9 - 0 - 7 - 21 ft 27.65 m typ. obs. pipe (anchored securely) I = down slope dimension = absorption cell (AxB) J = up slope dimension = plowed area (LxW) K = end slope dimension 6" (152 mm) T MOUND CROSS SECTION D = 26.0 in 66.0 cm lateral topsoil H subsoil cap E = 28.9 in 73.4 cm invert 102.97 ft F = 10.0 in 25.4 cm - - - - -- -- - - - - -- .............. elev. 31.39 m F G = 12.0 in 30.5 cm T ASTM C33 H = r 18.0 in Ljj7Jcm D Sand Fill E Sys. 102.47 ft W elev. F 31.231 m 100.3 ft ontour 30.57 m elev. 4 % -� 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: Dave Ellefson 3 bedroom residential mound Transaction Number: Page 3 of 8 u u 1g,20 - U z w b tQ p w � CA � prof ;b ;E <d 1�i5'ftcr�larJCP � � i.` `� * ca 222 D O Get .a.ra9( D p C (.N rated A ILA c Tv 0 to a � � O a s �.7a b ,.- - ^�-••� SOIL AND SITE EVALUATION REPORT •� -.�- -- D I L H R in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site pl an on paper not less than 8 1/2 x 11 inches in size. Plan must include, but 5T C! d I X not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. i dimensioned, north arrow, and location and distance to nearest road. APPLICANT INFORMATION- PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY NER _ PROPERTY LOCATION GOVT. LOT iii 1/4 SW 1 /4,S T ,2 17 N.R )S E (cx OPERTY ONNER:'S MAILING AO TRESS - r LOT BLOC K N SUED. NAME OR CSM N /� Al CSV �, A r ,t . I �, J CITY, STATE 21P CODE P ONE NUMBER ❑CITY []VILLAGE WN NEAREST ROAD I ) New Construction dse (.Residential /Number of bedrooms 3 J -r Replacement ( I Public or commercial describe Code derived daily flow S v gpd Recommended design loading rate i . bed, gpd$ trench, gpd/ft Absorption area required _ bed, ft trench, IF.�t�� Maxim design loading rate f • � bed, gpd/it trench, gpde Recommended infiltration surface elevation(s) 10.2. `I R�z R�dl -- It (as referred to site plan benchmark) Additional design /site considerations iQaCv, QncAeir mark_ LnNG ceytcQ .�oerrov: aS �osScb� Parent material S ok -ler c l ct cl u � :C :U Flood plain elevation, it applicable /J /fir fl S = Suitable for system 0ONVENTIONAL MOUND INGROUNDPRESSURE AT-GRADE SYSTEM IN L HOL TAN U =Unsuitable for s stem O S C-G � U O S 9-U O S � ❑ S � 0"S ❑ U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /fl in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed ITre #" 3- / o— J0 3 I S b k t I VE . S ( 4 . Ground -j elev. P J ) �fl. �7 7• sy � s j- t C Vv. 3 p Depth to S 1-• 4 a.S y �' `T S - s L v „J 3 limiting factor �sfi N.G. Remarks: Boring # o 1 0 3 l 1 o �l � �3 5 5 r .� C 5 ��C IM V V' ` J Ground - - 8 9 Depth to - - - - limiting factor - - �- c -' 2 " C-3 Remarks: �� T Ca v� CST Name: - Please Print m _ Ph! 3 Address: s o r v\ U. , `f - 7 Signature: Z e: CST Number. SOIL DESCRIPTION REPORT — ant Color Mottles Structure 1) / I Boring # Horizor Depth Dominant Munsell Ou. Sz. Cont. Color Texture Gr. Sz. SIB. Bed Boundary Roots Bad i Tm C S7 \ik Ct VV% Ground (r-n \-/K 3 L s Asla� elev. q -sk- 30 U.k I 1 5�vl Ck I Depth to limiting factor C 11 Remarki: Boring # 0-1 (0 \1 VA 1, - 7, S'�9, Ll� -- -( f) I's k C Ground -v s 6k J 6 j+ 3 P elev. a, o'j A L C- v-., h. t Depth to limiting factor L7 RemarVs:. Boring # Ex L-J jO �-J - 7, 'S Uk Ground t2a. elev. Depth to limiting factor Remarks: Boring # Ground elev. Depth to limiting factor Remarks: i �z m VA LA + 4 ``' `� a T om -- G O - P 1 y 0 — ------------------------------ f— — — ^ _ — _. v Do cp rn o G s S f - -`-- -� SOIL AND SITE EVALUATION REPORT D I L H R in accord with ILHR 83.05. Wis. Adm. Code ..,' .,'" ^..`",.",.• "" COUNTY Attach complete silo plan on paper not loss than B 1/2 x 11 inches in size. Plan must include, but _`_;T C d not limited to vertical and horizontal reference point (I3M), direction and % of slope, scale or PARCEL I.D. x dimensioned, north arrow, and location and distance to nearest road. APPLICANT INFORMATION- PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY ENER ( PROPERTY LOCATION l )n J Q ` 1 ( ' ' So GOVT. LOT 1/4 S 1/4.S :D T a N.R 1S E ((x EN OPERTY ONNER'S MAILING AD RESS LOT N BLOCK k SUBD. NAME OR CSM N CITY, STAT ZIP CODE P LONE NUMBER []CITY ❑VILLA WN NEAREST ROAD [ J New Construction dse (�Residential / Number of bedrooms /U JiT Replacement [ J Public or commercial describe Code derived daily flow y S O gpd Recommended design loading rate I , bed, gpd/ft bench, gpolfl Absorption area required ? 7 bed, 112 trench, f1 „ ,A0 Maximum design loading rate f bed, gpd1tt trench, gpd /fF Recommended infiltration surface elevation(s) 1 (� 2 . `� IZ,,, k Ra CA-- It (as referred to site plan benchmark) Additional design / site considerations tmi�.t ” S, r �C ��y�c�c; u,�, c�v,z� ��a ra:� a rc 0o Parent material S't G I a Flood plain elevation, if applicable A M ft S = Suitable for system CONVENTIONAL MOUND INGROUNDPRESSURE I AT-GRADE SYSTEM IN Ft L HOLDING TAN U= Unsuitable for s Stem O S CYG p-S p U ❑ S ST ❑ S ©11 D s 0"a O El U SOIL DESCRIPTION REPORT Boring # Horizor Depth Dominant Color Mottles Texture 'Structure Consistence Bot_rriary Roots GPD /fl q in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed ITre .1 t 14 3 Ci Ground .3 S �l o .\.: ., I Sr. 1 .5 elev. 1 ,31 . p �• v� 3 p De th to y a, S `7• s s 3 - limiting factor Remarks: i Boring # t Ground -�—�- — 5 r .? 5 �� (nom v Lj elev. 1u -39 />S E, Depth to - -- — limiting factor _ -- (O Remarks: CST Name: — Please Print Phone: —73 7� l Address: • Signature: f T— Date: CST Numboc SOIL DESCRIPTION REPORT - AP Boring # Horizor Depth Dominant Color Mottles Structure P t• " Munsell Ou. Sr . Cont. Color Texture Gr. Sz. Sh. Consistence OcuryJay Roots I .— Bad i Trux 0\11R VV% Ground elev. q L Depth to limiting factor Remarks: Boring # t C> Ak Ground elev. C- V-' V'A Depth to limiting factor RemarVs Boring # - 3 0 2 6 k Eli V 6:-3 jo 3 r tz v S Ground 5-- elev. H. Depth to limiting factor Remarks: Boring # Ground elev. It. Depth to limiting factor Remarks: r T ro U _ J e cp CA c e s 0 c� r n Y CENGQ a C C En . G M1+ e of rn I AJ ti (� A -X� f 0 S f _ I ST. CROIX COUNTY WISCONSIN ZONING OFFICE ST. CROIX COUNTY COURTHOUSE 911 FOURTH STREET • HUDSON, WI 54016 (715) 386 -4680 June 30, 1992 Division of Safety and Building Bureau of Plumbing P.O. Box 7969 Madison, WI 53707 To whom it may concern: An onsite investigation of the Dave Ellefson property, located in the NW 1/4 of the SW 1/4 of Sec. 32, T29N -Rl5W, Town of Springfield, St. Croix County has been conducted. This onsite revealed suitable soils to a depth of lo" which meets the requirments of the A + 4" rule, making this site suitable for a replacment mound. Should you have any questions, please feel free to contact this office. Sln erely, 7 `�'�l ames K. Thompson Assistant Zoning Administrator ' wiscbnsin Department of commerce SOIL AND SITE EVALUATION Page of __3_ -- Division of Safety and Buildings r #i , aldadrd Ith Comm 83.05, Wis. Adm. Code Certified Soil Testing Attach complete site plan on paper not less thitir4.x 11 16AK844n size. Plan must County include, but not limited to: vertical and horizontal reference point (13M), direction and St. Croix percent slope, scale or dimensions, north arrow, and location and distance to nearest road. ParceII.D.# 034 - 1072 -95 APPLICANT INFORMATION - Please print all information. -- Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). ewe By Date Property Owner Property Location El lefson, Da ve Govt. Lot NW 1/4 SW 1/4 S 32 T 29 N R 15 W Pro perty Owner's Mailing Address Lot # Block # Subd. Name or CSM# 502 Cedar Court City State Zi Code PhoneNumber El City Vill ®Town Nearest Road Menomonie WI 5W751 715 233 - 0834 61ringfield CTHW NN New Construction Use: ® Residential / Number of bedrooms 3 ❑Addition to existing building Replacement ❑ Public or commercial describe Code Derived daily flow 450 gpd 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 tr ench, gpd/ft' Recommended infiltration surface elevations) 101.7 ft (as referred to site plan benchmar Additional design / site consideration install 4 'x 95' rock bed mound on 100.2 as upslope edge of rock w/ 1.5' sand fill Parent material loess over till Flood plain elevation, if applicable NA ft M S= Suible for system Conventional Mound In- Ground Pressure AT -Grade System in Fill bolding lank ta U for system ❑® U ® S❑ U ❑ S® U ❑ S( U C S 29 U ❑ S X u Depth Dominant Color Mottles Structure GPD /ft' Boring# Horizon in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots - Bed - Trench 1 0 -9 10YR 3/3 - sil 2 m cr mvfr cs 1f/m 5 6 I � . 2 9 -12 1OYR 4/3 - sil 2 f sbk mvfr gs lm .5 .6 Ground 3 12 -18 7.5YR 4/4 - scl 1 in sbk mfr cs Im .2 .3 elev — - - - - -- 99.4 ft 4 18 -36 7.5YR 4/4 7.5YR 518 scl 0 in mfi - - NP .2 Depth to limiting - -- - - -- - - - - -- _ - - - -- - - - - - -- factor 18 ' Remarks: R' 2 1 0 -8 IOYR 3/3 - sl 2 m cr mvfr cs 2flm .5 .6 2 8 -26 + 7.5YR 4/4 - is 1 in sbk mvfr cs 1 in 7 8 -- -- -------- - - - - -- Ground 3 26 -32 7.5YR 4/4 7.5Y 5/8 / scl 0 m mfi - i - i NP 2 i elev -- — -- - - — - 4 98.9 ft ,r Depth to limiting factor 1` J 26 Remarks: CST Name (Please Print) Signature: Teleph*rie No. FF1cE ;' Henry F. Grote 715 -66� 681 C ertified of etn - - - - - - -- - - - -- -- - -- -- - — - - -- � Address st Daat CST Number J #V P.O. Box 57, Knapp, WI -54749 8/171998 222774 1 PROPERTY OWNER: E llefson, Dave SOIL DESCRIPTION REPORT ® p 2 o f '3- PARCEL LD.# 034 1072 -95 Certified Soil lusting De th Dominant Color Mottles Structure onsistence Boundary Roots — GPD /ft' Horizon in Bed TTrench Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. -- - 3 1 0 -9 l OYR 3/3 - sil 2m cr mvfr cs 1 f/m .5 .6 2 9 -15 l OYR 4/3 - A I m sbk mfr gs if .4 .5 Ground elev 3 15 -20 10YR 4/4 - sl 1 m sbk mfr cs lm .4 .5 _100.1_ft 4 20 -30 7.5YR 4/4 7 7.5YR 5/8 s1 1 m sbk mfr - - .4 .5 Depth to limiting -- - - - - -- -- - - - -- factor 20" Remarks: "4 1. 0 -9 1OYR 3/3 - sl 2 m cr mvfr cs 2flm .5 .6 u.,...u. 2 9 -26 1 OYR 4/4 - is I m sbk mvfr cs lm 7 i .8 Ground 3 26 -35 7.5YR 4/4 7 7.5YR 5/8 scl 0 m mfi - - NP 2 100.2 ft Depth to limiting __ -- - -- — - - -- - factor Remarks: Ground elev Depth to limiting -- - - - - -- - - -- - -- - - - - -- { factor Remarks: Ground - -- - - - -- - — -- - elev 4 -- . _ -. _. -. t __ -.. Y ... _.. _..... _... Depth to limiting - - - - - -- -- - -- ... - -- — -- { - -- factor Remarks: L -2OL - is w C �-► }t ...,� a ,` �. .�q Z 1 fin+ a.� 1 �►�z.z.., C`1r Al 1 A l I Vision sin Department of Commerce SOIL AND SITE EVALUATION page - -_l.__ of .- of Safety and Buildings '. mm 83.05, Wis. Adm. Code O Certified Soil Testing Attach complete site plan on paper not le ' x i e. Plan must County include, but not limited to: vertical and ho ' oint ( ), direction and St Croix percent slope, scale or dimensions, north arrow, and location and distance to nearest road. ParcelI.D.# 034 - 1072 -95 APPLICANT INFORMATION - Please print all information. - - -- Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Rev' wed Oy Date Property Owner Property Location Ellefson, Dave Govt. Lo NW 1/4 SW 1/4 S 32 T 29 N 15 W Pro Owner's Mailing Address Lot # Block # tbd. Name or CSM# 502 Cedar Court City State Zi Code PhoneNumber ❑ City Villaagge XTown Nearest Road Menomonie Wl 5W751 715- 233 -0834 Vringfeld CTHW NN New Construction Use: ® Residential / Number of bedrooms 3 ❑Addition to existing building ® Replacement ❑ Public or commercial describe Code Derived daily flow 450 gpd Recommended design loading rate • bed, gpd /fN .6 trench, gpd /ft Absorption area required 900 bed, ft2 750 -5 d� .6 tr ench, gpd/ft �— �1 trench, ft= Maximum design loading rate bed, gp Recommended infiltration surface elevation(s) 101.7 ft (as referred to site plan benchmar Additional design / site consideration install 4 'x 95' rock bed mound on 100.2 as upslope edge of rock w/ 1.5' sand fill Parent material loess over 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 El U M S❑ U El S® U ❑ S N U Ci S Z U ❑ S X U Depth Dominant Color Mottles Structure GPD/ft Boring# Horizon in Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots - -Bed - i Trench 1 0 -9 l OYR 3/3 - sit 2 m cr mvfr cs 1 f/m 5 6 1 � }_ 2 9 -12 10YR 4/3 - sit 2 f sbk mvfr gs lm .5 .6 Ground 3 12 -18 7.5YR 4/4 - scl 1 m sbk mfr cs lm .2 3 elev — — --- - -._.- -- - -- — - -- - - - 99.4 It 4 18 -36 7.5YR 4/4 7.5YR 5/8 scl 0 m mfi - - NP - .2 Depth to limiting - - -- - - - -- -- - - - - -- _ _ -- - - - -- _ factor 18" Remarks: ------------ - - - - -- - - - - - -- 2 1 0 -8 IOYR 3/3 - A 2 m cr mvfr cs j 2flm .5 .6 2 8726„ 7.5YR 4/4 - Is I m sbk mvfr cs - 1m j _ -- 7 i 8 Ground 3 26 -32 7.5YR 4/4 – f 2 7 - scl 0 m l mfi - - NP j 2 elev —T _9 8.9 ft Depth to limiting - - - - -_. -- - -- - -- l - . factor Remarks: CST Name (Please Print) Signature: Telephone No. Henry F. Grote 715- 665 -2681 - -- 7 to or Testing D t CST Number Ref # P.O. Box 57, Knapp, Address app WI�54749 81/1998 222774 1023 PROPERTY OWNER Ellefson, Dave SOIL DESCRIPTION REPORT oz page 2 df PARCEL I.D.# 034 - 1072 -95 Certified Soil Tsti Depth Dominant Color Mottles Structure GPD /ft' Horizon In Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. onslstence Boundary Roots Bed I Trench 3 1 0 -9 IOYR 3/3 - sit 2 m cr mvfr cs lf/m .5 _6 R 4/ - sl 1 m sbk mfr s if .4 .5 2 9 -15 l0Y 3 g Ground elev 3 15 -20 1OYR 4/4 - sl 1 m sbk mfr cs lm .4 .5 100.1 ft 4 20 -30 7.5YR 4/4 7 7.5YR 5/8 sl 1 m sbk mfr - - 4 5 Depth to limiting — — - - - - -- -- - - -- - factor 20' i Remarks: _ 4 1 0 -9 10YR 3/3 - sl 2 m cr mvfr cs 2flm .5 .6 2 9 -26 1OYR4/4 - is 1 m sbk mvfr cs lm .7 .8 -- TOYR-6/2 - - - - -- -- - -- _ - _ elev Grou 3 26 -35 7.5YR 4/4 7 5/8 scl 0 m mfi - - NP .2 I _10 Q.2 ft - - -- --- - - - - -- - - - - -- --- - - - - -- - - - - -- Depth to limiting factor - - 26. - - - -- -- - - - - - --1 - -- - I Remarks: t Ground elev Depth to limiting — -- — - - - - - - -- -- - - - - { _ f _ factor Remarks: n� Ground - - -- - - - -- - - - -- - elev Depth to �— -- - -- - limiting factor Remarks: I " alive 1 1\ e.�Co�.- 1 Ic� ` �a�.. U kzNw � � � � � • � t M c-T1i w C`4 Al e ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer /✓ G ✓e- Mailing Address t r' 3 C cz1 G Property Address � 5 / �''� 1 - �s c � s � — � 2 (Verification required from Planning Department for new construction) City/State �, ISG - 1 Parcel Identification Number LEGAL DESCRIPTION Property Location NA/ %a, -�A '/,,Sec. T�N -R h 5- W, Town of h Subdivision , Lot # Certified Survey Map # , Volume , Page # Warranty Deed # 3 Volume �S S� , Page # 2 - 1 Spec house ❑ yes EJ no Lot lines identifiable ❑ yes ❑ no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restrictedplumber 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. Itwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days of the three year ex iration date. J SIGNATURE OF APPLICANT DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. SIGNATURE OF APPLICANT 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 L 453003 S55 244 — fflk K 9 (f (5 Ifli f tiG 69!fk ---- DOCUM':NT NO. NA*RRMTY DEED F C_ 0 I THIS DEED, made between Ernest H. Ellef-ion and :,'IadyB M. Ellefson, husband and wife, as joint tenants ------- - - - - -- _- - - -- -- - ----------------------------------- Grantor, for ✓aluable consideration conveys and warxeints to T)avid L. Ellefson ------------ ----------------------------•---- Grantee The following described real estate in Return to: St. Croix County, State of James R. SpecAtad, Atty Wisconsin: P.O. Box 41 Menomonie 41 54751 Tax _Pa 0. The Northwest Quarter (NW30 of the Southwest Quarter (SW') of Section Thirty-two (32) Township Twenty-nine (29) North, Range Fifteen (15) West. I hAINSF" REGISTER'S OFFICE ST. CROIX CO, WI R for Record OAT 2 7 1989 of 11:05 AA 1 .. , . 0 & N"W& of 0404 This is not homestead propecty. Together with all and singular the hereditaments and appurtenances thereunto belonging. Fxceptions to warranties: Subject to municipal and zoning ordinances, easel restrictions, and roadways of ce-cocei. Dated this day of ::,""2e 1989. (SFAL) (SEAL) *Ernest 9. ElleYs66`__ *Gladys M. Ellefson AUTHEN ACKNOWLEDGMENT Signature(s) ---------------- STATE :)F WISCONSIN) --------- ------------------ )ss. - - -- - - ILL�41'tf� � County authenticatedi:bis Personally care '­'_*ye me 2 this:�L day of LL-Z j.1j 1989, the above named Ernest 1. Ellefson and Gladys M. Fllef- ------------- TITLE: MEMBER son - WISCONSIP to me known to be th? (If not, pe rsons who execute; the authorized by 706.05 Wis. Stat. foregoing instriment and acknowledged the same. This instrument (IraEted by: James R. Sperstad, Attorney Valley Bank Plaza Building P.O. Box 41 "4 Menomonie WI 54751 Notary u LC, County, X (715)235-5939 My COMM 1S.3 Lon (Signatures may he a )r acknowledged. Both - not necessary. *Names of person signing in any ^apacity should be typed below their sigriattires. /� A dY 27'-4 r >*' ,• 4 O O s (/C-- 1) ?Nc:i)�� 0o Nii BATH . 1 • F., Oo ce O j �r..r o 0 ,4>•;oPT10HAL8TlUItYYELL; '�' + � � �. ,; BATH 1:' tb O F YI ` 1 �} K Y • , N i i CAl F © O Ow k+ m — 0 m m D a. �77 0 < G p r 7K x n w r m N o d 0