HomeMy WebLinkAbout034-1017-10-000 (3)Wisconsin Departn;ent of Commerce PRIVATE SEWAGE SYSTEM
Safety and Building Division
INSPECTION REPORT
GENERAL INFORMATION (ATTACH TO PERM'T)
Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)].
Permit Holder's Name: City Village X Township
Carufel, Jeremy Springfield, Town of
CST BM Elev: Insp. BM Elev: BM Description:
I TANK INFORMATION
TYPE
MANUFACTURER
CAPACITY
Septic
Dosing
Aeration
Holding
TANK RFTRACK INFORMATION
TANK TO
P/L
WELL
BLDG. I
Vent to Air Intake
ROAD
Septic
Dosing
Aeration
Holding
I PUMP/SIPHON INFORMATION
Manufacturer Demand
GPM
Model Number
TDH Lift Friction Loss System Head TDH Ft
Forcemain Length-1 Dia. Dist. to Well
SOIL ABSORPTION SYSTEM
County: St. Croix
Sanitary Permit No:
141
State Plan ID No:
Parcel Tax No:
034-1017-10-000
Section/Town/Range/Map No
08.29.15.113
STATION BS HI FS ELEV.
Benchmark
Alt. BM
Bldg. Sewer
St/Ht Inlet
SUHt Outlet
Dt Inlet
Dt Bottom
Header/Man.
Dist. Pipe
Bot. System
Final Grade
St Cover
BED/TRENCH
Width
Length
No Of Trenches
PIT DIMENSIONS
No Of Pits
Inside Dia.
Liquid Depth
DIMENSIONS
SETBACK
SYSTEM TO
P/L JBLDG
IVVLLL
LAKE/STREAM
LEACHING
Manufacturer:
INFORMATION
CHAMBER OR
Type Of System:
Model Number:
UNIT
1 rl1 ITI/'1\1 rVC�TC\A
Header/Manifold v v V
Distribution
x Hole Size
x Hole Spacing
Vent to Air Intake
Pipe(s)
Length Dia
Length Dia Spacing
o... ^-I — nA^..nrl r)r Af_r_—ria Cvctomc rinly
Depth Over
Depth Over
xx Depth of
xx Seeded/Sodded
xx Mulched
::N
Bed/Trench Center
Bed/Trench Edges
Topsoil
h Yes No
Yes o
COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:
Location: 2883 110th Avenue Glenwood City, WI 54013 (NE 1/4 NE 1/4 8 T29N R15W) 40 acres Lot
1 ) Alt BM Description =
2.) Bldg sewer length =
- amount of cover =
Plan revision Required? L'i Yes Lj No
Use other side for additional information.
Date Insepctor's Signature
SBD-6710 (R.3/97)
Inspection #2: /-
Parcel No: 08.29.15.113
Cert. No.
County Sanitary Permit Application
ST. CROIX COUNTY WISCONSIN
Gp fib
In accord with Chapert 12 St. Croix County Sanitary Ordinance
PLANNING & ZONING DEPARTMENT
bye
Personal information may bused esecondary purposes
Law.
ST. CROIX COUNTY GOVERNMENT CENTER
-0�
[P�vacy S.
RECEIVED
1101
S�.
P�
on,aWI1chael 54016-77i0
(715)386-4680 Fax (715)386-4686
Attach complete plans for the system on papero#Jefl Jfiaf),JtJtNx
11 inches in size.
Countanitarypermit ❑ Check if revision to PreAs4Y qation
?? 7C,
low -
I. Application Information - Please Print all Information pfANNIN6 a ZONING OFFICE
Location:
Property Owner Name
p y
C4 - t✓1/40 L 1/4,Sec
°j N, %5 R E (or
Property Owner's Mailinj Address e P
l
Lot Number
Block Number
U t l VJAIID
Gil , State
l
Zip Code
���
Phone Nun* �.�
Subdivision Name or CSM Num er
e_� wr,C1 e l'
S 3
?i
/10a
II Typ f Building: (check one) ) `/r/� G� C L
1 or 2 Family Dwelling - No. of Bedrooms: rc�t
=ity ❑Village aTownof
e
❑ Public/Commercial (describe use):
Nearest Roa /n•
❑ State-owned
A. Check box line B if
It. Type of Permit: (Check only one box on line on applicable)
Parcel Tax Number(s)
1.❑ Repair 2. Reconnection 3.❑Non-plumbing 4. ❑Rejuvenation
A
f
Sanitation
Permit Num er l // -
B
2 ' y
Date Is ued �f S'
State Sanitary Permit was previously issued J t�
I /
IV. Type of POWT System: (Check all that apply) e p h ✓] e L t - C vt
❑ Non -pressurized In -ground i Mound > 24 in. suitable soil ❑ Mound 5 24 in. suitable soil ❑ Mound A+0
❑ Sand Filter ❑ Constructed Wetland ❑ Peat Filter ❑ Drip Line
❑ Pressurized In -ground ❑ Holding Tank ❑ Single Pass ❑ Other
❑ At -grade ❑ Aerobic Treatment Unit ❑ Recirculating
V. Dispersal/Treatment Area Information:
1. Design Flow (gpd)
2. Dispersal Area
3. Dispersal Area
4. Soil Application Rate 5.
Percolation Rate
6. System Elevation
7. Final Grade
Required
Proposed
(Gals./day/sq.ft.) (Min./inch)
7
r
�� D
Elevation
/F4"/
._�
55 OV0
yZ /32e
? p,�
1/
Vl. Tank Information
Capa cty in Gallons
Total
# of
Manufacturer
Prefab
Site Con-
Steel
Fiber-
Plastic
Gallons
Tanks
Concrete
structed
glass
New
Existing
Tanks
Tanks
t/
/200
/1
❑
❑
❑
❑
Od6
/U0�
��
❑
❑
❑
❑
VII. Responsibility Statement
I, the undersigned, assume responsibility for repair/reconnenction/rejuvenation/installation of non -plumbing for the POWTS shown on the attached plans. A
license is not required for terralift repair or the irlstallation of non-ptumping sanitation system.
Plumber's Name (print)
E Seri<<�
Plum s Signature (no s a
G �-
_iP1MPRS No.
:223g2�
Business Phone umber
Plumber Address (Street, City, S ate, Zip ode)
6 asp:- 26-</4,C', (" L",. (( C_ �✓, S�Yc2
1
Vill. Count se Only
Approved
Disapproved
Owner Given Initial Adverse
Sanitar Permit Fee
1_'__)C
Date Issued
(p
Issuing Ag t Signature ( ps)
��
//
/7 Q
Determination
IX. Con t?V4Fy r UReasons for Disapproval:
1 Septic tank, effluent filter and
dispersal cell must all be serviced / maintained
V�
as per management plan provided by plumber. r /U
2. All setback requirements must be maintained _
G,Qq,`�y{
�,"
as per applicable codelordinances.
: ry i
'.'M
3
lto
(' REPAIR ❑
ST, CROIX CO UNTYNo. STC — / /, RECONNECTION
NON -PLUMBING ❑
3$� /� � _� wow SANITATION
SANITARYPERMITrJ{'�y/ EJU NATION ❑
2
(a) The purpose of the sanitary permit is to allow repair, reconnection,
OWNER rejuvenation, or installation of non -plumbing sanitation as described in the
application for permit.
(b) The approval of the santiary permit is based on regulations in force on
PLUMBER �f_06S7'74AJ LIC. # 43 the date of issue.
(c) The sanitary permit is valid for 2 years from original date of issuance and
may be renewed for similar periods thereafter. Application for renewal shall be
TOWN OF P� j� LOCATED made through the county and shall comply with regulations in effect at the
time.
IJIVA19 SEC —1 T 2 aI
AND/OR LOT
THIS PERMIT EXPIRES
TWO YEAR:
POST
BLOCK
1 � (d) Changed regulations will not impair the validity of a sanitary permit until
N; p the time of renewal.
SUBDIVISION
(e) Renewal of the sanitary permit will be based on regulations in force at
the time renewal is sought. Changed regulations may in renewal.
(f) The sanitary permit is transferable. A sanitary permit transfer shall be
obtained from the St. Croix County Zoning Department.
If you wish to renew the permit, or transfer ownership of the permit,
contact the St. Croix Countv Zonina Department.
• 10/51/0
.AUTHORIZED ISSUING OFFICER -DATE
r,Z,oUNLESS RENEWED BEFORE THAT DATE
IGINAL DATE OF ISSUANCE
IN PLAIN VIEW
VISIBLE FROM THE ROAD FRONTING THE LOT
DURING CONSTRUCTION
MOUND SYSTEM Page of -1
FOR
�� 3 B�R�► �l`.S1.D�G�
T� 4
LOCATED IN THE N'E 1/4 OF THE 1/4 OF SECTION 2S ,T Z9 N, R 1S W,
TOWN OF Sp Z� {y G t=1EL1j S 7, C-1ZULX COUNTY, WISCONSIN.
INDEX
PAGE
1
of
7
TITLE SHEET
PAGE
2
of
7
PROJECT DATA
PAGE
3
of
7
PLOT PLAN
PAGE
4
of
7
PLAN VIEW -CROSS SECTION
PAGE
5
of
7
DISTRIBUTION PIPE LAYOUT
PAGE
6
of
7
DOSE CHAMBER
PAGE
7
of
7
PUMP PERFORMANCE CURVE
PREPARED FOR
D►�U �D 13. cv-u'c1zLfiT
2'11 q � w-1 RT Lub A CLR C-uE
RosEV�LLL , Ilnl Ss IJ3
PREPARED BY
WEGEFZZ SQ T L_ TEST I NG
AND
DES T GN SEFRV T CE
F.O. BOI 74 421 N. MIM ST.
RIVER FALLS. VI 54022
115-4 2`.r-0165
NOT MR comn,
TRblC TION
ARTHUR L
WEGERER L
i D-9 S P
GLLSWORTH,
n WIS.
f "�,
�,S I G 1-1
--:7j \_�►,,t- Z, l`1`I S
JOB NO. CIS - � 17
PROJECT DATA Page Z of %
This mound system will serve.a 3 bedroom residence and a
hydroponic head house for a greenhouse operation. This building
will contain a floor drain and bathroom facilities for the owner's
use only.
There are no retail sales or employees.
The design daily flow of 520 gpd is based on 450 gpd for the
residence plus 50 gpd for the floor drain and an additional
20 gpd for the owner.
A 1200 gallon Midwestern Precast concrete septic tank will be
installed.
Page _q Of
Approved Synthetic Covering
Distribution
Pipe
C- 33
Medium Sand
H
G
Topsoil
_
_,�_ F
Elev. "[�.O
=--
E
D
3
`
b
S % Slope
Bed Of -"— 2 2
Force Main
Plowed
Aggregate
From Pump
Layer
D-4
Ft.
E_
Ft.
Cross Section Of A
Mound
System Using
F a
Ft.
A Bed For The
Absorption
Area
G t• Co
Ft.
A
8 Ft.
H 1.5
Ft.
Linear Loading Rate=q,� GPD/LN FT
B
SS Ft.
Design Loading Rate=o.3q GPD/SQ FT
j
1lo Ft.
J
8 Ft.
K
Ft.
Alternate Position
L
6 Ft.
of FeTE� ; .
W
3 Z Ft.
L
Observation Pipe
g K
A I
I.----- --------- --------------------- �� Force Main
N
Distribution Bed Of 2 _ 2 2N
Pipe Aggregate
I
Observation Pipe Permanent Markers
(Anchbr securely)
Plan View Of Mound Using A Bed For The Absorption Area
Page S Of %
End Cap
0
Perforated Pipe Detail
End Cap
all permanent marker
ad of each lateral
Holes Located On Bottom,
Are Equally Spaced
P Z, 5 Ft.
Distribution Pipe Layout
S �_ Ft.
X 6� Inches
Y E b Inches
Hole Diameter 1fi/ Inch
Lateral Inch(es
Manifold Z Inches
Force Main Z Inches
# of holes/pipe 5
Invert Elevation of Laterals 9 6•_S Ft.
S.8Sx-'4 z 3.VO GXO" 't%"m..
,I
Place 1st hole 33 from center of manifold with succeeding holes
at 6�"intervals. Last hole to be next to the end cap.
PUMP CHAMBER CROSS SECTION AMD SPECIFICATIONS
PAGE 6 OF
1�C.Z. VENT PIPE
10' FROM DOOR,
WINDOW OR FRESH
AIR IWTAKE
WAIKI.
IKILET
APPROVED JOIMT/
LLEV. ��_SO FT.
.,,VCUT CAP
WEATHER PROOF
JUUCTIOW BOX
12'MIU.
I
I
GRADE
I
COQr)UIT ��—
V
APPROVED LOCKING MANHOLE
COVER WITH WARNING LABEL
PROVIDE
-T
AIRTIGHT SEAL I III
I
A Tank construction shall comply I III
with ILHR 83.15 and ILHR 83.20 I III
I I I ALARM
• b I II
I I
I ow
C I
I
PUMP—� _-�
OFF
D
COWCRETE BLOCK
4' MIW.
V
APPRovED JoluTs
' 3" APPRwf
RISER EXIT PERMITTED ONLY IF TAWK MAWUFACTURER HAS SUCH APPROVAL,gEODINQ
SPECIFICATIOUS
DOS E`Ow�h'R-1�
TAWK MANUFACTURER:
3•\5
NUMBER OF DOSES: PER DAB
TAWK :,IZE : \�00 GALLONS
DOSE VOLUME z
S• �' S�iS`T 1 S
INCLUDING OACKFLOW: U
GALLONS
ALARM MAyUFACTURER:
MODEL NUMBER: H�
CAPACITIES: A= 16 I�Z WCHE5 OR yam_
GALLOWS
SWITCH TSPE:
B = Z' IWCHES OR S 2-
G�LLOIJ5
PUMP MANUFACTURER: -t LY\Z S
C = g IWCHES OR z'O a
CALLOUS
MODEL WUMBER: E
D = " IMCHES OR 3 Z
GALLOUS
SWITCH TYPE:
MOTE: PUMP AND ALARM ARC TO DE
MIWIMUM DISCHARGE RATE Z3'GPM
IN5TALLED OM SEPARATE CIRCUITS
VERTICAL DIFFERENCE DETWCCU PUMP OFF AIJD..DI5TRIBUTION
PIPE..'ISS, FEET
+ MI►.IIMUM NETWORK SUPPLY PRESSURE ,
2.52 FEET
+ 30� FEET OF FORCE MAIN X `' �S F� FK1CT10►.I
100 FT.
FACTOR._ 3-q5 FEET
TOTAL DyJQAMIC HEAD = Z�_ R S FEET
DIAMETER 1
IWTERAIAL. DIME.WSIOQi OF TA1JK: LE►IGTH ;WIDTH ;LIQUID DEPTH
BOTTOM AREA
AS PER MANUFACTURER
231
GAL/INCH
GAL/INCH
M E40 Series
4/10 HP Effluent
and Drain Water Pumps
Performance Curve
40
35
W 30
W
W
1Z 25
W 20
2
J
15
O
H
He
5
MODEL ME40 EFFLUENT PUMP
CAPACITY LITERS PER MINUTE
0 50 100 150 200 250 300 350
Izq-9 S
066
Z3.y 0
12
10 U)
W
W
F—
W
8 1
Z
N
0
6
2
J
Q
4 F-
O
H
2
10 20 30 40 50 60 70 80 90 100 0
CAPACITY GALLONS PER MINUTE
F.E. Myers, A Pentair Company • 1101 Myers Parkway, Ashland, Ohio 44805-1923
419/289-1144 FAX 419/289-6658 Telex 98-7443
naaco I/V 1
Printpt in I I Q A
ME40 Series M"M
4/10 HP Effluent
and Drain Water Pumps
Performance Curve
40
35
W 30
W
L
z 25
W 20
J
Fa- 15
O
F-
M
5
MODEL ME40 EFFLUENT PUMP
CAPACITY LITERS PER MINUTE
0 50 100 150 200 250 300 350
1 z4-9 S
0 L
0
Z3•y0
10 20 30 40 50 60 70 80 90 100
CAPACITY GALLONS PER MINUTE
F E Myers, A Pentair Company • 1101 Myers Parkway, Ashland, Ohio 44805-1923
419/289-1144 FAX 419/289-6658 Telex 98-7443
12
10
U)
ir
W
I-
W
8 1
Z
H
❑
6 Q
W
J
Q
4 1-
O
F-
2
0
K332(i //91
Printed in I I C A
PUMP CHAMBER CRO55 SECTION AND SPECIFICATIONS '
PAGE 6 OF %
4"C.I. VENT PIPC
" 10' FROM DOOR.
WINDOW OR FRESH
AIR INTAKE
18"MIN.
INLET
APPROVED JOIWTf A
6
-LLCv. FT
C
0
VCWT CAP
12'MIU.
WEATHER PROOF
JUAICTIOU BOY. 7
GRADE
APPROVED LOCKING MANHOLE
COVER WITH WARNING LABEL
V
PROVIDE I
AIRTIGHT SEAL I
Tank construction shall comply
with ILHR 83.15 and ILHR 83.20
PUMP- ,
.So CONCRETE BLOCK
4" MIIJ.
16-MIIJ-
APPROVED JOINTS
L
RISER EXIT PERMITTED OWLtl IF TANK MANUFACTURER HAS SUCH APPROVAL,
SE00 NQ
SPECIFICATIOkJS
DOSE . M�OW�SV ��T
TANK MANUFACTURER.
�.`5
NUMBER OF 005E5: PER OAy
TANK SIZE: 10�� GALLOWS
DOSE VOLUME
E O $
ALARM MAN._FACTVRER: S' , �Qr-,MA S`-fST&l S
INCLUDING DACKFLOW:
GALLONS
-� -
lS11 NW
--- - -
I �
16 /Z 'A 2
MODEL NUMBER:
CAPACITIES: A = WCHE5 OR
GALLONS
SWITCH TUPE: �l _�IZY
g = Z- IIAICHES OR S Z
4LLOM5
PUMP MANUFACTURER: �Z S
C = g IUCHE5 OR 8
GALLONS
MODEL NUMBER: F ql,j
D. \Z' INCHESOR 31Z
GALLONS
SWITCH TYPE: M�
NOTE_ PUMP AND ALARM ARE TO DC 1
MINIMUM DISCHARGE RATE Z3'�� GPM
INSTALLED ON SEPARATE CIRCUITS
VERTICAL DIFFERENCE DETWEEIN PUMP OFF AUD.-DISTRIBUTION
PIPE., la`oo FEET
+ MINIMUM NETWORK SUPPLY PRESSURE .... . ...
2•52 FEET
{- 30� FEET OF FORCE MAIN X �' LS FY FRIC71oN FACTOR._ 3-\45 FEET
i00 tr.
. = TOTAL 013MAMIC HEAD = Z�-�S FEET
DIAMETER
IMTERAIAL. DIMLWS101JI OF TAQK: LEKI&TH ;WIDTH (LIQUID DEPTH
BOTTOM AREA - 231= - GAL/INCH
AS PER MANUFACTURER = Z-to GAL/INCH
State Bar of Wisconsin Form 2-2003
WARRANTY'DEED
Document Number
Document Name
THIS DEED, made between Crockett Farms, LLC, a Wisconsin Limited Liability
Company
("Grantor," whether one or more), and Jeremy L. Carufel
("Grantee," whether one or more).
Grantor for a valuable consideration, conveys and warrants to Grantee the following
described real estate, together with the rents, profits, fixtures and other appurtenant
interests, in St. Croix County, State of Wisconsin ("Property") (if more
space is needed, please attach addendum):
A parcel of land located in part of the Northeast Quarter of the Northeast Quarto (NE'/.
of NE%) of Section Eight (8). Township Twenty-nine (29) North, Range Fifteen (15) West,
Town of Springfield, St. Croix County, Wisconsin, more particularly described as follows:
Lot One (1) of Certified Survey Map filed April 1, 2009, in Volume 24, of Certified Survey
Maps, page 5613, as Document No.892202, office of the Register of Deeds for St. Croix
County, Wisconsin.
TOGETHER WITH AND SUBJECT TO Well, Septic and Drainfield Easement Agreement
recorded April 1, 2009, as Document No. 892200, and Joint Driveway Easement Agreement
recorded April 1, 2009, as Document No. 892201.
Exceptions to warranties:
Easements and restrictions of record.
G
Dated April 6, 2009
1�
Signature(s)
authenticated on
AUTHENTICATION
TITLE: MEMBER STATE BAR OF WISCONSIN
(If not,
authorized by Wis. Stat. § 706.06 )
893834
SETH PAS=T
REGISTER OF DEEDS
ST. CROIX CO., WI
RECEIVED FOR RECORD
04/22/2009 10:3OAM
WARRANTY DEED
EXEIPi t
REC FEE: 11.00
TRANS FEE: 24.00
PAGES: 1
Recording Area 11 _
Name and Return Address
Thomas A. McCormack
PO Box 2120
Baldwin WI 54002
034-1017-10-000
Parcel Identification Number (PIN)
This is not homestead property.
0s) (is not)
CROCKETT FARMS,LLLC
(SEAL) �Ci�c��— (SEAL)
+Sonie B. Crockett, Member
(SEAL)
(SEAL)
s
ACKNOWLEDGMENT
STATE OF WISCONSIN }
ss.
ST. CROIX — — COUNUkl r
Personally came before me on April
the above -named Sonie B. Crockett
to me known to be the person(s) w e cuted, foregoing
instrument and acknowledg the same.
THIS INSTRUMENT DRAFTED BY: + Thomas A. McCormack
---- ----- -----
Thomas A. McCormack Notary Public, State of WISCON N
Baldwin WI 5.4002 _ __— My commission (is permanent) (expi=&tXXXXXXXXXXXXXXXXXX )
(Signatures may be authenticated or acknowledged. Both are not necessary.)
NOTE: THIS IS A STANDARD FORM. ANY MODIFICATION TO THIS FORM SHOULD BE CLEARLY IDENTIFIED.
WARRANTY DEED 02003 STATE BAR OF WISCONSIN FORM NO. 2-2003
*Type name below signatures. INFO -PRO— Legal Fo«ms • (600r55-2021 • rffWuf« s wm
1 of 1
St. Croix County .Planning and Zoning
Thursday, Fehruary 02, 2012 at 3:18:55 PM
Page 1 of
Detail Sanitary Information
Computer #: 034-1017-10-100 Sub/Plat: 40 acres Section: 8
Parcel #: 08.29.15.113B Lot: 1 TN/RNG: T29N R15W
Municipality: Springfield, Town of CSM: Vol. 24 Pg. 5613 1/4 1/4: NE 1/4 NE 1/4
Owner: Carufel, Jeremy 2883 & 2885 110th Avenue Glenwood City, WI 54013
State Permit: Issued: 06/04/2009 POWTS Dispersal: Mound 24" or more suitable soi Permit: Reconnection
County Permit: 141 Installed: 06/05/2009 POWTS Detail: NA Bedrooms: 3 WI Fund:
POWTS Pretreatment: NA
Notes
Issuer/Inspector As Built Plumber Other Requirements Additional Notes Monet/ Owed
Pam Quinn NA Stang, Joe Joe didn't contact us to inspect - assume Must obtain verification system is in working $0.00
None Signed Off: No house built & connected to existing mound order - has only been used for greenhouse
operation until now, house never built. Design
information provided by owner. CSM 2009
includes this 3 acres plus 75 acres that includes
034-1017-10-025/.113A greenhouse business
Maintenance
Scheduled Pump Date Pumped
6/5/2012
Owner: Crockett, David & Sonie 2883 & 2885 110th Avenue Glenwood City, WI 54013
State Permit: 233464 Issued: 06/14/1995
POWTS Dispersal:
Mound 24" or more suitable soi Permit: New
County Permit: 0 Installed: 08/09/1995
POWTS Detail:
NA Bedrooms: 3
WI Fund:
POWTS Pretreatment:
NA
Notes
Issuer/Inspector As Built
Plumber
Other Requirements
Additional Notes Monet/ Owed
Not determined Unknown
Lickness, Chris
Mary J. signed outcard for inspection but no
data from notecard - check system size, etc. RPL $0.00
permit in file folder!
shows a $45,000 improvement (house) - found 2
Mary Jenkins Signed Off: No
soil reports done in 1994 by Gale Smith for Tom
Whitten on this 40 acre parcel. Copies of Art
Wegerer design show 3 BR sizing plus hydroponic
head house for greenhouse operation. DWF520
gpd, use a 1200 gal. Midwest tank to 1000 gal.
Midwest dose tank to 8' x 55' mound with 12" lift.
Maintenance
Scheduled Pump Date Pumped
6/14/2005 5/14/2007
5/14/2010
St. Croix County Planning andZoning Thursday, June 04, 2009 at 9:41a5AM
Detail Sanitary Information Page 1 of 1
Computer #: 034-1017-10-000 Sub/Plat: 40 acres Section: 8
Parcel #: 08.29.15.113 Lot: TN/RNG: T29N R15W
Municipality: Springfield, Town of CSM: 1/4 114: NE 1/4 NE 1/4
Owner: Carufel, Jeremy 2883 110th Avenue Glenwood City, WI 54013
State Permit: Issued: 06/04/2009 POWTS Dispersal: Mound 24" or more suitable soi Permit: Reconnection
County Permit: 141 Installed: POWTS Detail: NA Bedrooms: 3 WI Fund:
POWTS Pretreatment: NA
Notes 4
Issuer/Inspector As Built Plumber Other Requirements Additional Notes Money Owed
Pam Quinn NA Stang, Joe Must obtain verification system is in working $0.00
Not determined Signed Off: No order - has only been used for greenhouse
operation ut until now, house never built. Design
information provided by owner
Owner: Crockett, David & Sonie 2883 110th Avenue Glenwood City, WI 54013
State Permit: 233464 Issued: 06/14/1995 POWTS Dispersal: Mound 24" or more suitable soi Permit: New
County Permit: 0 Installed: 08/09/1995 POWTS Detail: NA Bedrooms: 3 WI Fund:
POWTS Pretreatment: NA
Notes
Issuer/Inspector
As Built
Plumber Other Requirements
Not determined
Unknown
Lickness, Chris Mary J. signed outcard for inspection but no
Mary Jenkins
Signed Off: No
permit in file folder!
Maintenance
Scheduled Pump
Date Pumped
6/14/2005
5/14/2007
5/14/2010
8/9/1998
Additional Notes Money Owed
data from notecard - check system size, etc. RPL $0.00
shows a $45,000 improvement (house) - found 2
soil reports done in 1994 by Gale Smith for Tom
Whitten on this 40 acre parcel. Copies of Art
Wegerer design show 3 BR sizing plus hydroponic
head house for greenhouse operation. DWF520
gpd, use a 1200 gal. Midwest tank to 1000 gal.
Midwest dose tank to 8' x 55' mound with 12" lift.
1111111 11111 pl.. `'11131 `'-4 NII MINI IIII III{
* 8 9 z 2 0 2 2
892202
BETH PABST
REGISTER OF DEEDS
ST. CROIX CO., WI
SURVEY MAP
04/01 /2009 FOR R1 CORD
RECEIVCERTIFIED
PART OF THE NORTHEAST 1/4 OF THE
CERTIFIED SURVEY MAP
VOL: 24 PAGE: 5613
NORTHEAST 1/4, OF SECTION 8, TOWNSHIP 29 NORTH,
REC FEE: 13.00
RANGE 15 WEST, TOWN OF SPRINGFIELD,
PAGES: 2
ST CROIX COUNTY,WISCONSIN
UNPLATTED LANDS_
North 1/4 Corner —`---- -
Section 8-29-15 Z,635.e6' 110TH
AVE
Fd Aluminum Cap --- ----
1645.71' POB S89'43'24"E Q-) 309.00' "'
680.95'
S89'43'24"E 33.00' 6' 33.00'
S89'43'24"E
Q'--------------- -----
`^D S89'43,'24'E 309.00'
NE Corner
Section 8-29-15
�
-
�
-
Fd Aluminum Cal:
building setback line
w
o
c0
LOT 1
00
UNPLATTED?ep
eac`'e 131,107 sq.ft.
LANDS 3.01 acres
excl. r-o-w
UNPLATTED
120,909 sq.ft.to
LANDS
2.78 acres
�
i incl. r—o—W
LID
proposed
o
house location
o�
o �
o
- CD
DRAFTED BY
z
NB9'43'24"W 386.68'
Joel A Brandt
JB SURVEYING LL C
UNPLA'C1'ED LANDS
Note. Each [)arcel on this map is subject to State and County laws, rules and regulations
{i e wetlands, minimum lot size, access to parcel, etc ). Before purchasing or developing
any parcel, contact the St Croix County Zoning Office and Town Board for advice
PREPARED FOR:
Jeremy Carufe!
3160 1801-h AVE
Glenwood City, WI
North is referenced t c the
North line of the Northeast
Quarter of Section 8-29-°5
which Dears S89'43'2Z."E
(Stlfof(2x County Gr,d System)
* WWWOT
s-16os
OLDIWOOD C"..*
LEGEND
0 Government Corner (as noted)
o... Set 1" x 18" Iron Pipe weighing a
minimum of 1 13 lbs per lineal foot
Set "PK'' Na;l
SCALE: 1" = 100'
p 100 200
Vol. 24 Page 5613
Sheer 1 or
Parcel #: 034-1017-10-025 oz/oz/zolz 03:00 PM
PAGE 1 OF 1
Alt. Parcel #: 08.29.15.113A 034 - TOWN OF SPRINGFIELD
ST. CROIX COUNTY, WISCONSIN
Current X
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units
n4/22/2009 00 0
Owner(s): O = Current Owner, C = Current Co -Owner
Tax Address:
0 - CROCKETT FARMS LLC
CROCKETT FARMS LLC
2443 MATILDA CIR
ROSEVILLE MN 55113
Districts: SC = School SP = Special
Property Address(es):
` = Primary
Type Dist # Description
' 2883 110TH AVE
SC 2198 SCH DIST GLENWOOD CITY
SP 1700 WITC
Legal Description: Acres:
0.000
Plat: N/A -NOT AVAILABLE
SEC 8 T29N R15W 40AC NE NE EXC PT TO CSM
Block/Condo Bldg:
Tract(s): (Sec-Twn-Rng
401/4 1601/4)
24-5613
08-29N-15W NE NE
Parcel History:
Notes:
Date Doc #
Vol/Page
Type
04/22/2009 893833
WD
08/24/2004 772515
2643/165
TI
06/10/1995 531048
1129/519
EZ-U
11/21/1994 523635
1103/295
WD
more...
2011 SUMMARY
Bill #:
Fair Market Value:
Assessed with:
131596
96,900
Last
Changed:
06/02/2010
Valuations:
Description
Class
Acres
Land
Improve
Total
State
Reason
RESIDENTIAL
G1
2.000
18,000
52,200
0
70,200
45,500
NO
NO
UNDEVELOPED
G5
34.990
45,500
�I
a
Totals for 2011:
General Property
36.990
63,500
52,200
115,7000
Woodland
0.000
0
Totals for 2010:
General Property
36.990
63,500
52,200
115,7000
Woodland
0.000
0
Lottery Credit:
Claim Count:
0
Certification Date:
Batch #:
Specials:
User Special Code
Category
Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
Parcel #: 034-1017-10-100
02/02/2012 03:00 PM
PAGE 1 OF 1
Alt. Parcel #: 08.29.15.113B 034 - TOWN UI- SNKINhrItLU
ST. CROIX COUNTY, WISCONSIN
Current X
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units
n4/97/?nn9 00 0
Owner(s): 0 = Current Owner, C = Current Co -Owner
Tax Address:
0 - CARUFEL, JEREMY L
JEREMY L CARUFEL
3160 180TH AVE
GLENWOOD CITY WI 54013
Districts: SC = School SP = Special
Property Address(es):
' = Primary
Type Dist # Description
` 2885 110TH AVE
SC 2198 SCH DIST GLENWOOD CITY
SIP 1700 WITC
Legal Description: Acres:
3.010
Plat: 5613-CSM 24-5613
034-2009
SEC 8 T29N R15W PT NE NE CSM 24-5613 LOT
Block/Condo Bldg: LOT 01
Tract(s): (Sec-Twn-Rng
401/4 1601/4)
1 (3.01 AC)
08-29N-15W NE NE
Parcel History:
Notes:
Date Doc #
Vol/Page
Type
04/22/2009 893834
WD
04/22/2009 893833
WD
04/01/2009 892202
24/5613
CSM
04/01/2009 892201
AGREE
more...
2011 SUMMARY Bill #:
Fair Market Value:
Assessed with:
131597
174,000
Last Changed:
05/10/2011
Valuations:
Description Class
Acres
Land
Improve
Total State
Reason
RESIDENTIAL G1
3.010
23,100
184,800
207,900 NO
02
Totals for 2011:
General Property
3.010
23,100
184,800
207,9000
Woodland
0.000
0
Totals for 2010:
General Property
3.010
23,100
73,900
97,0000
Woodland
0.000
0
Lottery Credit: Claim Count:
0
Certification Date:
Batch #:
Specials:
User Special Code
Category
Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
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NOTES:
1. Elevations shown are existing ground elevations unless otherwise noted.
2. Install permanent markers at end of each lateral. required)
3. Install 4" observation pipes with approved caps. ( 2 required)
4. Septic tank to be \2o O gallon capacity manufactured by
t-\\OWtsT�eTQ PNZ- } �n,c Puna -% QE "�ow�nTcyw. \uuo GPM. -m
5. Bench Mark 5 )1180uE _ _ ---
6. Divert surface water around mound to prevent _ponding at the uphill side.
PR6E 3 or 7
9S' or- 4`puC
Y'1'P�wl-fTt 1l.) MtuV, L\2� Coves
�r�sttcLL eLetv�puTS
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Hsu oc 4"PVC
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pRpTCcT�pU \F S*�p�J
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