HomeMy WebLinkAbout538891 034-1088-80-100St. Croix County Planning and Zoning Monday, October 01, 2012 at 9:13:48 AM
Detail Sanitary Information Page I of I
Computer #:
034-1088-80-100
Sub/Plat: Village of Hersey Plat
Section: 28
Parcel #:
28.29.15.571A10
Lot: 1,2,3Blk24
TN/RNG: T29N R15W
Municipality:
Springfield, Town of
CSM:
1/4 114: SW 1/4 SW 1/4
Owner:
Kringle, George & Mary 2930 Hwy 12 Wilson, WI 54027
State Permit:
538891 Issued:
11/21/2011 POWTS Dispersal: Holding Tank
Permit: Replacement
County Permit:
0 Installed:
06/13/2012 POWTS Detail: NA
Bedrooms: 2 WI Fund:
POWTS Pretreatment: NA
Notes
Issuer/Inspector
As Built
Plumber
Other Requirements
Additional Notes Money Owed
Pam Quinn
>4/1/00 - Not Required
Mittlestadt, Tim
copy of recorded holding tank affidavit to be
old septic tank & drywell shown on soil report must $0.00
Ryan Yarrington
Signed Off: Yes
on file - owner will come in for WI Fund
be abandoned; holding tank service contract
application assistance
submitted with application. May qualify for WI
Fund grant in 2013?
Maintenance
Scheduled Pump
Date Pumped
6/13/2015
Owner: Tangen, Tom B. 2930 Hwy 12 Wilson, WI 54027
State Permit: Issued: 01/01/1970
POWTS Dispersal:
Non -Pressurized In -ground Permit: New
County Permit: 0 Installed: 01/01/1970
POWTS Detail:
Seepage Pit Bedrooms: 0
WI Fund:
POWTS Pretreatment:
NA
Notes
Issuer/Inspector
As Built
Plumber
Other Requirements
Additional Notes Money Owed
Not determined
NA
Unknown
East 45' of lots 1, 2, 3 in Block 24 & W 1/2 of $0.00
Not determined
Signed Off: No
abandoned Adams Street per land Contract in
1988 between Vern Harshman to Tom Tangen;
1994 water & septic report only. See 2011 permit
for holding tank - vacant lot to the west, septic
tank & old drywell shown on soil report indicating
A+0" conditions on the property. Neighboring
properties at #2932 & 2938 also have holding
tanks.
Maintenance
Scheduled Pump
Date Pumped
11 /1 /2009
10/6/2010
10/6/2013
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM
Safety and Building Division
INSPECTION REPORT
GENERAL INFORMATION (ATTACH TO PERMIT)
Personal information you provide may be used for secondary purposes [Privac Law, s.15.04 (1)(m)].
Permit Holder's Name: City Village X Township
Krin le, George & Mary I Springfield, Town of
CST BM Elev: Insp. BMxxElle�ev: BM Description:1 1
^'"\ 1
TANK INFORMATION ELEVATION DATA
TYPE
MANUFACTURER,(,.,_ _5
CAPACITY
d
Dosing
SpT
Aeration
d�ivP.t Q wr
Holding
TANK SETBACK INFORMATION
TANK TO
P/L
Lj2 5
WELL
BLDG.
Vent to Air Intake
ROAD
Septic
/
,7i
/g y
/ 3
Dosing
Aeration
'
Holding
-- —'
PUMP/SIPHON INFORMATION
Manufacturer Demand
GPM
Model Number
TDH Lift Fr ction Loss System Head JTDH Ft
Forcemain Length Dia. Dist. to Well
SOIL ABSORPTION SYSTEM
County: St. Croix
Sanitary Permit No:
538891 0
State Plan ID No:
Lit al
Parcel Tax No:
034-1088- 0-100
Section/Town/Range/Map No:
28.29.15.571Al0
STATION
BS
HI I
FS
ELEV.
nchmark
QC'. _
.z, �5
IN-6
ram,
Alt. BM
Bldg. Sewer
✓� g�
-762 7
St/Ht Inlet
- 7
G ✓ '/C
J 7J
St/Ht Outlet
Dt Inlet
Dt Bottom
Header/Man.
Dist. Pipe
Bot. System
Final Grade
St Cover
PIT DIMENSIONS
No. Of Pits
Inside Dia.
Liquid Depth
BED/TRENCH
Width
Length
No. Of Trenches
DIMENSIONS
SETBACK
SYSTEM TO
P/L
SLD(f`-
WELL
LAKE/STREAM
LEACHING
Manufacturer:
INFORMATION
CHAMBER OR
Type Of System:
Model Number:
UNIT
IIICT01QI ITInM cVCTFM
Header/Manifold
Distribution
x Hole Size
x Hole Spacing Vent to Air Intake
Pipe(s)
Length Dia
Length. Dia Spacing
cr111 C(11/1:R O ,l.. vv Mind Or At-rrada Svatems only
Depth Over
Depth Over
xx Depth of
xx Mulched
Bed/Trench Center
BedfTrench Edges
TeeSded/Sodded
Topsoil
r-- Yes J No
_Yes No
COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / / Inspection #2: /
Location: 2930 Hwy 12 Wilson, WI 54027 (SW 1/4 SW 1/4 28 T29N R15W) Village of Hersey Plat Lot 1,2,313Ik24 Pari.1 No: 28.29.15.571A10
1.) Alt BM Description = �� 5 tj7,^,—, G��G �0 ✓n` ems)
2.) Bldg sewer length = V SoOSaQ -6tk Q, fPe�
- amount of cover = // n 4- F'I lecl 1 r
> � Z �6
Plan revision Required? ❑Yes ,{' No --
Use other side for additional information.
Date I/ctor'sture Cert. No.
SBD-6710 (R.3/97)
to �o k" "I
Safety and Buildings Division
County
201 W. Washington Ave., P.O. Box 7162
St. Croix
, scon 1
Madison, WI 537 7 - 7162
Sanitary Permit Number (to be filled in by Co.)
(608' -3
Departme t of C m
�!"Iit-
Sta 1. IJ � App 1ic
State Plan I.D. Numb
J
In accor with is. Adm. Code, personal information you provide
,
Project Address (if different than}
a?or secondary purposes Privacy Law, sI5.04(1)(m)
-mailing address)
30 /-t _" + `,
I. Application Information - Please Print All Information
Property Owner's Name
Parcel # Lot lock #
Geor e& Mary Krin le n
E qS 10Z 3 2-
iq
Property Owner's Mailing Address
7i C4A ZJ 2444 S4
Property Location i'( " J
PO Box 41, 2930 H -29- y1gt
_'/� SW'/,, Section 28
City, State
Zip Code U Phone
Number
Wilson, WI
54027 715/772-3326
J
T 29 N; R 15 W
H. Type of Building (check all that apply)
Subdivision Napte CSM Number
X 1 or 2 Family Dwelling - Number of Bedrooms two
Public/Commercial - Describe Use
/t vl A
❑ State Owned - Describe Use
(]City_ Village XTownship of
Springfield
III. Type of Permit: (Check only one boa on line A. Complete line B if applicable)
A.
New System
X Replacement System p Y
❑ Treatment/Holding Tank Replacement Only
El Other Modification to Existing System
B.
El Permit Renewal
El Permit Revision
Change of
Permit Transfer to New
List Previous Permit Number and Date Issued
Before Expiration
Plumber
Owner
,
IV. Type
of POWTS System: Check all that apply)
Non -Pressurized In -Ground Mound > Mound < 24 in. of suitable soil At -Grade Single Pass Sand Filter
Constructed Wetland Pressurized in-Gro X Holding Tan�keat Filter Aerobic Treatment Unit Recirculating Sand Filter
RecirculatingSynthetic Media Filter Leachin in, Gravel -less Pie Other (explain)
V. Dispersal/Treatment Area Information:
Design Flow (gpd)
150
Design Soil ljcation Rate(gpdsf)
Dispersal Area Rgquired (sf)
Dispersal Are Proposed (sf)
System Elevation
A
k
VI. Tank Info
Capa ty in
Total
Number
Manufacturer
Prefab
Site
Steel
Fiber
Plastic
Gallons
Gallons
of Units
Concrete
Constructed
Glass
New
Existing
Tanks
Tanks
Septic or Holding Tank
3000
3000
1
Wieser Concrete
X
Aerobic Treatment Unit
Dosing chamber
VII. Responsibility Statement- 1, the under ed, assume responsibility for installation of the POWTS shown on the attached plans.
Plumber's Name (Print)
Plum er's Signature
MP/MPRS Number
Business Phone Number
Tim Mittlestadt
MPRS 227548
715/235-4634
Plumber's Address (Street, City, S e, Code)
2819 Knapp Street, Menomonie, WI 54751
VII . County/De artment Use Only
A roved
pp
n
❑Dis roved
Sanitary Permit Fee (includes Groundwater
Surcharge Fee)
Date I d
Is mg Age t Si r tamps)
ElOwnerer Given Reason for Denial
IX. Conditions of Approval/Reasons for Disapproval
�'-c�7✓�.�i�ib% � -� -E�e�i�r,'s L rnlG�ri�irc�rz� QG�
,tG' �� �%a--��/�¢-
� � Attach complete plans (to the County only) for the syst m on paper not less t /2 x I inches in size
j
IJ14-
Scale: 1: 30
LEGEND
i I1\1: i oo.o lop ()i
X — boring
® - grade elevations
No Comm 83 set back
problems
Scale I" — 30' except
where indicated
System Elev. 96.2'
HOLDING TANK SITE PLAN
Project: KRINGLE
Legal Description: SW,S28T29N/R15W
Subdivision Name: N.A.
Lot No.: N.A
oQ �
T`i
4' sue,'. -,@houses
�Q
S I
I
I
-�e
I �
ransaction I.D.:
Page 3 of 7
St. Croix County Planning and Zoning Tuesday, November22,2011 at8:20:13AM
Detail Sanitary Information Page 1 of I
Computer #:
034-1088-80-100
Sub/Plat: Village of Hersey Plat
Section: 28
Parcel #:
28.29.15.571A10
Lot: 1,2,3Blk24
TN/RNG: T29N R15W
Municipality:
Springfield, Town of
CSM:
114 1/4: SW 1/4 SW 1/4
Owner:
Kringle, George & Mary 2930 Hwy 12 Wilson, WI 54027
State Permit:
538891 Issued:
11/21/2011 POWTS Dispersal: Holding Tank
Permit: Replacement
County Permit:
0 Installed:
POWTS Detail: NA
Bedrooms: 2 WI Fund:
POWTS Pretreatment: NA
Notes
Issuer/Inspector As Built Plumber Other Requirements Additional Notes Money Owed
Pam Quinn >4/1/00 - Not Required Mittlestadt, Tim copy of recorded holding tank affidavit to be old septic tank & drywell shown on soil report must $0.00
Not determined Signed Off: No on file be abandoned; holding tank service contract
submitted with application
Owner: Tangen, Tom B. 2930 Hwy 12 Wilson, WI 54027
State Permit: Issued: 01/01/1970 POWTS Dispersal: Non -Pressurized In -ground
County Permit: 0 Installed: 01/01/1970 POWTS Detail: Seepage Pit
POWTS Pretreatment: NA
Notes
Issuer/Inspector As Built Plumber
Not determined NA Unknown
Not determined Signed Off: No
Maintenance
Scheduled Pump Date Pumped
11 /1 /2009 10/6/2010
10/6/2013
Permit: New
Bedrooms: 0 WI Fund:
Other Requirements Additional Notes Money Owed
East 45' of lots 1, 2, 3 in Block 24 & W 1/2 of $0.00
abandoned Adams Street per land Contract in
1988 between Vern Harshman to Tom Tangen;
1994 water & septic report only. See 2011 permit
for holding tank - vacant lot to the west, septic tank
& old drywell shown on soil report indicating A+0"
conditions on the property. Neighboring properties
at #2932 & 2938 also have holding tanks.
CONCRETE HOLDING TANK DESIGN
Single Tank Option
INDEX AND TITLE SHEET
Project KRINGLE
Owner George & Mary Kringle
Address PO Box41, 2930 Hwy 12
Wilson, WI 54027-1416
Legal Description SW,S28T29N/Rl5W
Township Springfield County St. Croix
Subdivision Name N.A. Lot No. N.A.
Parcel ID Number 034-1088-80-100
Plan Transaction ID Number
Index and title sheet
Holding tank specifications
Site plan
Maintenance and contingency plan
Tank details
County Agreement
Pumping Aqreement
N4&C lMe� -. o, \ �-eO,
Signature
License Number /MPRS 227548
Version 2.0 (03/01)
Page 1
Page 2
Page 3
Page 4
Page 5
Page 6
Page 7
Phone No. 7151235-4634
Date 11 /08/11
Designed pursuant to:
Holding Tank Component Manual For POWTS
SBD-10571-P (R.6/99)
Page 1 of 7
HOLDING TANK SPECIFICATIONS
2 Number of bedrooms
Non-residential estimated flow (gpd)
2000.0 Minimum holding tank volume required (gal)
3000.0 Proposed holding tank capacity (gal)
Weiser Concrete Tank Manufacturer
WLP3000 Tank model number
S. J. Electro Alarm manufacturer
S-J1 Alarm mode, number
Tank Dimensions and Data
X for round tank
48.0
Liquid depth below inlet invert (in)
8.0
Maximum depth of soil cover (ft)
60.0
Height (in)
Outside
186.0
Length (in)
Dimensions
102.0
Width (in)
Only
Tank Anchor Calculations
13013
Ibs
Weight of tank and cover
Safety factor
-13013 Ilbs
Weight of anchor required
-10.3
in
Soil cover req. for anchor or
-3.2
y&
Concrete counter weight
HOLDING TANK CROSS SECTION
manhole cover with
locking device and finished vent cap
junction I----- warning label grade
box ----> -
- 4" min. �, 12" min.
�- 24 in.
conduit ----> Manhole and vent locations
vent pipe
- FA 1 18" min.
LD service
blind plug alarm on
to seal
outlet
Electrical as per
NEC 300
and Comm 16
3 in. bedding under tank.
Project: KRINGLE
Transaction Number:
12.0 in.
36.0 in.
Note: All tank joints, and
joints between tank
openings and piping are
sealed watertight. All
pipe and vent materials
comply with Comm 84.
Tank is anchored as necessary to negate buoyancy.
building sewer
inlet
Page 2 of 7
164"
TOP VIEW
SIDE VIEW
_3
OUTLET
7
io
a
WLP3000
TANK SPECIFICATIONS
DIMENSIONS:
WALL: 3"
BOTTOM: SEPTIC 3"
HEAVY DUTY 5"
COVER: 6"
MANHOLE: 24" I.D. PRECAST CONCRETE RISER
HEIGHT: 60 3/4" O.D.
LENGTH: 184" O.D.
WIDTH: 102" O.D.
BELOW INLET: 48" O.D.
LIQUID LEVEL: 43"
WEIGHT: 3" BOTTOM 13,013 LBS.
WEIGHT: 5" BOTTOM 15,980 LBS.
WEIGHT: COVER 9,300 LBS.
INLET AND OUTLET:
4" CAST -A -SEAL BOOT OR EQUAL
GASKET, CAST -A -SEAL BOOT OR EQUAL
INLET AND OUTLET BAFFLE AND FILTER:
WISCONSIN, SEE DETAIL #10
(OTHER STATES SEE CHART)
LIQUID CAPACITY: 69.77 GAL/IN
LOADING DESIGN: 8' 0" UNSATURATED SOIL
HOLDING TANK:
OUTLET HOLE PLUGGED
ACTUAL CAPACITY: 3,329 GALLONS
MN TANKS:
WILL HAVE ONE VENT OVER OUTLET
AND WILL HAVE TWO VENTS IN COVER OVER INLET
TANK CAN BE USED AS:
SEPTIC/ HOLDING/ PUMP OR SIPHON
CUSTOMIZED TANKS:
TANKS CAN BE CUSTOMIZED CONTACT WIESER CONCRETE
TANKS ARE MANUFACTURED TO MEET OR EXCEED ASTM C-1227 REQUIREMENTS
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SHEET NO. X!
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OF
HOLDING 'SANK MANAGEMENT PLAN
This Private Onsite Wastewater Treatment System (POWTS) has been designed, and is to be installed and
maintained according to Comm 83, Wis. Admin. Code, the Holding Tank Component Manual (SBD-10571-P
6/11/1999), and the St. Croix County Sanitary Ordinance.
1. This POWTS is designed to accommodate an estimated domestic wastewater flow of 600.0 gpd.
2. The owner of this POWTS is responsible for system operation and maintenance, including all provisions in
the attached Holding Tank Servicing Contract and Maintenance Agreements.
3. Each time the wastewater in the tank reaches 90% of the tank(s) capacity or a level of 12" below the inlet
(at which time the alarm will activate), the pumper listed in the current Servicing Contract must be called to
empty the tank(s contents and dispose of them in accordance with NR 113, Wis. Adm. Code.
4. At each service event, the service provider should visually inspect the condition of the tank, risers and
manhole cover(s) and verify that the alarm system functions and manhole locking devices are present.
Discrepancies are reported to the owner in a timely manner for corrective action. All corrective actions
shall comply with the county sanitary ordinance and Comm 83 and 84 Wis. Adm. Code.
5. All service events or inspections of this POWTS shall be reported to the county within 10 business days.
6. The owner may not remove any of the wastes from the holding tank(s), or cause such wastes to be
removed by any person not authorized to do so under Ch. 281, Wis. Statutes. The discharge of wastes
tank to the ground surface, including intentional discharges and discharges caused by neglect, constitutes
a failing POWTS and may result in issuance of correction orders or a citation by the county or state.
7. No one should enter a holding tank for any reason without being in full compliance with OSHA standards
for entering a confined space. The atmosphere within these tanks may contain lethal gases, and rescue
of a person from the interior of the tank may be difficult or impossible.
8. In the event that this POWTS fails and cannot be repaired, a code compliant replacement holding tank
may be installed in the same location (a new sanitary permit is required for such a replacement). Con-
nection to municipal services would also be considered at this time if they are deemed available to the
property.
9. If this POWTS is replaced, or its use discontinued, components no longer in use it shall be abandoned in
accordance with Comm 83.33 Wis. Adm. Code.
10. If there is a problem with, or question about this installation, the following persons should be contacted:
a. Installer ............................. Tim Mittlestadt Phone: 715/235-4634
b. Service Provider .................. Tim Mittlestadt Phone: 715/418-1705
c. Co. Zoning or Health Dept. St. Croix Zoning Phone: 715/386-4680
11
Project: KRINGLE
Transaction Number:
Page 4 of 7
Oct-27-2011 12:23 PM St. Croix County Plan/Zoning 715-386.4686
SEPTIC or HOLDING TANK SERVICING CONTRACT
This contract is made between the
Tank Owners) Name(s) and Pumper's Name
We acknowlddge the Installatl of (a) septWholding tank(a) on the following property:
1. The owner agrees to file a copy of this contract with the local governmental unit (St. Croix County
Planning & Zoning Department) to document maintenance by a certified septage servicing operator as
required in Comm 83.52(1)(c)2. Wig, Adm. Code and the approved Component Manual,
2. The owner agrees to have thesaptic/holding tank(s) serviced by the undersigned pumper and guarantees to
permit the pumper to have access and to enter upon the property for the purpose of servicing the
septic/holding tank(s). The owner agrees to maintain the access road or drive so that the pumper can
service the septic/holding tank(s) with the pumping equipment. The owner further agrees to pay the
pumper for all charges incurred in servicing the septic/holding tank(s) as mutually agreed upon by the
owner and pumper.
3. The pumper agrees to submit to the local governmental unit (St. Croix County) a report for the servicing of
the.espsie/holding tank(&) on a montlily basis. The pumper further agrees to include the following in the
monthly report:
a. The name and address of the person responsible for servicing the septic/holding tank;
b. The name of the owner of the septic/holdine tank;
c. The location of the property on which the septic/holding tank is installed;
d. The sanitary permit number issued for the septic/holding tank (if known);
e. The dates on which the septic/holding tank was serviced;
f. The volume in gallons of the contents pumped from the septic/holding tank for each servicing;
g. The disposal sites to which the contents from the septio/holding tank were delivered.
4. This agreement will remain in effect until the owner or pumper terminates this contract. In the event of a
change in this contract, the owner agrees to file a copy of any changes to this service contractor a copy of it
new service contract with the local governmental unit named above within ten (10) business days from the
date of change to this service contract.
Owner(s) Nam!! )e(s) (Print) Owner's Signature(s) Sub scrl on this date:
` L-
orst•oda s Date
Pumper's Name (Print) P per's Signature Notary
Pumpers Registration NurNW Commission Expiration
RECEIV L
Wisconsin Department of Co merce
Division of Safety and Buildings
t' in actordance with
Attach complete it ttef�sjthan;; lax 11
include, butrtrte`l��
percent
L EVALUATION REPORT
nm 85, Wis. Adm. Gifile, am
as in size. Plan mu
t (BM), direction and
�t1el .,
xi distance to nearest ro d
Page `,- of c' -
Please print all information. Riewed b Date
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)).
Property Owner Property Location
r y- nQ I e. Govt Lot 1/4 U 1/4 S Z$ T Zq N R 15 E (or) W
Property OwneP4 Mailing Address Lot # Block # Subd. Name or CSM#
�p'6c Y, 4 I. 29 3c-) It taw i 2 2 Z
City State1 Zip Code Phone Nu El City ❑ Village Town Nearest Roadr,
O isc t1 r1 2 — 3 2 (c I ti\i Ll
❑ New Construction use: Residential / Number of bedrooms ell— Code derived design flow rate 3 CU GPD
/
Replacement ❑ Public or commercial - Describe: _ IQ is
Parent material / V C s s S
Flood Plain elevation if applicable rU' Q - ft.
General comments _
and recommendations: �� cc /Yt/� e�2 c, 1Loldl'nc, �QrJ/( -3(XX)
Boring wC 14 td :�-►to--l7
Boring# PCs} hole-�d�
❑ Pit Ground surface elev. ft. Depth to limiting factor - in.
Horizon
Depth
in.
Dominant Color
Munsell
Redox Description
Qu. Sz. Cont. Color
Texture
Structure
Gr. Sz. Sh.
Consistence
Boundary
Roots
Soil Application Rate
GPD/ft
•Eff#1
•Eff#2
_ R
10 4'
`' t
Ilk
mar
lC
V-
-,�
4/4
m2a-1.S'gR Yo
LA
(�
a' vrlc
Y + l
Boring # U Boring
❑ Pit Ground surface elev, ft. Depth to limltinq factor in.
Horizon
Depth
in.
Dominant Color
Munsell
Redox Description
Qu. Sz. Cont. Color
Texture
Structure
Gr. Sz. Sh.
Consistence
Boundary
Roots
oon i4ppocation rate
GPD/ft
•Eff#1
•Eff#2
vu c�u a11u 1 JJ 13V � -I DV mg/L ' tMuent #2 = BOD < 30 mg/L and TSS 5 30 mg&
CST Name (Please Print) ignature CST Number
Ms. Loretta Larrabee c? CSTM224580
Address ate Evaluation Conducted Telephone Number
N2089 Cty. Trk,Y, Menomonie, W154751 715/664-8184
Property Owner _
FBoring # ❑ Boring
f ❑ Pit Ground surface elev
.i
Parcel ID #
ft.
Page of
Depth to limiting factor in.
Cnil Annlirahinn Rata
Horizon
Depth
in.
Dominant Color
Munsell
Redox Description
Qu. Sz. Cont. Color
Texture
Structure
Gr. Sz. Sh.
Consistence
Boundary
Roots
GPD/fF
'Eff#1
'Eff#2
1-1 Boring #Boring
� ❑pit Ground surfaceelev. ft. Depth to limiting factor In. Gam;( p„,v�raHnn Rate
Horizon
Depth
in.
Dominant Color
Munsell
Redox Description
Qu. Sz. Cont. Color
Texture
Structure
Gr. Sz. Sh.
Consistence
Boundary
Roots
GPD/ff
'Eff#1
I 'Eff#2
Boring
Boring # Ground surface elev. ft. Depth to limiting factor in.
F-1
El pit Sal Application Rate
Horizon
Depth
in.
Dominant Color
Munsell
Redox Description
Qu. Sz. Cont. Color
Texture
Structure
Gr. Sz. Sh.
Consistence
Boundary
Roots
GPD/fF
'Eff#1
'Eff#2
Effluent #1 = BOD, > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD, < 30 mg/L and TSS < 30 mg/L
The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or
need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777.
SBD-8330 (R07/00)
Soil Evaluation Report
10, .0
''/4,S W'/4,S28T29N/R 15 W
Springfield township
St. Croix county
LEGEND
1 BM: 100.0 top of
doer sill
Y— boring
• - grade elevations
--contour
No Comm 83 set back
problems
Scale 1" — 30' except
where indicated
c
B.
,:,\ k
as er C
page 2 of 2
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--------------------------------------- i ---------------------------
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--------------------
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432E
Oct•27.2O11 12:23 PM Sl. Croix County Plan/Zoning 715.386.4686
St. Croix County
Holding Tank Agreement
fate Plan Transectlon Number -
c
tnq it,
Name —(O ter) Typed or rintad
Being duly sworn, atata, under oath, that:
" Illllllllllllnllllllllulll
946133
BETH PABST
REGISTER OF DEEDS
ST. CROIX CO., WI
RECEIVED FOR RECORD
11/22/2011 3:09 PM
EXEMPT #:
REC FEE: 30.00
1. He/she is the owner/part owner of the following parcel of land PAGES: 2
located in Sit Croix Cotraty, Wisconsin, recorded in Volume
Page 5 `1 Document Number(4A p�;.r $tZ— Croix County Register
of Deeds Office: "—T� Ravordft ass
A parcel of land located in the % of the 'A of Section Namj,and Rstum Address
24 T N--R 1_5 W,Town of mar lMf�� lfs�y�►41CY
St, Croix County, Wisconsin, being
In
duly'deacpCed as follows (include lot no. and subdivision/CSM or 5Y 7 J/
detailed legal description): t S'r , O 2A 7
3 • /U , O -lee'
Parcel Y 3 Na — L� QJc—i utr�' (dentlfkxMon Number (PIN)
Aareament thste; 1
Wa ecknawdsdgs stet eppliand m IS being mads for the Insteiadon of (e) holding bnk(s) on the above described pr'aperty or that congnued use of the
bxy'1Ag W mieas roqulres that a holding fork; be Installed an the property for the purpose of proper containment of sewage. A oo, a municipal sewer
cannot now Sara the property, or any other type of private canna wastewater treatment system at permitted under Comm $3. WIS, Admire. Code, or
¢ Ch.145, Wis. stab.
' Az an Inducement to the county to [nun a sanitary permit for the obove4asa16ad properly, we agree to do the following:
1. owner egress to conform to all applicable requlremanM of Comm 03. Wta. Adm. Code rotating to holding Wdm. If the owner fees to have the
holding tank property servloed In response to orders Issued by the governmental unit or the Depertmom of Commerce to prevent or abate a
human health hazard as described 0 a. 25459, Meta, the govemmanbl urtp (Town) may order, upon the property and service the tank or
cause to have the tank to be serviced and charge the owner by placing the charges on the tax bN as a special sasessment for current services
rendered. The charges w41 be assessed a presorfbed by a. W.0703, Stab.
1 The owner sgrses, pursuant to Comm 63.54(2) and Comm e2.40(3xe), Wig. Aden, Coda, to have a water meter hi tsead In the structure. The
water meter Shea be hotskad by a plumber sulhorizod by to Department of Commerce to make such Insralledare, wfth sold Installation
complying with Stab regulatons and manufacturers specfigtlons. The owner agrees to be Orrncialy nsponA4 for the purchase,
Installation, maintenance, end repair of the water mar, and egroea to allow to governmental unit or We Department of Comtrww to ster
the obove-described property an a regular bole to read and/or inspect On wales meter.
3. Owner agrees to pay all charges and costs Incurred by the governmental unl or County for Inspection, pumping, houeng, or otterwiss ewAclrcg
and makhtaining the holding tank In such a manrW so to prevent or abate any Wman health hazard caused by the holding tank. The
governmental unk shah notify the owner of any costs that shop be paid by the owner WhNin thirty (M) days hem the date of notes, In the event
the owner does not pay the coafa w11Wn thirty (30) der, the cater Specifically agrees that NI the oosb and ehargss may be placed on the tart
rot es a +pedal aasessmnl for the obatomwA of a human health hazard, and the tax Shalt to collected as provided bylaw.
4. The owner agrees to eontroot with a person who Is pcer»ed under Ch. NR 113, WIS. Adm. Code, to have the holding tank serviced and l0 5k
a copy of Ze contract with the governmental unit The owner further agree b) fie a copy of any Changes to the seMce =track or a copy or
a now service cohirect, with the governmental unit within tan (10) business days from the dais of change to the aevias owK=L
5. The owner agrees to contract wth a person licensed under Ch. NR 113, MS. Adm. Code, who shop submit to the county on a semiortrxW
basis s report deted(ng the servicing of the holding tank. The governmental unk or county may enter upon the property to kweeagala the
condition of the holding tank when pumping reports and motor rndings may Indicate that the holdng rank Is not being property nvdMatned.
S. This agresnhnt will remain In effect aVy uatp to county Am ro"Ible for to mgu4 tan of palate onslte wastewater treatment Systems
eeAdlow that either a munielpal sewer or a private onelta wastewater traatrihek syNam that compiles wo h Comm 83, WIS. Adm. Code serves
1M property. In addtton, Via agnatterd may be canceled by e(sautkng and recording sand cwncmion with nett rsnos to this agreement in
such manner witch %G permit the aftionco of the esrmkaton to be datam trod by reference to the property.
7. This agreement shag be binding upon the owner, the hnks of the owner, and saslpnea of the owner. The owner shop submit this agreement
to the register of deeds, and the agreement shall be recorded by the register of deeds in a manner that MII penmN the existence of the
agreemmnt to be determined by reference to the property where the holding tank IS InsbNed,
wiel rvamete) - r+oae rnm Subscribed and swum to before me on this date: PETTA
razed =tu"
(.) Notary PPubnoj-
(�r
tnsMalUn&VIliclolName,Ties- Pleases VYCommisolonExplres
131LZ- RE14ScIq ) a _ 2 v .12
nit 1gnwre rot ;
�0�>1 L h7erc rah nc `�-� r.R%t
arsons imation you pro a may be used for sewn ary purpw dvsay Law e, 15.04(1)irn))
'711116 PACE IS PART OF THIS LEGAL DOCUMaNT— DO NOT RWOVE"
This Information must be corn*W by subml(ter; f uman M oaf ¢ rafum addnSsa. and Qj� (T/fequA ed), Other fnRy INFUM such as the
Q dsusu, Meal dacrfpfbcite Br
n, eta. may be placed on et pope oythe dowmnrd oreney be placed on addlUvW pages of the document.
1 aN b. Uafl Gf Ws must neon edda one Cana re vnur inrynnwnr .nA s9 ran rn n.. .A tax.. rend a.. ce ..�
Oct-27.2011 12'23 PM St. Croix County Plan/Zoning 715-386.4686
St. Croix County
Holding Tank Agreement
fate Plan Transaction Number -
Coc-)r2e- k6nta iP
Name — (Ow -her) Typed or 'nttid
Being duly twom, stator, uador oath, that
1. He/she i8 the owner/part owner of the following parcel of land
located in sttroix County, Wisconsin, recorded in Volume /
Page 5 7 Document Number/,, per;-} St. Croix County 1 gister
"`T/ z—
of Deeds Office:
Aura
A parcel of land located in the f % of the.W '/4 of Section
-R&COMW
We " and Return Addreaa
28 T N — R 1-93 W, Town of
a �rn
St. Croix County, Wisconsin, being
duly'deacnEed to follows (include lot no. and subdivision/CS?d or
3 - laW-
detailed legal description): * 1c13 O sir, N ,y 2-4
3 ` < e
Paremil identification Number (PI
Aonemr+t t>a!s tl �l l cn
2/Z II III
946133
BETH PABST
REGISTER OF DEEDS
ST. CROIX CO., WI
RECEIVED FOR RECORD
11/22/2011 3:09 PM
EXEMPT #:
REC FEE: 30.00
PAGES: 2
Ws ecknowladpe that rpplkrtlon k being made for the Installation of (a) holding tonic(s) (s) on tits above d*Wbed prop" or that continued use of the
0x<h p premieae requtrsa that a holding tarot be khetaUed an ma property for the purpose of proper conlalnment of sewage. Also, a municipal oswer
onnot now serve the property, or"other type of private onslb wastewater treatment "in sot permltted under Comm 83, Wts. Admin. Code, or
g Ch. 146, Wiz. state.
As an Inducement to the county to issue a ssrltary ponro( for the obovs-desatbad pnoparty, we agree to do the folbwing:
1. owner egress to conform to 0 applicable reQuhemonta of Comm sot, ML Adm. Coda releang to holding hN . If the owner has lohew the
lidding tank property sarvlced In response to orders Issuad by the gowmmelital unit or the Deportment of Commerce to prevent or abate a
human health hazard as desenbod in d. 25459, ststs, the governmental unit (Town) may enter upon to property end gomlw the tank or
cause to have the tank to be serviced end dhergo the owner by ploaing the olherges on the tax bit as a special assasament (orcur ent services
rendered, The charges we be &&sassed as presortbad by a. OLOl03, auto.
1 The owner &gran, pursuant io Comm e3.S4(2) and Comm e2AO(3xe), Wts. Adm. Coda, to have a water motor knetaeod In the struolure, The
wsw motor ahati be kneeled by a plumber authorized by the Ooportmant of Commerce 10 make such Installations. with said Instatlstlon
complying with state nptAations and manufacturers specfipbons. The owner ogress to be nnsnelally rasponsible for the purchaea,
tnetattabon. maintenance, and repair of the water motor, and so to allow the governmental unit or the Depattmant of Commerce to enter
ter above-descrtbod property on a regular baale to read and/or inspect to watr motor.
3. Owner egress la pay all charges and coda Incurred by the governmental unit or county for inspection, pumping, routing, or oftrMse servicng
and maintaining the holding tank In such a marwnr ore to prevent or abate any human health hazard caused by the holding tank. The
govsmmmlai unit shol nary the owner of any costs that shall be paid by the owner wehin thkty (3D) days fmm the date of note*. In the event
Me owner does not pay the coat wthrl thirty 130) days. Wes owner speekkally apron that stl the costa and charges may be p*W m the Nor
roll as s special oases~ for the obatomwA of a human heath hazard, and the tax shall be collected as provided by taw,
4. The owner &gross to conboot with a person who Is licensed under Ch. NR 11:1, Wits, Adm. Code, to have tho holding lank aervkod and to file
& copy of cite contract with the governments! unit. Ths owner further &grans to fie a copy of any changes to Me service contract, or a copy of
a new service Contract, with the governmental unit within tan (10) business days from the dole of change to the service contract.
5. The owner agrees to contract with a person licensed under Ch. NR 113. Me. Adm. Coco, who shoe subrhdt to the county on a sem)emx,sl
bask a report deta3tng tie servicing of the holding tank The governmental unit or county may enter upon the property to kwesttgste the
canddlon of she Wiling tank when pumping reports end motor readings may kegoata that the holding tank to not being property mahhtalned.
e, This sgeam" will ramabh In effect city until to county office nspDrabs fop tie regulaWn of prW*w oneits wastewater ssatment syeams
comic that &other a mu*P&l w*w or a private hhrrita urwtawler h*Mnt syohnn that oompga with Carom a), WIa, Aden. Code serves
its property. In ehidfUM this eDrwrrtnt may be nnc0slmd{
ed by VACUUM orhd recng sold cortacagwit on h rerarhw this fato agreament in
ouch manor wAhtoh will permit tr wdsbnw of the wrmlcaton to be datorminedr try nerrenw to the property.
7. This agsomant shag be binding upon the owner, the hsks of the owner, and assignees of the owner. The owner shall submit this agreement
to the ngkter of deeds, and the agnarnont shall be rsoorded by the register of dooda In a manner that wW permit the existence of tha
agreement to be determined by reliance to the property whore the holding tam k lnsalied.
owner(s) Name(e) - Plawas
PrintSubscriber
and sworn to before -me on this dotat
—1
'L
PETTA
`f C) V Z0I \ �' N p T
Notuzed s
, e e
h"(s)
NotaryPutilo
GOVOrmental U
I Name, Ties- Passe
y Commissian Expires
ILC-
RER56C Y
l a Q- Z o 12-
Crafted by;
Uo-n L eta es -2 b
ersomm nmmuison you prowas msy oe used for secondary purposes LPnv&W Law s, 15,04(t)8f )l
"THIS PAGE 13 PART OF THIS LBGAL OOCUUlUiT— no HOT RUACIVE"
The Inkematlon must be complstod by eubmiftr; doo W t. p� soil .red � p/requ►ed). Other felhnamUm such es trio
grvnNng deusu, hgd d"cffptwt, sta may bo placed on bs first peg& of the d�utt or maybe placed on adiffliv ! pogo cr(he document
1 �t lx� _ilea or Wa ever none addA one hang rn wrur Anronnwnr vend sl ran m tn. ,w,"nm rm can... .4. arw,a.. go 417
2
f 5Y 75/
NO TICE OF VIOLATION
October 30, 2011
GEORGE & MARY KRINGLE
-•
P.O. BOX 41
WILSON, WI 54027
Code Administratt
RE: Failing POWTS at 2930 Hwy 12 Wilson, WI 54027
715-386-4680
Land Information &
Town of Springfield - St. Croix County, WI
Planning
Computer # 034-1088-80-100 Parcel #28.29.15.571A10
715-386-4674
To Whom It May Concern.
Real Property
715-386-4677
As required by the ST. CROIX COUNTY ZONING ORDINANCE, notice is hereby given that you are in
violation of § 254.59(2) Wisconsin Statutes, COMM 83.32(1) Wisconsin Administrative Code, and
x715-3
Article 12.1.F.4.d of the St. Croix County Zoning Ordinance. This Private Onsite Wastewater
Treatment System (POWTS) has failed
6-
715-386-4G75
under the definition in § 145.245(4)(b) Wisconsin Statutes
(Category 1). This violation was first noted on August 09, 2011.
�l
The violation has been documented as septic effluent discharging to zones of saturation. An on -site
a
inspection conducted October 27, 2011 verified that septic effluent was discharging to zones of
saturation based on soil evaluations. If
profile fines and or forfeitures become necessary to bring about
r
the abatement of this violation, they will be assessed from October 27, 2011 in accordance with
Chapter 145.12(4) Wisconsin Statutes.
THE FAILING POWTS ON THIS PROPERTY POSES IMMEDIATE HEALTH CONCERNS AND
NEEDS PROMPT ATTENTION!
REQUIRED ACTION: A sanitary permit must be issued through this office You have already
contracted with a certified soil tester (Loretta Larrabee) to have a soil evaluation conducted. The soil
evaluation determines the type of on -site wastewater treatment system necessary the required sizing,
and its location. You must then contract with a licensed plumber who will design the replacement
POWTS and apply for the sanitary permit. The POINTS must be replaced by December 15, 2012.
If you have any questions or concerns that I can address for you in this matter, please feel free to
contact me. Your cooperation in abating this violation is appreciated.
Since ely,
Ryan Y ing
Zonin echnician/POWTS Inspector
cc: file
ST. CRO/X COUNTY GOVERNMENT CENTER
PZ@CO. SAINT-CRO/X W/ US 1 101 CARMICHAEL ROAD, HUDSON, WI 54016 715-386-4686 FAX
WWW.CO.SAINT-CROIX.WI.US
St Croix County, WI
Legend
Block Number
Dimensions
Document
Easement
Forty ID
CSM
Lot
PIN Text
Parcel ID Rural
Parcel ID City and Village
Plat Name
Parcels
Towns
--' Sections
St Croix Cc
El Other Counties
Lakes and Rivers
Rivers and Streams
Interstates
US Highways
State Highways
County Highways
Local Roads
Ramps
Road Right of Way
Railroads
WROC 12 in (2010) (Color)
I
0 20 40 60ft
DISCLAIMER. This map is not guaranteed to be
accurate, correct, current, or complete and
conclusions drawn are theor the
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