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Wisconsin Departmelof Commerce PRIVATE SEWAGE SYSTEM County: St. Croix -Safety and &uildidig Division INSPECTION REPORT Sanitary Permit No 506296 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No 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 Parcel Tax No: Peterson, Craig Baldwin, Town of 0 U2 ! J0- CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No (OD I Z — ma C1 0229.16. TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic ` oa v I Benchmark 2 /0 / D Dosing / J ( �� � A lt, BM f , Aeration ( � Bldg. Sewer Holding St/Ht Inlet 16- 5 /. 9 �.3 8'3.(a 'TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L W5 1 BLDG. Vent to Air Intake ROAD Dt Inlet Septic Dt Bottom %00 07 . L z �Q Dosing � c3 � Header /Man. Aeration Dist. Pipe �'$ 2 3 Holding BA 0- q 7 �'`1> 1005 7 g � f/ _ PUMP /SIPHON INFORMATION Final Grade 1 � Manufacturer Demand St Cover r GPM Model Number 2 . / •� 1 TDH Lift Frictoss ysem He TDH Ft 2p.4 ' i L St • os 3 . '� 2&- 6 Forcemain fh h Dia Dist. t W 11 SOIL ABSORPTION SYSTEM BED /TRENCH Width . �� 11 Length O No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO BLDG WELL LAKE /STREAM ACHI Manufacturer: INFORMATION T S stem: CHA OR _ Yp �X - _ / Model Number DISTRIBUTION SYSTEM S _ I eader /ManIfo Distribution �� x Hole Size x Hole Spacing Vent to , it In aKe N /L Pipe(s), /2 s - / ly a� G . ength / Ia Length Dia Spacing '`� l _; , SOIL C VER x Pressure Systems Only xx Mound Or Al-Grade Systems Only Y" 5 "M 30 _ _ Depth Over Depth Over xx Depth of xx Se ded /Sodde x Mulched s Bed/Trench Center Bed /Trench Edges Topscil S Yes No Yes N COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:2 %0 /a Inspection #2: - LZ / Z' / 07 Location: 1170 260th Street Glenwood City, WI 54013 (SE 1/4 NE 114 2 T29N RI 6W) NA Lot 3 fit_ I Parcel No: 02.29.16. 1.) Alt BM Description = �p0 d� 2.) Bldg sewer length - amount of cover = "7 � �y i � �•P� _ i 0 ;� M WWn —I Plan revision Required? i��� Yes � 1 No Use other side for additional Information. �_I _ ��/t -✓�� (!/�_L — i Date Insepctor's Sig ature Cert. No. SBD -6710 (R.3/97) Safety and Buildings Division count Saint Croix 201 W. Washington AveC714 7162 8 *6consin Madison, WI 53 Sanitary Permit Number (to be filled in by Co.) p (608) 266 - 3 /„ Z LI De pa rtment of Commerce Y� State Plan I.D. Number Sanitary Permit Application 1 426805 In accord with Comm 83.21, Wis. Adm. Code, personal information you may be used for secondary purposes Privacy Law, s 15.04 Project Address (if different than mailing address) I. Application Information - PleasePrintAll Infor Property Owner's Name 1 Parcel # of # Block # Craig Peterson P��? G O 2- 3 2- !60 S _ Property Owner's Mailing Address S� GFZ Property Location n 1730 5 Ave SE ' /,, NE ' /., Section 2 City, State Zip Code Phone Numb 64 1 ( d�yt� T 29 N; R 16 W Baldwin, WI 54002 715 -505 -1465 II. Type of Building (check all that apply) X 1 or 2 Family Dwelling - Number of Bedrooms Subdivision Name / SM Number El Public /Commercial - Describe Use V' 1,? 5 b ❑ State Owned - Describe Use ❑City ❑ illage X Township of Baldwin III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A ' X New System ❑ Replacement System Y p y ❑ Treatment/Holding Tank Replacement Only 11 Other Modification to Existing System List Previous Permit Number and Date Issued B. 11 Permit Renewal El Permit Revision ❑ Change of El Permit Transfer to New t ' Before Expiration Plumber Owner /" r IV. Type of POWTS System: Check all that appl ❑ Non - Pressurized In- Ground ❑ Mound > 24 in. of suitable soil X Mound < 24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter ❑ C/7, O Constructed Wetland ❑ Pressurized In- Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter ❑ Leaching Chamber ❑ Drip Line Gravel -less Pipe ❑ Other (explain) 1 36 V. Dispersal/Treatment Area Information: aA e� oe AIPL s _S Ov"L Design Flow (gpd) Design Soi Application Rate(gpdsf) rspersal Area Required (so Dispers ea Proposed (sf) System Elevation aso 0.6 z 50 / 225D Y5° 72 yG. 9 99.5 �. VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank X 1 000 1 Skaw Pre -cast X Aerobic Treatment Unit .067V13 Dosing Chamber X 1642 1 1 1 Skaw Pre -cast VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plumber's Signature MP/MPRS Number Business Phone Number Tom Gustum 227618 715 -658 -1344 Plumber's Address (Street, City, State, Zip Code) N13450 937" Street, New Auburn WI 54757 VIII. Co Use Onl proved ❑ Disapproved Sanitary Permit Fee Qncludes Groundwater Datp Issued Is mg Agent ignature ps) Surcharge Fee) Z U D - ❑ Owner Given Reason for Denial IX. Conditions of Approval/Reasons for Disapproval SYSTEM OWNER: C.G"►t �, ��f?�m�nn f���� C�,.v 1 Septic tank, efflue#*Nter and dispersal cell mi,1IN;d4 be serviced I maintained as per management plan provided by plumber. 2. All setback requirements must be maintained D &L W as per applicable code /ordinances. Attach complete plans (to the County only) for the system on paper not less than 81 a 11 inc es in size —$ -- - - -- - -- T -- I 6 5 4 3 2 1 Plot Map I P/L P/L -- B1 �i � BI 2 B 1 100' O' ■ M3 %M4 P/L Proposed mound area 11 LEGEND O Slope 2.3% a ■ = Soil Borings With Backhoe M5 BM1= ELEV.100.0' -top of Road @ center Line- also HRP s �j BM2= ELEV.100.0' - Ground level at P/L stake- also HRP O `, M2 C SCALE: 1" = 40' I M CO,) 4r P/L ASTM D3034 or 2" Forcemain ____' S� Sch40 4" PVC pipe 1600 Combo Tank I _ -- -- •S' Imo proposed Insulate per Comm House 82.30(11)(C) j I I Proposed Well • I ' I � , \ . I LL Gustum Craig Peterson Ok \ Septic (715) 505 -1465 1730 5th Ave. $� \ Baldwin, VW, 54002 ' Town of Baldwin SE' /. of NE'% of Sec 2 T28NR16W —_ - 8 - -� 7 6 5 4 3 2 7 Safety and Buildings Ov PO 607 7162 commercemi. g MADISON WI 53707 -7162 TDD #: (608) 264 -8777 isconsin www.commerce.wi.govsb/ Department of Commerce www.vvisconsin.gov Jim Doyle, Governor Mary P. Burke, Secretary August 08, 2007 CUST ID No. 227618 ATTN. POWTS Inspector THOMAS GUSTUM ZONING OFFICE GUSTUM SEPTIC SERVICE ST CROIX COUNTY SPIA N13450 937TH ST 1101 CARMICHAEL RD NEW AUBURN WI 54757 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 08/08/2009 Identification Numbers Transaction ID No. 1426805 SITE• Site ID No. 728761 Craig Peterson - Dwelling Please refer to both identification numbers, 260TH St above, in all correspondence with the agency. Town of Baldwin, 54002 St Croix County SE1 /4, NE1 /4, S2, T29N, R16W FOR: Description: Mound Object Type: POWTS Component Manual Regulated Object ID No.: 1145798 Maintenance required; 450 GPD Flow rate; 7 in Soil minimum depth to limiting factor from original grade; System(s): Mound Component Manual - Version 2.0, SBD- 10691 -P (N.01 /O1), Pressure Distribution Component Manual - Version 2.0, SBD- 10706 -P (N.01 /01) The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plans and with the component manual(s) referenced above. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145,06, stats. P. Con The following conditions shall be met during construction or installation and prior to occupancy or use: A P ♦ The basis for this approval was provided by the soil saturation determination approval letter signed DE RT 1 by Leroy G. Jansky, Commerce Wastewater Specialist, dated June 11, 2007, with Transaction ID No. D)VIS 1405401. A copy of the approved plans, specifications and this letter shall be on -site during construction and open to SE E CORF 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. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. S THOMAS GUSTUM Page 2 8/8/2007 The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 P ter E Pagel Private Sewage , Integrated Services WiSMART code :, 7633 (608)266-2889, M - F, 0630 - 1500 Hrs pete.pagel@wisconsin.gov cc: Leroy G Jansky, POWTS Wastewater Specialist, (715) 726-2544, Friday, 7:00 A.M. To 3:30 P.M. Mound system "�' ��CEIVED Cover Page AUG 0 3 200 SAFETY & BUILDINGS Project Name: Craig Peterson 450 GPD Mound Owner's Name Craig Peterson Owners Address 1730 5th Ave Baldwin, WI. 54002 715- 505 -1465 Legal Description SE -1 /. NE �' '/ Secr 2� T 29 N, R 16 W Township Baldwin County Saint Croix Subdivision Lot# reel ID# Table of Contents pg. 1 Coverpage 1# 2 Mound Sizing Calculations 3 Pressure Distribution Layout and Dynamics 4 Dose Tank / Pump Curve /N �•�..� 5 Management and Contingency Plan 6 Plot Map tll S TS. total # of pages: 6 N� Tp Desig Le Gustum �'£T cense #: D12p N e ��OiN Date: 8/1/2007 ES p Ph. #: 715 - 658 -1344 A ND CE Signature: FM 44t� Mound System Design Methods Used per "Mound Component Manual For Private Onsite Wastewater Treatment Systems" (Version 2.0) SBD- 10691 -P (N.01/01) per " Pressure Distribution Component manual for Private Onsite Wastewater Treatment Systems" (Version 2.0) SBD- 10706 -P (N 01101) Spreadsheet provided by: 3bAdvisement N12486 220th St, Boyeeville, WI 54725 Ph: 715443 -6068 email: 3ba@3badvisement.com Mound System Page 2of 6 Mound Sizing Calculations Project Name: Craig Peterson 450 GPD Mound Site Conditions Design of Entire Fill Project Type: 1 or 2 Family Dwelling Cell depth at upslope edge (D): 30.0 in. % Slope: 2.3 1 Cell depth at downslope edge (E): 31.1 in. # of Bedrooms: 3 Distribution cell depth (F): 9.5 in. Depth to limiting factor: 6 in. Cover thickness over edge (G): 6 in. Absorbtion rate of fill material: 1 gal /ft /day Cover thickness over center (H): 12 in. Absorbtion rate of in -situ soil: 0.2 gal /ft /day End slope width (l): 13.1 ft. Effluent quality Eff #1 Fill length (L): 139.2 ft. Max BOD effluent value: 220 mg /I Upslope width (J): 10.7 ft. Max TSS effluent value: 150 mg /I Downslope width (Toe) (1): 15.9 ft. Fill Width (VV): 30.6 ft. Design of the Distribution Cell Basal Area System Design Flow: 450.0 gal /day Basal area required: 2250 ft Distribution cell width (A): 3.98 ft Basal are available: 2250 ft Distribution cell length (B): F 1130 ft �" S+ S �) X ( = Z ZY, Area of Distribution Cell: 450.0 ft observation Pipes Contour Elevation of Mound: 97.00 ft / Location from end of cell (Z): 18.83 ft System Elevation of Mound: 99.50 ft d Final Grade of Mound: Mound Plan View Observation Pipes z� B K Tilled Area/Fill Material L Mound Cross Section Final Grade Observati n Pipe Synthetic Fabric Distribution Cell System Elevation F � 1 Cover Material E Lateral D Invert Fill Material Tilled Area Slope '_ "—Forcemain System Contour Notes: Fill material to consist of ASTM C33 Sand Distribution cell aggregate to comply with Comm 84.30(6)(1) Synthetic Fabric covering on cell per Comm 84.30(6)(g) Distribution Cell to have minimum 6" aggregate below lateral and 2" above. Mound System Page 3 of e Pressure Distribution Calculations Project Name: Craig Peterson 450 GPD Mound Lateral Layout Lateral /Manifold Design Lateral elevation: 100.0 ft Lateral diameter: Vh In. Rows of Laterals: a Lateral spacing (S): ft Manifold type: center Lateral to cell edge: 1.9912 ft Orifice diameter: o.> ss In. Lateral discharge rate: 12.52 gpm # of Laterals: 2 System discharge rate: 25.04 gpm Distal Pressure: 2.5 ft Manifold diameter: 2 vJIn. Lateral Length: 56 ft Manifold length: 0 ft Orifice Spacing /Distribution Forcemain Friction Loss Orifice spacing (X): 36.32 Inches Forcemain length: 220 ft Orifices per lateral: 1 g Forcemain diameter: 2 In. Avg. ft /Orifice: 11.84 ft Friction loss in forcemain: 3.052 ft Lateral Side View M anif old Lateral � � Lateral x x x x x x x x x x x x 2 2 Lateral Length Lateral Length Lateral Plan View Lateral Lerxlth Turn-up Wball valve or dearout plug Orifices on bokm d lateral equally spaoed PVC laterals and force mn to comply vrith specifications per Comm 84.300 Clean Out Detail Observation Pipes Clean -out plug Final Grade or ball valve Water tight cap or plug Lawn Sprinkler Box Slot Note: Closet Collar 6" Minimum L �Y be used in Long Sweep 90 place of 3l8" bar or two 45's 3/8" Bar Lateral Mound System Page 4 of 6 Septic, Pump and Dose Tank Project: Craig Peterson 450 GPD Mound Tank Information Dosage Volume Pump tank manufacturer: Skaw Precast Does forcemain drain Pump tank size /model: 642 back to tank? Pump tank gal /inch: 16.47 Lateral void volume: 11.8 gal Tank bottom elevation (inside): 82 ft Dosage to absorbtion Cell: 59.2 gal Septic tank manufacturer: Skaw Precast Forcemain volume: 38.3 gal Septic tank size /model: 1000 Total dosage: 97.5 gal Pump and Filter Total Dynamic Head Pump Manufacturer: Little Giant Are laterals highest point? y Pump Model: 9EH if not, enter highest elevation: 0 ft Effluent Filter: P, 8" bio -tube System head (distal x 1.3) 3.25 ft IS A Vertical Lift C' D" to lateral) 17.50 ft 2U• $ Note: Access opening of sufficient size to be provided to allow Friction IOSS in fOCCemain: 3.05 ft removal offilter. Opening to terminate at or above grade. Pressure loss from filter: ft Total dynamic head (TDH): 23.80 ft Pump Tank Diagram 7-6 .(o g Watertight Locking Cover Dose Tank Levels 4 inch VWilh Warning Label Finished Minim Grp In. Gal A Reserve 25.1 412.7 After rete B Pump off to Alarm 2.0 32.9 o It Location C Total Dosage 5.9 97.5 °eat. per Comm D Effluent depth for pump 6.0 98.8 16.28 and Forcemain NEC 300 Total Capacity: 39.0 642.0 A Weep Hole or An& 13 Siphon Devi c Pump Curve: 9EH FLOW- LITERS /HOUR ID 0 1000 2000 3000 30 10 N w 7.5 r C3. 20 Pump must be capable of: a 5 and head pressure of: = 10 as 0 0 0 20 40 60 80 Little Giant FLOW- GALLONS /MINUTE 9EH PUMP PERFORMANCE CURVE 115V 60HZ Mound System Management Plan pursuant to comet 83.54 W. A. C. page 5 of 6 Owner's Responsibility: The component owner is responsible for the operation and maintenance of the component. The county, department or POWTS service contractor may make periodic inspections of the components, checking for surface discharge, treated effluent levels, etc. The owner or owner's agent is required to submit necessary maintenance reports to the appropriate jurisdiction and /or the department. Septic Tank: Septic tank(s) are to be inspected routinely and maintained by department approved individuals when necessary in accordance with their approvals. The use of chemical /biological "treatments" is not required or recommended. If such additives are used, make sure they are approved by Department of Commerce, Safety and Buildings Div.. Effluent filters are to be removed & cleaned as necessary, with provisions to keep solids from passing the septic during removal. No more than 1/3 of the usable tank volume may be occupied by sludge /scum. 3 year inspection: If tank has greater than 1/3 volume sludge, tank contents must be emptied and disposed of in accordance with NR 113 Wisconsin Administrative Code by an approved individual. If the inspector does not recommend pumping of the septic tank, then the owner must be notified of when pumping should be done as to not exceed 1/3 sludge volume. Septic tank should be routinely inspected to be watertight and of good repair. Pump /Dose Tank If an effluent filter has been installed in the pump /dose tank, it must be removed & cleaned as necessary, with provisions to keep solids from passing to the mound component during removal. The pump, float switches and alarms must be inspected at least every three years for proper operation. Pump /dose tank should be routinely inspected to be watertight and of good repair. Mound and Lateral System The mound system component must remain free of ponded surface water prior to pump operation. If 4 inches or more water level is detected in the observation pipes, the owner must be notified of possible problems /failure. The designed daily flow capabilities of the component should never be exceeded. Trees and any other deep rooted vegetation should never be planted, or allowed to grow anywhere on the component. Activities OTHER than mowing /maintenance (i.e. excessive walking, pets, vehicles, etc...) could compress the component and reduce it's absorbtion capabilities and /or possibly cause it to freeze in winter conditions. Lateral distribution pipes should be flushed out/tested every 18 months using the cleanout points at each end of the component to remove scum that may clog orifices. Performance Monitoring: Performance monitoring must be done at least once every three years following the installation or at the time of a problem, complaint, or failure. Contingency Plan: If the septic tank, pump tank or any of their components therein (including floats, alarms, pumps, etc) become defective, the defective tank or component must be replaced immediately to ensure that the system can operate as designed. If the mound component cannot accept wastewater or ponds wastewater to the surface, the component must be repaired or replaced in it's current location by either: extending basal toe to provide added absorbtion area; or by removing the clogged bacterial mat,aggregate cell, and distribution piping within the mound and replacing said components in order to return system to proper working order as req u i red. 8 7 6 5 4 3 2 1 Plot Map I P/L P/L I 131 B 2 131 Al 100' O' O ■ M3 M4 j P/L Proposed mound area I LEGEND O ■ = Soil Borings With Backhoe Slope 2.3% M9, BM1= ELEV.100.0 -top of Road @ center Line- also HRP B2 U ', I� 9T V BM2= ELEV.100.0' - Ground level at P/L stake- also HRP M2 SCALE: 1" = 49 I I I y . M1 � � O ' B3 P/L ASTM D3034 or Z' Forcemain 96'4` SAS, Sch40 4" PVC pipe 1600 Combo Tank _ - _ — cn proposed Insulate per Comm N House 82.30(11)(C) Proposed ter Well • I (D I � I ID U- i Gustum Craig Peterson O �G Septic (715) 505 -1465 1730 5th Ave. Baldwin, W, 54002 Town of Baldwin SE %of NE% of Sec 2 T29NR16W — 1 "=40' 1 1-1 of 8 7 6 5 4 3 2 1 ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner /Buyer ►r' -i- f,- pe- ('j Mailing Address U� A roperty Address (Verification r quired from Planning & Zoning Department for new construction.) Y / Parcel Identification Number DOZ , dd I - 5 U LEGAL DESCRIPTION / Property Location S�� '/4 , I J� '/4 , Sec. 7i , T 2qN R � W, Town of c1�Ll/l i� Subdivision , Lot # Certified Survey Map # (U 3 L9 , Volume 2 Z , Page # 5 (o Warranty Deed # SS ��� , Volume J Age Spec house yes no Lot lines identifiable yes no SYSTEM MAINTENANCE AND OWNER CERTIFICATION 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. Owner maintenance responsibilities are specified in §Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. I /we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. Uwe certify that all statements on this form are true to the best of my /our knowledge. Uwe am/are the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Number of bedrooms SIG TURF OF APPLICANT(S) DATE ** *Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. * ** Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV. 08/05) * 8 5 5 5 4 5 1 855545 STATE BAR OF WISCONSIN FORM 1 - 2003 KATHLEEN H. WALSH WARRANTY DEED REGISTER OF DEEDS ST. CROIX CO., WI Document Number Document Name RECEIVED FOR RECORD 07/13/2007 11:00AH THIS DEED, made between Daniel L. Wine, a single person, ( "Grantor ", WARRANTY DEED whether one or more), and Craig J. Peterson and Jeannette L. Peterson, EXEMPT s husband and wife, as survivorship marital property, ( "Grantee ", whether REC FEE: 11.00 one or more). TRANS FEE: 78.00 Grantor, for a valuable consideration, conveys to Grantee the following PAGES: 1 described real estate, together with rents, profits, fixtures and other appurtenant interests, in St. Croix County, State of Wisconsin (the "Property"): Part of the Southeast Quarter (SE' /4) of the Northeast Quarter (NE' /4) of Section Two (2), Township Twenty-nine (29) North, Range Sixteen (16) West, TOWN OF BALDWIN, St. Croix County, Wisconsin described as Recording Area i Lot Three (3) of Certified Survey Map in Vol. 22, Page 5416. Name and Return Address: Craig J. & Jeannette L. Peterson 2938 130th Avenue Glenwood City, WI 54013 002- 1002 -50 -000 (part of) Parcel Identification Number (PIN) This is not homestead property. Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except municipal & zoning ordinances, recorded easements, recorded building & use restrictions & covenants & taxes levied in the year of closing, & will warrant and defend the same. Dated this day of J1 Gj * Daniel L. Wine AUTHENTICATION ACKNOWLEDGMENT Signature(s) %I I k III STATE OF WISCONSIN ) w �� 5 •_...,, Fl..�i DUNN COUNTY ) ss. T authenticated on P • • ' • p,�a �+�''• A. Personally came before me this 10th day of July, 2007 * " 2 = the above named Daniel L. Wine, a single person to me TITLE: MEMBER STATE BAR C�W 15CO S ti; V known to be the person(s) who executed the foregoing (If not, �i I •' instrument and acknowledged the same. authorized by § 706.06, Wis. Stats?.- , �,t�]'E THIS INSTRUMENT WAS DRAFTED BY *Rebecca L. Scheuffele 1. Notary Public, State of Wisconsin Michael. H. Forecki, Attorney, Eau Claire, Wisconsin My commission (is permanent) (expires: 1/23/2011) (Signatures may be authenticated or acknowledged. Both are not necessary.) *Names of persons signing in any capacity must be typed or printed below their signature File No.:707674 WARRANTY DEED STATE BAR OF WISCONSIN FORM No. 1-2003 HttL;ttvCu �yy� { lllill IIIII t''"'III I!I'' "'' IIII Iflll III! fill JUL 2 6 2001 8 5 4 6 3 6 Sr. CROIX C=NW 854636 SURVEYOR'S RECORD KATHLEEN H. WALSH REGISTER OF DEEDS ST. CROIX CO., WI RECEIVED FOR RECORD CERTIFIED SURVEY MAP 06/28/2007 03:10PM CERTIFIED SURVEY MAP VOLUME 22 PAGE 5416 VOL: 22 PAGE: 5416 REC FEE: 13.00 BEING LOT 1 OF CERTIFIED SURVEY MAP #5334 COPY FEE: 3.00 LOCATED IN PART OF THE SOUTHEAST QUARTER OF PAGES: 2 THE FRACTIONAL NORTHEAST QUARTER OF SECTION 2, TOWNSHIP 29 NORTH, RANGE 16 WEST, TOWN OF BALDWIN. ST_ CROIX COUNTY, WISCONSIN Northeast Corner Section 2 -29 -16 Found Aluminum Cap UNPLATTED °t LANDS o' 4p m,N Im NW corner Corner set 10' E. 587'33'50 "E mot to SE /NE - ' & t6' S of fence 1293.99' 1327'04' Corner set ip' f�l' 1. south of fence 6 61 509.41' S87'33'50 "E Ica to z 784.58' 817.63' I 1r - I a a L0 J ' 209 532 s f t. soil 1 33.d5�1 Z °D m 217,881 sq.ft. 4.81 acres tests �Fw 0i l� CD 5.00 acres not incl. r -o -w icy ind. r -o -w / 7 --� F; i 'I v N 783.49' Co - N89'35' 1p, 816.50' i5O IN to (a LO ]'' t 1 N O I A N / 4 building setback linel �+ lo UNPLATTED °f 395.77' ' t B L A N D S 653,418 sg.ft. 647,808 sq. f rlss3s'3o "w a2s.7a' °O 15.00 acres 14.87 acres o 3 33.01' 1 'a ,n zo ` r „ incl. r -o -w not incl. r -o -w C> OD soil OD , 90 shed test .y v ! N tk < ' Corneofstence 880.15' h1 e ast 5� East 114 Corner sal sa a1 "w Section 2 -29 -16 T Fd Survey Mark Nail LOT 2 CSM # 5334 PREPARED FOR: Daniel Wine DRAFTED BY: 3240 90th Avenue Joel A Brandt Glenwood City, WI 54013 JB SURVEYING LLC Note: Each parcel 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 for advice. e� V �~ SCALE: 1" _ 250' .ftafto t _ pTY IV * 0' 250' 500' IN , �ti0 eLIPfV�_ 1 j LEGEND A o North. Is referenced to the o__..._Government Corner (as noted) East Line of the Northeast 11�� Quarter of Sect 2- 29 -16, ° .- __ -Set 3/4'" x 18" Iron Rebar which bears S00 '48'17E weighing 1.502 lbs. /lineal ft 'QfSt. Croix County Grid System) • ....... - ..Found 3/4" Iron Rod Sheer 1 of 2 Vnl._ 22 PaEe 5616 84 1 3'9g VOL 22 PAGE REGISTER OF D EEDS RECEIVED CERTIFIED SURVEY MAP 12/28/2006 10=00AH VOLUME 22 , PAGE 5334 CERTIFIED SURVEY MAP REC FEE t 13.90 COPY REC HE QUARTER OF THE FRACTIONAL NORTHEAST PAGES: 2 3. A OF SECTION 2, TOWNSHIP 29 NORTH, RANGE 16 WEST. TOWN OF BALDWIN. ST. CROIX COUNTY, WISCONSIN JAN " 8 Northeast Corner Section 2 -29 -I6 UNPLATTED Found Aluminum Cap -- c LANDS �' a' ST. CROIX COUNTY N SURVIEYO# &RECORD „, SE /NE -- ' S87 "E Corner set 10' r" i 1327.04' south of fence ' I Corner set to' E, I & 16' S of fence 1293.99' �n ( 33.Q5' to I to �e x. d IQ I 1 � 6 'I OD 871,299 sq.ft. 857,340 sq. ft. 1N I 1�+ o Z 20.00 acres 19.68 acres I I' co °o vt incl. r -o -w not incl. r -o -W S8935'30 'E 428. Y,8' a, w 395.77 ; I L 0 33 ,'01'1 Ir*l I � I I v goroge septic soill U_N shed tes z `\nn ;I ho. I _ I v Qq {v LANDS owy r well N IN 1 I 11.•�a O t 6 S, (n' IO 1 N I N N81'S8'41 "E 880. �p shed l `.. A �c 1� { I� born OD OD t S �) N �.� Corner set 5' i i7 I m1 0 Bost of fence LOT n „ 2 v �,f`', -� {✓� 880,881 sq.ft. 851,258 sq. ft. 33 20.22 acres 19.54 acres 0 i tg incl r -o -w not incl. r -o -w 3 . . 1 ' I r soil test I I O j � r 3989_38'- 1296.55' 33�Q5'1 N87'36'31 "W ;Sw corner POH West 114 Corner SE/NE N87.36'31 "W 1329.60' l Section 2 -29 -16 5318.98' East 114 Corner Found Aluminum Cap Section 2 -29 -16 PREPARED FOR: UNPLATTED DRAFTED BY: Set Survey Mark Nail Daniel & Vicky Wine LANDS Joel A. Brandt 1160 260th Street JB SURVEYING LLC Glenwood City, WI 54013 966 Rustic Rd 3 Glenwood City, WI Note Each parcel 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 for advice. SCALE: 1" = 250' ��ca•`s�Z. �`� NOUN BRANDT 0' 250' S00' euswoo 3 CITY - North is referenced to the LEGEND `� -• wo -• ,pb East Line of the Northeast SOS+ r� Quarter of Sec. 2- 29 -16, 0 .......... Government Corner (as noted) �ZJ which bears S00 °48'17 "E o ---------- Set 3/4" x 24" Iron Rod (St. Croix County Grid System) weighing 1.502 lbs. /tineat ft. Page 1 of 2 p 1 of 2 1 1' 1011 4010VA ' C ; 1 N Safety and Buil ings 10541 N RANCH ROAD commercemi.gov RECEIVED HAYWARD WI 54843 TDD #: (608) 264 -8777 i scon JUN 1 2 2007 www•commer sin.gov / www.wisconsin.gov of Commerce ST. CROIX COUNTY Jim Doyle, Governor Mary P. Burke, Secretary June 11, 2007 CUST ID No. 220728 ATTN: POWTS Building Inspector CLARENCE L GLOTFELTY ZONING OFFICE ENVIRO -TECH SYSTEMS & SERVICE ST CROIX COUNTY SPIA N4955 SUNNY HILL RD 1101 CARMICHAEL RD WEYERHAEUSER WI 54895 HUDSON WI 54016 (Please forward a copy of this letter to the fire department conducting inspections of this project.) CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 06/11/2009 Identification Numbers Transaction ID No. 1405401 SITE: Dan Wine Site ID No. 726617 Town of Baldwin, St Croix County Please;refer to both identification numbers, SE 1/4, NE 1/4, S2, T29N, R16W above, in all correspondence with the'agency. FOR: Object Type: Soil Saturation Determination Regulated Object ID No.: 1136437 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: • Approval is hereby granted to use the groundwater levels observed during the study as the high groundwater level in lieu of the depth to redoximorphic features for designing soil absorption systems in accordance with chapter Comm 85, Wis. Admin. Code. The groundwater elevation monitoring data was submitted in accordance with section Comm 85.60(3), Wis. Admin. Code. The determined highest level of saturation for 7 consecutive days was 0.58 feet or 7 inches below existing grade. • A mound system may be designed for this site and is limited to the following additional conditions: • The entire mound must be installed above the 96.00 ft contour line. • The mound must be designed using a linear loading rate of < 4.5 gpd/ft and a basal soil application rate of < 0.20 gpd/ft • The approval shall remain valid unless the site is altered in such a way that the depth to groundwater would change or if groundwater is observed for seven consecutive days at depths less than three feet below the infiltrative surface. • This approval in no way relinquishes the uses of color patterns to estimate the depth to high groundwater on any other parcels or portions of parcels. • If the Soil Saturation Determination Report was accompanied with a plan and an expiration date is shown on this letter, the expiration date only applies to the plans for the design, not to the decision on the Soil Saturation Determination Report. • As of today's date, a refund in the amount listed in the fee portion of this letter has been initiated and forwarded to a manager for review. The refund will be made under separate cover. Please expect a 6 -8 week time period for fiscal processing. Refunds will be made to the payer. CLARENCE L GLOTFELTY Page 2 6/11/2007 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. If plan index sheets were submitted in lieu of additional full plansets, a copy of this approval letter and index sheet shall be attached to plans that correspond with the copy on file with the Department. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation /operation. If this construction project will disturb one or more acres of land, an Erosion Control Notice of Intent (NOI) shall be filed with the department 7 days prior to any earth disturbing activities. You will need to either file the NOI and an erosion control plan summary on -line at www.commerce.wi.gov /sb or submit a completed NOI form and either a plan summary or complete plan to us, with additional fees, or to the certified municipality. In granting this approval the Division of Safety & Buildings reserves the right to reglire changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. Sincerely, Fee Required $ 100.00 Fee Received $ 200.00 /K Refund Amt $ 100.00 Leroy�y, PSS POWTS Wastewater Specialist WiSMART code:- 7633 Integrated Services Bureau (715)726-2544, Friday, 7:00 a.m. To 3:30 p.m. leroyjansky@wisconsin.gov cc: Daniel L Wine, Dan's Wood Service (Plans Picked Up) PRIVATE ONSITE WASTEWATER county: ` SCO/1S/n TREATMENT SYSTEMS (POWTS) Department of Commerce cif C-('01X Safety and Buildings Division SOIL SATURATION DETERMINATION REPORT PO Box 7162, Madison, WI 53707 Parcel Tax No: Pursuant to s. Comm 85.60 (3), Wis. Adm. Code GENERAL INFORMATION Personal information you provide may be used for secondary purposes Privacy Law, s. 15.04 1 m Property Owner's Name: Owner's Address: It, D , q04 0.1LIJ Lot Number: Block Number. Tr 0 City ❑ Village )K Town of: j� Q ` �' �0/ 3 Subdivision / CSM Name: G -4. - � _ 1/4, /Y G 1/4, S c�, ,T r-7%L Monitoring Zone: BM Elevation (ft): BM Description: ❑A ❑B ❑C OBSERVED WATER ELEVATIONS FT OBSERVATION PIPE ELEVATION DATA FT OBSERVATION OBSERVATION OBSERVATION OBSERVATION OBS. TOP OF GRADE BOTTOM GRADE EL DATE PIPE NO: PIPE NO: PIPE NO: PIPE PIPE AT PIPE OF PIPE MINUS BOT NUMBER OF PIPE EL COMMENTS / CONCLUSI S ROW .. Conditibnalfl Apppnl[Fn DEPARTMENT OF COMMERCE DIVISION OF SAFETY AND BUILDINGS SEE &bRRESP6hDENC MONTHLY DATA Station(s) Precipitation Data Obtained From: Monthly Precipitation Amounts in Set Oct Nov Dec Jan Feb Mar Apr Ma 61 .7? 1 . 5C 0 5 1. `1' 4; $ Total Amount Sept - Feb (Need 8.5 inches): e � inches Total Amount Mar - May (Need 7.6 inches): 9 , 16 inches CST Name (Print): CST Address: CST elephone: a ' Td o Signature: C T Si n t re: CST Credential Number. AAA" D This mt is required to be submitted pu uant to s. Comm 85,60 (3)(j), Adm. de. Failure to complete this form may result in denial of the approval request. Information to be submitted in addition to this form includes, but is not limi ed to: Data on artificial drainage, a completed Soil and Site Evaluation Report (SBD 8330), regional water table information, daily precipitation totals for February through May, any previous site specific observation results, governmental unit or department reports on observation pipe construction or water levels, and a site plan showing observation pipe locations. All'information must be submitted within 60 days of the completion of observations. When more than three (3) observation pipes are installed, use Page 2 of this form to report observation data, results, and comments /conclusions. SBD -6412 ( R. 06101 ) Page — L of 6 SOIL SATURATION DETERMINATION REPORT OWNER: PARCEL TAX NO.: OBSERVATION PIPE ELEVATION DATA FT OBSERVATION BOTTOM OF GRADE EL MINUS PIPE NUMBER TOP OF PIPE GRADE AT PIPE PIPE ql. -7 BOT OF P IIJ P �- E ••� EL 3 8 ,D' !mss 9 9. :-- a. D OBSERVED WATER ELEVATIONS FT OBSERVATION OBSERVATION OBSERVATION OBSERVATION OBSERVATION OBSERVATION OBSERVATION OBSERVATION DATE PIP N0: PIPE EN NO: PIPE NO: PIPE N0: PIPE NO: PIPE NO: PIPE NO: al a i t 6 0 >93 3! s ,--> �t L( � r t�l, • It (c (t << .'�� ��•'oZg3 tc 73 5. y3 77 — , Y as s, ay 5: a s s 9:5,(e it S� F� dIal 6. er ) 3 � t t r. ft (l Ir 'I Il i 9 Ll It COMMENTS 1 CONCLUSIONS o 7 j „ d � ail 1 (XM A , - ) U a SBD -6412 (R. 06101 ) Page of GROUND WATER MONITORING Project: S .A. -Q WB SOi �c l'ii, �� 10 A be Name: Address: y JO -1-11 Jove_ Sife' 3 Legal Description: 1 /y N r' %y < n � L,r Parcel I.D.: Plan Transaction Number: Page 1= y, e )f l Page 2= a.. ' d e -V A Page 3 In-�- Ma.In Page 4= Le C r �t' c . A,, Page 5= 1 - 13�1 Page 6= w s Page 7= _ Note: Also included but not given page numbers are documents from reporting stations in Baldwin and Menomonie. Designer: 6(o License Number. b-r �QLIa_ Signature: Phone Number. .. (� _28 Date: Page 1 June 6, 2007 TO: Those haterested Persons RE: Monitoring of Ground Water for Determining Seasonal Saturation Elevation Dear Sirs- Five code complying monitoring wells were installed Feburary 27, 2007 for Mr. Dan Wine of Glenwood City, WI. The complete legal description of the property and location of the wells is shown on the enclosed plot plan. The actual ground level and top and bottom elevation of the wells, as referenced from a site bench mark, are shown below. Top of Pipe Ground Level Bottom of Well Well # 1 98.7' 96.75' 94.7' Well # 2 97.83' 95.85' 93.8.5' Well # 3 98.2' 95.6' 93.85' Well # 4 98.55' 96.55' 94.55' Well # 5 98.85' 96.8' 94.85' Also enclosed are copies of reports from Mr. Leroy Jansky, PSC for the Department of Commerce, schedules showing the dates of observations and daily and monthly rainfall/ precipitation amounts for the previous fail — winter — spring period. If there are any questions fell free to call 715- 828 -4324 and ask for Clarence. Thank you. Sincerely, Clarence Glotfelty CST # 220728 . . ............ ............ ..... ................:.............. .... ...... ......:.... L .017: I , ...... .............................!. - ......... ............................... ......... .. f <.. «_ ; _..... o ............:. <........ ....e .......................... . i i i AsL1 11.C� .... f. ....��.`'`s..•.I..i.....7 . tZ) / i E «.. : —Xr— i ........... ........ ..... 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Enviro Systems & Services N4955 Sumiy Hill Road } - -" Weyerhaeuser, WI 54895 Crel —X commerce wl.gov SAFETY AND BUILDINGS DIVISION Integrated Services Bureau 13 East Spruce Street tr,D3epartmentof flnn INSPECTION REPORT Chippewa Falls, WI 54729 www.commerce.wi.gov/sb Commerce (715) 726 -2544 Date of Inspection: March 20, 2007 Plumber Name and Address: Project Name: Wine NA Use: Residential Legal Description: SE, NE, 2, 29, 16W Site Number: Subdivision: Proposed CSM Certified Soil Tester Name and Address: Municipality: Town of Baldwin Clarence Glotfelty, CST County: St. Croix N4955 Sunny Hill Rd Plan Transaction Number: Weyerhaeuser, WI 54895 Sanitary Permit Number: Owner Name and Address: Daniel Wine Wastewater Flow: 600 gpd 1160 260th Street Persons Present: R. Yarrington, P. Quinn, Glenwood City, WI 54013 D. Wine (715) 688 -9282 Meeting with county inspectors and the owner at the above referenced site currently being monitored to determine the highest level of seasonal soil saturation. There was no good evidence of soil borings being completed. However, the monitoring pipes appear located properly. I would recommend that additional soil be mounded up around each monitoring pipe. A 50/50 mixture of powered bentonite clay and soil should be adequate to seal the soil surface and keep surface water away from the pipe. The two down slope pipes had free water in them. The others were dry. P -1 43"— 21" pipe height above grade = 22" pipe depth below grade, pipe is dry. P -2 48.25"— 23.5" = 24.75' pipe depth below grade, free water at 42" or at 18.5" below grade. P -3 51.75" — 29" = 22.75" pipe depth below grade, free water at 45" or at 16" below grade. P-4 48.5" — 24" pipe height above grade = 24.5" pipe depth below grade, pipe is dry. P -5 48.25' — 23.75' pipe height above grade = 24.5' pipe depth below grade, pipe is dry. The soil is presently frozen. I will return to this site when the frost is out to conduct a soil verification. Two hand dug soil boring should be adequate. !f there are any questions regarding this report, please contact me. eroy G. nsky, astewa Specialist cc: County El Plumber Ljansky commerce. state I.us E -mail ®CST ®Owner 715/726 -2544 Voice 715/726 -2549 Fax ❑ Other SAFE AND BUILDINGS DIVISION COl11me1'Ce�111fgoY TY DIVISION Integrated Services Bureau 13 Fast Spruce Street � : + INSPECTION REPORT Chippewa Falls, N 54729 www.commerce..gov/sb Department of: ommera6 . (715) 726 -2544 Date of Inspection: April 13, 2007 Plumber Name and Address: Project Name: Wine NA - Use: Residential Legal Description: SE, NE, 2, 29, 16W Site Number: Subdivision: Proposed CSM Certified Soil Tester Name and Address: Municipality: Town of Baldwin Clarence Glotfelty, CST County: St. Croix N4955 Sunny Hill Rd Weyerhaeuser, WI 54895 Plan Transaction Number: Sanitary Permit Number: Owner Name and Address: Daniel Wine Wastewater Flow: 600 gpd 1160 260th Street Persons Present: R. Yarrington Glenwood City, WI 54013 (715) 688 -9282 Meeting with the county inspector at the above referenced site currently being monitored to determine the highest level of seasonal soil saturation. P -1 35.5" from top of pipe to water. P -2 31.5" from top of pipe to water. P -3 37.5" from top of pipe to water. P-4 33.5: from top of pipe to water. 0-5 37.5" from top of pipe to water. Based on the above readings, the free water level varies from 8.0 to 14.5 inches below grade. Two hand dug soil borings were constructed within the .area being evaluated. Considering the CSTs report having 2 -3 inches of subsoil without redox features, I felt it may be possible there was actually more redox free subsoil than reported. However, the two soil borings showed just the opposite condition. There are common, medium, faint high and low chroma redoximorphic features immediately below the A horizon. Estimated high groundwater is zero inches. It would be advised therefore to continue with the monitoring until June 1st in an attempt to show the site is suitable for a mound system. If there are any questions regarding this report, please contact me. Leroy G. ansky, stewat Specialist cc: ® County ❑ Plumber Ljansky commer state. i s E -mail CST ,& Owner 715/726 -2544 Voice 715/726 -2549 Fax �❑ Other t •'L S L °L L Sz vuv S'CC.� TO fl?S - 7r h C Vented cap on pipe that terminates-- 4; . in. above grade to prevent surface water enm y and facilitate locating the observation pipe. j( i annular space seated for at LL Borehole � 091: - in. larger than the 12 in. by puddled elegy, be - On outside diameter of the observation pipe ake or an equal parts mixture diameter. 1, bentonite and cement. Annular space seal below 12 in. is unspecified soil backfill material. NA 4 -6 in. •• c fa 6 /y Open end• piping. A grJ44 -1t, 2 in. aber 2004 No. 587 Parcel #: 002 - 1002 -50 -030 01/23/2008 08:30 AM PAGE 1 OF 1 Alt. Parcel #: 02.29.16.20A -10 002 - TOWN OF BALDWIN Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 06/28/2007 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner O - PETERSON, CRAIG J & JEANNETTE L CRAIG J & JEANNETTE L PETERSON 2938 130TH AVE GLENWOOD CITY WI 54013 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description * 1170 260TH ST SC 0231 BALDWIN - WOODVILLE AREA SP 1700 WITC Legal Description: Acres: 5.000 Plat: 5416 -CSM 22 -5416 002 -07 SEC 2 T29N R16W PT SE NE (PT LOT 1 CSM Block/Condo Bldg: LOT 03 22 -5334) BEING LOT 3 CSM 22 -5416 Tract(s): (Sec- Twn -Rng 401/4 1601/4) 02- 29N -16W SE NE Notes: Parcel History: Date Doc # Vol /Page Type 07/13/2007 855545 WD 06/28/2007 854636 22/5416 CSM 02/15/2007 844610 QC 01/22/2007 843066 QC more 2008 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 07/13/2007 Description Class Acres Land Improve Total State Reason Totals for 2008: General Property 0.000 0 0 0 Woodland 0.000 0 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 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page _ of 3 f)ivision of Safety and Buildings lk w i t rdancewith , . Adm. e Comm Com 85 Wis. Cod � - a^ Cary � ' ' t Attach complete sit N o t ' e -,Mhan L 1 inches in size. Plan must include, but not limited to: vertical and horizontal point (BM), 'on arcet I.D. percent slope, scale or dimensions, north arrow, on and dicta n st d. Please print all inon. Reviewed by Date Fe Personal Information you provide may be used for se m . Prope ii Owner Property Location ( i („/ c - emt -hot S 1 14NE1 14 S T N R/ ©)'W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# ST. — City rr State Zip Code Phone Number DCi Village PTown Nearest Road New Construction UseW Residential / Number of bedrooms Code derived deli flow rate GPD Replacement 0 Public or mencial - Describe: — _/ Parent material f ` Flood Plain elevation if applicable Al • 4. ft. General �� 1=C e m n-► e;h de. d CC rl A rcccyid ct�oiT�r it � s �a aso.1 + ea 1 & / 4 o poss°h/0- "I elmd YSCI Y F —il Boring # [] BOri"g Pit Ground surface elev. 9 5. q ft DEpth to limiting factor __ _ in. Soil App r ication Rate Horizon Depth Dominant Color Redox Description Texture Stru Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. - Eff#1 'Eff#2 1 t L b r- o (o 0 7. C o [ij Boring # El Boring Pit Ground surface elev. ft Depth to limiting factor in. Sal Applicaton Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. 'Eff#1 *Eff#2 d i L • 0 A „ _ _ a kL le S a Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2,= BOD < mglL and TSS < 30 mg/L CST (Please Print) CST Number Address C(irtlucied Telephone Number JA141@180 Properly Owner _ � y. ,� A Parpel 1 D # _ Page � of Boring # `– Boring q pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. 'Eff#1 I 'Eff#2 It 1 + L �A ry 5. L C I. `I 3 CL n� 16 k. 3 a Boring # Boring Pit Ground surface elev. ft Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description) Texture Structure Consistence Boundary Roots GPDAF in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh_ 'Eff#1 I 'Eff#2 F -1 Boring # H Ground surface elev. ft Depth to limiting factor in. ® Pit Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fP in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. 'Eff#1 '042 ' Effluent #1 = 600 > 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. 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DO YX Lx A arence Glotfelty C/ Enviro-Tech Systems & Services N4955 Sunny Hill Road - 71 Weyerhaeuser, W1 54895 Vq /Vr— win aem-s A Croix 3 56 iY cornrner'Ge.wLgov SAFETY AND BUILDINGS DIVISION Integrated Services Bureau 13 East Spruce Street 1 INSPECTION REPORT Chippewa Falls, WI 54729 www.commerce.wi. ov /sb epartment of Commerce (715) 726 -2544 Date of Inspection: April 13, 2007 Plumber Name and Address: Project Name: Wine NA Use: Residential Legal Description: SE, NE, 2, 29, 16W Site Number: Subdivision: Proposed CSM Certified Soil Tester Name and Address: Municipality: Town of Baldwin Clarence Glotfelty, CST County: St. Croix N4955 Sunny Hill Rd Weyerhaeuser, WI 54895 Plan Transaction Number: Sanitary Permit Number: Owner Name and Address: Daniel Wine Wastewater Flow: 600 gpd 1160 260th Street Persons Present: R. Yarrington Glenwood City, WI 54013 (715) 688 -9282 Meeting with the county inspector at the above referenced site currently being monitored to determine the highest level of seasonal soil saturation. P -1 35.5" from top of pipe to water. P -2 31.5" from top of pipe to water. P -3 37.5" from top of pipe to water. P-4 33.5: from top of pipe to water. P -5 37.5" from top of pipe to water. Based on the above readings, the free water level varies from 8.0 to 14.5 inches below grade. Two hand dug soil borings were constructed within the area being evaluated. Considering the CST's report having 2 -3 inches of subsoil without redox features, I felt it may be possible there was actually more redox free subsoil than reported. However, the two soil borings showed just the opposite condition. There are common, medium, faint high and low chroma redoximorphic features immediately below the A horizon. Estimated high groundwater is zero inches. It would be advised therefore to continue with the monitoring until June 1st in an attempt to show the site is suitable for a mound system. If there are any questions regarding this report, please contact me. Leroy G. ansky, stewatpj Specialist cc: ® County ❑ Plumber Ljansky commer .state. i s E -mail CST ,[Owner 715/726 -2544 Voice 715/726 -2549 Fax ❑ Other coimmerce.w4gov SAFETY AND BUILDINGS DIVISION Integrated Services Bureau 13 East Spruce Street � +� ns INSPECTION REPORT Chippewa Falls, WI 54729 www.commerce.wi.gov /sb Department of Commerce_ (715) 726 - 2544 Date of Inspection: March 20, 2007 Plumber Name and Address: Project Name: Wine NA Use: Residential Legal Description: SE, NE, CEIVED Site Number: Subdivision: Proposed CSM Ce ified Soil Tester Name and Address: Municipality: Town of Baldwin MAR 2 3 2007 Clarence Glotfelty, CST County: St. Croix N4955 Sunny Hill Rd ST. CROIX COUNTY Weyerhaeuser,_ WI 54895 Plan Transaction Number: Sanitary Permit Number: Owner Name and Address: Daniel Wine Wastewater Flow: 600 gpd 1160 260th Street Persons Present: R. Yarrington, P. Quinn, Glenwood City, WI 54013 D. Wine (715) 688 -9282 Meeting with county inspectors and the owner at the above referenced site currently being monitored to determine the highest level of seasonal soil saturation. There was no good evidence of soil borings being completed. However, the monitoring pipes appear located properly. I would recommend that additional soil be mounded up around each monitoring pipe. A 50/50 mixture of powered bentonite clay and soil should be adequate to seal the soil surface and keep surface water away from the pipe. The two down slope pipes had free water in them. The others were dry. P -1 43" — 21" pipe height above grade = 22" pipe depth below grade, pipe is dry. P -2 48.25" — 23.5" = 24.75' pipe depth below grade, free water at 42" or at 18.5" below grade. P -3 51.75" — 29" = 22.75" pipe depth below grade, free water at 45" or at 16" below grade. P-4 48.5' — 24" pipe height above grade = 24.5" pipe depth below grade, pipe is dry. P -5 48.25' - 23.75' pipe height above grade = 24.5' pipe depth below grade, pipe is dry. The soil is presently frozen. I will return to this site when the frost is out to conduct a soil verification. Two hand dug soil boring should be adequate. If there are any questions regarding this report, please contact me. +two eroy G. ansky, astewa Specialist cc: County El Plumber Ljansky commerce. state i.us E -mail &] CST [ Owner 715/726 -2544 Voice 715/726 -2549 Fax ❑Other 1 '. Page No. of Pages ENVIRO -TECH PROPRIETORS SYSTEMS. & SERVICES Clarence & Karen Glotfelty 'Your Habitat Resource Center CSTM k 611 N4955 Sunny Hill Road PLBG2 If 4883 Weyerhaeuser, WI 54895 MPRS It 3504 Phone: 715 - 868 -5831 Ce-119 5° 2.B ZS TO: Those Interested Persons Fiatground R 1 9 2007 RE: Notification of Intent to Ground Water Monitor for Septic Syst CROIX COUNTY With this letter we do hereby notify those pertinent individuals water monitoring wells will he installed for the purpose of determining seasonal saturation elevations at the property of Mr. Dan Wine. Said property is located in the SETA of the NE 1/4 of Section 2 T29N R16W in the township of Baldwin in the county of St. Croix Wl. The wells will be clearly marked and tire located approximately 280 west of the centerline of 260 St. and 50 to 175' north of the existing driveway. The wells will be installed according to Dept. of Commerce requirements. Notice is also hereby given that all state and county officials, as per said code, that need to make observations can and may enter said property during business hours for the purpose of taking !.measurements and verifying said monitoring during the period froth March I" to .Tune l Thank you for your time and consideration. Please feel free to call the number given above and ask for Clarence Glotfelty or call Mr. Wine at 715- 688 -9282 if there are any questions. Sincerely, Clarence Glotfelty Customer I.D.# 220728 J 4 i M-- 0— PUMP PERFORMANCE CURVE I will I W ill AN D / OR PUMP PERFORMANCE CURVE mailml. U4.4 EFFLUENT DEINATERING MOD ELS P ASSING CAPACITY ■ \■ ■■ ■mom ®mo�o�m ®m ®mmo�m�m ®�� ■ ■ ■ ■ ■ ■m�aaaaaamo ®mo�o�m�o� ®� m�aaaaaaaaaaaam�aa ®� ®® ■ \1 ■■Mm ®aaaaaaaaaaaammaaaa ®0 WINS o ®ava■�aavaaaaaaaaaaa■�a ► \ \ ■ ■ ■ ■ ■m�aaaaaaaaaaaaaaaaaaaa ■ ■� ■ ■ ■o�aeaeeavaavaavaaaaava �aavaaaaavaaaaaaaaaaa ■ ■ \ \` ■� \ ■� ®avaaaaaaaaaaaaaaaaae ��vaaveaveaaaaaaaaaaaa ■■■ ■III\■■■■■■■■■ mom ®m ®aaoo�m�mm ■ � ■■II ■l ■■ ■ ■ ■ ■ ■ ■ ■��� ® ®mm� yam ®mmmasmm ®mmmmm ■■■ ■1 II■ ■■N■ ■ ■ ■■ 0m®0omm®ommmmm0m ■ ■� ■� III!■ ■ ■ ■�� ■ ■ ■■ a ° aaa ®moo ®� ®�m�0 ■�■ ■1111 � ■ ■ ■ ■ ■ ■ ■ ■■ s ° ° ° a ° eaaa ° aa ° ® ® ©oamm .��•---- -•-- � saaaaaaasaaaaa0m ■\ !QN, 61191OON\\■■■\■ ■ ■1► ■10 10WAR'N ■■■■■ , . SEWAGEAND omoa ©© DEWATERING MEN ■_■■■■■■■' om s s ss_ s_ s s ° s ° s ° s ° s ° s_ ° ss_osm�o_ ®v ®_ ®v_�_a .■■■■■' o® ss s ss ss ss ° s ° s ° s ° s ° ss ° ° ° s ° s ° ss_s ° as_oo_o® �� ■ ■�� ■ mom ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■■ • \i�� \� \ \�� ■ \� \ \ ■ ■ ■ ■ ■ ■ ■■ NINMEME 93—t 9�rNa \M\Ift, 0�\ ■ \0►\0 0 0 ■■■■MEMO■■■■■■■■■■■®■■ sub to less than .. .. ... . SUGGESTED METHODS OF FLOAT INSTALLATION *� i some installations it may be desirable to install an independent hanger for the level control switches to avoid possible hang ups on the pumps, piping, valves, ;. Float hangers are available from Zoeller Company on Catalog Sheet FM0526 or can be fabricated from standard pipe and fittings. ACCESS COVER A STANDARD PIPE FLANGE 10 -1457 FLOAT TREE W ITH 3 FLOATS SHOWN !♦ f TYPICAL FLOAT HANGER ON CONCRETE PITS PVC OR LIGHT WEIGHT OR SEPTIC TANK RISERS PEAGRAVEL STAINLESS STEEL PIPE SK121T TYPICAL FLOAT HANGER ON CONCRETE PITS SK1218 TYPICAL FLOAT HANGER ON STEEL COVER PITS OR SEPTIC TANK RISERS "EXTRA PROTECTION SYSTEMS" TWO PUMP SYSTEM The "Extra Protection" Two Pump system is an economical solution to the costly duplex alternating ALARM PM 1800P8 ILUSTRATED pump system and it' easy to Install. (JUNCTION BOX AND PLUG NOT INCLUDED) o The "Extra Protection" Two Pump Systems consists of: a. The two nonautomatic pumps with VLFS of your choice b. One Alarm System c. Two Unicheck Valves as required ADVANTAGES (1) The Two pump systems offers high pump performance without the high price. It is a system that PEAGPAVEL fits your needs and your budget. (2) Delivers more dependability than a single pump system and greatly reduces the chance of costly and time consuming problems associated with wear out or damages and the resulting system failures. ALARMDN \ PUMP20N PUMP1 ON (3) Affords greater satisfaction and peace of mind to all concerned by providing state of the art protection MP 2OFF for costly and expensive surroundings. ® PDMPID<P VARIABLE LEVEL GLDAT SWITCH ® ® (ALWM) (4) Ability to change lead and lag positions by changing pump plug connection. WMP1 PUMP1 SK878 (5) Easy and economical t install. 'MINIMUM DISTANCE Y BETWEEN PUMPS THE BASEMENT SENTRY 12 Volt backup sump pump system model 507 & model 510 Application - For Clear Water, emergency backup usage when power is off or primary pump fails. Extra Protection - When the primary AC pump fails due to power outages or system problems. • Storms • Brownouts • Wiring or electrical problems Extra Protection - When the primary pump fails to keep up with excessive water due to rain or overloading. Includes: MODEL 507 MODEL 510 Pump and control TDH (ft) Flow (GPM) TDH (ft) Flow (GPM) Charger 5 23 5 33.8 Fittings Battery Case 10 15 10 21.6 (Battery Not Included) 15 5 15 10.6 17.5 Shut -off Head 19.9 Shut -off Head For submersible or pedestal installations. See FM1311 (507) or FM1139 (510) for information. Suitably sized basin required. © Copyright 2007 Zoeller Co. All rights reserved. 5