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002-1072-30-025
S`t. Croix County Planning and Zoning Detail Sanitary Information Friday, May 23, 2008 at 10:38:53 AM Page ~ ojl Computer #: 002-1072-30-025 Sub/Plat: NA Section: 29 Parcel #: 29.29.16.433A Lot: 1 TN/RNG: T29N R16W Municipality: Baldwin, Town of CSM: Vol. 17 Pg. 455 1/4 1/4: NW 1/4 NE 1/4 Owner: Veenendall, Dustin 2265 80th Avenue Baldwin, WI 54002 State Permit: 488222 Issued: 06/12/2006 POWTS Dispersal: At-grade Permit: New County Permit: 0 Installed: 07/18/2006 POWTS Detail: NA Bedrooms: 3 WI Fund: POWTS Pretreatment: NA Notes Issuer/Inspector As Built Plumber Other Requirements Additional Notes Money Owed Pam Quinn >4/1/00 -Not Required Bird, Shaun KG didn't complete report -staff did calculations in $0.00 Kevin Grabau Si°aned Otf: No 2008 - no TDH, no system data written by inspector and elevation for system was at 95.1', not 97.4' as proposed in approved plans. Maintenance Scheduled Pump Date Pumped 7/18/2009 Wisconsin ne;~artment of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division INSPECTION REPORT GENERAL INFORMATION (`ATTACH TO PERMIT) Personal information you provide maybe used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Veenendall, Dustin Baldwin, Town of CST BM Elev: Insp . BM EI BM Desgtlpt o ~ 1 ~. Q ~ ~ ~~ ~/~I. TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic AS ~ ~ ~~r7:G(.~l d~ Dosing rs\ (~.~ CJ Aeration Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Ai Intake ROAD Septic , , Dosing ~d'~G Aeration y ~~ , Holding PUMP/SIPHON INFORMATION f'llt/ Manufacturer Demand ;'T't t_.::~ _ ._~s rl.r~:f` GPM Model Number ~ I ,r TDH Liit~ ~~ // Friction L~ss Syste Head TDH Ft Forcemain Length , Dia. ,., ; c ist. to Well .:j"... ,rte SOIL ABSORPTION SYSTEM BEDlTRENCH Width Length DIMENSIONS / d I SETBACK SYSTEM TO / INFORMATION _ _. _ DISTRIBUTION SYSTEM _ t ' j ~. ~' ELEVATION DATA County: St. Croix Sanitary Permit No: 488222 0 State Plan ID No: Parcel Tax No: 002-1072-30-025 Sectionfrown/Range/Map No: 29.29.16.433A STATION BS HI FS ELEV. Benchmark Alt. BM Bldg. Sewer ti 3.~ gY. SUHt Inlet 7- SUHt Outlet i~ Dtlnlet r~! i ~ :f ' ,: ~~ Dt Bottom '~ ~. - ~ /~ ~~ X03 Heade /Maxi. •- . Dist. Pipe 2,. ~(,.3 Bot. System , ; . Final Grade St Cover `.-, _,~;~ ~ ~~~ s~ ~~ ~~~~n J Dl T 3 3 -~ ~~l1~ ~ / `= NSION No. Of Pits Inside Dia. Liquid De TREAM LEACHING.=~~ anufacturer: CHAM~ER OR UNIT Model HeadedMa 'fol j~ / Length Dia Distribution ~ ` Pipe(s) // 2 y a+'7 ~/ j / A Length Dia G~ Spacing !`~ x Hole Size ~ x Hofe Spacing 2 .~s Veni to Air Intake SOIL COVER x PrP_SRI1rP_ Systems Anly YY Moun~At-Grade Svs~ems Only Depth Over Depth Over xx Depth f xx S ded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil 0 Yes Q No ~.~ Yes 0 No Z~ Y~. COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1,:,~;,,='1t~~_ Ins ection #2: ~ / % Location: 2265 80th Ave. Baldwin, WI 54002 (NW 1/4 IVE 1/4 29 T29N~R16W~ NA Lot 1 Parcel No: 29.29.16.433A t~;7 ~'t ^t'r..e`r'<-e'~d~9'r. :' "_ti,;~lr~:~ ~3.."k 1~r0`~" ~;:~~..a•. 1.) Alt BM Description = ~ 2.) Bldg sewer length = ?~' l~L.l ~ ~~ `( - amount of cover = ~, C,~~'~i ,~ J ,~ Y ' V"/' Plan revision Required? Yes [~ lf~ O Use other side for additional information. ~~ ~~ Date sepctor's Signature Cert. No. SBD-6710 (R.3/97) Safet B ings vis 201 W. W 162 County ~ ~ ~ ~ ~~ Madison, WI 53707 - 7162 ` y Co.) in b Sanitary Permit Number (to be filled ~~~~~~ ~ / ~~ v Department of Commerce ca} it A P i VED S State Plan T.D. Num ~~E~ p erm tary an ~ Z-~ rovide ou mation i fo d C y p n r e, person o In accord with Comm 83.21, Wis. Adm. may be used for secondary purposes Privacy w, s] 5.04(1)(m) Project Address (if different mailing address) 2 I. Application Information -Please Print All Information ~., ~D.. - 3 r ~a Property Owner's Name Property Owner's Mailing Address ~0~~ LocaU 0 ~~ `~ ~ %a,~%a, $eCllOn City, State Zip Code Phone Number c~rcl ne) PP Y) / ~ /- T . pe of Building (check all that a l ~j~( T Subdivision Name CSM Number !~ r 2 Family Dwelling -Number of Bedrooms (7 ~ r l Y~ ^ Public/Commercial -Describe Use o ipof ^Village ^City ^ State Owned -Describe Use ~ , _ III. Type of Permit: (Ch eck only one box on I-ne A. Complete tine B if applicable) A• w System ^ Replacement System ^ Treatment/Holding Tank Replacement Only ^ Other Modification to Existing System List Previous Permit Number and Date Issued B. ^ Perrait Renewal ^ Permit Revision ^ Change of ^ Permit Transfer to New Before Expiration - Plumber Owner IV. T e of POWTS S stem: Check atl that a I ^ Non -Pressurized In-Ground ^ Mound ? 24 in. of suitable soil ^ M~snd < 24 in. of suitable s ~ At Grade ^ Single Pass Sand Filter ^ Constructed Wetland ^ Pressurized In-Ground ^ Holding Tank ^ Peat Filter ^ Aerobic Tr en t ^ Recirculating Sand Filter ^ Recirculating Synthetic Media Filter ^ Leaching Chamber ^ Drip Line ^ Gravel-less Pipe ^ Other (explain) V. Dis ersal/Treatment Area Information: Desi Flow (gpd) Design Soil Ap lication Rate(gpdsf) Dispers~ e~ fired (sfl/ Dispersal Area Proposed sf) Sy~em levation ll ~ y / r ~_~~ I~ / Pl ti Fibe r as c VI. Tank Info Capact in Total Number Manufacturer Prefab Site feel Concrete Constmctcd Glass Gallons Gallons of Units New Existing Tanks Tanks Septic or Holding Tank Aerobic Treatment Unit Dosing Chamber VII. Responsibility Stateme .the undersigned a responsibility for Installation of the POWTS shown on the attached plans. Business Phone Nu bet / Plum 'Name (Print) Plumber' MPIMPRS N Z . ~/ -~ ~~ Plumber's Ad ess (Street, City, State, Z' ^~ ~ U VIII. n /De artment Use Onl Sanitary Permit Fee includes GroundwatBr Date Issued I ing Agent ignat ) pproved ^ Disapproved Surcharge Fee) ~ Sid r ... ~ r 2 ~~ (/ ^ Owner Given Reason for Denial lX. Conditions of ApprovaUReasons for Disapproval ~ ~x~~L,~,C.a h,~' ~J~~ ~~ ~,`~ v SYSTEM OWNER: ~c/~~rf o ~ 1 Septic tank, ettiuent toter ana dispersal cell must all be serviced /maintained as per management plan provided by plumber. 2. All setback requirements must be maintained as per applicable code/ordinances. Attach complete plans (to the Couniy for the system on paper than 81/2 x 11 inches in 7/~ JJ t/L`._ SBD-6398 (R. 01/03) : PLOT PLAN PROJECT Dustin Veenedahl ADDRESS 2271 80th Ave Baldwin Wi 54002 NV1/ I'/4 NE 1/4S 29 /T 29 N/R 16 W TOWN Baldwin COUNTY ST.CROIX SYSTEM ELEVATION 97.4' 3 BEDROOM CONVENTIONAL AT-GRADE ~ CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE 630 HOLDING TANK SIZE LOAD RATE .4 ABSORPTION AREA 1 130 # of chambers none ,BENCHMARK V.R.P. Top of 1/2" pipe ASSUME ELEVATION 100° Filter Zabel A-100 ^ BOREHOLE O WELL *H.R.P. Same as Benchmark 80th Ave Scale = 1 /4" = 10' Pro 3 Bedroom House Huffcutt Combo Tank Tank is to be properly bedded and provided with lockdown covers with approved warning labels B-2 Area 1 S' below system is to remain undisturbed 8% Slope f \~ ~r 97. 600 Well is to meet all setbacks AIt.B.M. found in Comm. 83 Top of Grading is to be done to ~ 99 2ipe B M ~ _ B -1 divert run-off away c from system Property Line (not to scale) ~ 96' commerce.wi.gov ^ ^ ~sconsin Department of Commerce Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601-1831 TDD #: (608) 264-8777 www.commerce.wi.gov/sb/ www.wisconsin.gov Jim Doyle, Governor Mary P. Burke, Secretary June 06, 2006 CUST ID No. 226900 SHAUN R BIRD BIRD PLUMBING, INC 1008 192 ND AVE NEW RICHMOND WI ATTN: POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101. CARMICHAEL RD 54017 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 06/06/2008 Identification Numbers Transaction ID No. 1276660 SITE: Site ID No. 713618 Dustin Veenedahl Please refer to both identification numbers; 80~` Ave above, in all'corres ondence with the a enc . Town of Baldwin, St Croix County NW1/4, NE1/4, 529,.T29N; R16W FOR: Description: Three Bedroom At-Grade System Object Type: POWTS Component Manual Regulated Object ID No.: 1078451 Maintenance required; 450 GPD Flow rate; 36 in Soil minimum depth to limiting factor from original grade; System: At-grade Component Manual, SBD-10570-P (R.6/99), Pressure Distribution Component Manual, SBD-10573-P (8:6/99) 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. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, C~n~tli stats. The following conditions shall be met during construction or installation and prior to occupancy or use: ~P~~t DE R'FMENT OF Reminders ~ ~ SEE CORRESI • This system is to be constructed and located in accordance with the enclosed approved plans and with the component manuals listed above. • Per manual cited above, limited activities are allowed in the area 15 feet down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of SO feet from the absorption area. chs. NR 811 & 812c • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the POWTS installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stat SHAUN R BIItD Page 2 6/6/2006 • Comm 83 22(71 A cop, o~pnroved 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. Owner Responsibilities:. • Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • Comm 83.55 The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. 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 maybe made. to me at the telephone number listed below, or at the address on this letterhead. 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, ~~j/~ / / Charles L Bratz POWTS Reviewer II ,Integrated Services (608)789-7893 , 7:45 am - 4:30 pm Monday -Friday charlie.bratz@wisconsin. gov Fee Required $ .175.00 Fee Received $ 175.00 Balance Due $ 0.00 WiSMART code: 7633 cc: Leroy G Jansky, Wastewater Specialist, (715) 726-2544 Cover Page Shaun Bird Bird Plumbing Inc. 1008 192nd Ave New Richmond Wi 54017 715-246-4516 qFC~~~ s ~~y2s FO qF~c~, Zoos ~eU~~O/ ~~s Date: 5/21 /06 Owner:Dustin Veenedahl Location:NW1/4 NE1/4 S29 T29 N,R16W 80th Ave Baldwin System type: At-Grade Manuals Used: At-Grade Component Manual version 1.0 SBD 10570-P (R.6/99) SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01 /81) Page# 1. Cover Page 2. At-Grade Plot Plan 3. At-Grade Cross Section 4. Pipe Cross Section/Pipe Layout 5. Pump Chamber Cross Section 6. Pump Curve 7-8. Maintance and Contigency plan 9-11. Sc Shaun B Signatu License ~~rally ~~~~ cor~a~Facs ~' rn-cs 'ONpENCE` PLOT PLAN PROJECT Dustin Veenedahl ADDRESS 2271 80th Ave Baldwin Wi 54002 NW 1'/4 NE 1/4S 29 /T 29 N/R 16 W TOWN Baldwin COUNTY ST.CROIX SYSTEM ELEVATION 97.4' BEDROOM 3 CONVENTIONAL AT-GRADE ~ CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE 630 HOLDING TANK SIZE LOAD RATE .4 ABSORPTION AREA 1 130 # of chambers none ,BENCHMARK V.R.P. Top of 1/2" pipe ASSUME ELEVATION 100' Filter ZabelA-100 ^ BOREHOLE O WELL * g, R, p, Same as Benchmark 80th Ave Scale = 1 /4" = 10' Pro 3 Bedroom House 600 ~ Huffcutt Combo Tank Well is to meet all setbacks AIt.B.M. found in Comm. 83 Top of Tank is to be properly bedded and Grading is to be done to @ 99 21pe B.M. ~ provided with lockdown covers B -1 divert run-off away t from system \ with approved warning labels ~Y B-2 B-3 \ % ~98' v ;-. Area 15' below system is to 8% Slope 97, remain undisturbed Property Line (not to scale) ~ 96' ? 5i ~ B PttC ~aAC.~.MA~ i~t ..,,~ > cue F- ~ ~ ~ - ~ ~.~-`TUR~1- t~TtPS~ ~- DnsTAs~~iTte~i tit:~a.w~ ,~ _ _ ~ STAgt~~ ~~~ o~~~~r~rsar: WELt~ ~~ - o > Ji l~6 B ~ ~ ~/6B ~ = ~ F~. 8= ,L~ fit. ~-_~ fit. v~ = Z "~. fit. ST~iBZt~~~D ~~serva~~~~t-----_.-~ ViT~e! ~ ~ 2'i { f!2 B ~ -~ r' LL of ~z G~%2 A,C=GRE.~~T~ flis~ribu~i©n Lff#eral .~-- Soi! Cover 2" ~.biiVED ~..Ii~E,lZ _______- Plan View ausd Cress Section of ;,Tisconsia .4t-grad+e ~Tttic wits a Single pbsargtion Area en a Sloping Site Stibu4`rutt'~.. ~.~c~~s~~: Page 4~f t3istributiar~ Pipe i3et~il for Lateral l~etMrork ~CC~e sf - ~ ~ a~ ~TuR[~t -ttP~~ jCL,~t~ouT ~ a ~ '-1 r..--~ * Last ~io1e S~t~uld 8e Next To ru~t~- uP --.~. l~~ PYC Farce Mafn ,"f"~-""t ~ PYC 'l~istribvtion Pipe ;~ . P P ,~_ Ft. Fioi a ~ia~eter~1--;rtth X -=-1.---. I~hes Lateral Niameter ~. Fttch{es} Y~_ I~rches farce Main 13iaaaeter ~" inches f3f I3aleslPiPe ~ ~ Invert Elevation Of Laterals ~ Ft. 5i~rted; License Nu~er: Gate: F• SEPTIC `FA1~iK ~ P~~r~ C~~AM y+= G:~ t~£.NT PIPE ~.~" l4YN. ABCVE GRADE ~ ,~~` FRfl~i D44k , 4dI Nga~ 4R FREa~' ~.iR i3~tT~iiC£ ~ ~,; ~ ~G i~r~j~fs~.~f~ _..~ Z#LE? ieiAT£R 'FI6 ~I'T 5 FAI,S ~~LT~R ~~~~~ DIP£ 3` t~t ~~F. Pi3#~'fP OFF El..lc.* • ~T- ~..... T ~t£3lTHEitP~F Ji1HCT~4K SOX KITH C4N~IT :~ T s -~• s a Gl6s5- s . TIGHT+ E SEAL { x t S ! i f APPR~~ ED r~tt~aL£ cflv ~ W/ PPTT~A~~L++43Cxs` ~A~1~~3 i~[tiBLV " 3~fIN. tg" «ts~- 'A{sPiPiPE s ~. ~~ E ~ ~ APPRC1~t ED SED33Tr~G j,TNI3E~Z T~ j s~ CO1~SC1tETE PA'D 1, ~~ SPECZFICATYQ2~i5 _r ~y'r~,1 ~~ sE r~r~s~ ~os~s ~~R ~~~ = SEPTIC t DO /, j.. ~r ...1~ . TANK MANi3FACTURE~'I: ~~ ~~ „/ GAi.. I3fl5E v£3=.tIME ~N~~ICR~, r-J ?GAL- TAii3C SIZ£S = Dt3S£IC G~ CAI, _ _ _ ~~ iH~#.ES = 3~GAL- Cfl~PRC~TI~S ~ A : a '~ ~ GAL_ ALA ~~NFI~t+C2i3R£R,- g ~ 2 It~+CHES _____-.- T'iL'IiEL l+itfi~f$£Rz ~.. m~ ~ '~- //~,~ GAL- S1~FYTCH TYPE = .5 i ~° C = - ~ INCHES = c~~-=~~--~-- P[1!!P ~F~OTi3R£R : ~ ~~- ~ ~ ~ Ii~CHES = L~.~.~i"- MOI?EL IVItJi#B~R ~ _ /" 25. ~3 RAC Si~T;TCF3 TYPE= mss'` q~ ~° = ~'~P £ AE~,RP'f idlFtZ~ ~ _p~ I CJ FEET REQEi ~R~ ~; SCI~R~3E R~°i -----' p 4z F #~IdB Ii I STR € 8U'f Z ON PSP£ - - TJ ~ FEET ~/ ER'fICA L D;Fg~t£NCE B E£N - _ ~ FEET + MIi~I!`4`~3H t+l£'t'~103;K SUPPLY PR£SSUR~'F11Qg FT- ~'RiCTIf}ld FACTOR - I:T { ~ FEAT F~?RC~iAI# X ,C'. S~3 T£~T~L ~Yi~~I"`=IC ~i~AD / . /'.~--- ~.ENGTH ~ j_ ~/ INTERNAL D1~tENSI0N5 ~F pUM? TANK= LIQi3ID i~ ......L----- S I~i~ED= CROSS SECTIGN AN~3 SP£CIi ICATIQr~S 4A':'F = iICE~SE ~T~iBER = _.- 1188 ~~"~ ~y• ~~ e.taser~et 300; 1 715 552 8827 May-5-d6 2:58PM; Pa a 2I3 9 ill It 9 E H 'Si ERIES SUMP/EFFLUENT PUMP t w. w 1w.w wrswrt: r 1r 1c ~ rw ~' r+a tuxl a:4x~ 8t}I-CIAt 509330 UUCS4 4/.0 715 374 73A 7000 70 SI 55 47 32 73.9 2fl' 2A 9.11 x1tS4x8.9a stat~ul sos34s f;(ICSA s.o zao ~;.+ ss tooo >a ra ss at az tae zrr ze s.11 x11b4xfl9A 9Et-i74HFS 504350 UtfGSf~ b"a 775 314 ?3A 10pp 7t1 6a 55 4i S2 ti8 20' 27 9.11 x 11.6e:8 3e ~~ ___ _ S09ffi0 IWCSA N'0 230 3.~ 6b 1000 10 til 55 di 32 t3.tt 2tf ?7 . 9 i1 x 7164 x 8 94 Ga4inYaiSOutYNeted "U~~ifdNP~sarlr+440cos~xwusdfhYasbspaSlheyarenmwrodn~4Deedr~npsiortfbsepumps' . • rL04- LfiER5iti0uR ;vsytrw 1,ittteGiantPump.c4ottm Motor Housin . _ Impeller ,~iatetial 1o Impeller Type; Volute 7.g w Power Cord __ Mechanical ShaA Seat A W Fasteners 2 `~~~ 2.5 _. ____-_...___. Bearings f7 .._ .. e Epoxy Coated Cast Iron Poly Carbonate ~ . Closed Vane _ ABS _ SJTW-A --~---_.. Nittile with carbon and ceramic faces Stainless Steel Stainlecc Steel Upper Stceve and Lower Eiall Bearings Little Giant Pump Co. PO Bel; tE010 • (ltdfAo4sa Cuff; OiC 73157 Phosr:105.44?.25l1 • Fu: 405.2281550 Yrmxul: axs4ooerssrvioeQLSWrQlx~ateom Four 995233 - 07J03 ~ as e0 60 80 ~L04- GALLONS/yINUTE PUMP PERFORMANCE CU12VE t15V tsOFi2 V" Wisconsin Department of Commerce SOIL EVALUATION REPORT Page ~ of > ~ Division of Safety and Buildings 7 in accordance with Comm Wis. Adm. Code ~ County ~ C Attach complete site plan on paper not less than 8 1/2 x 11 inches e. P n must • ~ J indude, but not limited to: vertical and horizontal reference point (BM , nand ' Parcel LD. Q~~ ~ ~ ~ ~ ~ ~ _~~ percent slope, scale or dimensions, north arrow, and location an stan ne t road. ~ Please print mation. Revie by Date Personal iMorrnation you provide may be used f r secor~p w, s. oa (1) ( S 3a P Owner P pe cation ovt Lot N R ~ 1 /4 Ni~ 1 /4 S T L ~ E ( ) W . ~ , Properly Owner's Mailing Address of # Block # Subd. Name or CSM# ~, ~ ~ ~~ ST. CROI /4i City Stat e Zip Cod hone Number ^ C' Village Town ear N est R oad `` l g ~ j ~ New Construction Use:'~\Residential /Number of bedrooms Code derived design flow rate ~ GPD ^ Replacement __ nnnn~^~ Public or commeraal -Describe: __ __ ____~____:,______ ___ Parent material .+~~x~XXCI Flood Plain elevation if applicable N~ ~ ft. General oommerrts and recorrunendations: System Type~~~ 'GtC~ System Elevation / ?r ~ / ~~ # ~ Boring -~-~ ' ~ Q / pit Ground surface elev. ft. pepth to limiting factor / ~ in. Sal icaion Rate Horizon Depth Dominant Cdor Redox Description Texture Structure Consistence Boundary Roots GP D/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 ~ -~ v 3iZ - ~ ~ a~ 2- 9-2 s ~--- ,~ Y_ m s • ~ C S . ~? ~~ # Boring f pit Ground surface elev. ~• ~ft. Depth to limiting factor ~ in. Sal lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/fF in. Munsell Qu. Sz. Cont. Caor Gr. Sz. Sh. •Eff#1 •Eff#2 • Effluent #1 = BOD > 30 < 220 nxllL and TSS >30 < 150 • Effluent #2 = BOD < 30 mg/L and TSS < 30 mglL CST flame (Please Print) re CST Number Bird Plumbing, Inc. Shaun Bird ~... 226900 Address Date Evaluation Conducted Telephone Number 1008 192nd Ave, New Richmond, WI 54017 ._~ _ D ~ 715-246-4516 4 Property Owner Parcel ID # _ / Page of ®~ # ^ Boring D/ /'~ ~~~ ~« n9 r~hf Pit Ground surface elev.~~ ft. De ~o limiting factor in. Soil lica6on Rate Horizon Depth Dominant Color Redox Descriptic~ ~• Te Structure Consistence Boundary Roots GP D/fl? in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 'Eff#2 r ] ~j ~^ 6°-70 r ~~ ~ ~_ /d"1 ~ Nl~ //I~- ~ ^ Boring # ^ Boring ^ pit Ground surface elev. ft. Depth to limiting factor in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP DIfg in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 a Boring # ^ Boring ^ Pit Ground surface elev. ft. Depth to limiting factor in. Soil icatian Rate Horizon 7epth Dominant Color Redox Desription. Texture Structure Consistence Boundary Roots GP D/ff? • in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 • Effluent #1 = BODS > 30 < Y20 ntg/L and TSS >30 < 150 mglL • Effluent #2 = BODS < 30 mg/L and TSS < 30 mglL 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. sao-eaw trt.aroo> Soil Test Plot Plan Project Name Dustin Veenedahl Shaun Address 2271 80th Ave Baldwin Wi 54002 Lot ------ Subdivision -------- Date CS N W 1/4 NE 1/4S 29 T 29 N/R16 W Township Baldwin Boring Q Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of 1 /2" pipe System Elevation 97.4' *HRPSame as Benchmark ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM OwnerBuyer ~ 1 ~ Mailing Address ~ Property Address ~a ~ o ~ l~-e (Verification required from Planning & Zoning Department for new construction.) ~"baz `"/~'~~'r~~ t~1 ~ City/State ~ ~~~~ Parcel Identification Numbe LEGAL DESCRIPTION 2~ Property Location ~1/a ~~ 1~ , Sec2~, T ~N ~ W, Town of l~ .~....= ,Lot # Subdivision ~~ ~~~ Certified Survey Map #p~/ _ , ,_ Warranty Deed # Q / ~~~~ , Spec house yes no ~ s~S Volume / ~ ,Page # / - Volume ~ ,Page Lot lines identifiable a 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. Uwe, 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 all statements on this form are true to the best of my/our knowledge. Uwe am/are the owner(s) of the pf"op" described o;be, by irtu of a warranty deed recorded in Register of Deeds Office. ~~ SIGNATURE OF APPLICANT(S) DATE '~~* Any information that is misrepresented may result in the sanitary pernnit being revoked by the Planning & Zoning Deparlitient *** 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) p~Nt~tER'S MANUAL 8~ MANAGENtENT PLAhI IFtCq'1'K)NS Page~ot SYSTEM SPIrG SePdc Tars4c Csp~Y at D At11 ~ Septic Tanis tUlattrtfaciurer lc.,~ ^ Nn Eftiue~rrt Flter iVtanuFadurer wb-~ t1 IvA Efl9uenf 1861 er~Mt~ ~#--~- d vt7 o NA Pump~Tank Capacity ~ ? cJ aI DNA Pump Tank Manu#at~urer NA .Pump Ntariufaidttrer ~ ~~ ,c~"^ ~. Pump Model ^ ~ preh,~-ent Unit _ ~ INA D SandfG-~~ FzTter D Peat F7fter ^ tytechanicat AeraSon ~ ^ Disinfection ^ Oit~er Manufaeturer Disperse[ Ce[t(s) . D ln.ground LQm~Y) II [rt~round (Pr+essur¢edj. grade Q Mound ^ Dri ne ^ Other_ . • Vahtss typld for domestic (noa~canmerdaTl rrastierratsr mQ ~pGc tactic eRiueat. ... Values tXPtrBE for pr,etrtateti w~sbavvater_ KyyNTEAf,ANCE 5c:t~iruvr..~ Service Frequency Service Event ever ^ montl~ 3~ r{sj (Maximum 3 yrs.j inspect condiUan of tank(s) y .._. At feast once tyaJg pre-ihFrd (Y) of tank volume When combined sludge and scum eq Pump out contents of tank{s) p month r{s) (Maximum 3 yrs.j rsal oil(s) ~nsped dispe At least once every eve l II trio r(s) . ry At least once , Clean sfliuent filter ~ mo sj ~ NA umP oontnots 8~ alarm Enspect PucnP. P At feast once every t once every ~ Q months s) O NA Flush relaters and pressure test At leas ^ months D year(s) DNA At feast once every other: .,___ At least once every Q months II year(s) D Na ~ptNtENANCE INSTRUCTIONS one of the fciiowing rioenses ar Ins~r+s ~~~ and d-~persat Darts shalt be~ made t>y an ind"nriduai carrying r PbW'r5 Maint~itner; Septage oer~'ca~ons: Masher Plumber; Master Plumber Restrsated Sewer', P01ArT5 fnspe~ • n gang flperamr. Tank mspectrorts must indude a visual inspec;lyon of the tanK(s2 m IdenBfy any mrssm9 or' broke idertti~r any cracks or leaks, rrteasu+'e ~e volume of oomt~irsed sludge and scum andM ~~ a etnu~ levels or pending of effttrent an the ground sur'face_ Tire dispersal Deft{s) shat! be visually ~P~d ~• of efttuent on the in the observation p"tees and to check for any pending of effluent on ttte ground sarfaoe. TI~e ~ ~ ind:ca0e a fatTing rand76on and r'egeiir~es rtes ~tmmediate notitxs~on of the local regulabxY au~7Or't,'- grottnd surtace may or more of the tank mlume, the 1Nhet7 the combined Soaumulation of sludge and scorn in any tank eQuais one-third (~ of in accord3noe with ~. NR a SePtage Servicing Operator and disposed entire of the tank shall be removed by _ ,_ ~ 2 ~ . i1 - .. i~ Code. -- - -- - - rents, p ~ea~ni components; and any The selvicxnq of eftilrent tilnels, mechantca~ 4P 25morrths orOles~sSshal(be {~rfnrmed by a t;d POiMTS Maiatainet. maintenance or trtanitorsng at Intetera o comp As~rige s e ore regutaborY au#loriiy ~riffiin 1iI daYS sri<RI' t!P At+iO OPERATION reseru:e of painting produGs or other For clew oortsbucxion, Prior fio use of the POVYTS check. treatment funk{s} for th ~I1 s if concentra6ions ale rhenugfs trial may impede the treatment process anQlar damage the disperser ()- deteCtEd ~yg the cprtt+ents of the tank{s} removed by a septage servicing operator prier to use_ i ~-'.~ ..-' ~ - P~-,~c~1.G Sy~n sfan Lp shat! not ocwr when sor~i canditions are ti-ozen at tf,e 'snfr~irative sucfrace_ Ding power outages pump ~ rrtay ~ aborre rlotTnaS highwater leYe(s. Vilhen c is n~tnred file exz~ k;r~stewaterwitt be discharged tb ~ d~persaF veil{s} in one large dose, overioadng the oeli(sj and rrtay resat! in the . t~tp a surface desdtarge of eft~tt To ~~ this situation have the contents of the puittp tarsk tetnoved try a . Septage Serving Upetaidot prior-m- ~'~ to Lhe efliuent pump or contact a PlutnbeG oc POWTS Mahtiaiiner tip assistin RI3rtJlaiiy oPeraiirtg' the PAP ~~ to reston= normal fevers witiriri lFie pump t~ Do not drive or panic veh~les inter panics and dtspet~al t~fs_ Do nrJt drnre at' park cnrer~ or t~fhertririse drsturk orcomp~, the area vriihin tS fleet down slaps of arty mocrnd or at-grade srn'1 ai~rpiion area- - Red~tion or-efanlnation of the ~oilonfving (i~orrt fhe wastewater stream may improve file gerfot[rranoe and pcolorlg the fife of the Pt3V1rTS: antst~lo6c~; ftabywiPes:~d9~~ boils; condoms ~tton swabs; degrBasers; denial floss; dry; tom' focuida~ort dtatti {scsnP Pumpl xrater, fruit and vegetable peefritgs= gasofrne; grease; hetbiades, meat scraps Rt~onsr oft; ~Sn9 prtxiucts; p~esfades; sanr~ary naptcins: tampons; -acid water softener 6rfrts. ABANDQl1l~MEN'i" 1 When ttre PIJWt'S fairs andfar is p,ecmartentiy.taken out of service the tottakving steps shaft lie taken to Insane that the system is properijr anti ~1Y abaodo~ned in comprance with ch. Comm 83.33, 1A~tsoorrsin Adnurststra6ve Code: ' A~ PIP~9 in tanks and Pits shaft -be disconrreded and the abandoned pipe openings seaied_ • . The oonter~,~ of aR tanks and pits sha(I be removed and property disposed of bar a Sepfage ~Setvfdng Operator_ • ~' p~P~g, aU tanks and pits shad ise excavated and removed or #hsir covers remo,red~and ffie wid space frt[ed with soar, grave! er anafhet inert solid rnateria[. CONTINGENCY PLAN !f the POINTS fails and cannot be repaired the fottowing measures have been, or must ire taken, to pnmde a code cAmpGant neptac~errzent systerrti l3 A suitable reptaoement'area has been evaluated and may Ise utilized for the Location of a replacement so7 absoptlon system_ The r~eptacernent area shocTtd be protected from disturiranae and compaction and should not tae infringed upon by required setbacks from existing and proposed structure, Iot &nes and vrelis_ Far7ure to protect the replacement area tvt~ result in the need for a new soil and site ~evaluatian to establish 2t suitable neptacement area ReptacemenL systems must campfy with the rules in effect at itrat time. p A su~fabJe r~eptacement anew is not available due to setbactc and/or soft timiiations_ Setting advarroes in POWTS technology a holdrng tankmay be inst-aJJed as a fast resort to replace the fazed POIttITS_ The site has not been evacuated bo identify a suitahte reptacecnent area. Upon faiIune Of fhe Pf3WTS a sod.and site evaluation must b+e performed to Iocate a' suitable replacement area.. If no replacement area is avaicable a. hoidng tank nzay be installed as a fast resort to n=giace the felted POVt-TS_ Mound and at-grade Soil absorption systems may tae reconstructed in ptaae fatlov~ring rernovai of the biome! at the tnfiltratnrre sur~aoet Reaonstrudlons of such systems must comply with the rotes in etTecx at that time_ ~cVIFARNIN{~a SEPTIC, PU1idP AND (7THER TRF,ATM1 NT TANKS MAY CO~IrTTACJY LETHAL GASSES ANJ3IOR iNSUJ'F[C[J~IT OXYfiEK DO NQT ENTER A Sl=F2TC, Pi1MP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSOJN FROM THE INTERIOR OF A TAAIK iiftAY BE DIFFICtiLT OR IMPOSSIBLE At?DrtIONAi. CpMMENT$ POYItI•S INS1 ALLER N2rrle ~~sy rv lam: Phone ~, t.,~'- L~l b' ~~' / PQYYTS MAINTAIII[ER iYami; c~ / Phone 7%J'~~' ~i' ~-~ SEP]"AGE SERVICING QPERATOR PUMP LflCAE. REGULATaRY ktJ'f/H~OR17Y Name ~"' ~ a9~c3' ~ 7'~ G G lsc[ Phone 7l ~ ~.. ~ ~ ?hons ' J ~~-- 3 }~ ~ ~'~l6 This aoarmevK mas QraQed by the St~Fs of the L~een Latce, Marqueits and Waushara County ZcnItx,7 and Sanitation Thk doam'ierit meets m~ mirmnrrnr requirem~ of a>. Corrntr 5312(Z}(bHi3Cfia (f} acrd 83.Sd{1 }. fz1$ (3}. W+scaonsin ftdmrnLstrasve C~cte. Use of ttrls rtoaunent door not guaranies the perforcnarrce of the PUY3tTS. r,NW(TA)1} J_.29y~; ':139 State Bar of Wisconsin Form 2-2003 WARRANTY DEED. Document Number Document Name THIS DEED, made between Gerry B. Veenendall and Bonnie E. Veenendall, husband and wife ("Grantor," whether one or more), and Dustin G. Veenendall and Sarah K. Veenendall, husband and wife, holding as survivorship marital property ("Grantee," whether one or more). Grantor for a valuable consideration, conveys and warrants to Grantee the following described real estate, together with the rents, profits, fixtures and other appurtenant interests, in St. Croix County, State of Wisconsin ("Property") (if more space is needed, please attach addendum): Part of the Northwest Quarter of the Northeast Quarter (NW'/. of NE'/.) and Southwest Quarter of the Northeast Quarter (SW '/4 of NE'/.~) of Section Twenty-nine (29), Township Twenty-nine (29) North, Range Sixteen (16) West, Town of Baldwin, St. Croix County, Wisconsin, more particularly described as follows: 8 1 4.3rZt`3 KATHLEEN H. MALSH REGISTER OF DEEDS ST. CROIX Cp. , MI RECEIVED FOR RECORD 12/15/2005 10:40AM NARRANTY DEED EXE-~G? ;E REC FEE: IZ.00 TRANS FEE: 15.00 COPY FEE: CC FEE: PAGES: 1 Area Name and Retum Address Thomas A. McCormack 1020 10th Avenue ~ Baldwin, Wi 54002 OOZ-1072-30-025 _ Lot One (1) of Certified Survey Maps filed June 26, 2003, in Volume 17 of Parcel Identification Number (PIN) Certified Survey Maps, page 4551, as Document No. 727346, Office of the Register This is not homestead property. of Deeds for St. Croix County, Wisconsin. h~ (is not) Exceptions to warrartties: easements and restrictions of record. Dated ` f ~)~ ~h, a.~ , 2005 _ . ,(/~ a p D _ _ (SEAL) -/ "~_~-~ ~ ~.1~'~~~~¢"'~` (SEAL) * * Gerry .Veenendall (SEAL) ~ ~ ~. (SEAL) * * Bonnie E. Veenendall Signature(s) AUTHENTICATION authenticated on * TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by Wis. Stat. § 706.06 ) ACKNOWLEDGMENT STATE OF WISCONSIN ) ss. ST. CROIX COUNTY ) Personally came before me on ~.f 10~(,~~~_p~,,, ~ , 2005 , the above-named Gerry B. Veenendall Bdtt`nie, Veenendall :' co to me known to be the persons 1~fro gctc~t~d../ilre.. going instrument and acknowledged the; `~' ''~: „, ` f p• ,- THIS INSTRUMENT DRAFTED BY: „ - "`!"~'~ A:: Thomas A. McCormack __. Notary Public, State of WISCONSI ;~ ~~' __ Baldwin, WI 54002 _ My commission (is permanent) (expire ~,~,:9 - ) (Signatures may be authenticated or acknowledged. Both sre not necessary.) NOTE: THIS IS A STANDARD FORM. ANY MODIFICATION TO THIS FORM SHOI(LD BE CLEARLY IDENTIFIED. WARRANTY DEED STATE BAR OF WISCONSIN FORM N0.2-2003 'Type name below signatures. ®State Bar of Wisconsin 2003 INFO-PROTM Legal Forma • (8001655.2021.1Noprorwms.com 1~ . ~ Parcel #: 002-1072-30-025 06/12/2006 09:06 AM PAGE 1 OF 1 Alt. Parcel #:_ 29.29.16.433A 002 -TOWN OF BALDWIN Current ' X~ ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O =Current Owner, C =Current Co-owner O -VEENENDALL, DUSTING & SARAH K DUSTING & SARAH K VEENENDALL 2145 CATTAIL WAY HUDSON WI 54016 Districts: SC =School SP =Special Property Address(es): " =Primary Type Dist # Description ' 2265 80TH AVE SC 0231 BALDWIN-WOODVILLE AREA SP 1700 WITC Legal Description: Acres: 20.001 Plat: 4551-CSM 17-4551 002-03 SEC 29 T29N R16W PT NW NE & PT SW NE 001AC 20 CSM 17 4551 LOT 1 Block/Condo Bldg: LOT 01 ( . ) - Tract(s): (Sec-Twn-Rng 401/4 1601/4) 29-29N-16W Notes: Parcel History: Date Doc # Voi/Page Type 12/15/2005 814309 2944/139 WD 06/26/2003 727346 17/4551 CSM 793/86 778/174 more... 7(1f1R CI IMMARY Bill #: Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 06/28/2004 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 16.750 1,900 0 1,900 NO UNDEVELOPED G5 3.251 1,300 0 1,300 NO Totals for 2006: General Property 20.001 3,200 0 3,200 Woodland 0.000 0 0 Totals for 2005: General Property 20.001 3,200 0 3,200 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: 04/17/2001 Batch #: PRGRM Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 i ~J 7 2 3 4 6 YDL 77 PAGE 4557 KATRLEER N. REGISTER OF DEEDS ST. CROIX CO. MI RECEIVED FOR kECORD 06/26/2003 09s15AM CERTIFIED SURVEY 1[AP CERTIFIED SURVEY MAP Gerry and Bonnie Veenendall Located in part of the Northwest !~; of the Northeast % and Southwest '.~; of the Northeast '~, of Section 29, Township 29 North, Range 16 West, Town of Baldwin, St. Croix County, Wisconsin. OWNERS ADDl~SS 227! 80TH AVENUE UNPLATTED L4NDS BALDW/N, WI 54002 - 5 87°3T56' E 2878.86' - ~Q~/.f• A 1 /GN/ /~-- S 87°3T58' E _ 8pg.33•- ~'- 7• ~llC~s S! _ `NORTH LINE NE1/4 ~") : - 33.87' • NORTH ff4 CORNER 394.71• 34.39•.;' g 394.75' _T SECTION 29. T 29 N, R 16 W ~ - S 87°33'27' E 740.06' -- ~ (FOUND COUNTY BERNTSEN NAIy r. ~. Q°zQ -I. ~~ Zi OT2 SHALL NOT BE FURTHER ~~ SUQDNDF~ /If THE FU7iME, UNLESS APPROVED BY THE ST. CROOCCOUNTYBOARD OF SUPERV60RS. BEARNlGS ARE REFERENCED TO THE NORTH LME OF THE NORTHEAST f/~ OF SECTION 29, T29 N, R n w, AssuMEDAs S 87"S7S8•E SCALENYFEET t•-mo• 1 1 0 LEGEND ~ INDICATES 1-1/4"O.D. x f8"IRON PIPE SET (MIN. WT. - 1. f3 LBA.F.) 0 SEC770N CORNER MONUMENT (AS NOTED) -M- HYD/CATES FENCELgVE N ~ LOT1 CONTAINS 8 Q. FT. O 0.001 v ~ (857 OR 19.892 A~ 803 SQ FT ~: , . . EXCLUDING ROAD RIGHT OF W/ ~ qp \e V \ b ~ ~ r ' ~! N• O :,~~.~ JUN 2 6 2003 ~alp~oreAdMN aP~P~+M ae~/I be MIdA #lad yoia O SEP.f/C ~ - - - AREA .CENTERLINE ~EXI$TNJG ~ OR/VEWAY DWELLING WtTFf ATTACHED GARAGE 1 ~~~ 4 & ^ SHED LOT2 CONTAINS 217,800 SQ. FT. OR 5.000 AC. (207, 265 SO. FT. OR 4.758 AC. EXCLUDING ROAD RIGHT OF WAY) Z! OHWM ESTABLISHED 8Y .. - CRC4I000!lNTY /~- - 7NE ST _ - , ~ . . t zonnNCDEpARTMENr ' ... _ oNS23,w ~ ~,yEj i 1 -- - ~ ~,G'~ Pv ~%/ tNpG~ c 1 SE .~,~`p~N~/ •' Off' ° / a~ ~ GE ~ ~. ~ ~ W -- ANYPROPOSED ACCESS ACROSS ' '~' its c A NAVIfaABLE DRANAOEYVAYYAY N REQUItE PERB/T5 FROM THE ST_ CROOCCOUNTYZONNVaDEPARTMENT c ANDTHE DEPARTMENT OF NATURAL RESOURCES. W N - - - - _ . SOUTIf LHYE NWt/4~NE1/I ~ ~ NORTH LNE SWI/4.NE7/1 - - . SQL q 5pONg7 `.~ ~` ~ ~ LAURENCE MURPHY ~: 3 ~~ OENVILLE, • ~ O• N 87°294]° • • W 1. • fff((vjj~+ ' DATED: `L ~ .... • • . •~~,-1 MARCH 17, 2~3 ! l " s ~ n Ho REVISED: JUNE 19, 2003 9/fj ~ `~f+ THIS INSTRUMENT DRAFTED BYJERALD L CARSON NORTHEAST CORNER SEC7)QN 29, T29MR16W (FOUND COUNTY BERNTSEN NAIL) CEN7ERLNE 80TH AV6fJUE 2.5' t ~~ ~i ~I ~~ 0• ~: SHEET10F2 Voi.77 Pg. 4557 St. Croix County Planning and Zoning Tuesday, March 27, 2007ar 10:05:28 AM Detail Sanitary Information Page ~ °f 1 Computer #: 002-1072-30-025 SublPlat: NA Section: 29 Parcel #: 29.29.16.433A Lot: 1 TN/RNG: T29N R16W Municipality: Baldwin, Town of CSM: Vol. 17 Pg. 455 1/4 1/4: NW 1/4 NE 1/4 Owner: Veenendall, Dustin 2265 80th Avenue Baldwin, WI 54002 State Permit: 488222 Issued: 06/12/2006 POWTS Dispersal: At-grade Permit: New County Permit: 0 Installed: 07/18/2006 POWTS Detail: NA Bedrooms: 3 WI Fund: POWTS Pretreatment: NA Notes Issuer/Inspector As Built Plumber Other Requirements Additional Notes Money Owed Pam Quinn >4/1/00 -Not Required Bird, Shaun permit missing from folder -locate see if KG has in office - no outcard in folder $0.00 Kevin Grabau ! No completed paperwork tVtaintenanee Scheduled Pump Date Pumped 1st Notification 2nd Notification 3rd Notification 7/18/2009 Parcel #: 002-1072-30-025 os/27/2007 10:02 AM PAGE10F1 Alt. Parcel #: 29.29.16.433A 002 -TOWN OF BALDWIN Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O =Current Owner, C =Current Co-Owner O -VEENENDALL, DUSTING & SARAH K DUSTING & SARAH K VEENENDALL 2265 80TH AVE BALDWIN WI 54002 Districts: SC =School SP =Special Property Address(es): " =Primary Type Dist # Description " 2265 80TH AVE SC 0231 BALDWIN-WOODVILLE AREA SP 1700 WITC Legal Description: Acres: 20.001 Plat: 4551-CSM 17-4551 002-03 SEC 29 T29N R16W PT NW NE & PT SW NE BlocklCondo Bldg: LOT 01 (20.001AC) CSM 17-4551 LOT 1 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 29-29N-16W Notes: Parcel History: Date Doc # Vol/Page Type 12/15/2005 814309 2944/139 WD 06/26/2003 727346 17/4551 CSM 793/86 778/174 more... 2007 SUMMARY Sill #: Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 10/25/2006 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 16.750 3,100 0 3,100 NO UNDEVELOPED G5 3.251 4,300 0 4,300 NO Totals for 2007: Gene ral Property 20.001 7,400 0 7,400 Woodland 0.000 0 0 Totals for 2006: Gene ral Property 20.001 7,400 0 7,400 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: 04/17/2001 Batch #: PRGRM 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 Division of Safety and Buildings in accoraance vnm Comm oa, vns. Ham. ~.oae County s t Plan must er not less than 8 1/2 x 11 inches in size Attach com lete site lan on a l I . p p p p indude, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. ~ ~~ U percent slope, scale or dimensions, north arro distance to nearest road. l~ ~r~ 2 ~ Please print all fon~t~el*v'iEIVED Reviewed y ~ DgaLte~j `~ Personal itrforrna you provi m sect fors ondary purposes (Privacy Law, s. 15. (1) (m)). J Property Owner? ~ Y 0 7 200 Prop Location ~ S Z T~ N R E W e 1/4 Govt. Lot (( 1/4 ( Property Owner's Ma ' Address ~ UNT Jp ZONING OFFICE Lot Blod< # ~ Subd. Name or CS L 8T ~~` - "~ City State Zip Code Phone Number ^ City ^ Village Town -Near t Road Gvi~ S z c I ) 6~ ~ ~ New Construction Use, Residential ! Number of bedrooms ~_ Code derived design flow rate y_.,rS~ (~ GPD ^ Replacement ^ blie o merdal -Describe: _~-___. __ ___ Parent material Flood Plain elevation if applicable ~'' /~ ft. and recommendations: Sc~ ~-~ ~i~~ General ~ ~ `„~c~(i~"' `" / (! '~ ~ D` ~ L~ // / // .~ Pit Ground surface elev i ft. Depth to limiting factor ~~~~ in. Soil ication Rate Horizon Depth Dominant Color Redox Desaiption Texture Structure Consistence Boundary Roots GP O/fF in. Munsell Qu. Sz. Cont. Odor Gr. Sz. Sh. `Eff#1 `Eff#2 ._--_____ ~ " s6 ' z~ - . ,s 3 ~ ~ .~ /,~ - `~' e«i~ # Boring Pit Ground surface elev.~~~~ ft. Depth to limiting fado~_ in. Soil lication Rate Horizon Depth Dominant Cdor Redox Description Texture Structure Consistence Boundary Roots GP DIft° in. Munsell Qu. Sz. Cont. Cdor Gr. Sz. Sh. `Eft#1 `E~ Iz-3~ -----~ c ~~ , • Effluent #1 =BOO > 30 < 220 mglL and TSS >30 < 150 'Effluent tit = BoD < :iU mg/L and r ~ < :su mgrt GST IVafnQ (p{~ per) CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation Conducted Telephone Number 1008 192nd Ave, New Richmond, WI 54 17 ~ r ~ 715-246-4516 ~z S~ i~ Property Owner Parcel ID # Page of Ong # ~ Boring Pit Ground surface elev ~ ~ ~ ft. Depth to limiting fado~ in. Soil lication Rate Horizon Depth Dominant Color Redox Description TeMure Structure Consistence Boundary Roots GP DJfP in. Munsell Qu. Sz. Cont. Cdor Gr. Sz. Sh. 'Eff#1 'Eff#2 l7 ° -' ~ J ~C r' 3 ~~ /~ - ~ n Boring # ^ Boring U U Pit vrouna surraoe Kiev. n. urspui w unnwiy iauw m. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Etf#1 'Eff#2 o ~ri~# o Boring ^ Pit Ground surface elev. ft. Depth to limiting factor in. Soil ication Rate Horizon Depth Dominant Cdor Redox Description. Texture Structure Consistence Boundary Roots GP D/fF in. Munsell Qu. Sz. Cont. Cdor Gr. Sz. Sh. 'Etf#1 'Eff#2 'Effluent #1 = BODE > 30 < 220 mglL and TSS >30 < 150 mglL 'Effluent #2 = BODS < 30 mglL and TSS < 30 mglL 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$330 (8.6/00) Project Name Gerry Veeneda Address 2271 80th Ave Baldwin Wi 5400 Lot Subdivision ------- Date 5/2/03 N W y /4 NE 1 /4S 29 T 29 N/R16 W Township Baldwin Boring 0 Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of nail in Power Pole System Elevation 98.9' *HRPSame as Benchmark Alt. BM Top of 2" Pipe @ 96.7' Soil Test Plot Plan hl Shaun r 2 CS #226900 ~../ ~ ~ ~R~ e ~ V !,~ _ .,~.~,,.....~'fS r ?2346 VOL ~ 7 PAGE 4557 KATHLEEN N. M1~L~A~ REGISTER OF DEEDS ST. CROIX CO. , WI RECEIVED FOR RECORD 06/26/2003 09:15AK CERTIFIED SURVEY ItAP C: r ,.. ~ ~....... 2 z 7~~~y. ,~. U ~iS CERTIFIED SURVEY MAP Gerry and Bonnie Veenendall Located in earl of the Northwest '/, of the Northeast '/, and Southwest //~ of the Northeasi',i: of Section 29, Township 29 North, Range 16 West, Town of Baldwin, St. Croix County, Wisconsin. OWNERS ADDRESS 227180TH AVENUE BALDWIN, W154002 _~` NORTH LINE " NE1/4 NORTH 1/4 CORNER SECTION 29, T 29 N, R 16 W (FOUND COUNTY BERNTSEN NAIL) LOT 1 SHALL NOT BE FURTHER SUBDA?DED MV THE FUTURE, UNLESS APPROVED BY THE ST. CRODf COUNTY BOARD OF SUPERIRSORS. N BEARINGS ARE REFERENCED TO THE NORTH LME OF THE NORTHEAST 1/I OF SECTION 29, T 29 N, R 16 W, ASSUMED AS S 87°31'St' E. SCALENVFEET 1'=2P0' 1 10 2 • © 394.75' - --. o -- B7°33'27" E „- SETBACK LME - Z' - e ~ , q~ i w' ~ ~.,. I I ti ~ ~. ~ ~ j; ~ ~ `I ao: ~I ~I 0 N• e• oI Z; LEGEND ~ INDICATES 1-1/4"O.D. x 18"IRON PIPE SET (MIN. WT -1.13 LBA.F) SECTION CORNER MONUMENT (AS NOTED) -"- INDICATES FENCELINE ~\SCOfVg~ .• •. LAURENCE"• MURPHY i !t: s y( '* to • DEN4ILLE, ~ 0 p wl. a ~. ~. ' •' s~' F "••.".••° J~. 5 LA N~ U!~lPL.A 77•ED-LANDS - S 67°37'56' E 2618.66`.. ~OZ'~-~V~N(/~_- G,y~~ ~;O DATED: MARCH 17, 2003 REVISED: JUNE 19, 2003 THIS INSTRUMENT DRAFTED BY JERALD L. LARSON ~~°s ~' Vo1.17 Pg. ~F551 LOT1 CONTAINS 871,244 SQ. FT. OR 20.001 AC. (857,803 SQ. FT. OR 19.692 AC. EXCLUDING ROAD RIGHT OF WAY) AREA PAGQ9';CRUX COUNTY Phnnintf zoninn and Parks Comm~nee JUN 2 6 2003 1~ gat were 3t1 caps of tai dale a~aptoya~ st~r+ be Ipw1A ~rtY ^orond "- --e7- _ ~ _ S87~ ~0-5•~ ~ 34.79'-:, ~ M ~ 1309.33' 305.31' - O ~ NORTHEAST CORNER O SECTION 29. T29NR16W - _ (FOU I~JTSCOUNNTY Y ~ CENTERLINE 64TH AVENUE DWELLING ~ W/TH ~ ATTACHED I~ GARAGE L-.1 I ~ WELL o ~ ~ SHED ~~~ ~ "' LOT 2 CONTAINS 217, 800 SQ. FT. OR 5.000 AC. (207,265 SQ. FT. OR 4.758 AC. EXCLUDING ROAD RIGHT OF WAY) ~2.5't -^ --- OHWMESTABLISHED BY +• ~ THE ST. CROIX COUNTY /~ - r t` ZONING DEPARTMENT ~ J...' . ~, N ~~`NE ~~,H~~ 'rti P~ o r i S~16PC 0 0~~~ ~N ~ P`NP co ~ ' ~ ~~y~A~' o ;~ i• ~ ~ ~ w ~ ~ ~ ANY PROPOSED ACCESS ACROSS o A NAVIr;ABIE DRAINAGEWAY MAY ~ REQUIRE PERMITS FROM THE ST. CRODf COUNTYZONING DEPARTMENT AND THE DEPARTMENT OF NATURAI RESOURCES. LINE NW1/4NE1/4 LINE SW1/4-NEi/4 - - - - - - N v r' ~o z to `U7, ~' Z ~', ~` g' Z i Z ~' ~ Q •.J W' ~~ i ~ g~ ~~ Z' ~; N SHEET 10F 2