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Home My WebLink About004-1058-30-200,~ Wiscowgin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Buildings Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)). ~~ ~, s ~~/a8//~ 39~ !3 Permit Holder's Name: ^ City ^ Village ^ T n of: Sands, David Cady Township CST BM Elev.: Insp. BM Elev.: BM Description: Ste, laS, s~ as TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic (~~ ~Sf vvU Dosing (,o-jn,~ S~ Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. vent to Airlntake ROAD Septic ~ rr o r s 3o f ~/ / w: G ~"~ ' NA Dosing t'` ~` ~ ~ ~ ~ ~ NA -- - A Holding" PUMP /SIPHON INFORMATION ~0 Manufacturer ~ ~ ~ Demand Model Number ~ ~ ~ ~( ~~ GPM TDH Lift q.Zt Lriction (~,. System ~a TDH ZO.ZIFt Forcemain Length Zps Dia. 2 '~ Dist. To Well y/rmr SOIL ABSORPTION SYSTEM ELEVATION DATA county: St. Croix Sanitary Permit No.: 370377 State Plan ID No.: t{38 S''fl > Tirw~s . tn.~ . Parcel Tax No.: 004-1058-30-200 STATION BS HI FS ELEV. Benchmark ~ ~ pS' ~fJ Alt. BM * .Z~i ~ Bldg. Sewer ~ 9. y ~ r St Ht Inlet ~ ~• 9.~32r Dt Bottom * ~ c ~' ~r Header/Man.'4 2.v~-( InZ.ofo ~ Dist. Pipe Z~~$ 2.~`$ 102. oZ r Bot. System 4 ~. ~f ~ o f. 3~ Final Grade St cover tk , 3 ~' ~ tir.KLS-'S(_o! ~~ ID Ocf.-O 00.D ~ y BED /TRENCH Widt / Len th r PIT No. of Pits Inside Dia. Depth DIM N 1 N S CZ s DI ` SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACH anuacturer: SETBACK INFORMATION Type O r i ~ CHA ER ~ Mo el Nu System: 2$ •t- ~ lao ~ ~0'0 UNIT I]ISTRIRUTI(]N SYSTEM ~S. )cam 4~ •^y .SOIL COVER h Header / Marti old ~ Distribution Pipets) ~ll ry r x Hole Si;; ( x Hole Spacing Vent To Air Intake Length ~•~ Dia. ~_ Length ia. (r=- Spacing ~ O f g x Pressure Systems Only Depth Over Depth Over xx Depth Of xx Seeded /Sodded xx Mu c e Bed /Trench Center Bed /Trench Edges Topsoil ^ Yes ^ No ^ Yes ^ No ,-. COMMENTS: (include code discrepancies, persons present, etc.) ~,.1e5 ~ ~ L~+~''"'~'"`" Inspection #1: I l la /O /Inspection #2: or /~ /o l Location: 127 320th Street, Wilson, ~~PWP~I 5~4027 (NW 1/4 SW 1/4 25 T28N R15W) - 252815396B -Lot 2 1.) Alt BM Description = `~'-° ~ ~^Uf~(lia~- ~~ Plk~t'pcr (,~/:~~ ~prcv/~~ ~ ~ou.,.7o;h.~ ~J ~r<,r,r,~ 2.) Bldg sewer length = ~,~3 ' I {~ ~~,'~rrfy swn ~v ~v~ s %y. et ~ f ~ o v -amount of cover= >s' ~rL ~P~rp ~ ~~s/~~~~/; o„ a~ ~, ,,~f ip 3.) contour = too • 29 ~~ w~ l/ ~ l ~, sr1 ~/e:7 /•~ Plan revision required? ^ Yes ~, No o~ 3o e f Use other side for additional information. t S SBD-6710 (R.3/97) Date Inspector's Sig ure Cert. No. xx Mound Or At-Grade Systems Onl 3• ~`~> 3' ~~ ADDITIONAL COMMENTS AND SKETCH ' Safety & Buildings Division ' rmit A lication S it P ' 201 w. Washington Ave. an a e r Y PP PO Box 7302 ~ ~ iseonsin In accord with Comm 83.21, Wis. Adm. Code Madison, WI 53707-7302 Department of Commerce Personal information you provide maybe used for secondary purposes (Submit completed form to county if not [Privacy Law, s. 15.04(1)(m)] state owned. Attach tom lete tans to the court co onl for the s stem, on a er not less than 8-1/Z x 11 inches in size. Courtryry State Sanitary Permit Number ^ Check if revision to previous application State Plan [. D. Number ID 199790 ST. CROIX v TRANS. ID 8 41 I. A lication Information -Please Print all Information Location: Property Owner Name ~ ~ Property Location DAVID SANDS ' `~~ ~-' -i-=. ~ ~. NW 1/a SW t/a, s 25 T 28 ,N, Rl.~/~r w `~;~ Property Owner's Mailing Address r ,~,, Lot Number [31ock Nun,bcr 1 310 MORNING GLORY CIRCLE -~ '~ ~.~ t~~.t`y ~-4~) 'F-' ' ~ City, State Zip C ~„~ P ,gue umber Subdivision Name S umber GLENWOOD CITY WI 1 + F ~ Lr~ [~ 54(~`3,i,, ~"``,: '' ` ~...... (r7j ) ZC,'~= 4-~;7Z,.. ~J ~ y P 3 ~' ~ ~ ~ ~~~ + S I / >~. ,: II Type of Building: (check one) ~ -~~_1 ,.., •r•~r / '~ ~ ~ ~n ;~~ ~ ~s S 2 F il D lli N f B d a '' ^ city ~ w ~ n u. we 5tl 1 or am y ng - o. o e r oms 1 t(~ a n of To ^ Public/Commercial(describe use): ~ '-• '" ~ ~ r • ~ CADY ^ State-owned ' III Type of Permit: (Check only one box on ~_Chec~. on line B if applicable) Neares[ Road 320TH STREET p) I. ~ New System 2. ^ Replacement 3. ^ Replacement of 4. ^ Addition to Parcel Tax Number(s) S stem Tank Onl Existins; S stem - )~~-30' B) ^ A Sanita Permit was reviousl issued Permit Number ed 5. a S • S • ~) ~ IV. Type of POWT System: (Check all that apply) , ~ ) ^ Sand Filter ^ Constructed Wetland ^ Non-pressurized In-ground ~l Mound ~ ~ 1< ~S ^ Pressurized In-ground ^ Holding Tank ^ Single Pass ^ Drip Line ^ At-grade ^ Aerobic Treatment Unit ^ Recirculating ^ Other: V Dis ersal/Treatment Area Information: G o r /vo_ ~ ~ 1. Design Flow (gpd) 2. DispersalAn;a 3. Dispersal Area 4. Soil Application 5. Percolation Rate 6. System Elevation 7. Final Grade Required Proposed Rate (Gals./day/sq. fL) (Min./inchl. Elevation .450 / 450 ~ 450 ~ 1.0 ~ N/A 101.35 ~ 103.18 VI Tank Capacity in Total # of Manufacturer Prefab' Site Steel Fiber- Plastic Information Gallons Gallons Tanks Con- Con- glass New Existing a etc strutted Tanks Tanks ^ ^ ^ j ^ , Se {-;~ 1000 1 0 - ^ ^ ^ ^ Dose 650 650/ 1 MIDWESTERN PRECA T VII Responsibility Statement I the undersi ed assume res onsibilit for installation of the POWTS shown on die attached plans. Plumber's Name (print) Plumber's Signature (nos mps): MP/MFRS No. Business Phone Number BENNIE HELGESON 2202 2 a Plumber's Address (Street, City, State, Zip Code) W1229 770TH AVENUE, SPRING VALLEY WI 54767 VIII County/Department Use Only ^ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Issuing Agent Signature (No stamps) C~Approved ^ Owner Given Initial Adverse Surcharge Fee) ~ Determination 3 Z~ ~ U ~ Z CSC) roval: Disapp IX. Conditions of Approval /Reas ns for ~ / / ~ [ - / ~ s vC'CO~w1~~~Tlov~s. ~t Y-<~><~r ~ ~ SefvrC~e~~it~Ai~rRrc~eOC ~Oe'd rYtQn~c7c~Gturea 4 Gp ~ ~ ~scons-n Department of Commerce Safety and Buildings 1340 E GREEN BAY ST STE 300 SHAWANO WI 54166 TDD #: (608) 264-8777 www.commerce.state.wi.us Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary September 30, 2000 CUST ID No.268093 BEN HELGESON ATTN. POWTS INSPECTOR ZONING OFFICE HELGESON EXCAVATION INC ST CROIX COUNTY SPIA W 1229 770TH AVE / ,:.' ~ r~•` ; ~• 1101 CARMICHAEL RD SPRING VALLEY WI 54767 ~~~; .~'~~ `".._ ~~` ~ ~ ,%;'~HUDSON WI 54016 RE: CONDITIONAL APPROV ~ ~ ! I ~ ..: ~ .. l~ ~'`'-~ Identification Numbers PLAN APPROVAL EXPIRES: 0 1381200 ~•' ,, -- -' ~~! ^ ~~ ~ _, , Transaction ID No. 438541 ~~ Llr~~ I Site ID No. 199790 ~, - ~ S7 GNOi.z ~, -~i SITE: -- r~- •r , % ., Please refer to both identification numbers, v.d'Y / Site ID: 199790, DAVID SANDS `~'r't''J~~ c~ ~~" ;~ above, in all correspondence with the agency. ST CROIX County, Town of CADY;'320TIi ST , W1/2, SW1/4, 525, T28N, R15W + FOR: .. _ ,::.. - Description: MOUND SYSTEM FOR DAVID SANDS Object Type: POWT System Regulated Object ID No.: 764657 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 installation: • The piping used for the force main and manifold shall comply with Comm 84.30 (2)(e). • The distribution piping shall comply with Comm 84.30 (2)(d). • The aggregate used in the distribution cell shall comply with Comm 84.30 (6)(i). • The synthetic fabric used to cover the aggregate cell shall comply with Comm 84.30 (6)(g). • Documentation shall be provided to the County to show that the effluent filter is aState-approved product and to show that it is capable of filtering out all particulate matter that is greater than 1/8 inch in size. • An access opening of sufficient size to allow removal of the filter must be provided over the outlet "tee" baffle of which this product is installed. This access opening must terminate at or above grade. A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation operation. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. Sincerely, KEITH A W[LKINSON , POWTS PLAN REVIEWER Integrated Services (715) 524-3630, FAX: (715) 524-3633 , M-F 7 AM - 3:45 PM KWILKINSON@COMMERCE.STATE. WI.US cc: DAVID SANDS DATE RECEIVED 09/25/2000 FEE REQUIRED $ 175.00 FEE RECEIVED $ 175.00 BALANCE DUE $ 0.00 WiSMART code: 7633 ,_ .~ ~', , ~' ~~~. ~-~~~~'' INDEX SHEET v~ J PROPERTY OWNER: DAVID SANDS 310 MORNING GLORY CIRCLE GLENWOOD CITY WI 54013 PROJECT NAME: DAVID SANDS PROJECT LOCATION: NW 1/4, SW 1/4, S 25, T28 N, R~,15 W MUNICIl'ALITY: TOWNSHIP OF CADY COUNTY: ST CROIX CONTENTS: Page 1: Plot Plan Page 2: Cross Section & Plan View of Mound Page 3: Distribution Pipe Detail Page 4: Cross Section & Specifications of Septic Tank & Pump Chamber Page 5: Pump Specification Page 6: Mound System Management Plan Name: Bennie Helgeson Signe Address: W 1229 770Th Avenue Spring Valley, WI 54767 Credential number: 220292 Date: September 19, 2000 ~'~r~d~~i~n~~~,~ ~~ ~~ DEPARTMENT OF COMh4E}? ~~~iIS10N OF SAFETY AND BU1Ln1I~ivS E GSPONG~-ICE I ~ _ tl. ~ ., c r .__ _L~'_ ~ 9 c~ ~y'r ~~p~ak , T~ ~~~E~ S' ~ ra-`'--~- Q s3 a ~ a ~ \ ~ / ~O~ \ oX 67, l~ S~ ~ .d <s .,\\ ~d ~~ _~ ~,~~ ~~~ ~i,rt. ca5, go ~~ S ~-~~ y ip ~4~ ~ ~~ ~o~~ .~le~, ~o3•SS t-Chc.2 ~~~ ~ ~i,~:~ ,~;.~-'idea ~4. ~'R rte. ~~~~ ~'11r-~ a~~ P~- Eo c~c- d Main Pw ~roP~ss~ ~~o/~s'o s~Pf,~/;~~ 7 b ~i~e'~ o f~~Ui7 ~G,nd S Synthetic Covering ~1STn^C3 3 ~!!~h Sand Topsoli _ J i -~ 3 E Page ..,.. Of _ )istribution Pipe acv /r~3 . /~- G F /v/,3~ D / ~ . ~ % Slope GL~~ ~ Of Z•_ 2 Force Main Aggregate From Pump Cross Section Of A Mound „_ ~_ - - Signed: License Number: Date: A ~o Ft . g ~~ Ft. K ~_ Ft. ~ ~ Ft. ~ ~ Ft. I ~~ Ft. W ~ a Ft. Plowed Loyer . ,; _ ~t E ~~ ._ Ft. F_..83= Ft. G :~ Ft. H _~ Ft. L Observation Pipe ~ K _.._ _- . j-- - - - - r---------------------------------------OE-t~.5 ~ -- ~T---------------_____-~__~_ Distribution Pipe i l9~•S Aggregate i (~. GSc.-~ ~Ga~ . . Observation Pipe Plan View Of Mound 2~ ~~-~ lJ '~~~ ~ ~,~vln ~arl~~ ~ ~J End Vlew Perloroled ~~// CC PVG Pipe ,~v~~f /'[Lt1111o ~ ~. Holes Located on Bottom . are Equally Spaced ~or `„~ ~.._.,~ Distribution Pipe Layout Signed: License Number: Dace: i pitlribvllon..• ' Plp. ~- s ~r , x _s~.+ I r Y ,.~- Hole Diameter nth Lateral " Inch (es) Manifold " z~;=~;Inches Corte Main " Inches ~.,t,~ VE~t ~I~e~. I o ~. 8~ 3 ~ ~o~e5 der ~-°~'~~ Cc~ ~ 7 L jEPv~O~..-T Perforoled rlp. Oeioll ~ulc'`~c-' - COMBINATION SEPTIC TANK/PUMP CHAMBER (No Scate) ,Approved Locking Manhole Cover With Warning Label Attached Weatherproof Warning Label-~ Junction Box Final Grade lo" Minimum Approved Joint w/C.I. Pipe Extending 3' Onto Solid Soil 6" Minimum -6-MTaximum 4„ .I- T In Pipe Baffle r ~. ~. r~~ ^ ~~ , ` e,1 y. ~~~ ~j \Jt\.iLJI~V 1~`/L ~VL D ~~ ~~ ~~~~~ Al arm On Off Page__ Af_ 4" CI Vent Pipe with Approved Cap, +25' From buildings ' Approved Vent Cap 12" Minimum ~._--_.~~ 4u Minimum Quick Disconnect 1/4" Weep Hole I A ~ g Approved Joint w/C.I. Pi e P t Extending 3' ~ C Onto Solid Soi Conc. block 3" of Bedding Under Tank -~ Note: Pump and Alarm Are On Separate Circuits l3 S ~ k s 4 ~t~~. Doses: 67•-s"Gallons L~ + l ow:..... • Volume of BacKr . : • .,~ -,• ~allons .:~ ~ e~ tr ...... Total Dose Volume G.C.ctS ~ t : , Tank Manufacturer: Tank Size-Septic/Pump: r: r ~fY w~ - a ons i~ G~.l. Pte n ~ _L~_,r inches /7 '~~'~ or O, a110nS Alarm Manufacture Capacities+ B inches or~allon5 Model Number: ~ Switch Type: r y + C inches ches i rGa11on5 or Ga11on5r-~~ or ~ Pur.~.p Manufacturer: ~~~~~ n + D = inches ~ ~llons or~SO. Model Number: SS Total..... Minimum Discharge aze: _~ Feet n Pipe: ~~ ti ,, ...~ o vertical Difference Between Pump Off and Distribu + eet .. Minimum Required Supply i n M +~ eet PressurFr~ction~Factor/100~Feet: x ~$ a ~3c~ Feet of Force t ~ Inch Diameter Forc e Main ree Total Dynamic Nead:...= ~~. ~l i .l f `' Width 7 ", Liquid Depth ~~' Internal Tank Dimensions: Length,55 _..~- ~ '"-' / ~ License Number~_Oat - Signature ~ --- r, ~ n (/ ~`^~- T r J ~ ent n~r~sr~~ lu u~ Performance urves ~~~~~ C { METERS FEET 90 25 ~ 70 = 20 O H 15 ~ 40 10 ~ 20 5 10 0 0 o to METERS FEET l ~.. cAPaciTr ~iPM ~ ao m~/N ^ ~GOULDS~. PU~M~PS~IN~C. 120 35 110 100 30 90 25• ~ ~ 70 I 20 60 O 1- 15 50 40 10 ~ 20 5 10 0 0 0 10 20 30 ~- •-- - 40 5U ov "' "" ~ I 30 m°/h 0 20 o ~~ ~ ~ ~ 1 cAaaciTr EM~ctlw July,1~86 iW. Dum ru_ InC. _. _. ______ -• `~ OWNER: DAVID SANDS Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce, Safety and Buildings Division. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October-February) dictate that the mound be heavily mulched for frost protection. Influent quality into the mound system may not exceed 220 mg/L GODS, 150 mg/L TSS, and 30 mg/L FOG. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. W hen a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 4 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. General This system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall maintained in accordance with its' component manual [SBD-10572-P (R. 6/99)] and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8-inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. ContinQency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. . If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged adsorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. Questions on the operation or maintenance of this system should be directed to your county zoning or health inspe~c^tor. .. ~ ~/ i Wisconsin Department of Commerce SOIL AND SITE EVALUATION Page 1 of 3 Division of Safety and Buildings in accord with Comm 83.05, W is. Adm. Code A.C.E. Soil & Site Evaluations Attach complete site plan on paper not less than 8'/ x 11 inches in size. Plan must County include, but not limited to: vertical and horizontal reference point (8M), direction and St. Croix percent slope, scale or dimensions, north ion and distance to nearest road. Parcel I.D.# ' '~ 004-1058-30-0OOID#25.28.15.396 APPLICANT INFORMATIO a p`~i-ft.~l!"irl~ormation. R ewe B Date Personal information you provide m J,~s, d fo wsecq~ry purposes (Privacy Law, s. 15.04 (1) (m)). ~ ~My_~--~'-"~ ~, / ;~ ~ ~a Property Owner ~ t \ r=1.L' i VL i.J Property Location ~ Duane Wilmari ~ • --~! Govt. Lot NW 1/4 SW 1/4 S 25 T 28 N,R IS W Property Owner's Mailing Add ss .. ? .. i Lot # Block # Subd. Name or CSM# 104 320th Street ~--•; sr cRC.}ix ~~ ~ ^ Proposed 20 Acre CSM City ,~', to Zi e6~21~" o~~Numher ' ^ City ^ Village ^Town Nearest Road Wilson ~'` ,,4~° ~ __.~ ;~`' Cady ~ 320Th Street ^ New Construction Use: ~s~d~n 'a~/4~1~ er of bedrooms 3 ^Addition to existing building ^ Replacement ^ u mmercial describe Code Derived daily flow 450 gpd Recommended design loading rate 0 bed, gpolft2 .5 trench, gpd/ftz Basal area required bed, ftz 900 trench, ftz Maximum design loading rate 0 bed, gpolftz .5 trench, gpolft~ Recommended infiltration surface elevation(s) 101.5 at 12" above 100.5. ft (as referred to site plan benchmark) Additional design /site considerations Parent material Glacial Till Flood lain elevation, if a livable na ft S=Suitable for system Conventional Mound In-Ground Pressure AT-Grade System in Filf Holding Tank U=Unsuitable for system ^ S ®U ®S ^ U ^ S ®U ^ S ®U ^ S ®U ^ S ® U Boring# 1 Ground elev 100.16 ft Depth to limiting factor 24" 2 Ground elev 100.07 ft Depth Dominant Color Mottles Structure i B d Roots GPD/ft2 Horizon in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. sten Cons oun ary 1 0-10 ' 10yr4/2 None sl 2fsbk ds as 2f,lm - i 0.5/ 2 10-16' 10yr4J4 None sl 2msbk ds cs lfrn - ~ 0.5 / 3 16-24• 10yr5/4 None is lmsbk ds cw if - 0.7 / 4 24-27• 10yr5/4 f2d7.5yr5/8 is lmsbk ds aw If - 0.7/ 5 27-32 • Syr4/4 t2t7.5yr5/8 & f2d10yr6/2 scl 2thinpl mfi cs - - ~ 0.2 ~ 6 32-45 ~ Syr4/4 f2d10yr6/2 scl Om mfi - - - 0.0 J Remarks: 1 0-9 • 10yr4/2 None sil 2fsbk ds as 2f,lm - 0.5 ~ 2 9-14. 10yr4/4 None sil 2msbk ds cs Ifm - ~~ 0.5 ~ 3 14-28 10yr5/4 None sl lmsbk dsh cw if - 0.4 ~ 4 28-33• 10yr5/4 f2d7.5yr5/8 sl lmsbk dsh cw if - 0.4 / 5 33-40 • Syr4/4 & t2d10yr6/2 scl 2thinpl mfi cs - - ~ 0.2 / 6 40-51 . Syr4/4 f2d10yr6/2 scl Om mfi - - - ~ 0.0 ~ Depth to limiting factor 28° . Remarks: - -- ~ST Name (Please Print) Signature ~- Telephone No. James K Thompson 715-248-7767 Address A.C.E. Soil & Site Evaluations Date CST Numt~er Ref # 340 Paulson Lake Lane, Osceola, WI 54020 8/1/00 3602 1274 '-~ J S t s Jj pRIDPERTYOWNER: DuaneWdman PARCEL I.D # 004-1058 30-000 ID#25 28 IS 396 3 Ground elev 100.61 f Depth to limiting factor 28"' SOIL DESCRIPTION REPORT 1274 Page 2 of 3 d !` F Snil Rr Site Evaluations Horizon Depth in. Dominant Color Munsell Mottles Qu. Sz. Cont. Color Texture Structure ~ ~ ~ nsistence Bounda ry Roots ~~~ oa,,~ 1 0-10: IOyr4/2 None sl Zfsbk ds as 2f,lm - 0.5 ~ 2 10-161 10yr5/4 None lfs lmsbk ds cs lfm - 9!7.~ 3 16-28 ~ 10yr6l4 None s Osg dl aw - - ~ 0.7 _ 4 28-40: 7.Syr4/6 f2f7.5yr5/8 sl 2msbk dsh cw - - ~~ 0.5 5 40-49 ` Syr4/4 t2f7.5yr5/8 & t2d10yr6l2 scl 2thinpl mfi cs - - ~ 0.2 Remarks: Ground elev Depth to limiting factor Ground elev Depth to limiting factor rks: Ground elev Depth to limiting factor 1~kane ~~ I ma.~ ~,ro~A. f c~. ~ is. ~.e. ~s 39 /~~..~Sw 5.25,7n• Ofc~y, ~t.Cr'ai~t (~. wi, fo9~t /3,20 '~ ,.t9 \0~0~, 3 ~3 .~ ~ Sca/e: / _ ~0' ~~ ~ sfa~de%~! o P'~ N i n G1~.O.r/'~/ -fn r . Assu.,~.cc(e lei" = ~po,c0: ~~ ri~~~~ fJ °•F Ma'~/ ~ nc a Flo S£ E/Q~I: _ /o S. ~D 3~0 ~ ~ ~ ,Pe~'~'/17Y ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM OwnerBuyer 114 V I h `Jc~.ho~ S Mailing Address ~~~ la7 Property Addresses ~ 2 ~T" S7'. (Verification required from Planning Department for new City/State ~ ~ ~-s~~ , W ~ Parcel Identification Number LEGAL DESCRIPTION Property Location N It) %4, s/,t.) '/a, Sec. c~5 . T~~,N-RJ~_W, Town of Subdivision Lot # 1- Certified Survey Map # (~3z42Z .Volume f ~ .Page # 3g~ ~ Warranty Deed # ~< 3~(~3 Z .Volume I5"S"Lc .Page # 39`~ Spec housed yes ~ no Lot lines identifiable~l yes O no r' 3 SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewaterdisposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. 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 Zoning Office within 30 days of the three year expiration date. ~'~ tl /l~3/~ SIGNA OF APPLICANT DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. l> /O,~/ CaC7 SIGNA OF APPLICANT ~ DATE * * * * * * Any information that is mis-represented may result in the sanitary permit being revoked by the Zoning Department. **** * * ** Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed VOL ~SJUPAGE J~ STATE BAR OF WISCONSIN FORM I - 1998 WARRANTY DEED This Deed, made between Duane Wilman and Linda L. Wilman, his wife as tenants in common, to each an undivided one-half interest Grantor, and David F. Sands and Sharon F. Sands, husband and wife Grantee. Grantor, for a valuable consideration, conveys to Grantee the following described real estate in St. Croix County, State of Wisconsin (The "Property"): 633032 Y,ATHLEEN H. WALSH REGISTER OF DEEDS ST, CROIX CO., WI RECEIVED FOR RECORD 11-43-2000 3:00 PM NARRANTY DEED EXEMPT ~ CERT COPY FEE: COPY FEE: TRANSFER FEE: 97.50 RECORDING FEE: 10.00 PAGES: 1 l0~ Lot 2 of Certified Survey Map, Volume 14, Page 3977, as Document No. 632422, being a part of the Northwest Quarter of the Southwest Quarter of Section 25, Township 28 North, Range 15 West (in the Township of Cady). ELF ~kt'~L'~YS~ANK, N.A. 1301 Coulee Rd Unit 2 Hudson, WI 54016 004-1058-30 Parcel Identification Number (PIN) This is not homestead property. ~ (is not) Together with all appurtenant rights, title and interests. Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except municipal and zoning ordinances and agreements entered under them, recorded easements for the distribution of utility and municipal services, recorded building and use restrictions and covenants, and general taxes levied in the year of closing and will warrant and defend the same. Dated this G~ day of November , 2000 ~~ ~/. * Duane Wilman • L' da L. Wilman AUTHENTICATION ACKNOWLEDGMENT STATE OF WISCONSIN ) Signature(s) ~~.,, /1 ) ss. d'~- . ~ 4 ~ k County. ) Personally came before me this ~~, day of authenticated this day of ,```~_~~tt~ett~ttitl~rsr~'j' November, 2000 the above named s~~~P~`G~`v ; ~~Ni~ ~~i,~Duane Wilman and Linda L. Wilman `~ • O~ R~'~'. ~c' * .--a TITLE: MEMBER STATE BAR OF WISC~ISIN - e ~(',; ~o~rle known to be the person(s) who executed the foregoing (If not, ~ ~ ~- .t~, > M,o a t.~• ~- authorized by § 706.06, Wis. Stats.)`~M,. sl'A ~ • ,~'' ` ., ' ~~ ~~trument an ac E-mwle he`X~~.M ,.,1 . ~ THIS INSTRUMENT WAS DRAFTED>;~,,~'~f ~ w~,~r-~3_ ~= ,~~ Mark O. DobberfuhULiden & Dobberfuhl, S.rCS ° s . ~ ~ ' ~ * ~ ~ ~ ~~' ~ '~°~ • ~ ~ n rl P.O. Box 137, Barron, WI 54812 Notary Public, State of Wisconsin (Signatures may be authenticated or acknowledged. Both are not My Commission is permanent. (If not, state expiration date: necessary.) 'Names of persons signing in any capacity should be typed or printed below their signatures WARRANTY DEED STATE BAR OF WISCONSIN FORM No. 1-1998 INFORMATION PROFESSIONALS COMPANY FOND DU LAC, WI 800-655•' `~,,,,,, ~ nn-- 'V !~ E® 3~ OCT 2 H w~.sN ~ ~R ~er of Deeds S-. Cc~~ Co.. WI ~ v `../ FORM N0. 995•A KG fllillat ~....... Stock No. 26273 / ./ ~.32~~~ RTIFZED SURVEY MAP N0. COL UME ~ ~ PAGE 3977 L OCA TED IN THE NW 1 /4 OF THE SW 1 /4 OF. SECTION 25, T28N, R15W, TOWN OF CAD Y, . S T . CROIX COUNTY, WISCONSIN. APPROVED PREPARED FOR: Duane Wi 1 man . sr. cROix couNnr PREPARED B Y: L e e V i 11 en e u v e, R. L. S. Planning zoning and Parks Committee OCT 2 5 2000 r w Q ~~~ 3~+- ~O ~ ~ ~ l~U~~O V ~Z WO Q ~~Nm ~~oo ~~ti ~-,cn~0 ~3~j Z~~OQ If not recorded within 30 days of approval date approval shall be WIS.D.O.T Approval ~ 55-29-3140-2000 rnifla+~dvad ST. CROIX CO. PIN w/ CAP FOUND AT WEST 1/4 I i CORNER OF SECTION 25, T28N, R15W, ST. CROIX CO. ALUMINUM MONUMENT UNPLATTED LAND FOUND AT EAST 1/4 CORNER, . Iss'I -'------- SECTION 25. I E/W 1/4 LINE-TOTAL = 5278.09' S89 °34 ' 51 " E 1321.65 ' 33. oo ' 1288.65 ' - ~ (~ 889 34'51"E ~ 3956.44' of ~ QI m I I~ o I m ' ,I'. HI N LJI~J H al " ZI ~~ o ~-I ~ ^. CU . I V r, O 3 I W Z /"'~ J ~J 3 I6 II ~I m ~ 0 0 z m m ~~ wl m WI m acl = Cn~ m ~ =I N ~I o ~I Z ml m M Q~ fD 33.00' N89 872,647 SF/ 20.03 ACRES w/ ROAD R/W. ~B3 B2~-L 0 T 1 ~B 1 850,888 SF/ 19.53 ACRES w/o ROAD R/W 00' S89'30'31"E 1322.02' 12es.o2' ~2 ,~B3 X81 872,891 5F/ 20.04 ACRES w/ ROAD R/W. ~~~j~~l~ ~~:. R Nn" ~. 851,131 SF/ 19.54 ACRES w/o ROAD R/W 1289.38' _ 26'11"W 1322.38' of al JI w °I HI F- al J z ~, cv (v 0 ~~ cD Q~ .r-, - O LO ~ O O O j•= UNPLATTED LAND- 4~~`~~°';~~~ ° r '~' ~~,g; LEGEND ~ << ~ O = 3/4" x 24" IRON REROD SET.. ~ '~~! MIN. WT. = 1.502 LBS. / L.F. ~`~•~ ~,,,' n , ~ Nt~O ~' ~- = PUBLIC LAND SURVEY CORNER AS NOTED . ~, r s~~ U ~~~ ~ = SOIL TEST HOLE. ''. .~~' a~~ ST. CROIX CO. PIN w/ CAP FOUND AT 5W CORNER OF SECTION 25- 28-15. ~~~~ GRAPHIC SCALE i"=300' 0 300 600 900 Page 1 of 2 sheets Vo1.14 Page 3977