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HomeMy WebLinkAbout024-1049-05-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT sanitary Permit No: 561078 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: i city Village X Township Parcel Tax No: Clevering Homes LLC, aka Oeve.ing Pro ertie Pleasant Valley, Town of 024-1049-05-000 CST BM Elev: Insp.BM Elev: BM Description: ^ Section/Town/Range/Map No I/(•J( G 6-r 21.28.17.307 J TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER ���• fs CAPACITY STATION BS HI FS ELEV. Septic T.` �. Benchmark �• b �D7 ��� J l�— F,•c 4 /�00 Dosing �,5 Alt. BM r 1 s. 3 nC� �r` Bldg.Sewer a Z (j Holding SUHt Inlet TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet 1 Septic $7 J d 3� Dt Bottom /�` V O r Dosing 1- / A 36 / ! Header/Man. z • 3 4Z -� Aeration Dist. Pipe 2 3 472 ,c� Holding Bot.System 9Z 3.6 PUMP/SIPHON INFORMATION Final Grade /i ?j 73 •� a" Manufacturer Fra•, i�r✓`• GP na St Cover 'L" O Jam. 5.3 Model Number C�/ I 5 c5 T. c7 o/�`t-n..> TDH Lift Friction),o4 System Head TDH / 9 Z• 3 a —Z 5�,, �- r Z. � ci z• I Forcemain Length i Dla. P r Dist.to Well Z4 46 Z �• 9s• SOIL ABSORPTION PYS TEM 9 BEDITRENCH Width Length / No.O Tren s PIT DIMENSIONS No.Of Pits Inside Dia. Liquid Depth DIMENSIONS L/ /�� e SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type Of S m: UNIT Model Number: /Z 7Z DISTRIBUTION SYSTEM Header/Manifold Distribution x Hole Siz�19_ �� x Hole Spacing/ to Air I a Pip •�� Pipe(s) / Z Z d Length Di Length Z Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded Mulched Bed/Trench Center —7 Bed/Th Ed Topsoil I � renc Edges ` s ❑ No �+•T� � No COMMENTS: (Include code discrepencies,persons present,a Inspection#1: a / /L Inspection#2: i Location: 282 Cty Rd T Bald 'I WI 54002((NNE E 1/4 21 T28/N R1 7W) Pleasant Hills Lot 6 .r� aP arcel.glo: 21. 7.307 1.)Alt BM Description= f f � �In a:o►S �' � S l 2.)Bldg sewer length= �(� -amount of cover= /I /1 f1 A 0 �f Z o ✓�- o-��tco. �-— Plan revision Required? ❑ Yes No Fi I (�� g 7 Use other side for additional information. —_ _. _ __ _ ___ _ _ _ _ Date Insepctor's Sig ture Cert.No. SBD-6710(R.3197) PLOT PLAN PROJECT Oeverina Homes ADDRESS 1433 Cernohous Ave Suite A New Richmond Wi 54017 NE 1/4 NE 1/4S 21 /T 28 N/R 17 W TOWN Pleasant Valley COUNTY ST.CROIX SYSTEM ELEVATION 91.5' 2.5'Sand Lift! BEDROOM 3 CONVENTIONAL AT-GRADE CONVENTIONAL LIFT HOLDING TANK MOUND XXX SEPTIC TANK SIZE 1000 gallons DOSE TANK SIZE 630 HOLDING TANK SIZE LOAD RATE 1.0 ABSORPTION AREA 452 # of chambers none IL BENCHMARK V.R.P. Top of Fence Post Painted Red ASSUME ELEVATION 1001 [:] BOREHOLE O WELL *g,R.P. same as Benchmark B.M.* 150' to Benchmark I'L Co u my, Road T Scale = 1/4" =101 156' R.L. System is to follow the contour 84' R.L. Well is to m et all WDNR Setbacks 90' A( Diversion Trench Z 13- P-5 1 37 89, a Pro 3 0 Bedroom House Huffcutt Combo ❑ Tank 87' P-4 Tank is to be properly bedded and Area 15' below system is to 150' provided with Iockdown covers remain undisturbed 4% Slope with approved warning labels 212' Property Line 320' Property Line r& County` l Safety and Buildings Division 201 W. Washington Ave., P.O. Box 7182 s't71 Sanitary Permit Number (to be filled in by Co.) Madison, WI 53707-7162 .....561075 1 it Application State T-raanscactioonn Number In accordance with SPS 3 (2, 1s. Adm. Code, submission of his form to the appropriate governmental unit 2 / / -3 e is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are submitted to ) ` the Department of Safety and Professional Servies. Personal information you provide may be used for secondary Project Address (if different than mailing address purposes in accordance with the Privacy Law, s. 15.04(1)(m) Slats. 17- . I. A lication Information - Please Prlnt All Information T Z T Property Owner's Name Farce! # C/i2vefi 1%4 )1 42,- 16,q 7 05_ 000 Property Owner's Mailing Address Property location 367 City, State Zi Code Govt Lot p Phone Number Al~;, '/n, AIE '/n, section Z 1 (circle II. Type of Building (check all that apply) Lot # T Z . N; 1tL E o W _or 2 Family Dwelling - Number of Bedrooms _ - S Subdivision Name dk„ A- Block # I ) re-A ❑ Public/Commercial -Describe Use C-b ko t ❑ City of © State Owned - Describe Use CSM Number ❑ Village of _ O✓ X4own of Pc-.A Sow M. Type of Permit: (Check orrly, one box on line A. Complete line B if applicable) ew System ❑ ReFrlacement System ❑ TreatmenVHolding Tani: Replacement Ord Y ❑ Other Modification to Existing system (explain) It ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New List Previous Permit Number and Dste Lssued Before Expiration Owner V. Type of POWTS System/Component/Device: (Check all that apply) U Non-Pressurized in-Ground ❑ Pressurized In-Ground ❑ At-Grade ❑ Mound > 24 in. of suitable soff ound < 24 in, of suitable soil Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device {explain) V. Dis wsal/Treatment Area Information: Design Flow (gpd) Desig n Soil Applicat n Rate{gpdsf) Dispersal Area Require f) Dispersal Area Pro ed (50 System Elevation /0 71 V-211, 0 1 2- zZLO V1. Tank Info Capacity in 't'otal # of Manufacturer Gallons Gallons Units a New Tanks Existing Tanks Q Saptic or Holding Tank Dosing Chamber t VII. Responsibility Statement- I, the undersigned, assu ponsibility for installation of the POWTS shown on the attar led plans. - Plumber's Name (Print) Plumber's atwe MP/MPRS Number Business Phone Number "D -7j Plumber's Address (Street, City, State, Zip Code) /Z ` / VIII. Coun /De artment Use Onl , ` pproved Permit Fee Date Issued Issuing it Signature _ $ ( 512TI13 iven Reason far ial IX Con easons fbt• Disapproval gi* tank, of kWtfilter and 3) ~"l' I o - n pfbJ: w ot.r0o.~ t,./ g 1 dispersal cell must all be sere M I tnamtailmd ~Qr 4 heA Qttiwe as per management plan provided by plumber' A1114 el eck rectulremw is must be melttaid6d' ~f, GL~~ If' is"peF agile node t ordirtarius. w " J 4-), Attach to complete plans for the system and submit to the County oaly on paper nut less than 8 112 11 inches is size SBI;r-6398 (R 11/11) go r,RxyF~~o~ DIVISION OF INDUSTRY SERVICES 141 NW BARSTOW ST FL 4TH ~oz WAUKESHA WI 53188-3789 Contact Through Relay y w www.dsps.wi.gov/sb/ www.vAsconsin.gov ~'E9 L 970PZ A Scott Walker, Governor Dave Ross, Secretary May 13, 2013 CUST ID No. 226900 A7TN: POWTS Inspector SHAUN R BIRD ZONING OFFICE BIRD PLUMBING INC ST CROIX COUNTY SPIA 1432 120TH ST 1101 CARMICHAEL RD NEW RICHMOND WI 54017 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 05/13/2015 Identification Numbers Transaction ID No. 2244386 SITE: Site ID No. 790660 Oevering Home Please refer to both identification numbers, Cty Rd T above, in 111 correspondence with the Town of Pleasant Valley agency. St Croix County NE1/4, NE1/4, S21, T28N, R17W Lot: 5, FOR: Description: Mound, 3 bedroom Object Type: POWTS Component Manual Regulated Object ID No.: 1427373 Maintenance required; 450 GPD Flow rate; 6 in Soil minimum depth to limiting factor from original grade; System(s): Mound Component Manual - Ver. 2.0, SBD -10691-P (N.01/01, R. 10/12), Pressure Distribution Component Manual - Ver. 2.0, SBD-10706-P (N.01/01, R. 10/12); Effluent Filter 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 any 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. The following conditions shall be met during construction or installation and prior to ocean y or use: This system is to be constructed and located in accordance with the enclosed approved plan m1 e "M Component Manual for Private Onsite Wastewater Systems VERSION 2.0" SB -10691-P (1N' t111!' "Pressure Distribution Component Manual for Private Onsite Wastewater Treatm t Sy em of SBD-10706-P (N.01/01). Iy 0 The building sewer and distribution network piping shall be of material listed in Tab1J 384.30-5, Wis. Adm. Code. In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. In addition, the owner must comply with the operation, maintenance and monitoring duties as described in section VIII of the mound component manual. A copy of this information must be given to the owner upon completion of the project. All holding/treatment tanks are to comply with SPS 384.25(7)(a). SHAUN R BIRD Page 2 5/13/2013 Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. Access to the filter for cleaning must be provided per SPS 384 product approval conditions. 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 private sewage system 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. Stats. Owner Responsibilities: • SPS 383.52 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. SPS 383.54(1). • SPS 383.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. SPS 383.54(4) shall be considered a human health hazard. • SPS 383.55 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. 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/installatiom'aperatiun. In granting this approval the Division of Industry Services 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. The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Si rely, Fee Required $ 250.00 This Amount Will Be Invoiced. When You Receive That Invoice, Julia Lewis-Osborne Please Include a Copy With Your POWTS Reviewer 2, Integrated Services Payment Submittal. (262) 397-6005, Fax: (608) 283-7481 WiSMART code: 7633 julia.lewis@wisconsin.gov Note: Effective January 1, 2012, all codes under the jurisdiction of the Division of Industry Services (formerly Safety & Buildings) will be modified. Code references with prefixes starting with "Comm" have been replaced with "SPS" to recognize the relocation of the Division of Industry Services from the former Department of Commerce to the Department of Safety & Professional Services. Additionally, all IS (formerly S&B) codes have been renumbered and addressed in a "300" series. For future reference, the Wisconsin Commercial Building Code will be addressed by SPS Chapters 360-366. t Cover Page Shaun Bird RECEIVED Bird Plumbing Inc. MAY - 6 2013 1432120th St. INDUSTRY SERVICES New Richmond Wi 54017 715-246-4516 Date: 4/ 30/13 Owner: Oevering Homes Location:NE1A NE1A S21 T28 N,R17 W Lot 5 County Road T Pleasant Valley System type: Mound System Manuals Used: Mound Component Manual Version 2.0 (01/31) Pressure Distribution Manual Version 2.0 (01/31) Page# 1. Cover Page 2. Mound Plot Plan 3. Mound Cross Section 4. Pipe Cross Section/Pipe Layout 5. Pump Chamber Cross Section 6. Pump Curve 7-8. Maintance and Contigency plan 9. Filter Sp)Teand d cross section eterminati on(numbered seperately) 1.-18. Soirepretive D Signature Shaun BirLicense n0 O.yo Chip PLOT PLAN PROJECT Oeverina Homes ADDRESS 1433 Cernohous Ave Suite A New Richmond Wi 54017 NE- 1/4 NE 1/4S 21 /T 28 N/R 17 W TOWN Pleasant Valley COUNTY ST. CROIX SYSTEM ELEVATION 91.5' 2.5' Sand Lift! BEDROOM 3 CONVENTIONAL AT-GRADE CONVENTIONAL LIFT HOLDING TANK MOUND XXX SEPTIC TANK SIZE 1000 gallons DOSE TANK SIZE 630 HOLDING TANK SIZE LOAD RATE 1 .0 ABSORPTION AREA 452 # of chambers none k BENCHMARK V.R.P. Top of Fence Post Painted Red ASSUME ELEVATION 100' LJ BOREHOLE O WELL *H.R.P. same as Benchmark B.M.* 150' to Benchmark Co u my Road T Scale= 11'4" =101 155' P.L. System is to follow the contour 84' R.L. We[ I is to meet al I WDNR Setbacks 90' Diversion Trench B- P-5 89' ❑ Pro 3 88' Bedroom House H uffc utt Co rn bo p Tank 87' P-4 Tank is to be properly bedded and Area 15' below system is to 1 SO' provided with lockdown covers remain undisturbed 4% Slope with approved warning labels 49 212' Property/ Line 320' Property Line Mound System Cross Section and Plan View - Dimension eet A-_ 777777777 I B r I I D J I' I . r . r , I 1 ~,}I ~ . + r s~ir'~~ ~ .fir}3 . i rr~} y ' I E , A {{{L{ yy { } } . r I } 3 is } ti } F , 4 r r~r r ~r J I l W G F Z - I I H 1. 7 t I ~•Q I I I - 1') 3 r I I I K 3. 3 L IC 1 _B z l$_. Slo e % L I' 1 = Topsoil = ASTM C-33 {7rrf~ = Clean aggregate = 4 in. sch. 40 pvc sand filli % to 2 % in. dia. 0 observation pipe Cap ]Material L J I L Geotextile G H Fabric f D E C/• c~ Ft Contour Plowed Surface Slope Direction GENERAL INSTALLATION: The mound area is staked out along the design contour. Existing vegetation is mowed and raked off the site. The mound basal area (L x W) is plowed with a moldboard or chisel plow. Plowing may not proceed if the soil is wet enough at the plow depth to form a'/4 inch soil wire when a sample is rolled between the palms of the hands. ASTM C-33 quality sand is placed immediately after plowing. Sand is placed with a tracked machine keeping 12 or more inches of sand under the tracks or is placed overhead by a backhoe. Special care must be used when placing sand of less than one foot thickness to minimize compaction of the plowed surface. After the topsoil cap is placed, the entire mound is seeded and mulched to promote vegetative growth, limit erosion and protect from freezing. The observation pipes are slotted in the lower 6 inches and secured in place with rebar or a closet flange. 10/07Igj Page of Page Of Distribution Pipe Detail For . Lateral Network _ ~QCCes~' uTuR14 -uPr(CLP-Rv4auT) PVC Force 'Main _ ,"'l''I PVC Distribution Pipe P - * Last Hole Should Be Next To TURN- UP P_ Ft. Hole Diameter ' Inch X Inches Lateral Diameter Inch(es) Y o-1 Inches Force Main Diameter Inches # Of Holes/Pipe Invert Elevation Of Laterals Ft. Signed; License Number. Date: ' i i .Septic-Dose Tank Crass Section And Pump Performance Specifications t~~~' Tank manufacturer Pump Manufacturer Tank Model Number b Pump Model "Number /O Total Tank Capacity ' . Alarm mSri1 tUCer t~P. G r 51,~~',~•r Alarm Model Numher r~ Max. Bury Depth f Switch Type ~"'e I I~ihs~d DH) Feet c (T Filter lvtanufacturer ~ °on Total Head, d aJ~+ her Elevatt Filter Model Num Distal P -CBS °s Network Lose d' minimum Pump rafortnanaa Required Force Main Lose (3pM Ft TDD Total outlet Manhole din. 4" Above Grade With Mole Min. 4" Above Grade Locking DQviov. Inlet Manhole Securely Mounted With Looking Device 6" BeloW G fWO S.'Wed Waterdght Weattm-proof Junction Box ON Yy.. rs~ .rr O., 'MO w ,r rain Finished Grade , ur 'd'ent Mm. 12 Disconnect Above Grade Means a with vat cap iY 1 Y t• 1/ Y • Y Y Y Y► Y Y{YiylY Y+`iYYY`YY`1YYI I/i►t1YYiY+►rii1,1 aYaYa►{`+`i i~Y a a +1 y r v f i. i v i,/l. YiY i1Y/ v1 ~YV► i 1 Y i Ia1 r Y I Y Y Y 1 1 , ►aY +Y~1 Y+Y I,vYa . r` outlet Filter Wet Bade Y,Y ~y} .a1a 1 Y i +Y fillet +`r ;iY+Y+i A 1/4f, Yrir Y~Ya YiY Switch 5 and Reserve Capacitor .'.4 ' Weep +4; Tat aV lv /'57 +pl foie `Volume Gal. Iaches Dimension: r r (reserve) A. p Elevadon C a r• 2 . ? (alarm $ ! 'w rY C7 _ NO ' ' Bottom i (oge) C -7d ® Elevation D (dead) +r. d ; Yi.araY: IYar.. .Y.Y~ : 1i Ywl Total ~ ~.':Y Y Y Y Y Y Y Y ItY t Y YrY Y I r+/ 1 Y' { 1~ Y Iii • i► Y Y I Y Y Y Y I r Y+1aY{1+/♦Y~ iii 1►l►i~aY4YiYlYI ~ 1'i l 1{ raYr a lea {aVV Vii V :Ilrrlu+i aia {V'Y"YI~Qr a {{sa+ sa +a /{Y 1,+, rl as a+Vi{VVi1 V VVii ,aa I IYiiYYYYY YYtr era ra r{. a+++{a{{a+{+a a/1 ari i rYV vYUY.raYi1{Y{YrY iY{Y,,YaYa { i a v{ a l{{ a l/ i i l i .i I l tl l~{ l i Y 1 i hawk in aordance Wvith the 't'}1e ic/daso tank. is bead GE~1fE'R~ YriS'TA~+1~~T~OI~s of bury as. speoifiQd.•'b3► the► imanufacturer may not manufacturer's Produce ap'',proval spect~c8uttonS. lvlaxi exp doptl► grade ha'v0 on. ef~aotive locking device (padlock) without '°r approval. h+lsnhole covers xpasal to with watertight fittings, and be exceeded owed material, conneded to the tank C to brill a the bank installed. Piping at];te met and outlet is of approved Vi sslthng or swing. The fox ? ► coast as ith l 3AU 4and C,011101 16.23. lard on stable sou to p"Vent Elrx~ical. ~ e%cavation anti the.sle ve. is sealed'' pgge of 02105 LJ SENw4O Series 4/10 hp Submersible Effluent Pump, 3/4" Solids Construction Flow - Liters/Minute Caner Epoxy-coated cast iron p 50 100 150 20 25D 300 ~ ~ . 0a: f 35 10 30 9 Impeller Material Thermoplastic Elastomer ZS e In1~ ar ~/~?J s t. to 011~9 00 7 Volute Epoxy-coated Gast iron 20 - s t° f lw. 1s a =Mechanical Shaft N1trNe with carbon and 10 3 seat' ceramic faces 2 5 1 FaSt0n6C8' talnless tae 0 0 Shaft Steel 0 ZB 40 BD 80 13, 'Uer.sltlt e1~SIQlSYQ'` Flow - GaslonslMinute BeaFln9b ~ R yy j ~c - 9W b u.k9 U.15' } asu" 1 4411k 5EN-40-AF 5EN-40 Specificadons 60 70 80 46 25 32 14 2a 26 6 1760 10 5gR211 4/d 0 11,~81g 4f2NT,,~,yy~~ 8/@2Q~~~' 4~ $ r9 760 _ ~i Y y #)1~ 'a F 'dr~'~wl~ to Y`9Q,0 32 14 20 27.6 1750 70 O 45 25 $EN-40-AF 509213 4 10 11 1 112" F PT 9/924 80 B -44 z®r' Franklin Electric 400 East Spring Street, Bluffton, IN 46714 Tel: 260.824.2900 • Fax: 260.824.2909 www.franklin-efectric.com Form: 996199 7-11 POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page _or i /Flt_E INFORMATION SYSTEM SPECIFICATIONS Owner Q C~ / ; jl Septic Tank Capacity al El NA' Permit # Septic Tank Manufacturer NA DESIGN PARAMETERS Effluent Fitter Manufacturer ~ ❑ NA Number of Bedrooms ❑ NA Effluent Filter Model ❑ NA Number of Commercial Units 7} NA Pump Tank Capacity 3 J al ❑ NA Estimated Now (average) a70 gloWay Pump Tank Manufacturer LAAV713 NIA ran 0 NA Oeslgn flow (peak), (Estimated x 1.5) ,3-_, aUda Pump Manufacturer Solt Appflcation Rate L) aUda lftiz Pump Model 0 t] NA influent/Effluent Quality Monthly average" Pretreatment Unit ~LNA Fats, Oil 8 Grease (FOG) 530 mglL ❑ SandlGravel Filter O Peat Filter ❑ Mechanical Aeration ❑ Wetland Biochemical Oxygen Demand (BODO 5220 mg1L ❑ Disinfection ❑ Other. Total Suspended Solids (TSS) 5150 m /L Manufacturer Pretreated Effluent Quality NA Monthly average" Dispersal Cell(s) Blochemical Oxygen Demand (BODs) 530 mg/L O In-ground (gravity) ❑ In-ground (pressurized) Total Suspended Solids (TSS) 530 mglL O At-grade Mound Fecal Coliform (geometric mean) 510' cfu/100ml ❑ Dri line ❑ Other. maximum Effluent Particle Size Y. Inch diameter Values typical for domestic (non-commerdaQ wastewater and septic lank effluent. values typical for pretreated wastewater. MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every - ❑ months -11-year(s) (Maximum 3 yrs.) Pump out contents of tank(s) When combined sludge and scum equals one-third (Y,) of tank volume Inspect dispersal cell(s) At least once every ❑ months -M*ar(s) (Maximum :3 yrs.) ~ l 0 months V~year(s) Clean effluent filter At fast once every Inspect pump, pump controls & alarm At least once every months fl-year(s) ❑ NA Flush latarals and pressure test At least once every 2> ❑ months1>19.year(s) ❑ NA ether. At least once every ❑ months ❑ year(s) ❑ NA Other. At least once every ❑ months ❑ year(s) ❑ NA MAINTENANCE INSTRUCTIONS Inspeclions of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber, Master Plumber Restricted Sewer, POWTS Inspector, POWTS Maintainer, Septage Servicing Operator. Tank inspections must Include a visual Inspection of the tank(s) to identify any missing or broken hardware, Identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the Immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one-third (Y,) or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing operator and disposed of in accordance with ch. NR 113, Wisconsin Administrative Code. The servicing of effluent filters, mechanical or pressurized POWTS components, pretreattment components, and any other maintenance or monitoring at intervals of 12 months or less shall be performed by a certified POWTS Maintalner. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. START UFO AND OPERATION For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that may impede the treatment process and/or damage the dispersal cell(s). 11 high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. Page of START UP AND OPERATION For new construction, prior to use of the PO *TS check treatment tank(s) for the presence of painting products or other chemicals that may impede the treatment process and/or d mage the dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal cell(s) in one large dose, overloading the cell(s) and may result in the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintalner to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at-grade soil absorption area, Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be takers to insure that the system is property and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and property disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be kaken, to provide a code compliant replacement system: D A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. 17 A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. .,The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed as a last resort to replace the failed POWTS. Mound and at-grade soil absorption systems may be reconstructed in place following rernoval of the blomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. <<WARNING>> SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES ANDIOR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER POWTS MAINTAINER Name Name t Phone J -t '`Phone may' SE:PTAGE SERVICING OPERATOR PUMPER LOCAL REGULATORY UTI-!ORITY Name Name Phone Phone 21✓ '96 l This document was drafted in compliance with chapter SPS 383.22(2)(b)(1)(d)&(f) and 383.54(1), (2) & (3), Wisconsin Administrative Code. 1ILTERIf RTRMGE INSTRUCTIONS Installation STi5r, I bry lit the biter cyst, -into tha "pail at th w nutlet pipe to "figure it iv centered under dw at"" opening. If not, than tither insert more 01011 ihto the tank lilrbUgh the nutlet or solvent weld (glue) addiduhal Iripe unto the nutlet pipe. :.i LIP a Whole tine cbao is stih dry fitted Uri the outlet: pipit, rr"easure tiro hrrryth Of 46414ch niae needed to bra- the 111tur to the farnk and woll if utilreiny the nations supplrmaMal "stapirort. if sidle support hoothad Is not Utlifzed, proceed to step t`ou: a•Yir.c~ t FUr instaUiltiaas utilteiyY0 the Y7pthMill SUpplafrYdow side supl,ort_ solvent ward tine'14••itIch pipe orsto thrt filter "So. If We support hiathod is trot utilized, prntead to step four. solvent weld the filter vase unto the outlet oipe. Insert the b filter cartridge ihttl the case, 1lrerislFVit down until this tifbar loc ur:ke kilo the bottren, of t;v the e w casw- Tf a V" switch is utiliacl:d: insert into titre iiltur and luLk Iry turning • 1 i, ,F, dockwifit 9012, r' yr Maenltel anrce 1. The effluent ffltat Should be Y:labned "Very tulle the Septic tank is serviced. 2. Opeh the outlet &=--;a opening to inspect the tank ahd Alter, 4 I 3. Pump the 569ptle tank corrrpl4it.oly, roNking SUN to retrYUVe the sludge layer un the bottom or the Uink and not guest the satlm and ref fluent. C once 0169 atgnaht lever 1403 L vsri lewwered bYihyW the itrVesrt of tiro If uutlmt pipe, firmly pub up oh the niter handle to dialudge the cartridge frons the x:060. Y 5. Slide the cartridge up and at if: of the circa &rr cleaning, G. J( a VAS switch whhert.ed tv alf alarm Is pi Gent, tine Switch should be removed by turnintr coUnterdockWiSe 91111 Wild deaumd ' % with water only. ; y. While holding the citfkVidga on its We (largos flat surf4ce fa":iav urLtwN,. w down) over the atxvss uNnpiiill, rihae orP this Y:ettridyrs with wakrYP . ei. arty, making aura am septago hwateriai Is rinsed back intu the took. 1{' a. if Vxs awrtch is utyixed, replm:o by ilwarthigi into After arvd turning 1•dockwise ow. 9, insert the, filter cartridge back Ihta the pert, oresclha down'uittif A' aka , the filter loalu Into the boltoerr Yit the ~ee0. .u. 10.Replace and secure the a cem upetring on t11o tatjk- g:":••a(:.~••;"aY.-y,;:aw;rsa~Cvs! •L,;;-•"nJtirti'i.A::.VaJlfkd,i•. --j Wwl'tliLbqlrumnxjttexom. 877-MLPILTE ks (653-4583) Safety and Buildings 4003 N KINNEY COULEE RD Commerce.wi.gov LA CROSSE WI 54601-1831 TDD (608) 264-8777 isconsin www•commerce.state,wi.us/sb tDapartment of Commerce www.wisconsin.gov ' Jim Doyle, Governor Cory L. Nettles, Secretary August 06, 2004 OUST ID No. 42258 =N: POWTSInspector ELI M GOTTFRIED GOTTFRIED ENVIRONMENTAL' ZONING OFFICE 124 1/2 GRAHAM AVE ST CROIX COUNTY SPIA PO BOX 1645 1101 CARMICHAEL RD EAU CLAIRE WI 54702-1645 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 08/06/2006 Tdenticatton'~Nti~nb~r' Transaction ID No. 1024998 SITE: Kurt & Elizabeth Christensen OT-Y 5 V Site ID No 686 796 } Flease~ refer to $`pi ider~tlficatZOn` numbers;! ' Town of Pleasant Valley, St Croix County NE 1/4, NE 1/4, S21, T28N, RI7W ab~.ve, nj all ogrres Qndence wrtli lbe ti en' FOR, Object Type. Soil Saturation Determination Regulated Object lD No.: 970328 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: 1. Approval is hereby granted pursuant to Comm 85.60 (2), Wis, Adm. Code to estimate the depth to seasonal soil saturation based on an interpretative determination. This approval and determination negates the requirement in Com 85.30 (2) (b), Wis. Adm. Code to designate the ground surface as the highest level of saturation when redoximorphic features are less than 4 inches below the bottom of the A horizon. 2. At least 30 inches of sand lift on top of a 6 inches minimum of unsaturated in-situ soil for adequate treatment and dispersal is required, 3. The basal soil application rate shall be 0.2 gpd/ft^2, and the linear loading rate 4.0 gpd/foot. 4. Chisel plowing to a depth of 12 inches immediately prior to sand placement is required to improve vertical water movement into the soil soium that has areas of platy structure and slow permeability. 5. Landscaping up slope of the mound shall be incorporated into the mound design to divert surface water drainage around the mound system. 6. This approval shall remain valid unless the site is altered in such a way that the depth to soil saturation would change of if saturated conditions were observed for seven consecutive days at depths less than 3 feet below the infiltrative surface of the POWTS distribution component. 7. This approval in no way relinquishes the use of color patterns to estimate the depth to high groundwater on any other parcels or portions of parcels. 8. A copy of this approval letter and attachments must accompany the mound system plans for this site, 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 planets, 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. I ELI M 0077RIED Page 2 8/6/04 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 desigmer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this comes ondence may be made to me at the telephone p Y number listed below,. or at the address on this letterhead. Sincerely, Fee Required $ 100.00 Fee Received $ 100.00 Balance Due $ 0.00 Leroy G. ,,s / ky, 9 Wastelwatei pecialist _ ; Integrated Services Bureau L Q R (7I5)726-2544 Offce ljanslc,v@r,omme,rce.state.wi.us ORIGIN GOTTFRIED ENVIRONMENTAL tic j JUG t' 124 Graham Avc-, Cau Clajire, W154701; 71,r R33-1400 '2, telepbone: 715-833-1400; Pax: 71-"33-1381; email: a icstm(a).sbeffiobal.nct V Z INTERPRETATIVE, REPORT rte P.O.W.T.S. a/~ July 3, 2004 U 2 4 9 9 r' Conditionally Pro r owner: Kurt and Elizabeth Christensen APPROVED l,cg Description: NE NE 2129 17W DEPARTMENT OF tOMMERGE PI casaot Valley, St. Croix County p0+lsi of sAFCTr AND B Dimes E: CO ESPON NCE INTRODUCTION On 17 June 2004, a soil test and evaluation was conducted by this soil tester on the property desc ihod above. The soil test was done in response to a request by the property owner, Flit both Christensen, as part of the development of this parcel for residences. The proposed lots note' in this mport are part of a parcel of land ori&ally encompassing approximately 40 acres. It is he intention of the property owners, Kurt and Elizabeth Christensen, to subdivide this po on of land into 2 parcels. Each parcel is intended to have 1 residence. R TIONAL FOR THE INTERPRETIVE REPORT Hi and low ahrorna features in the soil as compared with matrix soil colors are considered as indi Mors of seasonal saturation in the State ol" Wisconsin. Department of Commerce. C.onim 81. ! (118) states: "High groundwater" means zones of soil saturation which include perched water tables, shallow regional groundwater tables or aquifers, or zones that are seasonally, periodically or permanently saturated. Co nn 81.01 (119) further defines evidence of seasonal saturation in the soils: "High groundwater elevation" means the higher of either the elevation to which the soil is saturated when observed as a free water surface, or the elevation to which the soil has been scwonal ly or periodically saturated as indicated by the highest elevation of redoximorphic fcat:ures in the soils. At least. 36 inches of soil separation is' required between the bottom of the soil absorption system u the redoximorphic soil features in most types of soils (Table 53.44-3, Department of C m►nerce). Where this does not exist, an above ground SAS must be constructed (i.e, mound or A Uradc). Tl e initial determination of this situ has found the site to be unsuitable for mound type septic sy Cans (Soil Absorption System), as per W AC Comm 85.30(2)(x) and (b)- This code section -3 3~Yd 1WdEE Z t'0- E l-L~0 `na m 5lL :1,8 1hf33 f n~an testhat; I Redcoximorphic features be used as an indicator ol'seasorud saturation in the soils. 2 lZedoximorphic features Appearing at depths of within 4 inches of the bottorn of the A horizon shall be interpreted as scitsonal saturation occurring at ground :surface ("Unless ddennined otherwise. - the highest elevation of seasonal soil saturation shall be the ground surface where redoxirnorphic features are present within 4 inches of the bottom of the A h0rir011.") Although Comm 8530(2)(h) mandates that. redoximorphic features within 4 ins of the A hori' n bt interpreted as seasonal saturation to ground surface, Comm 85.60(2)(a) allows for an inter retive determination of the soil conditions and depth to seasonal saturation should this Bond lion exist. This section states in part: "A ritten reportt by a certified soil tester evaluating and interpreting redoximorphic soil features a ay be submitted to the department in lieu of high groundwater determination data. The writ n report shall conclusively demonstrate that the existing; soil morphological features or cold patterns are not indicative of current conditions of periodic soil saturation." This is the baNis for the current report.. GEOLOGICAL 1 1STORY pre-Pleistocene history was gleaned from the following; source: llavholm, K. G. The following (l9 g) Yre-CLuaternary Ciecological History o1" Western Wisconsin with an Era basis on the Ca brian Sdridston s: Tri-State/Univcrsity of Wisconsin Systern Geological Field Conference, pag s 3-14. Du ng the early Proterozoic Period (700 MA), large deposits of iron ore were laid down in the region of Minnesota, Wisconsin, and Michigan. 'T'his deposition may have been the result of weathering of continental areas or hydrothermal activity in volcanic areas. Chemical changes in the ceuns at this time resulted in oxidation of the iron and silicate minerals, resulting in the {'car, anation of the silicate-rich iron deposit, taconite. Prior to 1109 MA, a trough formed through western Wisconsin as a result of subsidence, which eventually filled with. basalt. Glacial lobes fro a the north scoured the iron- and hasah-rich areas imparting a reel coloration to the tills. All the pre-Cambrian terrain was eroded to form a low-lying area„ which in turn wns flooded during the Paleoxoic Period (approximately 350 MA), leaving behind marine and coastal plain se invents. These pre-Cambrian sediments were rich in limestone (marine origin) and quartz. D ring the late Wisconsinan glaciation (25,000 -.9,50o YA), the Superior and Chippewa lobes de osited reddish-brawn sandy tall (Copper Falls Formation) as a result of scouring of Lake, S erior, pre-Carnbrian sandstone and other iron-rich rocks. Approximately 14,000 YA, the Des M dries lobe advanced. into Wisconsin from the northwe, with debris This dthe vance dsposit hale a carbonate racks of eastern North Dakota and Southern St. Croix River the v calcareous till of the Track RSeTersonaK.oM. (1998) Giac 11SIistotmi of Western Wisconsin to form Glacial Lake Ciranlsburg yv ~ 15-2f;). i Tri-State/lJnivensity of Wisconsin System Geological Field Conference, pages ge. Alf 9 3QVd •`NVdtre:Z trQ- E t LQQ `t9L9 l8S SgL J,9 1N3S The s bsurface formation in St. Croix County consists of the Prairie Du Chien Group (dolomite ands tdv dolomite). Depth to bedrock ranges from 0 - 15 meters (Brown, B.A. (1986))- This form tiori is of Ordovician origin (Paleozoic era. 425 mya). lk)lomite appears to have been laid durin , the early Ordovician period, while the sandstone was laid during the late part of the, period (Paul , R.K. and Paull, R,A. (1977)). Cilac' tion of St. Croix County occurred, many times during the history of the earth, although the roost ent glaciation, during the Pleistocene epoch (approximately I million to 10,000 years bel'bic. prescrnt.), is the most apparent. 'T'here were several stage,.- of glacial advance, the most recer L being the Wisconsin.an stage. This wFts the result of the advance ofthe Superior Lobe and, from this, the Chippewa Lobe (Martin, I.. (1965). The Physical Geology of"Wisconsin. Uni rsity of Wisconsin Press, Madison, Wisconsin). St, Croix County appears to be part of the geographical province: of the Western Upland. As note by Paull et a1 ('Paull, R.K., R.A. Paull (1977) C;eology of Wisconsin and Upper Michigan. Ken 11 / Hunt Publishing Company, Dubuque, IA), "The Paleozoic rocks... are the retreating eras nal edges cif tnarine sediments that once extended across the Northem Highland...- Latc Can rims seas washed over the Precambrian erosional surface to deposit more than 1,000 feet of sand tonc, with tn, inor amt )Lints o f i nterbedded doloini tc." The 't. Croix River has its origin in the Northern Highlands and its. resistant. Precambrian rock. The loess deposits in St. Croix County appear to be the result of the westerly winds carrying fine text red soils easterly to the eastern bluffs of the river and beyond- The soils observed on site suggest that the area has been influenced by glaciation. Soils appear to he Joe. !s {fine-textured, wind blown soil), underlain by the calcareous soils characteristic of the Des Moines Lohc glacial till. Loess, present as soil of the Ap horizon, may be the result ofthe infl cence of the wind-blown fines of the St Croix River floodplain. DESCRIPTION OF THE SITE Th parcel of land under investigation lays in the NE % of'the NE `/4 of Section 21, 128N, KI W, Pleasant Valley, St. Croix County. All land lays south of 30" Avenue, immediately west of County Trunk Highway T. Lo 1 immediately west of County Trunk Highway T 11 proposed mound site is located approximately 50 feet south of ail established farm road. The slope on this site is 4% to the west. The mound is sited at the highest elevation on the site. lrn cdiaiely cast of the upslope side of the mound is the fence line. Immediately east of'this is the road ditch associated with CTH T. Soils are composed of wilt loam underlain by clay loans att gravely clay loans- soil survey maps for the area indicate that the taxonomic classi (Station of sea's ors site is Typic; Olossoboral r (Treeon series). The soils are further &-scribed as having a sa dy loam parent material, although this ws not on site. It is possible that this soil t.e, ter did not sib deep enough to find the coarSe Let 2 - I ro feet west of County Trunk Highway T "1' a site proposed for the mound scgtie system has similar soils to that it the vicinity of lot I. 5 L 3EVd `V4dt~E ~ Z t~0- E F -1~0 ~ ~9L9 E@E 5 EL ~ 1~8 1N~S ts in this arcs are described its being Typic Glasscob oralfs (Frecon series). two north of original Agai L, 'so wt+s to site the mound system for rrou inter, ion of the property owners Put)r drainage. exist. ,g Farm road, I1(1wcver, sails in this areal YR Zwt sblt }c~ c These lsoilsfmay be part of i-hc p horj~ott in this 8Tc.a i:: €t highly organ the d infrgeway i.r+dicacd on the soil series m'.+p and designated as Auburndale silt. loam (AuA). Aub t r,date silt toam is classified as a Typic Glnssagual fs. LO AL HYDROLOGY As u led on the accompanying plot plans, the eaproposed til to the West, al urface~ow ai►Pe~ to be apSite, p ximately 4°°%. The land slopes frcrn west towards the Kiiunickinnic River system, located four bi,Y alsooflohws westblowards ll,c topo aphic map for the area. Local subsurface flow prosuma rives Regional flow may be west towards the St. Croix Fiver. The opogmpbic maps r; otnsu.lted for this report do not indicate any wetland areas in thareas of diate vicinity col llte proposed mono o dthec Topose~ noon POWTSy There are, however, titan isig water were observed m the area 1? are of converging slopes north and west of the proposed mound sites. These are areas of con erging slopes that drain to the west and southwest. SO L MAPPING OF THE AREA ►1 is all , h1s soil Dirt t soil mapping of this area by this soil tester indicates (hat, taxononi Willy this so and Typ e Clorizonsalf. Typic Gle o detely well dr ned.mHowever, rcdoxitnorphic: features situ sal horizons. The e soils are app ar in the soils in the lower part of the Ap horizon as bSoil eins slightly acidic, suggesting that tl'e pr this arc as 'l~ypic Gtossoboral I The profile is decotelr than average amount of water movetneril tie is aged. The aging may ~ doe to a ~ ' {kook, native vegetation for this thr gh the soil. According to the St Croix County Soil Survey arc was primarily white pine, rod oak, and hard maple. ~A ion), n (copyright to the N1998n bootie r Sco • ety Field Cuide to North American Trees (F.as Reg, inl known upland mots, asScarlet All Pre s Inc., NY, NY), white pine grows in wel)-drained soils. Red Oak grows in upland ridges and slopes. Maple grows 3 t s of trees therefore, appear to grow in wet!-drained or rn,oderalely well-drained soils. In Oa and Black Oak), el ion to their' tendency to grow'' in wetlands or histic soils, the 3 are classified as facultative pia its, (reel, silver ma or non-'wetland plants (white pine). r P1c)- ANCE OF REPORTED SOIL CONDITIONS AND SURFACE St N1FIC TER FLOW vertical for the first 7 inches G etal surface water flow in the area may be primarily le upper hori;~ons- P~ermcability is (g proximately) as a ccsult of the relattv~sly permeable above the dense silty clay loam me eratcly slow in the subsoil and is most likely perching subsoil layer. have been impactcd as a result of extensive cultivation ofatn es tilling may hugh St 1 structure stay horizon, fllternativcly, the Plowing rrt erate structure is present in the Ap 8L18 3QVd !1Nd5E:z VQ_Lf_.LQQ `1T9L9 E8E 5tL loose ed and aerated soils that may have otherwise beet compacted as a result offarm machinery trave ing over the sites. I'he effects of compaction may be present in the At horizon. 'Also present in the Ap horizon, and slightly itatc) the suhcoil, were worm channels, suggesting that t e upper horizon was aerated enough to support aerobic; organisms, Roots and root cha els were also present in the 0 to 6" range of the soil profile. Soil colors as noted by this soil tester were 10YR 3/2 from 0-9" (approximately) in the areas of' the posed drainfields. 'this si.Wests that, at least in the Ap horizon, there; is not an anoxic soil regi n. The lack of redoximorPhic features and the light (I OYR 312) colors in the Ap horizon in t s layer suggests that the sails are not saturated for more than 7 consecutive days. Strut tore in the Ap horizon watt moderate for all the pits observed. The abrupt appcaramce of redo features in the soil profile suggests that when dense soil conditions are encountered, water rem' ins for a significant period of time. Iligh chrorna redox icatures were encountered in the subs pi I starting at. 10 to l3 inches. Although not reported on the soil report, low ehrorna regions (are ,s of iron depletions) were also observed. No puddled or massive soils were observed in the area of the proposed SAS's, to a depth of 7 inches. Clo inspection of the Ap horizon did not indicate the presence of rcdoxitnorphic features. This su&; ests that although there is not an A~ 4 situation, there is adequate depth in the A horizon (app ximately 7 inches) to maintain a suitable distance between the bottom of the SAS and the limi ing factor and thus to allow l"or the placement of a mound SAS as per code, Hf TiG SOILS Key u) Soil Taxonomy (1994) defines a. histic epipedon as follows: it consists of organic soil material if the soil has not been plowed. If the soil has been plowed, the cpipedon normally has a high content of organic matter The histic epipedon citber has quiz conditions for some time in most years or has been artificially drained." The Keys to Soil Taxottorny defines aquic conditions as: "thole [soilti) which currently exp rience continuous or periodic saturation and reduction.... Saturation is characterized by zero or sitive pressure in the soil-water and can generally he determined by observing free water in an nli.ned auger hole." in tither auger holes nor shallow hand-dug pits was standing water observed in the epipedon. In ald ition, soil colors it, the epipedon were not those charactcriAical of organic soils (l OYR 2/2). Ve askas (1996) points out 3 possible redoximorphic conditions: 1. Redox depletions around macropores and redox concentrations within the matrix; 2. R.edox concentrations around inacropores and redox depletions within the matrix; 3. Combination of the 2 conditions. E h of the 3 conditions leas a unique etiology. Condition I will occur, according to Vepraskas, in •ituations where there is parching alxwe a dense and slowly prrmeable layer. Such appears to be the condition described on the site outlined in this report. Iloweyer, redox depletiotzs were no observed in the macropores in the Ap horizon, in spite of the fact that the structure was I' 8 i(6 3E1~d °YVd~E Z ~0 L F-1~4 `t'9L9 l8E AFL -AU 1fi3S .strop aril the pores were therefore large. CONCLUSIONS oEthe N() r doximorphic reatares were observed for at least led to be Weil eaerated with the presence of pits valuated. The soils in this upper rants and worm channels. Water movement therefc) p ears to tae i period c~ his per layer. fhe does not appear to be a condition of ponding for any significan f time in this starti upp layer. Redoximarphic cc►ncentrats~cna iritenttY Pram Went) at lave depths. The faint approximately 7 inches (fault) and incre g in redo concentrations may liaVe been accompanied the dasi:4~b colt ~„of depletion-, in tbc the Ap horizon, f ted~x depletion alth gh this was not observed, C:Given depletions maDave been was resent, it. would have bccn visible. In the lower horic,cons, dep' Y tnas ed by the more mdtxed matrix colors. Slops were approximately 4%, suggesting that water does move laterally away from the site. PROPOSALS provide effluent This soil tester feels that mound systeras on these sites would adequately tree ent and dispersal as long as the totlows design conditions are implemented: '1 iv construction of t e sail absorption system must be in the area designated on the plot }Mans. . Areas louver in the landscape must not be used for soil absorption systems. ding The distribution cell must be designed very mber o bed r rnS an d /a rloc upancy That can less than 4.0 gPdlft. This may limit the nut be servicod on the site. At least 2.50 6A of ASTNl C-33 sand must be used under the laterals fir proposed lots 1 and 2. N4axinium hole spacing in laterals inust be 30 inches. . Slopes =hound the mound must be 1:4 rather than the traditional 1:3 to inerea-se the toe absorption area. 7. waterwa The area up-slope ol'the lroposed SAS must be provided with a constructed it be to pteven way to divert water around the mounds. '1 he purPasc othe f lh~ximity wateway the road ditch to the siting from bcin.~; trapper in the snout~d..4. However the need ror a separate drainage ditch o 0 ['the proposed mound on Lot 1 may p Upslope orthis mound. ~ l.8 1t~~S at/oE ~~~d •U4d5E~z ~O-Lt-1.~o ~~aLia teE 5EL regardiag this report pleasc feel fte to con Lact me at the above If yo have any questions address and/or telephone number. Sine rely, F',li . C.;nttfried Regi •tcred Sanitarian (80906), CST (221981), laccused Designer (1310) ~A9 135 S ~ (L ~ 3Ebd ~ INd9E ~ Z tr0- ~ ~ -1~4 ~ i~9L8 CBE 5 FL RE ERENCES l . frown, B.A. (1989) F3edroyck Geology of Wisconsin ,University of Wisconsin - Gxtension, Madison Wisconsin. Davholtn, K. G-. (1998) Pre-Quaternary Cieolocica! History Uf Western WtSCCms~n With an Emphasis on the Cambrian Sandstones: Tri-State/University of Wisconsin System Geological Field Conference, pages 3-14. Martin, L. (1965'). The Physical GeologoLM isconsin. lfnive:rsity,of Wisconsin .Press, Maclison, Wisconsin Paull, R. K. and Paull,,R.A. (1977) Geology of Wisconsin and jJt)p r Miclriew. ECendall/F-Iurnt Publishing Company, Dubuque, IA. National Audubon Society Field Guide to North American Trees (F..asrern Region): (1998) Ch."ticleer Press Inc., NY, MY Soil survey o1 St Croix County (1978). United States Dept of Agriculture Soil Conservation Service and Rcsewc.h Division of the College of' Agriculture Find Life Sciences, University of'►Wisconsin. Syvc;rson, K. N4.(1999) Glacial Ristcm flf Western Wisconsin in Tri-State/University cif' Wisconsin System Geological Field Conference, pages 15-28 8. Soil. Survey Raff, T.I_S. Department of Agriculture (1994) Keys to Soil Taxonomy Sixth Edition, United States Department of'Agriculture, Soil Conservation Service. Pocahontas Press Inc,, Blacksburg, Virginia. l~ 9 Z L 3Ebd ~ NVd9E ~ Z ~0 - E E -1~0 i~BL9 ESE 5 EL a s~ i ni~c JI ILL, YI✓i.i, ST- {'.RUfX %UUIVI 7, VY IaLVi'Y 7IIN R. 1 ltd. HCIA A/insH s r7PO 12 RYC:>`•. ' - i ' Sac' ~ ~ ~ J~ ~ •.a.`~'t--+.r[ .:.S~il ` F~fT Z ter- ~`.d-•~. Y ` - 'ri ~'~t;+~~y~• ~ - r F•aF:2 IF'h ~,~j/ ' FL•ISa' - w \r:rr.,'~'Hn' J1.1 T' ~ x,~:.~ :J L I • ~ ( ~i l%,n Iti A:: >a ti,y .'Fqc + • "F nCt A uA 'Am, R f Fn t. iti43 Pomp 1{y~ [ierE+ . 1 r, YL,J'' r MeB: y{' it I 17 k. FmR _,.+,t~.•cs,M S'a~. ,'~•{rig, nsC:x. i 6S $eCF , , wj r,' ~',t ',ay ,aV, .V•y,{:2.' Y.S• .6aL7. H,~p•' ry!mt9 ,A J \ N, i:Y•',~ Y ';~{''r vli8 -''ern@Pi: r''~', .r' F~IF7~' ' n... ~ J•:" ~ ~ • Vat? Fne u~e~ i:. a eSA /f,.~ ^Mlfr Sr A J,6 F, ' -'..J,.: .v:riE1. t, a : ,.ter "l r. 'S FiSA' vz!n 1f •trt~ Mi r..r :113 " `z r 5'tlc2'. f - r Y SeGL•..' Fi B. y M88 nu ('v", 14 .8 Ya$' : 'r ' rp1x^:fst• ?VA M a~ f ;u Y. • .ice'" . - r. J , nie I, ,h.. a '1Y.,• -..eater ' ri ~`+.,~+'I~r1' 'M ~ • Rs'!=2~±~ ~ r r'~.".• Y] G'yA• gr,Yy _i~•- ~ dr• °3CP: l..+-~. i§ s 1 t :.°',~Sp. 4n_ . L'^C, ,.AK~* _..g• ' y, 4 1l:tF.l• ,ti A...S .•~,t` ,'•~1 ,'.r " • .,~+•'!1F4• ;.I Sa.. arC•P . t a r.`' .r + . rs 7111,, • ' W. ?G Fr:lh F ~LL 1 AIAA iM .fit y' ,rA .1 {rti~:,•. y til!'l!~e1: 9 4 /E ~Ei~d tl~d9E Z i~0 J.~~ °~8L8 ~8E S ~L !.:AV INBS - . Jar., } ~ j ,irJ : - --'~"'~I - E .33 l~ B E / E 3~11d N1da; Z n- E 1;?0 `~9L9 CBE 5 ~z :1,9 LN35 SAFETY AND BUILDINC9 DIVISION Wilc Bureau wi. iniegrsted Servines iomnwrce.gov 13 East t Spruce Stress Chippewa Feb, WI 64729 ' S~iOn n INSPECTION REPORT ww~+.oommer (715) t 726 s44 rOverorienr ct Carr Mroe Plummer Name and Address: D of inspection: July 29, 2004 Unknown Proj oct Name: Christensen Use Residential Log it Oescription: NE, NE, 21, 28, 17W Certified Soil Tester Name anti Address: Site Number: CST 22198'{ Su Iviieiion: Proposed CSM Lots 1 and 2 Eli Gottfreidaid, . Mu l6pality: Town of Pleasant Valley PO Bo Eau Claire 1645 54702 Go ty: St.Craix Owner Name and Address: Pia Transaction Number. 1024998 Kurt and Elizabeth Christensen Sa ry Permit Number: a $77 Senoy Rd Hudson WI 54018 W tewater Flow: 450 gpd f pj Pa ons Present: IE. Gottfried ! Ah nsite soils verification was con uctesd at the above referenced site as per district policy for all sites with less tha four inches of unsaturated soil below the bottom of the A horizon. The intent of this inve0gation is to co rrm initial observations by the certified soli tester (CST) relating to the presence or absence of redoximorphic fe3a ures In the A horizon and/or subsoil. In-situ soil texture, structure, and consistence factors were also reviewed as ey relate to wastewater application rates. Other site conditions such as percent and direction of slope, Ian scape position, land surface contour length, and surface water hydrology may also be noted and their effects are factors considered in the recommendations and conclusions portion of this report. A pical soil profile for the areas evaluated on these two lost may be described as follows: 00, - 10YR 312 sit, 2mgr, dsh, ew. 10YR&Z sil, 2rr1.pl',_d$h• as.. . _ 09 1+4- 10YR 414 ct, 2m-csbk, mfr, cw w/ f2f-d 10YR 416, 516 & 513 rmfs. 14-17- 10YR 414 cl, Zmsbk, rnfr, w/t2d 10YR 516 & 613 rmfs. he piety soil structure: was not present in all areas of the soil borings. seasonal solf saturati p mound system is designed if a mte slioulldd note excteeds4.5 of a high gpd/ft andethef basal wastewater applicatorn rat d structure allow a Lability, the linear loading iaty uld reorient inthes 12 s uld not exceed 0.2 g rate thha Chisel fortmods ate pia y s It loam hoThe additional b sal area w ll partially hi her soil application ra p mpensate for the gentle land slope and prevent wastewater leakage at the mound toe. At least 30 Inches o rid lift is' recommended when applying septic tank effluent to the distribution cell of the mound to ensure proper tr went The lenl~estrfacportion of the mound must be orientated along -the e water around the mound structure as much as possible. ur.ln adThe dition, an up slope to i to divert surface d s snag nags ditch should be considered if it is determined that surface or subsurface hydrology is improve by i rce3pting water and diverting it away from the mound site. if there are any questions regarding this report, please contact me. ter S 81ist ' ray G, risky, Will anskya mmerce.state,wi.us E-mail 151726-2644 Voice 7 1 51728-2 549 Fax Owner ❑ Other c: 50county Q Plumber ® CST ~3 t, 3Jbd ~INdEE Z 0- i F-100 • ~8L9 I BE S EL - h6 1N35 ORIGINAL ORIGIN L STrE Li VALU ATI isconsin t?epniunCat E~tatnnt SOUL AND }y at Ust of Sitety aad 1dlAp in uccordenc a with Comm 85. Wis. Adm. Codc . n isi 1 tf I.i 1, "1 Y. x, - i~.~,jadfa is t"Isn~oue6t ieciutle iiw % O`Y SK C.Yt~iX 2 U "al, onmpir.lc Oita >d an ~ "t; ctt X timlted to: veni 19 d diraulina and 1 .sk>ne.- Ytac~al IV a tmcxt~nns5 outth nod tendon 6-1 dis a the oaan st toed. KevWWW liy: ►ll''LICAN'f' [ jL&FATIoN - pieasc print all Et►fnrmstion r~~tmf mfamald>A! °a owl. mad forr,~vudary rn mu (p►wcy Low. x. l ktalt. t Propaty lnrati NE *"a- Govt lot N" 114 U4 S21 'r 28 Kt 7 i? urt and Efizab tai Christensen G W R Elisx4 N &dhd Nast m 'roptsrtY awns's iti it►g addtesss: TL 1.2 NA 377 33tsnoy R1 "uy 1810- l Lip Cade city Yillale t NsattSt Rersd Hudson / Wb nsin /54016 715-356-634{) Pleasant Valley C M NewCulm" n llsc 0 Residcniial/Number ortmdrooms U81,6awo Addition to cKistin~tsutiding NA CI Rup}tiasmcat C3 Public or commercial - desctibc C:odc pesWo. Mow We, Unknown - most be apimprintc aim W tho contour and suit nAdcdu- p, ma: McWdml: Gig -W 7-oil - gratlnd mwatnc vaty tiny 1-m. Redex fmtsra are the tyuneml (:ortnssnutF Rcoommendatina5: Soak Ora nroderutely walbdrmleed 13lossd S" 1$ rIfaecdarlaiN by omtmeadetd fur this site. resell of li mhlee ve the dense gravely day lunm layer. A long parrots mound tt~5 it SOIL DLSCRIPTION R)FCCWJRT Ko01s %11 A ieaiion Rate z Li+mtinant Rednx 1?ascsiptinn Tcaltue 5tsuelurc t:.onvistencc Doandaty tiPDJF't i bnr[ng li Ito~isan 12 irk. Sx Sh. Ff11F1 F.t92 in. A4ianxll Calm Sl7t• ~ Cont. Color rat. ['iY 1 sit 3nigr mfr gw 2f 0.6 0.8 Apt 0 - 7 lOYR 312 NA Ground qp2 7-1E 'IUYI( 32 fid7.,5YR 5/8 sal 2msbk mfr aw if 0.6. i!$ f:lt.-v (Rl 96.70 as 1 f 0.y 0.3 fitt 11-17 7.5YR 4!4 m2d 7.M S!8 c) t fsbk m0 UqO eo Imsbk Vtnfr as NA 0.2 03 t:l iim8istg At2 11-24 1(lYR Y4 m3p 7.5YR 5111 fNeor- in- D Remarks: l_row , in Apt h imm saturated al. 24". NA sit 2imiar m$ as 2Y O.b 0.8 Boring* All 0.8 1OYIK3/2 NA 0.2 0-3 t tnsbk mfr as Bt 8-16 JOYR 414 f2d 7.5YR 518 sits{ t trtnbk tnfr sw NA 0.2 0.3 L' 16-23 1pYR 5.4 f) d 7.5YR 519 i:c c ~rouad Blev (ft.) 96"96 DLO to limiain y - ; rawor8itt. .1, t?.~ . ,.~.I - -t t '!:~•i f.`! ~i 't Tel. No. 715.833-1401) ;k, C:, r Name: tall . Caatthiral. Qattfl~ RnYirantnental $i atu GS'!' f! 221981 Add=., 124-1/2 rttham Ave. Riau Gaits. Wt. 54701 matt: 171uno M14 D L G~1~f•e55 ~ ~iLU l~ r SOM DRSE;RIMOt1 REPORT ;u otaae0 ' riste:ntiCn Y•atscllEl# 13n6ng 111liAM Depth Domineenl Redox De wnptwn Tcxturc auuctwt ctwwwm Dwindwy Rants Sots Appiiemioa hate in. Mtmsell Cater Ou. Sr. CUM. Color cr. Rt sh. rjpr r1° F,R ] HUNI 1102 Apr 0-9 IOYR. 3/2 NA SO 2uLgbk Ink aw 217 0.6 0.8 C,emund B1 9-23 7.S'S R 4/4 fl d 7.SYR S18 sic[ 21rmbk mfr aw If 0-6 0.8 1316v (k) 95.20 C 23-27 10YR 5/4 va2d 7SYR 5/8 grcl 1 msbk m@' as 1 f 0-7 0.3 • ~'~leth fu limiting lbctor- in. ik marks: 2m wunm anneir. in Ap ltarizon. I#oeing # H belNit flomiaani Redw dcwjp ion Texture Sumco= Conb'is AM Htetendttry ltuuls Roil Applhcasun Ra= ix* I OPrrti+'1' in. Munsell .triar QtL 52. CuaL C61ar Ue. St. Sh 13-121 Nnua 131 Ap 0-9 wVR 3/2 NA Ground Bi 8- 14 IOYlt4/4 (Id 7SYR 518 ztict F.l 9S.666 8 C 14-22 Y OYR 5/4 In2d 7.5YR 518 grcl 95 Llcpth to limiting farAor- in. 0 Reatetrkc Rand ktt n& Boring 4 Ape 0-7 1 OYR 3/2 NA sil 2rusbk mrr Sw 2f 0.6 0.8 Pii 4 q 7-11 IO Rt 312 nd 7SYR 518 MI Iftsbk mfr aw If 0.4 0.6 Oround 1311-15 IOYR 4/4 af-7.5YIt 5/6 sicl Ifsbk mfr gw 11' 0.2 0.3 L. ley (I1.) 8730 C 15-18 7.5YR 4/4 ru2d MYR 5/8 gtcY Trnybk mfr NA NA 02 0.3 'p4,rth to limiting fuetae'- in. 0 Rnertorks: Baring N A I 0-7 1 OY14 312 NA si 2mgr mfr gw Sf 0.6 0.8 Pit 5 A 2 7-11 1 OYR 3/2 am m m 5/6 sit 2tn.4hk tnfr aw 1 f 0.6 0.8 1 11-14 1OYR 4/4 m2f7.5YR 516 8ial imsbk mfr aw NA 0.2 0.3 Ground F!e v {R.1 14-22 1DYR 514 In2d 7.5YR 5.8 grt:1 rnilmcive 85.40 Mob in iinitting Fatiar- in. p it rks: srtlt$ 11 hoots iurizem Lxt1rlh i3wu$nsnl Redox daualplion Com+rn ivudura Cost trmc IIr4lnduty Suit Appilcation kttte in. Muliscil coloc Q0. S7 Ccntt. Color Or. 57. SIL GPDWV Ap 0-9 10YR 312 NA sil round Bt 8-14 18YA 4/4 fid 7.5yK519 aid icv (R} Ay.12 L 14-2.1 I UYR 514 m2A 7-5YR 5/9 9--j lcpth to mitiu~ Ictor- in. U w4oarks: hand burin ~b CL z;, 26 -r- - S = -VAY 4M c4 itu CO CL ~ 03 j W31P POD m # e!1 Cray - m c ~a`~ ~}mow p Zvi in e r W a g O L IO L 4FIVA !WARP:7 17(1- L L- I'1n a b.JQ LAP C'G LJ : wFl I N' SW IM SE VI Y 22ND AVENUE SEC. 27, T28N, R17W LOU V ~f L~'u~VU1I UI1 DD`1((j~LWffVe~~C~/qqWd&r,-)Uln1 t'1©lS. UXJp IP~w ti[2J~V NE CORNER 'qd FULL ' - SECTK)N 21 NO UNDER ABED ON 'CORRECTLY EO; AND J. R p ED fD ~I TIRED SURVEY MAP DFFxX / iEEA3T4INF.; nvME Itl. U0 FEEr TO $AJO EAST O s'uD / EN'E ~ / ••~~.1 52g ~g ro w ALAL).1fi ACRES u S% ter' ELEVATION. 1126{.r ~ ~ / ~ / 572 a71. ' I ISEMENTS, Q /a LOT 5 I e m 4125- 21B28a30EFr OF f OF raF 1 ION THE Mined ro ///11J kINO / ~ IW Z 29 N U 6 @uv&0OO17 99 m @MMVOWIRID @QmW(9v law Ors WOOL Pa. ~toszp J N ~ /i A I o j 0 V OR1 Wn QT y 'ENAMED I 8 NE9'3653'E IES.SS' r}Pd5 WHO 17t & A X44 ° ~ I W e 1 2s E: S p LOT 6 NEE'7D7J'E 159.00' , g S 00115 ACRES W 217 .1 50. FT I ~C 'S U 1 Z r 7 AVN = ~ • I I~ TOWN DRIVEWAY . nor, ...w.oD. - -x _.x-x-_x-x-x-x-x- - . - - - - - - - - - - - N va N89"3633"E 666.07' r.,D••`+ BENCHMARK TOP OF IRON REBIR ELEVATION . 1131.0 l~JG'JPf6G1 u'~i C~DD U~ls1G~JDD ~ E IM CONKER THE S IN MY SECTION ZI ON ST. CROIX COUN'TV SEPTIC; TANK MAINTENANCE AGREEMENT AND OWNEKSHI.Ia CERTIFIC.ATIOW FORM Owner/Buyer e"7e [Mailing .Address Property Address Verification required -liorn Pl(a nifig & Zoning Department for new construction.) City/State I?a.rcel. ;Identification N`axnber LEGAL DESCRIPTION Z Property ['aCat. 'tnxt&F.. %f' ":;er„ J _ ''r2N I~_~_ ~ W, Town of Subdivision Lot Certified Survey Map Page # Warranty Deed # Volume .Page # Spec holase yep rto Lot lines identifiable ;yes no SYSTEM MAINTENANCE AND O'NPNER CERTIFICATION Improper use and maintenance of your :peptic system comet result in. its premature failure to handle wastes. Proper maintenance consists of pumping ont the septic lank every three years or sooner, if needed, by a. licensed pumper. What you put into the system can affect the function of the; septic taaik as a treatment. stage in the waste disposal system. Owner maintenance responsibilities are specified in §Comm. 83.52(1.) and in Chapter U, St. Croix County Sanitary Ordinance. .'lie property owner agrees to submit to 0,31:. Croix County Planning & Zoning Department a certification ;form, signed by the owner and by a master plumber, ;journeyman plumber, restricted plumber or a lieenseri 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 Dave read the above requirements and agree to maintain the private sewage: disposal system with the standards set: forth, herein, asset by the Department of Corrunerce 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 bays of the three year expiration date. I/we certify that all statements on this form are true to the best of my/our knowledge., x/we andare the owner(s) of the property described above, by virtue of a warranty de recorded in. Register of. Deeds Office. Number of bedrooms DATE ;NAT )F APPLICANT(S) ***.Any information that is misrepresented may result in the sanitary permit being revoked by the, Planning & Zoning Department. Include, with this application a recorded warranly 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/os) COUNTY PLAT OF: OWNER PLEASANT HILLS LOCATION SKETCH KURTANC ELZABECH CI4ES<ENSEN $77 OEM ~ HUDSON. ON, m !W0, SWIB LOCATED IN PART OF THE NE 1/4 OF THE NE 1/4 OF SECTION 21, TEEN, RI 7W, TOWN _ HU OF PLEASANT VALLEY, ST. CROIX COUNTY, WISCONSIN; BEING OUTLOT 1 OF SURVEYOR CERTIFIED SURVEY MAP RECORDED IN VOLUME 18, PAGE 4823 AND PART OF LOT 3 xw v. xE n EOVANFVIJJM OF CERTIFIED SURVEY MAP RECORDED IN VOLUME 18, PAGE 4822. r P.o.w R NO SURVEYING, INO " w A i OBE RTs. S. WI 5aEx] MWNE )15-ia81>19 ~ ~ ri In SE,h ~ FA% >1Sit41it9 1J* OG i* 705E-71 o y N4. ~ RBI T-Ore IEEiLTIER'S ppplL3 SNgw, O, lw9 MN MEOCRTFO NW ,mR000Uw,pGwnEHS wr S7'. CROIX CO.wI& 1 8E0. 21, MBN, R77W R Q;,. a n. R".a, e a j fy4 ExiFmEricEO=nss-oa.:EO SwImN U:siaoc°AwY "n3S vuto: 1%.w: %.I~.rw- ~ 1 6 o~if t sINlvEroRS CERTIRmwTE 6sp4 12MGIWCPI IDAG1(~ Ob MaL 98o P(9. N-21 Fl.sMw, RECSrEREOWSCaxsw uwo NsncROR. xERFar~n,FrrwrNHU x arNEwcwuws•TUln,woumu, c NE mNCnoGN Wrx NWENa c~n ~plw~ ,ovmuROCnlEUwoW~Rmau r,ES R♦YI NEws.Nr R,i,rwrRn,GUrm,RECrtv EP,eaErrtiu reEO~rw~~NB°I"Nwr°VYaFRrNGZnrxE SUSawsax cGmEUrosuNerEn.No i,uirNR NE WOFrxE xE WOFSFC14txttrRN MWi. $ECOR%D NWEuNE l0.v K3~~TN Sf.vnelWNrc REOSIFnOGCOD9~icEV ,.w / tl~ ~NHEENGMO~rHE xECORNE40F SKleFORW,xt. mENGE ^mvemEN.ONerHEELtiT U,E / nl SNDSECiiCx, se0.3f FFEr TOMPOM OG BFGNNNgrNENGESrzvrroW ~ 6W W cFA TOrNF SWfN UNf OG IOTEOFCFRRFlFO BURWY NN+R6VRpF➢W w%,MF 14 PGGE,ea KSwO WFM:E r,F1CESES'uE4 w. ♦LOw19uO50Un,UxE0Ftm 4,WmFEErrO w EA4rENE aFEm.asEG CanFEn S,mFrwr,nrlcESaoaeme.wrosuGe sr 1 wosa°0°ur'sNU`~xE.~r"E'a'r"vc~:uiRairaNE~Ne;ce N~E~xoovmw uac~sw V / / 6~~ ~ ravaF~lmoNaE 1~ Em fir mrNE PaNr oFeEG~nNRS aExRem Pa„~vcoxuRe larsNrl¢ / / ~ / ~ 9'Yat„y'Y'1' EuWSrwx. I. m LRSUaNCrrG~rmmuu NCNWSr, RGNrLEWKNONLOMEI,EKENFNm 60423 ~.,y ~ i~ . es~rRemim.xoc eoGRazRa ~ ~ i 4 9 ascoivsi a a~s~ ,66 w M '',*e X04 a off/ i 816•R3 s-xaei - / ANFRY~ ~r / aOT5 ~ a a z,4zu sa. n. g I ^p~7 OYMERB C®ITIPICATE OF OEpCATON I / I 3 ~ I? A9OWNER4wFTNFAEeYCFRrrFYTU~CNRFD Hm aEOGWmi.e®O„R~„m OG / ~ NSgJI r~'~`wE wsacunGr'I'iw.rTNIaPur~s iEaRio4rsaalo oesn SMSEECra auw.waFGR Nronwuaa caiECr~ax~sT. cRaE muNrrR.N,aNGAxo 2 CONNir1EEN1alNFTCmROF RFASE,IrWliE1' -Im MENVON1p EFKGP 9NO GwNERS Rp4 ~ Y ,Ian. mas / o~o~ 11 sr♦ o ¢ Is9 / / / /QR Q o caunn OCx. olwq xu.Gn / L/ ~ 8 ORNEW.r - PE(eaw~L'~eEGORENETwyC~~b EISCUrEOrNE PoREGW1G:xsrRUHfHi Nlo Y.ac N svE 16 F / m R d~4 q NWn,~,< ~ N 9 ~ caNNORGN ExaRES - of - 07 Wsrvraa RENEE N. mom S NOTARY RIEIC LOST 6 STATE OF WISCONN1 a N z,rssssa Fr G C TowNRwROIasoENnoN ♦ ♦ a C RFSarm.narrNEPUrOGV~ NaESx rNermxaFRFwwnrvuEY I awsIERREHKwE,ueErN axrerEHSw. wNERS ~s IErEerGPgvwnmrNemNN I NEREeYCERnEYTNTMEFOREGmgi5 e0]RYOiA RESCUagNNpoPIEOeYT -H o~~wuwx s ~xN,av~ j om-ewn~ _ - scum vNE m,xE xE i,. aFrrEwE w„-T- - NEB'38'33'E 888.OT - - - - - - - Fm TOWNTREASNRERSCE-CSYS, aN+aNwx ~wW TIArON - I IR. -0, S. COMtt OFSf. CROW OKTNGTOMirfEKI.FFA OF OFPEfpsanr WuEr,pEREev CFAnFY~IN N,nCCO1m,CEWmI N E~rnO aGFrc~,~PE.RE rm uxG rKEY aRSPEdAlA9FSwENrsKrs x-11 p1 n1NEHAi OGNFA4MNUA wFwvwNR GPI O$ COUNTY IREASU RER'S CEMIFHJITE ca F sr mows' axa eEm4rxEOUrEEECrEn.ourwEO anrcrworlrncxmcG Sr. cRC« LEGEND COUx1YWNEREEYCDERFYrN4Tn1E RE[ORG9w NYOFFlLE 999999ggQQqq~RRRyyyN~N1,1lOOO1pppKFECnNGrxE ~ O,1C'ORxm NONOmIwcuO rK TS.CKKIYSSNENT4KOG Fp~y N NOIINNENfFOAO SECti I -as-o5 oPa~ ma oR" sr ,RE~ER,GWG (KF~6A0.9Rh GTE 9rREET l1NE INE Oi9rMeruCEOiA A.rt.E srKEBV i~>t~4und`sErw¢OGxc,.so Ntt0 ~i9Rw0 T9x UFIECnONa0.>i6wYAVSN P GH PNICEL S4ONN ON iHISMM IPIArIGSLBIEGTttI rE. NORtt1EA OR RESOFMSWYIOOHNiWNG ♦l~ ST. CROI%COUNIY PIANNINO AND ZONING COAIMTf1EE RESOLITIION n.r~Et~ exO rOmuSNiv WAS R146/NO cxawauOlNrERFEPE wrrx OROwxxrNE FWnxG FENCFI.'NF aF.WEruxos. N~N~NUN wr szE.ccESS a aTNEw♦rER~uN ~HRGwwGrmox~ oP. Ere). eEFOREwRV,wsxaoR OeaGRres Nauss x ux oroeuui. S-SS AHD& m NE14vwRRS..S,rtAOEernwROrEp NESr.Oreu FCEaxO.CGVreCr LNE St. CROxCWN" rRUCRNGK £Nx¢ NG Oi EYGV.n,n _CE GPRORIiaTEiOnu eYROfOR MP1wNnrvG iN I'iES- R GlE l-ts os L~4vd ~W4 GrE M~1 SCALE IN FEET 1' 60 a. aI iW G)E9Trd, SR O SO 13O II IIII IIIIIIIIl~II~~iI I~ {I I~~ DOCUMENT NO. STATE BAR OF WISCONSIN FORM 1-2003 $ 1 5 1 1 2 2 WARRANTY DEED Tx:4123013 977682 THIS DEED, made between Michael R. Penny and Marcia E. Penny husband BETH PABST OF DEEDS and wife ("Grantor" whether one or more) conveys and warrants to Oevering REGISTER STER F D WI Homes, LLC, a Wisconsin limited liability company ("Grantee", whether one or ST. CROIX CO., more), the following described real estate in ST. CROIX County, State of 04/29/2013 3:50 PM Wisconsin: EXEMPT#: NA Lot 5, Pleasant Hills in the Town of Pleasant Valley, St. Croix County, REC TRANS FEE: FEE: 30.00 .00 59.70 Wisconsin. PAGES: 1 RETURN TO St. Croix County Abstract & Title Co. Inc. 219 S. Knowles Avenue New Richmond, WI 54017 Tax Parcel No: 024-1049-05-000 This is not homestead property Exception to warranties: 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 further except 2013 real estate taxes. th Dated this day of April, 2013. Michael R. Penny Marcia E. Penny AUTHENTICATION - ACKNOWLEDGMENT Signatures authenticated this day of STATE OF WISCONSIN 20_ ss. COUNTY OF ST CROIX TITLE: MEMBER STATE BAR OF WISCONSIN (If not Personally came before me this ~ day of April, 2013, the above named Michael R. Penny and Marcia E. Penny, husband and authorized by § 706.06, Wis. Stats.) wife to me known to be the person(s) who executed the foregoing instrument and acknowledge the same. THIS INSTRUMENT WAS DRAFTED BY S4 Q t Robert L. Loberg / Loberg Law Office * ~I hdrP , U - • C~ NotaryPublic SI- Grvl)~= County, Wis.,'-• ; 1314094 / asc .1~'1 ' ' My Commission is permanent. ac` . 110 ~ I ' (Signatures may be authenticated or acknowledged. Both are If not, state expiration date: 6/ 2,;V2,01 not necessary.)'~h} 'Names of persons signing in any capacity should be typed or printed below their signatures. 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