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Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety~,nd Build~ng Division INSPECTION REPORT (ATTACH TO PERMIT) GENERAL INFORMATION Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Sanftner, Mike Forest, Town of CST BM Elev: Insp. BM Elev: BM Descript~'an,~' ~e ~~ /'~(/~ ~ `i~~~ t D~ ~ v ~ ~ D, c~ ~v"~- ~l TANK INFORMATION ELEVA ON DATA STATION TYPE MANUFACTURF~R CAPACITY Septic ~~ " I ` ~ / 11 G~ ~~~ Dosing ~ Aeration /~ h-P~~ -- v Holding -r..~r~ ~r-rQnrir i~.IC~IRMATI(~N TANK TO P/L WELL BLDG. `/ent Air Intake r ,. ROAD Septic ~ ~~ i ~ ~ c3 Z ~ '~~~ . Dosing Aeration Holding nr ~~eoicrounAl IAIFf1RMATI~N f W ~Iw~_5~~~~'~~r- rvmrivn ••-• -•-•-°------ Manufacturer - Demand ~-~-- GPM Model Number TpH Lift Friction Loss System Head TDH Ft x ~~ ~; _ Forcemain Length uia. Dist. to well Bence „fin I f Alt. .1/~ / L _ ~V~' ` St/Ht Inlet St/Ht Outlet Dt inlet Header/Man Dist. Pipe Bot. System Final Grade ' St Coven ~ c+ r ~ n-d S ~ 3~~ IPIT n Q © ~~ U ~. 2 ~. ~ O ~ ,o `~~ g ~ _, ,. ~- ~~ o ~ ~ r ~~; i Z l0.'7 . ~^~ ,~ -. ~' , rvt~(na(~ _ ". 'C' • H"s , Of Pits Inside Dia. ~/ I~ .L Depth `~ ~ ~ CHAMBER OR _-~..__ UNIT Model Number: _ ~_ ~ . n:fj- n DISTRIBUTION SYSTEM x Hole Spacing Vent to Air Intake Distribution x HoIA Size Header/Manifold .. - - - Pipe(s) , Length Dia Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade SSeeded/SO ded xx Mulched Depth Over Depth Over xx Depth of - BedfTrench Edges Topsoil Yes No Yes No Bed/Trench Center J Inspection #2 ~I~ '~ , /,~~/ ~ COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1~/ ~ /o~ ~ ~ ' ~ Y Parcel No. 1.31.15272 ~u,,: Location: 2790 210th Avenue Deer Park, WI 54007 (SE 1/4 SE 1/4 17 T31N R15W) 40 acres Lot 1.) Alt BM Description = ~~~ / (~ ,,P~r.~.~ ~ ~ ~;{~r f 2.) Bldg sewer length = ~ ~ - amount of cover =~ ~,I- ~ ,~~ c~~-~t~' ~~'tl- 0 ~ _ _ II J, Plan revision Required? 'Yes ~ ' No ~: ~ ~~~ ~ ~ ~'^~t cj ~~ ~ ~ _- - ----- _. - Cert. No. Use other side for additional information. -_._ _ _- .., - Date Insepctor's Signature ~. i, SBD-6710 (R.3/97) - _ i3~BYTRENCH Width Length No. Of Trenches DIMENSIONS ! ~ i ~ SETBACK SYSTEM TO P/L BLDG WELL INFORMATION Type Of System: r• SOIL ABSORPTION SYSTEM .---. n (1 (~ r~1 Safety and Buildings Divi ~ --- ~ ~ 201 W. Washington Ave., P.O. Box 7162-- rOIX ~scons~n Madison, WI 53707 - 7162 Site Address th Department of Commerce 210 Ave C#- 290 -Z/~ ~~ Sanitary Permit Application r'PermitNumberL~/ ~) '" ~ ~ ~ `~ ~' In accord with Comm 83.21, Wis. Adm. Code, personal information you provid hh v~ Y / - ^ Chee ma be used for second u oses Privac Law, s15.04(1) m) L Application Information -Please Print All Information ~, ~ C Mate Plan LD. Nu be /off ~ - t 2(/ - R . Fetz ttit Property Owner's Name 1/~~, ~~ cel umber Nr; Mike Sanftner '~F '~ ~` of - 03~-~-cmo .~, Property Owner's Mailing Address Pr cation 2757 - 220th Ave. /SE%4; SE%<; S17; T31 N, R15W City, State Zip Code Phone Number bet-Aktrnber Block Number Deer Park WI 54007 (715)263-3175 '- , S~at~i~isie~arte ..r..,.;_ .0 cuz arc II. Type of Building (check all that apply) ^^ '-- ~Ig:up~ ~ \ S u~ wt u ^ Ci ty . e X I or 2 Family Dwelling -Number of Bedrooms 3 ~ S /J \\\ _ ^ Village mmercial -Describe Use ^ Pubhc/Co X Town Forest ^ State Owned Nearest Road th Ave. 210 III. Type 't: (Check only one box on line A (numbering scheme for internal use). Complete line B if applicable) A. 1 New Replacement System 3 ^ Replacement of 6 ^ Addition to For County use System X Tank Onl Existin S stem B Check if Sanitary Permit Previously Issued Permit Number Date Issued U ~r IV. Type of Permit: (Check all that appl numbering scheme is for internal f t~~ • 44 ^Non -Pressurized In-Ground 21 X Mound 47 ^ Sand Filter 50 ^ Constructed Wetland 22 ^ Pressurized In-Ground 41 ^Holding Tank 48 ^ Single Pass 51 ^ Drip Line 45 ^ At-Grade 46 ^ Aero ~ Treatment Unit 49 ^ Recirculating 30 ^ Other V. Dis ersal/Treatment Area Information: 3. ~'S ZD ~ ~ = 2 •S~ 30 - ~ Design Flow (gpd) Dispersal Area Dispe 1 Area Soil Application Percolation S e n Final Grade Required Proposed Rate(Gals./Days/Sq.Ft.) Rate ) p 2 , ~ Elevation (Min./Inch) 450 450ft2 450ft2 .2 N/A VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Stee fiber Gallons Gallons of Tanks ~' ~ ~~ ~ _ 1 do E~11 Concrete Constructed Glass New Existing a Tanks Tanks Septic 1000 1000 1 Wieser X Pump 600 600 1 Wieser X VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Pl er's Si re MP/MPRS Number Business Phone Number Thomas D. Gustum 227618 715 658-1344 Plumber's Address (Street, City, State, Zi Code) N13450 937th St New Auburn, WI 54757 VIII. Count /De artment Use Onl Approved ^ Disapproved Sanitary Permit Fee (includes Groundwater S h F Date Issued Issuing Agent Signature (No Stamps) urc arge ee) e ' ' 1 Adverse ' ,~ 3 ~ -- ~~ ~ Determ ~• / d~ ~„ - J u,Q IX. Conditions o pprova 1 3 ~ ~(~l (~6+•t.o~C.t`~Bv~,$' /'T~~- J~~~ ~ . ~ SYSTEM OWNER: « a ~ 1 Septic tank, effluent filter and f}-E-o . dispersal cell must all be serviced /maintained as per management plan provided by plumber. as per applicable cote/OfUlrlan~'eS s (to tits"C6unty omy) ror the system on paper nor Bess man aric x u mcnes m s~zr ~___,- ~ ~2 >D SBD-6398 (R. OS/O1) (~ 1 r.. ~~~- ~. l~'l :`t. Q. ~` ~ ~ ~-- ' r ec~-.~ 3 .',~.~ v \'LO w~ 2 ~.~ S` c ~- ~`' rw ~~ o w++ ~ gp .0 •wM. w, 4. T a+•~ s~,M ~:~~ ~ °a''°'~, (1 - Wy~ ~r'~y O~r..Q! p~~ ~~~ ~~1~ UX`i00ea~ S.L - S ~ - ~~ -TI - ~~ w ~owQ3~ ~ w h'. L,; !VG.. ~ ~l `O U{,.~OM (wn~ i (~ (3 _ 1 i~ ~~ Z 4z , --s.~' 4•' S~w-~ ~-~~ ~~ ~~ ~~ ~ ~ tgwYsO . ~~ '•~ _ ,3 a' Z.. Pic ~~1.ot~ ~ ~`~~~ .'_r ~~o~o -` / $.e~ ~ ~ IG. ~ S ~ o "1 ~, ~Q.~ .!I . ~,~~ ~ o~ ~_ f ,~-~ I ,. ..i ~'_: _ ~: ,. z:. ,~ k ~ II ~~ ~' k a-- ~ h' coinmerce.wi.gov isconsin Department of Commerce Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601-1831 TDD #: (608) 264-8777 www. commerce.wi.gov/sb/ www.wisconsin.gov Jim Doyle, Governor Cory L. Nettles, Secretary November 17, 2004 CUST ID No. 222774 HENRY F GROTE CERTIFIED SOIL TESTING E4366 353RD AVE MENOMONIE WI 54751 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 11/17/2006 SITE: Mike Sanftner Town of Forest, St Croix County SE 1/4, SE 1/4, 517, T31N, R15W ATTN: POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 Identification Numbers Transaction ID No. 1084864 Site ID No. 692543 Please refer to both identification numbers, . above, in all comes ondence with the a enc . FOR: Object Type: POWTS Component Manual Regulated Object ID No.: 993275 Maintenance required; 450 gpd Flow Rate System(s): Mound Component Manual -Version 2.0, SBD-10691-P (N.O1/O1), and Pressure Distribution Component Manual -Version 2.0, SBD-10706-P (N.O1/O1) 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 10.1.01(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 Dept. per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: • This system is to be constructed and located in accordance with the approved plans and with the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems Version 2.0" SBD-10706-P (N.01 /01). • Pursuant to outlet filter product approval stipulations, maintenance information must be given to the owner of the POWTS explaining that periodic cleaning of the septic tank outlet filter is required. The access opening used to service the filter shall terminate at or above finished grade with a watertight cover. • Proper landscaping of the mound and land surface up slope of the mound is critical to proper operation. See the approved plans for details. • This approval is based in part on an interpretive determination approved pursuant to s. Comm 85.60(2), Wis. Adm. Code and recorded under transaction number 1083396. It is subject to the conditions set forth in that approval. • This system is to be constructed and located in accordance with the approved plans, and the "Mound Component Manual for Private Onsite Wastewater Systems Version 2.0" SBD-10691-P(N.O1/O1). 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 instal lation/operation. ' ~ ' ~ HENRY F GROTE Page 2 11/17/2004 In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, d- eroy G. nsky, Wa ewater cialist Integrated Services Bureau (715) 726-2544 Voice (715)726-2549 Fax lj ansky@commerce. state.wi, us Fee Required $ 175.00 Fee Received $ 300.00 Refund Amt $ 125.00 WiSMART code: 763.3 r r Mike Sanftner -Mound Construction Materials and Techniques All materials must comply with Comm 84 and be installed in accordance with manufacturer's specifications. Construction methods must comply with the following Component Manuals: _, Mound, SBD-10691-P (01 /01) Pressure Distribution, SBD-10706-P (O1/O1) 10~464~ Location: SE'/4, SE'/4, Sec. 17, T 31 N, R 15 W P n~~,T S. Town: Forest ~(1)2d1t~0~21~11 County: St. Croix ,y Date: November 17, 2004 DEPARTMENT OF COMMERCE DlVIS~ N OF SAFETY AND 8U1lDINGS Owner: Mike Sanftner th ~~~ill-~ii SEE GO ESPON NCE Address: 2757 220 Ave. ` ~~ ~ ~ S ~i ~ Deer Park, WI 54007 .` ~ G "' • ~~i ~~ Designer: He y Grote ' ~' NGRp'~ g ~* ~' ~--~ D-~6 pN~E __ Signature: _ ~_ ~,.~ - ~ ~ MEN~~S. .~ ,•~Q . License: WI D-169~~707 '~~~~i~ ~ES1G~~~`~` /Ililll~ Attachments: SBD-10577 -Plan Approval Application SBD-8330 Interpretive Determination Pending Page 1: cover 2: design criteria & calculations 3: plot plan 4: system cross section 5: plan view, lateral detail 6: pump tank exit detail 7: pump curve 8: system management page 1 of 8 f ., Design Criteria ~~ Residential Wastewater Contaminant Load: 30 mg/L < BODS < 220 mg/L Anticipated septic tank effluent 30 mg/L < TSS < 150mg/L Fecal Coliform > 10,000 cfu/100 mL Fats, oils, grease < 30 mg/L 3 Bedrooms x 100 gal/bedroom/day x 1.5 ~~ gallons/day hydraulic load Effluent filter ~ ~-~ ~ ` l'~ Measurement pump on and off S~ o in. Height alarm from tank bottom ~ ~° • ~ in. Reserve capacity 335 ~ gallons specs.calcs.res Design Calculations In situ designed loading rate n , ~q gallons/sq. ft. per day Depth to estimated high ground water >~ b in. Depth to bedrock ~ 5'~ in. Cross slope at system s ' ~" % ~ ~ k Force main length 3 ~ ft. of Z in. Manifold/header length ~ ~- ft. of -' in. Drain-back 4 ~ ~~ gallons Lateral length 2' @ S ~ ~ ~~ ft. of ~ `~ Z in. Lateral elevation ` `0 3 ~ ~ ft. @ bottom of lateral 3~ ib in. @ Lateral hole size 3 ~°• ~ in. ( 3` ~ ft.) Spacing ~`-O holes/lateral ~ holes total Lateral volume 1 ~'~~ 4' gallons Total lateral discharge rate Z~'4' i gallons/minute @ ~• ~ ft. head Network pressure compensation losses ~'~'~ ft. Elevation difference ~ Z• s ft, Friction loss ° ,4g ft. @ 2~ gallons/minute Total dynamic head ~ ~ • Z3 ft. Pump/sij.~on ~' gpm @ Z- ~ ft. of head Manufacturer ~ o ~ ~°,r Model # ~ ~ ~ Dose volume ~3' g gallons Lift/sip~ion tanker ~ ~~ ~ ~~ - ~ ~o ~ ~+o ~'~ gallons Septic tank ~ ~ ~ ~ ~"° gallons Page Z of P~ o ~~ ~~~~ 3.~' k ~ moo' Ya, S~°~- °~ o~ ~ ~.t .., ~ ~ cL . . CA P4 . k.A••d'~ SL - S~ -1~--31- ~~ w ~.:, ~~~~~ S pO~b ~,~~ ~ ~ ~ d~~ '.• Y ~~~~. ~.t ,,, ;;,,. . S . ~ ~~z ~~~ :c ~o s~ i S .. ~. ~-; o,~ , 3 ~~ / i,~~ ., .. 1 0. Mt L~~ `~~ ~`Ow K ~ ~ ~S~ $ Z ~ N w..Sl ` ~ b s~~co: i «~ ~1 ~ ~ Q`w 1 o `^`w ~ ,. ~ 31 ~ ~~ . ~ 4-- g ~ ~ ._-.-_ o~ _-, .. , t ~ ~ ~+ • System Management Management of this system is critical. As a condition of approval of these plans this system management section must be reviewed with the owner, and the owner must be provided with a complete set of plans including this management section. If problems develop with the adsorption system or any other system components, the installing plumber or the St. Croix County Zoning Office, 715-386-4680, should be contacted for assistance. General Proper functioning of an on-site disposal system, "septic system," is significantly dependent on the volume of water which flows into the system and the level of contaminants in that volume. The lower the volume of water and the lower the level of contaminants, the better and longer the system will function. Typical system components include a septic tank or compartment to settle out solids and contain greases and oils, a filter on the outlet of the septic tank to retain small particles of the same density as water, a dose tank or compartment to allow a dose to be accumulated, a pump and controls or automatic siphon, and finally some type of soil adsorption cell to recycle the water in a manner to protect ground water quality and public health. 1. If the septic tank is installed prior to sheet-rock and/or painting, pump the septic tank before normal use begins to ensure adherence to contaminant load design criteria. 2. Install water-saving appliances whenever and wherever possible. 3. Repair even small water leaks as soon as possible. 4. Never pour grease or oil down any drain or stool. 5. Garbage disposals are not recommended; if you must have one, use it sparingly 6. No paper products other than tissue should go into the system. 7. No chemicals should go into the system. 8. Avoid surge flows of water; try to spread laundry throughout the week. 9. Septic tank effluent must be less than or equal to the design criteria specified in page 2 of these plans. 10. If septic or dose tanks are no longer used, they must be properly abandoned. 11. If construction timing and weather could create a frozen infiltration system, weather-proofing with plastic sheeting and heavy mulching may be required to maintain a functional system at start-up. 12. The upslope toe of the mound system must be landscaped with additional fill to blend this area into the upslope natural grade; this will minimize the possibility of the system trapping surface run-off; fmal settled slope should be 2-3% diverting surface run-off around the ends of the system. Maintenance 1. The septic tank must be inspected every three years by a properly licensed person. 2. If necessary, the septic tank must be pumped to remove solids and scum; pumping is required if the combined scum and solids volume equals one third of the tank volume. 3. When the septic tank is pumped, any solids in the bottom of the dose tank must be pumped, and the filter must be back-washed into the septic tank to remove accumulated material. System use may require more frequent filter cleaning; initial inspections of the filter should be made every 6 months until a minimum time sequence is determined. 4. Periodic observation pipe inspections should be made by the owner to examine the state of the in-situ soil adsorption cell. Quarterly inspections are recommended; a licensed plumber should be notified if effluent is consistently ponded in the adsorption cell. 5. If this system contains specific treatment components other than those mentioned here, maintenance requirements will accompany their specifications. 6. The pumping components for this system include an alarm which must be installed and remain on a separate circuit from the pump. If the alarm is activated, minimize water use and notify a licensed plumber for service as soon as possible. The system allows reserve capacity to accumulate some necessary flow until normal service can be restored; this volume is minimal, and no more than one or two days should pass before any necessary repairs can be made. 7. Avoid compaction such as vehicle traffic within 15' down-slope of the adsorption system. 8. Avoid disturbing the system itself such that might encourage erosion or disturb the required seeding of the system. 9. Particularly avoid winter traffic such as sliding or snowmobiling which might compact snow and lead to increased frost depth. 10. Surface drainage must be diverted around the system; avoid landscape changes which might send surface run-off into the system area. 11. Warning: Do not enter septic, dose or other treatment tanks; death may result because they may contain lethal gases or insufficient oxygen. Contingency Plan Wastewater monitoring of volume and quality is not a normal requirement for low effluent strength systems; such monitoring may become necessary if problems develop. Any necessary monitoring shall be done in accord with the requirements of Comm 83.54 (2). Pumping and hauling of wastewater may be necessary while analysis and repairs are implemented. Additional testing, designing, and/or installation of additional treatment components or conversion to a holding tank may be necessary. Page 8 of 8 Y ' 4 ' ' commerce.wi.gov isconsin Department of Commerce Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601-1831 TDD #: (608) 264-8777 www. co m m e rce. wi. g ov/s b/ www.wisconsin.gov Jim Doyle, Governor Cory L. Nettles, Secretary November 17, 2004 CUST ID No. 222774 HENRY F GROTE CERTIFIED SOIL TESTING E4366 353RD AVE MENOMONIE WI 54751 CONDITIONAL APPROVAL ATTN: POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 PLAN APPROVAL EXPIRES: 11/17/2006 Identification Numbers Transaction ID No. 1083396 SITE: Mike Sanftner Site ID No. 692543 Town of Forest, St Croix County Please refer to both identification numbers, SE 1/4, SE 1/4, 517, T31N, R15W above, in all cones ondence with the a enc . FOR: Object Type: Soil Saturation Determination Regulated Object ID No.: 993269 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 s. Comm 85.60(2), Wis. Adm. Code, to estimate the depth to seasonal soil saturation based on an interpretive determination process. Approval of the interpretive determination negates the requirement in s. Comm 85.30(2)(b), Wis. Adm. Code to designate the ground surface as the higest level of soil saturation when redoximorphic features are less than 4 inches below the bottom of the A horizon. 2. The estimated highest level of prolonged soil saturation approved under this determination is 8-19 inches below grade. At least 30 inches of sand lift on top of 6 inches of unsaturated, in-situ soil is required for adequate treatment and dispersal. • The basal soil application rate for the mound shall be 0.2 gpd/sf, and the linear loading rate 4.0 gpd/ft. • Chisel plowing to a depth of 16 inches immediately prior to sand placement is required to improve vertical water movement into the soil solum. • Landscaping up slope of the mound shall be incorporated into the POWTS design to prevent surface water from concentrating along the up slope edge of the mound and to divert surface water drainage away from the system. • This approval shall remain valid unless the site is altered in such a way that the depth to soil saturation would change. or if saturated conditions are observed for seven consecutive days at depths less than 3 feet below the infiltrative surface of the POWTS distribution component. • 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. • A copy of this approval letter and attachments must accompany the mound system design for this site for purposes of plan approval and sanitary permit issuance. A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. If plan index sheets were submitted in lieu of additional full plansets, a copy of this approval letter and index sheet shall be attached to plans that correspond with the copy on file with the Department. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. , HENRY F GROTE Page 2 11/17/2004 In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. Sincerely, Leroy G. sky, Wa ater Spe 'list Integrated Services Bureau (715) 726-2544 Voice (715) 726-2549 Fax ljansky@commerce. state.wi.us Fee Required $ 100.00 Fee Received $ 100.00 Balance Due $ 0.00 WiSMART code: 7633 Interpretive Determination Report For an A+0" Mound Septic System On the Mike Sanftner property ~10 acres Pending CSM from s9~Fry NgF~FjGFo ae~ocso' v SE1/a, SE1/4,Section17,T31N,R15W Town of Forest P.O.W.T.S. St. Croix County, Wisconsin Coizditior~ally ,, APROV~D 1 ® ~ ARTMENT OF COMMERCE ~ DlVI SON OF SAFETY AND BUILDINGS Submitted by EEC RES NDEN ~~; ~ ~, \~Y l=am ~ \~ ~. _ ~--.~ Henry F. Grote, CSTM 222774 Certified Soil Testing, LLC E. 4366 353rd Ave. Menomonie, WI 54751 715-233-0398 November 8, 2004 .,. '~ Contents Introduction Methods Local Hydrology Geomorphology Soil Disturbance and Hydraulic Modification Landscape Position Soil Series Data Conclusions/Recommendations Attachments Soil Evaluation Report, Henry F. Grote Topographic Detail, Section 9, T 31 N, R 15 W Soil Series Map, Soil Survey of St. Croix County Wisconsin Average Annual Precipitation (1961-1990) i Page 1 1 2 3 3 3 4 5 5 Landscape Position (continued) southwest below the 100.0 contour. The moraine slopes from the 100.0 contour about 3/4 mile to the west to 1120 MSL near the south-west. corner of Section 17. Surrounding land use on all sides is in agricultural tillage with woodlands to the south side of 210`" Avenue. No structures are down-slope to interfere with lateral movement of effluent. The 4.0 % to 8.5 % slopes at the mound site will increase the hydraulic gradient and encourage lateral movement of treated effluent. Upslope surface runoff can -and should - be minimized by the addition of extra fill soils from the center of the upslope mound structure. The extra fill materials will divert surface runoff to the east and north around the proposed mound system where natural drainage will carry it to the west and ultimately into a Wolf Creek tributary at a nominal elevation of 1120 MSL about 0.8 of a mile west of the proposed mound site. Soil Series The Soil Survey of St. Croix County maps the site soils as Santiago Series adjacent to Magnor and Freeon Series to the west. Magnor Series soils are down-slope to the west and southwest from the Santiago Series; Freeon Series are somewhat upslope to the west and north of the proposed site. These soils are respectively described as "well drained" (Santiago), "somewhat poorly drained" (Magnor), and "moderately well drained" (Freeon). Field observations of soil pits are in reasonable agreement with this mapping. Santiago Series and Magnor typical profiles are described as silt foams above foams to heavy foams and heavy sandy foams above a sandy loam till. In the site area observed sandy loam subsoils are described as sandy foams and texture as clay rich sandy foams to clay foams as described in the note to description for pit B-3. A clay loam or gritty clay loam description as used for onsite septic systems is in close correspondence to the Soil Survey use of heavy loam or heavy sandy loam. All three series are Alfisols and Fine- loamy mixed Family; subgroups are Typic Glossoboralfs (Freeon and Santiago) and Aquic Glossoboralfs (Magnor). Field observations show redoximorphic features absent to depths of 8 to 19 inches. The redoximorphic features were not observed in any pits until the B horizon was encountered. 4 Soil Series (continued) The B horizon redoximorphic features were typically few and ranged from faint to prominent. Periodic soil saturation is indicated below 8 inches by these observations. Data The soil and site evaluation report and data are similar to other sites which have received Department of Commerce approvals for A+0" mounds with a minimum of six inches of seasonally unsaturated soils in the upper A horizon. Examples include the Lisa Mosentine site, ID #636612, Anthony Ludwig site, ID #634143, Jon Mentink site, ID #787909, Tim Holldorf site, ID # 849265, and Karen & Keith Anderson site, ID #639788. Conclusions/Recommendations 1. Seasonally saturated soil conditions do not occur in the upper 8 inches of the soil profile as indicated by the absence of redoximorphic features. The site is acceptable for a mound septic system with a minimum of eight inches of unsaturated soil for treatment and dispersal of treated wastewater effluent as allowed by Comm 83.44(3)(b)1. The eight inches of natural soil will allow treated effluent to be assimilated into the subsurface without ponding on the ground surface. 2. The A horizon is Munsell color 7.SYR 3/3 which indicates an organic matter content nominally of 25 g/kg in the range of 20-30 g/kg or 2.5 percent.9 This level of organic matter is indicative of relatively good drainage and aerobic conditions. 3. The relatively low level of organic matter indicated by the Munsell value of 3 would facilitate observation of high chroma redoximorphic features in the A horizon. The lack of observation of these features in the A horizon is strengthened by the low organic matter content which lends further evidence to a conclusion that at least eight inches of soil is present which is not periodically saturated for more than seven days. 9 Tyler presentation, Reading Shallow Soil Saturation, 10/15/04, Ashland UW Ag Research Station. 4. No hydric soil indicators10 are present in the observed soil pits; this conclusion is based on particularly careful review of the indicators for All Soils and Loamy and Clayey Soils. 5. Root penetration is observed to depths of between 19-33 inches below grade; such depths are not expected in soils which remain long saturated. 6. Redoximorphic features observed in an initial soil pit, upslope, on relatively flat topography, some two hundred feet to the north-west of the proposed site, demonstrated prominent, high chroma colors of 7.SYR 5/8 in a matrix of 7.SYR 4/6 silt loam. These features were observed at depths often to fifteen inches and suggest contemporary redoximorphic concentration formation at these depths.l' High chroma redoximorphic features in pits representing the proposed area were not observed above twenty-six to I ~"` 1~ 2148 Page 1 of 3 Certified Soil Testing Wisconsin Department of Commerc OIL EVALUATION REPORT Division of Safety and Buildings @ ~, ~1 ,~ o~rnmm nF w~~ nom r.~~P .a*.r ~' County Attach complete site plan on paper not less than 8%: x 11 inches in size. Plan must St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I D percent slope, scale or dimemsions, north arrow, and location and distance to nearest road. . . -- 10 acre CSM pending Please print all information. Reviewed By Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (t) (m)). Property Owner Property Location Sanftner, Mike Govt. Lot SE 1/4 SE 1/4 S 17 T 31 N R l5 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 2757 220th Ave. Pending City -- State Zip Code Phone Number City R"` Village ! Town Nearest Road Deer Park ~ WI 54007 715-263-3175 Forest 210Th Ave. New Construction Use: /! Residential /Number of bedrooms 3 Code derived design flow rate 450 GPD __... Replacement _: Public or commercial -Describe: Parent material loess over till Flood plain elevation, if applicable NA General comments and recommendations: soils generally lack A+4"; interpretive determination required w/ state & county approval to install mound w/ 2.5' sand fill Boring # _ _ Boring 0 Pit Ground Surface elev. ft in. . Depth to limiting factor Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-5 7.5YR 3/3 - sil 2 f sbk mvfr gs 1 m .6 .8 2 5-10 7.5YR 3/3 - sil 2 m sbk mvfr cs 1 m .6 .8 3 10-15 7.5YR 4/6 f3p 7.5YR 5/8,5/3 sil 1 m sbk mvfr cs - .4 .6 4 15-22 5YR 4/4 f2d 10YR 6/2 sl 1 m sbk mfr gs 1 m .4 .7 5 22-48 5YR 4/4 - sl 0 m mfr - - .2 .6 lacks A+4"; presumptive limit is 0"; upslope pit on uniform, flatter ground than other pits; some reticulated 7.5YR 5/8 inclusions in horizon 2 appear be decayed organic matter Boring # ..:: Boring Pit Ground Surface elev. 100.0 ft. Depth to limiting factor 0 In. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-8 7.5YR 3/3 - sil 2 f sbk mvfr cs 1 m .6 .8 2 8-20 5YR 3/4 f2f 7.5YR 5/3 sl 1 c sbk mvfr gs 1 m .4 .7 3 20-53 5YR 3/4 f3p 7.5YR 5/3 sl 0 m mvfr - - .2 .6 lacks A+4"; presumptive limit is 0"; gr/cob st below 18" * Effluent #1 = BODS> 30 < 220 mg/L and TSS > 0 < 150 mg/L * Effluent #2 = BODS < 30 mg/L and TSS < 30 mgL CST Name (Please Print) Sign tur : CST Number Henry F. Grote - 222774 Address Certified Soil Testing Date Evaluation Conducted Telephone Number E. 4366 353rd Ave., Menomonie, WI 54751 5/8/2004 715-233-0398 0 _.... Property Owner Sanftner, Mike Parcel ID # ^' 10 acre CSM pending `. Page 2 of 3 Boring # _-! Boring Pit Ground Surface elev. 99.2 ft. Depth to limiting factor 19 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0-7 7.5YR 3/3 - sil 2 m sbk mvfr cs 1 m .6 .8 2 7-19 5YR 3/4 - cl/sl 1 m-c sbk mvfr gs 1 m .2 .3 3 19-43 5YR 3/4 f3f 7.5YR 5/3 sl 0 m mvfr - - .2 .6 Note: subsoil sl textures close to cl w/ high clay content; for conservative sizing we will use cl ^ Boring # '--' Boring /! Pit Ground Surface elev. 97.9 ft. Depth to limiting factor 0 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots ' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0-4 7.5YR 3/3 - sil 2 f sbk mvfr gs 1 m .6 .8 2 4-10 7.5YR 3/3 - sil 2 m sbk mvfr cs 1 m .6 .8 3 10-16 7.5YR 3/4 f2d 10YR 6/2 sl 1 m sbk mvfr gs 1 m .4 .7 4 16-33 7.5YR 3/4 f2d 10YR 6/2 sl 0 m mfr cw 1 m .2 .6 5 33-50 5YR 4/4 f2p 7.5YR 5/8,5/3 sl 0 m mfr - - .2 .6 lacks A+4"; presumptive limit is 0"; horizon 4-5 interface varies from 33-26" Boring # `' -Boring Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 'Effluent #1 = BODS> 30 < 220 mg/L and TSS >30 < 150 mg/L 'Effluent #2 = BODS < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SBD-8330 (R.07/00) Certified Sal Testing ,. P~ ~ c_~t e l,. _-~ ~~ ~ ~'~ 3^0 (~~~~ ~'t`tQ, J0.ti~.~~ngnr~~~,o~ ~~~w... C ,~ ~-l7'K Z3-l ~-1C1 ~~-Q~~ w\O q, <APi c7~~ SL ~ S~ -~~--3t- ~~ w 4. ~ r] (3 - ~ ~l et,. p~ ~ M ~' W ~1 ~~ ~ ~-- ~" ~(~q,zs ~~ ~ (~~o~~ ..~/' ~ - 3 ~°`'------~--- t S~o'~t~ l 2 ~ o~ --'~ A ~ wt ~~ ~~~' 5,4~` ~4.s ~; M L . o'? ` ~--.~.`--' ~- Q ~ c .S~O~b ~sd~~ - SHEET, NUMBER 15 )3 pA_ `~' Fn SaB r~ ~' ;;, ~r NO,aB~` , ',hti .. _~ .. B l//r I Fn8 SaB .ya.':~~c'.~ * ~ 1: 6 t y •. l ~i. ,~~, f~ `i ~~ .'' ~~'~ •~ (loins sheet 7) (Joins sheet 23)~ ~ "~'~ OoC FE~- 15 N f 0 0 x y f . ~ '` Page 1 of 1 http://www.crh.noaa.gov/mkx/datalwipcpn.gif 11/11/2004 ,~~~ J r ~ N A ~ W , * y ~ N ~ ~ `.~ _ q a ~~ti• 1 r +w' __ ~ ~ ~ ' 4~ 11 45°"I~. ~ ~ ~ - ~r I 1 '~~ M1- ~~k 1 ~ L I' tif ~ i~ 5 ~ , ~ \. . ~ 1 ~ ~ ~ ' i M1 ~ ~ ~ - ~ ~ ' - ~ ~ r - • - ~ \~ ~5 ~ r . • 4 ~ ~~ ~ '~ ~ _ ;•,~ ~ '' I 1 J ~ ~ 1/ ~~ _ - M1t, ~ ~ f Ir ~ - t j 5 5 -- 5 ~v O i .~k k ~ ~ , , ~ 5°-'10 ~ ~- ~ _ _ '~. r ~. ' ~ '~. ,ari ~ r" j L f t r l ~ J N45°-9.-75 ~ ~,, ~ , ~ 1 r Fr ~ ' l`~ ~4 1 I + I f~~ ~~ v rf I ~ ' o-„ . opuluuu~ wpyngm ~ ^r~y vei.orme x armoum, m~ U41)Y6 source oats: uJ(:S f-- j3pp ft Scale: l :5,000 Detai1:146 Datum: WG584 +riw „' commerce.wi.gov isconsin Department of Commen:e Date of Inspection: October 26, 2004 Project Name: Sanftner Use: Residential Legal Description: SE; SE, 17, 31, 15W Site Number: Subdivision: Municipality: Town of Forest County: St. Croix INSPECTION REPORT Plan Transaction Number: 1085046 Sanitary Permit Number: NA Wastewater Flow: 450 gpd Persons Present: M. Helgeson, H. Grote, Owner SAFETY AND BUILDINGS DIVISION Integrated Services Bureau 13 East Spruce Street Chippewa Falls, WI 54729 www. comme rce. state.wi. us/sb (715)726-2544 Plumber Name and Address: Unknown Certified Soil Tester Name and Address: Henry F. Grote, CST 222774 E4366 353`d Ave Menomonie WI 54751 Owner Name and Address: Mike Sanftner 2757 220'h Ave Deer Park WI 54007 An onsite soils verification was conducted at the above referenced site as per district policy for all sites with less than four inches of unsaturated soil below the bottom of the A horizon. The intent of this investigation is to confirm initial observations by the certified soil tester (CST) relating to the presence or absence of redoximorphic features in the A horizon and/or subsoil. In-situ soil texture, structure, and consistence factors were also reviewed as they relate to wastewater application rates. Other site conditions such. as percent and direction of slope, landscape 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. Two soil borings were reviewed and are generally as reported by the CST. No redox feature were observed in the A horizon. The subsoil has a higher clay content than reported, and this should be considered in the system design. __. If a mound system is designed to overcome limitations of a high level of seasonal soil saturation and slow permeability, the linear loading rate should not exceed 4.5 gpd/ft and the basal wastewater application rated should not exceed 0.2 gpd/ft2. The additional basal area will partially compensate for the gentle land slope and prevent wastewater leakage at the mound toe. At least 30 inches of sand lift is recommended when applying septic tank, effluent to the distribution cell of the mound to ensure proper treatment. The longest portion of the mound must be orientated along fhe contour. The mound shall be constructed to divert surface water around the mound structure as much as possible. In addition, an up slope drainage ditch should be considered if it is determined that surface or subsurface hydrology is improved by intercepting water and diverting it away from the mound site. If there are any questions regarding this report, please contact me. eroy G. ansky, W tewater pecialist cc: ®County ^ Plumber Ljansky commerc ,state.wi. E-mail Q CST ^ Owner 71.5/726-2544 Voice 715/726-2549 Fax ^ ~~ x + r~i~~a~~!"!:~ 2148 Wisconsin Department of Commerce SO~t~~~ ORT Page 1 of 3 Division of Safety and Buildings Certified Soil Testing in ~rrnrrl~nco wi} C:nmm R5 is e ounty Attach complete site plan on paper not less t an 8' x i size. P ry~yst ~ ` St. Croix ~ ~ O ~! ~.! include, but not limited to: verti I re i (M), di i61i Ynd percent slope, scale or dimems h distance to nearest road. _- Parcel I.D. -- 10 acre CSM pending Please in ormation. ST. CRGiX CUu~~~ i '~ ZO N Reviewed By Date Personal information you provide may be used for secondary purposes ICE Property Owner Property Location Sanftner, Mike Govt. Lot SE 1/4 SE 1/4 S 17 T 31 N R 15 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 2757 220th Ave. Pending City - State Zip Code Phone Number ~~~;;, City ~"g Village Town Nearest Road Deer Park ~ WI 54007 715-263-3175 Forest 210Th Ave. / New Construction Use: ~, Residential / Number of bedrooms ~_ . _ 3 Code derived design flow rate 450 GPD !Replacement _; Public or commercial -Describe: Parent material loess over till Flood plain elevation, if applicable NA General comments and recommendations: soils generally lack A+4"; interpretive determination required w/ state & county approval to install mound w/ 2.5' sand fill ^ Boring # .Boring 0 in. Pit Ground Surface elev. ft. Depth to limiting factor Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 'Eff#2 1 0-5 7.5YR 3/3 - sil 2 f sbk mvfr gs 1 m .6 .8 2 5-10 7.5YR 3/3 - sil 2 m sbk mvfr cs 1 m .6 .8 3 10-15 7.5YR 4/6 f3p 7.5YR 5/8,5/3 sil 1 m sbk mvfr cs - .4 .6 4 15-22 5YR 4/4 f2d 10YR 6/2 sl 1 m sbk mfr gs 1 m .4 .7 5 22-48 5YR 4/4 - sl 0 m mfr - - .2 .6 lacks A+4"; presumptive limit is 0"; upslope pit on uniform, flatter ground than other pits; some reticulated 7.5YR 5/8 inclusions in horizon 2 appear be decayed organic matter Boring # 'Boring /; Pit Ground Surface elev. 100.0 ft. Depth to limiting factor 0 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 `Eff#2 1 0-8 7.5YR 3/3 - sil 2 f sbk mvfr cs 1 m .6 .8 2 8-20 5YR 3/4 f2f 7.5YR 5/3 sl 1 c sbk mvfr gs 1 m .4 .7 3 20-53 5YR 3/4 f3p 7.5YR 5/3 sl 0 m mvfr - - .2 .6 lacks A+4"; presumptive limit is 0"; gr/cob st below 18" ` Effluent #1 = BODS> 30 < 220 mg/Land TSS > 0 < 150 mg/L " E e t #2 = BODS < 30 mg/L and TSS < 30 mgL CST Name (Please Print) Sign tur : ~ CST Number Henry F. Grote - 222774 Address Certified Soil Testing Date Evaluation Conducted Telephone Number E. 4366 353rd Ave., Menomonie, WI 54751 5/8!2004 715-233-0398 Property owner Sanftner, Mike Parcel ID # ^' 10 acre CSM pending Page 2 of 3 Boring $ Boring # Pit Ground Surface elev. 99.2 ft. Depth to limiting factor 19 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots ' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0-7 7.5YR 3/3 - sil 2 m sbk mvfr cs 1 m .6 .8 2 7-19 5YR 3/4 - cl/sl 1 m-c sbk mvfr gs 1 m .2 .3 3 19-43 5YR 3/4 f3f 7.5YR 5/3 sl 0 m mvfr - - .2 .6 Note: subsoil sl textures close to cl w/ high clay content; for conservative sizing we will use cl Boring # .:: Boring Pit Ground Surface elev. 97.9 ft. Depth to limiting factor 0 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 *Eff#2 1 0-4 7.5YR 3/3 - sil 2 f sbk mvfr gs 1 m .6 .8 2 4-10 7.5YR 3/3 - sil 2 m sbk mvfr cs 1 m .6 .8 3 10-16 7.5YR 3/4 f2d 10YR 6/2 sl 1 m sbk mvfr gs 1 m .4 .7 4 16-33 7.5YR 3!4 f2d 10YR 6/2 sl 0 m mfr cw 1 m .2 .6 5 33-50 5YR 4/4 f2p 7.5YR 5/8,5/3 sl 0 m mfr - - .2 .6 i lacks A+4"; presumptive limit is 0"; horizon 4-5 interface varies from 33-26" ^ Boring # Boring Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 'Effluent #1 = BODS> 30 < 220 mg/L and TSS >30 < 150 mg/L 'Effluent #2 = BODS < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SBD•8330 (R.07/00) Certified Soil Testing i" ( e ~ ~ ~ 1y ~O (-~~e~ `L~' r ---~T, C e-t z'-c Z.a.'t ~'l~e S1: -5~-~~-31-11~~w~ d~ _ ~ C~ - ~ ~lao~p~ ~ M --~ C w.i,~~ ~Q$~ ~"' w ~ _~. - ~ ~ 4•eo 4.0~~ ~~S1b ~S v b ~- l~~t,i\ ~~ ~ ~~lo~~ t ~.r ~~" \ ~~ ~~~' ~~ _~ ~ -- ~ r ~L 4•s ~; v. 5~4'q~ -~_ ~~~~~ s ° `~ b ~,~,.~ ~ ~ ~ d~ ~ ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer Mailing Address _ o~ •7 ~ '~ a O~ ~~ ~ , ,n~ Property Address _ _ a ~ ~ ~ ~ I ~ ~ f+ , ~P _ / (Verification required from Pianaiag Department far new City/State Parcel Identification Number I `{ ' /d 3 "1 - 7 (~ - 0 C7D ~ 2 ~Z) LEGAL IIESCRII'~'fON Property Location S E %,, ~ ~ ~/, Sec. I ~ . T~N_E 1.~ W,-Town of ~o ~eS t Subdivision _y A Lot # Certified Survey Map # 11/A Volume Page # Warranty Deed # _ ~ ~ ~ s3 3 Volume 2~ ~ `~ Pa e # 3~ -~ /o . o c~-~e-- 30 • ° ~,.~ ~ ~ ~ .. -~:-«,,. s gip:, r -~_ Spec house D yes ^ no Lot lines identifiable ^ yes ^ rld SYSTEM RTATNTt, lV'eNfT consrstsof aseandmaintr~.uanceofyoursepticsystemcouidrGwitsnsprcmature.fa~tn+etobaadiewastes,properma>~aancx pumping ocrt the septic tank every three years or sooner if ncxded b a Iicasscd What u can affcct.thc function of the y . Yo ~ into the system septic tank-as a treatment stage is the waste . The pY owner agrees to submit to St. (k+oix Zoning Depa~ent ~ cmtificatioa f mastorpiumberloume3+rnanPi ~. by ffie owner. and ~y a rrstrictaipIumber or'a liceasodpumpcr verifying' flrat (I) ~ on-site wastewatcrdisposal system is is proper operating condition and/or (2) aRer inspection and pcn~rping (if aa„essaiy), the septic~tanlr is less than 1/3 ~firll of sludge. Uwe. the andersigned have Head the above requirements and agree to maintain tine private sewage disposal system wide the standards set forth, harem.'as set by the ~~ of Commerce and the Departnrtnt of Natural itcso stating that your septic systole has been roaintaincd must ~ compietcd and ret~uaed to the St. Croix County Zoning Offca wittua~ 30 days of ~e three year expiration date. SI ~ APPLI ' ~ ~ ~ `1 DATE .OWNER. CERTII+TCA'TION . I (we) certify that all statements on this form are true to the best of my (our) kaowiedge. I (we) am (are) the owner(s) of the property desca'bed above, by virtue of a warranty decal recorded in Register of Deeds Office. SI ATURE O Al'PIICANT ~ ~ /~ DATE «««««« qay 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 otlicc a copy of the certified survey map if reference is made in the warranty deed _ i7 i i \..AQ~ CO V i\ i i SEPTIC TANK lV[AIlV'TEI~TANCE AGRBZ~N't' AND OWNERSHIP CERTIFICATION FORM ~~ ~ -DQ~ 1~L Parcel Idt~tification Number ~ ~ ` ~ C~3~ -~ "7~ - b~ ~ LEGAL DESCRIPTIOI~i Pfbperty Ltx~liots ,~ y. ,~~ y , Sec. ~~ T ~N R~W, Town of _ Subdivisiaa Lot # Cte>:ti$ed Sarvey Map # .Volume ,Page # Warranty Decd # ~]~~~ , Vohmme _ , Psge #, 5pee hotter yea eto I.ot lines identifiable yes m S~TNM MAl1V'i'RNAI1tGE ~Ltpcoper rise anti aaairMEOmce dyoai; septic tyalga otlnid rtwt~ is its ptematea~e f~~e to htadk vW. Pepper canoe aaoa~s ofptamgmg otu the aeptic'taak every iheee years or sooner ifneeded by a liospsed pepper, What you pot iota ~ ~ qa s8ect the 5at~7im of me lEptic leak of a alege m die waste diapeaat systea Oaroer zs~eetaooe eat are apocdeod in ~ Comm 63.SZ(1) sad ie+ 12 - St t~ooc Saoitaq- Ordmaaoe. . The pgeay- oMner a aihm~ b S't. t~ t3ona~q Zoaia~ Depeafine~ a optiSica4'm 13g4:~ed by die ovea~er and hY i aasalet 0~ J Ply eee~ed p~ or a lioeased pwuper verifyiab ~ (1) be m-ti0e rvadewdgC disposal >8 m proper opaaEisa condition and/or f~ aR~ ia:poction and PAS C~'y). the septic tads b kts than 1!3 ~rq of 11oe- the ttndeesi~ed W-ve road the aboMe eogtmemeass and agrex to maiatsia the private aewgge deposal ay~lem ~ the staadas+ds net foeih, herein, as act by the Deparmiptt of Coan>ence and the Depar~ent of Natueat Resac+ces, Slate of Wisooosia. t~etiSattiaa stating iigit yoar septic system has been a~eaataiaed saust be completed and eemrned to the St. d+oitc CoentY ~B D vrilhm 3o days of the three year ettpQadon dab. ATURB OF LICANT ~~~~~ DAVE O CATYO lute athfj- Wet all on this farm an tote b the best of ni~our kaowlodga T/vre am/ue the awmx(s) of ~e desrii'itod of a deed recorded is Re~ista~ a~f Deeds 08'eee j J r ~ /~I S TiJRE OF APP CAN'!' DATE •'~ A~+>A~tion that is misnpres~d easy eestdt in the rotatory permit bdog revoked by the 2,oaiag De+l»ermreatt. ""'• teakde with ~ a Warped w~rtaoty deed fans ~ ltegate~t of Deeds Office sad a copy of the oati5ed snr~r ~ if refa+eaex it wade ~ the waettt~y flood. 2 6 6 y P 3 S 1 STATE BAR OF WISCONSIN FORM 1- 2000 Document Number WARRANTY DEED This Deed, made between Golden Maples Polled Hereford Haven, a.Wisconsin Partnership, consisting of Leo 3anftner, Sally L. Sanftner, Edwin Sanftner, Dorothy 3anftner, .Peter Kreft and Donna Kreft, * Grantor, and MichF:a3. I, , L. Grantee. Grantor, for a valuable consideration, conveys to Grantee the following described real estate in St. Croix County, State of Wisconsin (the "Property") (if more space is needed, please attach addendum): *co-partners, The Southeast Quarter (SE'Li) of the Southeast Qu t ?75533 RfiG STER OF DfiEDS sT. cROIx co. , xI RECEIVED FOR RECORD 09/28/2004 01:15PM MARRANTY DEED EXE)~T 11 REC FEE: 15.00 TRANS FEE: 60.00 COPY FEE: CC FEE: PAGES: 3 Recording Area ar er Name and Retuna Address (SE'ti) of the Southeast Quarter (SE's), Section Michael L. & Jennifer L. Sanftner Seventeen (17), Township Thirty-one (31) North, 28293 Olympic Avenue Range Fifteen (15) West, TOWN OF FOREST, St. Croix Dedham, LA 51440 County, Wisconsin ~ / ~O ~Q r~ ~- r-es,aPr-~~e r~----- 14-1037-70-000 N ~'`~~~ ~ ~~Q Parcel Identification Number (PIN) Together with all appurtenant rights, title and interes This is not homestead property. (is) (is not) Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except easements, restrictions and roadways .of record. Dated this ac~`l CI ~y of 2004 . *Leo 3anf er co- artner *3ally L. Sanftn co-vartner AUTHENTICATION Signature(s) authenticated this day of , TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by §706.06, Wis. State.) \ THIS INSTRUMENT WAS DRAFTED BY Michael H. Forecki, Attorney Eau Claire, Wisconsin (Signatures may be authenticated or acknowledged. Both are not necessan._1 Go den Maples Polled Hereford Haven *Edwin Sanftner, co- artner *Doro S ftner o- artner * Peter 'Names of persons signing in any capacity must be typed or printed below their signature. WARRANTY DEED STATE BAR OF WISCONSIN FORM No. 1-2000 ttomey Michael H Forecki 1830 Brackett Ave, Eau Claire WI 54701627 Phone: (715) 835-3029 Fax: (715) 835-4112 Michael Forecki T0280236.ZFX Produced with ZfpForm"' by RE FormsNet, LLC 18025 Flfteen Mile Road, Clinton Township, Mlchlgan 48035, (800) 383-9805 Dec 07 04 08:48p Marv Cormican 715-265-7604 p.2 ~ ~ a ,~, V~ ,~ ' •~ ' - ~ ~ ~ ~ ~ ~ ~ ~ ~ 7r Y ~ ~ ~ ~ ~ ~ f .~ 4 j ` f 1 ~ ~, ~ I ' '- .-_ ~ .. °= ; .~ . ., j • 1 -4l ~ ~ 1 1 1+ 1 ' 5 ~ -- ti o ~~ f; ~ •`~_ ~ ~ ;~ ~ ~ r ,F.A t - _ ~ ~' ./~ . , r' _~~` • ~.~- f-'r~ _ ,.% ~ ~,, ... _i l ~ ~. ~ ~.. ti ~4 t 1 ' I _ v ~ ~ ` ~~ ~ ~ ~~ -D TopoQuiQ~ Gpyrix3tA 1999 Deiorme YumoM h. ME OAD96 Sonm Dit~e tJSGR n c _ . t . ~ mn n...a. P LC n..__. avneo. ,.. U 2?~.~9P 565 State Bar of Wisconsin Form 1-2003 waxl~•rY HEED THIS DEED, made between Golden Maples Polled Hereford Haven, a Wisconsin Partnership, consisting of Leo Sanflner, Sally L. Sanftner, Edwin Sanftner, Dorothy Sanftner, Peter Kreft, and Donna I~ref't, co-painters, ("Grantor," whetber one or more), and Michael L. Sanftner and Jennifer L. Sanftner, husband and wife as survivorship_ marital property ("Grantee," whether one or more). Grantor, for a valuable consideration, conveys to Grantee the following described real estate, together with the rents, profits, fixtures and other appurtenant interests, in St. Croix Coum}+, State of Wisconsin ("Property") (if more space is needed, please attach addendum): The North Half of the Southeast Quarter of the Southeast Quarter (N%: of SE%+ of SE%.), and the Southwest Quarter of the Southeast Quarter of the Southeast Quarter (SW%+ of SE%+ of SE'/+), Section Seventcen (1'n, Township Thirty-one (31) North, Range Fifteen (15) West, Town of Forest, St. Croix County, Wisconsin * Dorothv Santlaner, 141037-70-000 Parcel Id~tifice<ion Number (PIlV) This is not homestead property- () (~ ~) Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except: Roadways, Easements, and Restrictions of Record. * Sally L. Signature(s) AIITJIENTIC 4'l'iC~N authenticated on * TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by wis. Stat. § 706.0 THIS INSTRUMENT DRAFTED BY: Michael H. Forecki, Attorney Eau Claire, Wisconsin * ~a~~~~ KATRLEBII H. 1fALSR REGISTER OF DEEDS ST. CRUIX GU., XI RECEIVED FUR RECURD 12/22/~0~4 09:1~1AI! IiARRAI~iTY DEED EXEl~+T # REC FEE: 15.00 TRANS FEE: 18~.~ COPY FEE: CC FEE: PAGES: 3 t= Michael L. Jennifer L. Sanftner 2757 22 Ave Deer P WI 54007 - (SEAL) (SEAL) (SEAL) * Donna Kre co- Dated nor lS~ c~C~~C'~~-1 Golden Maples Polled Hereford Haven U 2?19P 566 ACKNOWLEDGMENT STATE OF Wisconsin ) ss. St. Croix COUNT Personally came before me this 15 day of December ,2004 ,the above named Leo Sanffner, ca-partner of Golden Maples Polled Hereford Haven, a Wisconsin par~ership, to me known to be the person who executed the foregoing instrument and acknowledged tl~e same: + i Notary Pi~lic, Sate of My Commission expire ACKNOWLEDGMENT STATE OF Wisconsin ) SS. St. Croix COUNT v J~ ;:: October ;?~ ~. ` ~ ~~,_~ ; 'c Personally came before me this 15 day of December , 2004 ,the above named Sally L. Sanftner, co-partner of Golden Maples Polled Hereford Haven, a Wisconsin partnership, to me known to be the person who executed the foregoing instrument and acknowledged'the l .~ Y .'g same. ~,~'` ~; ! ~ , * VL{~ ~ '~ ~ ~ ~~ c. -_ Notary lic, of Wi.scp~i~-i ~ + ~, My Commission expire9Et~~:~Q~, ~ .•~~ ,,, ~ '' ..gZ P-.~~. ~,. .,,y _ •NN1a~\av a• ACKNOWLEDGMENT STATE OF Wisconsin ) ss. St. Croix COUNT Personally came before me this 15 day of December , ~c~4. ,the above named Edwin Sanftner, co-partner of Golden Maples Polled Hereford Haven, a Wisconsin partnership, to me known to be the person who executed the foregoing instrument and acknowledged the same. ,~.~: , : ~ , ~~, 1j [i. S 4,i V _ ~~ Js ~~~` lI `1 ~ ~ }~ ~ Notary Pu lic, fate of ws Y '~~`' My Commission expires © ~ ~`~ 200. -~ ; - ~ 3~ . •r.,,\....... r 2`719 P 567 ACKNOWLEDGMENT STATE OF Wisconsin ) ss. St. Croix COUNTY) Personally came before me this 15 day of December 2004 ,the above named Dorothy Sanftner, co-partner of Golden Maples Polled Hereford Haven, a Wisconsin partnership, to me known to be the person who executed the foregoing instrument and acknowledged the same. ~`' ~~;v~ ,~ ~ , ~... ~. ~ ~ ~.,~ ~ tJ~ ~~_ .. Notary blic, State of Wisconsi ~ ~'~ My Commission expires Octobe~5b +, ~ iL vii ~, : ~ P~ ACKNOWLEDGMENT =, "'"`~'""'' ~~ i~ u¢: STATE OF Wisconsin ) ss. St. Croix .-COUNTY) Personally came before me this 15 day of December , 2004 ,the above named Peter Kreft, co-partner of Golden Maples Polled Hereford Haven, a Wisconsin partnership, to me known to be the person who executed the foregoing instrument and acknowledged the same. * ~. . ~~ ~ ~ ~~ ~w Notary lic, tate of wisco~ :;- _ ' ~~`~ ~~ My Commission expires Octot~r ~ ~OCt~ ~ ` ~4 ~, ~ r-tr ' ~ ~ ` ~ ~,t ACKNOWLEDGMENT ~'~'~ `: , `~ ~~ ~' STATE OF Wisconsin ) ss. St. Croix COUNTY) Personally came before me this ~~ day of _iecember ~ the above named Donna Kieft, co-partner of Golden Maples Polled Hereford Haven, a Wisconsin partnership, to me known to be the person who executed the foregoing instrument anal acknowledged~tl~e~e.~~/,~, ~+ w y '` U ~,'fr ~ ~ i:. c. ~ # r f~..~ ~: ~' ,'i Notary lic, S of ~ '~' '~"-~ ° ~ ; ~ - My Commission expires Otto ~ "r " 5 ^^~~ ..* $T R,t4. Feb 14 05 02:1Op Leo Sanftner ~ ~ C p A •••••••• ~ a N aogc~?~;~ ~ ~ w r ~ a /'~ p~ 0 A l*, m~~ m h ~iL~id~m~ w >~I =1 ~ ~ $ A d ~ m m F~ •v ~ 1~1 oo~n`"i "''~ V1 x ~ ~ ~ ~ ~ ~ ~ ~ ~ O b ' aR$ d No ~ E r ~• ~ • ~ • • • O O'~ ~ ~ ~ ~ _ P a s o a~o, p Q Z 7 i" ^~ ~ [J"1 r r ~` C i~ ! ~ M ~r~xo$~~ s=~ rP7= ~ $ ~ n Q ~ u O ~ `n g o ~" ~ n t°' ~ ~ m ,~ ~~ x a ~ r ~ ~ y ~ 6 ~ ' _J ~ -m ~ ~ Tp a d O O ~ 6 1~~y ~ O T O ~~ ~W ~ /~ >~~ r ~.ti t~ ~ ~ _ ~ N 1~J~~ m I °o ~ a~ ~ y ~ ~ ~ ._.. 715-263-2057 a_' U~11i +p Y ~ ` * V V ~ .1 1. n 11 - "~ r' uCi 11 >^ I I G7 ~ ~~ N I' p I N. „~ ~;; ~ b 11p av 11 9 ~ r m ' i1 ,, o I j 1 _, In 11 m ;s ~ II N 11 11 I I N ~ ~~ ~ ~~ ....11 C ~ xsM p ~ ~ "m 1 ~ ~N1..~ r 9 ~~ ~ r- ~e , i c ~~1 ~ ` ''~55 n ~ ~ C ~ ~ } w ~, t ~~~ ea w ~~'a ~~: ~ ~ z 4 r V :~ ~ ~ O ~~ 0 ,e Q C MIIOM4L vzoM, s ,le x ~ +r+ ~, N 1 i 1 Q I 1 I I I 1 ¢x ~~ti N Q C1 a ~ ~~ ~ R~ ~ ~~ . ` ~ , I 1 d lL - p~ - ~,~ ~ e ~ n ~ o ~. N ~~ ~H A x ~,~ z 1 a~i e CJ7 '~ '~ u ¢i ~ >r g d ~ ~ N ~~ O-I1ONM. VZpN17•L2 lb X @i IN ~~ k ~i t h ~ '^ 4 a e S p.2 Z ~~ H s I~1 /~//~ V~ U 2719P 565 State Bar of Wisconsin Form 1-2003 WARRANTY DEED THIS DEED, made between Golden Maples Polled Hereford Haven, a Wisconsin Partnership, consisting of Leo Sanftner, Sall L. Sanftner Edwin Sanftner, Doroth Sanftner, Peter ICreft, and Donna I{reft, co-painters, ('Grantor," whether one or more), and Michael L. Sanftner and Jennifer L. Sanftner, husband and wife as survivorship marital property ~ ("Grantee," whether one or more). Grantor, for a valuable consi ration, conveys to Grantee the followin described real estate, together with the rents, rofits, fixtures and other appurt ant interests, in St. Croix Coun State of Wisconsin ("Prop ") (if more space is needed, please attach addendum): ,, The North Half of the Southeast Quarter the Southea uarter (N%: of SE%. of SE'/,), and the Southwest Quarter of the So east Q er of the Southeast Quarter (SW'/+ of SE'/+ of SE'/,), Section Seventeen (1 hip Thirty-one (31) North, Range Fifteen (IS) West, Town of Forest, St. C County, Wisconsin s Grantor warrants that the titl~the Property is good, indefeasible in simple and free and clear of encumbrances except: Roadways, Easements, and Restrictions of Record. * Sally L. Sanftner. cokSarmer AUTHENTICATION Signature(s) authenticated on TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by Wis. Stat. § 706.06) THIS INSTRUMENT DRAFTED BY: Michael H. Forecki, Attorney Eau Claire, Wisconsin 783 1 44 KATHLEEN H. YA1.SH REGISTER OF DEEDS ST. CROIX CO., MI RECEIVED FOR RECORD 12/22/2009 .09:00AlI MARRAIiTY DEED EXERT # REC FEE: 15.00 TRANS FEE: 180.00 COPY FEE: CC FEE: PAGES: 3 fl ~ Michael L. Jennifer L. Sanftner 2757 220` Ave Deer Par , WI 54007 P ~ .~~ 6 ~r'~``.`'°G ,~~ W r S Go oZ !~ 14-1037-70.000 Parcel Identification Number (Pn~ This is not homestead property. (is) (is not) (SEAL) (SEAL) * Donna Kre co- Dated _(,~~Lpm~±~? c~ 15, ac~c~~i Golden Maples Polled Hereford Haven ,ll 275yP 558 State Bar of Wisconsin Form 3 - 2003 QUIT CLAIM DEED Document Number Document Name THIS DEED, made between _ Micheal L. Sanftner a/k/a Michael L. Sanftner and J~rtnif~er L. Sanftner, husband and wife ("Grantor," whether one or more), andl~'Icheal• L. Sanftner and Jennifer L Sanftner, husband and wife as survivorship marital »roperty ("Grantee," whether one or more). Grantor, quit claims to Grantee the following described real estate, together with the rents, profits, fixtures and other appurtenant interests, in St. Croix County, State of Wisconsin ("Property") (if more space is needed, please attach addendum): The Southeast Quarter of the Southeast Quarter (SE3•~ of SEA), Section 17, Township 31 North, Range 15 West. Town Forest. This deed is being executed in order to clarify that the property previously recorded on 9-28-2004 in Volume 2664 on Page 384 as Document No. 775533 and the property previously recorded on 12-22-2004 in Volume 2719 on Page 565 as Document No. 783144 are ONE 40 Acre parcel and that there was no intent to create two parcels. ~, I ~ ~~ Dated ~ -i ~ a 3 - ~ ~ (//~ 786 1'36 KATHLEEN H. WALSH REGISTER OF DEEDS sT. ckoxx co. , wI RECEIVED FOk RECORD 02/24/2005 !l;40AlY QUIT CLAIM DEED EXEMF" I ,3x REC FEE: 11.00 TRANS FEE: COPY FEE: CC FEE: PAGES: 1 Rewrding Area Name and Return Address Agstar Financial Services PO Box 360 Baldwin, Wisconsin 54002 14-1037-70-000 Parcel Identification Number (PIN) This is not homestead property. (is) (is not) • ~ (SEAL) (SEAL) *MichtpGl L. ftner a{k 0. Mt~fit4..1 Lscln~{-ne.r * ennif L. Sanftn (SEAL) (SEAL) * * AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ) ss. authenticated on St. Croix COUNTY) Personally came before me o~'ebrl~ary 23 r 2005 the above-named Michli:gl L Sanftner and * ""~ Jennifer L Sanftner TITLE: MEMBER STATE BAR OF WISCONSIN G~ ..s•.'•~~F~ ~`~ to me known to be the person(s) who executed the (If not, .` .~~ ~'~ ~' foregoing instrument and acknowledged the same. .,. authorized by Wis. Stat. § 706.06) ~- •• ~ii~~ .. F~ , THIS INSTRUMENT DRAFTED BY: ~ • ~ , , ~ ~ ~ tC n Michael H . Forecki Attorne % ~ •. }' e • `.yyw~ ».. ~ Notary Public, State of Wisconsin Eau Claire Wisconsin ~ . ~' ''•.. = .t^ OQ, My Commission (is permanent) (expires:October 30, X005 (Signatures may be autlyen~tec~I~~~Fka1"owledged. Both are not necessary.) NOTE: THIS IS A STANDARD FORM. ANY M6DIFICIA~I'IbNS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. QUIT CLAIM DEED STATE BAR OF WISCONSIN FORM No. 3-2003 'Type name below signatures. Attorney Michael H Forecki 3452 Oakwood Hills Pkwy Ste I, Eau Claire WI 54701-7928 Phone: (71S) 635-3029 Faz: (71S) 835-4112 T3930177.ZFX Title One Premier Group Produced with ZipFormTM by RE FarmsNet, LLC 16025 FHteen Mile Road, CIiMOn Township, Michigan 48035, (800) 383-9905 www.ziptonn.com ~/