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HomeMy WebLinkAbout034-1072-40-075 PRIVATE SEWAGE SYSTEM County: St. Croix Wisconsin Department of Commerce Safety and Building Division Sanitary Permit No: INSPECTION REPORT 563828 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: Village X Township Parcel Tax No: Gray, Brandon & Tracy City Springfield, Town of 034-1072-40-075 CST BM Elev: Insp. BM Elev: IBM Description: C Section/Town/ ange/Map No: 1462 , - Z G 0 32.29.15.485A20 TANK INFORMATION ELEVATION DATA . 5 a`~• TYPE MANUFACTURER s CAPACITY STATION BS aHI 9 FS !ELEV., Benchmark / a /,6L .90 ,7a~~ 7ci~~~ o Septic 7 Dosing Alt. BM 40116,-/6 A nn J Bldg. Sewer IN 5 Aerat♦en tJ ~ tw~~ A ~ e ~-v~-2.. U / Holding St/Ht Inlet Ar 7 G Q 9 4 TANK SETBACK INFORMATION St/Ht Outlet 1,67. / O ELL BLDG. a Air Intake ROAD Dt•~ ~ fD7~ TANK TO P/L W NO,- 4P w Septic 7 16b ~67. 6 Header/Man. S.~ ld-f{.9 cy 17 Beei / A JO- 7-1, 7 146 Dist. Pipe 5• ' .3 Holdin Bot. System► Final Grade L 4-79 /~5 . PUMP/SIPHON INFORMATION '4 Manufacturer Ate' Demand St C ver L / z Z my , `j L"Ll k.- (,~e,`_ GPM G..O Model Number w Y,5 / 5, 5 TDH Lift Friction Loss System Head TD J Ft L_ 6, 47- 1 3. i15 ~1 Forcemain Len5gth Dia.Z/ Dist. to Well , \ 4/ S ID~, SOIL ABSORPTION SYSTEM 107• D y 33 Z BEDITRENCH Width Length N nc PIT ENSI NS No. Of Pits ide~D a. Liquid Depth DIMENSIONS $ 7 e N ~;,-1- b f/a v✓~ /r• /(0 p SETBACK SYSTEM! TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: ` INFORMATION CHAMBER OR Type Of m: A' UNIT Model Number: DISTRIBUTION SYSTEM T, 7W Header/Manifold / # Distribution i( x Hole Size x Hole Spa ing Vent it Intake S, 93 J'~ Pipets) 7Z S 32 3 / '32 Length Dia Length 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 xx Mulched Bed/Trench Center ' (P7 Bed/Trench Edges Topsoil ` Yes Rd No Yes ❑ No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: 77-111-311 Inspection #2: 48 5A20 Location: 678 290th Stre Wilson, WI 540~ (SE 1/4 NE 1/4 32 T29N R15 NA Lot 4 1/0W Parcel No: j,29.1 1. Alt BM Descri tion Iv ZoJeA , Z G~ 2.) Bldg sewer length = , t"i / - amount of cover = A-( GDJ~ tae -;7,qL v,, / Plan revision Required? ❑ Yes No ZiF Use other side for additional information. [iL Date Insepctor's Si nature Cert. No. SBD-6710 (R.3/97) 17 I~ r -Sj 3P - •~,,yy ' 4 e 3 i t V 1► .1 e. N 43 Al 1 _m lzj_ ,41 County Safety and Buildings Division 201 W. Washington Ave., P.O. Box 7162 SanitaryPermit Number (to be filled in by Co.) 6 ! $ p !'f Madison, WI 53707-7162 _~3 lox"` State Transaction Number S 175 Sanitary Permit Application In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are submitted to Project Address (if differ~t~an mailing ad` the Department of Safety and Professional Servies. Personal information you provide may be used for seco G purposes in accordance with the Privacy Law, s. 15.04(1 (m , Stats. 1. A lication Information - Please Print All Information O Prope 6-wner's N e o1~, Parcel # 15 1-l 4 N 7;zAu_ G~,~ Jv roperty Location Property Owner's Mailing Address 2 z 6L)00,4 L~tote ~ G 7~0 J +-G~ Govt. Lot City, State Zip Code Phone Number 14, SUS Section 7 circle oQJ T Z N; R EotW J U. Type of Building (check all that apply) Lot # Subdivision Name X, or 2 Family Dwelling -Number of Bedrooms Block # ❑ Public/Commercial - Describe Use V, 20/9 ❑ City of CSM Number ❑ Village of El State Owned -Describe Use Town of S of i Ft III. Type of Permit: (Check only one box on line A. Complete line B if applicable) 7A. New System ❑ Replacement System ❑ TreatmentlHolding Tank Replacement Only ❑ Other Modification to Existing System (explain) List Previous Permit Number and Date Issued Permit Renewal ❑ Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New fore Expiration Owner IV. T e of POWTS S stem/Com onent/Device: Check all that a I ❑ Non-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade ound > 24 in. of suitable soil Mound < 24 in. of suitable soil ❑ Pretreatment Device (expl ❑ Holding Tank ❑ Other Dispersal Component (explain) V. Dis ersal/Treatment Area Informatio Design Flow (gpd) 1-sign Soil Applic . n Rate(gpdsf) Dispersal Area Required f) Dispersal Area Propo ed (sf) System Elevation y, / (~ac-, moo Capacity in Total # f Manufacturer VI. Tank Info Gallons Gallons Units New Tanks Existing Tanks U ° " y LJ~ w 5 J 7G O ~l/ a U rn vs rs U ii Septic or Holding Tank 'X z' / ~ Dosing Chamber 6.-, -7V v on the Number attached plans. Business Phone Number VII. Responsibility Statement- I, the undersigned, ss esponsibili or installa on of the POWTSh shown Plumber's Name (Print) b Signaun ;L 1 ~S39 ~L5- ^73 Plumber's Address (S t City, State, Zip Code) 7 Vine/county /De artment Use Onl % jPermit ee v Date Issued Issuing Agent Signature Approved ❑ Disapproved T ~ ✓t ~`~w~ Owner Given Reason for Denial '71 !1_A d IX. Conditions of Approval/Reasons for Disapproval 7i(~~~ 4 Q , t~;!; SYSTEM OWNER: 1. Septic tank, effluent filter and 4 dispersal cell must be serviced /maintained PAI(~f/j/r~ i~f<A`71) as per management plan provided by plumber. 9 All se as per applicable"C'WOME&" for the system and submit to the County only on paper not less than 8 1/2 z 11 inches in size SBD-6398 (R. 11/11) i DIVISION OF INDUSTRY SERVICE pARMb nr 10541N RANCH ROAD HAYWARDWI 54843 P Contact Through Relay I3' i S Pwww.dsps.wi.gov/sb/ 192 S JUL www.wisconsin.gov A 2013 Scott Walker, Governor `~'°F~'ss ~ Sr XI roy P1• CROt Dave Ross, Secretary June 27, 2013 CUST ID No. 253976 ATTN: POWTS Inspector RK ZONING OFFICE LEWIS LEWIS C C BJORK BJO BJO LLC ST CROIX COUNTY SPIA RD E 1101 CARMICHAEL RD E7818 CTY MENOMONIE WI 54751 HUDSON WI 54016 CONDITIONAL APPROVAL Identification Numbers PLAN APPROVAL EXPIRES: 06/27/2015 Transaction ID No. 2260576 Site ID No. 792081 SITE: Please refer to both identification numbers, Brandon & Tracy Gray above, in all correspondence with the agency. 290TH St Town of Springfield St Croix County SETA, NEIA, S32, T29N, R15W L do J~'~ I FOR: t~ 1`- Description: M nd, 4 br res 0 Object Type: P TS al Regulated Object ID Th al grade; Sys9DITIO Maintenance required; 600 GPD Flow rate; 17 in Soil minimum deing factor from origin Mound Component Manual - Ver. 2.0, SBD -10691-P (N.01/O1, R. ssure Distribution Component Man APPRO Ver. 2.0, SBD-10706-P (N.01101, R. 10/12), SSWMP Pub. 9.6; Effluent Filter DEPT OF SA The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative C"OFESSION and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be coo~~~N OF INDU and located in accordance with the enclosed approved plans and with any component manual(s) referenced The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code -4e requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.1 SEE CORRE stats. The following conditions shall be met during construction or installation and prior to occupancy or use: Key Item(s) • 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 insure that the operation, maintenance and monitoring duties as described in section VIII of the mound component manual are complied with. A copy of this information must be given to the owner upon completion of the project. Reminder • The orientation of the mound system must be such that the longest dimension is oriented along the surface contour per SPS 383.44(6)(a)2. • Limit activities in the area 15' beyond the down slope edge of the mound per Mound Component Manual. • Surface water drainage shall be diverted away from the system area per Mound Component Manual. • Materials shall conform to the requirements of SPS 384.10. No fixture, appliance, appurtenance, material, device or product may be sold for use in a plumbing system or may be installed in a plumbing system, unless it i LEWIS C BJORK Pale 2 6/27/2013 is of a type conforming to the standards or specifications of chs. SPS 382 and 383 and this chapter and ch. 145, Stats. • Maintain well and waterline set backs per SPS 383.43(8)(i). Consult the Department of Natural Resources for well setbacks and other regulations and exceptions. A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. 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. Sincerely, Fee Required $ 250.00 / Fee Received $ 250.00 Balance Due $ 0.00 v'---r7 Patricia L .Sfiandorf POWTS Plan Reviewer, Integrated Services WiSMART code: 7633 (715) 634-7810, ,Fax: (715) 634-5150 , M F 8:00 a.m. - 4:45 p.m. pat.shandorf@Wisconsm.gov cc: Edwin A Taylor, Wastewater Specialist, (715) 634-3484, Monday - Friday 8:00 am To 4:30 pm rvw Charles L Bratz, POWTS Reviewer II, (608) 789-7893 , 7:45 am - 4:30 pm Monday - Friday , , ewis Bjork LLC . ~.s :'yaf Y-J it W ffective 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 •tnd.addressed in a "300" series. For future reference, the Wisconsin Commercial Building Code will be addressed by SPS Chapters 360-366. RECEIVED ~t~ 8 1 5'5'7 7 OCT - 420 6 VOL 20 PAGE5139 KAT9EM H. VILSH REGISTER OF DEEDS ST. CROIX CO. MI $T. CROIX COUNTY RECEIVED IE 1G& CERTIFIED SURD Lnr'NIAP CE01/03/2006 RTIFIED SURVEY PH LOCATED IN PART OF THE NE 1 /4 OF THE NE 1 /4 AND IN PART OF THE REC FEE: 13.00 MAP SE 1 /4 OF THE NE 1 /4 OF SECTION 32, T29N, R15W, TOWN OF PAGES: FEE.- 3.00 SPRINGFIELD, ST. CROIX COUNTY, WISCONSIN. PREPARED FOR: LEE do HWY 1BETH2 STENZEL NORTHEAST "o CORNER 2867 WILSON, WI 54027 SECTION 32 OWNER: . . N STAN THOMPSON MABLE THOMPSON o~~ ~1C 133.00 !~j 33- TRUST ~~pj~Q EP 1~-a C1 S89'54'28' E P J~ 100.00 33.00'- 5-rNDRIVEWAY 33' SOUTH LINE THE NE 1 /4 OF TH NE 1 /4 C NORTH LINE OF TN / c C SE 1/4 OF THE NE ii P LOT 4 g m fA 5.794 CA go 0!3 E w 9! (252,396 SQ.EFT.) 0~•i m TOTAL AREA s Qi , =L a `5.334 ACRES C'n i ~N ono N (232,353 SQ. FT.) `4 (1~ u, :E ! ] N EXC. R/W Os m 1+I i c`~"r~ cn tp a ti m 0. co J v G I° o Ty R. $ I~ tr^ 7 ~ DODGE Q C _ S-2484 Prn n CLEt~N LA~ m 'i > ~i m Vvl ~i Vl rn j 'm c * ~ ~m Z2-o S 6 6' m (Z £v ! 2 - - S 33.00' '1 -i CD cm -0 a 940 0 4-03,94' N8954'24"E 436.94' All ° 33 1,Ccess 0) 33 ST 1/4 SCALE IN FEET 1" = 100' X s5' JOINTOFzueo ON EA EA~M j R1E8,_r A,832 ,s CORNER SECTION O 100! C 5•M~v0~~ 32 LEGEND FOUND PK NAIL EACH PARCEL SHOWN ON THIS MAP IS SUBJECT TO FOUND 1' OUTSIDE STATE, COUNTY AND TOWNSHIP LAWS, RULES AND DIAMETER IRON PIPE REGULATIONS (I.E., WETLANDS, MINIMUM LOT SIZE, ACCESS TO PARCEL, ETC.) BEFORE PURCHASING OR SET 1' OUTSIDE DIAMETER BY DEVELOPING ANY PARCEL CONTACT THE ST. CROIX O 18' LONG IRON PIPE. WEIGHING , COUNTY ZONING OFFICE AND THE TOWN OF 1.13 LBS. PER LINEAR FOOT SPRINGFIELD FOR ADVICE. - SOIL BORING THIS INSTRUMENT DRAFTED BY: WILLIAM KANE JOB NO. 6556-01 DATE: 11/21/2005 SHEET 1 OF 2 g Vol 20 Page 5139 r s r • vi CERTIFIED SURVEY- MAP LOCATED IN PART OF THE NE 1/4 OF THE NE 1/4 AND IN PART OF THE SE 1 /4 OF THE NE 1 /4 OF SECTION 32, T29N, R15W, TOWN OF SPRINGFIELD, ST. CROIX COUNTY, WISCONSIN. SURVEYOR'S CERTIFICATE: 1, Ty R. Dodge, Registered Wisconsin Land Surveyor, hereby certify that by the direction of Lee & Beth Stenzel, I have surveyed, divided and mapped part of the NE 1/4 of the NE 1/4 and part of the SE 1/4 of the NE 1/4 of Section 32, T29N, R15W, Town of Springfield, St. Croix County, Wisconsin, described as follows: Commencing at the East Quarter corner of said Section 32; thence. along the east line of the Northeast Quarter of said Section 32, NOO'05'36"W a distance of 816.91 feet to the point of beginning; thence, continuing along said East line, NOO'05'36`W a distance of 607.36 feet; thence S89'54'28'W a distance of 133.00 feet to the point of curvature of a 167.00 foot radius curve, concave southeasterly, with a central angle that measures 18'42'36' and a chord that bears 580'33'10"W and measures 54.29 feet; thence, southwesterly along the arc of said curve, a distance of 54.53 feet to the point of tangency, thence S71'11'52"W a distance of 243.88 feet to the point of curvature of a 233.00 foot radius curve, concave northwesterly, with a central angle that measures 04'57'17" and a chord that bears S73'40'30.5`E and measures 20.14 feet; thence, southwesterly along the arc of said curve a distance of 20.15 feet; thence SOO'05'22"E a distance of 514.68 feet; thence N89'54'24"E' a distance of 436.94 feet to the point of beginning. Containing 5.794 Acres (252,396 Sq. Ft.). Subject to right-of-way of 290th Street along the easterly side of the above described parcel, and subject to all easements, restrictions and covenants of record. i also certify that this Certified Survey Map is a correct representation to scale of the exterior boundary surveyed and described; that I have fully complied with the provisions of chapter 236.34 of the Wisconsin statutes and the land subdivision ordinance of St. Croix County and the Town of Springfield In surveying and mapping some. t l- Z 2- o $ Rem 1 2- z- o s va~SCO `SAN o go RLS X2484 Date SS& N nd Surveying = R GE nloe St. = DOD Hudson, WI 54016 = ' CLFAR LAKF, -Z Wl1 APPROVED ST. on= couMTY l u SU RV ~kO~' JAN 0.3 2006 if not rooorded within 30 days of approval date approval shall be nul{ and void THIS INSTRUMENT DRAFTED BY: WILUAM KANE JOB NO. 6556-01 DATE: 11/21/2005 SHEET 2 OF 2 Vol 20 Page 5139 TV MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Commercial Application INDEX AND TITLE PAGE Project Name: Tracy & Brandon Gray - Mound Design Owner's Name: Tracy & Brandon Gray Owner's Address: 2820 Edgewood DR Appt 3 Menomonie WI 54751 715- 533- 4199 Legal Description: SE NE 32 2915 West Township: Spring Field County: St. Croix Subdivision Name: CSM Lot Number NA Block Number. NA Parcel I.D. Number. 34107240030 yALLY Plan Transaction No.: 4AL Page 1 Index and title :ETY AND Page 2 Data entry L SERVICES Page 3 Mound drawings RVICES Page 4 Lateral and dose tank Page 5 System maintenance specifications Page 6 Management and contingency plan Page 7 Pump curve and specifications p~NDENC Page 8 Septic and Dose Tanks Page 9 Plot Plan Page 10 soil report , c)51 Page 11 effluent filter Designer Lewis Bork License Number 253976 Date: 06/10/ Phone Number. 715-231-7375 Signature: Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SDB-10691-P (N_ 01101), and both SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01/81) and Pressure Distribution Component Manual Ver. 2.0 SBD-10706-P (N. 01/01) Version 7.0 (R. 03/2012) Pagel of 11 Mound and Pressure Distribution Component Design Design Worksheet Site Information (R or C) c Residential or Commercial Design Note_ Sand fa (13) cxkaAadons asstane a 400.00 Estimated Wastewater Flow (gpd) Table 383-443 m-sfu soil trealrnent fbr 1.50 Peaking Factor (e.g. 1.5 =150%) fecal colifomm of - 36 indm 600.00 Design Flow (gpd) 10.00 Site Slope 106.30 Contour Line Elevation (ft) 17.00 Depth to Limiting Factor (in) 0.60 In-situ Soil Application Rate (gpd/ft) Distribution Cell Information 76.00 Dispersal Cell Length Along Contour (ft) = 8.00 Cell Width (ft) 1.00 Dispersal Cell Design Loading Rate (gpd/ft2) 1 Influent Wastewater Quality (1 or 2) Are the laterals the highest point in the distribution Y Pressure Disributilon Information network? Enter Y or N (C or E) c Center or End Manifold 2.67 Lateral Spacing (ft) If N above, enter the elevation ft 6 Number of Laterals of the highest point. 0.188 Orifice Diameter (in) 4.00 Estimated Orifice Spacing (ft) = 11.11 fly/orifice 2.00 Forcemain Diameter (n) 30.00 Forcemain Length (ft) Does the forcemain drain back? [ Y 100.00 Pump Tank Elevation (ft) Enter Y or N 3.25 System Head (ft) x 1.3 4.89 Forcemain Drainback (gal) 6.72 Vertical Lift (ft) 101.08 5x Void Volume (gal) 0.79 Friction Loss (ft) 105.97 Minimum Dose Volume (gal) 0.00 In-line Filter Loss (ft) 35.39 System Demand (gpm) 10.76 Total Dynamic Head (ft) Lateral Diameter Selection Manifold Diameter Selection in. dia. options choice in. dia. options choice 0.75 1.25 1.00 x 1.50 x 1.25 x 2.00 x x 1.50 x x 3.00 2.00 x 3.00 x Gallons/inch Calculator (optional) Treatment Tank Information Total Tank Capacity (gal) 1400.00 Septic Tank Capacity (gal) Total Working Liquid Depth (in) Lewis Bjork LLC Manufacturer gal/in (enter result in cell B49) Dose Tank Information Effluent Filter Information 700.00 Dose Tank Capacity (gal) Bear Fitter Manufacturer 18.85 Dose Tank Volume (gaUn) M13-916 Filter Model Number Lewis Bjork LLC Manufacturer Project: Tracy & Brandon Grey - Mound Page 2 of 11 Mound Plan and Cross Section Views T 11108 _ JJ K. 1 1 1 1 y' Zy y` 1 y \ L .4 A ' 4 X10'( ).'L S:. 5 .~~1, 1.. , .,~y ::.:4. ti.4. :'lf 4 t. i•.~ . . . tip. yl::•:.•..•.. .l...f:f l:f.f.l...f=f.. •f.f :•a. T.f:.`.'f.,.. f:f.f...f :f•.. f \i......y..•.tiyil:ti.......y....1..........\:t~4.... y.~.1.y....ti....\:.'.:1.\....•.....•........t.:..O.y.ti:t: _ W I • _ . B . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . L Mound Component Dimensions ft A 8.00 ft E 28.60 in H 1.00 It K Eaft B 75.00 ft F 9.50 in z 15.75 It L ft D 19.00 in G 0-50 ft J 6.63 ft W 600.00 (ft~ Dispersal Cell Area 1781.25 (ft) Basal Area Available 8.00 (gpdtft) Linear Loading Rate 7.50 (ft) 1110 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 108.68 (ft) ♦ H .!!/!!!/I!!/I/III/I!/777~99JJl~~/Ildlll/I!!!//!I/ F 107.38 (ft) Lateral Dispersal Cell 106.88 (ft)-► - ` ` Invert Dispersal Cell = _ = t ::51 D Elevation = 1 -s ! ! , c~ ~;ij r 7,"s 1 {s 'S } ,-5 a ` • 1 i ! A'S'S . liii}}}/ , ? . j. ?.t 4 .11! X.K✓1„?+ .'✓,!.t..',1.1. r.1 . . 44 105.30 (ft) Contour Elevation 10.0 96 Site Slope Geotextile Fabric Cover Shading Key o,- Dispersal Cell See lateral details on ® Topsoil Cap a 1.5 ft •s z Page 4 for number, size, c f. r. f 20 Subsoil Cap and spacing of laterals. © s'y .s.: s Laterals are equally ASTM C33 Sand ' F spaced from the ® 3.~ . Tilted Layer ~ 4r.=.Typ~at Lateral r::::s:;; » 0.5 ft t~_r ;•.jti:;:; -r''f r _s:ti.:.• distribution cell's Aggregate O 1! ••ti?`?ti i1 4.t+`f ! centerline in the distribution cell (Axl3). Project: Tracy & Brandon Grey - Mound Page 3 of 11 I Center Connection Lateral Layout Diagram Fcur_e rw4n aoww< Lion ttw of cross to nwa kM at wq poiK. Laterals are identie al S a S P t E - + Turn-up wtball valve or ~ x---->VW2 x121 Laterals Morcemain SCh 40 PVC alosnvutplup per SPS Table 384.30-6 Holfs AriNtd ex►rM t>oettxn of eM fs«rat Number of Laterals 6 Orifice Diameter 0.188 in Lateral Diameter 1.50 in Orifice Spacing (X) 4.32 ft Lateral Length (P) 36.72 ft Orifices per Lateral 9 Lateral Spacing (S) 2.67 ft Orifice Density 11.11 ft2/orifice Lateral Flow Rate 5.90 gpm Manifold Length 5.33 ft System Flow Rate 35.39 gpm Manifold Diameter 2.00 in Total Dynamic Head 10.76 ft Forcemain Velocity 3.61 ft/sec Dose Tank Information Lodarg c mw with warring label and Watg device aria sealed watertgM Electrical as per NEC 300 and i SPS 316.300 WAC Discomect 4 in. min. Tank cane dent is properly vested rLForcemain ARenvde outlet kx~ion diameter Lewis Bork LLC Manufacturer 2 in. Capacityl 700.00 Gallons --t- Volume 18.85 gaUnch A Weep tale or mb- Dimension Inches Gallons B short device A 21.51 405.53 B 2.00 37.70 Celevation (ft) C 5.62 105.97 100.67 D 8.00 150.80 D Total 37.14 700.00 11 ♦ pose tar* elevattort (ft) Bedding under tank. 100.00 Alarm Manuafacturer SJE-RomBus Note: Switches Alarm Model Number 520-002A containing mercury may not be used in Pump Manufacturer Zohler this system. Pump Model Number 152 Pump Must Deliver 35.39 gpm at 10.76 ft T D H Project: Tracy & Brandon Grey - Mound Page 4 of 11 EFFLUENT MY ZOVILlM PUMPS BN = W Float In Box M = Auto Float Aftched (vertical) N = Nort-Auto (mom} PUMP MY E = 23DV Non-Auto (manual) lW/TyAMW Aux M9_ "FLOW-MATE" M IPIP ZBN86 BN98 1/2 HP 11511 Automatic Celt Iron 112" Soiids,1-1)7 Disc. Tethered Float (151 358.96 ZN98 N98 12 HP 115(1 Manual Cast Iron V2" Solids, 1-1/2" Disc. 319.45 FEATURES: I HEAD cu r cxnnnvE The "Flow-Mate" is conskucted gi,Rgg 3D uoDEL-sr 1A HP of durable cad iron, carbon ceramic seals and a non-25 cloggirg vortex impeller. 15' Cord 20 APPLICATIONS: 1s The "Flaw-Mate" is ideal for septic tanks, dosing, low 10 pressure ~p~i,p~}es~, barge motinds s and step systems 0 0 10 W 30 4a W 00 7o ao "DOSE-IRATE" 151,152,153 -Ild ZBN161 BN161 113 HP 11511 Automatic Cast icon U2" Solids, 1-1/2" Disc. TeO ed Float (201 322.08 ZN161 N151 1/3 HP 115/1 Manual Cast kon fir Solids, 1-112' Disc. 281.16 ZBN152 BN152 4110 HP 115/1 Automatic Cast Iran We Solids, 1-1/2" Disc.Tettwed Float (20) 355.06 ZN152 N152 4110 HP 11511 Manual Cast iron 314" Solids,1-112" Disc. 314.16 ZBN153 8NI63 112 HP 115/1 Automatic Gast km 3W Solids, 1-112" Disc.TeOm-ed Float (201 496.95 ZN153 N153 1/2 HP 11511 Manual Cast kon 314" Sords, 1-1@" Disc 462.00 ZE153 E153 112 HP 230/1 Manual Cast Iron 314" Solids, l-11T Disc. 462.00 FEATURES: PUIMPFENUMVACEG1RVf The -Maw is constructed of MODEL 605M BN152 durable cast iron, carbon ceramic „ seals and a non-clogging vortex impeller. ' 20' Cord "IN APPLICATIONS: The'Dcee-Matie' is ideal for septic . tanks, dosing, low pressure p4ws, mounds and step systems 2 s r w s r r r -n w • • r o a a+uas _ aaneer~ wen ~ Z Nw 0 J ~ 1 ca 1 9 ~ s W 91 s ul 3 03 W ~ Ch, cla SL w ° co e _ f Plot Plan Legend 4" PVC ASTM D 3034.42"Min. Cover where snow is not removed. O2 24" inside diameter concrete manhole brought min.4" above surrounding grade. Concrete covers chained and padlocked . 30 Precast concrete septic tank. 0 Effluent filter location. J 4" PVC ASTM D3034. 18" Min. cover. Effluent piping or building sewer where tank is within 30'. O Precast concrete dose/pump/filter tank. 12-2 OF-B Power conductor. 14-2 OF-B alarm circuit conductor. Both wires are UL listed A-2057 O 2" PVC ASTM D-2665 -09 Schedule 40 Pipe Force main. 4" PVC ASTM D-2665 -09 Schedule 40 Pipe . Entering and exiting concrete tanks min 10' in length. 10 Carlon All weather pvc junction box. UL listed # A-241 11 Ez- Flow Cell treatment/dispersal cell 12 Inspection wells Project GrtXJ Page , V c W Q IL V / m Y O C F O O 07 O m N n ' I!1 U ~ f Y , ^ N V/ 0 a a hA A C p. d 0 O CZ) rl%\% co to Mound Svstem Maintenance and Operation Specifications Service Provider's Name Lewis Bjork LLC Phone 715-231-7375 POWTS Regulator's Name St. Croix County Phone 715-386-4804 System Flow and Load Parameters Design Flow - Peak 600 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 400 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1400 gal Maximum TSS 150 mg/L Soil Absorption Component Size 600 fe Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 mL Service Frequency Septic and Pump Tank Inspect and/or service once every 3 years Effluent Filter Should inspect and dean at least once eve 3 ears Pump and Controls Test once eve 3 ears Alarm Should test month Pressure System Laterals should be flushed and pressure tested eve 1Mound Inspect for ndi and see a once eve 3 Other Lewis B' rk for Pum 'ng Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table SPS 384.30-1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to SPS 384.30 (6)(), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in SPS 384, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Tum-up Detail Finished Grade 6-8" Diameter Lawn Threaded Cieanout Sprinkler Valve Box Plug or Ball Valve Distribution Lateral Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Tracy & Brandon Grey - Mound Page 5 of 11 Mound System Management Plan Pursuant to SPS 383.54, Wis. Adm. Code General This system shall be operated in accordance with SPS 382-84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals [SBD-10691-P (N.01/01), SSWMP Publication 9.6 (01/81), and Pressure Distribution Component Manual Ver. 2.0 SBD-10706-P (N. 01/01)] and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with SPS 383.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8-inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The fitter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the fitter when removed from its enclosure. If the filter is equipped with an alarm, the fitter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent fitter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shalt be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October-February) dictate that the mound be heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mg/L BOD5, 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L BODS, 30 mg/L TSS, 10 mg/L FOG, and 104 cfu/100 mL for highly treated effluent. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Contingency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 5 of this plan for the name and telephone number of your local POWTS regulator and service provider. Pretreatment Units The information and schedule of mananagement and maintenance for pretreatment devices such as aerobic treatment units or disinfection units are attached as separate documents and are considered part of the overall management plan for this system. Pg V1V'& t ! METE CARTRIDGE INSTRUCTIONS 1 J' Installation STEP, Dry tit the filter case onto the end of the outlet pipe to ensure it is centered under the access opening. If not, then either insert more pipe into the tank through the outlet or solvent weld (glue) additional pipe onto the outlet 4 pipe. STE^ 2 While the case is still dry fitted on the outlet pipe, measure the length of 3A-inch pipe needed to brace the filter to the tank end wall if utilizing the optional supplemental side support. If side support method is not utilized, proceed to step four. STEV 3 For installations utilizing the optional supplemental side support: solvent weld the 3i-inch pipe onto the filter case. If side support method is not x, utilized, proceed to step four. STEP 4 Solvent weld the fitter case onto the outlet pipe. Insert the filter cartridge into the case, pressing down until the fitteLlocks into the bottom of the case. ' R ST EP -5 If a VRS switch is utilized: insert into the filter and lock by turning clockwise 901. ~.s~'.. Maintenance 1. The effluent filter should be cleaned every time the septic tank is serviced. w 2. Open the outlet access opening to inspect the tank and filter. 3. Pump the septic tank completely, making sure to remove the sludge layer on the bottom of the tank and not just the scum and effluent. 4. Once the effluent level has been lowered below the invert of the outlet pipe, firmly pull up on the filter handle to dislodge the cartridge from the case. S. Slide the cartridge up and out of the case for cleaning. fi. If a VRS switch connected to an alarm is present, the switch should be removed by turning counterclockwise 90° and cleaned. y with water only. 7. While holding the cartridge on its side (large flat surface facing down) over the access opening, rinse off the cartridge with water only, making sure all septage material is rinsed back into the tank. a. If VRS switch is utilized, replace by inserting into fitter and turning clockwise 900. 9. Insert the filter cartridge back into the case, pressing down until the filter locks into the bottom of the case. 10. Replace and secure the access opening on the tank. BEAR :s i ftE f C5?iSZF +-..er Ens -Ufet!rne + m,7-z a u rice, • wwwbearoasft+e com 877-MLHWER,S (,53-45:83) . ~ ~L- #1794 wonsin E ALUIMM REPORT DIX 1~►71 Depatfiient of Comme rdan with Comm 85, Wis. Page 1 of 3 Division of Safety and BuiSteel's Soil Service, Inc. County Attach complete site plan on n ches in size. Plan must St. Croix include, but not limited to: vepoint (BM), direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. 03 7 • a 1 Please print all information. Revie By Date Personal information you provide maybe used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). / Z i OS d-4~~ Property Owner Property Location Stenzel, Lee Govt. Lot na SE1/ NE 4, S32, T29N, R15W . ?.o, Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 2867 Hwy 12 4 na CSM d 5 13 City State Zip Code Phone Number City ❑ Village M Town Nearest Road Wilson WI 54027 715-698-3246 Springfield 290Th St ® New Construction Use: ❑ Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD ❑ Replacement ❑ Public or commercial - Describe: na Parent material Silty sediment and underlying reddish sandy loam till Flood plain elevation, if applicable na ff. General comments Mound Design, system elevation- 106_89ft based on contour line elevation 105.30ft. and recommendations: F1-1 Boring # ❑ Ground surface elev. 107.60 ft. Depth to limiting factor 21 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fts in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-7 10yr3/1 none Sil 2msbk dfr CS is .6 .8 2 7-21 10yr4/4 none A 2msbk dfr CS lvf .6 .8 3 21-30 10yr4/4 c2d 7.5yr5/6 sl 2msbk dfr gw na .6 1.0 4 30-48 5yr4/4 f1f 7.5yr5/6 scl om dfi na na .0 .0 F Z ]Boring# 102.90 mitin factor ' . Ground surface elev. ft. Depth to li g 17 m Soil Application Rate ® GPD/ft' Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 2Eff#2 1 0-9 10yr3/1 none Sil 2msbk dfr cs is .6 .8 2 9-17 10yr4/4 none A 2msbk dfr a 1vf .6 .8 3 17-26 10yr4/4 cld 7.5yr5/6 SI 2msbk dfr gw na .6 1.0 4 26-48 5yr4/4 none scl om mfi na na .0 .0 Effluent #1 = BOD5> 30 < 220 mg/L and TSS >30 < 150 mg/L " Effluent #2 = BOD5 s30 mg/L and TSS <_30 mg/L CST Name (Please Print) Signature: CST Number David J. Steel 248956 Address Steel's Soil S 1 / Date Evaluation Conducted Telephone Number 994 200th St. Baldwin, WI 54002 ( 9/20/2005 715-760-0347 SBD-8330 (R07/001 . Property Owner Stenzel, Lee Parcel ID # Pending Page 2 of 3 Boring # ❑ ® Ground surface elev. 102.90 ft. Depth to limiting factor 17 in. Soil Application Rate Fil Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/Ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#f *Eff#2 1 0-7 10yr3/1 none sil 2msbk dfr fs 1c .6 .8 2 7-17 10yr4/4 none A 2msbk dfr CS 1Vf .6 .8 3 17-28 10yr4/4 f2d 7.5yr5/6 A 2msbk dfr gw na .6 .8 4 28-48 5yr4/4 cld 7.5yr5/6 scl om dfi na na .0 .0 ❑ Boring # ❑ Ground surface elev. ft. Depth to limiting factor in, ❑ Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#t *Eff#2 ❑ Boring # ❑ Ground surface elev. ft. Depth to limiting factor ❑ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#l *Eff#2 < 30 mg/L and TSS <30 mg/L * Effluent #1 = BOD> 30 < 220 mg/L and TSS >30 <150 mg/L * Effluent #2 = BOD5 ' 5 - 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) steers son service, im. S'TEEL'S SOIL SERVICE INC. 3 of 3 David J. Steel Lee & Beth Stenzel 994 200' St. CST-POWTSM SEl/4,NE1/4,S32,T29N,R15W Baldwin, Wl 54002 Lic. #248956 Town of Springfield, St Croix Co. Direct 715-760-0347 CSM Lot, 4 Fax 715-684-3449 This soil evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for your use. The location of this test may or may not be as shown, as permanent lot lines were not established at the time the soil test was conducted. Legend N 1"=40' ♦ = Benchmark EIe. 100.00 ft Top of 3/4" pvc pipe • = Alt Benchmark Ele. 98.50 ft 0 Top of 3/4" pvc pipe = Borings Boring Elevations B1 = 10,40 ft j f 0 B2 = 102.90 ft B3 = 10L% ft 134 = 0.00 ft 2,1 ~aa r ,y~ • -72 CERTIFIED SURVEY MAP LOCATED IN PART OF THE NE 1/4 OF THE NE 1/4 AND IN PART OF THE SE 1/4 OF THE NE 1/4'OF SECTION 32, T29N. R15W, TOWN OF SPR PREPARED INGFIELD. ST. CROIX COUNTY, NASCONSIN. LEE & BETH ST NZEL° NORTHEAST 2 ~ v ~ v 2887 HWY 12 CORNER !fi WILSON, WI 54027 SECTION 32 OWNER: Lp,13T~s _ STAN THOMPSON _ TMRUABLE ST THOMPSON ~A 1 ~E ,.~••!;e~1t 133.OOT 13S I C1 S88 w28 1~"" p 100.00 i SI,gZ"'W = 33.00'-z'~}-= " _r- IVEWAY; I SOUTH LINE OF 1HE 133' 1/4 OF THE NE 1/4 NORTH LINE OF THE C SE 1/4 OF 1HE NE 1/4 I I I i I ~ cA LOT 4 Al z ml . tji N 17114 ACRES ~ cffl 10 8 (25Z395 SO. FT.) !is r4 TOTAL AREA t- t"' 5.334 ACRES i 'i i > Z (232.353 SO. FT.) i I ~ id r•1 EXC. RJW Igv I~ IUl ~ ~ I~ - r~u1rQ~ F~pT X2= I I 543 a ~ 8 8' 33.00'- I g"E \ I N59'54'24"E 4:18.94' 4. $ UNPLATTED LANDS ~I ( OES~ SCALE IN FEET 1" a 100' X 68 1%0EP 044 EAST 1/4 S 1NN~ P6 4832 _~-2~~ CORNER 00 0 too c s"a,.~a pG. 483_ SECTION 32 rr ! C.g jVS. I VQ~ 1g LEGEND I - ® FOUND PK NAIL EACH PARCEL SHOWN ON THE MAP IS SUBJECT TO FOUND 1' OUTSIDE STATE, COUNTY AND TOWNSHIP LAWS, RULES AND DIAMETER IRON PIPE REGULATIONS (I.E., WETL ANDS, MINIMUM LOT SIZE. ACCESS TO PARCEL. ETC.) BEFORE PURCHASING OR SET 1' OUTSIDE DIAMETER BY DEVELOPING ANY PARCEL CONTACT THE ST. CROIX O 18' LONG IRON PIPE. WEIGHM COUNTY ZONING OFFICE AND THE TOWN OF 1.13 LBS. PER LINEAR FOOT SPRINGFA:ID FOR ADVICE. SOIL BORING THIS INSTRUMENT DRAFTED BY' WILLIAM KANE JOB NO. OW-01 DALE: 11/21/2005 SHEET 1 OF 2 2 s~ 3T t Tuf-Tite Riser System Tuf-Tite makes a full line of Risers and accessories for Pre-Cast applications. Riser Lid - with Molded-in gasket. Available in 12",16", 20" and 24" diameters. Green Only. Concrete Lid - with handle. Use the Safety Pan to cast your own concrete lids. Safety Lid - May be used in place of concrete lid. Fits 24" Riser Pan only. Black Only. Safety Pan - Safety PanTM available for 16", 20" and 24" Risers. Green Only. 6" Tall Riser - For septic tanks. Stackable in 6" increments. Available in 12", 16", 20" and 24" diameters. 12" Tall Riser - For septic tanks. Stackable in 12" increments. Available in 20" and 24" diameters. Black Only. Tank Adapter Ring - For mounting riser or lid to tank when casting-in is not an option. Oct-20-2010 0$:30 AM St. Croix County Plan/Z=ing 715.3$6=46136 1/1 ST. CRO1X COUNTY SEPTIC' TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERI FICATIUN FORM Owner/Buyer I Mn(A bn C;ca q _ , . a1ii!'!Z►ddttiss 8a (~_r=~f~-Dr. App . ik 3 Property Adam 678' 7 8 2 9A (Norificatian mi ' from ?MMiMing Deparb mat Lbr ww metructim) City/State LSD W7 Parcel Identification Dumber 9LI-1 o7a - to- 000 4- bsq - i ova - yo - a as GA.L DESCRIPTION Pmperty L+DC.`$d= 114 . Y4, Sec, 1 Oa 7 1• R /6 W, Town of lsM S pie_ Subdivision Plat: , Lot # _ 4L_. Cert#Sed Snrvey Map # - 155 -7 Volume 610 Page # ~s wad Deed W (beibm 7)volum Page# Spec house: • ya f Ono Lot ii m klmdU to - ya so S S-TF, t NUI NAMM AND QMM CERTMCATION tntptnper use and assinwaimee of yoar septic system maid result in its pnem win ddlure to hnndie veins. Pmper mainwance consists otpumping out the sceptic tank every tbree years or socim, if needed, by a licensed pumper. What you put into this system can &Mot the ftcdon of ft aapdc teak sa a untmetnt atetge in dw wame dhpma symm. Owner maim x reaponaibi des are "iced in l Cottmt, 8337(I) ad in Chapter a - St, Croix Cn* RWIary Ordittatw, 'ilia pteperry t a m submit to St. Croix t sty Ph=Mg & Z.orefteg D"UMt a t:Eitlt'WM tbtrri. ftW by the mw =4 by a limper ptumbeu. Iaamcy= ptumber, raafi~t pt or a tbagrrsed vetitying mat (time or,-site %vwMwatw di i system is fn prcfr opemf ng rundit m anft f2) ,afka itrspccdoi alai pumping fff nwesssryi, tlne stT& task is Los thin 113 full Vfahtdge, kWe, dw unds WW hove mid dw above requWmmus and egraa to nmimk des puts sewmga disposal syetam with else ndaexis set brtl% hamd3k wad by the DepsrbnW of sand ttte Dart ofNatursl S.a ShM 46f W : Cordfication stating ideal your a Us be w maiut:l"d maser be oamplawl and reamed to dw$t. Crane P g ~ 7,roniatt Deparuuent wWm 30 days ofthe base year agiw3lmt data. Nve certify drat all ststetteettta on this form ate true to the best of waft w kwwledge, Ave anfare the ownerW of the prVerly descrriW above, by virtue of a wwmnw deed regarded in Reeisnx of Deeds Oftbm Number -of G /ZZ//3 STCf OF A"UCANT DAM ***Any infarmation that is misreptsetted may matt in do sanitary permit being revoked by the Fla WaS dt Zoning Dq*u att. •'v* Include with this application a recorded warranty dead fiam lira Regkte r of Deeds Ofies and a espy of the certified survey snap if reference is made in the warranty deed. (REV. OSMS) - 84P1~47 KATHLEEN H. WALSH DOCUMENT NO. STATE BAR OF WISCONSIN FORM 1-2003 REGISTER OF DEEDS WARRANTY DEED ST. CROIX CO., WI RECEIVED FOR RECORD THIS DEED made between Lee R. Stenzel and Rebecca L. Stetzel and Mary 12!08/2006 0$:00At1 Beth Stenzel ("Grantor," whether one or more), and Brandon Gra , Husband and WARRANTY DEED Wife as Survivorship Maritial Property and Tracy L. Gray ("Grantee," whether OEIPT # one or more), REC FEE: 11.80 TRANS FEE: 195.00 COPY FEE: CC FEE: Grantor, for valuable consideration conveys to Grantee the following described real PAGES: 1 A 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): Recording Area Name and R.wm Add- Lot 4 Certified Survey Map #5139, recorded in Volume 20 of Certified American Title Services-SCV,LLC Survey Maps, Page 5139 as Document #815577. Being a part of the NE 1/4 642 Brakke Drive, Suite 114 of the NE 114 and the SE 1/4 of the NE 1/4, Section 32, Township 29 North, Hudson, WI 54016 Range 15 West, Town of Springfield, St. Croix County, Wisconsin. Tax Parcel No:EL 1( 4- !WO-000. 034-1072-40-025 This 00 homestead property. tiO(is not) Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except: Easements, encroachments and encumbrances of record. Dated this day of L*2::p4 2006. ' (SEAL) (SEAL) 2 *Ma Beth Stenzel *Lee R. Stenzel (SEAL) (SEAL) * *Re cca L. Stenzel AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN 1 ss. authenticated on day of , 2006 ST. CRO1?C County (~I * Personally came before me this / day of !,l✓~ , TITLE: MEMBER STATE BAR OF WISCONSIN 2X6 the above named Lee R. Stenzel ~~lt~ Stenzel (If not, and Mary Beth Stenzel to me knot' gyp,, •.t a.. pis who authorized by § 706.06, Wis. Slats.) execu th instrument and [edge the ..'~.S y-~ THIS INSTRUMENT WAS DRAFTED BY Tony R. Schrader * f ' O `f 1~-a TORGERSON D Notary Public 715-232-7770 rQ y . ty, Wis. ~C` My Commission is permanent. (If not, s e41<"' (Signatures may be authenticated or acknowledged. Both are not ••••a.~,°..•'' necessary.) *Names of persons signing in any capacity should be typed or printed below their signatures. L- 1 u✓ lJ WARRANTY DEED File # 6002670P 9" Vision Fom SOD03WI Rev. 01116M 1 oft Parcel 034-1072-40-075 04/01/2008 03:59 PM PAGE 1 OF 1 Alt. Parcel 32.29.15.485A-20 034 - TOWN OF SPRINGFIELD Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 01/03/2006 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner O - GRAY, BRANDON & TRACY L BRANDON & TRACY L GRAY 1802 11TH ST W MENOMONIE WI 54751 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description SC 0231 BALDWIN-WOODVILLE AREA SP 1700 WITC Legal Description: Acres: 5.794 Plat: 5139-CSM 20-5139 034-06 SEC 32 T29N R15W PT NE NE & PT SE NE CSM Block/Condo Bldg: LOT 04 20-5139 LOT 4 (5.794 AC) Tract(s): (Sec-Twn-Rng 401/4 1601/4) 32-29N-15W Notes: Parcel History: Date Doc # Vol/Page Type 12/08/2006 840247 WD 09/08/2006 834115 TD 01/03/2006 815577 20/5139 CSM 02/10/2004 753914 2507/186 EZ-1 more... 2008 SUMMARY Bill M Fair Market Value: Assessed with: 0 Valuations: Last Changed: 06/15/2007 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 5.790 71,400 0 71,400 NO Totals for 2008: General Property 5.790 71,400 0 71,400 Woodland 0.000 0 0 Totals for 2007: General Property 5.790 71,400 0 71,400 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch M Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 8 1 ts. 7 7 VOL 20 PAGE5139 KATgE H. VALSH REGISTER OF DEEDS ST. CROIX CO. YI RECEIVED FOR i1tEC6111D i 92:1 T'~ SH CERTIFIED SURVEY MAP C CEERRTIFIED SURVEY RVEY MAP LOCATED IN PART OF THE NE 1/4 OF THE NE 1/4 AND IN PART OF THE REC FEE: 13.60 SE 1 /4 OF THE NE 1 /4 OF SECTION 32. T29N, R15W, TOWN OF COPY FEE: 3.06 SPRINGFIELD, ST. CROIX COUNTY. WISCONSIN. PAGES: 2 PREPARED FOR: LEE do BETH STENZEL NORTHEAST 2867 HWY 12 CORNER WILSON. WI 54027 SECTION 32 OWNER: STAN THOMPSON TRMABLE UST THOMPSON 3 00 33' P C1 589'5428. _ / YPOE' E, 100.00 33.00'- i 511•,1 52 DRIVEWAY SOUTH LINE OF THE NE 1/4 OF THE NE 1/4 NORTH LINE OF THE ' r- m SE 1/4 OF THE•NE 1/4 Ic: z v'€ a Izsg a 0 g LOT 4 g d ~gp iN Np 5.794 ACRES ca 0 O (252.396 SQ. FT.) TOTAL AREA s Qi 21 I n d 5.334 ACRES ,,40 r g N (232,353 SQ. FT.) $ o: A w"I0 ~ ; IN EXC. R/W O z N ! NN C ON ic> TYR. 52 1 ;3 DODGE'` ~N cn 4 z C S-2484 .1 x 8 CLEAR LAKE r czi ~rn NI • : n tO ,o ,p N ~ rn ••.,,.~>.•,.;,,,r'S:n+~ruartinr`rr > 3 V1 (Zs-v IZ -ZI -o S ~ 33.00'x- "No N89'54'24"E 436.94' 8 m fm NJNPLGQ77IE® LANDS ~ to o$ ~ 3 r EAST 1f4 SCALE IN FEET 1" = 100' 33' X a `R CT0%0 NC 0o E~A~1AE1► 18. PC" ~s CORNER 33. 100 O 100 C•S~V~~'~' SECTION 32 ~,aJ+1° - - LEGEND FOUND PK NAIL EACH PARCEL SHOWN ON THIS MAP IS SUBJECT TO FOUND 1' OUTSIDE STATE, COUNTY AND TOWNSHIP LAWS, RULES AND DIAMETER IRON PIPE REGULATIONS (I.E.. WETLANDS. MINIMUM LOT SIZE, ACCESS TO PARCEL. ETC.) BEFORE PURCHASING OR SET 1' OUTSIDE DIAMETER BY DEVELOPING ANY PARCEL CONTACT THE ST. CROIX 0 18' LONG IRON PIPE. WEIGHING COUNTY ZONING OFFICE AND THE TOWN OF 1.13 LBS. PER LINEAR FOOT SPRINGFIELD FOR ADVICE. SOIL BORING THIS INSTRUMENT DRAFTED BY. WILLIAM KANE JOB NO. 6556-01 DATE: 11/21/2005 SHEET 1 OF 2 Vol 20 Page 5139 ~rlpsln