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Home My WebLink About016-1002-30-100Wisconsin Departmentof Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) 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 Olson, Patrick Glenwood, Town of CST BM Elev: l~ 0 •o Insp. BM Elev: ~a~: ~ BM Description: ~%~ I TANK INFORMATION TYPE MANUFACTURER ; ~5, CAPACITY Septic Try '~ ~ (.v, e s~ ~ F ~ ~c /ooo Dosing (( / (... ~aOD Oaf- ~{ 6 (~, 5 L~ ~ri L Holding TANK SETBACK WFORMATION ~ 1 TANK TO P/L WE /h BLDG. Vent to it Intake ROAD Septic 2 p / fi _ ~ 3 ~ , Dosing /~ ~T Aeration ____ Holding f PUMP/SIPHON INFORMATION Manufacturer _ /; , / De and ~~ ~ ~_(~,0~ GPM Model Number ~ - 2 ~ , TDH Li Frict n oss L System Head Ft TD H ~ Q ~ ~ ~ ~ f ~~ Farcemain Length f, Dia. Dist. to Well y ~ SOIL ABSORPTION SYSTEM County: St. Croix Sanitary Permit No: 499266 0 State Plan ID No: Parcel Tax No: 016-1002-30-100 Section/Town/Range/Map No: 02.30.15.21 B ELEVATION DATA STATION BS ~` i (~ HI j~~/ FS ELEV. l D7) ~ U Benchmark /, 0.7 /t7%p~ /~ Alt. BM Bldg. Sewer tl ~(~ $ ~ • Z~ St/Ht Inlet I3.~Y 87•`13 SUHt Outlet ~.. Dt Inlet ` `, Dt Bottom f7. 3$ 3 • Head an. 3 ~ ~, y~, ~Y Dis~e 3 ~( %~ Bot. S stem ~• fg ~~, GHQ Fi al d /~ri~' ~i~/ ~f' C!!~ St Cover ~o s~ $ .9 ~ ~2 , b~ ~-o~ ~z y~ ~ 65 ` __ BED/TRENCH DIMENSIONS Width ~ (~ Length ~ , ~7 S / No. Of Trenches __~ PIT DIMENSIONS No. Of Pits I ide Dia. Liquid Depth SETBACK SYSTEM TO P/L BL WELL LAKE/STREAM ACHI Manufacturer: CHA R OR INFORMATION Typ f ystem: ~ ~'1 NI odel Numbe )A_~ f DISTRII~l1IlON SYSTEM l ('fB> ~ -av wL~Lv~.d' ~~ ~X 1 /1 ~ ' Heade anifold J N ~ Distribution ~ v Lr r Pipe(s) / ~ 2 ~ Hole Size ~ 2 x Hole Spacin 2 ~ ~4 ~ J t? in th ~ `'~ Di S L , Length Dia g pac a eng C[~II C(~VFR ., o.e~~~~re c..~te..,~ n.,t.. ~r Mnnnrl nr At.ArarlP Svctamc Qnly Depth Over Depth Over xx Depth of ~ xx Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges 6~ Topsoil ' ~ Yes i _j No Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: ~ /~~3~' ZS~-/ (n1 ~ r Inspection #2: ~ /~~/t~ /) Location: 1777 310th Street Glenwood City, WI 54013 (SW 1/4 NW 1/4 2 T30N R15W) NA Lot 2 ~-~.~.~.X Parcel No: 02.30.15.218 i.) Alt BM Description = ~~ Ur _~T `~l[i G~,q,,; +~,~ r' QED( 2.) Bldg sewer length = 3~ ~~,~ e}- 1-.Dt~~L.S O.e~, 1 10 fns ~~~ - amount of cover = s ! [~~ ~ ~~ Plan revision Required? Yes /No i ~~.,_ o~ /r r' ~~f Use other side for additional information. ' ___ _.~_ ___J_-_ ,1 ~ _-_ .. _ _--~-- _ --= `' -'- - v~'~'` ~ ~~`'~"~/ Date Cert. No. SBD-6710 (R.3197) ~~~ ~ / . _ . ~ l~ ~l C/~-C.~~ ~ti~f~~ ~' ~ ~'/ ~Q g Vent to Air In~ V ~ - - - - Safay ind Bttlldin$S f3i~tsior+ CarnrY t~.rr /J,i tot w. wasbIatmnwre., P.o. t3oz ?!~: __- K _ ; ` ~~~~~~~ Madtaon. WI 537 - ~ 162 Y Saniary Perrnu Ntrenber tro De filled m 0~ Co S ~ _~ ,.,. _,. ~,a.,.e --- - - -Sanitary Permit Application sn~ Piar- I.D. Nnnnber is word wilt t:omm E3.2l. wls. wdm. Code. t Inrota>~ You Provdr i3T S~'J''¢ tetay be ttsod for sexondary purp5ses Privacy l:,aw, st5.04(lXm) Project Address t~f differcrn rttailinj address) I. Application taformation - Plt>ase Print R E C E t V E D z s~~~ ~/ -~ ~ ~'' N / Property Owner's Na me Partxt r Block r ~~ l~A7RlcfC O t,tSoc~ 006 a Property Owrcr's M ailit~ Address ~~~` ~a~ I PO• BOk .~5~ ST. CROIX COUNTY slt.1 ',c . ~~ ',t .Satan ~_ City. St:oe Ge.~Jwoei ~~' w/ 5~¢6~3 ~i5-2G5- l4S ~.~~. tz~etr~rw) ~. Zt (~ II. T pc of Building (Muck nit that apply) ~ a ~3 ~ r\t~.J ~ ~ s2 ~ $updtv~sipn Name CSM Numtxr { t or 2 Fatuity DweilittS -Number of Bedrooms ( v q~ `/ c~ ~ : PuWtUComtnercul -Describe Uso G (0 k 75 _._- . ~ Gy~ttage 'Towetship of t„E t7Jd~ ]City J State Owned - Dacrilx Use Q ` III. Type of Permit: {p teck Daly one box ota tine A. Complete line B if appGnbtey ~ l [o ~• ~ pQ Z - - ~~ A' New System ~} Replacement Sysoem 0 Ttmtmetr/Holdint Tank Reptacerrtcr.: 4-:? .~1 Other Modtfiptton m F.xisttttt System S. :=, Permit Renewal Q Permit Revision Q Clmtgt: of ~ Pertttet T.*ar~s.`cr -o ~;c•~ List Prevmus Permit 'Member ud Due Issued E ~ Beftue Expiration Plumber Owner N. Type of POVV'I'S System: {Check alTlhat ap ply) ~ ~ Non -Pressurized In-Groutd Q Mound > ,jet in. otsuinbte soil :Mound ~ 2a :r. of Barra~!e so:. ~.i At-Grade Sin=k Fats Sand Fd~r j Constructed uretiattd .r Pressurtzrd Its-Gtoutd :..i HoktittY Tank G Pat Fittc: ._ =.c .5rc ~ -tatrnent ltntt _: Rest tttt~ Sard Fther / !: ? ~ i ~ / -f^f / ? Z I u Rairaeta S ~ Modia Filter V Ltythio; t7nmber tJ Drip Luse l.1 Gn.ei•tess P:;< .r voter tatptatnl - ~ ~,, r t'1 ~ - .~ ~ V. D' reatmeat Area Iafot~tdatioa: ~ ~~ Design Flow (gpd) Desi;o Sotl Apptiation Rate(gpdsf? Disperse! Ara Required fsf.~ DtspersaF A:ca Proposed fsf~ System Elevatan ~q 5a ~ , G,, ~ so / _ Aso I -~ 9.5,'9d' ~ ,i i i YI. Tank Info I .Capacity in Gallons Tool Galbea Number of Urtitt Maaefuturc: Prefab Ate ~ Suet ~ Frber Plasae :aturete ! Cottstrtteced ;Glans ' i ' Taah _ asks y~ ~./~ 1 ~-- ~ Lt/ ~ ~ /KJ G 1''l~¢ ~ r~ ~~ ~ srctit w Hma~u-s Taatc 4 a /E~~- sc/c~E?'E --; Arrobic Trnuttent t)tW -"' - _ ' ~ -- OOSittt t7tatetber ~ F ~ VII. R~poruibility Statement- t, the d ed, assume rrspoati60[ty for iattallatron of the YOt~"t'5 shoMn on the attached ptans~ Plumber's ~Fa me fPrinU tt: s~ lumber's S~ to MPlMPRS Numix: i Husrness Phoete f+tumber ~,5 ~ ~~S-G f.~~ 25'2a lumber's Adore ss S City. .Zip Code) . ~/SS~ Sf~~ ,I~s.v~ ,F(L'¢ d~'~~-C.E~r/l1GEr ~_.5~~~!Z-5 ' V lI. Cotmt iDe ens Ilse Onl I ~ _ c -, / h ^DPto~~ ~ wppror "' ~ t teen Rason ~ f .. ~a._ s tssucteg t S- o Stain SatWary Permit Fee Gncludes Grou:xsaat:: Sttrtdtarjr Fee) ~ z~~ ~ yo 550 . ay / IX. Cond'itioos of Approra}lReas~s for Disapproval SY3TEAA OWNER; j 1. Septic tank, effluent filter and dispersal cell must all be services /maintained as per management plan provided by plumber. ~ 2. All setback requirements must be maintained as per applicable code !ordinances. 3 ~ Co ~. ~;1-~ o.n-5 ~ ^- S~a,~e-- p~Eo v~SL L.Q 1~.t.~. ~- /Y l i ~~ ~J r !OL al' 5 ~. ti.o,,,~.~ ~tx,~- ,~ai<- e>~~ ~a~sd-ltd-G~4.. I 5~-b4c~L wti~el•-_ la.t.. w~.ot.; h~-,..', ~~. o,r- ett.es /m t>te Como sdt} tot t!e sTatem oo DsDK sot tin :hen a t Z : I i istlYes in st:c owh ~ ~ S o(~- . t r V ` ~-i --~ o ~ ' J ~c to o- a.,, '~ ~ ~ ~ ~ Z ~ ~' ,, ~ ~ ~~ J c M ~ ~ ~ ~ ~ ~ ~ m ~ ~~ 3 c~ 0 ~~ Y ~ ~ 2~ O~ 3 ~ ~ ~~ ~= cn ~~~ ~~ N Z~ ~ iE + • h .. s \ ..p. -.~.: ~-~ ~ ~ Z t O ~'~ a ~ ' J ~ lcn_ o- o- v~-- car ~ ~ ~ ~ `' ~, ~ ~ _ ., . ~ _ ~ ~ Ct3 C>4 '~ V w./ Q ~~/y~ L .L 1 Y~3~ d} ~ b o ~~ 3 ~~~ ~ ~ ~ ~~ ~~~3 ~~ ~ ~~ N sc~-nsln Department of Commerce Division of Safety and Buildings SOIL EVALUATION REPORT in accordance with Comm 85, Wis. Adm. Code #19 Page 1 of 3 Northland Plumbing, Inc. County Attach complete site plan on paper not less than 8%: x 11 inche e . Plan must ~ St. Croix include, but not limited to: vertical and horizontal reference point ), coon and D Parcel I percent slope, scale or dimensions, north arrow, and locatio nd d to nearest road. . . Please p id l i f ti P pp ~~ /~'++ d tbi~ i) d~ P i (m)) w s Revie d By Date on you prov ersona n orma e may e a ( r va use . , . g' a Property Owner Pr rty Location Olson, Patrick JUN 2 0 2006 Govt. t SW1/ , NW1/4, S2, T30N, R15W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# Rutsun Rd ST. CROIX COUNTY City Sta Phone Number ~ City ~ Village ®Town Nearest Road Glenwood City WI 54013 Glenwood 310Th St ®New Construction Use: ®Residential /Number of bedrooms 3 Code derived design flow rate 450 GPD ^ Replacement ^ Public or commercial -Describe: Parent material Glacial Till Flood plain elevation, if applicable fl• /~ General comments / ~ I OJA, and recommendations: 1 ® Boring ~ Boring # ^ Pit Ground surface elev. 96.96 fl. De th to limitin factor 20 in. Soil P 9 Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consisten Boundary Roots GP D/ft~ in. Munsell Qu. Sz. Cont. Cobr Gr. Sz. Sh. 'Etr#t 'EfbR2 1 0-5 7.5YR3/2 sil 3sbk mvfr rs 3f .6 .8 2 5-15 10YR3/4 sl 3abk mvfr a if .6 1.0 3 15-20 10YR4/4 sl 3sbk mvfr cs 1m .6 1.0 4 20-30 10YR5/6 7.5YR6/8f1f spots scl 2sbk mvfr cs im .4 .6 ^ 2 g ®Boring Borin # ~ Pit Ground surface elev. 94.14 ft. Depth to limiting factor 24 ./ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consisten Boundary Roots GP DIIt= in. Munsell Qu. Sz. Cont. Cobr Gr. Sz. Sh. 'EffEi •Efrs2 1 0-7 7.5YR3/2 sil 3sbk mvfr a 3f .6 .8 2 7-14 10YR3/4 sl 3sbk mvfr a if .6 1.0 3 14-24 10YR4/4 sl 3sbk mvfr cs 1m .6 1.0 4 24-36 10YR5/6 7.5YR6/8fif spots s~ 2sbk mvfr cs im .4 .6 'Effluent #1 = BODS> 30 < 220 mg/L and TSS >30 < 150 mg/L "Effluent #2 = BODS < 30 mg/L and TSS <_30 mg/L CST Name (Please Print) Signature: CST Number Michael J. Myers 267985 Address Northland Plumbing, Inc. Date Evaluation Condudp~ Telephone Number E 1556 State Rd 64 Boyceville, WI 54725 4/28/06 `~ - a~n~i~ ssn-s3sotxmroo) Property Owner OISOn, Patrick Parcel ID # Page 2• of ~ 3 3 ®Boring ~ Boring # p~ Ground surface elev. 94.65 ft. Depth to limiting factor 20 in. ^ Soil Application Rate Horizon Depth Dominant Color Redoz Description Texture Structure Consistence Boundary Roots GPD/ft~ in. Munsell Qu. Sz. Cont. Cobr Gr. Sz Sh. ~Etr#t `EffiO!2 1 0-5 7.5YR3/2 sil r ~: 3sbk mvfr a 3f .6 .8 2 5-12 10YR3/4 sl : = ;.~~3abk mvfr cs 1f .6 1.0 3 12-20 10YR4/4 f sd 3sbk mvFr cs im .4 .6 4 20-34 10YR5/6 7.5YR6/8fif spots sd 2sbk mvfi cs lm .4 .6 'Effluent #1 = BODS> 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BODS < 30 mg/L and TSS <30 mglL The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. Property Owner OISOn, Patrick Parcel ID # Page 2 of k 3 3 Boring # ®Boring ~ Pit Ground surface elev. 94.65 ft. Depth to limiting factor 20 ~ in_ Soil Application Rate Horizon Depth Dominant Color Redoz Description Texture StrUdure Consistence Boundary Roots GPD/ftZ in. Munsell Qu. Sz. Cont. Color G~°`S~Sh. 'Eff#1 'Etr#2 1 0-5 7.5YR3/2 sil „ ' ~'~"~3sbk: ~' mvfr a 3f .6 .8 2 5-12 10YR3/4 ` sl :~ ,~~3abk mvfr cs if .6 1.0 3 12-20 10YR4/4 ~r.~ scl ~,:> " 3sbk mvfr cs 1m .4 .6 4 20-34 10YR5/6 7.5YR6/8f1f moots scl 2sbk muff cs im .4 .6 'Effluent #1 = BODS> 30 < 220 mg/L and TSS >30 <150 mg/L 'Effluent #2 =GODS < 30 mg1L 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. . ~' ~_ ~ ~ ~ ~ Z 0 ~ M ~~ ~ ~ ~ ~ ~ ~ ~ ~ ~- _ ~ Q s~ ~ ~ Y~~ Q N~ ~ /~" , ~' .~ ~ ~- ~- ~ ~ ~ ,~ ~ ~ r ~ ~- ~ ~ ~.: ' , ~ ~ ,. ~ ~ ~ , b~ ti o a ~ ~ _ D ~ J ~ W ~ 1 v~ I ~ ~ ~ tij-- ~I. J ,o ~ cg \ \ i ~ a ~~ b, , ~ 4~4 p p ~ . PA 04 ~ fi ~ ~ a ~ __.._ ~T_... ...._,r--_ ~-~ ~ ~ ~ ~ commerce.wi.gov isconsin Department of Commerce Safety and Buildings 141 NW BARSTOW ST FL 4TH WAUKESHA WI 53188-3789 TDD #: (608) 264-8777 www.com merce.wi.gov/sb/ wuvw.wisconsin.gov Jim Doyle, Governor Mary P. Burke, Secretary November 30, 2006 OUST ID No. 267985 MICHAEL J MYERS NORTHLAND PLUMBING INC 2943 130TH AVE GLENWOOD CITY WI 54013 ATTN: POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 11/30/2008 Identification Numbers Transaction ID No. 1345754 SITE• Site ID No. 720746 Patrick Olson Please refer to both identification numbers, 310TH Street above, in all comes ondence with the a enc . Town of Glenwood, 54012 St Croix County SW1/4, NW1/4, S2, T30N, R15W FOR: Description: Mound, 3 bedroom Object Type: POWTS Component Manual Regulated Object ID No.: 1108777 Maintenance required; 450 GPD Flow rate; 20 in Soil minimum depth to limiting factor from original grade; System(s): Mound Component Manual -Version 2.0, SBD-10691-P (N.O1/O1), 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. This system is to be constructed and located in accordance with the enclosed approved plans and with the component manual(s) referenced above. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Private Onsite Wastewater Systems VERSION 2.0" SBD-10691-P (N.O1/O1) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems VERSION 2.0" SBD- 10706-P (N.O1/O1). In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. In addition, the owner must comply with the operation, maintenance and monitoring duties as described in section VIII of the mound component manual. A copy of this information must be given to the owner upon completion of the project. ~ j' All holding/treatment tanks are to comply with Comm. 84.25(7)(a). ~ ~ -.,N' Maintenance information must be given to the owner of the tank explaining that periodic cleariirg`c~l'the filter is required. Access to the filter for cleaning must be provided per Comm 84 product approval conditions. A Sanitary Permit must be obtained from the county where this project is located in accorda`n e with the requirements of Sec. 145.135 and 145.19, Wis. Stats. MICHAEL J MYERS Page 2 11/30/2006 Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. 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. Owner Responsibilities: • Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • Comm 83.55 The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence maybe made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Julia Lewis-Osborne POWTS Reviewer 2 ,Integrated Services (262) 548-8638, Fax: (262) 548-8614 julia.lewis@wisconsin.gov Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 WiSMART code: 7633 Mound System Cover Page ~ ~ ~ 8 ~.~.~.~.r..rWo WIE~Ei CO~ETE Project Name: Olson -Mound Owner's Name Patrick Olson Owners Address 403 Misty Lane Glenwood City, WI 54013 Legal Description sw ~ %., ivw `~ %. Sec(-~ T 30 N, R 15 w ~ Township Glenwood County ~int Croat -~ Subdivision Lot# Parcel 10# Table of Contents pg. 1 Cover page 2 Mound Sizing Calculations 3 Pressure Distribution Layout and Dynamics 4 Dose Tank 5 Management and Contingency Plan 6 Plot Map total # of pages: 6 RECEIVED NOV 2 0 2006 SASE ~ ~~~~i~lGS Designer Name: ~ ~ c+{ ~ Ec_ J . ~ `{ EtZ.S MP/License #: 22~#61~ 2 ~798~ Date: 6111 /06 Ph. #: 715-643 2520 Signature: Mound System Design Methods Used per "Mound Component Manual Fa Private Onsite Wastewater Treatment Systems" (Version 2.0)SBD-10691-P (N.01/01) per "Pressure Distrilwtion lomponent manual for Private Onaite Wastewater Treatment Systems" (Version 2.0) SBD-10706-P (N 01/t)1) 3bAdvisemerst N12486220th WI 54725 Ph:715-6436068 ,~ Y ~, ~E Mound System Mound Sizing Calculations Project Name: Olson-Mound Page 2 of 6 Site Conditions __ Design of Entire Fill Project Type: i or 2 Family Dwelling ~ Cell depth at upslope edge (D): 16.0 in. Slope: 9 % Cell depth at downslope edge (E): 22.5 in. # of Bedrooms: 3 Distribution cell depth (F): 9.5 in. Depth to limiting factor: 20 in. Cover thickness over edge (G): 6 in. Absorbtion rate of fill material: 1 gal/ft2/day Cover thickness over center (H): 12 i Absorbtion rate of in-situ soil: 0.6 gal/ftz/day End slope width (K): 10.2 ft. Effluent quality Eff#1 • Fill length (L): ft. Max BOD effluent value: 220 mg/I Upslope width (J): 6.3 ft. Max TSS effluent value: 150 mg/I Downslope width (Toe) (I): 13.1 ft. Fill Width (W): 25.4 ft. Design of the Distribution Cell Basal Area System Design Flow: 450.0 gal/day Basal area required: 750 ft2 Distribution cell width (A): 6.00 ft Basal area available: 1433 ftZ Distribution cell length (B): 75.0 ft Area of Distribution Cell: 450.0 {~ Observation Pipes Contour Elevation of Mound: 94.65 ft Location from end of cell (Z): 12.5 ft System Elevation of Mound: 95.98 ft Final Grade of Mound: 97.78 ft Mound Plan View ~ fC~bservation Pipes JJ. 1 ~`- / ~ ~~ ~,+~ K= ~ l~istribi.~tior~~,eN 'T H k-K I Tilled AreaJFill Material f L Final Grade Synthetic Fabric Distribution Cell-~=~, System Elevation ~'-~ `~~ Cover Material Fill Material-~ Mound Cross Section Observation Pipe ~ ~-~~G . « D '7 ~- ~~ Lat@1 I E In••~rert F a~ 7 ~` ` "--~ 3 Tilled Area u ~..--Slope ~~Forcemain System ~ Contour Notes: Fill material to consist of ASTM C33 Sand Distribution cell aggregate to comply with Comm 84.30(6)(x) Synthetic Fabric covering on cell per Comm 84.30(6)(8) Distribution Cell to have minimum 6" aggregate below lateral and 2" above. Mound System Pressure Distribution Calculations Project Name: Olson-Mound Lateral Layout Lateral elevation: _96.5 ft Rows of Laterals: 2 ~ Manifold type: Center ~ Orifice diameter: 0.125 ~ In. # of Laterals: 4 Distal Pressure: 5 ft Lateral Length: 37 ft Orifice Spacing/Distr tion Orifice spacing (X): 20.65 Inches Orifices. per lateral: 22 Avg. ft2/Orifice: 5.11 ftz La#eral Lateral Side View Manifold Lateral x x x x x x x x x x x x 2 2 Lateral Length Lateral Length Page 3 or 6 Lateral/Manifold ign Lateral diameter: 1'/2 ~ In. Lateral spacing (S): 3 ft Lateral to cell edge: 1.5 ft Lateral discharge rate: 9.06 gpm System discharge rate: 3 .25 gpm Manifold diameter: 2 In. Manifold length: 3 ft Forcemain Friction Loss Forcemain length: 80 ft Forcemain diameter: 2 ~ In. Friction loss in forcemain: 2.201 ft Lateral Plan View -- Lateral Length Orifices on bottom of lateral equally spaced Turn•up wlball valve or cleanout plug P'VC laterals and forcemain to comply with specifications per Comm 84.30(2J(e) Forcemain connection via tee of cross to manifold at any point Clean Out Detail Clean-out plug al Grade ror ball valve Observation Pipes +Nater tight cap or plug Sprinkler Box Long Sweep 90 ortwo 45's--.~ Note: Closet 6" Mlnlmum may be used place of 3113" 318" Bar Mound System • Septic, Pump and Dose Tank Project: Olson-Mound Tank Information Pump tank manufacturer: Wieser Concrete Pump tank size/model: wlooo/6so-MR ~ Pump tank gal/inch: 17 Actual Pump Tank Volume: 646 gal Tank bottom elevation (inside): 187 ft Septic tank size/model: ~ wlooo/65o-MR --- --- -- Page 4 of 6 Dosage Volume Forcemain drains back to tank? OQ Yes O No Lateral void volume: 15.6 gal Dosage to absorbtion Cell: 78.2 gal Forcemain volume: 13.9 gal Total dosage: 92.2 gal Pump and Filter Total Dynamic Head Pump Manufacturer: Little Giant Are laterals highest point? y Pump Model: 9EH if not, enter highest elevation: 0 ft Effluent Filter: Zabel A100 System head (distal x 1.3) 6.50 ft Vertical Lift ("D" to lateral) 8.82 ft Note: Access opening of sufficient size to be provided to allow FrICtIOn IOSS In forcemaln: 2 20 ft removal of filter. Opening to terminate at or above grade. Pressure loss from filter: . ~ft Total dynamic head (TDH}: 17.52 ft Pump Tank Diagram Dose Tank Levels Watertight Locking Cover In. Gal 4-Inch With Warning Label Finished A Reserve 22.6 383.8 Minimum Grade B Pump off to Alarm 2.0 34.0 Anernate-~ C Total Dosage 5.4 92.2 Outlet o ation t D Effluent depth for pump 8.0 136.0 c _ Elect. per Comm i' 16.28 and Total Ca aci p ry' 38.0 646.0 e ~ NEC 300 Weep Hole A' c hn~~n B G D Pump must be capable of: and head pressure of: 36.2 GPM 17.6 Feet FLgW- LITERS/HOUR w w. W~ 6 S to N 7.5 g r W I 5 ~ A W 2.5 0 Little Giant FLOW- GALLONS/MINUTE 9EH PUMP PERFORMANCE CURVE 215V 6t1HZ -Mound System Management Plan pursuant to comm 83.54 W. A. C. page 5 of 6 Owner's Responsibility: The component owner is responsible for the operation and maintenance of the component. The county, department or POWTS service contractor may make periodic inspections of the components, checking for surface discharge, treated effluent levels, etc. The owner or owner's agent is required to submit necessary maintenance reports to the appropriate jurisdiction and/or the department. Septic Tank: Septic tank(s) are to be inspected routinely and maintained by department approved individuals when necessary in accordance with their approvals. The use of chemical biological "treatments" is not required or recommended. If such additives are used, make sure they are approved by Department of Commerce, Safety and Buildings Div.. Effluent filters are to be removed & cleaned as necessary, with provisions to keep solids from passing the septic during removal. No more than 1/3 of the usable tank volume may be occupied by sludge/scum. 3 year inspection: If tank has greater than 1/3 volume sludge, tank contents must be emptied and disposed of in accordance with NR 113 Wisconsin Administrative Code by an approved individual. If the inspector does not recommend pumping of the septic tank, then the owner must be notified of when pumping should be done as to not exceed 1/3 sludge volume. Septic tank should be routinely inspected to be watertight and of good repair. Pump/Dose Tank If an effluent filter has been installed in the pump/dose tank, it must be removed & cleaned as necessary, with provisions to keep solids from passing to the mound component during removal. The pump, float switches and alarms must be inspected at least every three years for proper operation. Pump/dose tank should be routinely inspected to be watertight and of good repair. Mound and Lateral System The mound system component must remain free'of ponded surface water prior to pump operation. If 4 inches or more water level is destected in the observation pipes, the owner must be notified of possible problems/failure. The designed daily flow capabilities of the component should never be exceeded. Trees and any other deep rooted vegetation should never be planted, or allowed to grow anywhere on the component. Activities OTHER than mowing/maintenance (i.e. excessive walking, pets, vehicles, etc...) could compress the component and reduce it's absorbtion capabilities and/or possibly cause it to freeze in winter conditions. Lateral distribution pipes should be flushed out/tested every 18 months using the cleanout points at each end of the component to remove scum that may clog orifices. Performance Monitoring: Performance monitoring must be done at least once every three years following the installation or at the time of a problem, complaint, or failure. Contingency Plan: If the septic tank, pump tank or any of their components therein (including floats, alarms, pumps, etc) become defective, the defective tank or component must be replaced immediately to ensure that the system can operate as designed. If the mound component cannot accept wastewater or ponds wastewater to the surface, the component must be repaired or replaced in it's current location by either: extending basal toe to provide added absorbtion area; or by removing the clogged bacterial mat,aggregate cell, and distribution piping within-the mound and replacing said components in order to return system td proper working order as required. w .-*~__. ~; ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT .AND OWNERSHIP CERTIFICATION FORM OwnerBuyer f ,~~~zl c.K ~~.Sar~ Mailing Address tom. o a ~afc. 3~'~ ~ G[En/wo~o~j t~T'~, W/ .S~~G/„~ Property Address 3/6'x" ST. (Verification required from Planning Department for new construction) City/State C1C.E~/~tJo~ t=t~l, Gv~ Parcel Identification Number LEGAL DESCRIPTION Property Location 5uJ '/., l11Gy '/., Sec. 2 , T 3~ N-R ~S W, Town of Gce.~/~~ Subdivision Lot # Z Certified Survey Map # ~d 9 ~ .Volume l ~ ,Page # 30 `~ ~ Warranty Deed # ~' ~ ~5~ ~ ,Volume ,Page # Spec house ^ yes I~ no Lot lines identifiable ,yes ^ no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a master plumber, journeymanplumber, restricted plumber or a licensedpumper verifying that (1) the on-site wastewaterdisposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 f three year tion date. _ ~ ~ id SIGNATURE OF APPLICANT DATE OWNER CERTIFICATION I (we) certify th statements on this form are true to the best of my (our) knowledge. I (we) am (are} the owner(s) of e prop rty desc ' qve by virtue of a warranty deed recorded in Register of Deeds Office. IGNATURE OF APPLICANT DATE ****** Any information that is mis-represented may result in the sanitary permit being revoked by the Zoning Department. ****** ** Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed STATE BAR OF WISCONSIN FORM 1 - 1998 WARRANTY DEED This Deed, made between Raymond R. Dettmann aka Raymond R. Dettman Grantor, and Patrick 13.Olson and Holly Jo Olson, Husband and Wife, as survivorship marital property _ _ _ , _ Grantee. Grantor, for a valuable consideration, conveys to Grantee the following described real estate in St. Croia ~ ___ County, State of Wisconsin (The "Property"): 627~P.JA KATHLEEN H. MALSH REGISTER OF DEEDS ST. CROIX CO., MI RECEIVED FOR RECORD 06/15/2006 09;45AM WARRANTY DEED EXEMPT # REC FEE: 11.00 TRANS FEE: 75.00 COPY FEE: CC FEE: PAGES: 1 Name and Return Address 3ames H. Krave, Attorney Lot 2 of CSM filed May 7, 1996 in Vol 1 I, Page 3098 as Doc No. 543318, P.O. Box 304 being part of Government Lot 3 of Section 2, Township 30 North, Range 15 Glenwood City, WI 54013 West, Town of Glenwood, St. Croix Cotmty, Wisconsin 016-1002-30-100 Parcel Identification Number (PIN) This Is .__ homestead property. (is) (is not) Together with all appurtenant rights, title and interests. Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except Dated this _ _ ~ ~ day of June » Ray ood Dettmann AUTHENTICATION/ Signature(s) _ ~ Q-y /k~fvl~ !^ s H. Krave _ " MEMBER STATE BAR OF WISCONSIN (If not, 2006 ACKNOWLEDGMENT STATE OF WISCONSIN ) ss. - _ County. ) J Personally came before me this day of ZOOG _ the above named authorized by § 706.06, Wis. Stats.) THIS INSTRUMENT WAS DRAFTED BY James H. Krave, Attorney P.O. Boz 304, Glenwood City, WI 54013 (Signatures may be authenticated or acknowledged. Both are not necessary.) to me known to be the person(s) who executed the foregoing instrument and acknowledge the same. Notary Public, State of Wisconsin My Commission is permanent. (If not, state expiration date: •) Names of persons signing in any capacity should lx typed or printed below their signatures wwaRwN•rv acca sTw•rs awa os wrsco„snv FORM x.. ~ - r»a tIVFORMATON PROFESSIONALS COMPANY FOND DU LAC, WI 800-655-2021 /~ 1 oft ~~ .. FORM NO. 985-A S~'~331i3 CERT/PIED SURVEY MAP ND. 3098 VOLUME 11 ,PAGE 3098 BEING A PART OF G01/ERNMENT LOT 3 OF SECTION 2, TOWNSH/Ip 30 NORTH, R4NGE 1 " WEST, 77VWN OF GLENW000, ST. CRO/X CO[JNTY, W/SCONS/N. SCr4LE.• 1'= f 00' +,,~ ~~' ~+3~ J~ ~~ LEGEND ._.__ GOVERNMENT CORNER (AS NOTED) O• 60' f00' ?00• F~s~Y 0 {T ~~f O__..____SET !/4' x 24" REBAR WE/ON/NG f.50T LBS. PER LINEAL FOOT. ~"i3U1X COUNTY 3T . N. w. coR. 2-lO-75 40Cf ~•'L~~t~SfVB ~'t312[i1J FO. BERN75EN MON. Z.3Ti~ $[ld Fs.iTtcs Cammittes NORTH /S REFERENCED T27 THE WEST L/NE OF THE NORTHWEST f/4, WHICH /S ~( '• :i T¢+;OTd@d ASSUMED 727 BEAR SDO'10.4!"E. ~ Y: i~hiSt "30 days of I h apc7TOVa1 date ~ NOTES: a vsl shag h+ T U• h f) EACH PARCEL N~~~~.+t~/~/~4P /S SUBJECT % ANO COUNTY LAWS, RULES, ANO REGUL..4T/ON I WETLA /N/MUM LOT S/ZE, ACCE99'"41D P ECT.} E PURCHASING OR DEVELOP/NG ~ ' I I CONTACT THE ST. CRO/X ZONING OFF/CE FOA ~ 2) NO SU/TABLE 50/LS FOR PR/VATS SEPT/C I HAVE BEEN FOUND ON LOT 2 I~ I I I\ II I 6 6' UNPLATTEO LANDS I3 I 12 j 316.80' S89'42 29'W I\ sae.2f S0.3V • 13 ~~ I ~II ! m I$ I o o° j ~ LOT 2 I O Qj b OfCL. R./W. I o ~essz s F/f.eo Ac. I ~' I I B ~' 10 2 I OI wl I I lf.r!• aas. or { ~ ~ 3 f 6.80' N89'42 I I I m I UNPLATTEO c.ANOS I '~ $ I i o" t ~ h O f h WEST f/4 CDR. 2-lO- f5 FO. STONE MON. CEDAR CORPORATION 804 WILSON AVENUE MENOMONIE. WI 54751 (7f 5) 235-8081 4~^~ Stock No. 26273 H 3 ZI o° ~ ~l ° ~I n b I 2 z1 ~~ Rcvfsco Tfois~aAV ov~, fo8a. G.L. 3 __._. N. W. -S-W- S/L -G. L.! ~~'l~~ PREPARED FOR: .«. AMY a~cr»wN ~ Jf9~I f /0TH AVi. OLLNIg00 CITY. 1N 3iOfl ~~~`/lf//rW A,~ , V'im`' [~` (..~/~/ TN/S /NSf7PlJMENT pR.1FTE0 BY STEVEN J_ WAAK / 1^ . / w~ PAGE ~ OF? ~~~ ~® MQY 0 7 1996 ~- KATHLEEN H. WALSH /. ~~ ~d% e ~~ a a t ~..`Y'l .. •~ %~~ r 8 ® ~ ~ ~/~ 8 ® ~~ ~P ~~~~ a ~~.. n ~§ e ~~ t .. 'R. :~ p.:, ~a k. ,~~1 ~.<a~"' ~" `. F~ '~ ~, ~ .: ,a-'''wig-= va~.a-,~.. ?? `s i'^"~' ,. R.~~ ~ ,. ~?:..:.:.J. .a ~'.'' ~~-. ...~ ~~ "~', ~.:, _~ ~~ .....~ ~. ~~'°,~, 3 i %~ Tyr -- ~..; ~,. ; _~ i ~ur~.'~" ~, i Parce! #: 016-1002-30-100 12/06/2006 02:10 PM PAGE 1 OF 1 Alt. Parcel #: 2.30.15.21 B 016 -TOWN OF GLENWOOD Current ; X ~; ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O =Current Owner, C =Current Co-Owner O - OLSON, PATRICK B & HOLLY JO PATRICK B & HOLLY JO OLSON PO BOX 381 GLENWOOD CITY WI 54013 Districts: SC =School SP =Special Property Address(es): ' =Primary Type Dist # Description SC 2198 GLENWOOD CITY SP 1700 WITC Legal Description: Acres: 2.000 Plat: N/A-NOT AVAILABLE SEC 2 T30N R15W PT GOV LOT 3 BEING LOT 2 CSM 11/3098 2 OOAC Block/Condo Btdg: . Tract(s): (Sec-Twn-Rng 401/4 1601/4) 02-30N-15W Notes: Parcel History: Date Doc # Vol/Page Type 06/15/2006 827508 WD 2006 SUMMARY Bill #: Fair Market Value: Assessed with: 165046 1,300 Valuations: Last Changed: 06/24/1997 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.000 1,000 0 1,000 NO Totals for 2006: General Property 2.000 1,000 0 1,000 Woodland 0.000 0 0 Totals for 2005: General Property 2.000 1,000 0 1,000 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 ~ ~ ~ uo SOIL AND SITE EVALUATION REPORT A_ J_ Page,~a~ (L] . V06.ti ~~ 1 rn accvrv w~u~ ~~nn w.v:+~ ••~s. ~+~~~. ww ° " . ~ ~ ': V ° ~ ~ iM==~ ~~ taste s : ~ ~ ~ O twt clude t i Pl i a ~ , n an mus ze. n B t/2 x 11 inches in s s+~e plan on paper not less th Attach complete P CE ~1 D r not Hmited to vertical and horizontal reference point (BM), direction and yo of slope, scale or . . . r k •- and location and distance to nearest road. north arrow nsioned d `°~: r d ~ ~ - , , me APPUCANT INFORMATION-PLEASE PRINT All INFORMATION VIEWED ,.pAT PROPERTY OWNER: ~ / a PROPERTY LOCATION ~ ' ~ "..~--,•~;ry, GOVT. LOT ~'~J t /4 W ~(I;S ~ , ,~J,R, Q D PR PER OWNER:'S MAILING ADDRESS ~tR1"e LOT ~ BLOCKN SUED. NAM GSM+1 " CITY, STATE ZIP CODE PHONE NUMBER 2~1 l1«1' 8' d ~ ' (]CITY [(VILLAGE (MOWN Nl:A E~TR f3 G e k~eod % S, d od us L (]New Construction Use ~) Residential / Number of bedrooms (J Addition to existing building ~~ ~ ~ ~ ~ f °' (~ Replacement () Public tx tommeraal desaibe ~ Code derived daily flow gpd Recommended design loading rate bed, gpoltl2 trench, gpd/ft2 Absorption area required bed, ft2 trench, ft2 Maximum de ign baling rate bed, gpolft2 trench, gpd/ft2 Recommended infilVation surface elevation(s) ft referre~d~ t~o~ sit plan ben mask) (~Cdn Cf/~27~~ ~Sl~ ~ Sar `~ N . ~Y% ~- Additional design 1 site considerations Parent material GLEE} L r"/1 L Flood plain elevation, if applicable tt S =Suitable for system CONVENTIONAL ^ S G~ U MOUND ^ S ®U IN GROUND PRESSURE O S ®U AT-GRADE ~ S ®U SYSTEM IN FILL ^ S ®U HOLDING TA K ®S ^ U U =Unsuitable for s stem cnu l)FSCRIPTtQN REPORT Boring # ~... 2 .. #,. .:3 Ground elev. ~f,.f ;~ ft. Depth to limiting fact Boring # .;# ~ .. ~.,..s i~ ?~ th De Dominant Color Mottles Structure i t C l H Roots GPD/ft Horizon p in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. ence ons s orx~ ary Bed Trerid~ _ y ~ a ~b rr Cud ~ ~ , ,~ ~ -37 la a ~~-' a 8 ~ L- 3 S b ~ M ~' .Z' `- -- N,f N~4 o,...,.,.~,ti• _~ Rol IUD R S.Gi 9!s 7f"L t/ .S"~11`uf~A~'Gd / ~~ B ~~ -- S/L ~ ~, ~- es M . , ~. 8- ~ `- ~~- a~~ ~~ s c~ ~~ , Ground elev. 97~ tt. Depth to limiting fac Remarks: ~Z.dtsz~ -Please Print ~~~ ~ ~2 ~ ~ ~~G -. SL~4~1`LY S~ 7-tiRh Te d -- z SN/ ! 7~h Phone. ~/~ .~~.3 r y~~~ sj~ G~eNw ad i7'' lei ~ d/3 / s =yy~ Date: ~/a 9/90 CST Number f ~1. d PROF+ERT110~NEA RA~ ~ ~,~ /YJ i9N~y SOIL DESCRIPTION REPORT page .2 d~ RARCEL lD, ti' t7 j ~ ~-- ~D d 2. - _ ~c~ Boring # ~:.3 Ground elev. ~~ ft. Depth to limiting fac Boring # ,.~;~.. `~ :~ ~~.• . . Ground elev. ft. Depth to limiting factor Boring # €< ~< >t Ground elev. it. Depth to limiting factor Boring # `z€aC~.~'o. ~~ :~ .. ~~4., Ground elev. ft. Depth to limiting factor Remarks: Horizon Depth Dominant Color ~ Mottles Texture Structure ~~~ ~,~ Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed rert<h O - IO ~ -- S! ~ ~ S ~ S ,~CO ~ J'' 2 7- 6 y -- e~ A G M F e w I ..S' i I /~ r~, _Q --j ~ --~ r 2 ---~- ~~ ~ d - ~'_ / - N --- -- - --! - - I ~ -- I - ---- ,-- -- ~---r-- ~ ~ -- __ - 1 ~ ~ ~ d ~ ~ ~ _ ~ ~ __ ~ _ _, _ - -_ __ _ - ~ _ _ ~ _ _ ---- ~ ~, ~~ ~ ~. ~ - - -' ---- - - - ~ -1 __ -- r.~ - - ---- __ -~ - - - - - -~ ' -- - -- - - - - --; -- ~___ -~ -` - j -- -----i---a ~ -- --~- --- -- fi ~ - - __ - - __~ - _ - - - _ - --- __ _ - - ~ - ~ -! ~ _ - --j --- - ~ -, --~ i - --- ~ - - -- -- - ~ - - _ I - ~ __- r--~ -- - ~ -- - I ~ - ` ~ ___ i ~ i r - --- -- - - ____ - - e ~ _ ~ -- -- ~ - - - - ~ i -- ~ ~ _ _ ` ~ ~ - _ -- __ -- - ____ - i _ ~ - -- -- ~ - I ~ - -~ ~ ~ - -- ~ -- ~ --- ~-- --; r-~ 5 -~ -- -- - -- I 1 --- -- f --- ~-- -- - ---; - --, - --- ~ --- i - .. -- -- -- --- I -- - ~ -- - --- _ --- ~ ~ ~ ~ - --- -- i - -- - -- i J ~ --- ' .-_ ~ _~ __- __ - - -- - -_ - -- a -~ __ ~' ~ t ~ ' ~ ~ -a _ - ~ _ -- ~ - -- ~ - - - - ~---~ - ~- - -~ --- ~ - - ~ , . ~ -~ ~ - - __ -- -_ , ____ __- - --- _ - ~-- i --- ---~ ---7 ,i - -- __. -- ____ - _ _ ~ ~ ___i _ _ _ ____ _ _ _ _,~ ~ --_Y - _--,--y - ~ - ~ -.-- ~ -- 1 I - - ~ - - --- ~ i ' -- ---- -- ~ ~ - ~ i -- -~ ' a --- ~ r- -- I - - -- ! -- - - -- ,-- - ! __ -- ~ v - _-- -- - _ - - - _ ~ --- - ~ --- - i f - ~ _ _ ! _- 1 - -- -- - - - - ---- - --- - - C~! - , ~ 1 --- ~ -, ~ - - - - - -- - - -- - --- - _ __ _ _ ~ _ ---~ --- j.- -- ~ ~ --- -- ----- - t o ~ +~o ~ _ I ~ _ o e _ - I~ ' - -- - - - ---- -- I- -- -- - - ~ s_ - i -- - , i Parcel #: ~~6-~~~2-30-~~~ 04/05/2007 03:34 PM PAGE10F1 I Alt. Parcel #: 2.30.15.21 B 016 -TOWN OF GLENWOOD Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O =Current Owner, C =Current Co-Owner O - OLSON, PATRICK B & HOLLY JO PATRICK B & HOLLY JO OLSON PO BOX 381 GLENWOOD CITY WI 54013 Districts: SC =School SP =Special Property Address(es): ' =Primary Type Dist # Description SC 2198 GLENWOOD CITY SP 1700 WITC Legal Description: Acres: 2.000 Plat: N/A-NOT AVAILABLE SEC 2 T30N R15W PT GOV LOT 3 BEING LOT 2 Block/Condo Bldg: M 11/ 0 2 A C .OO 3 98 S C Tract(s): (Sec-Twn-Rng 401/4 1601/4) 02-30N-15W Notes: Parcel History: Date Doc # Vol/Page Type 06/15/2006 827508 WD 7M7 CI IMMeRV Bill #: Fair Market Value: Assessed with: -- - - - - ------- - - - - 0 Valuations: Last Changed: 06/24/1997 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.000 1,000 0 1,000 NO Totals for 2007: General Property 2.000 1,000 0 1,000 Woodland 0.000 0 0 Totals for 2006: General Property 2.000 1,000 0 1,000 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 ` Parcel #: 016-1002-30-000 04/05/2007 03:40 PM PAGE 1 OF 1 Alt. Parcel #: 02.30.15.21A 016 -TOWN OF GLENWOOD Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): 0 =Current Owner, C =Current Co-Owner O -JACKELEN, JOHN JOHN JACKELEN 3128 180TH AVE GLENWOOD CITY WI 54013 Districts: SC =School SP =Special Property Address(es): ' =Primary Type Dist # Description SC 2198 GLENWOOD CITY SP 1700 WITC Legal Description: Acres: 37.640 Plat: N/A-NOT AVAILABL E SEC 2 T30N R15W PT GOV LOT 3 40A EXG PT BlocklCondo Bfdg: TO CSM 11/2976 & EXC PT TO CSM 11/3098 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 02-30N-15W Notes: Parcel History: Date Doc # Vol/Page Type 04/03/1998 576433 1311/640 WD 03/10/1998 574719 1304/185 WD 07/23/ 1997 1177/402 LC 07/23/1997 1176/219 PR more... 2007 SUMMARY Bill #: Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 07/26/2006 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 26.640 4,100 0 4,100 NO UNDEVELOPED G5 1.000 200 0 200 NO AGRICULTURAL FOREST G5M 10.000 8,800 0 8,800 NO Totals for 2007: General Property 37.640 13,100 0 13,100 Woodland 0.000 0 0 Totals for 2006: General Property 37.640 13,100 0 13,100 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Tota I 0.00 0.00 0.00 _ i~~~ \ FORM N0.985-A ~W~' Q~~ p ~ L~~d~ ~ .. Stock No. 26 S ~ MAY 2 4 1996 ~f~® 9 URVEYOR'S RECQRO MAY 0 7 1996 0- ~~3~1.~ tea" ~o CERTIFIED SURVEY MAP NO. 3098 ~ ,/ VOLUME 11 ,PAGE 3098 r, ~ BE/NG A PART OF GOVERNMENT LOT 3 OF SECT/ON 2, TOWNSH/P 30 NORTH, RANGE 15 WEST, TOWN OF GLENiW000, ST. CRO/X COUNTY, W/SCONS/N. A:I /~", SCALE.• 1 "=100' ~~:,~~~~ LEGEND ....... GOVERNMENT CORNER (AS NOTED) O• 60' 700• 200• ~NJ 0 ~ ~~~ O._....... SET 3/4" x 24' REBAR WE/QHINO N 1.602 LBS PER L/NEAL FOOT. N. w. coR. ,~"t . G~iC3l.X COtiN7Y 2-30- 15 CaY~n{~r~h~ecs$sve pt8txlir FD. BERNTSEN MON. ~G>1'lirlg and Parks Camrrnttes NORTH /S REFERENCED TO THE WEST L/NE OF THE NORTHWEST 1/4, WHICH /S If nG2 recorded ASSUMED To BEAR SOO•f0.43"E. W• ~ ~: ifyh~.~'30 days of "~ ;approval datw ~ ~ .NOTES: ~~roval shall Fss p•N 1) EACH PARCEL 0~~~~~4P /S SUBJECT TD STATE y I AND COUNTY LAWS, L S, AND REGULAT/ONS (l. E. WETLA A /N/MUM LOT S/ZE, ACCE,S~!O PARCEL, ECT.}• '~E ~ PURCHAS/NG OR DEVEGGP/NG ANY PARCEL, ~ I CONTACT THE ST. CRO/X ZON/NG OFF/CE FOR ADV/CE. I I I 2) NO SU/TABLE SO/LS FOR PR/VATE SEPT/C SYSTEMS 1 HAVE BEEN FOUND ON LOT 2 I~ I I\ II I 6 I3 6' I UNPLATTED LANDS 12 " w 31 s.8o • s8s•42'2s I ~ 2es.z r I\ 3o.s9• I ~`" I ( W Io I o °o i" LOT 2 ^ , ^ B7, 720 S. F./2.00 AC. I ~ I O C ~ 7B,662 5. /1.80 AC. I I~ I 6 6'10 I_ I Z1 I 10 I I I ~ I 31 .73' ~ 2es. 07• I ~ I 31 s. 80' N89'42'29"E I lu I UNPLATTED l~1 NDS ~~,~~ 4~ ~ 2I o ~ gI ~ ~ WI N o ~I Z zI ~I S/L ==G. L. 3 • STEVEN J. _~,' WAAK ~ ,~'_ _ S-1610 ~~ :~ MENOMON~E ~~~ .0. II Ill .b//9/9~ REV/SED TH/S~ DAY OF~, > 998. G. L. 3 ......_ N. W. -S. W.