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016-1016-20-100
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safet¢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)]. ~ennit Holder's Name: City Village X Township Quale, Mar uerite Glenwood, Town of SST BM Elev: Insp. BM Elev: BM Description: TANK IN FORMATION TYPE MANUFACTURER CAPACITY Septic Dosing Aeration Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic Dosing Aeration Holding PUMP/SIPHON INFORMATION Manufacturer Demand GPM Model Number TDH Lift Friction Loss System Head TDH Ft Forcemain Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM ELEVATION DATA County: St. Croix Sanitary Permit No: 110 State Plan ID No: Parcel Tax No: 016-1016-20-100 Section/Town/Range/Map No: 08.30.15.1268 STATION BS HI FS ELEV. Benchmark Alt. BM Bldg. Sewer ~.z~ tip. ZcP SUHt Inle3 Y ~~ f (. 35 ~ ~ ~ ~ 7 SUHt Outlet Dt Iniet Dt Bottom ~5,~ /as,s 89. c~ Header/Man. Dist. Pipe Bot. System Final Grade St Cover l a o~ ~'- /a . 5i- `~5. BED/TRENCH DIMENSIONS Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth SETBACK INFORMATION SYSTEM TO f T P/L BLDG WELL LAKE/STREAM LEACHING CHAMBER OR Manufacturer: ype O System: UNIT Model Number: DISTRIBUTION SYSTEM HeadedManifold Distribution x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) Length Dia Length Dia Spacing - - --- ------- - - SOIL COVER x Pressure Systems Onlv xx Mound Or At-Grade Systems Oniv Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Ed es g To soil p 0~ Yes 0 No ~ 0 Yes ~ No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / / Inspection #~L: / / Location: 2869 170th Avenue Glenwood City, WI 54013 (NW 1/4 NE 1/4 8 T30N R15W) NA Lot~1 Parcel No: 08.30.15.1268 __ 1.) Alt BM Description = ~~'~~ P~J ~-I^°~" ~~.~ o~~"~ M'tK'~' ~7K" T'/bS~` r 2.) Bldg sewer length = ~ za 'S~~Q~., - amount of cover = r ..- 3.)Contour = r 2' Co,~.t~ Plan revision Required? [] Yes ~' No ' Z , ~ Use other side for additional information. Date SBD-6710 (R.3/97} ~ 3 7 - Cert. No. OUnty an tary ePn7 t App icatlon ST. CROIX COUNTY WISCONSIN In accord with 15.04 St. Croix County Sanitary Ordinance ZONING OFFICE Personal information you provide may be used for secondary purposes ST. CROIX COUNTY GOVERNMENT CENTER _~_ _~ " '~ [Privacy Law. S. 15.04(txm)j 1101 Carmichael Road ~-~~ ~ Hudson, WI 5401&7710 (715 86-4680 Fax 15 686 Attach complete plans for the s stem on paper not less than 8-1/2 x 11 inches in size. Cty arOtary Pemmit # ^ if revision to previous application I, plication Information -Please Print all Informatio Location: PropeRy Owner. Name ~ RECEIVED ~/w 1 /4~~ 1 /4, Sec / •~~[L T •- V' Ik_ C T 3 U N, (5 R !~( W Property Owners Mailing Address 2 ~ ~ ~ Lot Number Biodc Number 289 ~ 7or~.,~VC ~ City, State G Zip Code P ne Numer " " ' or CSM Number c.c~c/ C~-~ ~ w ~ s-~a ~ 3 S `~ ~ g ~ C II of Building: (check onej ~ O/ity ^ Village own of or 2 Family Dwelling - No. of Bedrooms: ^ ~ C Gc~tie~ PublldCommerdal (descxibe use): ^ State-0rmed Nearest ~~~ II..Type of Permit: (Check only one box on line A. Check box on line 8 if applicable) ~ _ ~. Parcel Tax Number(s) A) 1.^ Repair 2.~Reconnection 3.^Non-plumbing . Q Rejuvenation ~ 16^ /Q`~ Z O ~l~l'> ~/ Sanitation B) Pernit Number Date Issued ^ State Sanitary Pemit was previously issued (V. Type of POWT System: (Check ail thaYapply) ^ Non-pressurized In-ground ~ ,Q~Mound ^ Sand Filter ^ Constructed Wetland ^ Pressurized In-ground _ ^ Holding Tank ^ Single Pass ^ Drip Line ^ At~de ^ Aerobic Treatment Unit ^ Redreulating ^ Other . Olspersal/i'reatment Area Information: 1. Design Flow (gpd) 2. Dispersal Area 3. Dispersal Area 4. Soil Application Rate 5. Percolation Rate 6. System Elevation 7. Final Grade CpG~ Required l~ Proposed alsJday/sq.ft.) !o (Min.finch) o 74 Elevation /~ . . /mo i. Tank Information Capaicty in Gallons Total # of Manufacturer Prefab Site Con- Steel Fiber- Plastic New Existing Gallons Tanks Concrete structed glass Tanks Tanks Sa ^ ^ ^ ^ ^ II. Responsibility Statement 1. the undersigned, assume responsibility for repair/reconnenction/reJuvenationfinstaltation of non-plumbing for the POWTS shown on the attached plans. A icense is not required for teralift repair installation of non-plumbing sanitation system. PI ber Na a sprint) PI rs S atu nos ps): MP/MPR No. ' ~ Business Phone Number ,/,/~ trS' ~ 2G?~ 7l5-G4z3-ZS2-d PI rs Address Street, City, State, p e ~ 5-SG S~ G~ t ~`r l ~~ S'~ ? 2S ' ° .~.C r - c a ? w/ E 11. Coun Use Only Disapproved Sanitary Permit Fee Date Issued is uin gent Signature o stamps) APProv~ Own Give I Adverse D t ~~_ Ill 21 ~ e e «, , IX. Conc~(tlutts~f f1ppCNER. easons for Disapproval: 3\%~~ ~ ~r L ~-a-- / ~-i 1 Septic tank, effluent filter and dispersal cell must ll b a e serviced / maintained as per management plan provided by plumber . 2. All setback requirements must be maintained as per applicable code/ordinances. o~ ~ L\c~'' x. x a o ~~~ - r ~J~„~ b,,; ~~~~5 sew Gctir~ec.~ [~o G~e.g,,n. 5e~-~,t~~. ~.~~.Q. - ~- _`- '---' 3 ~~ a M ~ ~ ~ ~ ~ ~ ~ ~ 2 ~~ ~ ~ `~ ~ ~ ~ ~ ~ ' 0 V- 3 4 _~~ :, 9 ~- ~_~- ,, .; 3 ~ °~ a ~~°~~ ~~ ~ _~~ ~ ~ y _~, ?~ ~ L ~ ~~m 9 Wisconsin Depart:x~ent of Commerce Safety end Building Division PRIVATE SEWAGE SYSTEM INSPECTION REPORT GENERAL INFORMI'~TION (ATTACH TO PERMIT) Personal information y>su provide may be used for secondary purposes (Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: Quale, Lee & Mar uerite City Village X Township Glenwood, Town of CST BM Elev: Insp. BM Elev: BM Description: TANK INFORMATION TYPE MANUFACTURER ~ CAPACITY Septic ~ / _ S ~~ V ~ ~ Dosing } ~•.'/ t Aeration Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic • 58 + ~ Dosing Aeration Holding PUMP/SIPHON INFORMATION Manufacturer ~; ,r/~ -1-'r~ /' `~_ en Demand GPM Model Number ~E ~~ 3~.,q0 TDH Lift ,s Friction Loss .s~ System Head rQ,~ TDH Ft Zr.~s- Forcemain Length ~ I zo Dia. „ Z Dist. to well C(111 ARSARPTIC]N SYSTEM ELEVATION DATA County: St. CroiX Sanitary Permit No: p~ 487926 ~(,. 0 S~~ I~~ No: ~K. D4~' rcel Tax No: '~+' olio- /oleo -ZD-/~ ~• 1Zfcg~ Section/Town/Range/Map No: 08.30.15. STATION BS // HI FS ELEV. Benchmark / ~. 17 Alt. BM Bldg. Sewer z. q~ r 9~ /s St/Ht Inlet ,,LL T•~ ~ SUHt Outlet Dt Inlet Dt Bottom ~•Y 1 89'~Z Header/Man. ~ Z ~ f o , gS Dist. Pipe s ,, Z(, r d/.~S Bot. System S, 4 2 S. 9 3 !vr ~, j q Final Grade Lap uu~ l( 1,2, e.~ I~• Ss:~ - ver St Co yy T C~~ l ~.r~ ( 4A•~l r ~ N-,.a, . gl ,~ 12. ~Z' 9~f 39' E Width Length N . Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. epth IMENSIONS 1 ~ 1 ~ ~...(~ _ ~„ SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING anufacturer: CHAMBER INFORMATION Type Of System Z ~ r \ ~ UN Mo tuber: 111CTGIQI IT1('1AI CVCTCM l9~ L ~~ L~ni~w..a __d-Y' HeaderlManifold I! Distribution ~ r r pipe(s) I ~ ~ I /2 x Hole Size ~ / f' x Hole Spacing ~ I ~ 3 ~ Vent to Air Intake Length ' a Dia 2 ' Spacing ~ Length~2rt• is 0 1 /~ C/111 f`l1VRR ., o............. c..~~s.,,~ n.,i,, v,. 11A.,..nr1 flr A4.(:rarlta Svstams OnIV Depth Over Depth Over xx Depth of xx SeededlSodded xx Mulched BedlTrench Center BediTrench Edges Topsoil ,J Yes [~,~~ No j ]Yes ' No C~O~Sclude Bode isNeper~i ~S~ers~es~rrt,.etc.) ~s Inspectio (;~(~ ?j ~~~ Jl ~u„2QQ. ~'-~ t ~L 1. Loc I n: 2869 170th Avenue Glenwood City, 154013 (NW 1/4 NE 1/4 8 T30N R15 NA Lot 1 1.) Alt BM Description = 2.) Bldg sewer length = 1 S' ~ ~' ~,y~, ! 3 ~r -t _,IZD ~~., _J„~, 1 ~ ~„~ ~rr~/ Cdr -amount of cover = l ~„"` ~-- `a"'"" -~`-• l l - __ - - -- Plan revision Required? ~ Yes No ,/-~~[/~~ Z( $r~9~ ~~~~~y Use other side for additional inform 'on. ___ _ ~ __~ i - - ---- -- -- ~Da~E~ `- n /~ (~ Insepctor's Signature SBD-6710 (R.3J97) ~,~.~~ ~/lQn.~L.~ Inspection #2: '7"'r7---' Parcel No: 08.30.15. ~~, __ _ -, l ~I ~ -- - - J _.~ .. J i- __ 1__I _ ~ -~ Cert. No. W~ 04/11/05 1i4N 14:40 FAZ ?15 2T9 888„ ,_..P.C. LAND HGi1iT. .____ 0001 -~•~---- .._ ._. _... ._ _.... its ....._ . ..___ ~d/.X -• $afcty and Tiuildin8s Division r 201 W. ton A~'e., P.O• Boa 7162 ~ 53707 - 7162 Sml pervtit xutnOR (to be filled in by Co.} ~~c~nsrri ~~ 151 .D.$~ ~z ps gr`tment of Cornrnerce ~, • ~ rabid P n l Sanitary Permit App do ~ ~ $,30 / trtfarm in axnrd with Cunua 83.11. Wis. Adm. Crxle. PeTyxN °Y ° i , ~ ~ 1 jeer eas (if difkreot thast mylina addrrtt) t>uy he usad fir secondary PUtposat P[ivacy Latw, s13.W-( .,,., i ~ „{C ~~°I ~ 7~ I. Applicatirnt Iaforsnatlon - Plydr,c P't•!nl All Inforutatirn+ .,_i CRp1X;~v~'i (1' "J~ - ~t1--- t; --- Bloctc N ZON ~ YropestY Qiy~cr's Nanu ~, E€ s /~C.~•R ~ i!E 12 t TE ~1 t.E Pf ocatiat pt~y Owner's 1!lla ilirte Adttrtals ,/ Q' 2 8(0 ~ A Y ~ /~/~r/ ~w ~~~~.se000n ~ca.--~} t ~c Zip Ctxfe Plwnc Num>xr -~~- ~ ~ Cinly,.STaJte~ I ~ (GTE CTS/ GU~ W ~ ~ / ^' ZGS T ~V N: R~B °`^J . Type of Building (chsck nil that apply) d~ c.,fj fju~or'T r~ ~ Subdiviakn Niuae CSM Numtxr ~ or z Pamily Awe11111g - Numhcr u! i)cdrewnls L C7 Public~C:otnmercial - Urtcribc Use~_, ~l ' ',]Ciry_;]Villa=e~7'nvvntElp of i/ STaTe Uwt1M -1}~rihc UsC ~ k~.... o/'~°J~G~ III. T Pe of Pertnll: (Check only on~box ~n line A• Ccwaplate line B if n~licablo) _ Y A• ~ldcw System t'1 Ittpinsemant Syatem t] 7'rrauua>L'liolAlrtSTdnk ~Piiccment Only ~ Other Modification m Ikiettnsi Yarn ~-- _~~ List PrCVioua Permit Number attcl Date Issued (~ Chanste of f .I Permit Transfc to Ivrw B. ~..~ Ponnit Ytwcars{ I ^ Prrtsut Rrvisfon Plunlbcr (lwaer { 113eforo Expiration ( .~_.~--~•- ~--"~-' _~-- Iy. Tytx of,ppylrTS 5 stets: Chuok all that a ri ~_._ sn fa Pwu S:ux- Hitter C] Non -PrrisUrirrtl in-tiroumi ~M~ > 24 ie. of suitable acnl U Mnund t 24 in. of attltlblc soil ^ At-t3radc ^ S S nlJin Tani: (7 Paat FUtrr i.J Acmhic Trrwx:nt Unit !..~ Rccircul ing Saa/d~(F-titer ~/ t'.erowrted Wedded (~ Pre>sutizeU In-clrrn~nd x• R !] Other t au[j • +~ [~ itrcitculsun Synd+sxic Mnllia Fitter n LxeChin& Citambtt !.~ Dti~+ zinc ^ Grivrl•ICS~Y!P~ ~• V. DispersaU7'reatment At~ea Tnforxnatioa: Ar,ya wired (st) plspersal Arad Pro (sn SY.~am F.kvatl0n ~ 1?rsiStT Flnw tgpti) Iksittn Soil ApPlie ttato(pvdsf) pig ~~~D /~/U•~~ ~!. ? , ~d'~ .~~G ~Q~ ~ ~ ~O ,/ / Pretab Stu i Sreci i Pibrr P antic . Ca ei tit Tr>t1 Number Maaufilcuuer Gll+ss VC. Tank Info Ps ry Coricretc CAaseritrted Gallons Gallors { of L'ni;s /~~~ ~ ~ /~ NCw Painting / I_~-~,. , ~--~~ .. ~~ i - - - VII. R~1-1-1tY S~tetneat- 1, the under- ssi;e~d. a ~tu~tnber's Nitric CPritl T) Plum 'w S' a titre ~I~- j L ~.~ Ems- 5 PluTnber'a Addrals (Strccl , Ciry, State, Code' 1 E /5SG ~Sr''~-tE R~ ~, Sutilary PerntiT Sun:hargr Px) itmai of Approval/Rcas~ for Uisappror~ aratt~ opt: t, '~.oli~ W~k•.I~ua AMr.a ~s1M~~M tapa~t~ p'clild~dalt*~• ~ ~ pay atdNwtom. AnilC6 ~vmPlrls ~b (tp tke Co+nty u for instaliatlutl pR l11! p phtx~4NUmxr nn ~ r l~ ~-~. ~ ; ~ ~~~ fee the a7stn° °~ wvK dot ill ~,~5 ~t•~ ~! SBD-6398 (R. Ol/O3) 4 ~3 i i l~ ti J Q' U .o N M ~ 4 ~ ~'. 1 ~~ ~ a 1 \, o ~ v Q" Cs' ~~ f~c~ A U 'o a m 3 (~ ~ Z ~ M ~ ~ w ~-- r 2 ~ ~ ~ 16f-0 V '~ _ aro , .c ~ ~ x - °a- ~a B ~~ ~ ~ ~v .~ ~ ~ `` 0 ~~a ~: •.~: ,,~ r r~ ~ . 'I> ~ I~ J ~ Z ~ iY g M ~ '` , W ~ ~ ~ ~ r u~r ~ ~ V `~ \0~~ ~z ~v ~`~ 3 ~4= ~ ~ 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.commerce.wi.gov/sb/ www.wisconsin.gov Jim Doyle, Governor Mary P. Burke, Secretary September 28, 2005 CUST ID No. 224617 LYLE J MYERS NORTHLAND PLUMBING INC E1556 STATE ROAD 64 BOYCEVILLE WI 54725 ATTN: POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 09/28/2007 Identification Numbers Transaction ID No. 1198301 SITE: Site ID No. 704968 Lee and Marguerite Quale Please refer to both identification numbers, 170TH Avenue above, in all comes ondence with the a enc . Town of Glenwood, 54013 St Croix County FOR: Description: Mound, 4 Bedroom Object Type: POWTS Component Manual Regulated Object ID No.: 1041357 Maintenance required; 600 GPD Flow rate; 25 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. 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 addi 'on, the owner must comply with the operation, maintenance and monitoring duties as described in section VIII mcnnld component manual. A copy of this information must be given to the owner upon completion of the ojec~. 3,. `~~ f' i,; aG All holding/treatment tanks are to comply with Comm. 84.25(7)(a). 11~~ ~+ ,' A ~ DlV~y : _ry. Maintenance information must be given to the owner of the tank explaining th~riodic cleaning of the filter is required. Access to the filter for cleaning must be provided per Comm 84 product a~~r~l-editions. ~-~1/ A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats.~ Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. LYLE J MYERS Page 2 9/28/2005 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 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, Julia ALewis-Osborne POWTS Reviewer 2 ,Integrated Services (262).548-8638, Fax: (262) 548-8614 j Lewis@commerce. state.wi.us Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 WiSMART code: 7633 Mound System Cover Page pg 1 of 6 yam. co~nc~EtE Project Name: Quale-Mound Owner's Name Lee&Marguerite Quale Owners Address 2861 170th Ave. Glenwood City, WI 54013 ~- -- -- Legal Description Nw n %<, it NE !:1 ~/4 Secr 8 ~ T 30 N, R 15 ~w ~ Township Glenwood r County ~ Saint Croix _ '~ ~ Subdivision N/A Lot# 1 ParcellD# Pending 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 Designer Name: Lyle J. Myers MP/License #: I.D.# 224617 Date: 9/14/05 Ph. #: 7156432520 ~ ~~ Signature: -:,,~~;~cs __ __~ Mound System Design Methods Used ~~~~-fir„ ~-~~ ~L~«rC per "Mound Component Manual For Private Onsite Wastewater Treatment Systems" (Version 2.0) SBD-10691-P (N.01/01) E per" Pressure Distribution Component manual for Private Onsite Wastewater Treatment Systems" (Version 2.0)SBD-10706-P (N 01/01) 3bAdvisement N12486 220th St, Boyceville, WI 54725 Ph: 715-643-6068 email: Mound System Mound Sizing Calculations Project Name: Quale-Mound Page 2 of 6 Site Conditions Design of Entire Fill __ ~ Project Type: ~i or 2 Family Dwelling Cell depth at upslope edge (D): 11.0 in. Slope: _ 3 % Cell depth at downslope edge (E): 14.9 in. # of Bedrooms: 4 pistribution cell depth (F): 9.5 in. Depth to limiting factor: 25 in. Cover thickness over edge (G): 6 in. Absorbtion rate of fill material: 1 galJft2/day Cover thickness over center (H): 12 in. Absorbtion rate of in-situ soil: 0.6 gal/ft2/day End slope width (K): 8.7 ft. Effluent quality ~ Eft#1 , • Fill length (L): 92.4 ft. Max BOD effluent value: 220 mg/I Upslope width (J): 6.0 ft. Max TSS effluent value: 150 mg/I Downslope width (Toe) (I): 8.7 ft. Fill Width (W): 22.7 ft. Design of the Distr ibution Cell Basal Area System Design Flow: 600.0 gallday Basal area required: 1000 ft2 Distribution cell width (A): 8.00 ft Basal area available: 1253 ft2 Distribution cell length (B): 75.0 ft Area of Distribution Cell: 600.0 ft2 Observation Pipes Contour Elevation of Mound: 99.84 ft Location from end of cell (Z): 12.5 ft System Elevation of Mound: 100.76 ft Final Grade of Mound: 102.55 ft Mound Plan View ~ ~abservatian Pipes. Z~ ~ ~. V,r K--~ ~'~ Gitrib~Jtion deli ~`~ A ~ k-K I Tilled Are~lFill Material L Mound Cross Section Final Grade _~_ =-~f Syn#hetic Fabric _ , ~-{ Distribution Cell ;~ `~ ~~ '' System Elevatior~-~'-,,~ =-;,,, ~n ,4; , p ee r ~' Late'r~l Cover Material ~'`,~..~ E fnverk Fill Material-i- ~~- ~-~- I bsenration Pipe d -~d~. 7 led Area ~.~----Slope ~~-Forcemain~System Contour Notes: Fill material to consist of ASTM C33 Sand Distribution cell aggregate to comply with Comm 84.30(6)(1) Synthetic Fabric covering on cell per Comm 84.30(6)(g) Distribution Cell to have minimum 6" aggregate below lateral and 2" above. Mound System Pressure Distribution Calculations Project Name: Quale-Mound Lateral Layout Lateral elevation: 101.3 ft Rows of Laterals: z _ ~ Manifold type: ~nter ~ ~ Orifice diameter: 0.125 ~ ~ In. ~__-_-- # of Laterals: 4 Distal Pressure: 5 ft Lateral Length: 37 ft Orifice Spacing/Distribution Orifice spacing (X): 19.73 Inches Orifices per lateral: 23 Avg. ft2/Orifice: 6.52 ft2 Lateral Side View Lateral Length ~ ~ Turn-up wlball valve or cleanout plug Orifices on boktom of lakeral equally spaced Forcemain connection via tee of crass to manifold at any point Lateral Plan View Clean Out Detail Clean-out plug nal Grade ror ball valve Ili J+later tight cap or plug Sprinkler Box Long Sweep 90 oriwo ~45's-~ Page 3 of 6 Lateral/Manifold Design Lateral diameter: 1'/z ~ In. Lateral spacing (S): C~ft Lateral to cell edge: 2 ft Lateral discharge rate: 9.47 gpm System discharge rate: 37.90 gpm Manifold diameter: z I ~ In. Manifold length: 4 ft Forcemain Friction Loss Forcemain length: 80 ft Forcemain diameter: z _ ~ In. Friction loss in forcemain: 2.390 ft PVC laterals and forcemain to comply with specifications per Comm 84.30(2J(eJ Observation Pipes 6" Minimurim Note: Closet Collar may be used in place of 3/8" bar X3/8" Bar i Mound System Septic, Pump and Dose Tank Project: Quale-Mound Tank Information Pump tank manufacturer: Wieser Concrete Pump tank size/model ~ wizso/~5o-MR Pump tank gallinch: 16.12 Actual Pump Tank Volume: 758 gal Tank bottom elevation (inside): 91.5 ft Septic tank size/model: 'rwizso/~so-r~tR ~ Pump and Filter Pump Manufacturer: Little Giant Pump Model: 9EH Effluent Filter: Zabel A100 Note: Access opening of sufficient size to be provided to allow removal of filter Opening to terminate at or above grade. Page 4 of 6 Dosage Volume Forcemain drains back to tank? ~ 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 Total Dynamic Head Are laterals highest point? y if not, enter highest elevation: 0 ft System head (distal x 1.3) 6.50 ft Vertical Lift ("D" to lateral) 9.09 ft Friction loss in forcemain: 2.39 ft Pressure loss from filter: L ~.Ift Total dynamic head (TDH): 17.98 ft Pump Tank Diagram Dose Tank Levels Watertight Locking Cover ~ In. Gal j With Warning Label 41nch Finished A Reserve 31.3 504.6 Minimum Grade g Pump off to Alarm 2.0 32.2 Alternate) C Total Dosage 5.7 92.2 Outlet Lo ation D Effluent depth for pump 8.0 129.0 c Elect. per Comm 16.28 and Total Ca acit p y' 47.0 758.0 ~ ~ NEC 300 Weep Hole '~' or Anti- Siphon B Device FLOW- LITERS/HOUR C D 9 i ~ ~ w ~2 Q Pump must be capable of: 37.9 GPM ~ I and head pressure of: 18.0 Feet io N 7.5 ~ W Z 5 ¢ z 2.s 0 Little Giant FLl7W- GALLONS/MINUTE 9EH PUMP PERFORMANCE CURVE 115V 6UHZ r., 1 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 sludgelscum. 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 surtace water prior to pump operation. If 4 inches or more water level is detected 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 andlor 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 to proper working order as required. ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer L.EE ~ ~-~t~Z ~ t!E-iiG t TE Q V ~ t.~ Mailing Address _2f3le/ / ~0~, ~tlE Property Address ~' G~- °i I "~ n ~ .n . , n (Verificationrequired from Planning Department for new City/State ~~r`>cA~GyaQt~ C..tT'f , w ~ _ .Parcel Identification Number h~~ - ~~i~ -~ a _ LEGAL DESCRIPTION Property Location ~~ '/., ~~' '/., Sec. g , T.3~ N-R~~W, Town of GLE~/WOO~I~ Subdivision _ - ,Lot # Certified Survey Map # $~ X398 .Volume Z U .Page # 50 Warranty Deed # ~o S ~~ 3 ~ ,Volume ,~~7D `~ ,Page # ~ Spec house ^ yes jB( 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 mastcrplumber, journeyman plumber, restrictedplumber or a licensedpumperverifying that (1) the oa-site wastewaterdisposalsysrem is in proper operating condition and/or (2) after inspectYOn and pumping (if necessary), the sepric tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements sad agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days o the thre r expiry 'on date. ~ ~y /~/ ~s SI NA APPLICANT DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the pro rty d d above, by virtue of a warranty deed recorded in Register of Deeds Office. ,c ~ 1x1 l.~ ~ os r , SI NA F 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 •Yr!_ ~ ~~~Pa,E ~~9 STATE BAR OF WISCONSIN FORM 2 - 1999 6.5465 P;HTHLc:EN H. WALSH Document Number WARRANTY DEED kEGISTER OF DEEDS aT CROIX CO WI . ., This Deed, made between Thomas J. Schug and Lynette M. RECEIVED fOR RECORD Schug, husband and wife OB-29-P001 8 30 Rh : YARRRNTY DEED Grantor, and Leon D. uale and Ma uerite R Q rg Qua1e, husband and EXEFIPT !t CERT COPY FEE: wife COPY FEE: TRRHSFER FEE: 780.00 RECORDING FEE: 10.00 P 1 ES Grantee. RG : Grantor, for a valuable consideration, conveys to Grantee the following described real estate in 5t. Croix County, State of Wisconsin (if more space is needed, please attach addendum): Recording Area W ~ of NE '/. of Section 8, Township 30 North, Range 15 West, St. Croix Name and Return Address County, Wisconsin. ~~~__ 016-IO16-20,~ Parcel Ideniificetion Number (PIN) This is homestead property. (is) IFDI3Q Exceptions to warranties: Easements, restrictions and rights-of--way of record, if any. -k" Dated this _~t~-_ day of August 2001 +_ s AUTHENTICATION Signature(s) authenticated this day of , TITLE: MEMBER STATE BAR OF WISCONSIN (If not, . Schu • L netts M. Schug ACKNOWLEDGMENT STATE OF WISCONSIN ) 55. ~-,, C.~t~O r Y( County ) Personalty came before me this oZ~~ day of August 2001 the above named Thomas J. Schug and Lynette 1VL Schug, husband and wife authorized by § 706.06, Wis. Stets.) THIS INSTRUMENT WAS DRAFTED BY Attorney Kristine Ogland Hudson, WI 54016 (Signatures may be authenticated or acknowledged. Both are not necessary.) Names of persons signing in any capacity must be typed or printed below thei to me known to be the person(s) who instrur~tfiDand acknowledeed the sort My Comm WARRANTY DEED STATE BAR OFWISCONS[N FORM No. 2 - 1999 State of Wisconsin n isy permanent. (If not, hvormation Profesawnels Compeiy, FmCW Lec, Wl eooass-zozi to SEP-14-2995 07:59 FROM:BAMG LAB 17156848610 701917156432520 P:2~5 CERTI Fi ~~ S~J RV~' ~~' ,LOaaT~ IN PART OF TMIe NW1/4 fSF THE NE1 /4 OF S6CTiON f3° T30N, p111S1A/, TOWN OF pLENWOOD, ST. CRE?IX COUNTY. WISCONSIN" pWN~R SURVEYOR LEE OUAUE EUWiN C FLANUM 26e1 t70Trl AVE NCIgTHtANQ euRVGY1Na, INO, p1~NYVgpG CITY, WI 5~01e P.O. ~X i4 fi09EHT5, wl 5S0?~ Si.1RVEYOR'S CERTIFICA'T'E !, Gdwin C, Flanurn, At-pi®tered Wf~ont+'sn Land Surveyor, horraby eoriity that by thr~ dtrectlon of Lev Ouale, I have aurvayad, rtiapped end described the perosl of Iand wNoh la rolxesented by this CertMed Survey Map; that the eocterlor boundary of the psrc;sl of land survsysd and melpPod Is describes ee tdlaws~ A pdroel of land lomtod in part otthg NWiJ4 of 1C1e NETJ4 of 3oc>tion B, T30N, R15tN, Town o! Qlenwapd, $t. Croix County, Wisaat4in; deoarlbed sE fidlow>a; Commencing sit the Nahti 114 Corner of avid Section 8; ttierl0e 589°23'1 B"E, Rbnp tho north line oP the NE114 of said seoilon, 912.48 foot to the point of boplrninfl; them continuing S89'23'ifi"E, alon® said north line, 415.40 fact to tho oast Ilne of seltl Nw1/4 of the NEi14; thertce sooroa38'w, elong.eaid east Nne, 4t38,G2 feet; $tonce N88°23'iE3"YV 415.00 teat; thanes NOD'00'38"E 498,82 feet to the point of brglnnjn~: Ia~9d parc~l• ouurttaina4'.7li ~xores {^.06;915 Sq: Ft.). Part;a4 is subject tp tpwn road (170th Avenue) tight-of-way arld 810 plJlai' sesemerlta, ro3vlctbns, and covenants of retard, i, slap aerGfy that thin CerUiied Survey Map is a ctxroct repreaentotlon to scale of the mrtvrior boundary surveyed and described; that I h~a fully complied with the curtent provisipns of Chapter 288,34 of the W,eponaln 8lstutov, the t,~tnd Subdlvisbn brdlnanoe of the Cauniy of St, CI'ofx, and the Taws at Glenwood SutxlNl~lan Ordinanoe in surveying grid mapping same, ~~~CQNs~ APPROVED tw.at3oucoou~rE'1f fit' ~'~ aawa+lC. ~`~'>IC f"wter.o a bnr,o aarnrw ~ i FI.ANUM ` t~,xae~ rGI ~ AUG 2 5 2DD5 JU,A~RY A y . ' ~ W'r~ K not recor0ld wltliYi'Je dsra ar apprpval doh t ~~E 141nM hrr nu11 antl ~ "'' r ~ •~ ,~ /. ~~~„nnlt~l rnVV~, b~ Each ;xirc®I shoHrn on this map {plat) Lz subject to State, County and Townahlp laws, ruins tend rtspulations (E,e., wotlands, minimum let slat, arxea8 t0 paroel, slo.), Beforo purchasing pT developlr~ arty parcel COntatt the 3t. Croix County Znnirig t]ffico grid the Town of plenwoad. sHS~T a of z sH~re yp~, 20 PAGE 5053 BEP-14-2005 07:58 FROM:BAMC LAB 1T156B48b10 NOTat TO:91'156432520 P:1~5 i YDL 20 PAGE 5053 RATBGEEln H. N7`!i'6Er RBOxSi'&R f1F 0£EDB ST. c1i0TX CO. w ~YEze~~°~aa: a3,+n CM~2TTfT&0 5U&VEY ~IAP RFC FEE: 13+0i! COPY FEE: 3. ~ PAGE,e 2 . ' ,,~' ~.;~;.~'-'~~,~~°~,5: C~F~T1~fED S1~R~E1~f MAP ~' E';~ ~'!~ LOCATED IN PART OF THE NVV114 OF THE NE9/4 o~ s~aTloN a, T~oN, ~ 1$w, TOwN ar Q,L,ENWQOD, ST. CROIX COUNTY. WISCOf~61N. owNe~l suRV~roR 1FE q~@ EDWIN C fLANUM .961 17QrH nVB. NCRTHIAND SURVEYING, INC. GLEnnNC30DCITY,wleao~3 R9B~&1~WI a~dQ3 LE©END X WITNIESS MONUM PNT910F RECOROM "' 'I.W LVO~ rcn urvcnn rv~~ ... ~ QO' pUiLdNO 3ETLi4CK tlNE a SO+I, TEST LOT 1 CF THIS CERTIFIED SURVEY MAP ~+ 6UFlJEC7 TO 7FIE fifi' WIDE ACCESS EASEMENT AS SHOWN FOA INGpESS avn rf;ArR4'S1~ THE RFNAINPKj OwNCRS OF THE REMAINNd PARCEf. SHALL BE DEFAED THE 80' WiGE 6 OSA6EMENT A$ BHDNM FOR INORE33 AND EGRESS AS SHOwN ON 7rws CLR11ftED SURVEY MAP. r•IELD DRIVE ~aPL~__~~ O.e~l N1M CORNEA SI:CTICN 0 $gy°23'18"E 266418T NE GCRNER - ~~ .-^ -- --- ~- -- SHCTION 9 1 ssa'23'~r,~E ~ ~$9°7.3'1 fi'E ai 6.C0' 17'OTH AVENUE e ~+: ~±a'zFte~als,ao ~, - ~, , I I I I I I LO7 1 ' ~ , I op 1 ~ I 4.76 ACRES INC. RfW ~ I I 0 1 I : I ,'+p6,fl1 a SQ. FT. ~, ° I 1 II~ ~ W ~ ~~ 4,a4ACRE3EXC. RNV ~ I 1 I III ~~ ~ i I J 193,22D SQ. Ff. I r ' ~i I ~ j - &Eaw~eMEIVT ~ ~ i 1 I ~ 1a~,ae&94. FT. 1 t °Q I [~ I I ~ I OO ~~ ~~~ .fDl Z ea' I • ~ v ~I~~ I I ! ~ ' °Ii I I~I I SH..., ,°~jpl F „ i ~ QQ+ I 9 I I 1 , I Atr ~ ' . N88°33'1 ty"W 41's.00' (~39~!lfr~l~L7 L~3~l C~f~4~[A , , SCALE iN FEET, 1' = 100' 7HI5 INSTMt1MEN1' GRAFTED BY MICHAEL EfpCK3ON ' JOB NO.OG-C5' DATE 7.1405 ~HE~ 1 QF Z ~~~'$ 10D 0 100 vol ~ 20 PAGE 5053 __ ~ ~_ Bedrooms - 3 Baths - 2 Depth - 2~3' Len);th - 60' j ""~ Li~~ing Area - I 1.(,8O sy. ft. ` ~. ~ ~'~ ~ ~~~ i ni(r tt (] _ 4 utttt~u giCl411 ~Q ~~ ATM. ~~ ~ r ~ . SYMM!!u ~ .~.... G.LW~ 4.ud1 -DRIIIIG~M ~ BEDROOU ~1 ' , _ ~ U l G q W ~ 0 _ _ ~eou9a.a I _,y _ _ _ p C ~~ _ 0M-S(fE ~ ~MNG 8004 ~~ ~ .x ~~ ~-r ~ ~ BEi1R00A1 /J BEM ~2 BEDFOOM J4 '-' ~ ~ g ~B~i'0 ~T .~~L"~ --1 I ~ ~ I~ I ___ .v tt ~ -4 :i a o n a-m wc~ ~ _ _ I Page 31 ~ ~, ,~~~ ~ ~ ~ ~ PAR ~ `aF OR~'G-i ~i/A-L 7~~"S T w~5 ~o n~>~ I iusi'a~" pRopos~v ~ G ` ~'~. ~~S ~~-iyc~-~v ~ -- ~, ~~,t ~ ~ SOIL EVALUATION REPORT ~ ~ ~ 3 -c c~..s w..,...1 R..:LG..nc -----•--- -- -- - - - in acxordance with Comm 85, Wis. iwm. was C~ 5 J ~- +rC D ~X' q<fach oanplete site plan on paper n~ less than 8112 x 11 i size. Plau- must but rwt limited to: venc~ai and horizontal reference ~ and include Parcel I.O. D~~ , ~0 ~~ O • 0O Q . and location nearest road. north arrow dimensions l , . e ar percent slope. sca ~ t~ - Pease print all Information. ~ ~ Personal information you provide may be s ))• ~P~Y~' - l,. il: ~ Q (Jf~ t~:Fi ;- ,~ ,, _ Lot N ~ 1/4 IJ £1/4 S 8 3 N R I s.. E (~ Property Owner's Mang Andreas # Block # Subd. Name a CSN~ . City ZP Code ~OF f=1 CE ~Y ^ ~ Town ° ~ , .Neatest Road °. ~-70•t'r~ ~AV'~ is j~7~1~D U~7 I S4~D1.3 (7t5) ~ ~f 2 .. sJ Woo : New Construction use;, Res'~dentiat / Nutter of bedrooms .3 -4 _ Code darrved desl~l flew rate ~'~d ~~ ~ GPD Q Reptaoerrlerit ^ Public a oornir+ercial - Desatbe: ~ ~ ~ tt . Parent malarial L ~.,.~ C~V~-2.'TI t~..S Flood Plain elevation rf app6ca6 General canrnartis ~ f2'E!4 'i'E~i'~D $ tiT ~!3 i.~ ~'O it N101.tN D . O,W •T • S and s `rS'i'~M ~I51rJ F{' 11" O ~ 5 ~9 # ®Pi Ground surface fir. 9 g' ~tt. Depth to firrating fadar L 5 min. ~ Rate HgyAn pepih Dominant Redox Desalption Texture Structure Cansist~tce Botuldary Roots GPD-(E &l. Muns~ Qu. Sz. Cont. Color Gr. Sz. Sh. •C-ff#1 'Etil~ 1 D _ g 10 3,W. ,. K I'h ,Fr 1N 3 f • ~ 3 0.2o IoYa4/e f m•~i Cw 1 f •tp •8 4 - .S'f •o •f •F i ~ C S - .4 .7 s S~2 7•5~L5/ a ~oY ~i 1•F bx, mv>~; - - .2 .3 a ~ ®Pi i,;roundsurfaoeelev. 99.~ft. ~,tD~~ar~~. ~ - . Horizo n Deptlt Dorrtinant i<t. MunseR Redax Description Texttxe Qu. Sz Coat Cobr Struc~tue Consistence Bourtdery Gr. Sz Sh. Roots GPD/Ir= 'Etf#1 •Etl#2 1 -DYR3/ - .L 2 m r rn -~ i 3-f . 2 •1 JDYR ~/ '" / 2 i ~tf . ~t• ~.sy~,'F 4 S 2•f bK efi 1 V•f .~h 5 • EtAuere ~ =Boo > so < 220 mglL and Tss >ao _< 1 50 mgA. ' Eflktent #2 = BOD _< 3t) mglL and TSS _< 3o mgyL CST Name (Please Prirrtj ~~~ ~ ~_ ~ r, tJ u ~,. Oate Evaft>ation Condlx~ed T~1d1e tk„~ /Iddrees 2812 ~v'i'M ~.~_ ~211VC . ~~rl lG~ ~' .~ t 1~1~ ~Z~Z~d~ ~~.~~ ~ IZ'~3'~, 4- .... .. ----._a.... y G~ JA L ~E' Parcel lD ~ / Page L ~ 3 ~.. / ~~ - - ~ ~ Pit Gramd surface elm. ~ r • w R t7epm ~ 9 raaor .+~• ~. Sou Rate H i D th Dorrdnar» Redox Description Texgxe Stnrcdrre Car~sterros eour-c~xy Roots GP DlIF zon or ep in. Munseu Qu. sz Cord. Color Gr. Sz. Sh. •Eftp1 'Efllf2 ! 0-13 lo`r1~~ - ~ ZM r M-F i cs •~ 2 •l9 1bY1~5.r~F- -. 'cl J r-oc-l=i ct~ •'`t' .f• 'f' 0~- ?. `4I(. ~ .. / J'~ ~/2 C! 2f baG n~rF.i - ~ ~ . 1!-f • `F' ~ - ~+ ._ .:. . # ^ ~ :: ., Pit Ground space elev. ~ R ,Dept[, b r redo( ~. sou RaOe Horizon Depth Dorr~arrt Redorc Description Texdse 5trrxdure Consistence Bo~ardary Roots GPD/ff<< h Mrxraetl flu. Sz Cad. Color Gr. Sz. Sh. •Ef~1 • - ^ r . - ~ ?. • ^ Pit Ground surface elev. R Depth b umitwrg factor h Sou Rage Haiaon Depth Dominant Redox Des~tiorr. Texture Strucdse Cor>sislaroe 8otmdary Roots GPDIfE in. Mur>s~l t1u. Sz Cad. Color Gr. Sz Sh. •Ef~1 'Etflf2 .. . a n ; - . ... r ' c - • Eflkrent il'1 = BODs > 30 _220 rrgll end TSS >30 ;150 rrlgll_ ' Fftkterd #2 = BODs ~ 30 nrglL and TSS ~ ~ mgli. The Deparhnent of Commerce is an equal opportunity service provider and employer. If yon need assistance to access services or need mattxiai in as alternau format, please contact, the deparhnent at 608-266-3151 or TTY 608-2648777. sea.u3eprdoo) ~ ~ ~...~ ~ 6- . . ` '~ r ~ ~ ~ ..,,+ ~ b ~ r ~ ~ ~ ~ to ~ o g w3 0~ SHE ~ 1.~~ _\ r s n ~ ~ _• N o~ 0 ~3 ti N ~ N :o 0 D ~, ~. ~ 0 D ~ f, ~ti n ~ 0 b L -.~ ~ 0 C N s ~ ~ o c G L L .(j d ^~I n~`~ o~~ ~ n c ~ F~---~ D °~ N P~-4s 3~ 3 -------- : ~ yy r ~ ~ 0 ~ o. (A iV 'fl C -a ~~.~ < ^ ~N~'~ c ~~~ ~ ~~~~ ~D~~ ~. ~~ ~ ~1 ~ ~ ~ ~~ a• h Z 0 ~r Q -~ r L m~ n r ~+ r Z 0- •,. J NQ be Y "''~ Wisoor>sir- Departrnent of Carrxne~ ~ n:...ei......r Cafaly anri RI tikfln[fQ ~. ~~ ti ~~ V ~~ r.. ,~i~~' ~'~,"~ ~ ~ SOIL EVALUAT~N our o ~ zoa5 ST. CROIX CL)t1fdTY / ,3 NING OFFICE p~ ~ ------- - - ~ - In aCCOrdanOe With CWnr-I t35, VYIS. /Wrn. 1+00@ ~~ ~ / • C' ~O / ~/ /~ Attach c:anplete site plan on paper not less than 81/2 x 11 inches in size. Plan must t~ not tirtuted to: vertical and trorizantal reference point (BM), din3dion and irrdude Paroel I.D. ~ ~ /_ ~ ~OI /„ ~. Zo -' , and location arxi distance to nearest ruad.• north arrow dimensiona l (~ v , l e or percent sbpe, sca Date Please print ail information. Revievaed by °r L6 Q f~ersonai informa~on You provide may tie used for tecondarY purposes {Privaq Law. s. 15.04 (t) (m)). ~~ Q t1 /~ 1 E Property Location Govt, t of ~~ 1/4NG1t4 S~°• T l~ N R ~~ E ,s Address ~ O ~ ~V.~ tot # # SLitxi Narita or CSI / E Ol'~•1 Cr t/S M .. .Z l~Cn 1 1 . (;~y State Code Phone Nunber ~t~~oo1? w/. Sq o! ~7~s, z~.s• 9a~( ^ City ^ visage ~Totvn Nearest ~ U~ . GIE>JCa~ooJ ~ /7D ~ New Cortstrudron Use: Q~ Residerttiai / Nturdrer of bedrooms Code derived design flow rate ~ - O O GPD ^ Replaoeerrrerrrt ^ PtibGc or cara~rerr~ - Oesaibe: ~ ft ppGc~ Naretrt material ~b E SS ov~~2 •tr ~!S Phain elevation /~. E Germs ~ c~-- ~ t `~.,- °r~.~( W and recarunendations• ` ~~ Area Spot Tested suitable fora , ~ /~ ~`"`~ ~ `' mound (P.O.W.T.S.) system using ~ Z a .~. St'UzlbS CO # ~ ' Grounds~afaaeefev. ~~ ~y ~ Depth to Cmiting factor a 5 ~. - , , Ra~ istenae Y Rows GPDflf C tiaizon Depth in Dominant Mtrnsel Redox Description flu. Sz. Cont. Corr Ter~ire Stnx~ure Gr. Sz Sh. arss •Etflfl 'Efflf2 . ' ' 1 p _ 5 /o y,~ 3j .~- L zfs hK ~ i ~ ~ w --3 f • 6 ~' 3 rD•z ~0 ,e S/~ 2 ~S K ~wt`Fi cw ! f . ~ 3 S ,y •S 5 cZd MoT SC L l-~S ~u Z. ~ <i Z 4G D[1 ~ L.l t3onng ~ ~ Pit Gratmd surface elev. • • - ~ ~ R Depth tQ tie ~~ r n• ~ Rate flofiao n Depth Dorrrirtarrt Redox Oesa$rtion ~. Mtn tlu. Sz. Cont. Cobr Texture Shuc4ire Gr. Sz. Sh. Corrsistenoe Boundary ~ Roots 3 f GPD/lF 'Efflfl 'Eft( ~ •~ 1 0 • ~ ~o yR ~ ._._ ~ z~ s~,e ~ . i a y/t t EfllLrerO #1: $OD > 30 ,<. 220 melt. and TSS >30 < 150 mg1l. ' Eteuerrt #2 = BOD : 30 melt. and TSS < 30nrgA- car Name t ~ ~ • 'Lt t,L3 fZ ~ G ~T-~ ~gr~e ~ z~4 31, S Date Evabradion Caducted TelePfrate ~N ar tb~ Ulbricht & Assoc etas Ili+~n fc -(' J vLy , ? Z~ , ~S ~/~ •~ ~_~ •`~ ~~ 1 IIYN.V V .w v ~ - --- 2812 10th Ave. Spring Valley, WI 54767 csM DoT' LEe` 4 v~tL-. Property Uartrer Paroe! !D ~ --- • ~-~ 4 i' ~.,._. 3 _ Page ~ 3 0 '/ ~8 ~ ~ Pit Gru~ard surface elev. 9 b r ~ Depth m Md1mB tacior ZS "~. Soi! Rate Horizon Depth Dominant Radon Description Texture Str~xs-ie Corrsi8tence Boundary Roots GPDIfF in. Mussed t]u. Sz. Corrt. Dolor Gr. Sz. Sh. 'Et~1 'Et~l2 I o• S ioY~ 3/ - ~ zfshx ,t,rtf2 cs f- • Cv. . ~ 3 t~•Z S ~ •S yR - 5 L !-~s 6k r+~ f R CS l f-- • y • s•~ ~.~y/t c~D l~rot~ cL / sb,~ vfi' Z 3. ~o yR ~ ~ C7 Pit Ground surface env. _ ~„__ ft. Depth b ~t~ factor . Soy Rabe Horizon Depth Doneltant Redox Deeaiption 7eud~ae Strtx~ure Consistence Bcurxiary R oots GP D/f! in. Murrsed Qu. Sz Cori. Cokx Gr. 5z. Sh. 'Effftl 'Efr#2 ~. # Borir~ [] Boring l f factor ~ in dmdin t ^ Pit ev. ace e Grotrrxt sur . g o ~ Sod fiats fiaizon Depth Dom~aM Redooc - Textts+e Strtxatre Carroe Boundary R oots GP D/il= in. Mussed .Ou. Sz Gr. Sz Sh. _ --,- --'Efiirtl 'EffaR2 ' E1lkrerd ti"I = BODs > 30 =220 mglf_ end i SS >30 <_ 150 rrgll. ' Eilluent lV2 = BODE ~ 30 rrrglL and TSJ _< 30 rrrglt. The DePartmcat of Commerce is an equal opportunity service provider and employer. If you need assistance to access sctvices or wed material in an siternate format, please contact the department at 608-266-3151 or. T'~IY 608-264-8777. aenuroat.~oot D If 0 G i' ~' • It ~~ ~~ -~ -daD~~ J ~N~? ~~~Qo ~~ ~m ~ ~ C7 sy W. o' i ,t' ~i . fl `~ o ~ m "' -6 '~ ~ o .~ ~ ~ ~ ~ N . © ~~ N ~ ~ ~ ~. ~ ~ ~~ ~_ ~ j ,~ ~ ~ ~ N ~~ r r~ w ~ ~+ ~ . ~ ~ Z ~_ g ~ ~~ . ~ b ~ ~w ~ 0 h ~! z -~, -- ~ OG 0 ~ ~ a I `Zp_ ~~ a \\\\\\ a l~ o ,.^ ~ 1 { 0 d ~ `~ -mss "'i z~ •• d ~~ ~ ~ ~ y O ~~ ~ ~ ~ _.y a ~ Z N ~ z .~ ~. m ~, ~ a ~ o ,~ E ~ ~ 0 I ! ~ „ • 1 C ERfii Fi ED SU i~VE''~ NIAP LOCATED IN PART OF THE NW1 /4 OF THE NEi /4 OF SECTION 8, T30N, R15W, TOWN OF GLENWOOD, ST. CROIX COUNTY, WISCONSIN. OWNER LEE QUALE 2861 170TH AVE. GLENWOOD CITY, WI.54013 LEGEND 0 3/4" X 18' IRON REBAR SET WEIGHING 1.50 LBS. PER LINEAR FOOT . • - • - - 100` BUILDING SETBACK LINE SURVEYOR EDWIN C FLANUM NORTHLAND SURVEYING, tNC. P.O. BOX 14 ROBERTS, WI 54023 NOTE: LOT 1 OF THIS CERTIFIED SURVEY MAP I5 SUB,fECT TO THE 66' WIDE ACCESS EASEMENT AS SHOWN FOR INGRESS AND EGRESS TO THE REMAINING PARCEL. OWNERS OF THE REMAINING PARCEL SHALL BE DEEDED THE 66"'AlIDE /aGLCJJ t11JC1Y1L'IV !'HJ Sr-i~~~YN FUR INGRESS AND EGRESS AS SHOWN ON THIS CERTIFIED SURVEY MAP. N r- ~~ !u ~ -_- ~ o~ ow of Q 4 z: Z z wO ~O wV us ~ _ Qz ~~ ~o z~ ¢x . . 0 FIELD DRIVE C~JI~G°~~,Q44GD ~~~~ ~ N1/4 CORNER ®U~i1~~D ,° ~ _o~(~~~~_ NE CORNER - SECTION 8 -- SECTION s8s°23'1 s°E ~ S89°23' 7 6"E 414.68` 170TH AVENUE sss°23'1.6"E NORTH LINE OF THE NE1/4 `O 1327.46' 912.78' °~' S89°23'16°E 414.68' 66 00' j 348.68' ~' ! ~ I ~ ~,~; M z; LOT 1 M w D~~ ~ t- 1 C~i~ i ~ w I _ ~i~ ~ I ^ N " ~ I r~ t Q I~ I N W I `'' O to I M u~! {cv m~ ~ lOi ~° I ~' I ~ o ~ I ~ 2.70 ACRES INC. RAN Z (~L, j ~ # ~ ~~" W # o _ _ 117,503 SO. FT. ~ a ~ _ {(tt~~J ~ ~} ~ l(ILJ., I Q I O d I~ 2.38 ACRES EXC. WW (,~ - O lr- I Q I ~ O Z ~ IQI /c~Jfjyi 1 rl I 0 co ~. 103,819 SO. FT. ~ I d j~ j Z j 2.00 ACRES EXC. RNV AND EASEMENT N a °~ ~~ j ~# ~ # 1 87,294 SO. FT. uw ~+# ~ 1 ' a! O I a l ©~ 66.00 ' 3aasa' ! . N89°23'i 6"W 414.68' CO~tn~C D ~ ~7 G°~~`t~t~CGG°~ i y L • ~ ' ~ERTI FI E~ S V RVEY MQP LOCATED IN PART OF THE NW1 /4 OF THE NE1/4 OF SECTION 8, T30N, R'I 5W, TOWN OF GLENWOOD, ST. CROIX COUNTY, WISCONSIN. ~" OWNER SURVEYOR , LEE QUALE EDWIN C FIANUM Z8.61,~ATIi Ab.E -~---~---~-°° °-°~-~--•N9R~'M4-IANl~-S-UDVEYWG, INC. GLENWOQD CITY, WI 54013 P.O. BOX 14 _,_ ROBERTS, W! 54023 '^^.`. ,,a -~ ~ --~ SURVEYOR'S CERTIFICATE 1, Edwin C. Flanum, Registered Wisconsin Land Surveyor, hereby certify that by the direction of Lee Quale, I have surveyed, mapped and described the parce{ of land which is represented by this Certified Survey Map; that the exterior boundary of the parcel ofland surveyed and mapped is described:,as follows: A parcel of land located in part of the NW1/4 of the NE1/4 of Section 8, T30N, R15W, Town of Glenwood, St. Croix County, Wisconsin; described as follows: Commencing at the N1/4 Corner of said Section 8; thence S89°23'16"E, along the north iirie of the NE1/4 of said section, 912.78 feet to the point of beginning; thence continuing S89°23'16"E, along said north fine, 414.68 feet to the east line of the NW1/4 of the NE1/4; thence S00°00'38"W, along said east line, 283.38 meet; thence N89°23'16"W 414.68 feet; thence N00°00'38"E 283.38 feet to the point of beginning. Described parcel contains 2.70 acres (117,503 Sq. Ft.). Parcel is subject to town road (170th Avenue) right-of-way and all other 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 current provisions of Chapter 236.34 of the Wisconsin Statutes, the Land Subdivision Ordinance of the Caunty of St. Croix, and the Town of Glenwood Subdivision Ordinance in surveying and mapping same. ~~SGONS~~%,,, ti "'- ~ . EDW{N C. .'~ Ft.ANt1M S-2487 AMERY ~. WiS , ~. ~~ Each parcel shown on this map (plat) is subject to State, County and Township laws, rules .. .._.v....._ L-a ...-... ...-..a.ne+ t~ nomol G71!` ~ RP{111Q 111 f1RhAR1l1