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Home My WebLink About016-1024-10-120Parcel #: 016-1024-10-120 02/14/2006 12:32 PM PAGE 1 OF 1 Alt. Parcel #: 11.30.15.1856-20 016 -TOWN OF GLENWOOD Current ! X I 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 -JENSEN, CHRISTOPHER R & LORIE CHRISTOPHER R & LORIE JENSEN 1620 CTY RD X GLENWOOD CITY WI 54013 Districts: SC =School SP =Special Property Address(es): ' =Primary Type Dist # Description " 1606 CTY RD X SC 2198 GLENWOOD CITY SP 1700 WITC Legal Description: Acres: 26.570 Plat: 4266-CSM 16/4266 016/02 SEC 11 T30N R15W PT SE 114 BEING CSM Block/Condo Bldg: LOT 02 16/4266 LOT 2 26.570AC Tract(s): (Sec-Twn-Rng 401/4 1601/4) 11-30N-15W SE Notes: Parcel History: Date Doc # Vol/Page Type 12/06/2004 781654 2708/476 EZ-U 03/28/2002 674774 16/4266 CSM ~nn~ cl InnnneQV Bill #: Fair Market Value: Assessed with: 89197 Use Value Assessment Valuations: Last Changed: 06/06/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 6.000 20,000 309,900 329,900 NO AGRICULTURAL G4 10.570 1,500 0 1,500 NO AGRICULTURAL FOREST G5M 10.000 9,000 0 9,000 NO Totals for 2005: General Property 26.570 30,500 309,900 340,400 Woodland 0.000 0 0 Totals for 2004: General Property 26.570 20,800 0 20,800 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 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide maybe used for secondary purposes [Privacy Law, s.15.04 (1)(m:~. ~" 'ermit Holder's Name: City Village X Township Jensen, Chris Glenwood Townshi ;ST BM Elev: Insp. BM Elev: BM Description: q~ • 3 ~ • ~ ~~- ~~`~'`~ ~ SANK INFORMATION TYPE MANUFACTURER CAPACITY Septic CJ~ a~/~ ~t. ~ ~.v C~ !J Dosing Aeration ,{, Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to it Intake ROAD Septic ,7 ~~ ~~ ~ ~ ~ ~ ._.._ Dosing ~ ~ ~ r (~ ~ ~ / p trl 1 , 11 , k' .-.. Aeration Holding rumrialrnvrv uvr~rcmHi lulu Manufacturer I ii ~ Dem d ~^~ ., 1~ ~ ,., .,~~- GPM Model Number ~~~ ~~7 TDH Lif Friction Loss System Head ~ TDH Ft iForcemain Len Dia. /J Dist. to well ,7/~~ i ~~ SOIL ABSORPTION SYSTEM County; St. CroiX Sanitary Permit No: 453309 0 State Plan ID No: Parcel Tax No: 016-1024-10-120 SectionlTown/Range/Map No: 11.30.15.185620 ELEVATION DATA STATION BS HJ ~ L FS ELEV. Benchmark •n GD Alt. BM ~~. ~..•- Bldg. Sewer ~,,6 /z~, SUHt Inlet I~ ( ,' j ~ • SUHt Outlet y ~5' , ,-~ Dt Inlet ~ L Dt Bottom ~ . ~ ~ ~3 ~ Header/Man. ~ ~ ~ ~ .-~ Dist. Pipe ~.o y~.~ Bot. System ~ ~ /~ 6 _/ Final Grade 3=~ 9~~7 Cover `~. ' ~ a p,~o, o .-~ o ~ • (3n'~ 5. `I- ;03.7 ~~ ~ ~ Ge~o~ ~ c~.35 ~f-7"3j ~ t~ .~ ~(, BED/TRENCH DIMENSIONS Width ~ . Length No. Of Trench PIT DIMENSIONS No. Of P't! S ~ Insidegta. Liquid\h ~ ~ "`tf ~. ` SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: - INFORMATION CHAMBER OR ~ Type Of System: , / IR ~~ ~ 7 /l~' fL T'~ UNIT Model Number: ~ ~ ~ DISTRIBUTION SYSTEM HeaderlManifold r~ i i DistributiLO'n ~ 1 ~ ~ Pipe(s) ~ ~~ .~ x Hole Size / r 1 x Hole Spacing ~I Vent to Air Intake ~ ~ Z th lD Dia L 1 Z ~ T~• aci L th Di S /~ ~~ . ` G` v eng eng a p ng SOIL COVER Y Prpssi~ra Svstams only YY Mnund nr At-Cradp Systems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Ed es g ~ To soil p 1 • Yes 0 No Yes [~ No S., (f 1 s COMMENTS: (Include code discrepencies, persons present, etc.) Inspectio ~ 1~~ Inspection #2: ~ U /~/~ Location: 1606 Cty. Rd. X Glenwood City, WI 54013 (SE 1/4 SE 1/4 11 T30N R15W) LOt ~ ~! ~ Parcel No: 11.30.1 185620 1.) Alt BM Description = t ~~~~~ ~ ~ c.,~ S n 2.) Bldg sewer length = D ~ 'n ~~ - amount of cover = • ~ ~ Z' 1 ~`x'ss ~~ .~ ~--- - r - -- ~ ~_ _ _ _ -------- - - - ---- -- Plan revision Required? (] Yes , o II ~ G ~ Use other side for additional informati n ~jQ I ~ i~ - - G Date Insepct s Signat Cert. No. SBD-6710 (R.3/97) County Occupancy Ai~davit Name - (Owner) Typed or printed being duty sworn ,states, under oath, that: 1. He/she is the owner/part owner of the followin parcel of land located in St. Croix County, Wisconsin, recorded in Volume Page 3 p~j Document Number R2 St. Croix County Register of Deeds Office: Namea A parcel of land located in the S~ '/, of the ~E %. of Section / ~ ~,oir~C. T 3~ N - R I S W, Town of CTt.~nlu IIJr'~D , St. Croix /~jZO County, Wisconsin, being duly described as follows (include lot no. and (~ le n subdivision/CSM or detailed legal description): l.-bT 2 ~ ~'S~ ~(p-1 y77L1~ VUI. ~~v~ ~a~ ~f2 6~ o/~o ps~r al 1 ~ '.,t V h * f ~ r .~,ff K .rid ^ ~ ~c ' ~~ x' ; ~~ s - ,.. :: * * 'ty. . AUTHENTICATION ACKNOWLEDGME ..~ „„r 765758 KATHLEEN H. MALSH REGISTER OF DEEDS ST. CROIX CO.. MII RECEIVED FOR RECORD 06/1/2004 11:00At! ZONIN~G~ATF~ IDAVIT REC FEE: 11.00 TRANS FEE: COPY FEE: CC FEE: PAGESs i ~I~dX .., r,,~,W.l Szq~13 ~ z~- io - is d T. i~sa As owner of the above described property, I acknowledge that the septic system serving this resklenoe is sized for a 5 bedroom home, or a design flow of L gpd. The design flow is calculated by assuming 150 gpd for 2 individuals ~ bedroom. There are currently _ oaxipants living in this resktenoe; ~ occupants are permitted based on tree design flow. Therefore the septic system serving this r+esidenoe is code oomptiaM. However.) understand that if there are intentions to exceed the number of permitted ocxupants, the system will need to be modified fo acoomodate any increased wastewater flows and/or contaminant loads. 1 also acknowledge tlt~t l1 will make this Information available to any future parties interested in purchasing this property. ....,...,,.-- Oaten tf,;, ~~ day of a a~ ~ ~ D O ~, 'U^~ ~ ,' "J~ ~ Signatures j auU~enftcatcd this day of TITLE: MEf~t3ER STATE BAR OF WISCONSIN (H rw: t, null ~:rrized by § 706.06. wls. stets.) ~~~ ,~ s Irvs eNrwAS olio eY __l~ ELF' f GG (Signatures ~ nay be euthentkaeed a aacnowledyed. Born are not necessary.) STATE OF WISCONSIN ) ~~ T:r^ fit. c.~otx County. ) personalty came before me UUs ,.._~, day ofJK K ~ . ,~O 0 y the above Hamad OY iC _1CMS[-M c_L r~ ~'s'~sr~/tY J~nidert t0 me 1uroNm to tie the person(s) who executed the iore9dn9 instnxnent and adcnowtedge the same. /,rJ~ Notary PubUc, State of Wisconsin ~Qortu`~ ~/opartnar>ant. Ii clot, state e~iratlorr date: "THlS PAGE lS PART OF THIS lEkiAl. pOCU1RENT - 00 NOT REMOVE" TNs IrrRwrrix#,xr must be conplered by submdter. ~ name b ratunr address. and (~((Jf ragtlrrrrdJ. Ofrlerrrlformaaon s+x:h es are ~ ~ ~~~. r~yar deeatarrorl, eta may be praosd on arts IPrst page a ryl. docwrlsnr ormay a prsosd on add~lonsl paXes era,. doarrlsnt. ~,<~ Use or thrs coverpsye adds ens pays to your docurrre+rt end eecondine Ass. tMsoonsb- Statures, 59.517. ~95P 0'19 ~~~ .('.(~i4 t~ J~IG'~tll 4 0 M ~ O h C d' O N a d r tl '~ 0 •~ N O V •~ 0 V t`I~i t O C~ Tr w M~1 Cd .~ .~ A ~_ Nn W LL Z~ ~- M W ~ ~ C (9 O Z~' r ~ r N V m a Z N ~ R a N J U a L N m 3 O ~ ~ N ~ O O ~ C ~ M ~ O = (7 st c. a m ;~_ E i ~ U d ~ 'O L 3 LL 3 `~ m Z y Y O L d d a m 'o N N f6 ._ f/1 N O E O N C ~ O C C g m ~ Y C d N M ~' - d N ~ d 1C a~+ N d ~'coa` ~ 3 3 3 U a a a 0 3 ~ c ~ ~ N ~ ~ X ~~ U ~ ~ R (gyp N C L U C M -~i v o :.: d a a ~ c :: ~ Oc`~nU y °o 3 0 O ~ N C O ~ ~ y 7 = O U C c 3 y~ o ~ 0 d~ ~ T cD ~ s v c c~ ~ E .~ "' p vi C N ~ ~ d Z ¢ t ~ ~' n 7 O ~. N ~ -gyp U (0 Q O c~ N C N E N .j N N t O E H N E ~ o 7 N a ~ 0 Z .3 m rn Q Z c!1 N C_ o ~ y N -p Z ~ Z ~ r D~Is ttac co lete plans (to the County y) for the syste pap r no ess than 81/2 x 11 inches in si~ ~ ~rt.uSd- 6~ ~ • S ~ Safety and Buildings Div County ~ ~ 201 W. Washington Ave., P . $ox 62 Saint Croix I SCOT ~SIO Madison, Wi 5370 ~~D Site Address Rd X f ~Q ~ C Department of Commerce Q C o Sanitary Permit Application Sanitary Permit Number In accord with Comm 83.21, Wis. Adm. Code, personal ~ ~~~~ „r~~;dP '-'r ""'°"""'°"" ~~J 3a 9 ^ Check if Rev io may be used for secondary purposes Privacy L , s ] 5. I. Application Information -Please Print All Information State Plan LD. Number 1002758 S Pro ert Owner's Nam p Y ~~~~ ~ j ~ Ch i J tp~ a ~~11~ Q ~ 200 Parcel Number a ensen v r s ..~, - ~ 0~l~ - 0 2 ~/- /D- l ~ Property Owner's Mailing Address ~ ~. F ONINa oF, iI,E_ Property Location ~ ~ ~ D. 1620 Co Rd X SE%4 SE'/4 S11 T30N R15W . ; City, State Zip Code Phone Number tuber Block Number WI Glenwood 54013 715-265-7392 2 , ~~/ SCvrK9~ division Name C~SM Number , L II. Type of Building (check all that apply) f~ ~` ~ ~j-~ ~~ ~ ~ ^ City_ X 1 or 2 Family Dwelling -Number of Bedrooms /~-- / ~ ^~Z -~ ^ Village ^ Public/Commercial -Describe Use ~ X Township Glenwood ~ ~ n~ ^ State Owned ~ 1.5% ~-Q.~- ~z ~ X ~~ rest Road 9~7, ff ~ Co Rd X III. Type of Permit: (Check only one box on line A (numbering scheme for internal use). Complete line B if applicable) A. 1 New 2 Replacement System 3 ^ Replacement of 6 ^ Addition to For County use , - S~ Z-t' I'I SZGa9 ~1~ X System Tank Only Existing System ~ ~( + t 13 ~ .Sanitary Permit Previously Issued Permit Number Date Issued ~ 7~S ~s IV. Type of Permit: (Check all that apply)(numbering scheme is for internal use) r 44 ^ Non -Pressurized In-Ground 21 XMound ~ Z~ ~ ~~ l 47 ^ Sand Filter 50 ^ Constructed Wetland 22 ^ Pressurized In-Ground 41 ^ Holding Tank G ~ 48 ^ Single Pass 51 ^ Drip Line 45 ^At-Grade 46 ^ Aerobic Treatment Unit 49 ^ Recirculating 30 ^ Other ~ V. Dis ersal/Treatment Area Informatio 0+~ Design Flow (gpd) Dispersal Area ispersal Area Soil Application Perco lation System Elevation Final Grade Required $k Z~ Proposed ~' Rate(Gals./Days/ q.Ft.) Rate Elevation J Z`v ~ 5~ ~~ (Min./Inch) 98 9 ~ 100.69 750 750. ft2 750. ft2 6 ~ -D N/A VI. o Capacity in Total Number anufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Tanks /~ ~ Concrete Constructed Glass New Existin ~7~~' S~ / ~~ Tanks g Tanks t[ / v`~ ~/ U / ` Septic 1600 1600 1 Skaw Precast X Pump 1000 1000 1 Skaw Precast• X VII. Responsibility Statement- 1, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plum at re MP/MPRS Number Business Phone Number Thomas D. Gustum 227618 (715 658-1344 Plumber's Address (Street, City, State, Zip Code) N13450 937th St New Auburn, WI 54757 VIII ount /De artment Use Onl Approved ^ Disapproved Sanitary Permit Fee (includes Groundwater Surchar e Fee) Date Issued suing ent Signature Stamps) ^ Owner Given Initial Adverse ~ ~ ~~ ` ~ ~ ~ G~~~~ Determination 0 I ' ' royal/Reasons for Disapproval ~, S~x~ 1 eptic tank, effluent filter artd ~,i7Y!'LYh ~3•S?i ~ N?ULfi~t,~ .s7~ Q/~ l'~- dispersal cell must all serviced /maintained ~~,~.~/ rovided by plumber. lan ent ~/ p p as per managem 0 - / 2. All setback requirements must be maintained ~ ~ ~ ~ ~ / - ~ ~ ~ ~-~ti(.Q-~ b.~i4Q~:v'tGCL utiGVin ,(~iou~c SBD 6398 (R. OS/O1) '~~~~ / .~~_, u v w v _ ~ rn N ~ ~ Z ~ ~ ~ ~ ~ m ~~~_ -a ~~~ ~ U C~O C4 ~ W V ~ ~ N -~ ~ j U ~a ~ ~~ \- I v, I 1 ~ O i ~ f i ... ~ r ~ ~ i • (V ~ i I ~ ~ U ~.. ~ ~ ~ t ~ ~ a ~ ~ ~ ; ~~ v c t ~V ~ ~ ~ G ~c n.~ ~ p ~ t ~ ~ ~ 0 ~O 8~ ~OJ d1o2 x~ ~ ~ ~N ~ r` ~ m L a ~ ~ ~ ~ ' ih S2 3 ~ a~ o '~ ,~' o a ~ _ ,'~ a X m ~ ~~ %~ CPc m = ~ ,~ ~ ~ ; ~ a o m ~ co of ~ a ~ , p E a ~ ~~ ~a _~ ;~ i ~~ ~ ~ G ~/S ~ trgT a> io A ~ o Q ~ '~ m ~' ~ ~ o ~' ~ ~ = ' ~ ~, ~ II ~ O ~ M `° ~~ Z m g ~ W `r W w w \ ~ ~ m w W V B. •o ~~ i ~ N ~y ~ i rM u m m r ^ ~ i ~ i m ~ ALZ i u ., commerce.wi.gov ~ ^ iscons~n Department of Commerce May 27, 2004 CUST ID No.227618 THOMAS GUSTUM GUSTUM SEPTIC SERVICE N13450 937TH ST NEW AUBURN WI 54757 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 05/27/2006 Safety and Buildings 1340 E GREEN BAY ST STE 300 SHAWANO WI 54166 ' TDD #: (608) 264-8777 www.commerce.state.wi. us/sb www.wisconsin.gov Jim Doyle, Governor Cory L. Nettles, Secretary A7TN: POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 Identification Numbers Transaction ID No. 1002758 SITE: Site ID No. 683853 Chris Jenson Please refer to both. identification numbers, County Road X above; in all cones ondence-with theca enc Town of Glenwood St Croix County SE1/4, NE1/4, S11, T30N, R15W FOR: / ~~Z Description: Mound System for Chris Jenson (~ Object Type: POWTS Component Manual, Regulated Object ID No.: 959201 Maintenance required; 750 GPD Flow rate; S stem(s): Mound Component Manual -Version 2.0, SBD-10691-P (N.O1/O1), Pressure Distn ution 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 accor. dance with the approved plans, the "Mound Component Manual for Private Onsite Wastewater Systems Version 2" SBD- 10691-P (N.Ol/Ol). • The pressure network is to be constructed in accordance with publications SBD-10706- P (NOl/O1) "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems -Version 2.0" and/or the sizing methods of publication "SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01/81)". • The ends of the mound's distribution cell shall be tapered/angled so that the down-slope edge of the cell is 100 feet long. • The mound length "L" and the cell length "B" shall be measured along a line that coincides with the up-slope edge of the mound's distribution cell. • Each distribution lateral shall maintain a uniform position within the distribution cell. THOMAS GUSTUM Page 2 5/27/04 A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/instal lation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessazy 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, ~. Keith A Wilkinson POWTS Plan Reviewer ,Integrated Services (715) 524-3630, Fax: (715) 524-3633 , M-F 7 am - 3:45 pm kwilkinson @commerce.state.wi.us Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 WSMART code: 7633 cc: Leroy G Jansky, Wastewater Specialist (715) 726-2544 r- Mound System Cover Page Project Name: Owner's Name Owners Address 1620 County Road X Glenwood City, WI 54014 715-265-7392 Township Glenwood County Saint Croix Subdivision Legal Description sE ~ ! %4, sE ~'~ %4 Sec 11 T 30 N, R 15 N/ Lot# Parcel I D# Jensen 750 GPD Mound Chris Jenson ~~' p9~ 2 3 ~4 5 6 2 ~~~ Table of Contents '. --,.~~' ~ ~~" ~~~ ~ ~~ K. JR- Cover page , ~' ~ - E Mound Sizing Calculations ~ < ,~;~ ;;;; ~ ~ t:,:~ ;.iii-oiryrs Pressure Distribution Layout and Dynamics ~ Dose Tank /Pump Curve Management and Contingency Plan `` -`- `'"i~;~'`SrOPJDE~dCE Plot Map ~ ~'s g total # of pages: 6 Designer Name: License #: Date: Ph. #: Signature: Tom Gustum pg 1 of 6 /'~nnr~ril~~~ \I~~~r!~~ ~It:;~~.1 I~ ~a~.~_i~~~ c r ~ ,..:i,~.n~,,~~~~-,~.~,rG vCi. C:/IU~~Ji~Vi~tiU;.~`;`~.I. D1201 5/15/2004 71.~i-Fir,R-1 add Mound System Design Methods Used per "Mound Component Manual For Private Onsite Wastewater Treatment Systems" (Version 2.0) SBD-10691-P (N.01/01) 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: Jenson 750 GPD Mound Site Conditions - . __~ Project Type: 1 or 2 Family Dwelling ~ Slope: 9 # of Bedrooms: 5 Depth to limiting factor: 18 in. Absorbtion rate of fill material: 1 gal/ftz/day Absorbtion rate of in-situ soil: 0.6 gal/ftz/day Effluent quality Eff#i ~' Max BOD effluent value: 220 mg/I Max TSS effluent value: 150 mg/I Design of Entire Fill Cell depth at upslope edge (D): Cell depth at downslope edge (E): Distribution cell depth (F): Cover thickness over edge (G): Cover thickness over center (H): End slope width (K): Fill length (L): Upslope width (J): Downslope width (Toe) (I): Fill Width (W): Page 2 of 6 18.0 in. 26.1 in. 9.5 in. 6 in. 12 in. 10.9 ft. 121.8 ft. 6.6 ft. 1~.3 ft. 28.4 ft. Design of the Distribution Cell Basal Area System Design Flow: 750.0 gal/day Basal area required: 1250 ftz Distribution cell width (A): 7.50 ft Basal area available: 2180 ftz Distribution cell length (B): 100.0 ft Area of Distribution Cell: 750.0 ftz Observation Pipes Contour Elevation of Mound: 97.40 ft/ Location from end of cell (Z): 16.67 ft System Elevation of Mound: 98.90 ft Final Grade of Mound: 100.69 ft Mound Plan View W ~ /Observation Pipes z-~ K ~ ~ pistributiori Ceil ~ q -_ ._-. K B Tilled ArealFill Material L Mound Cross Section Find Grade Synthetic Fabric-_-~ C~istritau#ion Cell '~ ~. System Elevation ~- Cover Material Fill Material~-- Cbservation I~i~ae ~ ~ ~G v 4 a ~ ~. ~ s Late r~l p In~.~ert I _.. -~- u Slope Forcemain 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(8)(g) Distribution Cell to have minimum 6" aggregate below lateral and 2" above. 1(~-~~ ^~' Tilled Area System Cont^ur Mound System Pressure Distribution Calculations Project Name: Jenson 750 GPD Mound Lateral Layout Lateral elevation: 99.4 ft Rows of Laterals: 3 ~ Manifold type: 'Center ~ '' Orifice diameter: ', o.iz5 ~ ! In. # of Laterals: 6 Dista{ Pressure: 5 ft Lateral Length: 49.5 ft Orifice Spacing/Distribution Orifice spacing (X): 36.00 Inches Orifices per lateral: 17 Avg. ft2/Orifice: 7. S ?-3'5 ft2 Page 3 of 6 Lateral/Manifold Design Lateral diameter: 1'iz '~, ~ j In. Lateral spacing (S): ~ ,eft Lateral to cell edge: 0.75 ft Lateral discharge rate: 7.00 gpm System discharge rate: 42.02 gpm Manifold diameter. z ' = In. ~ Manifold length: - 6 ft Forcemain Friction Loss Forcemain length: 75 Forcemain diameter: 2 ~ ~ In. Friction loss in forcemain: 2.711 ft Lateral Side View M anifcld Lateral ~,. ~Later~.l ral I_e n Lateral Plan View Lateral Lengkh f]rifices an batkam of lakeral equally spaced Forcemain cr~nneckian via kee ar Clean Out Detail Glean-auk plug final Grade ,r or ball valve n gth Turn-up wlball valve ar aleanout plug f'+/ keral and arcemain ko comply wikh specifiaakians per omm ~kr manifold ak any paink gy 3~~I ~C 84.3o(zXd)3. Observation Pipes Water tight cap or plug Lawn Sprinkler Box Long Sweep 90 ariwo 45's-~~ Lateral 6" fvlinimuri~ -Slot Note: Closet Collar may be used in place of 3!8" bar `~3f8" Bar Mound System Septic, Pump and Dose Tank Project: Jenson 750 GPD Mound Tank Information Pump tank manufacturer: Pump tank size/model: Pump tank gal/inch: Tank bottom elevation (inside): Septic tank manufacturer: Septic tank size/model: Skaw Precast 1000 28.32 89 Skaw Precast 1600 Pump and Filter Pump Manufacturer: Little Giant Pump Model 9EH Effluent Filter: simtec STF 110 Note: Access opening of sufficient size to be provided to allow removal of filter. Opening to terminate at or above grade. Pump Tank Diagram Watertight Locking Gaver 4 InchWith Warning Label Finished Minimum ./^:-,__,_ Alternates Outlet Location ~ lam' Elect. per Gomm 16.28 and •cemain NEG 300 Weep Hole A a r Anti- Siphon ~ 6 Device G D Total Dynamic Head Are laterals highest point? if not, enter highest elevation: 0 ft System head (distal x 1.3) 6.50 ft Vertical Lift ("D" to lateral) 9.90 ft Friction loss in forcemain: 2.71 ft Pressure loss from filter: ~ft Total dynamic head (TDH): 9.111 ` ~~ ,1 ~~ Dose Tank Levels In. A Reserve 2 3 ~fr- B Pump off to Alarm 2.0 C Total Dosage S • ~ isfr' D Effluent depth for pump 6.0 Total Capacity: 3 ~o..S ~~5-3~ Pump Curve: 9EH FLOW- LITERS/HOUR 0 1000 2000 3000 3 Page 4 of 6 Dosage Volume Does forcemain drain back to tank? Lateral void volume: 31.4 gal ft Dosage to absorbtion Cell: 150.0 gal Forcemain volume: 12.z>iS~-3-9~-gal Total dosage: 163.1 gal Pump must be capable of: 42.0 GPM and head pressure of: 19.2 Feet W ~2 I a 1 Gal 610.4 56.6 1'@~t' 169.9 1000.0 10 Vi 7.5 w H W E s A z.s 0 Si . 7 Little Giant FLOW- GALLONS/MINUTE 9EH PUMP PERFORMANCE CURVE 115V 60HZ n ~I v I ~ I sl AI ~ I J ~ ~~- W ~ ~ ^ ~ ~~ ~ W I ~ ~ W ~~ ~ ~ w (n ° n °-_ w ~ r m pp C ~ fn r o ~ ~ f~l o D < ~ ~~ c~ r ' `~ m ~ s v o, ~ ~~ ~ ~ ~ y ~ ~ ~ ~ ~. ~ cn D ~ ~ n m o ~ ~ ~ ~ S/~ ~~ ~ , o~ ~~ -~ ~~ ~S a ~ n ~~ o ~ ~ ~~ ~~~~~~ c ~ v co 3 ~ ~ P1 ~ ~~ ~ ~r~ X ~ 2 C~ ~ ~ ~ ~ ~~~ i ~~ O ~. ~~ ~~~ •~ ~ ~cu ~~ ~ w' m m ~ %~ o '~' ~ 0V ~X ~ 2ND D ~ ~ ~ i~ a ~o ~~ a m f° ~ o ~ -~ m ~ v m ,,^~ O v) N O .n.. •\ ~ Y, C '~ ~ n ~ ~ ~ ~. m~ m N~~ mo Q~Q~~m G~Ya- n ~~ ~E~ ~_~' 1 ~g X m °- ~ ' v Z ~ ~ -- ° N w g ~ _. D r ~ m 0 1( ~~ N 3 s Cp i--f .Q ~ _r; 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 chemicalfbiological "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 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 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 to proper working order as required. ,M ~~~9bn~P-~- ~y9 ~~,'~G(~i4-tkc~ ~l ~v / E Document St. Croix County Occupancy Affidavit (',~r5. La~~e y~~~ Name - (Owner) Typed or printed being duly sworn ,states, under oath, that: 1. Helshe is the owner/part owner of the followin parcel of land located in St. Croix County, Wisconsin, recorded in Volume r' Page 3 Ocl Document Number q2 St. Croix County Register of Deeds Office: A parcel of land located in the S~ '/. of the SE %. of Section ~ ~ , T -~0 N - R 1 ~ Vv', Town of CrZ~Alu IIaDD , St. Croix County, Wisconsin, being duly described as follows (include lot no. and subdivision/CSM o,/r~detailed legal description): 765758 KATHLEEN H. MALSH REGISTER OF DEEDS ST. CROIX CO.. MI RECEIVED FOR RECORD 06/14/2004 11:00AI! 20NIHG AFFIDAVIT EXQPT # REC FEE: 11.00 TRANS FEE: COPY FEE: CC FEE: PAGES: 1 Name an~Retum Address 11120 ~ l~6adx .- ~jlen G ~-ry ~ ~~ SW6~3 L o~~- ioz~ io-lad ~/~sB As owner of the above described property, I acknowledge that the septic system serving this residence is sized for a 5 bedroom home, or a design flow of ~ gpd. The design flow is calculated by assuming 150 gpd for 2 individuals per bedroom. There are currently -occupants living in this residence; ~ occxtpants are permitted based on the design flow. Therefore the septic system serving this residence is code compliant. However, I understand that if there are intentions to exceed the number of permitted occupants, the system will need to be modified to acoomodate any increased wastewater flows and/or contaminant loads. I also acknowledge that I will make this information available to any future parties interested in purchasing this property. - ~..,...,...,,,~... " ~' ~~ ,~, Datedttus~dayof ..~un,~ .~ ~ ,`L~,t~T. '~ * T' /lam k. ,~ir/d " 1k AUTHENTICATION Signature(s) atrthenitcated this day of TITLE: MEMBER STATE BAR OF WISCONSIN (It rwt, authorized by § 706.06, Wis. Stars.) /IN/S WAS DIiAFI'Eq BY W (Signatxes maybe arrttrenticated a adrnovNedged. Both are not necessarv.l * t d ~'-'~,;lam ~~\i~-~ STATE OF WISCONSIN ) St. Croix County. ~ ~' Personally came before me this ~ day of it '~- 0 0 the above named •~ iA V to me known to be the person(s) who executed the foregoing instrument and adcnowtedge the same. * ~,~1y~rr ff • 6C/~rl s G, Notary Public, State of Wisconsin My Commission is permanent. It not, state expiwtlon date: Date: /SC~3/O(2_ "THIS PAGE IS PART OF THIS LEGAL. DOCUMENT - DO NOT REMOVE" TNs ANbrmabion mtat be oagpleted by subrr>rrter. .~, Zme d, return sdd~>ess. and ~((il reQuikedl. Other lnforme(lon such as the prarliJrl~ aawses. ~ desatpNon. etc. may be ptaosd on this 1Prac papa of Bra doarrrent a may ae ptacsd or additlorlat pages or the docrKrrsrk ~~ Use d this Dover page adds one papa to your document and to ~ to the reoadlrra Fee. Wlsoonain Statutes. s~.517. ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND . OWNERSHIP CERTIFICATION FORM OwnerBuyer ~ ~/ ~/J i ~'°'~'-' '~ ,~ ~1r/J.~~/ Mailing Address / 6 ~ ~ ~ ~ u ~' y ~~ ~" X Properly Address /~06 CvutiTy 2~~0 (Verification required from Planning Department for new City/State GG~~/w~,~d G ~r~ "'-L Parcel Identification Number0~,6' laZf"~~ ~12G LEGAL DESCRIPTION Properly Location ~ ~ '/., Subdivision Lot # Z' Certified Survey Map # ~ ~ y 7~ y .Volume ~ ~' .Page # y~ ~ ~ Warranty Deed # y `~/ 6 / y yy~ y d' ~ Volume ~ ~ y .Page # ~ ~ 9 9 8/ a~> Spec house ^ yes o Lot lines identifiable ^ yes ^ no SYSTEM MAINTENANCE ~ ~~j'~~Q~ -~~~ ~~~ `~~~ ~~%~=~~~c~ Improper use and maintenance of yo septic em could result in its p tore failure to handle wastes. Proper mamtenaace 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 mastorplumber, journeymanplumber, restrictedplumber or a licensedpumper verifying that (1) the on site wastewaterdisposal system is is 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 DeparUnent 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 of the three year expiration date. ~~ p 6 ~Oj ~ O~ SIGNATURE 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 property described above, by virtue of a warranty deed recorded in Register of Deeds Office. 66 , ~:~, o v _~%~~~~. SIGNATURE OF APPLICANT DATE ****** rnutbein revokedb the Zo ' De artmeat. ****'`* Any information that is mis-represented may result in the sanitary pe g Y ~8 p ,. ~18s ~ ~ ~. ~~~w~~~ `~~' 'l., Sec. 1 ~ . TAD N-R ~~ W, Town of •« 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 is the warranty deed LEGAL ST. CROIX COUNTY, WISCONSIN OLD TXSCR02 REAL ESTATE TOWN OF GLENWOOD COMPUTER NUMBER 016-1024-10-130 Parcel Number 11.30.15.185B-30 OWNER NAME: First MICHAEL T JR Last WAKELING PROPERTY ADDRESS: Hse # 1/2 PD --Street Name-- Type SD Apartment 3152 160TH AVE SECTION 11 TOWN 30N RANGE 15W '/4160 SE'/440 SW Line Description Line Description TOTAL ACREAGE 16.100 PLAT CSM 16/4266 016/02 LOT03 BLK 01 SEC 11 T30N R15W PT - 15 02 BEING CSM 16/4266 OT 3 16 03 16.100AC 17 05 19 "" ~"~ 06 20 07 21 ~ C`S~ 08 22 ~ ~ ~l 09 23 ~~''' G ~`~° 10 24 11 25 12 26 13 27 14 28 F1-General, F4-Prev. Parcel, F5-Next Parcel, F7-Valuations, F8-History, F10-Exit ~ ,~, .. County Attach complete site plan on paper not less than 8'/: x 11 inches in size. Plan must St. Croix include, but not limited to: verfical and horizontal reference point (BM), direction and Parcel I D percent slope, scale or dimemsions, north arrow, and location and distance to nearest road. . . O~ 6 ~ - !U ~ -/o_~ ~ Z Please print all information. Re revue Date Personal information you provide maybe used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). - ~ 3 6 Properly Owner Property Location .lensen, Chris Govt. Lot n/a SE 1/4 SE 114 T 30 N R 15 W Property Owner's Mailing Address Lot # Block # Sub .Name r CSM# 1620 County Road X 2 Na I {p ~Q City State Zip Code Phone Number ~ ity ~ Village Town Nearest Road Glenwood City ~ WI 54013 715-265-7392 Glenwood County Road X Wisconsin Department of Commerce Division of Safety and Buildings SOIL EVALUATION REPORT in accordance with Comm 85, Wis. Adm. Code 1898 Page 1 of 3 Gustum Septic Service 1/ New Construction Use: y_J Residential / Number of bedrooms 5 Code derived design flow rate '750 GPD J Replacement ~ Public or commercial -Describe: Parent material sand stone Flood plain elevation, if applicable n/a General comments / and recommendations: Part of 15 ac//r-es. Reco~m, m^e~nd mound system~a(~'ovnyg~ 97.4 contour. \ ~/ ~ (~~, Z to ' ~! ~, ~/ [moo - w / • r r~ j Boring # ~ Boring 1/ Pit Ground Surface elev. 98.3 ft. Depth to limiting factor 27 in• Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/ft= in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-10 10yr3/2 none sil 2msbk mvfr as 2f,1m 0.6 0.8 2 10-15 10yr5/3 none sil 2msbk mvfr cvv 1f 0.6 0.8 3 15-27 10yr4/6 none sil 2msbk mfr cw - 0.6 0.8 4 27-60 10yr4/6 02 ~pgyi~g7/t sil 1msbk mfi - - 0.4 0.6 ~~ * 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 Tom Gustum 2'`1~/I ~~ 227618 Address Gustum Septic Service ~ Date Evaluation Conducted Telephone Number N13450 937th St., New Aubum, WI 54757 5/12/2004 715$58-1344 Boring # ~ Boring /f Pit Ground Surface elev. 94.6 ft. Depth to limiting factor ~ 8 in. Sod Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence dary Roots GP D/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-10 10yr3/2 none sil 2msbk mvfr as 2f,1m 0.6 0.8 2 10-18 10yr5/3 none sil 2msbk mvfr cw 1f 0.6 0.8 3 18-30 10yr4/6 o2-~p5yr°5/x7/1 sil 2msbk mfr cvlr - 0.6 0.8 4 30-45 10yr5/6 c2 ~p5y~0yr7/1 sl 1 msbk mfi - - 0.4 0.7 r * ~~ . Property Owner Jensen, Chris ~ ParceI~ID # Page Z of 3 Boring # J Boring ~/ Pit Ground Surface elev. 98.3 ft. Depth to limiting factor 22 in. Soil Application Rate Horizon depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots : in. Munsell (2u. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-10 10yr3/2 none sil 2msbk mvfr as 2f,1m 0.6 0.8 2 10-16 10yr5/3 none sil 2msbk mvfr cw 1f 0.6 0.8 3 16-22 10yr4/6 none sil 2msbk mfr cw - 0.6 0.8 4 22-33 10yr416 c2-3p 10yr7/1 7.Svr5/8 sil lmsbk mfi cur - 0.4 0.6 5 33-60 10 r8/2 Y c2-3p 10yr7/1 7.Syr5/8 WB m mvfi - - n. P• n. P• ^ Boring # J Boring _f Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Stnrcture Consistence Boundary Roots ' in. Munsell (2u. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eft#2 ^ Boring # -~ Boring -J Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redoz Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Etl'#i *Etf#2 * Effluent #1 = BODS> 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 =GODS < 30 mg/Land 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. .' o ~ ~ i m i Q 3 0 Z ~. ~ 3~~ •a x CNN ~ W - !-' !p~0 ~ C~ ~ m V N 7 U 7 a ~~ i i i i 7 I M I 1 I 1 '~ ` w 1 V ' ~ ` ('~ ~ ~ I I vi I I I C3 1 I o J v) ~ i ~ I I o ~ ~ ~ ~ 93 € x co g n ~ , ~ LL ~ ~^ m ~` r 'M ~ ~ a ~ ~ ~ ~ ~ a3 ~~ ,~ o~ ~ fi s Vj Q' N ~ ~ (J m ~~~~ /~~ ~ $ ~ ~ ~ v~ O p3' (A ; ~ i c0 Q ~ ~ f ,, , ~ .~ a i ~ ~ ~ . os ~ w ~o ~s Lam? ; ~, ~ ~ o -- i ~ ~g `° '`t ~ r ~ ~ ~: m c? ~ r' ~ b ~ ~~ '' ~ Z ~ S ~ J ~ .~ ~` - ~ ~ w > Q ~ m w JU W .o ~ ~ ~ ~ '~ '~ m ~ ' a ~ ~~ m m ~ m ~ ~ i ~ w / ,o-z n ~ ° J~ a9L --~' ~S ~M~-7 -19~ - vrA ~J ~-aa-5 a Wisconsin Department of Commerce SOIL EVALUATION REPORT Division of Safety and Buildings in arrnrdance with Comm 85 Wis. Adm. Code ~~ ~~~~ ~ ~ ,. •4,530 r';' l''~ 1 •of Gustum Septic Se[v County ~ a "^~"'t . Attach complete site plan on paper not less than 8'/: x 11 inches in size. Plan must St. O indude, but not limited to: vertical and horizontal reference point (BM), direction and arcel ' .. ' • percent slope, scale or dimensions, noM arrow, and bcalion and distance to nearest road. r,,: , _.~ t, Please print all l~orn-aNon. Reviewed y Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location - Jensen, Chris Govt. Lot n/a SE 1/4 SE 1k4 S 11 T 30 N R 5 Properly Owner's Mailing Address Lot # Block # Subd. Name or CSM# ~' 1620 County Road X n/a n/a ~o y City State Zip Code Phone Number J City J ~Ilage ~d' Town Nearest Road Glenwood City ~ WI 54013 715-265-7392 Glenwood County Road X New Construction lJs@: t/ Residential /Number of bedrooms 3 Code derived design flow rate 450 GPD Replacement J Pubtic or commeraal -Describe: Parent material loess Flood plain elevation, if applipble n/a General comments and recommendations: Part of proposed 15.0 acres. Recommend mound system along 94.1' contour. Boring # --.~ Boring Pit Ground Surface elev. 96.6 ft. Depth to limiting factor 19 in. Soil Application Rate Horizon Depth Dominant Color Redox Desaip6on Texture Structure Consistence Boundary Roots in. Munsell C!u. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0-7 10yr3/2 none sit 2mcr mvfr as 3f,1m 0.5 0.8 2 7-13 10yr4/4 none sit 2msbk mvfr cw 1f 0.5 0.8 3 13-19 10yr4/6 none sl 2msbk mvfr cw - 0.5 0.9 4 19-29 7.5yr4/6 c2 ~ S~ yr7/2 sl 2msbk mfr cult - 0.5 0.9 5 29-50 10yr7/4 02 ~ Sy ~yr7/2 WB m mvfi - - n.p. n.p. Boring # ~ Boring LIf Pit Ground Surface elev. 95.1 ft. Depth to limiting factor 18 in. Soil Application Rate Horizon Depth Dominant Color Redox Desaiption Texture Structure Consistence Boundary Roots GP D in. Munsell Qu. Sz. Cont. Cobr Gr. Sz. Sh. 'Eff#1 ff#2 1 0-6 10yr3/2 none sit 2mcr mvfr as 3f,1m 0.5 0.8 2 6-11 10yr4/4 none gr. sl 2msbk mvfr cw 1f 0.5 0.9 3 11-18 7.5yr4/6 none sl 2msbk mvfr cw - 0.5 0.9 4 18-25 10yr4/6 c2 ~ s~yr7/2 55~/$8 sl 2msbk mfr cw - 0.5 0.9 5 25-38 10yr7/4 c2-3p 10 /2 7.51,,. WB m mvfi - - n.p. n.p. ' Effluent #1 = BODS> 30 <_ 220 mg/L and TSS >30 < 150 mg/L 'Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Signature: CST Number Tom Gustum 227618 Address Gustum Septic Service Date Evaluation C ndu Telephone Number N13450 937th St., New Aubum, WI 54757 2/11/02 15-658-1344 ~ ~Sf'~i Property Owner )E'(ISt'n, Chris Parcel ID # Page 2 of~~ Boring # J Boring }~ Pit Ground Surface elev. 94.1 ft. Depth to limiting factor 22 in. Soil Apglux§on Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-7 10yr3/2 none sil 2msbk mvfr as 2f,1m 0.5 0.8 2 7-13 10yr3/4 none sil 2msbk mvft cw 1f 0.5 0.8 3 13-22 10yr4/6 none sil 2msbk mfr cw 1f 0.5 0.8 4 22-40 7.5yr4/6 c2-3d 10yr7/1 7.5 /8 sil 2msbk mfi - - 0.5 0.8 Boring # J Boring Pit Ground Surface elev. 93.9 ft. Depth to limiting factor ~ in, Soil ~ Rate Horizon Depth Dominant Cobr Redox Description Texture Structure Consistence Boundary Roots T in. Munsell du. Sz. Cont. Color Gr. Sz. Sh. *Eft#1 •Eff#2 1 0-8 10yr3l2 none sil 2mcr mvfr as 2f,1 m 0.5 0.8 2 8-14 10yr2/2 Worts gr. sl 2msbk mvfr cw 1f 0.5 0.9 3 14-23 10yr5/6 none sl 2msbk mvfr cw - 0.5 0.9 4 23-40 10yr6/6 c2-3d IOyr7/2 7.5 5/8 sl 2msbk mfr Ca - 0.5 0.9 5 40-50 10yr7/4 c2 ~ 5 l0 g /2 WB m mvfi - - n.p. n.p. Boring # ~ Boring Pit Gnwnd Surface elev. ft. Depth to liming factor in. Soil ~ ~~ Horizon Depth Dominant Cobr Redox Description Texture Shudure Consistence Boundary (toots in. Munse~ ~. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 * Effluent #1 = BODS> 30 < 220 mg/l. and TSS >30 < 150 mg/L * Effluent #2 = BODS <30 mg/L and TSS <30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need m~erial in an alternate format, please contact the departrcent at 608-266-3151 or TTY 608-264-8777. u ~ ~. ~_ ~ _ ~ M g ~ G M F O ~ s ,.. M ,,~ ~ ~ i7~S ~ d ~~ ~ ~~VW € €~~~W ~ ~ ~ ~ ~~~ ~ ~ ~` N _ ~' ~A ~. a ~ ~ c~ U a, =' N ~ ~ ~ 3 m ~ rn ~ ~ $ U 1i ~ ~ O O. ~ ~ ~ ~ ~ ~ ~ /rj x Q \ W ~ ~ / \ m O i ~ ~ _ $ ~ i ^ (p~ i "ff ~ ~ i Z O r ~ i ~ ~ QV ~ 11 3 ~- ~~ ~ ~~ ~ ~ a ' ~ J °S' m `~i ~' ~ J 0 J ~ U ~Y O ~'~ t~ a4.L99 ~ cn w w ~ ~ - n 11 u m _____,-,-~~ ~ ~ In -~" m m ^ °~ °~ '" ~ / ^"" ~ m8 ~ ,; 8 ,~ ~ r.. o ~ 1 a %6> adOIS ~'~ ~ ~~~ r ~_ ,~ ,~' dY ~, _~_~ `~ U I m I ~ LEGAL ST. CROIX COUNTY, WISCONSIN OLD TXSCR02 REAL ESTATE TOWN OF GLENWOOD COMPUTER NUMBER 016-1024-10-120 Parcel Number 11.30.15.1858-20 OWNER NAME: First CHRISTOPHER R & LORIE Last JENSEN PROPERTY ADDRESS: Hse # 1/2 PD --Street Name-- Type SD Apartment 1606 CTY RD X SECTION 11 TOWN 30N RANGE 15W'/4160 SE'/<40 Line D on Line Description TOTAL ACREAGE 6.57 LAT CSM /16,~26~6 016/02 LOT02 BLK 01 SEC 11 T30N RT SE 1/4 15 02 BEING CSM 16/4266 LOT 2 16 03 26.570AC ~~ 04 18 05 19 06 20 07 21 08 22 09 23 10 24 11 25 12 26 13 27 14 28 F1-General, F4-Prev. Parcel, F5-Next Parcel, F7-Valuations, F8-History, F10-Exit `.h `, .~.~. DOc~UMENT Nt7 ;E,.- - ~.t'~1.. ~~ `49119 ~,,, 98f~pA~~ 2?'~ WARRAiVTY DEED STATE BAR OF WISCONdiV FORM '1-1982 ~'~ /1>n 1 a n h S~ Kraig K. Konder and Mauz-een C, Konder, . .:zushand and wife as survivorship marital .................. ..:pi~pert~- ........... conveys xnd warrants to ._.,Christopher,_R.•.Jensen--and-___._.__...__ _........L~~rie..,Tensen,.husband .al..~ wi£e .............._..................-...... the following described real estate in ......_... St. CrO1X ........County, State of Wisconsin: TNIS SrAC[ RCSERV ED -OR R[CORDIN6 DATA RE~il~~~3~5 OhFI~~ $T. CRQI~ CO., WI R~~'d for Record N QV 16 i99~ *~ 10:00 AM ~phhr ei Oeed~ Taa Parcel No :.............................• 1. Sl/2 of SF/14 of Section 11-30-15, except part to Willia~- G. and Mary B.' Burke in Vol. "503", Page 542 and except Lot 1 of CSM in Vol. "6", Pap3e 1565; and except part to Rot:rt P. Lyons in Volume "831", Page 350; and except Lot 1 of CSM in Vol. "8", Page 2182. 2. S} of NE} of SE} lying S and W of railroad right-of-way in Section 11-30-15. I'R JSFEb $~-- o €~ E~tEr«t?T This .-_ tS ............._ homestead propert}-. (is) (is not) {. ,'`. I~EGISTEK'S OFFt~~ ST. CROIX CO., WI • `: R~c'd for Record , at 0 E C 0 41992 1 ~oc~:2e rf.. ~ ~ o,.d. I~ Exception to warranties: easeRments, restrictions and rights-of-Way of ='ecord, if any. Dated this !i~ `~1 Oeto>/er g2 .._ ......... .......... ..... .. .. day of ....... - - ..... ....... -_...-.... _ _......, 9...... / K/ //j ~/ ,' n ~._ - __ ._. ..!-.l...L.~--~• -~--.-v- __(SEAL) 1\~ GZ~(.f1Z.LGec.- ~'. ~r7C.GT v_... - (SEAL) J~ ,: Kraig K. Konder Ma en C. Konder -- - - -----------•---•--• ---------•--•- --- --.. (SEAL) AUTHENTICATION signet (a --~'a-ig v _ Konder and '~au~•een C-:--Konder---•------------------------------- authenticated~thisr!`"!- day of../~tOber ~ lg 92 Kristina~gl.and TITLE: MEMBER STATE BAR OF WISCONSIN (If not. --•-- -----•---------°------••-•-•----•------------------ authcrized by ~ 708.08, Wis. St.:ta.) THIS ~+13TRUMENT WAS DRAFT°_D BY ....----°-_-_--•Kristirla Ogl.and Attorney at Law (Signatures map be authenticated or acknowledged. Both are not necessary.) ... - -..-._...._..- - -•- .... ......-(SEAL) ACHNOWLEDOMSNT STATE OF WISCONSIN ss. --••---- -----•-•°-----•---- -----...count}-. Personally came before me this ................day of -•------------------19•-•-•--. the above named to me known to be the person ........._.. who executed the foregoing instrument and acknowledge the came.. Notary P•~blic ............ ..•-----------•--....---._.County, Wis. My Commission is permanent. (If not, state expiration date- ---------- ------•---•---------•-----------......----..., 19------•-•) .:1 y.. ~ • ~~Ji O w O O 0~ 0 O ~ ~ ,. ~,~,,,~;.~;1~ }+r - - _ .... CY1 , . ~ Piarnir 7. N a vh~{~ ~; ~ Z~~~ Z ~1Pf>t~( ~ie . roval 1 , ~ j 3Vn , ,s ~~ m C s ~ A u Zo w c ~ i Z i Z °° O ~ N A n 1 s~ ~.~~74774 L ~ 6 PAGE 4266 KATHLEEN H. MALSH REGISTER OF DEEDS ST. CROIX CO. , MI ,. .. vc izmA-r- ~ z^''-° ono z ~°~~~~~ "J DAm _cn ~ n<~ ~v~0:~37~ O ~~Z °°u''opo~ ~ ~m~ ~Z ~ ~_ L'7 a m z w n m z m z M[~pI~l44CD L~GJ-[`~l.D~ O~[~GD ~ ~`I 04G~C~G°3~ NORTH -SOUTH 1/4 LINE 14.4' +/- ~ m m ~~~ 'GV m~ ~o~o~o ~[`Jr C/Io ~ p~o L9 9 7oZ ~------------------- 9 ------------- C m ~ SOO°30'25"E 739.02' ~ 38. 700.10' ~ ti~ '~~ ~ ~ ~ ~~ ~ ~ s tic~ ~' `~ ~ ~L$ ~ 1 o~ _ i ~ ~~ '~ I ~ ~~ I~ I ' I ~ I~ '~ ,~ ~ ~~ ~~ 1 oo _ ~~ ~[~ m 1 10 ' °0 ' O ~ ~ ~ ~, o TI i~ i ~ N i ~ ~ 1~ I~ 2 +~ i I GJ VV ~6 ^ - o ~® • W ,., ~ w S~ \~ ~ A A ~+'Im m jo ,~~pSL °~~.5 rn 6~ ~~ ~J.09n~~9 m '``' ~, °9~`° ~~ O 1 30' -~ ocnq c~' N e~S NSF. 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