HomeMy WebLinkAbout016-1055-70-300,isconsin Department of Commerce PRIVATE SEWAGE SYSTEM
Sa`? tY anr~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)].
'ermit Holder's Name: City Village X Township
Draxler, Chuck Glenwood Townshi
;ST BM Elev: Insp. BM Elev: BM Description:
l fs~' • b ~ • O 6 t-
~ANK INFORMATION ELE ATION ATA
TYPE MANUFACTURER CAPACITY
Septic .
~ bvo
Dosing ~ ~~
Aeration
Holding
TANK SETBACK INFORMATION gb ~-ti•~et~
TANK TO P/L WELL B
LDG. Vent to Air Intake ROAD
Septic ti~ ~ , wN f ~
1
a ~ ~ a y ' _--_
Dosing
II
~,
It
~ i
Aeration
Holding
PUMP/SIPHON INFORMATION
Manufacturer Demand
I`~ GPM
Model Number ~ ~~ n' ,3
TDH Lift '
~2 •~3 Friction Loss
a.3i System Head ~
~•S TDH Ft
a i. sy
Forcemain Length Dia. Dist. to Well
I v' ~~
~ 1„o f t rt ¢~-
SOIL ABSORPTION SYSTEM u
c°unty: St. Croix
Sanitary Permit No:
453197 0
State Plan ID No:
Parcel Tax No:
Section/Town/Range/Map No:
25.30.15.
I inn ~ r h Q~~ ~/
STATION BS HI FS ELEV.
Benchmark
~~t
a•~]
102,
to •o
Alt. BM
Bldg. Sewer
/ ~.$~ ~g ` L
St/Ht Inlet
.~
St/Ht Outlet
Dt Inlet
Dt Bottom
8 ~/ 3
Header/Man.
~.
7
Dist. Pipe
5,~$
`~~7•03
Bot. System
~•~
9 ..~~
Final Grade
over
o' ~ ~s
~. 9
~j
' S (~ ~ atti.o4_ O
~ ~S`t
BEDITRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS ~ -7~ y
/ 1 ~~ I
1
G
'
SETBACK SYSTEM TO P/L BLD
G WELL LA /STREA LEA ING Ma urer:
INFORMATION CHAMBE
Type Of System:
Y~161.1,V1t~. ~~ a ~
~l 5 ~ y h 6 ~-- del Number:
DISTRIBUTION SYSTEM 5(}1L-~ r, "'~ V
Header/Manifold Distribution
~ r`
' x Hole Size x Hole Spacing Vent to Air Intake
37 ~ ~r Pipe(s) / I
~~ r
2
h ~ r~
rr
~~
Length Dia Lengt
Dia
Spacing
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only
Depth Over Depth Over xx Depth of / xx Seeded/Sod ed xx Mulched
Bed/Trench Topsoil
Yes [] No
Yes ~ No
J
~C.~~OMMENTS: (Include co~ discrepencies, person~5pr~esent, etc.) Inspection #1:~/~/~~E, l.-. Inspection #2:~/ ?5~ /~.C..,
'A c`ati n: 322 ve Unkno E 1/~4tN~W~1/4 2 ~ t~15W~3 Parcel No: 25.30.15.
1.) Alt BM Description = , ~-l~n~~vwb = O~
2.) Bldg sewer length = a(p `~~ P~DLO c'pk, -" tT~ C%t>~n~~
-amount of c~ov„er~=~~~ ~ ,~tyyj- _ _ U"
Plan revision Required? Yes ~No I ~ - ! ~ ~I ~~
Use other side for additional information. ~ ~I ~ ~,_ . _ _ ___~ ~ L____J
Date nsepctor's Signature Cert. No.
SBD-6710 (R.3/97)
` Safety and Buildings Division County ~
C ~~
~
~
~ 201 W. Washington Ave., P.O. Box 7162 ! +
iscons~n Madison, WI 53707 - 7162 Sanitary Permit Number (to be fitted in by Co.)
Department of Commerce (608) 2ci6-3151' 3 /
Sanitary Permit Application ~~;;~;,~ State Plan LD. Num r
In accord with Comm 83.21, Wis. Adm. Code, personal information you provide ~~ ~ ~ Trt~ • !o
may be used for secondary purposes Privacy Law, s15.04(1)(m) Project ddress (if different than mailing address)
I. Application Information -Please Print All Information ~,.~.....,o..,__._.._~......<....~.~
Property Owner's Na me Parcel iY Lot /f 3 B #
G>+~ucK ~2~'}kt-E~. •r;~; ~- , it m/fo-/c~
Property Owner's M ailing Address ~ Property Location /~_J
1453 3Zoth ~
//L/~
NE ~ti
2 $
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City, State Zip Code ,,..®........- ,
,
,
ec
on
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~JJ W 0'U ~ t...t"C LJ~-1 I s~,.G 13 (circle~e)
R 15 ~
N
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;
II. Type of Building (check all that apply)
~
~
M
~
~~
~
/
' ~
,~'1 or 2 Family Dwelling -Number of Bedrooms CSM Number
~
~ ~
^ Public/Commercial - Descri se P• ~'~ X599 ~a
State Owned - escri a Us ~ ~~ ^City ^Village~Township of !s'GEd/l~JCt7~
II. Type of Permit: (Check only one box on line A. Complete line B if applicable)
A' New S stem
y ^ Re lacement S stem
p y
^ Treatment/Holding Tank Replacement Only
^ Other Modification to Existing System
B. ^ Permit Renewal ^ Permit Revision ^ Change of ^ Permit Transfer to New
List Previous Permit Number and Date Issued
Before Expiration Plumber Owner
IV. Ty of POWTS System: (Check all that a 1 )
^ Non -Pressurized In-Ground ^ Mound > 24 in. of suitable soil (~ Mound < 24 in. of suitable soi ^ At-Grade ^ Single Pass Sand Filter
^ Constructed Wetland ^ Pressurized In-Ground ^ Holding Tank Peat Filter ern tc reatment Unit ^ Recirculating Sand Filter
^ Recirculating Synthetic Media Filter ^ Leaching Chamber ^ Drip Line ^ Gravel-less Pipe ^ Other (explain)
V. Dis ersal/Treatment Area Information:
Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Required (sf) Dispersal Area Proposed (sf) System Elevation
~fso . S ~s-a ~f5 ~ 9~. 34
VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic
Gallons Gallons of Units ~/
~ -
00 Concrete Constructed Glass
New Existing /
i
Tanks Tanks
Septic or Holding Tank ~t> ~~ A ~/~ `~
7
Gt/
Aerobic Treatment Unit f ~D
[D ~
Dosing Chamber / /b
VII. Responsibility Statement- I, th'e undersigned, assutne responsibility for ' allation of the POWTS shown on the attached plans.
Plum is Na me (Print)
~ Plumber's Si gnature MPRS Number Business Phone Number
yG~~~y~.S 22~t~~~ ~/S G43`252v
Plumber's Addre ss (Street, City, State, Zip Code)
~'iSS~ ~~TG- ~ ~~i ,~6 ~cEVru-~ ~c1 ~ s~~~ s
VIII. Count /De artment Use Onl
Approved ^ Disa roved
pp Sanitary Permit Fee ('ncludes Groundwater Date Issued
Surcharge Fee) ~ Is wing gent Signature (No Stamps)
^ Owner Given Reason for Denial ~~
IX. Conditions o pproval
SYSTEM OWNER:
1 Septic tank, effluent filter and
dispersal cell must all ~ serv,_cred / maintained
as per management plan provided by plumber.
2. All setback requirements must be maintained
as per applicable code/ordinances.
Attach complete plans (to the County only) for the system on paper not less than 81/2 x 11 inches in size
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SBD-6398 (R. 01/03)
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Department of Commerce
Safety and Buildings
141 NW BARSTOW ST FL 4TH
WAUKESHA WI 53188-3789
TDD #: (608) 264-8777
www.commerce. state.wi.us/sb
www.wisconsin.gov
Jim Doyle, Governor
Cory L. Nettles, Secretary
March O1, 2004
CUST ID No.224617
LYLE J MYERS
NORTHLAND PLUMBING INC
E1556 STATE ROAD 64
BOYCEVILLE WI 54725
A7TN: POWTS Inspector
ZONING OFFICE
ST CROIX COUNTY SPIA
1101 CARMICHAEL RD
HUDSON WI 54016
CONDITIONAL APPROVAL
PLAN APPROVAL EXPIRES: 03/01/2006
SITE:
Joe Draxler
140TH Ave
Town of Glenwood
St Croix County
NE1/4, NW1/4, S25, T30N, R15W
Identification Numbers
Transaction ID No. 972944
Site ID No. 670942
Please refer to both identification numbers,
above, in all cones ondence with the a enc .
FOR:
.Description: Mound, 3 Bedroom
Object Type: POWTS Component Manual Regulated Object ID No.: 943380
Maintenance required; 450 GPD Flow rate; 17 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 approved plans, the "Mound Component Manual
for Private Onsite Wastewater Systems Version 2" SBD-10691-P(N.O1/O1). The pressure network is to be
constructed in accordance with publications SBD-10706-P(NO1/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)".
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 n~id+~~onent
manual. A copy of this information must be given to the owner upon completion of the p ~ 'w_
~~~~:~!
'v w of the tank x lainin that eri~ ' ~~~ ti'lter is
Maintenance [nformaaon must be g[ en to the o ner e p g p ofl~, ,~ >~
required. Access to the filter for cleaning must be provided per Comm 84 prodi~appro~~j~
S sqF ~O
A Sanitary Permit must be obtained from the county where this project is located i~i6c~ ance v~h the
requirements of Sec. 145.135 and 145.19, Wis. Stats. OiQA_
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. Slats.
LYLE J MYERS
~ ~ ~
Page 2 3/1/04
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/installationJoperation.
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
cc: Leroy G Jansky, Wastewater Specialist, (715) 726-2544
i ~ c
Mound system Cover Page pg 1 of 6
~~~M~~~ r
Project Name: Draxler-Mound
Owner's Name Chuck Draxler
Owners Address 1453 1320th
Glenwood City,Wl 54013
Legal Description ~Ne ~ ~ %4, j Nw j ~ %< Sec 25 T 30 N, R 15 ~ w j
Township Glenwood
Court Saint Croix
tY L - _.__ -_ - _ -
Subdivision N/A
Lot#
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 d'S
Date: 2!24104 l~~~
Ph. #: 7156432520 ~~ 1~
Signature: g o~hy~~~o
Mound System Design Methods Used "'p e~,~ ~~Cs
per "Mound Component Manual For Private Onsite Wastewater Treatment Systems" (Version 2.0) SBD-10691-P (N.01/01) NQ~
per" Pressure Distribution Component manual for Private Onsite Wastewater Treatment Systems" (Version 2.0) SBD-10706-P (N 01/01) ~CF
3bAdvisement N12486 220th St, Boyceville, WI 54725 Ph: 715-643-6068 email:
"'
Mound Sizing Calculations
Project Name: Draxler-Mound
Site Conditions
__
Project Type: ~ 1 or 2 Family Dwelling.
Slope: 15
# of Bedrooms: 3
Depth to limiting factor: 17 in.
Absorbtion rate of fill material: 1 gal/ftz/day
Absorbtion rate of in-situ soil: 0.5 gal/ftz/day
Effluent quality i; Eff#1 ~ ~
Max BOD effluent value: Z20 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
19.0 in.
29.8 in.
9.5 in.
6 in.
12 in.
11.5 ft.
98.0 ft.
6.0 ft.
20.6 ft.
32.6 ft.
Design of the Distribution Cell Basal Area
System Design Flow: 450.0 gal/day Basal area required: 900 ftz
Distribution cell width (A): 6.00 ft Basal area available: 1995 ftz
Distribution cell length (B): 75.0 ft
Area of Distribution Cell: 450.0 ftz Observation Pipes
Contour Elevation of Mound: 94.78 ft Location from end of cell (Z): 12.5 ft
System Elevation of Mound: 96.36 ft
Final Grade of Mound: 98.16 ft
Mound Plan View
fDbservation Pipes z~
~.
-- ~~ C~i~trib~.rtion Call ~ A
B k-K~
y Tilled ArealFill Material
Final Grade
Synthetic Fabric =-
Distribution Cell- = ~ ,~
System Elevation-; ' ~" -=
~' ~'
Cover Material
Fill Material ;-~-
L
Mound Cross Section
r„~.~---.--C
1` ~ ~
servation Pipe
¢ ° .r ° I ;~ ~, d I .~
~ s ~,i'I I ~ ~ t~° I F
Late"ral
Irn~ert
l
filled Area
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(6)(8)
Distribution Cell to have minimum 6" aggregate below lateral and 2" above.
~ys~em
Gantaur
,~ ~ Mound System
M ~y
Mound System Page 3 of 6
Pressure Distribution Calculations
Project Name: Draxler-Mound
Lateral Layout Lateral/Manifold Design
Lateral elevation: 96.9 ft Lateral diameter: 'i ivz; ~ In.
Rows of Laterals: ~ 2 __ ~ Lateral spacing (S): I ~Jft
Manifold type: ~center~ Lateral to cell edge: 1.5 ft
Orifice diameter: ~'~ 0.125 ~ In. Lateral discharge rate: 7.83 gpm
# of Laterals; 4 System discharge rate: 31.31 gpm
Distal Pressure: 5 ft Manifold diameter: ',r2 ~ In.
Lateral Length: 37 ft Manifold length: 3 ft
Orifice Spacing/Distribution Forcemain Friction Loss
Orifice spacing (X): 24.00 Inches Forcemain length: 100 ft
Orifices per lateral: 19 Forcemain diameter: 2 ~ In.
~_
Avg. ft2/Orifice: 5.92 ftZ Friction loss in forcemain: 2.098 ft
Lateral Side View
Manifold
Lateral ~ Lateral
x x x x x x x x x x x x
2 2
Lateral Length Lateral Length
Lateral Plan View
Lateral Length ~ ~ Turn-up wlball valve or cleanout plug
c a
ISf
O p 1_
Orifices on bottom of
lateral equally spaced PVC laterals and forcemain to comply with
specifications per Comm $4.30(2](eJ
Forcemain connection via tee or cross to manifold at any paint
Clean Out Detail Observation Pipes
Clean-out plug
Final Grade or ball valve
'"~'- Watertight cap
or plug
Lawn
Sprinkler
Box
Slot
Note: Closet Collar
6" Minimum may be used in
Long Sweep 90 place of 318" bar
ortwo 45's L 3J8"Bar
Lateral
,, { Nlound System
Septic, Pump and Dose Tank
Project: Draxler-Mound
Tank Information
Pump tank manufacturer: Wieser Concrete
__
Pump tank size/model: ~ W1000/650-MR
Pump tank gal/inch: 17
Actual Pump Tank Volume: 646 gal
Tank bottom elevation (inside): 86 ft
__
Septic tank size/model: wiooo/55o-MR
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.
Pump Tank Diagram
Watertight Locking Cover
4 Inch ~j With Warning Label
Minimum Finished
Grade
Alternate
Outlet
Location Elect. per Comm
16.28 and
o i' ~ NEC 300
Weep Hole p`
or Anti-
Siphon B
Device
C
D
10
Vl
7.5 ~S
W
S
5 '
a
w
2.5
30
w
~ 20
W
31.3 GPM = to
18.8 Feet
0
0
Pump must be capable of:
and head pressure of:
Page 4 of 6
Dosage Volume
Forcemain drains back to tank? QQ Yes O No
Lateral void volume: 15.6 gal
Dosage to absorbtion Cell: 78.2 gal
Forcemain volume: 17.4 gal
Total dosage: 95.6 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) 10.20 ft
Friction loss in forcemain: 2.10 ft
Pressure loss from filter: L
~ft
namic head (TDH): .
18.79 ft
~~ -2.31
l 60 ~ i u
Dose Tank Levels
In. Gal
A Reserve 22.4 380.4
B Pump off to Alarm 2.0 34.0
C Total Dosage 5.6 95.6
D Effluent depth for pump 8.0 136.0
Total Capacity: 38.0 646.0
FLAW- LITERS/HOUR
Little Giant FLOW- GALLONS/MINUTE
9EH PUMP PERFORMANCE CURVE
115V 60HZ
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 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.
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` ~ Wisconsin Department of Co arcs RECEIVED I EVALUATION REPORT page ~ ~~
Division of Safety and Buildings
in accordance with Co t35, Wis. Adm. Code
C C ~ County ~S'T c,eQ lx
Attach complete site plan on per nmt wat8 th~ns 1 inch in size. Plan must
include, but not limited to: v I and horizontal reference point BM), direction and Parcel LD.
percent slope, scale or dime ions, ~M~ ~I~r yon a distance to n~rest road.
PI on. R ed by Date
Personal information you provide may be used for secondary Purposes (Privacy Law, a. 15.04 (f) (m)). ~ ~~!
Property Owner\ Property Location
~b E /~2 l~k,~ G E~ Govt. Lot /~/~ 1/4 i1/{n/1/4 S Z S T 3 C~ N R I S ~ .1~
Properly Owner's Mailing Address Lot # Block # Subd. Name or CSM#
1 5 32 o-th ST
City ,State Zip Code Phone Number ^ City ^ ~Ilage Town Nearest Road
CsCeNweo~4'r 6u/ S4a/3 ( ) ~sL-~~1Gc~~ l~fO~+ RVE
New Construction Use: ~ Residential / Number of bedrooms ~_ Code derived design flow rate
^ Replacement ^ Public ~or commercial -Describe:
Parent material ~l..nC ! ~ e:, ! / Z!. Flood Plain elevation if applicable
General comments
and recommendations: pt„
tea..?may)
--~.. n Rnrinn / lfi
t ' J ~i~ ~ I51 Pit Ground surface elev. ~fP• 5T ft.
Depth to lim~ig factor ~n.
~ GPD
ft
Soil ic~ion Rate ~~'
Horizon Depth Dominant Cobr Redox Description Texture S re Consistence Boundary Roots P
in. Munseil Qu. Sz. Cont. Color G z. Sh. 'Eff#1 •Eff#2
/ ~-~ /6 yR4/3 SI~~ 3 bk ~xf r C 3 .5 .8
2 -1 ~ d 5 ~ si / sb k n~ Z , 5 .
5 byR'¢ ~'r~ loY~~ s ai Sic/ S~fS ~ r CS - . ~
3S' o YR'9` ~ rc. Z S b K Yx.~~r CS -- • 2. . , 3
~1
r--
,~
,~
2 ~^~ # I~~t ~`~
I~ Pit Ground surface elev. 94~. ~8ft. Depth to limiting factor 2
Soil Rate
Horizon Depth Dominant Colo Redox Description Texture Structure Consistence Boundary Roots GP D/iC~
in. Munsell t1u. Sz. Cont. Cobr Gr. Sz. Sh. 'Etf#1 'Eif#2
2 - 23 /o y s/ - s/'l 3s6 ir,v ~ c . 5 •
3 2 /d yR4 ~'/~ /aYK~ s o sic( 3sb /ytV ~~ eS . 4 • to
8-~z ~. SYRg/~ ~ K ~ r c S -- o. o o, v
'Effluent #1 = BOD > 30 < 220 mg/1.. and T >30 < 150 mg/L * Effluent fX2 = BOD < 30 mglL and TSS < 30 mg/L
CST Name (Please Print) - - Signature CST Number
Address a Evaluation Conducted Telephone Number
x943 /3~r4,. t~vP l.~kr~' ~.~ v ~b-ice 03 ~~r-2`s--~ibZ
.~
.~
,~
.~ ~ `` •-
Property t7wner JOE ~ R.~k.l1.E FZ Parcel ID #
Page 2 ° ~ 3
a Boring # ^ Boring 2 ~ p
Pit Ground surface elev. 9~ ft. Depth to limiting factor
^"~~~ Soil icalion Rate
Horizon Depth Dominant Color Redox Descxiptbn Texture Structure Consistence Boundary Roots GP Dlflz
in. Munsell Qu. Sz. Conk Cobr Gr. Sz. Sh. 'Eff#1 'Efi#2
~ D- ~ /d yR qI3 ~s/ ~ 3s k i!2 /~r ~ S 3 ~' , 5 . ~
3 - 25 /of'~`t CQ ~rf ~bYR ~/g sPr~ ~-~c / 3sbK /h.v~'r CS - , ~ , Co
4 25-.5 ~, 5YR ~4 J sly Z Sd k A1. v~'r cS -- . 2 3
.~
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Boring # ^ Boring
^ pit Ground surface elev. fk Depth to limiting factor in. Soil ication Rate
Horizon Depth Dominant Cob Redox Description Texture Structure Consistence Boundary Roots GP D/ff
in. Munsell Qu. Sz Cont' Cobr Gr. Sz Sh. 'Eff#1 'Efl#2
^ Boring
~~ # Ground surface elev. fk Depth to limiting factor in.
^ Pit Soit ication Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots D/ft=
in. Munsell Qu. Sz. Cont. Color Gr. Sz Sh. 'Etf#1 'E1T#2
'Effluent #1 = BODg > 30 < 220 mglL and TSS >30 a 150 mg/L * Effluent #2 = BODg < 30 mglL and TSS < 30 mgJL
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:''
SHD-5330 (R07/00)
r
i
Property Owner V O ~~x~R Parcel ID #
Page Z °° of 3
^
3 Boring # ^ Boring CJ
~ pit Ground surface elev. / ~ 2 ~ ft. Depth to limiting factor
'~~~ Soil ication Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/I~
in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. 'Eff#1 'Eff#2
2 ~- o YR S/ si / 3s6 K v i' c~S ~ ~' . 5 • 8
3 - 25 /o y~ `t Ce ~ if ~oYR ~~ sP~'` ~'i c ~ 3.sbK ~x.V ~'r C S _ ~ ,~ . . ~ ~
4 ?,S5 ~,SYr~'44 - ~S'/G 2S6/S ~nvf'r GS -- , 2 3
~~ # ^ Borng
^ pit Ground surface elev. ft Depth to limiting factor in.
Soil ication Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary ,Roots GP D/f~
in. Munsell Qu. Sz. Cont' Color Gr. Sz. Sh. *Etf#1 "Etf#2
~~ # Ground surface elev. ft. Depth to limiting factor in.
^ Pit
Soil A lication Rate
Horizon Depth Dominant Cobr Redox Descxiption Texture Structure Consistence Boundary .Roots GP D/ftt
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 'Eff#1
• Effluent #1 = BODS > 30 < 220 mglL and TSS >30 < 150 mglL ' Effluent #2 =GODS < 30 mglL 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`
SBD-8330 (8.07/00)
S~
ST CROIX COUt~I'll'Y
~; + SEPTIC TANK MAINTENANC"E AGREEMENT
,AND,
OWNERSHIP CERTIFICA'T'I~~N FORM
OwrierBuyer C N v c K ~ 2 ~x LE ~.
Mailing Address 1453 >~ot~. G c~.~.~woe~~ ~rr`/, car/ 5401.E
Property Address
{Verification required from Planning Department for new
City/State ~~~~~'~ ~`~r: wt. Pat'ceI Identifcatian Number _ o ~ -/c~ s~-s -~ o .
LEGAL DESCRIPTION
C P"~2' I
Property Location /~~ '/., ~~ '/., Sec. ZS , T .3a N-RAW, Town of C ~~/cyo a i~ .
Subdivision - .Lot # 7 .
Certified Survey Map # ~~t 7 U ,Volume _ ~ Page #
Warranty Deed # 7~ / ~7 Z ,Volume ~6 Page # ~v
Speo house ^ yes ~ no
Lot lines identifiable ~ yes ^ no
SYSTEM MAINTENANCE
Improper use and maintenance of your septic system could resultvcr it; prematiue failure to handle wastes. Proper maintenance
consists of pumping out the septic tank every three years or sooner, if ncrded by a iicenscd 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 Departrrlent a certification form, signed by the owner and by a
master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (I) the on-site wastewater disposal system
is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than l/3 full of sludge.
Uwe, the undersigned have read the above requirements and egret to maixttain the private sewage disposal system with the standards
set forth, herein, as set by the Department of Commerce and the Departnicnt of Natural Rcaourcts, State of Wisconsin. Cemfication
stating that your s ptic system has been maintained must be completed acid rotumed to the St. Croix Co ffice within 30
days of year expiration date.
f- ~ ~ / ,
SIGNA OF APPLICANT DATE
OWNER CERTIFICATION of
I we} c 'fy that statements on this form are txue to the best of my (our) lrxtowledge. I (we --
th o rty d 'bed a ve, by virtue of a warranty deed recorded in Eteg.ister of Deeds Office.
~ ~ ~
SICiNATURE OF APPLICANT DATE
«««««
«««««« pmy Formation that is mis-represented may result in the sanitiuy pemrit being revoked the Zoning De
«« Include with this application: a stamped warranty deed from the Rrgister of Deeds office
a copy of the certifced survey map if rcfarenco is made in the warranty deed
U 2566P 502
M • r~ w
I STATE BAR OF WISCONSIN FORM 2 -.2000
Document Number WARRANTY DEED
This Deed, made between JOSEPH R. DRAXLER and
CHARLENE DRAXLER, as survivorship marital property
Grantor, and CHARLES R. DRAXLER and LAURA L. DRAXLER,
husband and wife as survivorship marital property
Grantee.
Grantor, for a valuable consideration, conveys and warrants to
Grantee the following described real estate in ST. CROIX
Co ,State of Wisconsin (if more space is needed, please attach addendttm:)
of ertified Survey Map recorded in Volume 18, Page 4730 as
ocument No. 759970, together with a 66-foot wide easement as shown
thereon, located in the Northwest Quarter (NWl/4) of the Northwest
Quarter (NWli4) and the Northeast Quarter ~ 1/4) of the Northwest
Quarter (NWl/4) of Section Twenty-five (25), Township Thirty (30),
Range Fifteen (15) West, TOWN OF GLENWOOD, St. Croix County,
Wisconsin.
Exceptions to warranties:
easements and restrictions of record.
Dated this
day of ryt.,P y , 2004
s
AUTHENTICATION
Signahtre(s) Joseph R Draxler and Charlene Draxler
authenticated this day of , 2004
* JOHN R. HIGLEY
TITLE: MEMBER STATE BAR OF WISCONSIN
(If not,
authorized by § 706.06, Wis. Stats.)
THIS INSTRUMENT WAS DRAFTED BY
JOHN K HIGLEY, ATTY.
MENOMONIE, WI 54751
(Signatures may be authenticated or aclmowledged. Both are not necessary.)
7S 1 872
KATHLEEN H. NALSH
REGISTER OF DEEDS
ST. CROIX CO. , MI
RECEIVED FOR RECORD
05/07/2004 09:30AIt
NARRANTY DEED
EXEl~T # 8
REC FEE: 11.00
TRANS FEE:
COPY FEE:
CC FEE:
PAGES: 1
Recording Area
Name and Retttrn Address
SCiriOFIELD & HIGLEI', S r'.
700 WOLSKE BAY RD., #100
MENOMONIE, WI 54751
Pt. of 016-1055-60
Parcel Identification Nttmber (PIN)
This is homestead property.
(is) (is not)
~•
*J EP .DRAXLER
* CHARLENE DRAXLER
ACKNOWLEDGMENT
STATE OF WISCONSIN )
55.
S %. G2J~~ County )
Personally came before me this ~ day of
~l ,,+ y 2004 the above named
Joseph R. Draxler and Charlene Draxler
to me known to be the person(s) who executed the foregoing
instrument acknowledged the same.
* ,~ss ~ ~ X12A s,wa2 Ndrr Pilb#c
Notary Public, State of WISCONSIN 90d1e d
My Commission is etmanent. (If not, state expiration date:
* Names of persons signing in any capacity must be typed or printed below their signature.
WARRANTY DEED STATE BAR OF WISCONSIN INFO-PRO (80055-2021 www.infoproforms.com
FORM No. 2 - 2000
i .v ' ~'
A-.
75997tm
VOL 18 PAGE 4730
KATALEEA H.
REGISTER OF DEEDS
ST. CROIX CO. NI
RECEIVED FOR ~?fiCORD
04/19/2004 08:30AM
CERTIFIED SURVEY ilAP
CERTIFIED SURVEI( MAP PAGES"~n2 '~
LOCATED UV THE NWl/4 OF THE NWl /4 AND THE NEl/4 OF THE NWl /4 OF SECTION 25,
TSON, R1bW, TOWN OF C~IFPINIIOOD, ST. CROD(COUIYTY, WISCONSIN.
BEARINGS REFERENCED TO THE NORTH LINE
OF THE NWS/4 OF SECTI~1 25. PREVIOUSLY
RECORDED AS AND ASSUMED TO BEAR
S89 12'26"E.
-N- -~- -INDICATES SECTION CORNER MONUMENT
00 U
I
I
~
• DE DIAMETER )
-
S
1.25 (
VDICA E3
IRON PIPE FOUND.
--Q -INDICATES i" X iB" (OUTSIDE DIAMETER )
\ IRON PIPE WEIGHII~a 1.13 LBS. /LINEAR
FOOT SET.
-INDICATES SOIL BORING LOCATION.
NW CORNER,
SECTION 25
OWNER / SUBDIVIDER
J R
1453 320TH STREET
AF~~LJY, WI. 54013
ST. CROIX COUNTY
Planning Zoning and Parks Committee
APR 1 9 2004
if not recopied within 30 days of
approval date approval shall tie
null and void
~~:
THE EASEMENT AS SHOWN IS A fib' WIDE ACCESS
EASEMENT INTENDED FOR INGRESS AND EGRESS TO
LOT 3 AS SHOWN HEREON.
NORTH LIME OF THE NW i/4_ _ _ _ .
-- o
m - _ ~40THAVENUE _ _
/
~1 ~ 319~i//
~Q
1' ~~/ EXISTING
. 1 / DRIVEWAY
~/
ti
Ni/4 CORNER.
SECTION 25
Yi> S89°42'37"E ~ T
66.51'
~i~n, ACCESS EA NT RECORDED IN
'N VOLUME ~7 -r,
N
I~ ~ PAGE -y38___-•
P N~
N
i ~ CC
~ ~~
~• • .
ao~
'34
NOTE F~EGAF?DING
GLEL YS
CONTACT THE ST. CROIX
COUNTY ZONING OFFICE
BEFORE GRADING,
FILLING OR PLACING ANY
IMPROVEMENTS NEAR
THESE DRAINAGE WAYS.
/p
of 140TH aVENUE ~_~_s q
~ ~ ~~~.
~, m ~ - ~v Q Qo
q ~i
21~ '"lg I
4e .
~~~~.
AREAS OF 20X
At ~~ TER
e
i
Z
LOT 3
260,707 SOARE FEET
(5.985 ACRES )
AREAS OF 20X
APO GREATER
SLOPES
t7
^ti P?
~t~~o~
uf~
~LV [~/
~ ~~/
O
~ try ~/
1'
~ ~ ~ J~
••.
~•.
~ ••_~ _ .... W' . Jr
Parcel #: 016-1055-70-300
11/19/2008 08:02 AM
PAGE 1 OF 1
Alt. Parcel #: 25.30.15.391 D 016 -TOWN OF GLENWOOD
Current X ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type
04/19/2004 00 0
Tax Address: Owner(s): O =Current Owner, C =Current Co-Owner
O -DRAXLER, CHARLES R & LAURA L
CHARLES R & LAURA L DRAXLER
3227 140TH AVE
GLENWOOD CITY WI 54013
Districts: SC =School SP =Special Property Address(es): ' =Primary
Type Dist # Description " 3227 140TH AVE
SC 2198 GLENWOOD CITY
SP 1700 WITC
Legal Description: Acres: 5.985 Plat: 4730-CSM 18-4730 016-04
SEC 25 T30N R15W PT NW NW & PT NE NW LOT Block/Condo Bldg: LOT 3
4
3 CSM 18-
730 (5.985 AC)
Tract(s): (Sec-Twn-Rng
401/4 1601/4)
25-30N-15W NW NW
Notes: Parcel History:
Date Doc # Vol/Page Type
12/06/2004 781652 2708/474 EZ-U
05/07/2004 761872 2566/502 WD
04/19/2004 759970 18/4730 CSM
07/23/1997 822/628
2008 SUMMARY Bill #: Fair Market Value: Assessed with:
Use Value Assessment
Valuations: Last Changed: 10/18/2007
Description Class Acres Land Improve Total State Reason
AGRICULTURAL G4 1.000 200 0 200 NO
AGRICULTURAL FOREST G5M 3.000 4,500 0 4,500 NO
OTHER G7 1.985 12,600 285,600 298,200 NO
Totals for 2008:
General Property 5.985 17,300 285,600 302,900
Woodland 0.000 0 0
Totals for 2007:
General Property 5.985 17,300 285,600 302,900
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch #:
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
L
~,
,, b
i~~ ~ FEB 2 8 ~QO~ ~ ~ ~ ~
fX C~
nwr
CERTIFIED SURVEY MAP P ~'~"2
LOC,AIED N THE NWl/4 OF iFE NWl/4 /11VD T}f NEl/4 aF 7HE NWl/4 OF SECI)ON 26,
T90N, R1b11V, TONVN OF GLE3VIMOOD, Si. CRODC OOUNIY, W19CONSIN.
NORTH LINE OF THE NW
€~ .~ IQOTH A VET
75997Qi
VOL18 PAGE 4730
KATAL`EEIi H.
REGISTER OF DEEDS
ST. CROIX CO. MI
RECEIVED FOR ~tECORD
04/19/200! O8z3OAM
OWNER SUBDIVIDER
J 1453 3,,~~20jjT~~H STREET R
~~,Ir'I~KV V CLJY, WI. 54013
ST. CROOC COUNTY
Planniry Zoninp and Partcs Commxtae
APR 1 9 ZDD4
if not nioord~d wNhln 30 days of
appcOVd dab sgp~vval shah Lw
~~ nup and void
TFE EASEMENT AS SHOWN IS A 66' WIDE ACCESS
EASEMENT IIJTQ~ED FOR INGRESS AND EGRESS TO
LOT 3 AS SHOWN HEREON.
9~
:` U
v¢
~. FP,. ~
,,qB -g .
~~~~~
NS/4 CORKER.
SECTION 25
S89°42'37'E '
\66.51 '
ACCESS EASEMENT RECORDED IN
VOLUME 2~ 7 ~,
PAGE -y 39_~,
~'~'~.~
~s
KN+I CORKER,
secrlDN zs ~,\ ~~~ 1q3 ~
~``~\ `'~rG~ O~RIISVEW~AY
v~vM ~~i
~~~~~
MOTE REGARDING
G[.I_L YS
CONTACT THE ST. CRDIX
COUNTY ZONING OFFICE
BEFORE GRADING,
FILLING OR PLACING ANY
IMPROVEMENTS NEAR
THESE DRAINAGE WAYS.
~ ~o
0
o
~~
P
~ ~ oti
ACAS aF zax --
A 3.O~PES ~
~ Cam-~-v _ ~2j~~
'7 ~ ~ V
$~ ~ ,~°
w cor3 ~
~i
.~ 260.707 SDARE FEET ~ ,fig
(~ ( 5.985 ACRES ) ~ _`~
~ ~ J/
AFEAS OF 20%
~SLOP~ES~
- - ~ ~ ~ G.,o ~ G •t
NB9~ 12'26'w 2B2.1o' ~ NEiN R OND
UnIPLATTED LAI~p~ ,<9 ~- ~~ ~' ~ ~~
SCALE IN FEET i' 150' ~•ti.~j•••_•,-'•..~~~ /'?
PAe~/1R® 9V: J n ~ V J
O~ 75~ t50' 300' ~/~l~.~R{/FY//~
12J8 C.T.H. 'Q
NEW RICF#14O1~, W1.64017
PHIS INSTR~MAENT DRAFTED BY: Pi'1OPE (718)246~ 76Q9
JOSEPH W . GRANBERG .IOB NO. Q3~a66 SHEET 1 OF 2
Vol 18 Page 4730
BEARINGS REFERENCED TO THE NORTH LINE
OF THE NW1/4 OF SECTI~1 25, PFiEI/IOUSLY
RECORDED AS AND ASSUMED TO BEAR
SB9 i2'26'E.
LEGEl1d
- Lv.IICATES SECTION CORKER MONUMENT
( ALUMINUM CAP FOUND )
• - INDICATES 1.?5" ( OUTSIDE DIAMETER )
IRpJ PIPE FOUND.
- L~l7ICATES i" X 18" ( OUTSIDE DIAMETER )
IRON PIPE WEIGHING 1.13 LBS. /LINEAR
o - INDICATES SOIL BORING LOCATION.
.~
3
L
C
I
C