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016-1071-90-150
C o N ~i ao I 0. +.~ C n O N ;~ C. "Q •~ O N .~ v • 4 r`M.1 r Ci O C~ O 4r ~r r.N L~ CC eat .~ A '6 C LL I~ N M ~ Z y ~ (n O 2 ~ ~£ o z 0 ~ a m M ~ I m F - , ' i o ~ N c C7 .. it a~ O 2 ~ a ' d' r (0 V G> Z d' ~~ (/~ F- r N O O E O ~ N ~ Z Z M •• I O C C ~ I ', ~ W J ~ I _ Iq ~ .D d ~ d - d ~ ! a m T N d ~ ,, , U D O a a~ o N w m E ~ '' 3 0 0 O is ~ ~ d a a a a !' c~ ~ o ~ N ~ N J U ~ o 0 ~ M CO (U ~ = O O ~ N ~ ~ d ~ O w O N 3 °n o 3 ~ H c U o ~ ; ' ' c o ~ ~ , ~ ~ O I ', ~ ~ O I N I ~ O C O M ,,, ~ N O ~ U' F'- M O ~k ~ '~ .: £ ` ' ' m ~ at m a y a ~ ~ ~ ~ a °' ~, E ~ 3 ~ ' O ci a I ' N v ~ °o 3 0 O ~ a~ c O O O C cwi~ ~•- ~ (p N L w >-a~~E ~~~~~ O O ~p ~ U ~E~~m m a~~ ~ ~ N CO O U '~- ~'O N O O N ct' O ~ V N N ON~L O ~ ~ C E~~ N ~ ~ N d ~ o N ° m ~~ Z C N O c ~ ~ J E o Uy~o~~ .D ~ ~ y Q N C J N O O C N E ._ N N S O Y U ~ m E 3 ° a m° .~ ~ ~ } O Z ~ O j O ~ r Q A u. O °~ a a N tb ~ C ~ ~ N ~ C C ~tY C N N N '!' Y Y i I I i 'O C i ~ I ~ M Z V/ ' O •~ O d d a m o I U ~ c w O ~ Z m ~ M ~ N ~ O) N d ~~ ~ I ~ C O ~ ~ L ~ U U C C Z Z F- Z M ~ d N ~ f~ ~ ~ A ~ w o ° i~ '^ m "ro o N U G G a w I .- o N v ~ O ; o F- F- ~ ~ Y- 3 ~ a N i~ a a C7 ~ ~ ~ ~ p c ~ ~ ~ O N ~ N N j W ~ O O d O N ~ ~ ~ d i d p O ~ N H y ~ ~ H C ~ ° o o ° l w o o N N m ~ ~ ~ ~ ~ Q ro~ ~ o I c ~ '" L ~ ~ N P3 U} H N O ~~ ~ d ~, a a T c °: ~ :°. O ti v ~ °o 3 0 O ~ a~ C O O O ~O 'O r ~~ orn ,., ° ~ a U o~ a '~ ~ ~ N (0 U N m o 3 ~ OC D. ~ N (O .~ O C~~ -° v°i 3 ° p ~ N ~ N w 'O N ,_, .r 3 N C f0 (6 N ~ o ~ E~ New Z w N ~ ~ ~ ~ c N N O L 0 In w o v N ~ p 1- ~oa~E~ 'D Q U E m W~ d C N E .~ N N L O N N N ~ .Q .L..' E . a c~ N N } m N L71 Q } S OI '° m d ~ ~ N E Y G ~ C a~ uy N ~ 'S4 ~ '° ~' CS N O f4 Z ~' Z ~ Parcel #: 016-1071 04/06/2007 02:32 PM PAGE10F1 Alt. Parcel #: 33.30.15.5 4C-05 016 -TOWN OF GLENWOOD Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O =Current Owner, C =Current Co-Owner O -SMITH, DAVID DAVID SMITH 1226 HAGAN RD GLENWOOD CITY WI 54013 Districts: SC =School SP =Special Pr y Address(e ' =Primary Type Dist # Description " 1226 HAGAN RD SC 2198 GLENWOOD CITY SP 1700 WITC Legal Description: Acres: 12.902 Plat: N/A-NOT AVAILABLE SEC 33 T30N R15W PT SW SE COM SW COR SE Block/Condo Bldg: TH N 480FT SE T ; TO POB; TH W 495FT; H N 871 FT; TH E APPROX 224 FT TO CTR HAGAN Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) RD ROW; TH SLY FOLLOWING ROW TO POB & 33-30N-15W SW SE INC COM S 1/4 COR SD SEC 33; TH N 00' W 1328.76FT; TH N 89'E 469.12FT TO POB; TH more... Notes: Parcel History: Date Doc # Vol/Page Type 03/17/2004 756835 2528/67 WD 01/15/2003 705869 2110/572 QC 10/14/2002 6940691 2010/575 WD 10/14/2002 694062 2010/576 AFF more... 2007 SUMMARY Bill #: Fair Market Value: Assessed with: Use Value Assessment Valuations: Description Class Acres RESIDENTIAL G1 7.000 AGRICULTURAL G4 5.902 Totals for 2007: General Property 12.902 Woodland 0.000 Totals for 2006: General Property 12.902 Woodland 0.000 L t Changed: 07/27/2006 Land Improve Total State Reason 14,00 188,400 202,400 NO I ~ 60 _ 0 ~ ~ t r~C ~`ltp 14,600 188,400 203,000 0 0 14,600 188,400 203,000 0 0 Lottery Credit: Claim Count: 1 Certification Date: 08/22/2005 Batch #: 05-2 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 r O ~ ~ ~ ~i.:,....lyf. ~ i 4' ' . 7 1~2 6 8 0 11 AUG 2 ~ a: ~9 ` K~TALEEA H.G ~AL47~i REGISTER OF DEED5 ST. CROIX COUNTY ST. CROIX CO.L MI SURVEYOR'S RECORD RECEIVED FOR 1{ECORD 03/10/2003 10:00A1! REC FEE : 13.00 COPY FEE : 3.00 ~D_ ~y-z...... - . a°uzi ~mnn) / t'~,': •••'r ••~• ~~' BEARINGS REFERENCED TO TFiE SOUTH LINE ~ OF TI-~ SEi/4 OF SECTION 33, ASSUMED TO s'b~~ zv~ ~o I fA 2 ^~~~'v~ •~ C~ BEAR S8B°52'43"W. IC z z cn ~ D ~" Z rti 1 •: r~ Cl. I m i r ~'••..... •'~ p ~ _ v~ ~~ ~ UNPLAITED LANDS , i~n v '~'N INOJ a `~ a ( ~ NOOo 29 '28 "W 1274.69 ' m o ~ NOOo 29 '2B "W z~ 54 A4' NTH-SD~t1~T~1-~1/~~$V,iLINE ~ 3989.67' n ~ ~~ ~~ ~ ~ z ,•.z :-. ,~ ST. Cf:UiX COlitSf~ ao ~ O C7 00 1'le~nnlnn %nro~•n ar, ~ D S O N f7 ~r o '-~ ~r~ I~ ~ ~ ~ N m -•1~ ~ ~~D o~~ -1 ~ mmM~ I~iAR ~i ~ 2~(1., ~ z z = z ~ m cnZ .~rnw I'~ ~. ~ ~ ~o ~' ~ ~ v O ~ ~~ m ~°9 w ~ i ~ ~ a A ~a~n ~ If not rewr~s~ wilhir iii ~;:,,:: c. j O O c7 W ~~ m ~nm n !n ~ -I1- ~® ~ ~~ ~~ approval vats rspprovaf Shull hE; N T ~ m i "~ H o O ~` ® 11110 cr~r1 vfl~/~ ~ O -~ N ~ ~ _ ~® A , DmiD-~i ~ mW 17~ ^~^ ~ SOO°O9'23"E 836.49' ICN~ ~~ m ,,, : "c3 a n THIS PARCEL HAS BEEN ADDED ~~ z m I~ o o~ ~ ~ ~ TO THE ADJOINING PARCEL TO `~ ~ '• ~ m cn ~ THE EAST. DESCRIBED IN ~ 1 ! ~ `~°- m ! ~- -- "' VOL. 2010, PG. 575, Iv ~ ~~ ` ' I ~ ~ n ~ ~ DOCUMENT ND . 694061 I~ ~ rn A m n. ~ ® m H . • ~ • UNPtATTED LANDS I~ ~ o 55 m to ~ ~_ ® 3 ! Rj --~ ~o ° °m rm- ro 2 O y ~ -~-I Cn ~ , -iQ tom rn~' N ~~ ~ pD o a ~ ~ m H~TfI~~zH -~•~c1D11 ~ x 0 .. ~~zmZ WIDO // v~I-+z ~~ ~A Q1 ~ fO t m Nm{ O O b ~ 00 ~ ~ - - - - ~ Z-~ ~V ... ~- _ _ ~. m ~ Z ~'' d u V j ~ °~ ro m ~, ,o• ~~ ~~~ ~" UNpLA1TED LANDS ~, `~ m _ ~° Cn' ~ S O N ( ~ .~ ~ ~, G~ ~ z cQ1,~ ~ . . I ~~ n $~oH ~' ' ~ Z o I 3> s ~-~~ ~~ m I W ~ I ~N ~ ~~~ mN til Q m Z gg o ~ ,~ ~~ t ~ O '~ d m 0 a # { ~,~e ~r ~ 3g ~~ Sk `~~ ~~ v~ e ~~ ~~~ w -~ ~~ ~ a~~ ~ 0 3 o~ ~, +~ •~ ~ ~+ ~ rd U O o ?C -~ 0-~- r~ ~ ~~ _~ I N p ~~ Ul ~ ~~. '~~ y~e;, :~~ , / VI `~ ~~y Yh~t ltiarvi ~ 0 D ^ , U \V ~~ `off ~' ~~ l ~~ Q~ ~ ~: a o ~ ~ _.~ ~ ~~~` w -- - _ ~~ ~ ~y3 ;; o ~~ , ~ ~_ W ro ~ ~--i _ - - -- _ ~ H ~ _- - ~ -~ ~ - ~ r ~ ~_~ _ _ ~e e. 3 , L. 10~$ ~a~y.~.-dL ~°~"°-ems ~ N 0.h-9-~^- N ~.,~ v .~ ? ~ A ee1' A'N u~~. l -Q ~+ . ,u ~ O U ~ '~ U ~- O + o ~ u.r.~I~~~~~ ~~~5 -~ ~tW!] ~U ~ ~ O ~~t~.ht~1l '-I W i 1 m ~- ~ ? I O N v! ~ O OD d -~ :h ~ CD ~ 3 ~ m a II °o o° ~ ~~ m ~ w v, ~ ~ ~ ~ ~ ~ a o I o ~ us Z D ~ to ct~ O N ~ o ~ ~ W ~'- N ~ (~~ O ~p O i -~. ~ Z O I I z I o ~ .~ I ~ ~ ~ I o ~ 7 N N ~ O a ~ I oZ ~ I ~~ i ~ O_ o ~ ~ ~ I ~ C w (D n m Z ~ I ° ~, =i ~ ~ ~. I I f ~ O D II ~ ~ n ~ n. o' ~. I ~ O ~ p ' O .~. y 7 ~ D. O N ay j fD ~ 3 i ~~ ~, ~ ~_F ~ ~ m I y I I o N O O I o° ~- n W Q ~ ~ n O y f ~ d 0 ~ w ~ 7 ~ ~, C1 C1 ~ ~ '~ ~ ~ d A N ~ ~ ~ 3 ~: =~ '•~ ~ o c~ -~ (p ~ w o A j ~ :,. j d1 w 0 7 Q O ~' ~ 2 oa ~ w in ~ ° o ~ !, ~ ~ °o w ~ ~ o 0 ~ _ c aVO , m ~ a , ' a : ~ ~ ~' ~ ~ O O ~ ~ ~ ~ O c 0 0 ~ ~ .. a F ~ o ~ m c . fd ~ td v f/1 - v ~ ~ m fD d _ ~ j ', ~ y m w N 7 Z Z Z D D ~ m c N~ (p I a ~ ! 1 ~ ~ 'F' ~ N Z O o c ~ ~ i c ~ a A Z ~ ': i ` .. W ~ a '0 3 o 3 N Z7 N a w m m 3 m - o c ~ ~ 3 a ,r I m o p ~ Z A ~ m A d A K v m ~~ O O b 1 A F as 0 a ti °o v A t+.+ A ~A ~ V Cti .. ,s~ PRIVATE SEWAGE SYSTEM safely . u m - INSPECTION REPORT s GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Tei en, Dean Glenwood Townshi CST BM Elev: Insp. BM Elev: BM Description• /~ 100' ! tx~' 1'0 0~ ~~1di~t. ~~ TANK INFORMATION t~,~.l~,~w ,CP_~!t.- ELEVATION DATA TYPE MANUFACTURER CAPACITY Septic w ~ aie..~ B S ~,,,, o ~ ~ ~~ Dosing (rc~ ~O s~° Aeration Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic C ( T J~ ~ ,,,~_ Dosing l• ~~ ~~ ' ~ i Aeration Holding PUMP/SIPHON INFORMATION ~~o .~ ,o, INFORMATION ounty: St. CrOIX Sanitary Permit No: 395282 State Plan ID No: g r ~ Parcel Tax No: 016-1071-90-000 STATION BS HI FS ELEV. Benchmark IDZ.q tor. ?oU Alt. BM Bldg. Sewer (~, 1 7.35 7S (p~ SUHt Inlet g,~ T Y ~ / .~ T SUHt Outlet Dt Inlet Dt Bottom ~ / - ~ ~, ~~ Header/Man. • /o% 2G ~ Dist. Pipe r•~, 7 ~O `.~ ( Bot. System • `~ / ~z ~ C~ ~O ,~~ Final Grade e #1r'~( St Cover a Alt. I!!< 3.$Is 99• 7 ~~ 6'l0' .~3 r~.~ ~alp.J ` ~'~ PIT P/L BLDG WELL LAKE/BYRE CHAMBER uNly Dia. DISTRIBUTION SYSTEM ~~'/ ~ ~ t 2 ~r = / ~ Header/Manifold r ~, Length ~ .IOS Dia ~ Distribution ~ ~~ rn / Length ~~~~~ Dia / Spacing ~^"~ x Hole Size22 ~~ " /7 2 x Hole2Spacing ~ 7 Vent to Ai Intake SOIL COVER x Pressure Svst,±ms only YY Meuafl t]r At-Grade Svstems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bedlfrench Center Bed(rrench Edges Topsoil [] Yes [~ No ^ Yes ^ No ~ ww~- ~` wM(uIEN~[S: (Inc dw,ggFls,~iiscr~pe~5~ eLssns prey `r,~t etc.) Inspection #1:__~~__/ ~ l O i Inspection #2: / ~ / Location: 1222 Hagen Road Glenwood City, WI 54013 (SW 1~/4,.SE 1/4 33 T30N R1 W) NA Lot NA y Parcel No: 3 .30.15.504A 1.) Alt BM Description = TnuP~~~, S~ ~~w~llsL(w, ~~.~ ~ f~ ;.gr 2.) Bldg sewer length = 'G~W~t L s ~~vr S~ «-'~ ~~ Q,,.,,,/,,r~ °I'1.) 1 - amount of cover = 3 (~ a ~ ~ ' `~ ~I"'- -" 3.) Contour = °~9 . ~i(r ~ ~,~,~'~' ~.1~ c.~" ff~' = lo(, •83 , Plan revi ' n Required? [] Yes No /~ ~~ O~ other side for additional information. l S (~~~ ( Date SOIL ABSORPTION SYSTEM BED ftEPQCPI Width ~ Length ~ No. Of Tsoaehes D ENSIGNS /~ 3o Qf ~ \' Safety and Buildings Division Couary ,. ~ 201 W. Washington Ave., P.O. Box 7162 ~~'• ~ R a i X ~S~O~S~~ Madison, WI 53707 - 7162 Slte Address De artm~nt of Commerce / f-zl~ z '~ ~v l d -b 1' ~ a~~ ~`1 a an R~. . Sanitary Permit Application Sanitary Permit Number In accord with Comm 83.21, Wis. Adm. Code, personal information you provide Check if Revision ~ S o1 8 ma be used for seco ses Privac Law s15.04 1 m I. Application Information -Please Print All Information State Plan I.D. Num ber b ~ ~ I ~ ~ b~ Property Owner's Name Paral Number ~_ o ~ ~ ~ t ~ l Ei Gn ~illo- o~~ -~l~ -c~©c~ Property Owner's Mailing Address Property Location r~ ~ 1 d`~ ~ 'a ~'n ~C ~ SV~J ~, .SE iy; s 33 T 3 D N, R I~ City, State Zip Code Phoae Number Lot Number Block Number ~-~d-- l ( ~ 1 1 3 ~ ~ ~~ ' Subdivision Name ' CSM Number . --~ C} l C j L~1 ~ ~ 0 l ~ ~ t ~ ;~,~rj " Jl l iQ i ---Y --f II. Type of Bttiltiing (check all that ) ^Ciry ~1 or 2 Family Dwelling -Number of Bedrooms ~ ~ ^Village ^ Public/Commercial -Describe Use 'Township G~ c-~ woo ~. ^ State Owned Nearest Road I~.a a n 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 sum Tank Onl Existin S sum B • ^ Check. if Sanitary Permit Previously Issued Permit Number Date Issued IV. Type of Permit: (Check all that apply)(number[ng scheme is for interns! use) 44 ^ Non -Pressurized In-Ground 21~ Mound 47 ^ Sand Filter SO ^ Constructed Wetland 22 ^ Pressurized In-0round 41 ^ Holding Tank 48 ^ Single Pass Sl ^ Drip Line 45 ^ At-Grade 46 ^ Aerobic Treatment Unit 49 ^ Recrieulating 30 ^ Other V. Dis ersal/Treatment Area Informat ion: " ' Design Flow (gPd) Dispersal Area Dispersal Area Soil Applica ' n Percolation Rau System Elevation Final Grade Required Proposed Rate(Gals./Days/Sq.Ft.) (Min./Inch) ((~ 7 i' ~-o~v`~ q~.5f~ Elevation L+ 1 .~ ~ ~-I ~. ~ p~ s.`J..i~ ~r 9 ~ ~ ~ ;} 1' cl+..~( ~Cb. s (O 2 ~U2. J~`~ VI. Tank Info Capacity irr .Total Number Manufacturer Prefab Site Steel "Fiber plastic Gallons Gallons of Tanks Concrete Constructed Glass New Existury Tanks Tanks Septic Oi~ptblOP/'FatiJG 'OHO !~Q a J DoalnY Clamber 6s'~ - 6 Sv ~,_,.,~ VII. Res or>sibiuty Statement- I, the undersigned, assume responsibility for installation of the POwTS shown on the attached plans. Pl is Name (Print) Plumber's 'nature MPJivSit3-i~tmmlsLr Business Pho Number ~~ ~ m a~, ~ ,-- - ~~~~~lC~ . 7 i~ a-35- ~~ Plumber's Address (Street, Ciry, State Code) ~ g! C ~ a ~' ('~~. s~ 75 ~ VIII. Corm /De artment a nl Approved ^ Disapproved Sanitary Pettnit Fee (includes Groundwater Date Issued Agent Signature o Stamps) ^ Owner Given Initial Adverse • Surcharge Fee) ~ ~ ~( a d ~„ Determination • / IX. ,Cpponditions of ApprovaU~Re~asons_fo~r Disa royal .- n ,~ a~ JO ~ `K: . ., ,, - \A 1M.6.t.~-COL S • Attach complete plans (to tha Count) oply) for the system on paper not less than 8LZ x 11 inches in size SBD-6398 (R. OS/Ol) ~tment of Commerce Safety and Buildings 4003 N KINNEY COULEE RD lA CROSSE WI 54601-1831 TOD #: (608) 264-8777 www.commerce.state.wi.uslsb www.wisconsin.gov Scott McCallum, Governor Philip Edw. Albert, Acting Secretary November 13, 2001 CUST ID No.222839 JACK A BOWMAN 2819 KNAPP ST MENOMONIE WI 54751 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 11/13/2003 ATTN: POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 SITE: Mickey Brettingen Hagan Rd Town of Glenwood St Croix County SW1/4, SE1/4, S33, T30N, R15W FOR: Description: Three Bedroom Mound System Object Type: POWT System Regulated Object ID No.: 804154 Identification Numbers Transaction [D No. 689933 Site ID No. 633568 Please refer to both identification numbers, above, in all corres ondence with the a ene . 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. 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 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 insure that the operation, maintenance and monitoring duties as described in section VIII of the Mound manual, and the pressure distribution component manual are complied with. A copy of this letter including instructions and information relating to proper use and maintenance of the system must be given to the owner and each subsequent owner upon completion of the project. • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption area. • Access to the filter for cleaning must be provided per Comm 84 product approval conditions. lviaintenance information must be 4~iven to the owner of the tank explaining that periodic cleaning of the filter is required. • Limited activities are allowed in the area 15 feet down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. • Comm 83.52(3) The activities relating to evaluation and monitoring mechanical POWTS components after the initial installation of the POWTS in accordance with an approved management plan shall be conducted by a person who holds a registration issued by the department as a registered POWTS maintainer. f ~ j ~ r [ i ' JACK A BOWMAN Page 2 I Ul3/o! • Comm 83.52 Responsibilities, The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the PO WTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). In addition, 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. • 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. • 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. • The changes made to this plan on i 1/13/01 by this reviewer were acknowledged and approved by the system designer. • An overpayment of $115.00 was paid. As of today's date, our records indicate that a refund in the amount listed in the FEE portion of this letter is due. The refund will be sent to you under separate cover. Please expect a 6-8 week time for fiscal processing. Refunds will be made to the payer. 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 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, r ~ ~~ ~C.aJ i ~/ .~s Charles L Bratz POWTS Reviewer II ,Integrated Services (608)789-7893 , 7:45 am - 4:30 pm Monday -Friday cbratz@commerce.state. wi. us Fee Required $ 60.00 Fee Received $ 175.00 Refund Amt $ 115.00 WiSMART code; 7633 MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE ~~4 Project Name: Brettin en/Tei en GUI/ Fi~ ~F 1~ Fa Owner's Name: Mickey Brettingen ~~ ~Q~r Owner's Address: 1222 Hagan Road ~~On s ~~ Glenwood, WI 54013 O~f; Legal Description: SW,SE,33,30N/R15W Township: Glenwood County: St. Croix Subdivision Name: N.A. Lot Number: N.A. Block Number: N.A. Parcel I.D. Number:. 016-1071-90-000 Plan Transaction No.: Conditionally APPROVED DEPARTMENT OF COMMERCE ~~~~ Page 1 Index and title Page 2 Data entry Page 3 Mound drawings Page 4 Lateral and dose tank Page 5 System maintenance specifications Page 6 Management and contingency plan Page 7 Pump curve and specifications Page 8 Site plan Page 9 Attachments: soil test to state plan Designer: loretta/Jack A. Bowman License Number: Date: 11/12/01 Phone Number: Signature: MP 222839 715/235-4634 Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SD&10691-P (N. 01/01), and SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS {01/81) Version 3.0 (03/01/01) Page 1 of 9 Property Owner ~~Ef ~ ~ ~ En ~ci C~ Parcel ID # U' !t; -jo 7/ - ~~ -~ ~- O Page ~• Of J7 Boring # ^ l3or g ~J C ® Pit Ground surface elev. Y~ fE% ft. Depth to limiting factor --~' in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 `Eff#2 ~ - i ~ ~'~% ~'R'!~ s f ~.b ~~- ~ ~'' 8 ~ . 6 ~~ ~ s/ ~ r s~k r -~~ - . ~ -t- ~ ~-.3 ~ ~ .ry, fiC~ Y % ~ ~ r ~~~ - ,/ / e- /J _. ~ ^ Boring # ^ Boring ^ pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 `Eff#2 ^ Boring # ^ Boring ^ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz in. Munsell Qu. 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 =GODS < 30 mg1L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SBD-6330 (R.N00) --- Brettingen/Teigen SW, SE, 33,30,15W Glenwood township St. Croix county SOIL AND SITE EVALUATION ~' Loretta l~rab~e CSTM 2 I ~ , ~~ / / ~~~~~ r ~ ;r ~ ~ r r ~ lam' ' ~ ~ ~ ~, ~ ~~ ~ i ~ ~ i ~ ~ f ~ ~ l ~ f 1 ~~~ ~ ~ ~~ '~ 1 ~~ '' 7 1 ~ n ~~ ~ ~ ~_, ,~ `~ \o `^ ~ 6~ ~ ~ ~ \~ s , ~~ ~ -~1~-~~ ~ ~ o ~_ v\ `j/4C~ 0./1 ~~ 3 ,of 3 ~U ,.Ar C ' Safety and Buildings Division County Iry~.~p~1 ° " ~ ~ ~ 201 W. Washington Ave., P.O. Box 7162 ~~ . ~ ©t ,K k~ iscansin Madison, WI 53707 - 7162 Site Address Department of Commerce - ~ as a ~ a ~~ ~d Sanitary Permit Applicatio l~'' ~ ~ ~!~ SanitaryPernvtNumber In accord with Comm 83.21, Wis. Adm. Code, personal infom~af n iovide `. ~ ~Q Check if Revision ~ " ~~ ~~ ma be used for secon oses Privac Law, s15 4 ' I. Application Information -Please Print All Information ~"~~~ tr State Plan LD. Number Property Owner's Name p~,~T~i ---1 ~ t r ~`-+ ?n,~1 ?arc I Number Property Owner's Mailmg Address ; .~ , - rty Location `a. ~. 0. e n ~ ~ , ~, F;-'~ A !~ '/< SC-1/,; S 33 T 3o N, R IS ink City, State Zip Code Ph ' ~~ i ° ~":{ '~ Lot Number Block Number \ + ~~ __ ! ~ J Subdivision Name CSM Number ~`Eri~o~~~~~ ~~ ~ oi3 '~~s ~,~~--l~bl II. Type of Building (check all t apply) ^Ci / ~,/ ,,moo ty ~~ ,p~~ ®1 or 2 Family Dwelling -Number of Bedrooms ~~ " 1` /"" " f" ^Village ^ Public/Commercial -Describe Use Township ~ ( c- r\ wco l` ^ State Owned Nearest Road ~ ~h III. Type of Permit: (Check only one boa on line A (numbering scheme for internal use). Complete line B if applicab ) A. 1 ®New 2 ^ Replacement System 3 ^ Replacement of 6 ^ Addition to For County use S stem TankOnl Existin S stem ~ '~j ~ B. ^ Check if Sanitary Permit Previously Issued Permit Number Date Issued IV. Type of Permit: (Check all that apply)(numberingseheme is for internal use) 44 ^ Non -Pressurized In-Ground 21~ Mound 47 ^ Sand Filter 50 ^ Constructed Wetland 22 ^ Pressurized In-Ground 41 ^ Holding Tank 48 ^ Single Pass 51 ^ Drip Line 45 ^ At-Grade 46 ^ Aerobic Treatment Unit 49 ^ Recirculating 30 ^ Other V. Dis ersal/Treatment Area Information: (klpp „^,,, I ~ Design Flow (gpd) Dispersal Area Dispersal Area Soil App ication Percolation Rate System Elevation Final Grade Required Proposed Rate(Gals./Days/Sq.Ft.) (Min./Inch) ~isP[.fSal Cs~l ~ Elevation ~~~ ~,~~ ~~ ~.Q .-~ q~,r3 Q~.~1~~ VI. TankInfo Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Tanks Concrete Constructed Glass New Existing Tanks Tanks sep°° °~°'''~~"'~' i~~ v - ioo o ~ Wieser Concrete ~ Dosing Chamber ~~ O _ 6 5J Ce nq /j i n.t~.-~ VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Paint) Plumber's Signature j' i - ~ MP/MPRS Number Business Phone Number Jack A. Bowman i ~ ,. ~/J` r~_ _' ~.- -- - --- ' Mp # 5875 222839 715-235-4634 Plumber's Address (Street, City, State, Zi ode) 2819 I{na Street Menomonie, WI 54751 VIII. Count /De artment Use Onl Approved ^ Disapproved Sanitary Permit Fee (includes Groundwater Date Issued Issuing Agent Signature (No Stamps) ^ Owner Given Initial Adverse Surcharge Fee) atl ~ ~ 5 ~ d~ ~ ~~ 3 ~ ~ ~ i ~ Determination J' ~(~- IX. Conditions of Approval/Reasons for Disapproval 1. This parcel is proposed to be surveyed and added to an existing 6 acres parcel that was brought out by St. Croix County because of floodplain issues. The potential buyer will be Mickey Brettingen. 2. This approval is fora 3-bdrm structure. Any increase in wastewater loads (added bedrooms) may result in anon-compliant septic system, and _system may have to he modified to meet current codes. ~ ..~ All setbacks to system xxr~d ~ ~r'e~'z~e,~.~'C,a-(~ ~stv~~r~fi ~ es w~~ s f ~-Ar ~rv~vl: ~_ ,. ~•Pg = l l ;,,cues o, - Property is zoned Ag-residential -only one principal dwelling is allowed on this property. This approved septic system is not sub~ect to the h draulic shadow ~ for Dam Structure # 2 in the Glen Hills Watershed Area. s _~ . ~, , . rr ~ ~scons~n Department of Commerce Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601-1831 TDD #: (608) 264-8777 www.commerce. state.wi. us/sb www.wisconsin.gov Scott McCallum, Governor Breda J. Blanchard, Secretary August O1, 2001 CUST ID No.222839 JACK A BOWMAN 2819 KNAPP ST MENOMONIE WI 54751 AL APPROVAL JVAL EXPIRES: 08/01/2003 SITE: MICKE RETTINGEN HAGAN TOWN OF G NWOOD ST CROIX CO TY SWI/4, SE1/4, S3 T30N, R15W FOR: DESCRIPTION: TH BEDROOM )L OBJECT TYPE: POW YSTEM RE The submittal described above h een rev' and Wisconsin Statutes. The subm I h ~ The following conditions shall be met ing • This system is to be construe and localr "Mound Component Manu or Private Or and the SSWMP Publicati 9.6 Design of A7TN: POWTS Insp or ZONING OFFI ST CROIX TY SPIA 1101 CA ICHAEL RD HUDS I 54016 Identification Numbers Transaction ID No. 663479 Site ID No. 633568 Please refer to both ide numbers, above in ence with the a enc . D SYSTEM ATED OBJECT ID NO.: 804154 J for con nee wi~plicable Wisco~in dm~~(~odes, ~ CON [ONAI~' ROVED. 1 r-- structi ~o prior o d~par~br use: in accor ance with the sed appr pla d with the e Wastewater Systems ERSIO .0" -10691-P (N.OI/01) 'r ure Distribution Networ r S S (01/8 i ) • [n the event this soil ab rption system or any of it omponent parts malfunctions so as to create a health hazard, the property ner must follow the continge plan as described in the approved plans. [n addition, the owner must insure t t the operation, maintenance and nitoring duties as described in sect' n V[II of the mound manual, an section VI of the pressure distributio mponent manual are complied h. copy of th letter including i ructions and information relating to prop use and maintenance of the ust be giv to the owner an ach subsequent owner upon completion oft roject. ~, an minimum 0 fee[ from the ab tio~ • The well mu be a mm~mum of 25 feet from any POWTS tank, area. • Access t the filter for cleaning must be provided per Comm 8 c ppr al n enance inform on must be given to the owner of the tank ex inin 'odic cleanin it quired • Limi d activities are allowed in the area l5 feet do s pe the comp p ction, exc ation, vehicular traffic and other ~milt~ activ' at impact the tre n rsal are prohibited. r ~.. JACK A BOWMAN Page 2 8/1/01 • 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). In addition, 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. • 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. 83.52(3) The activities relating to evaluation and monitoring mechanical POWTS components after the initial installation of the POWTS in accordance with an approved management plan shall be conducted by a person who holds a registration issued by the department as a registered POWTS maintainer. • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 14S.13S 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 A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation operation. In granting this approval the Division of 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. Sincerely, Charles L Bratz POWTS Plan reviewer I[- Integrated Services (608) 789-7893, Mon.-Fri. 7:45 AM to 4:30 PM cbratz@commerce.state.wi. us FEE REQUIRED $ 175.00 FEE RECEIVED $ 175.00 BALANCE DUE $ 0.00 WiSMART code: 7633 cc: MICKEY BRETT[NGEN ~.. MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: Brettingen/Hildalh Owner's Name: Mickey Brettingen Owner's Address: 1222 Hagan Rd. Glenwood City, WI 54013 Legal Description: Township: County: Subdivision Name: SW,SE,S33,T30N-R15W Glenwood St. Croix N.A. RECEIVED JUL 2 ~ 200 SAFETY & BLDGS DIV. Lot Number: N.A. Block Number: N.A. Parcel I.D. Number: Plan Transaction No.: Ct?ItlttitOfti~~y Page 2 APPRt3VED Page 4 DEPARTMENT OF COMMERCE page 5 OIIOF AN IL.DI Page 6 SEE CQRRESPONDEN E Page 7 Page 8 Page 9 Index and title Data entry Mound drawings Lateral and dose tank System maintenance specifications Management and contingency plan Pump curve and specifications Site ~alan Attachment: soil test to the state's plans Designer: loretta/Jack A. Bowman License Number: Date: 07/19/01 Phone Number: Signatur . ~ r ~-------- ~:. MP 222839 715/235-4634 Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SDB-10691-P (N. 01/01), and SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01/81) Version 3.0 (03/01/01) Page 1 of 9 Mound System Maintenance and Operation Specifications Service Provider's Name Bowman Plumbin Inc. Phone 715/235-4634 POWTS Regulator's Name St. Croix Zonin Phone 715/386-4680 System Flow and Load Parameters Design Flow -Peak 450 gpd Maximum Influent Particle Size 1/8 in Estimated Flow -Average 300 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1000 gaf Maximum TSS 150 mg/L Soil Absorption Component Size 450 ft2 Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 mL Service Frequency Septic and Pump Tank Effluent Filter Pump and Controls Alarm Pressure System Mound Other Ins ect and/or service once eve 3 ears Should ins ect and clean at least once eve 3 ears Test once eve 3 ears Should test month) Laterals should be flushed and ressure tested eve 1.5 ears Ins ect for ondin and see a e once eve 3 ears initial) filter to be checked eve ear Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table Comm 84.30-1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to Comm 84.30 (6)(i), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in Comm 84, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn-up Detail Finished .. .. Grade \ ' :: •:•: ••: 6-8" Diameter Lawn : : Threader Cleanout Sprinkler Valve Box • • • • • • • • . • : • . • • • . • Plug or Ball Valve Distribution ~• ••- •• •••••••• Lateral may,, -Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Brettingen/Hildalh Page 5 of 9 t, rl KIJN 7tK'tJ / ~~ • BNIBE Models available packaged with a piggyback variable level float switch. • .3 H.P., 1 Ph., 115V or 230V. • Non-Clogging vortex impeller design. • Passes'/2 inch solids (sphere). • 1'/2" NPT discharge. • Automatic reset thermal overload protection. $taInIBSS Steel SCreWS. • Cast iron switch case, motor and pump housing. • Engineered, glass-filled impeller with metal insert (Model 53). • Glass-filled polypropylene base. (Model 53). • Model 57 all cast iron construction. • UL listed 3-wire 15 ft standard cord /~ Canadian $landards O \\("~,,,jj~~ Assoc approval 1 available L TOTAL DYNAMIC HEAD/CAPACITY PER MINUTE EFFLUENT AND DEWATERING 53-55 MODELS FL Meters Gol. Ltrs. 5 1.52 43 163 i. to 3.05 a4 lz9 15 4.57 19 72 Lock valve: 19.25' 0096978 ' ' Casf iron motor housing, pump housing and sw8ch rase. Glass-filled polypropylene impeller and base. ~~ °-~-na,,.ss«+"a•'s r~x^.. F~>rc*•-f•>F "•~:r^'4'~e.A'.y+o: ~.. ., .. "98" CAST IRON SERIES Canadan SUMards ~a~,~ L • BNIBE Models available packaged with a a"~''~'° U piggyback Variable level float SWIfCh. TOTAL DYNAMIC HEAD/CAPACITY • '/2 H.P.,1 Ph., 115V or 230V. PER MINUTE • Non-Clogging VOrteX Impeller design. EFFLUENT AND DEWATERING • Passes Yz inch solids (sphere). • 1'/2"NPT discharge, (1'/2" X 2" PVC adapter fitting included with BN and BE models.) • Automatic reset thermal overload protection. • Stainless steel screws, guard, handle. • Watertight neoprene "17"ring between motor and pump housing. MODEL 98 60 CYCLE Feet Meters Gallons Liters 5 1.5 72 273 10 3.t 61 231 15 !.6 ~ !5 170 20 6.1 25 ~ 95 lock vokre: 23' • UL listed 3-wire 15 ft. standard cord. 00997,0 Canadian SlandaNs c s RI O ~~ ~ avaiWble • BN/BE Models available packaged with a piggyback variable level float switch. • Durable cast iron construction. • 1 & 3 Phase models available. (115, 200-208 & 230V -1 Ph). (200-208, 230 & 460V - 3 Ph). • Non-Clogging vortex impeller design. • Passes 518" solids (sphere). • 1'/2"NPT discharge. (1'/s" X 2" PVC adapter fitting included with BN and BE models.) • Automatic reset thermal overload protection. • Stainless steel screws, bolts, guard, handle. • UL listed 3-wire 15 ft. standard cord. TOTAL DYNAMIC HEAD/CAPACITY PER MINUTE EFFLUENT AND DEWATERING MODELS 137 Ft. Meters Gol. Ltrs. 5 1.5 93 352 10 3.1 79 299 15 !.6 64 P!2 20 6,1 }bs 136 25 7.6 6 - 30 Lock valve: 26' oosszle NOTE: No UL listing /or 200-20flr1Ph. pumps. Yzo~EC-~' / ~rcE~}-ingc-n -1-~,I~~h1 --_ ~ of ~ ~a • • • • • • • • • • • V/1 ~~7/TCa ModeIBN53 HEAD CAPACITY CURVE N EFFLUENT MODELS a ~ 140 12 1 i0 3s 130 1 38 25 36 120 191 31 I15 1 1 0 }y 105 100 30 95 28 90 186 , 26 95 416 6 80 24 165. 75 416 5 I2 70 20 65 ~ 163 . 16 55 4163 1 89. 4189 16 50 11 45 12 40 1a0, 88 1 35 4140 41 t0 137 185, 8 4185 25 6 20 15 4 to 2 5 161, 4161 53,57 98 I A CAUTION Model 185(4185 should not tae subjected to less than 30 feet TDH. u.s. GALLONS 10 20 30 s0 50 60 70 80 90 100 110 120 130 140 150 160 LRERS 80 160 2b 320 400 180 560 610 0 FLOW PER MINUTE _ 008822 TOTAL DYNAMIC HEAD/ FLOW PER MINUTE EFFLUENT AND DEWATERING MODEL 53,55, g 737 140, at40 161, 4167 163, at63 165, 4165 185, 4y85 186, at86 188, 4188 789, a7B9 191 R. M. DAL. LTRS CAI. LTRS. GAL. LTRS. GAL. LTRS. GAL. LTRS GAL. LTRS CAL. LTRS GAL. LTRS. GAL. LTRS. CAI. LTRS. GAL. LTRS. CAL. LTRS. 5 1.52 43 163 72 27} 93 }52 91 ass 100 J79 61 231 61 2}t 58 220 145 549 1a5 549 ~r5 170 10 },OS 34 129 67 231 79 299 e4 S18 9} 352 61 229 61 231 58 120 140 530 Ib 530 45 170 15 4.57 19 72 IS 170 6a Ia2 76 288 85 }22 fi0 227 61 231 58 T20 1}4 507 135 511 45 170 20 6.10 25 95 36 1}6 68 257 79 299 59 22} 80 227 58 220 128 484 131 a96 45 170 25 7.62 8 30 59 123 70 265 57 216 59 223 58 220 122 462 125 473 a5 170 JO 9.14 a9 185 62 235 SS 206 SB 220 65 322 56 220 116 439 120 t5a 45 170 40 12.19 21 79 45 770 46 172 55 206 70 265 SB 220 104 394 109. 41}. a5 1)0 50 15.24 20 76 33 125 50 189 51 193 58 220 90 341 97 367 45 170 60 18.29 IS 57 ]9 148 32. .121 58 220 71 269 65 32I 45 170 70 21.34 23 B7 9 3a 5T 197 51 193 69 261 45 170 60 24.}8 10 38 a5 170 26 106 51 193 a5 170 90 27.43 31 117 2 8 34 129 45 170 100 30.48 16 60 17 64 40 151 110 32.00 4 15 }0 114 120 36.58 20 76 1}O 39.62 10 38 LOCK VALVE: 19.25' 23' 26' a6' S6' 66' 86.5' 73' 114' 91' t 10' 13T =a1~ . ` ~ SSPMA MEMBER ~' ~ AND SEWAGE PUMP MFRS. ASSN. • r ~ - SITE ~~~~" LEGEND ~.,sk ~ , ~,,,~' ~~) ~ ~. ,~~ ;~ BM: 100.' top of i n pipe with orange paint a double flagged ~~~ ~ i~ ~~ Scale 1"-40' cept where indicated ~ i~ System Elev. 95.13' on contour 94.3' ,f~ .~ No Comm 83 etback problems ~ ~v // 5~ X-pits ,1 /~ _- ~~ Y h 0 2 iI ~`f 0 b (~, ~ ~.~. Imo ~-~- c~-o~,-m (~ow '4{t ~~` -~ ~ ~ ~- `~ ~ Y-n a.~~ G~-~ 0 0 // ~~ ~~~ ~"' ~ 0 ~~ ' ,o ~ ~ ~/ n~ 4,,,Q-Q,d~~ ~~~ , ~ _ __ -- --- - ~P . __ _ --- - _ __ _ _ - ~ ( ~br. q(6,3 ~ ~ ~ ^~ ,~ Q.m. e ~«~. , ~~. 0"~~ ~o e~-11-~Oo ~~oP~~ X ~oe,3' - ~~ - - e - - I s+~ ~ \ ~_ ~an- n ~ o o~ e . ~,0~,,,~ ~ s~Ay- ho~.s~ L 1028 ` ~ o ~ d ~~~ ~r-~^~~.~. ' l04 \~.n ~ PROJECT: Brettingen/Hildahl ~~ . 51:4 Q,ti..,,.~ )too ` ~,,, rv.. . A..,~.~. w~..-. . page 8 of 9 . ' -wsconsin Department of Commerce - SOIL EVALUATION REPORT Page -1-- of ~ - Divisior.,of Safety and Buildings in accordance with Comm A5 Wis aim c.,,io Attach complete site plan on paper not less than 8 1/2 x 11 inches in si Pl County ~~ C 2D~x ze. an must inGude, but not limited to: vertical and horizontal reference point (BM) direction and , percent slope, scale or dimensions, north arrow, and locatio etf to nearest road. Parcel I.D. l l .ti ~ Please print all info t~pif~-=°;"---r~r, Reviewed by Date Personal infom~ation you provide may be used for sewn ses Priv~c Law, s.' A4 ) (m)). I L> /~ O/ Property Owner ~ ~-~/ ~•./' , ;:,..,L; ~ ~ ~ Prop cation , 9 , -_ ., / - .. , Govt Lat•- ~ 1/4~~ 1/4 S ~ j T~~ N- R /5 ,~ (or~ Property ner's M/ ling Address • •''~ ~- (` , # ?` , . ock # Subd. Name or CSM # / .- City State Zip Code Pho ~N bezrG~ . . ^.City ^ Village ®Town Nearest Road Er) wood G W v~ (7~.~ ' 6'~<~« ~ ~~ t ~ ~ a an ~~. ® New Construction User Residential / Number of bedroo'Tns =,_~` -,.. Code derived design flow rate -S~SO GPD ^ Replacement ^ Public or commercial -Describe: ~. 0. . Parent material .~. ~ o-, ~ C'/.I„ ~ o Flood Plain elevation if applicable ~. Q . ft, General comments , / and recommendations:.~~.~ ~~~~c a ,,,,~,,.(' sb ~„o~a~,., .U~ a pg.,t ~ a-,aaQ,,:.~, ~Z,.,.,.; f a, ~ , 5 E~ ~-n l~A M ' 3 ~ - - _ :~ ~- v - Boring # Boring pi 'Ground surface elev ft D th t . . ep to limiting factor ~_ in. `_L~.L Soil Appliption Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftZ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 /. ~- D Y -3/ s i a~ k t r s ~ . 8' ~-36 `D y/~ ~l8 i abk r, LJ 1~ ~/ F~ - . a ^ Boring # '2 Boring or ~ ~ pit Ground surface elev. 9~ O ft. Depth to limiting factor ~ 7 in . Soil Applh:atlon Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz in. Munseil Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 a~ _S i a~ rn ~r ~ - ~. -~ Y `~~ ~' m a6k m ~r ~ ' -~.~~ -.~s T y/ ~ ~ S /~' ~d SlP v ~ s b k m ~~ ~ --- . ~ ~.3 • /o Y2 ~ • .-............. - v5 - v _ w .ny. ~ ouu . -vv _ . vv n~lyL cnwCnt trc = ovUS ~ 3V mg/L ano ~ 55 _< 30 mg/L CST Name (Please Print) Signatur CST Number Ms. Loretta A. L / CSTM 224580 Address Date Evaluation Conducted Telephone Number N2089 Cty. Rd. Y, Menomonie, WI 54751 715/235-4634 wk 715 664-8184 Yun l/0 Property Owner ~~ T T! n ~T ~ n Parcel ID # ~ Page ~ of Boring # Boring v p ? i' pit Ground surface elev. / ~o-J ft. Depth to limiting factor ~ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 `Eff#2 a . ~ /o YR '~~~ m a6k m ~~ W 1~ tS''~ ~/ 6/8 os ` m ~ ^ Boring # ^ Boring ^ pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 'Eff#2 ^ Boring # ^ Boring ^ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz in. Munsell Qu. 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 material in an alternate format, please contact the department. at 608-266-3151 or TTY 608-264-8777. SBD-8]30 (RN00) M O ch W a a 0 w a O W H H O ;C- R~ B~, ,.- 3 r sk ~ ~ .~J ~~ ~ C~ Q~ ~'1° ~~~I Yvi~, 1/~om ~ 0 D '~ O ~ ~ v rd ~ ~ ~ • ~~ ~ ~ ~ -~+ `' a ~ a, ~ v 5 a~~ i ~ o ~ _- ' o ~ __- ~ ~ •~+ ~ ~ rti U O O >C •~ -1~ N +~ ~ O -~ ~ ~ ~ Q Cf' ~" I N v ~~. + ',~ _ Qo ~ W ~ O U ~ ~ a a~ ~x• 9°~-~ ~ _ --- - -~ ~ fib ~' ~~~ ~ ,. ^~ /e e, g " ' O t°~ io~,X N Q,no-cam N t~ v ~ ~ • ~ ~ ,~ ISl Ul ~ J ?-I ,-i ~ ~ O i~ ~ ~ O O U ~ ~ r -I ~ _ ~ ~J ~ -I Z31 M '~ -~ ~ ~ I -~ m O ~ N 14J.A (Ptll~n. 10~' ~~Y~ 6 A~~,~a,..~ l00 ~ ~iwrw 0 ~ l~m~~a~~c-~ t,~,ds a i ST CROIX COUNTY _ . ' _ : - .- - _ - _..SEPTIC TANK ~MA~IhTTI~NA~ICE -AGREP~NT ; -- . . - - - AND _ . OWNERSHIP CERTIFICATION FO - - - . I OWIIerBuyer Ms • Mickey Brettingen ~~ /,~ ~~ c Mailing Address 1222 Haaan Rd. ,Glenwood City, WI 54013 3~7 Property Address - -same as above -_ _ f "~ /~` City/State (Verification required from Planning Department for new LEGAL DESCRIP'T'ION ~5~3~ /4-z,^~, G~ . SLfC`~'~3. ~ / ~~ Property Location SW %, SE y~ Ste, 33 . T 3o N_R 15 W, Town of Glenwood Subdivision n.a. Certified Survey Map # n.a. Lot # Volume ~~ ~~ Page # ~ ~~- Warranty Deed # _ S9 95~ oZ, Volume Page # ,/~`~ ~ Spec house ^ yes !~ no Lot lines identifiable ~ yes ^ no SYSTEM MAINTENANCE Improper ttse ammd maiatenaaoeof your septic system could result m its premature faihrne to Handle arastes. Proper maintenance coesists of oat~e sephe.taalc everythree Years or sooner, if needed by a licxnsed Pump<x What yon put into the system. can affect the of ths` septic ,tank-as ~ treatment stage in the =waste disposal system. -The: property owner agrees to tnbanit to St. Qroix Zoning Department a certificxtioa fo~rm,`sigocd by-the owner sad by a PI~Y~PI~~. restrcbodphnnber or a licensedpumperverifying that (1) the on~iba wastawaterdisposal system is in proper operating condition and/or (2)-after inspection and pumping (if necessary), the septic tank,is.less than 1/3 full of sledge. Uwe, the undezs~oed have read the above requirements sad agree to maintain th:e:private sewage disposal,system with the standards set forth, herein,; as set by the DeQartment of Commerce and the Den~artm.~ni *~f Idaturtl Res~~, Styx of Wr wo.:~. Ce*.:fi.:~ ~.. stating that your septic systemfias been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days of the three year expiration date. . SIGNATURE Ol? CANT DATE OWNER ~RT;f~C~ITION I ('wej`oecdfyt'hat all statements on this form are true to the best of my (our) lmowledge. I (we) am (are) the owner(s) of e P~~Y above,'by virtue of a warranty deed recorded in Register of Deeds Office. .~.~ 1 y 0)11/ a SIGNATURE OF APP DATE «««««« Any information that is mis-represented may result in the sanitary permit being revoked by the Zoning Department. «««««« ~/~<r~- Parcel Identification Number «« Include with this appllcaHon: a stamped waminty deed from ffie Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed s • ~8-2~-~~Lt 1 12. 18Pt-1 FRUt•1 7 I P•1EEF:~-5EL I SSE"J 71 5 _;~8 ~9:6E~ voi 1 ~ 1.1. aacE ~ (l2 W This Geed, made between Beverly C. Rehwaldt, Grantor, and Dean M. Teigen, Crrantee, Wknosseth. That the said Cvrantor, for a valuable constdsraUon conveys to Grantee the foilowing dsscriYwd r®at estate in St. Croix County, State of Wisconsin; G' , ~^ ~ i '8everty C. Re waldt The Southwest Dua+ter o} the Southeast Quarter {$W1/4 of SE-114) of Section 33. Township 30 Norin, Flange lS Writ, Si: Croix~Couttty; Wiscpnsin, EXCEPT a hlanguiar piAce of'land discrlt>ed'as foitows: Commencing al thr. Nonhsasi corner of the Southweaf Quarter of the Southeast Quartet (3W.tr4 of SE•9l4) c! StCt10n 33, Township 30 North, Ranges 15 West; thence West on the North line of sate Southwest Quarter et Southsast quarter (Sw-Iles of sl=-114) of Sectior. 33. 76 rods: thence Southeasterly 24-1l4 rods to the East line of said Southwest quarter of the Southeas', Qtterter (SW- 1/4 of Sc-114) of Section 33; thence North On the East tine of said Southwest Quarter of Southeast Quarter (SW-1/4 0( SE-1l4) of Section 33, 1&912 rode !c place of beginning. This dead is given in complete satisfaction of the Land Contract dated Juns 12, 7990, antl reeortled o~i June 15, 1990, in the 5t, Croix County Register of Oeeds office in Volume 873 of Records on pagb 415 as Document No. 458588; This is not homestead property, Together with alt and singular noreeitamehts and appuRenances thereunto belonging; And Grantor warrants that th® title is good, indefeasible in fees simple and free and clear of encumbrances except easements, highways, utiUty rights and reservations of record, and will warrant attd defend the same. Dated this R ~ day of February, 1699. AUTWENTICATION Signaturr(s} authenoceted this ~ day a! alpnatura type er prirR name TITLE' M8M6ER STATE BAR OF WISCONSIN (if not, authori:e0 ov47os.o6, Wie. Stela.) THIS INSTRUMENT WAti DRAf7E~ 9Y Timothy J. ScoK BAKKE NORMAN, S.C. s~~~«~ K~-THiEEt+ H. WALS+t REGISTEk OF AEEAS 5T• CROIX Ctl., WI RECEIVED FOR R:CORD 03-17-1949 8:30 At1 tIARRANiY DEED EXEl~Y M C£RT CST FiE: COD'( FEES iRAIiSFER FEE; 31.80 kELroRDIN6 FEE: 10.00 PAGES: I Name and Return Addreaa BAKKE NORMAN, S.G. P,O. f30X5A NtIN RICNMONp,Wt $d0' 7 et 8-1071-'~t},,_ (Par4at IdcnUrro02ian Nu:nGa~) ACKNOWLEDGMENT STATE OF WISCONSIN ST. CROIX COWNT' Parsunally Came bsfure me this z~~+ day Ur Fcgiuery, 1959, the above named fievarty C. Rehwaict to me kr own :o be the persons} who executed the forv9v}aaq\~rd ackn ed tn~elsame. ~F1?• " ~ rr' tYDe Or Dnnt home in rU •~~ ~-~- `-~' h , ~ 4 -,, r' Notary Public St Croix County, WiS •tlkfp. -'~~' l,r~' My eemmisalon is permanent. (K tsrte eKf~tl0!t'.~ ~rt :,, 'N^'nes of pNeone elgnir~g N enY ~b0acrcy should tw or ~~/~~ 'J txhte0 Glow tMir siflnatu~cs /D P ~' (Slpneluree may Ile eulhnnlralsd er eekrlovAedpaQ. cots, *re r~it neC69eary,} . ~ ` JUL-12-2001 '9 FROM:WBS JERRY C.~BILL E. ____ T0: 715 234 6860 r o a ~ o ~Cm'~ o ~ O n t-'- n c~ O N A Q7 ~] }- a III -~ v m z z 0 N ~, ih i~:~N:~S~•1:i:~C~ ~~` N i Q1 ~;, ti'ti;ht~lil'~ ~r;kt~l 'I Ml ~~ij~., ~, g ~ i'i'i l~y`i ti ~ iii~ii'i;i!tiiilf'~'~$i ~ A~ ~'i'i4'i - - .' . .. ~ . . ~ - ~ :. - _Sti "` ti ,ry ~ _ .. ., ~y ~~. (j ~ . ,~~~ u ~' 0 N LJ N Z ~-i L,.. ~, I ''~i { ~~ I c~, ~; II ;~, 3 ~~ r w J D 3 0 ~~ cv ~ N ~ J ~ J W o ~ O Z ~^H^ .--1 1.1 O C~ d" ~ ~ 0~ A o~ °~ '`~~ -~~ ~ _ ~ ~ ~ ~~ ~ !- °' ~ o ~ ~ c5 oz r-+ ~ d ~U ~ . ~ p Z N ~ ~ J ¢ O~. " ° Z o .r-~ oY ~ o__.) g~~p Ad ~ ~"" . o .-+ ' v~ 'Q^^ S uJ~ 0 ~ O~ 0 O Q S v ~~ ~ i~ ~ ti ~ ~ ~ l~ ~~~ Q '~ ~ :~ _ ~, N': ~ ~~ f1J ~~ C? ~ ~ ~i~ N ~ t- ~ ~ = i - - _ ,~ ~~ _~ ~ ~=~ t... ~~ a ~~~= ~~ . ~ ~ ~ ~_ o; N ~ ~ r ~_, v y _~ ~'~ - r\ J `~ , ; ~~ J Z (U ~p (~ I~ ~ U N U .~~-~ Z ('~ ~ L~. J Z .-i I.a,. U ~ ~ ~ ~ ~ ~ '~ ~ ~ ~ r ~~ ~ ~ ,~~, ~~ '~ S •i J j 1- ~' b1 ~,' ~ ~ + ~ I u 1 n W p -~ ,~ D GLEN _.-- .-~ ~`.-ti- STRUC ^ FLOOD wavE PEAK FLOOD aVE TRAVEL TIhAE = 0.1 HR. -OD ELEVATION =1077.3 I))),~ r LEGEND Page 1 of 1 ,Rod Eslinger From: Rod Eslinger Sent: Friday, June 15, 2001 11:36 AM To: Gary LePak (E-mail) Subject: Brettingen property below structure #2 in the Glen Hills Watershed Hi Gary, As the County gets closer to buying the Brettingen property, I want to make sure we dori t hit any bumps in the road. I recall a conversation we had regarding driveways in floodplain areas, I guess I need you to reassure me that a driveway can go through the floodplain as long as it is not higher than 6 inches from the original grade. The driveway will not cross any portion of a navigable waterway, so I dori t believe any other permits would be required. I am asking because Mickey is purchasing land from her ex-husband just south of her existing 6-acre parcel that she wants to extend the existing driveway to this property. The kicker is that the driveway runs right through the mapped floodplain we adopted. The area where she is building is about 30 feet above the mapped hydraulic shadow, so we should not have, ar-~ problems in the future. Please get back to me as soon as possible. Thanks and have a great weekend. Rod Eslinger Zoning Spec~al~st Zoning Department 1101 Carmichael Road Hudson, WT 54016 Phone: (715) 386-4680 Fax:'(715) 386-4686 mailto:rode(a~co.saint-croix.wi.us ~J~ `~ \w`' 0~ ~rti~ ~~"~ ~~" ~'; ?/ ~,ie ~~ f l ~~ ~~~~ ~ ~~ w ~` 6/15/2001 AGREEMENT FOR PURCHASE AND SALE OF REAL ESTATE RE3012 -lPA 8197 'THIS AGREEMENT, made and entered into by and between Michele E. Brettingen, hereinafter called SELLER, and the St. Croix County, hereinafter piled BUYER. DESCRIPTION: The SELLER agrees to sell and the BUYER agrees to buy, upon the terms and conditions hereinafter named, the following described real estate situated in the Town of Glenwood, 5t. Croix County, Wisconsin: Commencing at the Southwest comer of the Southeast'/. of the Southeast'/4 of Section 33-T30N-R15W, thence North 480 feet to the point of beginning. Thence West 495 feet, thence North 871 feet, thence East appro~amatety 224 feet to the center of the Hagan Road right of way; thence Southerly following said centerline of said Hagan Road right of way to the point of beginning. Tax I.D. Number 33.30.15.5040 The purchase price of said real estate shat! be the sum of One hundred five thousand five hundred and 00/00 dollars ($105.500.00) Dollars payable as follows _Upon dosing. Date of dosing to be agreed to. General taxes shall be prorated at the time of dosing based on the net general taxes for the current year, if known, othervvise on the net general taxes for the preceding year. Seller shall, upon payment of purchase price, convey the property by warranty deed, free and dear of all liens and encumbrances, inducting special assessments, except recorded public utility easements and recorded restrictions on use running with the land or created by lawfully enacted zoning ordinances. Legal possession of premises sha11 be delivered to the BUYER on date of dosing. Occupancy of property shall be given to the BUYER on October 1, 2001, A tease agreement is to be entered into between BUYER and SELLER. A copy of the lease agreement is attached. SPECIAL CONDITIONS: !1) The SELLER has the right to retain the garage and fendng for the amount of $1 000 payable by check to St Croix County at the time of dosing The SELLER agrees to remove the garage and fencng on or before October 1 2001 and further agrees to execute a Siff of Sale and Indemnfication Agreement (copies of which are attached). (2) The BUYER agrees to offer the property for sale to the SELLER -after the removal of all of the improvements - for the sum of $1 000 with the SELLER having the right of first refusal. The SELLER will have the ability to decide yes or no until November 1 2001 The SELLER acknowledges that as part of the sale-bade the BUYER wilt impose a deed restriction Gmitinq the use of the property The BUYER will allow access over the purchased property to the new property of the SELLER for construction purer ses (3)_The SELLER acknowledges that ttie Buyer will be eligible for certain relocation benefits as outlined on the attached SUMMARY OF RELOCATION PAYMENTS that was given to the SELLER as an attachment to a letter dated March 26 2001 t4) This agreement is contingent upon St Croix County Board Approval ^) SPECIAL CONDITIONS (Continued) This agreement is binding upon acceptance by St. Croix County as evidenced by the signature of an authorized representative of St. Croix County. Seller and Buyer agree to act in good faith and use diligence in completing the terms of this agreement. This agreement binds and inures to the benefit of the parties to this agreement and their suooessors in interest, personal representatives, heirs, executors, trustees and administrators. THE WARRANTIES AND REPRESENTATIONS MADE HEREIN SURVIVE THE CLOSING OF THIS TRANSACTION. SELLER AGREES TO SELL AND CONVEY THE ABOVE-MENTIONED PROPERTY ON THE TERMS AND CONDITIONS AS SET FORTH AND ACKNOWLEDGES RECEIPT OF A COPY OF THIS AGREEMENT. \ ~ ~ ~ f (5~ ~$W co~~ cs~o The above agreement is accepted by: St. Croix County iom ~or~, roix oun oar L air ~ _ ~~ u e o , roi oun e a es i ng, ix oun mirns ra a oor orator J=LZ-Zoos ae ' .' BILL OF SALE AGREEMENT This AGREEMENT, made and entered into by and between ST. CROlX COUNTY, hereinafter called SELLER, and Michele E. Brettingen, hereinafter called BUYER whose Social Security or FIN # is The SELLER agrees to sell for and in consideration of the sum of One Thousand and 00/00 Dollars ($1000.00) offered and paid for by the BUYER, and the BUYER agrees to buy and remove, upon the terms and conditions stated in this Agreement the foNowing described building located at 1226 Hagen Rd., Glenwood City, St. Croix County, Wisconsin. Building Description: Garage and fence BUYER agrees to have her Contractor remove the building from the site and will assume all risk, liability and costs, including all costs incurred by the SELLER, its officers, employees and agents, in defense of claims, relating to the removing the building and the BUYER will indemnify of the SELLER for any demands, suits, liability and expense by reason of bodily injury to or death of any person or damage to or destruction of any property whatsoever arising or growing, directly or indirectly, out of the moving operation. If the building is not removed from the premises by the date of October 1, 2001, the BUYER shall be in default and the building and/or salvageable material remaining upon the said premise shat! revert to the SELLER to dispose of as the SELLER sees fit. The building and appurtenances shall be completely removed to the elevation of the surrounding ground level. No other concrete walk, drive, or steps or slabs need be removed. The entire premises, shall be cleared of all refuse, debris, and materials resulting from the removal of any building. Any exposed opening existing or occurring by reason of the removal of the building(s) shall be suitably fenced immediately to protect and safeguard the public from any or all hazardous conditions by the BUYER. High visibility (orange) 4-foot constnaction fencing must be placed completely around the opening(s), and "No Trespassing" signs must be placed on all sides of the exposed opening(s) by the BUYER. AN work involved and permits required in razing, moving, removing, or transporting the building, items refuse, debris, or materials will be the sole responsibility of the BUYER. The building and fixtures are sold on an "as is" basis. Any damages, claims, or fosses occurring due to actions of a third party will be the sole responsibility of the BUYER. The BUYER and/or her agents shall conform to all applicable regulations, laws and ordinances of the Town of Glenwood, County of St. Croix, and the State of Wisconsin in the removal of said building. The BUYER also agrees to the indemnification agreement attached hereto (Attachment A). IN WITNESS WHEREOF, St. Croix County has caused this instrument to be executed in its behalf on 2001. _~ , -~~ - BUYER: ' Signature Signature Buyer Buyer Date Date SELLER: om orsey, oix-county t~oara cnair ue son, roix oun e a es i ng, roix un minis ra ve oo ~nator 3 = LZ-2oa~ Date - - ~ ,~ , ATTACHMENT A INDEMNlFtCATION AGREEMENT The BUYER agrees to indemnify, hold harmless, and defend St. Croix County, its departments, officers, employees, and agents against any and all claims, actions, damages, liability, and expenses for persona! injury, loss of life, and/or property damage arising out of the performance of the Bill of Sale Agreement to remove the garage and fence. to case St. Croix County, any department, officer, employee or agent is made party to any litigation arising out of the performance of the Bili of Sale Agreement, then the BUYER shall protect and hold said parties harmless and shall pay all costs, expenses, and reasonable attorney fees incurred or paid by said parties in defense of such litigation:- CONTRACTOR agrees to obtain liability insurance in an amount of not less than $1,000,000.00 per occurrence for the work of removing the garage and fence and to name St. Croix County and BUYER as additional insureds, ftom and against any and all claims, demands, suits, liability and expense by reason of bodily injury to or death of any person or damage to or destruction of any property whatsoever arising or growing, directly or indirectly out of the salvage operations. Signature Signature Buyer Buyer Date Subscribed and sworn to before me this date Notary Public, State of Wisconsin Date My commission expires , --,1 f , RESIDENTIAL RENTAL. AGREEMENT This AGREEMENT between St. Croix County, OWNER, and Michele E. Brettingen of St. Croix County, Wisconsin, TENANT, constitutes a granting of the right to occupy and use, for residential purposes only, the following described land, to wit: 1228 Hagen Road, Glenwood City, Wisconsin. The right of occupancy of the TENANT to begin , is subject to the following rights of the OWNER and contingent upon the proper performance of the following obligations of the. TENANT: 1. Beginning on ,the TENANT agrees to pay a monthly rent of $1.00 payable to St. Croix Gounty. 2. The TENANT agrees to vacate the premises upon a 30-day written notice from the OWNER advising that the premises are required for County purposes and TENANT shalt have no claim against the OWNER for any loss or damage caused by such a notice. Subject to the TENANTS right to occupy the premises until October 1, 2001. 3. The OWNER shall have the right of reasonable inspection during the entire term of this AGREEMENT. 4. Persona! Property insurance shalt be the obligation of the TENANT. 5. The TENANT agrees that the right of possession shah not include the right to rent or tease or permit any occupancy to a third party without- OWNER'S prior written consent. 6. The TENANT will be responsible for the normal maintenance of all improvements, including buildings, fences, and the land. 7. The TENANT shall at no expense to the OWNER keep and maintain the premises free from rubbish, paper, cans, trash and debris, and inflammable materials of every description and at all times maintain the premises in an orderly, clean, safe and sanitary condition, and TENANT shall, at her own expense, mow and maintain any grassed areas, and during the winter months the TENANT shalt, at her own expense, remove the snow from the property if it is necessary to do so for the intended use: 8. No advertising signs of any type shall be erected in, on or over the leased premises. 9. The TENANT agrees to pay a{I claims against her or the property which may arise as a result of their occupancy; agrees to hold harmless the OWNER from claims that may arise from said occupancy; and further agrees to cant' a Standard Tenants Liability insurance policy. 10. TENANT agrees to remove all persona( property when vacating the premises. Should TENANT leave any. personal property when vacating, the OWNER shall have the right to dispose of said property without Liability ten (10) days after the TENANT vacates or abandons said property at TENANTS expense. 11. The TENANT shall give the OWNER written notice of the date of vacation and tum over to the OWNER all keys, either in person or by mail, as soon after vacating as possible. 12. OWNER shall have the right to claim damages against the TENANT, upon surrender of possession by the TENANT, in the event that said TENANT has not complied with this AGREEMENT. 13. A failure of the TENANT to pay any rental on or before due date shall constitute a default. Any time after a default in payment the OWNER may at its option terminate the AGREEMENT. :~ `~ Please circte: ~ There is / is not a smoke detector on each occupied floor of this dwelling. They are /are not operable. It is understood that the consideration for this AGREEMENT is the promise of the respective parties herein contained. Tenant Signature Date Tenant Signature Date The above AGREEMENT is hereby accepted by St. Croix County this .ZZ. day of ~_,-989 Zoo ~ or ey~oa oun oar atr ~_ ~1 ue on, roix oun e a es ~ i mg, roix oun minis ra ive oordmator S =Z2- 200! Date . ~, SUMMARY OF RELOCATION PAYMENTS r+soaa ow ~~ Ataat a-. n wr. a... ~-v YYl~atrn O~pNnM+t d TrYrpo~w~ ~. Michele Brettin en 1225 Hagen Rd ,Glenwood City, ir1I 540 TNa awnmary Ja to ooaArm ttn paryaeRta St. Croix County la avthoriz.d to par as a result of tttie acqulaltJort of your property 1105,500 TM Approved OffednQ Prloe ~ (AUtlty RelooatJon payrrtertts: To be sii9it~le for tt»se supplemertW Pay~n Y°Y must relocate into a asidenos tf W lute been oertifled by v ~ W'rwruwJ q pe(n0 deoertt, safe and aanltarY. Your mow MOST be mad. not late than OM year afar tM later Of tM IOJlowlnp data: 1. The dat. owrwr aoelved payment . 2 The data you moved from th. aoqukad dwWlirtp. y ~ ~~ F~locab»~ ypy may pa nlrrtburted for oM or mon or tM relocation atsistana benetia indkatad beww: Raplaoement ~~ ~ p~.pwttpattts and Tutarttr0oout~a .~ppNmertW hioualnQ Payment for an owrterooa~partt for not Na tfutn 180 days vela purchaase t not Isaa than t i 25, 500 w SupplernenW Houslrtp Payrrwrrt • pownpayrttertt loran owner~oooupant for Iew ttu-n ie0 days 0o days who putchasea ~ OR n/a ] pownpayrrtent lot a tanant~awpant for not Nas than ~~ rpiot~ Nathan ~0 days wtw ants (to br Paid in n owrter~oa+pan r t f I1/a ] o a $upplemenW Bent paymen '- lour annual Instalments. M requested) who yens to ~ Ps+d ~ four annual nt~oocupant for not Iess than ti0 days n/a ] SuPPN~nW ReM payment for a gna inaWlrr>ints~ H regwsted) iri/a ] .Want Max. Purchase 130.000; FWtW 130.000) . ~Replaoemern Payment pualMSS/F~ (Owner Max. 130,000) lT r rl show the correct differential to p ope y ed i l , s a{ rw •Th.a. arnourtts wiU be adJustad, wMrtewr ttte oflerirtp prig amount required towsrd the. purchase of a aplacement property. JlonlrtS Expenses • RealdenlJal l and aasortaDle cost to mow personv Property from residences and mobile homes. d 1 Actual Cost Actua Bawd on aplpted DUIa from qualfled mover. OR idential • Indudinp sleepn0 rooms and trwbib hort-e ooa+Pants R 11, 050 es Fined Sctteduie • ~ dui. for _7 room(s) w i 11~ ~~ including dislocation allowance ,~,Jrp Esp.rtsee • l3uslneM and f`arnas • AdwrtlsMtS SJ9rta = Actual Cost ] Actuv attd aason+Dia ooh W mow personal property from business of farm. Based on aoslpted Wallies from quaUllad mover. n a ^ Acaual direa loan of tartpiWe persaW txoPdy ~ for a aplapment business/sit. dd n a np ^ Actual reasonable expense in sear n/a - ] ] Re.estabUshment Expense lower of two bids. a ++~~ i- ~' ] E~N Find rtp~~+/~sineases 1800.00) ~~ OR ] h ifau of actual rtto~Jr-Q expansM • BualnaM • Farm Operutona - Nonprofit fin i~ Not Ise than itA00 ttor ttlow Start ~'~) ns:WenW Expartw • Translsr elf try ~ 8th ^ preQayment penalty costs nses of plans ^ n~ndered unusable ] ^ Nat rMW loan Cost of tenuno fiecordina 1sa E slmuar Marrtfa- nment of personal property ^ ] Prorated attars of taxes ^ RaaIW • amounts veal a detarmktd as they occur.) of Re t FlouaJrp/Buaineaa/Farm (Th ;xper-asa Inoklent to the Purch+ee P~~ a drawings or plats t. Increased M4reat Cosa. • rn conveyance contracts, notary fees, surv~ «,P ~n0 3. Legal. damp and related costs inGudtr-S tlW search. Pr JW Jl ~t fa. )ender:~ F-•U- or VA aPW from the dal. the and charsp paid incident to recordin0, credit report, FHA or VA appUca u must file a claim within two (2) yeas 'o receive these payrtuenp, If any. and/ot be reimbursed for expenses incurred, yo ttior- of the t~tire property acquired. Npartment of Trutsportatlon Wet phytic;al Pow . t '~ ~ AQeM for St. Croix CewtJ~y sc.u oi'veil~Itoortaln~•n~M~~~''~~~uocau~i~ RECENED from ~ enu that tM relocation assistance brochure d forms. The spent has explained the tenice: and paym t.:::J r~ . ~ ~~ AGREEMENT FOR PURCHASE AND SALE OF REAL ESTATE RE3012•LPA 8197 THIS AGREEMENT, made and entered into by and between Michele E. Brettingen, hereinafter called SELLER, and the St Croix County, hereinafter called BUYER. DESCRIPTION: The SELLER agrees to se(t and the BUYER agrees to buy, upon the terms and conditions hereinafter named, the following described real estate situated in the Town of Glenwood, St. Croix County, Wisconsin: Commencing at the Southwest comer of the Southeast'/. of the Southeast % of Section 33-T30N-R15W, thence North 480 feet to the point of beginning. Thence West 495 feet, thence North 871 feet, thence East approximately 224 feet to the center of the Hagan Road right of way, thence Southerly following said centerline of said Hagan Road right of way to the point of beginning. Tax I.D. Number 33.30.15.5040 The purd~ase price of said real estate shall be the sum of One hundred five thousand five hundred and 00/00 dollars ($105.500.00) Dollars payable as foAows Upon dosing. Date of dosing to be agreed to. Genera! taxes shall be prorated at the time of dosing based on the net general taxes for the current year, if known, othervvise on the net general taxes for the preceding year. Setter shall, upon payment of purchase price, convey the property by warranty deed, free and dear of all liens and encumbrances, incuding spedal assessments, except recorded public utility easements and recorded restrictions on use running with the land or created by lawfully enacted Zoning ordinances. Legal possession of premises shall be delivered to the BUYER on date of dosing. Occupancy of property sha!! be given to the BUYER on October 1, 2001, A lease agreement is to be entered into between BUYER and SELLER. A copy of the lease agreement is attached. SPECIAL CONDITIONS: 11) The SELLER has the right to retain the garage and fendng for the amount of $1 000 payable by dteck to St Croix County at the time of dosing The SELLER agrees to remove the garage and fencing on or before October 1 2001 and further sprees to execute a Bill of Sale and Indemnification Agreement (conies of which are attached (2)_The BUYER agrees to offer the property for sate to the SELLER -after the removal of al! of the improvements - fac the sum of $1 000 with the SELLER having the right of first refusal. The SELLER wiA have the ability to deride yes or no until November 1 2001 The SELLER acknowledges that as part of the sale-back the BUYER will impose a deed restriction limiting the use of the property The BUYER will alkwv access over the purdtased property to the new property of the SELLER for construction purooses (3) The SELLER acknowledges that the Buyer will be eligible for certain relocation benefits as outlined on the attached SUMMARY OF RELOCATION PAYMENTS that was given to the SELLER as an attachment to a letter dated March 26 2001 t4) This agreement is contingent upon St. Croix County Board Approval "~ '` SPECIAL CONDITIONS (Continued) This agreement is binding upon acceptance by St. Croix Courrty as evidenced by the signature of an authorized representative of St. Croix County. Seller and Buyer agree to act in good faith and use diligence in completing the terms of this agreement. This agreement binds and inures to ttie benefit of the parties to this agreement and their successors in interest, personal repn:sentatives, heirs, executors, trustees and administrators. THE WARRANTEES AND REPRESENTATIONS MADE HEREIN SURVIVE THE CLOSING OF THIS TRANSACTION. SELLER AGREES TO SELL AND CONVEY THE ABOVE-MENT{ONED PROPERTY ON THE TERMS AND CONDITIONS AS SET FORTH AND ACKNOWLEDGES RECEIPT OF A COPY OF THIS AGREEMENT. ~ ~ f t (~ (Date) (Seder) The above agreement is accepted by: St. Croix County ~~.~ ,~~ i om uorsey, 5t.-c;roix c:ounry tsoara ~na~r ~ _ ~`1 u e o rot oun e a es i Ong, ~x oun rmnis ra ve r orator J'r LZ-Zoo r ate BILL OF SALE AGREEMENT This AGREEMENT, made and entered into by and between ST. CROIX COUNTY, hereinafter called SELLER, and Michele E. Brettingen, hereinafter called BUYER whose Social Security or FIN # is The SELLER agrees to sell for and in consideration of the sum of One Thousand and 00/00 Dollars ($1000.00) offered and paid for by the BUYER, and the BUYER agrees to buy and remove, upon the terms and conditions stated in this Agreement the following described building located at 1226 Hagen Rd., Glenwood City, St. Croix County, Wisconsin. Building Description: Garage and fence BUYER agrees to have her Contractor remove the building from the site and will assume all risk, liability and costs, including all costs incurred by the SELLER, its officers, employees and agents, in defense of claims, relating to the removing the building and the BUYER will indemnify of the SELLER for any demands, suits, liability and expense by reason of bodily injury to or death of any person or damage to or destruction of any property whatsoever arising or growing, directly or indirectly, out of the moving operation. If the building is not removed from the premises by the date of October 1, 2001, the BUYER shall be in default and the building and/or salvageable material remaining upon the said premise shall revert to the SELLER to dispose of as the SELLER sees fit. The building and appurtenances shall be completely removed to the elevation of the surrounding ground level. No other concrete walk, drive, or steps or slabs need be removed. The entire premises, shall be cleared of all refuse, debris, and materials resulting from the removal of any building. Any exposed opening existing or occurring by reason of the removal of the building(s) shall be suitably fenced immediately to protect and safeguard the public from any or all hazardous conditions by the BUYER. High visibility (orange) 4foot construction fencing must be placed completely around the opening(s), and "No Trespassing" signs must be placed on alt sides of the exposed opening(s) by the BUYER. All work involved and permits required in razing, moving, removing, or transporting the building, items refuse, debris, or materials will be the sole responsibility of the BUYER. The building and fixtures are sold on an "as is" basis. Any damages, claims, or losses occurring due to actions of a third party will be the sole responsibility of the BUYER. The BUYER and/or her agents shall conform to all applicable regulations, laws and ordinances of the Town of Glenwood, County of St. Croix, and the State of Wisconsin in the removal of said building. The BUYER also agrees to the indemnification agreement attached hereto (Attachment A). IN WITNESS WHEREOF, St. Croix County has caused this instrument to be executed in its behalf on 2001. BUYER: :~,,. ~ , Signature Signature Buyer Buyer Date Date SELLER: om orsey, oix county t~oara ~na~r w~ ~ ~ r1 s-~~- ue son, roa oun er a es i mg, roix un minis ra ve oo inator T = LZ-2oat Date ATTACHMENT A ~~ lNDEMNIFICATtON AGREEMENT The BUYER agrees to indemnify, hold harmless, and defend St. Croix County, its departments, officers, employees, and agents against any and alt claims, actions, damages, liability, and expenses for personal injury, loss of life, and/or property. damage arising out of the performance of the Bitt of Sale Agreement to remove the garage and fence. In case St. Croix County, any department, officer, employee or agent is made party to any litigation arising out of the performance of the Bitt of Sate Agreement, then the BUYER shall protect and hold said parties harmless and shall pay all costs, expenses, and reasonable attorney fees incurred or paid by said parties in defense of such litigation. CONTRACTOR agrees to obtain liability insurance in an amount of not less than $1,OOO,Q00.00 per occurrence for the work of removing the garage and fence and to name St. Croix County and BUYER as additional insureds, from and against any and all claims, demands, sui#s, liability and expense by reason of bodily injury to ar death of any person or damage to or destruction of any property whatsoever arising or growing, directly or indirectly out of the salvage operations. Signature Signature Buyer Date Subscribed and sworn to before me this date Notary Public, State of Wisconsin Buyer Date My commission expires ~~~ .. ` , RESfDENTIAL RENTAL AGREEMENT This AGREEMENT between St. Croix County, OWNER, and Michele E. Brettingen of St. Croix County, Wisconsin, TENANT, constitutes a granting of the right to occupy and use, for residential purposes on{y, the following described land, to wit: 1226 Hagen Road, Glenwood City, Wisconsin. The right of occupancy of the TENANT to begin , is subject to the following rights of the OWNER and contingent upon the proper performance of the following obligations of the TENANT: 1. Beginning on ,the TENANT agrees to pay a monthly rent of $1.00 payable to St. Croix County. 2. The TENANT agrees to vacate the premises upon a 30-day written notice from the OWNER advising that the premises are required far County purposes and TENANT shall have no claim against the OWNER far any loss or damage caused by such a notice. Subject to the TENANTS right to occupy the premises until October 1, 2001. 3. The OWNER shall have the right of reasonable inspection during the entire term of this AGREEMENT. 4. Personal Property Insurance shall be the obligation of the TENANT. 5. The TENANT agrees that the right of possession shalt not include the right to rent or lease or permit any occupancy to a third party without OWNER'S prior written consent. 6. The TENANT will be responsible for the normal maintenance of all improvements, including buildings, fences, and the land. 7. The TENANT shall at no expense to the OWNER keep and maintain the premises free from rubbish, paper, cans,. trash and debris, and inflammable materials of every description and at all times maintain the premises in an order{y, clean, safe and sanitary condition, and TENANT shall, at her own expense, mow and maintain any grassed areas, and during the winter months the TENANT shall, at her awn expense, remove the snow from the property if it is necessary to do so for the intended use. 8. No advertising signs of any type shall be erected in, on or over the leased premises. 9. The TENANT agrees to pay all claims against her or the property which may arise as a result of their occupancy; agrees to hold harmless the OWNER from claims that may arise from said occupancy; and further agrees to carry a Standard Tenants Liability insurance policy. 10. TENANT agrees to remove all personal property when vacating the premises. Should TENANT leave any personal property when vacating, the OWNER shall have the right to dispose of said property without liability ten (10} days after the TENANT vacates or abandons said property at TENANTS expense. 11. The TENANT shall give the OWNER written notice of the date of vacation and tum over to the OWNER all keys, either in person or by mail, as soon after vacating as possible. 12. OWNER shall have the right to claim damages against the TENANT, upon surrender of possession by the TENANT, in the event that said TENANT has not complied with this AGREEMENT. 13. A failure of the TENANT to pay any rental on or before due date shall constitute a default. Any time after a default in payment the OWNER may at its option terminate the AGREEMENT. - i - ~ ~ ~~ Please~circle: - There .is / is not a smoke detector on each occupied floor of this dwelling. They are /are not operable. It is understood that the consideration for this AGREEMENT is the promise of the respective parties herein contained. Tenant Signature Tenant Signature Date Date Th-e-above AGREEMENT is hereby accepted by st Croix County this ~z ,day of ~ Ate,-;?ice. ~,pp ~ o~ r~y, 5~L'oun oa ''fia~r ~, ~ ue on, roix un e a es ~ ~ ng, rotx oun mm~s ve oordinator 5 :22. -- Zo 01 Date r --~ ../ SUMMARY OF RELOCATION PAYMENTS AE.oos ose ~*~ ~ a. sz we. awe. .,~ n . i ~` YY1p•iwi O~pnMMnr d Rs~- la W oo~Arm the paywenat+ St. Cro3.X Cotuity le authalzed to pay as a result of iM aoquMltlon of your propety ~+ "u""`~ i 105.500 Th. APPro~ on.rino Prtoe oountY Reioostfon Paymenb: 7o be ellpibM for tt~eae supplemenW paymer-ta you moat relocab into a naider-ce that ha Deer cer4tMd by V • P+r+ce^el as Deinfl deoent~ sale and santWy. Your moo MUST be mode not later than one you attar tM tabr of tM IolWwinQ data: 1. TM dab owner noriwd payment . ~, ~ dab you rttoved from the aoquked dwelfirtp. y an euSiDle iialocaw, you may be relrrtawsed for one «rtaro of ttte relocation aaraiatanc. t»nelits lrtd(cated below: Repfaoemertt Mowalnq lot Owrteo•O~ooup~artta artd TertantrOa~un~ot Nos than ifl0 days who putchaaea •SuppMrrtenW Hous(r-Q Payrttertt for an ormeroooupan than M 125.500 _ ao Supplon>•ntal Housing Payment • pownpayment for an owner.oowpant for Maa than late days put not p0 days who purchases ~ OR 1a ] poMrtipaymaru for a tenartt•oocupant for rat Mss than 90 days who purchases n-Mt for an o~r-0orxrpant for a period of not Maa than sa0 days who rants (to Ito paid m nt Pa W A n/a ] y e $upplemM ] tour uutwl inataprnena. if requeetad) Supptententai Fient Payment ivr a pnantoocuputt t« not Mss than 00 days who rena (to De Paid in tour annual n/a insWirttents, d requested) anent Max. Purchaare 130.000; RanW 130,000) . t Ouafrns+/Faum (Own+r Max.13o,000J f r in/a ] •RsplaoartNrrt Paymen whenwer the offer{np prior {+ revised, to properly show d-e aorte~ difterentlal adJustad ilt b , e !These amounts w anwunt required toward tM purchase of a replacement property. ~(~ F~~ • Reeldentfal ~~ artd naaonaDfe opal to mow petson+l ProP+nY Irom resfdenas and mobile homes. ~ i Acural Coat , Eiased on reoeipted Dills from quaptMd mover. OR Fixed SctuduM • Reeidentlal • indudirtp sleeping rooms utd mobile twrne oQwpants ltowsnce i i l , 050 _ on a ? __~ rooms+! M i 1.Q~n inGudin9 dislocat Suteda~ls f« ___ ,lovirp Expenses • Business and Farms • AdrettlsMp SiOns ] Actual and reaaon+Dte coat to more personal property hem business or tom. 1 Actual Cost Bated on recelptad DiQa from qualftied mover. n a ^ Ao~ dirarcl boa of tanp-DIe peniond property nse In searchins f« a replacement business/site n a ^ AsiaraJ reatonaDle expa r/a ] ] ae.ea~ll~lunertt ~tei Business and term operation • self mow • Based on the lower of two Dkli. ~ - 1 _ r.. ] MovinE Expense FIn01np (Fume/Butlrarsta • ~~l OR ] M IMu of actual rraorinp exper-aM • Business • Fsrrn pperotions - Nonprofit inch - - (Nat Mss flan 11.000 not maw tl-an iRO.~! ncidental E~cpensea • Ttanafst of ltpeAy ti State ^ Prepayment penalty costs E,cpenses of pltns ~ rendered unuaaaae ] tiecordin0 tea tk atirrti{at ibrnh- ^ ~ renal los+ d' t of pusonal property ^ Cost of NncinO R , er ] Pr«ated ,hare of taxes ^ ~~ ~penaM Incident to iM PuroNaM of Replaoernent tioualrW/Buatness jFatm (The amounts wW pe determined as tMy owurj t. Increased kttereet Costs. oonvacts, notary tea, turwyt• PfeP+~ drawrnos au plats ~. Vpat. ctosino and stated posts including tlW teatchF~ ~ VA application at . lendut, FMA «YA spPraisal fee, eta and Ghafsee gold irlGder-t t0 reoordirrs. credit report, u moat tiM a claim wfthfn two (2J Y+~+ from the dsb the 'o receive these payments N any, and/« De nimburted 1« expense, Incurred, Yo taker physical potserrarion of the entire properly acquired. apartment of Tnrts<portt-don . r - ~ Ap~nl lot St. Croix Cr~url~y r 0M (1~'R11G0111W1 P1GN~QIf' G~nl~nlt-p i AECEIVGO Isom entt that tM State of Witoontln plies me ate s polocatee. relocation aatittance tuochure t«mt. The agent has explained the service, urd paym Pwrt .~ ~rc.+ • ~ AGREEMENT FOR PURCHASE AND SALE OF REAL ESTATE RE3012 -LPA 8/97 THIS AGREEMENT, made and entered into by and between Michele E. Brettingen, hereinafter filled SELLER, and the St. Croix County, hereinafter called BUYER. DESCRIPTION: The SELLER agrees to sell and the BUYER agrees to buy, upon the terms and conditions hereinafter named, the following described real estate situated in the Town of Glenwood, St. Croix County, Wisconsin: Commenting at the Southwest comer of the Southeast %. of the Southeast %. of Section 33-T30N-R15W, thence North 480 feet to the point of beginning. Thence West 495 feet, thence North 871 feet, thence East approximately 224 feet to the center of the Hagan Road right of way, thence Southerly following said centerline of said Hagan Road right of way to the point of beginning. Tax I.D. Number 33.30.15.5040 The purchase price of said real estate shall be the sum of One hundred five thousand five hundred and 00/00 dollars ($105,500.00) Dollars payable as follows Upon dosinq_Date of dosingto be agreed to Genera! taxes shall be prorated at the time of dosing based on the net general taxes for the current year, if known, otherwise on the net general taxes for the preceding year. Seller shall, upon payment of purchase price, convey the properly by warranty deed, free and dear of all liens and encumbrances, inducting spatial assessments, except recorded public utility easements and recorded restrictions on use running with the land or created by lawrully enacted zoning ordinances. Legal possession of premises shall be delivered to the BUYER on date of dosing. Occupancy of property shall be given to the BUYER on October 1, 2001, A lease agreement is to be entered into between BUYER and SELLER. A copy of the lease agreement is attached. SPECIAL CONDITIONS: (1) The SELLER has the right to retain the,garage and fenting for the amount of $1 000 payable by check to St. Croix County at the time of closing The SELLER agrees to remove the garage and fendng on or before October 1 2001 and further agrees to execute a Bill of Sale and Indemnification Agreement (copies of which are attached) (2) The BUYER agrees to offer the property for sale to the SELLER -after the removal of all of the improvements -for the sum of $1,000 with the SELLER having the right of first refusal The SELLER will have the ability to deride yes or no unfit November 1, 2001. The SELLER acknowledges that as part of the sale-bade the BUYER will impose a deed restriction limiting the use of the property. The BUYER will allow access over the purchased property to the new property of the SELLER for construction pumoses (3) The SELLER acknowledges that the Buyer will be eligible for certain relocation benefits as outlined on the attached SUMMARY OF RELOCATION PAYMENTS thafwas given to the SELLER as an attachment to a letter dated March 26.2001. (4) This agreement is contingent upon St Croix County Board Approval / ~ ,~ SPECIAL CONDITIONS (Continued) This agreement is binding upon acceptance by St. Croix County as evidenced by the signature of an authorized representative of St. Croix County. Seller and Buyer agree to ad in good faith and use diligence in completing the terms of this agreement. This agreement binds and inures to the benefit of the parties to this agreement and their successors in interest, personal representatives, heirs, executors, trustees and administrators. THE WARRANTIES AND REPRESENTATIONS MADE HEREIN SURVIVE THE CLOSING OF THIS TRANSACTION. SELLER AGREES TO SELL AND CONVEY THE ABOVE-MENTIONED PROPERTY ON THE TERMS AND CONDITIONS AS SET FORTH AND ACKNOWLEDGES RECEIPT OF A COPY OF THIS AGREEMENT. ~-~ cvwmess~ csen S-zr-~/ tom) csener~ The above agreement is accepted by: St. Croix County r om orsey, roix oun oar air ~~ u e o roi oun er a es ~ mg, ix oun miros ra ve oor orator .T LZ-Zoor ate BILL OF SALE AGREEMENT , ~ i This AGREEMENT, made and entered into by and between ST. CROIX COUNTY, hereinafter called SELLER, and Michele E. Brettingen, hereinafter called BUYER whose Social Security or FIN # is The SELLER agrees to sell for and in consideration of the sum of One Thousand and 00/00 Dollars ($1000.00) offered and paid for by the BUYER, and the BUYER agrees to buy and remove, upon the terms and conditions stated in this Agreement the following described building located at 1226 Hagen Rd., Glenwood City, St. Croix County, Wisconsin. Building Description: Garage and fence BUYER agrees to have her Contractor remove the building from the site and will assume all risk, liability and costs, including aii costs incurred by the SELLER, its officers, employees and agents, in defense of claims, relating to the removing the building and the BUYER will indemnify of the SELLER for any demands, suits, liability and expense by reason of bodily injury to or death of any person or damage to or destruction of any property whatsoever arising or growing, directly or indirectly, out of the moving operation. If the building is not removed from the premises by the date of October 1, 2001, the BUYER shall be in default and the building and/or salvageable material remaining upon the said premise shall revert to the SELLER to dispose of as the SELLER sees fit. The building and appurtenances shall be completely removed to the elevation of the surrounding ground level. No other concrete walk, drive, or steps or slabs need be removed. The entire premises, shall be cleared of all refuse, debris, and materials resulting from the removal of any building. Any exposed opening existing or occurring by reason of the removal of the building(s) shall be suitably fenced immediately to protect and safeguard the public from any or all hazardous conditions by the BUYER. High visibility (orange) 4foot construction fencing must be placed completely around the opening(s), and "No Trespassing" signs must be placed on all sides of the exposed opening(s) by the BUYER. All work involved and permits required in razing, moving, removing, or transporting the building, items refuse, debris, or materials will be the sole responsibility of the BUYER. The building and fixtures are sold on an "as is" basis. Any damages, claims, or losses occurring due to actions of a third party will be the sole responsibility of the BUYER. The BUYER and/or her agents shall conform to alt applicable regulations, laws and ordinances of the Town of Glenwood, County of St. Croix, and the State of Wisconsin in the removal of said building. The BUYER also agrees to the indemnification agreement attached hereto (Attachment A). IN WITNESS WHEREOF, St. Croix County has caused this instrument to be executed in its behalf on 2001. BUYER: Signature Buyer - Date SELLER: Signature Buyer Date om orsey, oixz:ounry tioara chair ~ ~~ ~ ,~~~ ue son, roix oun er a es i mg, roix un minis ra ve oo orator S = ZZ-2ool Date . ,, ATTACHMENT A INDEMNIFICATION AGREEMENT . '~. The BUYER agrees to indemnify, hold harmless, and defend St. Croix County, its departments, officers, employees, and agents against any and all claims, actions,.damages, liability, and expenses fior personal injury, loss of fife, and/or property damage arising out of the perFormance of the Bili of Sale Agreement to remove the garage and fence. In case St. Croix County, any department, officer, employee or agent is made party to any Litigation arising out of the performance of the Bill of Sale Agreement, then the BUYER shaft protect and hold said parties harmless and shall pay all costs, expenses, and reasonable attorney fees incurred or paid by said parties in defense of such litigation. CONTRACTOR agrees to obtain liability insurance in an amount of not less than $1,000,000.00 per occurrence for the work of removing the garage and fence and to name St. Croix County and BUYER as additional insureds, from and against any and all claims, demands, suits, liability and expense by reason of bodily injury to or death of any person or damage to or destruction of any property whatsoever arising or growing, directly or indirectly out of the salvage operations. Signature Signature Buyer Date Subscribed anti swam to before me this date Notary Public, State of wsconsin Buyer Date My commission expires ., , RESIDENT{AL RENTAL AGREEMENT This AGREEMENT between St. Croix County, OWNER, and Michele E. BretCingen of St. Croix County, Wisconsin, TENANT, constitutes a granting of the right to occupy and use, for residential purposes only, the foNowing described land, to wit: 1226 Hagen Road, Glenwood City, Wisconsin. The right of occupancy of the TENANT to begin , is subject to the following rights of the OWNER and contingent upon the proper performance of the following obligations of the TENANT: Beginning on ,the TENANT agrees to pay a monthly rent of $1.00 payable to St. Croix County. 2. The TENANT agrees to vacate the premises upon a 30-day written notice from the OWNER advising that the premises are required for County purposes and TENANT shall have no claim against the OWNER for any loss or damage caused by such a notice. Subject to the TENANTS right to occupy the premises until October 1, 2001. 3. The OWNER shall have the right of reasonable inspection during the entire term of this AGREEMENT. 4. Personal Property Insurance shall be the obligation of the TENANT. 5. The TENANT agrees that the right of possession shall not include the right to rent or lease or permit any occupancy to a third party without OWNER'S prior written consent. 6. The TENANT will be responsible for the normal maintenance of all improvements, including buildings, fences, and the land. 7. The TENANT shall at no expense to the OWNER keep and maintain the premises free from rubbish, paper, cans, trash and debris, and inflammable materials of every description and at all times maintain the premises in an orderly, clean, safe and sanitary condition, and TENANT shall, at her own expense, mow and maintain any grassed areas, and during the winter months the TENANT shall, at her own expense, remove the snow from the property if it is necessary to do so for the intended use. 8. No advertising signs of any type shah be erected in, on or over the leased premises. 9. The TENANT agrees to pay all c{aims against her or the property which may arise as a result of their occupancy; agrees to hold harmless the OWNER from claims that may arise from said occupancy; and further agrees to cant' a Standard Tenants Liability insurance policy. 10. TENANT agrees to remove all personal property when vacating the premises. Should TENANT Leave any personal property when vacating, the OWNER shall have the right to dispose of said property without Liability ten (10) days after the TENANT vacates or abandons said property at TENANTS expense. 11. The TENANT shall give the OWNER written notice of the date of vacation and tum aver to the OWNER all keys, either in person or by mail, as soon after vacating as possible. 12. OWNER shall have the right to claim damages against the TENANT, upon surrender of possession by the TENANT, in the event that said TENANT has not complied with this AGREEMENT. 13. A failure of the TENANT to pay any rental on or before due date shall constitute a default. Any time after a default in payment the OWNER may at its option terminate the AGREEMENT. ' , ~ ~ ~~ -, Pfease circle: ~ ~ ~ ~ ' ,There is / is not a smoke detector on each occupied floor of this dwelling. They are /are not operable. It is understood that the consideration for this AGREEMENT is the promise of the respective parties herein contained. Tenant Signature Date Tenant Signature Date The above AGREEMENT is hereby accepted by St. Croix County this •Z~• day of ~ AY ,z9@9. Z,Op fl ~P~y om or ey, '~roix L'oun oar ' air ~. ~~ Ir1 ue on, roa oun er a es ~ i ng, roix oun minis ra ive oordmator S =Z2-2oo~ Date ~~ . ~ ..~ • ., Y ..,r ~ SUMMARY OF RELOCATION PAYMENTS r+s.ooe aw rrp.~« ~ cn. ~ tvu.:M.a. _L _, _ ,,.__....:.,..~„ 1226 Hagen 12d. , Glenw~ooc wYw.m pprrmnr a Tr~poiwion 3 j~i{ri1GiG i+~vvu.r.• ~•• Thla wmmar)- la w oottfkrn tffe p•ys*wrta St. Croix t^Atanty Is authorized to pay as a raeult of itte aoqulstekn of your ptopetry. 1105.500 The Approved Ottering Prloe ~ County Relooatton Payrttertts: To De agglble Pot tfteae supplemenW paymems you must alocaa into a naidence that hae bean osrtifled by V • pafsoertal si peirty decent, Babe and sanitary. Your mow ssuST be made not lacer than one year crier the lacer of tfte lollowlrtg daces: t. The data owner tooolwd payment 2. TM date you ntowd from tM aoqukd dweilin0. y ~ ~ibls p,•loosw, you may be ralrrtbursad for orte «more of the relocation assiswtce bertelia irtdtcated beioM-: for Owrter•Oooupentaend Terwet•OocuP+mts i 25.500 Re . W payment for an o,nrneroocupaM for not tans than 180 days who purGiawa SuppNmenW Moualnp Payment • poyrnpayrMnt t« en owneroooupant for Nir than 180 days but not Nss than f)0 days who purdtases ~ OR nja ] Oownpayment t« a tenarttoocupant for not lest than g0 days who purchases ] SupPiamonW fient Payment t« an owner~octrpant f« a period of not lea than 90 day: who rena (to be paid to n/a four annual ktstalirnena, M regwsted) in tout annual ] ~rPPN~nW Flettt Payment tot a gnantoccupant for not less titan g0 days who rena (to be Paid n/a ;r,sWlrtwna, H regwsted) .Want Max. purchase 130,000; iiertW 130,000) . in/a _ ] ~R~plaaerttera Payment Oualnees/Farm (Owner Max. 130,000) (< ~TMse amounts wiU be ad)usted, whenever the oHering price la revised, to Properly show the correct differential amount required toward tM purdtasa of a replacement property. ~~ ~~ • peald•ntlal i Actual Cott ~ ,~~ and reasonable coat to mow peaonal Progeny from residences and mobile homes. Based on reoelpted bills Irom quaAfied mover. OR FGced Schedule • Residenelal • ktduding sleeping rooms and mobile home oocupana i 1 , 050 including dislocation allowsnrw Schedule t« _,. 7 _ room(s) k i 1 050 Aovkp Expettaea - Buskteae and Parma • AdwttlslrW Sans i Actual t".ost ] Actual and reasonable cost to mow personal progeny from business «farm. Based on receipted buts from qualNied mows. n a ^ Actual dkect lose of tangibN p•rsorW property ri a ^ Actual reatortable exPens~ M seardttng /« a replacement business/site nice ] p,Haybilsftment Expenses ~ ~' ] Buslrtesa and farm operation • self mow • Based on tM tourer 01 two bids. in /a ] Moving Exp~ne~ Finding lF+~/8usirteseas •1500.00) OR ] h lieu of actual moving expertsas • 8r++ine+s • Farm ~rWoce .Nonprofit irta (Not Nas than i/,000 nor ntolra tltnt 130,000) n:as of plant nctdental Expenses • Tranalar of MtrpaKy 10 8i+tt• ^ prepayment penalty oosa ^ fer~idered unusable ^ Net renal los. Cost of tencin ] Recording feel dsimilar ttsrnt-- ^ gealignntent of personal properly ^ g • ] Pr«ated eiwe o(taxes as tltey occur.) puslnesa/Farm (The amounts wW N detetrtt~ ~penaes Incident to site Purohaae of Repiaarn~nt Mousing/ t. kfcreased InMreat Costs. oonuacu, notary tees, surveys. preparing drawings or plats 2. ~eaal. dosing and related oosa including dW search. PnParing conveyance incident to teo«dlr-y, credit report, F1'V` « VA appticatwn fN, landaa, FtiA or VA appraisal f«.•from the dace tM ~ chatgN P~ and/« be rNrnbursed f« expenses incurred, you must file a Bairn within two (~J years 'o revive these payrttena, if any, scion of the entire properly acquired. lepartment of Transportation takes physical pos•• - Ap•nt for St. Croix Cnutl~y~ sta~tn. oi~wtrAli~n o~nwtwm.,~a'tl ~wi~ocat~ ~ gt;CENE01rom r g ens w relocation assistance brochure 1«ms. fie a ens ha explained the services and paym IN ~ _ ~~ ~~ ~ ~ / Rod Esli From: Lepak, Gary T [LepakG@mai101.dnr.state.wi.us] Sent: Tuesday, August 03, 1999 11:09 AM To: 'Rod Eslinger' , Cc: Steidl, Thomas F; Watson, Bob Subject: Additional Language for Moratorium Rod /'" From Discussions w/ legal counsel it is determined that t/ Section III, Applicability needs an additional sentence to cover the use of "best available data" That addition is as follows Sect III would now read " ... Attachment A. Any identified area may be modified based on a detailed study that provides an updated map and a dam break profile for that area, and is approved by DNR." If you keep "Attachment A was presented at a public hearing on March 12, 1997." The above statement can follow that ~~~f It should be noted that the mapped areas are designated floodway, so no development can occur unless it is open space use. The profiles will govern the area, so requiring detailed survey for areas that are close would be SOP. / Or if a property owner disputes a determination, they survey elevations. ` Y.. How much survey was done for the study or on existing structures? ~ Known points of elevation should be referenced if possible ~ ,.~ GTL M r' i-~ N e ~~ 1~ f"1 ~ 1 . ~ ` • „ , for sale. A buyer was interested but the Brettingens were informed by their attorney it was possible they could be forced to move the home off this property. They informed the buyer of this possibility and the offer to purchase was withdrawn. The Land & Water Committee has not responded to Ms. Brettingen's correspondence. Berenschot said there are three options: 1) repair and upgrade the dam for $500,000; remove the dam for same cost or 3) remove or flood proof the home with possible County assistance. The Land and Water Comm. recommended option 3. Corporation Counsel Timmerman said the Brettingens will not be (~~, ~ J forced to move the home but no changes such as-room additions can ,~~,• i~ p be made. It could be sold but would always be located in a flood l i d h ld b h b ildi d ~~` ~°~b / p a n an no c anges cou u ng. e ma e to t e / ~ ~. ~~ ,,~ r , Brown said this meeting was for information purposes only and ~ everyone needs to check on the Ordinance being prepared for \ adoption in regard to this flood plain area before doing anything more. Contingency Fund Request for Law Enforcement Conversion: Computer Services Director Kathryn Beutel said the conversion costs to the new system have gone over by $700. Motion by O'Connell, 2nd by Boche to approve $700 from the Contingency Fund. Carried. Payment for Track Lighting in the Jail: Public Protection Chair Speer explained a new digital camera is now used for "mug shots" and the present lighting is inadequate. The cost for track lighting was bid at $838 from Mitchell/Hansen Electric. Speer asked who should pay this cost--Maintenance Dept. or Jail fund. Facilities Director Ralph Robole was asked if the Maintenance Dept. could install this lighting at a lower cost. Robole said there are hard ceilings in the jail and access is difficult and wiring is difficult. The Maintenance personnel do not do much electrical work. Outside vendors are used for difficult and complex projects. Motion by Giese, 2nd by Dorsey to transfer $838 from the Contingency Fund to the Maintenance budget for track lighting in the jail. Maintenance is to supervise the project. Carried. Motion to adjourn by O'Connell, 2nd by Giese. Mee+-= g adjourned at 10:35 a.m. ~;~ ~~ Thomas O'Connell, Secretary ~~ rte``, p, ~ ,~ ~ ~,,~ ~ ^,. ~ ~ ,~ .~ ~~ ~_ ~ ~ 3 I ~ ~Y~ a ~ -t Regular Meeting ~ ~ ~ ~ ~ i t ~ .a~3 FINANCE COMMITTEE ~' ~~~~~ November 10, 1999 Meeting called to order by Chair Brown at 8:30 a.m. Members present: Don Brown, Tom Dorsey, Robert Boche, Herb Giese and Tom O'Connell. Staff present: Finance Director Rich Loney, Corporation Counsel Greg Timmerman and County Clerk Sue Nelson. Others present: Suprs. Speer, Berenschot, Mehls and Judy Wiff from the media. Motion by O'Connell, 2nd by Boche to adopt the amended agenda by removing the item on funding for a wage study as requested by Giese. The Personnel Committee wishes to re-address this issue. Motion carried. Next meeting scheduled for December 10. Motion by Dorsey, 2nd by O'Connell to adopt the minutes of September 28, 29, October 8 and and 26. Carried. Vouchers: Dorsey had reviewed the bills prior to the meeting and moved approval, 2nd by Giese. Carried. Finance Director: Rich Loney reported the apportionment sheets had been sent to the municipalities. The mill rate for the year 2000 is $3.58 compared to $4.05 in 1999 which is approximately a loo reduction. Regarding the transfer of the 1999 Contingency Furid balance to the 2000 budget, Loney said no motion was made during the budget process. Normal procedure has been to return this money to the General Fund. Chair Brown said action would be taken later when the amount remaining will be known. Loney said many departments will overspend their 1999 budget due to increased health insurance costs. It is too early to tell how the insurance fund is recovering, but Loney will give quarterly reports to the Finance Committee. County Clerk: Sue Nelson said the Safety and Security Committee discussed decorative barriers by the front and side entrances but did not believe it feasible to install them due to the large number needed. No decision was reached on posting signs regarding use of a camera. Committee will revisit the issue. Doa Damage Claim: Motion by Boche, 2nd by Dorsey to approve $260 claim for loss of a steer by Norman Hagen, Town of Glenwood. Carried. Corporation Counsel: Greg Timmerman hoped the ownership issue of the flume on Cedar Creek would be solved this week. DNR has discovered NSP does not own the land under the flume. The dam is 1 .. . ~ • ,, , • ~~ located on the Charles Nutzman property. Previously these were considered to be one structure. According to DNR the County does own the land and Timmerman is seeking more information. Supr. Berenschot commented the Star Prairie Sportsmen Club has an interest in and would be responsible for this area. Timmerman will view the area and provide a sketch for committee members. Y2K Committee Budget: Chuck Mehls, Chair of Y2K committee explained the Emergency Operations Center plan for the Y2K event. The chain of command was outlined with Jack Colvard, Emergency Government Director, as chief in command. Mehls requested a member of Finance be present the night of December 31. Dorsey plans to be there and O'Connell volunteered as an alternate. The EOC will be set up Friday noon on December 31 and remain up until Monday noon. Staffing will be present from 9:00 pm., Dec. 31 to 3:00 am. on Jan. 1. Mehls said the biggest concerns are power and communications. Some municipalities are setting up EOC units also. Mehls outlined the Contingency Planning including Reaction Force, Emergency Operation Center and Patrol Division. The funding request of $1,016.24 includes money for RACES (Amateur Radio people), mileage, postage, food and refreshments and unanticipated expenses. The over time costs for Sheriff's and Computer Services Departments will be paid from their 2000 budget. Motion by Boche, 2nd by Giese to allow $1,020 for the Y2K committee. Carried. Interim Administrative Coordinator: Don Brown said he took this position to keep continuity especially in the budget and negotiations process. He believes things are going very well and noted the 2000 budget is a success with a 10% reduction in the mill rate. Dorsey said in regard to filling the Administrative Coordinator position, the Screening Committee is scheduled for Nov. 11 and 12 and interviews will be held the first week in December. Glen Hills Structure 2: Supr. Berenschot, Mickey and Darren Brettingen were present. Chair Brown read a letter from Ms. Brettingen in which she gave the history of her house and property. In 1996 she was granted a sanitary permit by the County Zoning Office and a building permit from the Town of Glenwood. A double wide home was placed on the property. Shortly after, Bob Heise from the Land and Water Conservation office informed her the home should not have been placed there. A moratorium was placed on this area to not allow any more building permits being issued. In discussion Brettingens indicated they decided to build a larger, stick home at a different location and offered this home 2 Parcel #: 016-1071-95-000 04/06/2007 03:33 PM PAGE10F1 Alt. Parcel #: 33.30.15.5046 016 -TOWN OF GLENWOOD Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O =Current Owner, C =Current Co-Owner O -TEIGEN, DEAN M DEAN M TEIGEN 3087 130TH ST GLENWOOD CITY WI 54013 Districts: SC =School SP =Special Property Address(es): ' =Primary Type Dist # Description SC 2198 GLENWOOD CITY SP 1700 WITC Legal Description: Acres: 0.925 Plat: N/A-NOT AVAILABL E SEC 33 T30N R15W TRI>PARCEL IN SW SE Block/Condo Bldg: BEGIN NE COR SW SE; TG W 16 RDS; TH SELY 24 1/2 RDS TO E LN SW SE; TH N 18 1/2 Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) RDS TO POB (ADD'L HIST 608/615,864/244) 33-30N-15W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 1184/176 OC 07/23/1997 1184/176 QC 07/23/1997 1167/570 07/23/1997 873/413 2007 SUMMARY Bill #: Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 05/28/2002 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 0.925 100 0 100 NO Totals for 2007: General Property 0.925 100 0 100 Woodland 0.000 0 0 Totals for 2006: General Property 0.925 100 0 100 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Rod Eslinger From: Bob Heise Sent: Thursday, October 04, 2001 10:08 AM To: Rod Eslinger Subject: FW: surveyor -----Original Message----- From: Bob Heise Sent: Thursday, October 04, 2001 10:08 AM To: Chuck Whiting Subject: RE: surveyor Chuck, I I can expand upon this issue in greater detail. In July/ August we (County Departments LWCD and Zoning) consultant D.S., Mickey, her contractor at the time and her daughter met in our conference room to discuss many issues regarding additional permits and the C.S.M. It is not uncommon to require specific flood plain elevations identified on the C.S.M. to determine not only the flood plain boundary but potential building site and septic system locations in relationship to the floodplain. We recommend this information often to be provided on many C.S.M.'s that are located in or near flood plains. I also recall that Dave Salissen made a statement at that meeting that a certain % of the cost of the C.S.M. could be covered under this agreement as eligible costs. (The % was not determined.) I did receive a phone call from a interested surveyor looking at doing this project and I had talked to him regarding the issues out their, other surveys and elevations that were already identified and permanent Bench Marks and elevations to which they could use as their Datum. The county highway and LWCD surveyed elevations identifying the flood plain and Hydraulic shadow to assist Micky in identifying IF the existing septic system could be used. This survey also identified floodplain boundary line to aid her in her future decisions on house and septic locations. (We did not have to do this!) We provided this service to move thing along for her and to help her in the decision making process. Although, these floodplain elevations have been shot and identified on the ground we had discussed having these floodplain locations and elevations identified on the C.S.M. The C.S.M. serves as a recorded document with required information attached to it for future references or sales. I hope this helps! -----Original Message----- From: Chuck Whiting Sent: Thursday, October 04, 2001 8:15 AM To: 'Mickey Brettingen' Subject: RE: surveyer I'll look into it Mickey and respect your concerns over this. I'll get back to you. Chuck Whiting Administrative Coordinator St. Croix County -----Original Message----- From: Mickey Brettingen [mailto:pawson@baldwin-telecom net] Sent: Wednesday, October 03, 2001 10:12 PM To: cwhiting@co.saint-croix.wi.us Subject: surveyer Chuck, I am contacting you about this issue because I understand that Dave Selissen is unavailable at this time due to surgery. Dean Teigen has made me aware that the surveyer that he has chosen to survey his land to make it available for sale has been contacted by the county about also surveying elevation. I feel this request is highly unprofessional, as this person is hired by Dean, not the county, and Dean has the right to measure and sell his land regardless of the circumstances or the purchaser. I also believe that this land was surveyed for elevation by the county surveyer to determine elevation when we discussed using the current septic system and the well. The concerned members on the board of the county can be assured that this whole ordeal will cost them actually nothing after the sale of this home...they may even end up with a profit. If surveying is a concern of theirs, I feel it would only be appropriate for the county to hire for whatever they feel still needs to be surveyed. Will this ever end for me?????????? Mickey Brettingen 1226 Hagen Road Glenwood City, Wi 11f13f2001 14:52 6087859330 SAFETY AND BLDGS PAGE 01 ~sconste oan.rnnene sr t~r.imerau FAX CQYER SHEET SAFETY AND BUILDINGS OMSION 4003 N. Ianney Coubs Rtl. I~Cro~, WI Sa801 date' ~~ ~ O ~ +~°1~ STATE OF WISCONSIN To: .Sj~ C~,p j !~ DEPARTMENT OF COMMERCE h1tD:!/rvww.eommerce.atate,wi,ue f Ain' ~~ ~1 CHARLIE BRATZ PRIVATE SEWAGE PI gN REVIQWLR l Fax #: /5 / ~ ~ - ~ ~~ . DIV1510N OF SAFETY AND 9UILDINCiS BUREau qF INTEGRATED SERVICES Phone TELsPt+oNE: 19Db) 7N-7893 •D05 H KINNEY COULEE ROAO FIJC; 1808) 785.9330 LA CRO55E. WI Se6D1•t83t E-MAIL: cErstz~commeree.smlc,wi,us Re: ~Ye7~Y1 ~ Li Message: Y1 (AGl i N [J << < 3( °~ _~ ~J ~,`~~ , _ ~;s ~ ate" ~'v ~~`~ ~~ ~ ~ -~ o~ ~ ~ j 0 i ~ C`G ~'~` ~~ ~~~ ~~~~ ~~, ~ 50,E ~,~ P ~~ _ u-~~, f pr~~`~` ~~3 ~~ ~~llr'` Signed: 11f14f2001 17:17 7152353650 BOWMAN PLUMBING INC PAGE 01 Bowman Plumbing, Inc. Master Plumber No. 5875 2819 Knapp Street Menomonie, WI 54751 (715) 235-4634 FAX (715) 235-3650 _ ~ DATE Ov ~ ~, 2 m 1 TIME ~ ~ ~ ~ • r''` FAX : ~'1 1 5 3 rv- ~ c~ b RE: In~R .~i"t:~ ~. This transmission contains ~ pages plus this cover page Thank you a.~ C~ ~°- ~iU~. ~ t~ o v ~ ~ ~ 2~0 l ~ ~. P ,~- , e~~ ~ 11/14/2001 17:17 7152353650 BOWMAN PLUMBING INC PAGE 02 I o `-=' 'per"-~- l-~,Q.-.. ,~ ` Sakty and 8uildiaSe Divlelon coueq ~~.++~~ ~SCOnS~,n 201 W. waebio3wn Ave.. P.O. Ho:7162 -~T. G R o 1 !( Mediaon, WI 3370y - 7162 slte Ilddee,a oe artment of commerce l aa. a, 1~ a art R~ . Sanitary Permit Applicatio~l s'°1°''' ''~ m ,~1 wlih cemm a~.21, Dula. Adm. COde. vsree~1 Wbrmadon you peo~ide ~cbeox u ne+-tdoo ~ 5 a 8 a. tea d wed Ibr a tMv Lw 11 S. 1 m r. AppUcaHon Yatormetloa ~ rlaee relne All ltnlormatlon eYa P4ia LD. rlumbpr ~AenY Owmr'e Na~ee ~~ ~- a pam•l Numbee ti 1 ~1 6h of - -7 -46^000 ~pa-~ owner. A^aarp„ R (, ~ >~n 1 ~ d Ol ~ ~ 9 -~ •\ ~ , ~W L CF' ie. a 7Z .. 4 n ~. ., lrj - 1 C~ l (~R~.JOD ~l t~_ ~ 1 Y GLIA l'2 I h l C /w I r .... ~YWod Name ' ' CSM N®ber II. 'type of Bulidhe= (chaele eJl that D~q ~1 er 2 >~erl~yr DrralWw - Numprr oC Bedrmme ~~ ' DVlpate . ^ Pu611o/Commercl.l - Deecirlbe use G~ 4^ ..'~ ~ D stag owma ~~ >Ra.e III.7ype et Paemit: (Cheek ~, a a ~ salty one beY ~ ltae A (pu~ebet'lo3 scheme tos iatarAal we). Coa7pMte Ilse 81t tIp bls) A' 1.! New 2 0 Repleeemeot sya/em 3 ^ Peplaoeoaeet of 6 D Addidoe to Pot CapOy m. amm 'lint S:lado seem 9 • ^ Cheek it Sedtary Permlc Peevioasly Le~od Aettdit Nurober Data Ialued IV.1ype of Permtt: (Check MIl that apP>~y)(nmobuiai eehema 4 for laterrenl uea) da ^ Noe -ptaYUriaad 1q~Qt~piled 21~ Mamd ~7 ^ 5au4 I~ilrer !0 0 Coeatruoled Wetlead 22 D Reeauya~d i0•Qeooed al ^ lE[eidloe'~o1e as ^ shale Pear sl d ~ IJOe as D A~•Deade d6 ~ /-atoblC'R.eme•a V01~ d9 O 1Raelieul.tlu 3n ^ ee~ Dwiy~ glow (jpe) pbpertal Ana DbperW A:e. 3011 Appll Heeaolatlop tine thavath~n 1'+lael Orede ltaquieed Plop eaed tlaro(del1./paya/Sq.Pc) fAd10.r1ocW ~q4•S~ tllraflon ~ ~ o ~ • s.~..8' ~, 9 ~ ---J c~.R gym. s e ~oz- 35 VI. teak Into C+trdry la .Tool Numbor Madetecoue~ rnet^b Slro swl F-her Plastic t7Wo0e 41100 1 ot4Lolca Coeerw t`o0laaeeed OUw Nw 8°pdc o~p Oo0 - /°o V aaw c~.ea.~ bs'~ - sa YII• 111 8te-temeot- t. eho , ao®o b0lty t0r (aaWLtloe of l4e t'OVU1'9 shown on the oreaeLed piu • Nome (PMae) t'lombsre MP/1-ilfr.~Nuesmar tWelneee Number LJO 1, /r1 ~ r - ~~p2p~•GL~ / ~S X35- ~~ Ylumher'a Addeeel(Stem` Clb-. SOipe ) o? ~ 1LL.~ ~._J._ 5~ 75 ~ VIIY. / Ds eat ~ Appeeved D 1)luppeovod (include, Grow+dwarer Dale Lwud A3eee Slpeaeen (No 3olmoe) :ems D o+reer Olva 10ide1 Adrar.e . Dieteemivdoe ' iX. CoaellgotOr of AppsovaUl:aaee oe for DlaeipproYal ~• MYeh ~MM1~ ~lee~ (te ~ CeWalr ~r~ tw tlis grYael er pqv moo! lW 1!Y a3/1; 11 ta~~ r ei~o SBD~398 (R, OS/Ol) ~ ~ 1111412001 17:17 7152353650 BOWMAN PLUMBING INC vrlacw-elnDepartm+nrott;,prrxnsrca SOIL EVALUATION REPORT Dlvlslon of Safety And Bulldinps PAGE 03 Peae 1 / or ~ 1.1 owv.~s.r.o •~IYI VVIIYII Y , .Ia. I1Y111. VWp Count' ~ ~t ~ov ( Attach oompkts alts plan on paper not lass then 0 1/2 z 11 Inches In elze. Plan must ~ ~ indude, Dut not Ilmlted to: vertical and horizontal rofaronee pant (BM), direction and parcel I.O. percent slops, acmis or dlmensbns, north snow. and location and dlelance to nearest road. _ I ~ ~ olease pNn! a// !n/ormetlon. Rsvlewad Dy Oata Panronel Inrorniellon yam, provid. mry 6e used lor..oona*ry pufpwb~ (Privacy Lear, e, 15.a (1) (ml). Properly Owner Property lor~uon ;~ ~; ~~ t.Je~+l ~~i e.~ Govt. got ~'I,t/ 1l~ ~ to s3 Tao N R /$ ~(o- net's Malli Add s Lol / Block ax Subd. Name or CSM* a a Q ~.- IPd . ..~ -~ -*~ City rate Zlp Code Phone Number ^ Gty ~ Vlllipe ~ Town Nearosl Road ~s~n woo d ~ .50/3 (715) f:S- 7/ 6/ QJ ~~En q ~ ~n A,d New Constfucuon Usa: ~ Residentlal / Number of bedrooms ~3 Code derived design now rate _ ~.Sy GPD ^ Rsplaoement ^ Public or eommerdal -Describe: ^y' Paront rrtaterlal Flood Plain slevadon If applicable ^+- R- Glenerel oorrtrneo and reoomrtlendadons'~~ ••~:•~,...11 err • .. ~ M. ~ ~,.~~ n~ d e ~ ~ ~ ..~ w~ ' ~5 .~r~-y...ll_,_. -. l ' Bo~riq S ~ Bann, ~ Plt o~und surface elev. ~_ R. Depth to Ilmlunq taeroP ~_ In. sal Ilpplkatlon Rate Horizon Deplh DorNnant Caor RedoX Dsacrtpdon Te:taro Structuro Conslstenee Boundary Roofs GPD/11' Nt. Munasll Qu. Sz. Corti Color Gr. St:- Sh. •EftSt 'EI'fN2 ~~3 S ~ / a i' ~' S 9~ ~. Xa %b r _ ~i /e ~~ ~i° ~. OS r 1 7 _ I BaNnp ~ ^~ Boring . G'O 9/_ n eJ 1 ~ r1{ ~.~_..~ ~~..~.~ ~._. - .. .-r,...- ......~ .~ °•• -j '1• tlaf ~-PPNAtlon ReM Horizon Depth Dominant Color Redo: Deaaiptlon Texture S4uduro Conslslenee Boundary Roob tiPDlfN In. Munaeq Gu. Sz. Cont. Color tar. Sz. Sh. •EPfAt •Efff1Z 4f - / 3~ i ~ r ~ QS g .,~ /Q y/ a6k r f 8, ~/fir ~ .--,-- '~.. l o 7 Etlluent t'1 = BOD > 30 < 7TO rt1gIL and TSS >30 _c 1 t10 myl ' Etlluent IIR = BODE < 30 mp/L and TSS < 30 mplL CST Nams (Pleass Pelnt) ~ Signature T - Ms. Loretta A. rr >~ --~ ..ww J~ Q C$TM 224580 A4f)rass I Date Evaluadon onducled Telephone Number N2089 Ci;y. Rd. Y, hi'rnOmottie, WT 54751 ,(~/ C~~! ~00/ 7], %664--8184 h~tn 11f14f2001 17:17 7152353650 Properly Owner ~F'~~ ~ ~ n ~ ~ BOWMAN PLUMBING INC Parcel ID ~ ta~ -/0 7/ - 90 - C>DU PAGE 05 Pape 2• of 3__ a~~~ ~ Bo~ PII Ground aurfso elev. 9z 96 fl, pepth to Ilrnlllnp faplgr .~~ in, Soil Ication lisle Horizon Depth Dominant Color Redo>< Oeadtptlon Texture 5trueture Conslstenca Boundary Roofs GPD/!I' In, Munsell Ou. Sz. Cont. Cobr Gr. Sz. SA. 'Efla1:1 'Effl~2 /. -/ /A 3/ S1 r $ ~ , 5 ~ Sb ~ -~- a ~ ~j io ~ .t ~,, `c ^ ptt Ground auAaas elev. rt. Depth ro Ilmitlnp lector in. ^ e~ ~ ~ ~~ Boll tlon its Horizon pepth Dominant Color Redoa Desdlptbn Te~eturo 5truetexe Canslslsnea Boundary Roots 6PWft' In. tlAunaeN Gu. Sz. Cont. Calar Gr. Sz. Stl. •EIfAr1 'ENIR ~~ a ~ ^ Plt Ground surfso elev. fl, pep1A b Ilmlllnp factor In, SeN katlon Rate Hortzan Ooplh Oominent Color Radon Dsapiptlon Texture Soutauro Conslslenm Boundary Roots GPDM' ki. MunseN Qu. Sz. t;ont, Color Gr. Sz. 5h. •E11S1 "E1fIR ' E~k+aret s1 = t3OD• > 30 ~ 220 rtp/l. enA ?88 ~2l0 a 150 mpll ' t?fauant •Z = 9OG• ~ 30 mplL end TSS ~ 30 myL The Department of Commerce is an equal, opportunity service provider and employer. If you need assistance to access services o[ need material in an alternate format, please contact the department at 608.266-31 S 1 or TTY 608-264-8777. sa~uro latJesl 11/14/2001 17:17 7152353650 BOWMAN PLUMBING INC PAGE 04 SOIL AND SI'1~ EVALUATION REPORT Pg 3 ,of 3 E- l + ~ ~ ~ Brettingen/Teigeri SW, SE,33,3O,15W Glenwood township 5t_ Croix county loretta- la~~abcse CS'IY~ ; ~ , ~ /, -~ ~~~/i / ~ ~ ~ ~ ~ ' ~ ~ I ~ ~ ~ ~ ~ ~ ~, , ~ { ~: ~ ~ .I ~ ~ , ~ ~ i ~ . ~ ~ "'~ `; ~ ~~ ~ ~ ~ , ~ ~' ~ ~ ~ ~ ~~' - y ~ w ~, :^ ~~~ .~ ~ o~ ~ 3 ~.~ ~~. ~ ~ o 1 .~~- 'd ~z 11/13/2001 14:52 6087859330 SAFETY AND BLDGS PAGE 02 Department of Commerce Safety and Buildings 4003 N KINNEY COULEE RD LJ1 CROSSE WI 54601-7831 TDD #~ (608) 2646777 www.pon~merr~.state.wi.us/sb ,„NUw.yvi4consin.gov _ Scott MaGallum, Govamor Phtllp Edw. Albert, Actins 5een:tary November 13, 2D01 CUST iD No•222839 TACK A BOWMAN 2819 ICNAPP ST lvllrNOMONCE WI 54751 CONDITIONAL AI'PItOVAL PLAN APPROVAL EXPIRES: lI/)l3/Z003 A7TN: POfVTSlnspector ZONING OFFICE ST CROIX COUNTX SI'IA 1 LO1 CARMICHAEL ItD EIUDSON W 1540 l6 SI~'E: Mickey Brettingen C-Cagan Rd Town of Glenwood St Croix County SW1/4, SEI/4, 533, T30N, R15W FOR: Description: Three Bedroom Mound System Object Type: POWT System Rea lated Object ID No.: 804154 Identification Numbers Transactiaa ID Ivo. 689933 Site ID No. 63356$ Please refer to both identification numbers, above in all Comes ndence with the enc . The submittal described above has been reviewed for conformance with applicable Wisconsin Adnninistrative Codes and Wisconsin Statutes. The submittal has been COND[TIONAC.C..Y APPROVED. The owner, as defined in chapter 1p1.01(10), Wisconsin Statutes, is responsible for compliance with ell code requirements. The following conditions shall be met during conswction 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/Ol) and the SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST_5AS (01/81) Cn the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must fallow the contingency plan as described in the approved plans. In addition, the owner must insure that the operation, maintenance and monitoring duties as described in section VIII of the Mound manual, and the pressure distribution component manual are complied with. A copy of this letter including instructions and information relating to proper use and maintenance of the system must be given to the owner and each subsequent owner upon completion of the project. • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption area. • Atcesa to the filter for cteauing must be provided per Carom S4 product approval condieions. Maintenance information must be Siven to the owner of the tank explaining; that periodic cleaitina of the filter is required • Limited activities are allowed in the area I S feet down slope of the component area_ Soil compaction, excavation, vehicular traffic and other similar activities that impact tha'treatment and dispersal are prohibited, • Comm 83.52(3) The activities relating to evaluation and monitoring mechanical POWTS components after the initial installation of the POWTS in accordance with an approved management plan shall be conducted by a person who holds a registration issued by the department as a registered POWTS maintainer. 11/13f2001 14:52 6087859330 SAFETY AND BLDGS PAGE 03 JACK A BOWMAN Page 2 11/13/01 • Comm 83.5 Responsibilities. The owner of a PO WTS 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). In addition, the owner is responsible fvr 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. • Comm 83.52(2) A PO WTS that is nvt maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • A Sanitary Permit must be obtained from the wunty where this project is located in accordance with the requirements of Sec. 145.135 and 145. l9, Wis. Stets. • 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. Stets_ • The changes made to this plan on 1 I/l3/O1 by this reviewer were acknowledged and approved by the system designer. • An overpayment of $115.00 was paid. As of today's date, our records indicate that a refund in the amount listed in the FEE portion of this letter is due. The refund will be sent to you under separate cover. Please expect a 6-8 week time for fiscal processing. Refunds will be made to the payer_ 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 Deparnnent, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of cotstruction/installation/operation. 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 stets 101. l2(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 Ietterhead. The above ]eft 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, ~~~% Charles L Bretz J POWTS Reviewer II ,Integrated Services (608)789-7893 , 7:45 am - 4;30 pm Monday -Friday cbratz(~eommerce.state_wi.us Fee Required S 60.00 Fee Received $ 175.00 Refund Amt S 115.00 WiSMART code: 7633 11/1312001 14:52 6087859330 SAFETY AND BLDGS PAGE 04 MOUND ANA PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDE~C AND TITLE PAGE Project Name: Bre~nReigen ~~ _,,._ /f Owner's Name: Micke Brettin en S ~/(iv . ~~ z~.3 ~Q Owner's Address: 122,2 Na an Road ~ ~Op~ ~Cp~ Glenwood WI 54013 sO ~~ • Legal Description: SW SE,33,30N/R15W Township: Glenwood County: St. Croix Subdivision Name: N,A. Lot Number. N.q, Block Number N.A_ Panel i.D. Number.. 016-1071-90-000 Plan Transaction Na.: Page 1 Index and titie Page 2 Data entry Page 3 Mound drawings Page 4 Lateral and dose tank Page 5 System maintenance specifications Page 6 Management and contingency plan Page 7 Pump curve and specifications Page 8 Si_ •te plan Page 9 Attachments: soi- t®st to ~state~ plan Designer. Ioretta/Jack A Bowman License NumtSer: MP 222839 Date: 11/12/01 Phone Number. 71512354634 Signature. O~gned Pursumnt to the Mound Component Manual for POWTS version 2.0 SDB-10691-P (N. 01/01), and SSWMP Publication 9,6 Design of pressure Distribution Networks for ST~AS (07/81) Version 3.0 (03/01/01) Page 1 of 9 11/13/2001 14:52 6087859330 SAFETY AND BLDGS PAGE 05 Mound and Pressure Distribution Component Design Design Worksheet (r ar c) R Residential or Commercial Design 100.00 Estimated Wastewater Flaw (gpd) 7.50 Peaking Factor (e,g. 1.5 = 75096) 50.00 Design Flow (gpd) 12.00 Site Slope (%) 99.56 Contour Line Elevation (ft) 2400 Dep#h to Limiting Factor (in) 0.50 In-situ Soil Application Rate (gp~) Distribution Cell Information 85.00 Dispersal Cell Length Along Contour (ft) _ 1.00 Dispersal Cell Design Loading Rate (gpd~) 1 IrttlueM Wastewater Quality (1 or 2) Pre$sure Dtsribution Infonmation (c ore) a Center or End Manifold x.65 Lateral 5paang (ft) Z Number of Laterals 0-168 Orifice Diameter (in) (e.g. 0.25) 3.7'0 sti Orifice Spacing (ft) 2.00 Foreemain Diameter (in) 126.00 Forcemain Length (ft) 90.90 Pump Tank Elevation (ft) 4.55 System Head (ft) x 1.3 9.24 VertiC.91 Lift (ft) 1.71 Friction Loss~(ft) 15.51 Total Dynamic Head (ft) Lateral ~~ n. dia. 0-, 75 ~_ 1.40 1.25 - x_ 1 z ~ _1 z Treatment Tank InfvrmaUort 1000.00 Se io Tank Capacity (gal) Weiser Manufacturer hose Tank Infon'nation 650.00 Dose Tank Capacity (gal) 16.88 Dose Tank Volume (galPn) Weiser Manufacturer Note: Sand t~l (D) ~~ asmume a Table 63.64.3 ~ sod treatment for fecal eo6form ep ~ 36 ~-dtes_ 5.29 Cell Width (ft) Are the laterals the highest oint in the distribution Y network? Enter Y or N K N above, enter the elevation ft of the highESt point 9.78 ft /orifice Does the forcemain drain bade Y Enter Y or N 20.55 Forcemain Drainbectc (gel) 76.71 5x Void Volume (gal) ~'7 Er Minimum Dose Volume (gal) 24.77 System Demand (gpm) in. dia. 3.00 x x Gallonallnch Calculator {optivrial) 650.00 Tatal Tank Capacity (gal) 38.50 Total Working Liquid Depth (in) 16.88 gaUin (enter r®sult in cell t34g) Effluent Filter Information Zabel Filter Manufacturer A700 ~ Filter Model Number prole BrettingenlTeigen Page 2 of 9 11/13/2001 14:52 6087859330 SAFETY AND BLDGS Mound Plan View • •tiS :• : •Jrr"r•T•l~ J /~r••. ti S 1 L ti- •S..••- .y..r f'r•J• i••:f•t.J•t J•-J:"•5 •1••••"•~%••••L-tiw .•1. ~r'Irr•~•:J• ^•.r.t. . • ~ i ..L.:i7'i ~~'L.`+•.~~...Sr'Y. ''~i •'~'J.'~r'J: f J~ ~'J.r~ r-J•t• 'L ti• i /~ JRJ-J~.r"•:f•t'r•f.J.jiJ~: •riJ~': 1• • V•ti ••-•.• ~~~• i•r• •• _ A ,.`• J.J•J J.J?J~ J~ J.J~-+.f-~ :r••i•J}•+~1: B •~ •~ • ~~1 I 1 •[• r , vi L Mound Component Dim~naiona A ~? 5~ ft ~ 19,62 in H 1,00 ft K 9.33 ft B ~~ ~~ ft F 9.50 in i 13.72 ft L 19'3;66 ft /®~y, ~ D 12.00 in G 0.50 ft J 5.06 ft W 24.07 ft 450.00 (ft2) Dispersal CeII Area 1616.21 (ft2) Basal Area Available 5-2~ (gpdfft) Linear Leading Rate 8.50 (ft)1h0 B Oba_ Pipe Placemeht Mound Cro9s Section View Aggregate Dispersal Area FinishAd Grade 102.35 (ft) ---- ..~~ ~ ~ H ~ ~i.Ji.~. 2 »liiiJi G 100.56 (ft)-~ F ~ ~~ ,`•f 101.06 (ft) lateral Dispersal Cell ~: ; _ InveR Elevation ~ ~ ~ - ~ p ~ , ~ ~ = ~ 1 _ : ~~ Shading Key Q Topsoil Cap © ""' Subsoil Cap ASTM C33 Sand Tilled Layer 0 f~~~~ • A99~g9te Project: BrettingenlTeigen ~"'-" 99.56 (ft) Contour Elevation 12.0 96 Site Slope Geotextile Fabric Cover b ` ~ Dis °' ~~ G'~I See lateral details on ~ a 1 5 ft ti• a o •s ;r~~-sr~•;,,s;ti~%r•^=S;:ti.ti' Page 4 for number, .~ 4 ~-- ~ •r.r~.: • a~J. rti' . ~ sire, and spacing of ;. ti ..•.. ~ Z ''~ ~ sti:+s}='r='~~' F laterals. La ~ ~ 0.5 ft r: f Typical ~.ateral ; •ti.+• terals are ;~,.....,. t.r. ~ ~° ~ ,~r:r^ •"%r{~~;} f..'' f;,~ s~• ~ equally sPeoed From J=''•~'`'r' f. ~' the distribution cell's ~- A `-* centerline in the distribution cell (Ax6). Page 3 of 9 PAGE 06 11/13/2001 14:52 6087859330 SAFETY AND BLDGS End Connection Lateral Layout Diagram E P -------• •~Turh-up~fbelllrah.iorvlosneutplUg AY latttals are identical ~ x--~ I Holes drilled on the bottom of tIK lateral e4~9spaced 5 Force main eormeetion wia tee or doss to maglfold at ang point Laterals E~ torte maM of pVC sok ~o (per GOMM Table 84.30.6] Number of Laterals Lateral Discmeter 2 Orifice Diameter 0.156 in Lateral length (P) 1.50 in 83.50 ft Orifice Spacing (X) 3.80 ft Orifices per Lateral Lateral Spacing (S) Lateral Flow Rate 2.65 tt 23 Orifioe Densi ~ s.78 ft2/orifid System Flow Rate 12.39 24 77 9Pm 9Pm Manifold Length Z.55 ~ M Total Dynamic Head 15.51 it anifold Diameter 2,00 in Forcemain Veloci tY 2.53 flls®e Dose Tank Information FJEw'triral as per NEC 300 and --~ti cemm 16.28 WAC DisoomeCt Tank componerrt s prnpe:rly vended A B C ~~ D 3" Bedding un er tank. Alarm ilAanuafacturer S.J. EI®ctro Alarm Model Number S-J ~ Pump Manufacturer Zoeller Pump Model Number BN 98 Pump Must Deliver 24,77 gpm at 15.51 ft TDH Project: BrettingenlTeigen Lockorg cover wilh wamne ~~ end locf~g device and sealed wgltertigFrt -~•~ J 4 ln. min. ~- Alternate outlet location Foroemain diameter ~ 2 in. Weep hole or anti- eiphon device ,~ ose tank eleyatron (g) 90.90 Page 4 of 9 PAGE 07 Weiser Manufacturer Da 850.00 Gallons Volume 16.88 gal/inch 11!13/2001 14:52 6087859330 SAFETY AND BLDGS PAGE 08 . ,. r ~~ ~/ r ~ /. / ~a ~ ~~~~ , ~ ~~ ~ ~ ~~ . ~ ~ ~ , + ~ i ~ ~ ~ 1 ~ ~ 1 i~ t ~ 1 ~ ~ I 1 ~ 4 (. I ~t ~ ~9 ~ ~ ` 1 ` 1~ 1e-~ ~ ~ ~w ~ u~ ~ f ~ ~ ~ 8 -- ~~~..~o ,~, o N ` T' ~ F~ _.°"~,.- z~cENn Scale 1"-40' except whexe indicated System Elev. 100.56' on contour 99.56' X-pits No Cm~t 83 problems BM: 100.' top of foundation ~e ~~ .y .~, o ~ ~~ ~ W - ~, r ~- c4 ~~ J NJ w I~' PROJECT: Brettingen/ i s ~~ ~ Pg8of9 ti ~~ . ~~ ., STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER ~~,~ ~ J ADDRESS ~7- ~~~ ~~ .. `ice ~~ o /.3 SUBDIVISION / CSM$ LOT ~ SECTION_33 T,~p N-R ~ W, Town of ~~l---z~-~~~~ ST. CROIX COUNTY, WISCONSIN Provide 2 dimensions to center of septic tan}; manhole cover. Provide setback and elevation information on reverse of this form. 1 ~ ~~~~ ~ /~ -yam ~ BENCHMARK: -~~~ °""' ~/ ~ ~ ~~i~ ~~2P~ SOD ALTERNATE BM : _ fiD /~ (,? ` ,sL ~ ~D !a ~(~ p G R HO 4Se ~_Q~ SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION l Manufacturer: f~~/~~'y~ Liquid Capacity: ~b ~o Setback from: Well --- House Other Pump: Manufacturer odel#~ Size L Float seperation ~~ Gallons/cycle: Alarm Location ~,,~.,~~ :SOIL ABSORPTION SYSTEM Width: r ~ ~ _ ...) Length ~ ~ Number of trenches Distance & Direction to nearest prop. line:_/t/ r,2~// ~ Setback from: well : House ~~ Other ELEVATIONS Building Sewer 6 ST Inlet : .• ~ ST outlet ~-'"~' PC inlet ~-- CPC bottom~~, O~ pump Off ~3, Qy, y7~ Header/Manifold .S~Bottom of system , pp ~9~.5~ Existing Grade~~ Op Final grade 9'8~ o0 DATE OF INSTALLATION: ~-- oZ ?~ ~~ PLUMBER ON JOB: LICENSE NUMBER: ~ /~,~-"~~o INSPECTOR: ~i~ ~~~ ~ ~r~ U 3/93:jt Wisconsin Q~partment of Industry Labor and Humanu2elations Safety and Buildings Division GENERAL INFORMATION PRIVATE SEWAGE SYSTEM INSPECTION REPORT (ATTACH TO PERMIT) P TEIGEN s Nallm ^ City ^ Vil{age C] Town of: X ~ CST BM Elev.: Insp. BM Elev.: BM Description: TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic r~., ,_; Dosing 4 ~- ~ ~~~r:..~ Aeration Holding TANK SETBACK INFORMATION TANK TO P/ L WELL BLDG. vent to Air Intake ROAD Septic ,. S' ,~ ~ NA Dosing NA Aeration NA Holding PUMP I SIPHON INFORMATION Manufacturer ~ z y,.,~C~ Demand Model Number ~ ~.~ GPM TDH Lift ,~ Lrictionl I~ System ~ TDH 5 Ft Forcemain Length ~O~ Dia. ~ " Dist. To wen SOIL ABSORPTION SYSTEM BED /TRENCH Width Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMEN 1 N _ ~ DIMEN I N SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: SETBACK INFORMATION Type 0 CHAMBER Mode! Number: System: h, a /' ~ ~ .3 ,fi ~- OR UNIT DISTRIBUTION SYSTEM Header /Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length Dia- Length Dia. Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded /Sodded xx Mulched Bed /Trench Center Bed /Trench Edges Topsoil ^ Yes ^ No ^ Yes ^ No COMMENTS: (Include code discrepancies, persons present, etc.) ~(p -10? J ~r10 ~3,~0, ~,~' ~,~p ~ LOCATION: GLENWOOD.33.30.15W, SW, SE, HAGEN RD %~/iv ,Qty ~~~C /" v~ ' ~ =_.U"<> .~_ ~ ,c; .."_,,C.._. Plan revision required? ^ Yes ~o Use other side for additional information. ~ ~ -,, `~~-,,.. S8D-6710 (R 05!91) Date ~ `'ns~ed`or'sSignature Cert. No. ~ ~ ELEVATION DATA County:ST. CROIX Sanitary Permit No.: State Plan o.: Parcel Tax No.: STATION BS HI FS ELEV. Benchmark ~ / G ~ ~0 ' 2 ~ oZ. ~'7 ' Bldg. Sewer ~.oz' 84,a~'I' St/Ht Inlet ~ qi 86~5~ St/Ht Outlet Dt Inlet Dt~~~ ~ ~3.0~, Header /Man. .5.3 /' 5.95 4v. S<S' Dist. Pipe ~ ~?4 - 4. 9~, S - Bot. System ~a~' ,~, ~S, ~s~' ,~'. S' Final Grade ~"'^•~;~: Safety and Buildings Division ~~~~ SANITARY PERMIT APPLICATION Bureau of Building water systen 201 E. Washington Ave. In accord with ILHR 83.05, Wis. Adm. Code P.O. Box 7969 Madison, WF 53707-7969 • Attach complete plans (to the county copy only) for the system, on paper not less county , than 8 1/2 x 1 1 inches in size. ~f p/ ~_ ~ See reverse side for instructions for completing this application Th i f ti id h d b state sanitary Permit Number. n v `'~~O n orma on you prov e e may be use y ot er government agency programs to pre ious icat(on ~ Check if revisio (Privacy Law, s. 15.04 (1) (m)]. State Plan I.D. Number I. APPLICATION INFORMATION -PLEASE PRINT ALL INFORMATION '~- Propert Owner Name Property Location s(rIi'1 /4 S"E 1 /4, S 3.~ T ,~O ~ N, R /.~ ~) W Property Owner's Mailing dress Lot Number Block Number o - / y ~ ~- City, State Zip Code Phone Number Subdivision Name or CSM Number Gi~e w odd' b!i .s' 0/3 (y/~>~~s- !e/ -~- II. TYPE OF BUILD NG: (check one) ^ State Owned ^ city Nearest Road Public 1 or 2 Famil Dwellin - No. of bedrooms ~ ^ Village Town of G~eNu~oQd /yi9 G/{I ©~ ber(s) III. BUILDING USE: (If building type is public, check all that apply) Parcel TaxNum / ~~O ~ /G~~~ ~O 1 ^ Apartment/Condo 2 ^ Assembly Hall 6 ^ Medical Facility/ Nursing Home 10 ^ Outdoor Recreational Facility 3 ^ Campground 7 ^ Merchandise: Sales/ Repairs 11 ^ Restaurant/ Bar/ Dining 4 ^ Church /School 8 ^ Mobile Home Park 12 ^ Service Station /Car Wash 5 ^ Hotel /Motel 9 ^ Office /Factory 13 ^ Other: specify IV. TYPE OF PERMIT: (Check only one box on line A. Check box online B, if applicable) A) 1- ~ New 2. ^ Replacement 3. ^ Replacement of 4- ^ Reconnection of 5. ^ Repair of an _____System ________System_____________TankOnly______________ Existing System _________ExistingSystem B) ^ A Sanitary Permit was previously issued. Permit Number Date Issued V. TYPE OF SYSTEM: (Check only one) Non-Pressurized Distribution Pressurized Distribution Experimental Other 11 ^ Seepage Bed 21 ^ Mound 30 ^ Specify Type 41 ^ Holding Tank 12 ~gJ Seepage Trench 22 ^ In-Ground Pressure 42 ^ Pit Privy 13 ^ Seepage Pit 43 ^ Vault Privy 14 ^ System-In-Fill. VI. ABSORPTION SYSTEM INFORMATION: 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Pert. Rate 6. System Elev. 7. Final Grade Required (sq. ft.) Proposed (sq. ft.) (Gals/day/sq. ft.) (Min./inch) gs'.ao ~ Elevation ~~ .~6 x'"74 , -~"- 9',~,.f"O Feet ~',~"~ Feet VII. TANK INFORMATION Ca aut In gdllOns Total l # of Manufacturer's Name Prefab. Site cOn- l st Fiber- plastic Exper. N i ti E Ga lons Tanks concrete ee glass App. ew x n s strutted Tanks Tanks Septic Tank or Holding Tank ~O'~ / ~ / es (,~•~ ® ^ ^ ^ ^ ^ Lift Pump Tank /Siphon Chamber X ~ a® ~ / / ~ ~ ^ ^ ^ ^ ;^ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name: (Print) Plumber's Signature: (N Stamps) MP/IMPR9wIrt0.: Business Phone Number: Plumber's Address (Street, City, State, Zip Code): ~ a hl~v ! 7a ~L ~eiv GvDO c/ ~ ~.t Zvi ~" 0/3 IX. COUNTY /DEPARTMENT USE ONLY ^ Disapproved tary Permit Fee (Includes Groundwater S S h F ) dte ISSUe Issuing Agent Signature (No Stamps) Approved ^ pwner Given Initial ~ urc arge ee y b Adverse Determination X. CONDITIONS OF APPROVAL /REASONS FOR DISAPPROVAL: v v SSD-6398 (H. OS/94) OISTNIBUTION: Original to Counl y, One nrpy To: Safety & SuilJings Dive.ion, Owner, Plumber INSTRUCTIONS ~, . < ~t ; 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at a time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority 4. Changes in ownership or plumber requires a Sanitary Permit Transfer /Renewal Form (SBD-6399) to be submitted to the county prior to installation 5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety and Buildings Division, 608-266-3815. To be complete and accurate this sanitary permit application must include: I. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. II. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is public, check all appropriate boxes that apply. IV. Type of permit. Check only one on line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested for numbers 1 through 7. VII. Tank information. Fill in the capacity.of every new/or existing tank, list the total gallons, number of tanks and manufacturer's name, indicate prefab or site constructed and tank. material. Complete for all septic, pump/siphon and holding tanks for this system. Check experimental approval only i `tanks received experimental product approval from DILHR. VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County/ Department Use Only. X. County /Department Use Only. Complete plans and specifications not smaller than 8 1/2 x 1 1 inches must be submitted to the county. The plans must include the following: A} plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatrner,t tanks; building sewers; vvells; water,~~~.ri ~ ~s/water service; streams and lakes; pump or siphon tanks; distribution boxer; soil absorption systems; replacement system areas, and t',,e !ocation of the building served; B) horizontal and vertical elevation reference points; C:) comp!e~e ;peci fications fer ~~umps and controls; dose volume; elevation differences friction loss; pump performance curve; pur~ip model and pump manufacturer; D) cross section of the soil absorption system if required by il;e count~a; L sot` test data on a 1 ? 5 form; and F) all sizing information. GROUNDWA-fER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges i;fees) for a number of regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater cont<3mination investigations and establishment of standards. 1V~ / ' ~ I d ~ . - - ,~_ --- ~' ~ o~ - -- J -- - - - ~ __ '~ C -~- ~ ~ ' ~ ~ i ~ _ _- ~ -.- --- --- _- --+ --j ---- _ __ ~ t ~ - ~ --~ --I - --- I -- - - - ~ i I _ I ~ I / I / - -- - - -- - -- - - .-~ - - --- -- _ -- - --- I I - -- -ice. - - ~ ~ ---- - - -- I 1 I - - -- -- --`1 --- -- - - { } L---I .-- - -- - --... -- -- -- _- ~ I - - - ~1 ' - I - f -i ~ - i _ ~ _ ~_ - - ~ --- --~ i ---- -} -- --- -- -- - --- -- -_. __ 1 ' - - ~ -- I ~ I _. __ - - - -- -- -- - -- - - - - __ - - - -- I -- -- - ' -- I ' __ _ _ .._-~ 1 -- - - --- --- ~ - I ---- - --I L__- ~ I ---- _ - -- -~ --- ~ -- - f 1 1-- ~ - - - -- - - J -- ~ _-- --- d2 ~~ V - d al o ! ~ ~ ~ ~ ~i , - -- ~. - _- - -- - _ _~ - I~ -- - - 1 1 -_ - I - __ -- --- 1 -- -- -- ~ 1 -_ 1= ~ I~ , ' -- - , ~ ; - ---- --- ~ -- -- - - -- - -- - i i - ~ -- -- a I i - - - ~ --- - ---- -- _ Z t~ ~ - - - ----. - - ~ - -~ ~ i --- ~ p ~ I - - _ -- - _ - ~ -- ~- ~ ---- -- { I - I -- -- i - - _ -- --- _ 1 - -- I -- - f - 0 _ ~ 6 - - - n - K ~ 1 - - --- -- --- ---- - ~ ~~ x -- - -- -- - - ~--- - - - --- - I -- 4 -- -- - ~ --- --- - - --- -- -- - l- ` I- - -- -- ~ - I -- j -- - - _ ~~ I - - -- - - --~ - - - -- -1 - - - --- _ - - - ~ __ -- - ~- i ~ - - - --- y -- ~ ~ ' -- - -- i 1---~I--- ---~-= f -- -- ~ 1 - --- - - - -_ l~ l ~ '- --- _ ---- -- - - - ___ - - I i-~ __ -~ -- - ~ e- _ 1 - ----~ - -- i- - 4'~C.Z, VEAl7 PIPE ~ 25~ FROM DOOR, WINDOW OR FRESH P.IR IAITAKE 18"MIN. 11ULET APPROVED JOINT l..', C.I. PIPE EXTENDIIJG 3~ 0-5T0 SOLID SOIL C ~ E V. ~/~-~~F T. PL(MP CHAMBER CROSS SECTION A~10 SPECIFICATIONS ' ~-VEIJT CAP WEATHER PROOF JUAICTIOAI BOX r 12"MIU. GRADE ;, ~ COIJDUIT ~-'" A B C D PAGE '2 OF . ~' APPROVED LOCKING MANHOLE COVER y~~ MIIJ. ~~~ PROVIDE I AIRTIGHT SEAL I I I Pu MP --~ COIJCRETE DLOCK .~ ~ 18" MI IJ. ~1~ III II~ I I ~ I ALARM II I ON I OFF APPROVED ~C 1' W/C.I. PIPE EXTEIJDIrJC. :~ UNTO SOLID S )I ~- RISER EXIT PEP.MITiED GIJLy IF TAIJK MAIJUFACTURER HAS SUCH APPROVAL SEPTIC f SPEGIFICAT101~1S COSE TAI.IKS MAAIUFACTURER: ~ ~ e S~ A IJUMBER OF DOSES: _~ PER DAy TAAJK SIZE : O~'D 'r' ~~ ,yGALL01J5 DOSE VOLUME / ALARM_ MAUUFACTURER: -S~.rFL/~eGJ/S~O INJCLUOING BACK~~FL~~OW: ~_r'f~ GAttOr S MODEL NUMBER: - ~ 0 ~ !~ Gc/ CAPACITIES: A =+1._IIJCNES OR 3.~f2.~"GALLOI~ i SWITCH TYPE: N1~RCLlR,x w D= '/~~ IIJCHESOR ~,/~~.~GALL01•'S PUMP MAIJUFACTURER: C=_~IAILHES OR ~~D GALtO~'i MODEL AJUMBER: n /-h D= 6 INCHES oR 7o GALLO~.IS SWITCH TYPE: _s~ 'Lee 1`~7 a ,C./` LI OTE: PUMP AUD ALARM ARE TO BE MIAIIMUM DISCHARGE RATE~GPM INSTALLED OW SEPARATE CIRCUITS VERTICAL DIFFEREAICE DETWEEAI PUMP OFF AAIO DISTRIBUTIOIJpIPE.. ~°7°0 FEET + M~IIU~I,M,UM NETWORK SUPPLY P~RE~S,,SURT,E/.. ~ ~ ; .`. ~~ ,,, F.E.ET + ~ 70 FEET OF FORCE MAIIJ X ltl ~ .F/~ppFxFRlGTt01J FAt'f0{1...~.?L~! FEET - TOTAL DyAIAMIC HEAP = 1,ro FEET f! ~ / ~j // IIJTER1.1A1. DINIEIJSIOIJS OF TAAIK: LENGTH ~O ;WIDTH ~;LIQU10 DEPTH SIGNED: ~~~ w ~.rz~i'I~~ LICE1~iSE 1JUMBER: /', ~~~ DATE:` ~/Q! -y~//~~ - - ~ -. ----- -I __ I G -- --- - - ~ ~ -I --~ ~ I ~ ~ ~ ~ i - - -~ ~ ~ ~ ~ ' - - I r--- - i - -- -~ - ~ -- , ~~ - - ~ ~ ~ ~ ~ - ~ ~ --- -~ o - ~ ,~~ - - - -- - _, . - _ ~ --- ~ a ~ _ ~ _ _~ _ ~_ _ _ -- _ _ __ ~ _ --__ - 1 --I _ - I ' I ~ ~' _ __ - ------ t 1 --- 1 --r --, ~ --- ~ -- I --- - - - -- - -~ _ _ --- -- ~ ~ -- ~ - -- _~_ - - , -- -- --- - -- --' I ` J - - -- i -- ,~ ---- _- - - ~ -- -- I - - ~I ; I -. .- ~ ~ -- -- ' -- - --- -- -~- -- ~ ~4 t ___ __. __ - I -- - -- - - -- ~ -- --j -- I --- rt - - -- - _ _ I - '~----~ --- ~ ~ e ~ ~ r -_ - - --- _-- -- - ~ -- - _ . ~ _ 1 -- ' -- - ~ ~ _-- ~ - ~ -- ( - -- --- --- ---a -- , - i o~ -- l ` - I -- -- __ - -- ~-_- -- --- ~~ - a- ~ __ __ - -- ~ _ _ ; -- __- . -- '~ - - - ,- -- - __._. --- _ ~ -- -- f- - __ - __ _, _- _ - ~-- --_ -- J ~ i L-- ~ - - -- _ - _ - i-__ I ~ ___ i _ ' __ - -- _ - - -- - j ; -- 1 --- -- - ~ ---- f - ~ I ~ ~ __ - i ~ ~ i / ~ _ __ _ I ~ I - - - -- -- a---- --+--- -- - -- - - - _ - --- ----- ~ --- I ~ -- ~ I `~ 1 SOIL AND SITE EVALUATION REPORT Page~d~ 1 1 L!~ ,.~'--~~- tli.~~tL` ~ ~ 1 1 rn arxvrv wiui r~nn as.va~ nom. ~t9 t~ ~ial e Pl h i i a ~ ~ ~ • ,n u , an es n s ze. n 81/2 x 11 inc site plan on paper not less th Attach comptete ale ~ ' ~' f l i d Y di M PAR a ~;; ; ; ~ ~ j k on an a o s rect ), not limited to vertical and horizontal reference point (B ~• ~ ~ ~ and location and distance to nearest road. north arrow dimensioned d ~ ~ ! ,-_~ , , • DATE ' .i APPLICANT INFORMATION-PLEASE PRINT ALl INFORMATION `~~ ~ <"- afi VIE Y PROPERTY OWNER: ~ P TY LOCAL E#Nf,;-.~ ; °;- GO .t+~~~=11_~ Tao ~N,R /J"~)W P/~N ~e/9eN PROPERTY OWNER;'S MAILIN ADDRESS LOT N ~41J~r(3~:~T~E CSM N ~ UCi CITY STATE ZIP CODE PHONE NUMBER ~ tl 9 ~~ ~_ i' d DCITY ^VIL ~ N NEAREST ROAD G,~G 6voo d ~ t ~i o 3 17/,S'i - 7/o CL eh e < ~ ~() New Construction Use [X) Residential / Number of bedrooms _ .~ [ J Addition to existing building [ ]Replacement [ ] Public or oommeraal desaibe Code derived da~'ly flow ,S'O gpd Recommended design loading rate ~_bed, gpolh2 .trench, gpd/ft2 ~,~ bed, ft2 .~ trench, lt2 Maximum design baling rate 1~_bed, gpd/n2 , S' trench, gpd/ft2 Absorption area -equired , Recommended infiltration surface elevation(s) ~~~o ~ +~ 9~. ~ ~ h (as referred to site plan benchmark) Additional design !site considerations '-~ 7`~/ L ~ Flood plain elevation, if applicable d/ fj h ~ l= ~ L f- ~ / t r . r i + ia Parent mate S =Suitable for system CONVENTIONAL ^ S ^ U MOUND ^ S ^ U IN GROUND PRESSURE ^ S D U AT-GRADE D S ^ U SYSTEM IN FILL ^ S ^ U HOLDING TANK ^ S D U U=Unsuitable for s stem gnu DESCRIPTION REPORT Boring # %•4ti ;~;:: Ground elev. 98.~~ ft. Depth to limiting t~ tom ~~ Boring # <~ «2.. th De Dominant Color Mottles Structure t i E~ dar Roots GPD/ft Horizon p in. Munsell Du. Sz. Cont. Color Texture Gr. Sz. Sh. ence Cons s orr> y Bed Trerxf~ ~Q~'l/ ~~ ~ (i~ p~~0 /'/ ~.4 Cr Nr~ ~ i r~ ---- - ~ [].. .Lh~ ~ o- y ~ a io 3 s ~ e L a s,~ ~ ~'R z ~ S e w ~ ' ~ ~ , ,.r 3 6~ ~,~- ,S -- ~ y , ~' Ground elev. 9~~rt. Depth to limiting c~, Remarks: CST Name =-Please Print Phone: 7~ 3 ... -. - -- ~ ~ ~ ~a.o. y/~, 7~~ PROPEfRY01AMER t? erg, w e I~ SOIL- DESCRIPTION REPORT T. Ground elev. 96. ~ f- Depth to limiting factor „ 7_~ Boring # ~a~~: Ground e-ev. tt. Depth to limiting lacta Page '? ot~ Horizon Depth Dominant Color ' ~ Mottles Texture Structure ~~~ Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh, Y Bed rondt v~ /o .--' 2 S6 C S ~M .S ~ ~ / , -- ~. ,~ ~ ~ YF e s i r i P.3" ~-7 ,5 -~ S ML ~ Iv~ ,~ ,~ t i Remarks: ~ -~d /o R 3 --' e~ ~ A M ~ s' ~ w ~ i .~ do-7 .3' 6 -' S S ~ ~ ~ , 8 Remarks: l o-~ ~ /° ~~ a ~ `_" S/~ a S~ MAR C S , 3" . 6 Remarks: i i Remarks: ~,,~, r ,~;' ~' _ ~; , ,, . _ ___. .. STC-105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/)R ~~~ 111 ~2 MAILING ADDRESS ~~ 8' /7- /3o t! ~ ve PROPERTY ADDRESS !a o2 2• (location of septic system) Plea obtain from the Planning Dept. CITY/STATE ~~ e/V wo o d ci ~'Y~ ~ / ,~yoi3 PROPERTY LOCATION sly 1/4, s'~ 1/4, Section ~,~ T ~O N-R ~,J~ W TOWN OF~r~ etV Gy D o ~ ST. CROIX COUNTY, WI SUBDIVISION LOT NUMBER -' CERTIFIED SURVEY MAP ~ ,VOLUME -', PAGE --',LOT NUMBER 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 licensed septic tank pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. St. Croix County residents may be eligible to receive a grant for a maximum of 60% of the cost of replacement of a failing system, which was in operation prior to July 1, 1978. St. Croix County accepted this program in August of 1980, with the requirement that owners of all new systems agree to keep their system properly maintained. The property owner agrees to submit to St. Croix Zoning a certification form, signed by the owner and by a mater plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge and scum. I/V1/e, the undersigned have read the above requirements and agree to maintain the private sewage disposal system in accordance with the standards set forth, herein, as set by the Wisconsin DNR. Certification stating that your septic has been maintained must be completed and returned to the St. Croix County Zoning Officer within 30 days of the three year expiration date. SIGNED: DATE: SIB 9~ St, Croix County Zoning Office Government Center 1101 Carmichael:Road Hudson;'`WI 54016 11/93 ... ,. t~,. . __ S T C - 100 T• This application form is to be completed in full and signed by the owner(s) of the property being developed. Any inadequacies will only result in delays of the permit issuance. Should this development be intended for resale by owner/contractor, (spec house), then a second form should be retained and completed when the property is sold and submitted to this office with the appropriate deed recording. ------------------------------------------------------------------- Owner of property ~~ p/ / G ~ q~ ,y Location of property $'(,ij 1/4~~1/4 , Section ~_, T~N-R /~' W Township _~L,e N lug a d Mailing address ~O ~ ~T - ~,~0 7`ti ~Jlr~e ~~E'K woad C%7`Y. /ui X0/3 Address of site~.~a ~ ~q ~/ Ral Cyr N ®ma~ Lr/fv Lv/r sy~_3 Subdivision name Lot no. '-""~ Other homes on property? Yes_~No Previous owner of property ~~ ~~L.O/+~( Total size of property _ /p/ ~ ~,Q ~o Total size of parcel /v / A e R e Date parcel was created 1973 Are all corners and lot lines identifiable? Yes ~_No Is this property being developed for (spec house) ? Yes ~_No Volumes/6 ~ and Page Number ~ 7D as recorded with the Register of Deeds. ------------------------------------------------------------------- INCLUDE WITH THIS APPLICATION THE FOLLOWING: A WARRANTY DEED which includes a DOCUMENT NUMBER, VOLUME AND PAGE NUMBER AND THE SEAL OF THE REGISTER OF DEEDS. In addition, a certified survey, if available, would be helpful so as to avoid delays of the reviewing process. If the deed description references to a Certified Survey Map, the Certified Survey Map shall also be required. PROPERTY OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge that I (we) am (are) the owner(s) of the property described in this information form, by virtue of a warranty deed recorded in the office of the County Register of Deeds as Document No. ~"y /O 7 q and that I (we) presently own the proposed site for the sewage disposal system or I (we) obtained an easement, to run the above described property, for the construction of said system, and the same has been duly recorded in the office of the County Register of Deeds as Document No. _~N/D~9 d Signature of Ap scant S/~/ 9G Dat o Signature Co-Applicant Date of Signature y. ~ 16._8.. e . tB•-.A. e M". 0. UN EEO ''`' ': ". YNI"8110 taB~)D ~' , .`. D14 G ROOM FAMILY BEDROOM 4 ROOM Optional Bedroom 4 Plan ES-452 Altemate Ophelia Tub/Shower End Utility Arrangement Plans ES-442, ES-452 8 ES-480 ss'-o' ~---- VAtRT CEAINC e 16'-8" ld 0"-0- 0 10•-8" ° 18'-8" ° 1 BATH 2 aJ N) G C 11N-61185 OPT.1 I CAB.i i f --1~_L 1 I FAMILY 1 l~ ; GP'7~; ROOM i F.P. i , , 1 r'~ 1 F-~`t-r OPi.i i CAB,i 1 / ~ Y` ~ ii ii OPTIONAL -~. ~ ~' LIVING ~ ~` ~~ 1~i -STARWELL '.pa?).: BEDROOM 1 ROOM ~ ~~ ii 1. ` .. r ~:;:: ' ' ~ B£ ... OROOM 2 .:~: BEDROOM 3 ~::' ' ~: ,~ sm. ooaMEa ... 1~ ` ~: Tom, , ::.:. .. ;'~r:' i ... ~ ~ ii G ~' K G C ' :):~:~.} `' " YN-9.N0 60 F ~ MW-910 YAUIT CEWNG - _ _ _ ~ . ° 16'-C1" e3'-4o 8'-g" e ES-452 2 ~c56 3 BR-~K-26-COVT-SH-FR 't531 SQ. FT. ~! 60'-0" °f VAU1T CEiUNG f 10'-8" ° 16'-0" °3'-4a 12'-8" Wit-9110 G ~~ .. „ BEDROOM 2 ~~ ~~ !~ e '~ u. 1 1 ^ _'_' N F :::::. BEDROI,bU 3 _-..._` L~ C EO f ~ W1$f0 4 ROC ~ x ¢IW_8 i1t= FAM1L Y ROOM F F NNI-91105 T Akemate Bath 2 with End Utility Arrangement Plans ES-442, ES-452 & ES-480 o zo'-a" ° D ~~~~ C1A55 WY NG REELECT KTUI f)ESiGN Standard Cabinets at Bar Esquire Plans with Pennisuia Base wT N5-662 >ooa F '.,nVVA ~nt T [ -u _ u -v " To -a 11'-0- ° 15'-8" ° r vAU~T CE9tNC ~ F F F F -: ~5-470 2fl 3~-~S=CO'V'~~H-FR ~ 640 SQ. FT • --• 0 13-_4-- lU~ a b -Yi ~F1- ~ BATH 2 ~ ¢ p= L/~Nr' " ROOM ;; ~ $ ° ;; BEDROOM 1 LINEN B c ~,;; ~ „ ,- R > ur'r r „ ,1 iN ~~ ~ it 11 . ~~ \^1 ~ ...... ~.. ._ ~ A Alternate Country Kitchen Plan ES-45Z Not available with optional bedroom 4 INFORMATION/CORRESPO//NDENCE (Include date) ~OW~ o-~ l~ IC~~ p o ~ /-r~rrG 7~a G~~~o/ ~QYV-er- ~re~-~ ~Ph jR~~ ~~9 eh ~ ~ ~~e _ ~ 3 7 30 ~/ ~(s'4J Iti~ ~cX i h,Q al V'eP~OICC' t~.ev~ ~^Ot~.Se , ~C~d ~ -1-0. r ~~ ~Ua ~.K- Qv.G~ (N~ ~ '~S e ~ e ~~ t 51~'c~ SY s~orr~ _ ~~~ -~ 3 lo~.,-vim ~~ ~'00 (~~(a,i h s W,~ O S ed(y V-lb0~a Fv'C~.9 c 7 Date: 06/08/2001 Loretta (235-4634)-Explained that we need to have some elevations out there to determine where exactly that system falls in relationship to the 100 year flood and the hydraulic shadow. We can use it as long as it is above the 100 year floodplain. Told her that they should check with Bob Heise to see if the grant included getting some of those elevations . ., rt ~f7H`r'-~'~ 19'~~ ~? ~~ FRi ~~' F~EIP"d~=~T=°H ~JHhi L~"r"4: TO /f h. ,t^ -' ~ ~ .. ~ State F3a ^f ~;r<ccf.ss~;~ Farr„ ~ .- Jp$ 4~CU4,rt6s~+T rsJ rr ~ i.~~~~h~a ~ i __.__ __ - .P~__.~~.~ --ww.-- -- _ _ _ ... ea.g.e ~.r _._ ~ z:._______.~.,__________~.,.r_ _..__._ r ~ s, . _.. _...__ ._____--- quit-cl~strts tci .u()~.~,.~~L__.~:~..,..~„_ _-.. , a _.__._._......,. _ ,.....~ . ~-_ __ ____- _ _._ ~,._. _ _.__w.___ 2.3..x- ~1~-~_'tT~[c:~?ct ~ 1 _..., ~ _ _. ~. ,.~- rile f{!~~t1 tY1fl4^c C>.~d il~a.~ .x.11 f.':.'+1~, +~ _.__ ~r.~..._t C' ?'e_. ._.. _..__ _,_., ... t_'?J:a.; I ii $tAte f3 ~+'t54btrt~t)' i ,; ', 2F~41G=16 F'. ~1 ~~G€ST~i~°S ~~riCE ', (~1~~ ~ ~ ~.~~~ zo+~>s j,~A-h~ .. f ~~ ~' _~ c3ra~. _, f,; . nEG;-JRC"i ('3 CATA ~.+K t ! i ~ '- ~,+~ ~ .. 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'i avtt~enticatcdlkbt.. ~ (. day c?f ~,~~:.~r-~`=~--.-_ . 19 ~ .~+" I'? ~6 , - -- (SI1AL) t ~.~~;Nt~~NLEI}GAvIENT 57,aTE f]F w'ISC(?NSIN _ .. ~~ SS. ~ _. ~~Ui1ty- ^ ~Pers;mall>' came before me thig -- day Of i. r _ .--- ~ T 4I'AFtCEL 1 ~t'~- .~~U~PAG~ ~ ~~. The E 1/2 of SW 1/4 of Section 33, Township 30 North, Range 15 West, except the following described parcels located therein: 1) Commencing at the South Quarter corner of said Section 33, thence North 89°54' 08" West 1318.45 feet, thence North 0°08' 25" West 33.00 feet to the point of beginning of the survey, thence North 0°08'25" West 2613.11 .feet, thence North 89°46'02" East 1324.86 feet, thence South 0°00' 06" East 403.90 feet, thence South 86°40' 58" West 371.87 feet, thence South 78°43'57" West 165.20 feet, thence South 44°21' 29" West 457.24 feet, thence South 59°37' 16" West 219.94 feet, thence South 78°27' 32" West 218.30 feet, thence South 0°06' 27" West 684.88 feet, thence South 15°52'05" East 122.42 feet, thence South 1°04'32" West 521.36 feet, thence South 22°29'30" West 49.85 feet, thence South 0°08'25" East 308.85 feet, thence North 89°54'08" West 66.00 feet to the point of beginning. This parcel contains 952,329.8723. square feet or 21.8625 acres more or Less including road right-of-way or 950.151.8724 square feet or 21.8125 acres more or less excluding the road right-of-way. 2) Commencing at the South Quarter corner of said Section 33, thence North 89°54'08" West 1318.45 feet, thence North 0°08'25" West 33.00 feet to the point of beginning of the survey, thence North 0°08'25" West 2613.11 feet, thence North 89°46'02" East 1324.86 feet, thence South 0°00' 06" East 403.90 feet, thence South 86°40' S8" West 371.87 feet, thence South 78°43'57" West 165.20 feet, thence South 44°21'29" West 457.24 feet, thence South 59°37'16" West 219.94 feet to the point of beginning; thence South 78°27'32" West 218.30 feet, thence South 0°06'27" West 684.88 feet, thence East 199' thence North 720 feet to the point of beginning. 3) A parcel of land located in the Southeast Quarter of the Southwest Quarter (SE 1/4 of SW 1/4) of Section Thirty-three (33), Township Thirty (30) North, Range Fifteen (15) West, described as follows: Commencing at the South quarter corner of said Section 33; thence North 89°54'08" West 1252.45 feet; thence North 0°08'25" West 341.85 feet; thence North 22°29' 30" East 49.85 feet; thence North 1°04'32" East, 521.36 feet; thence North 15°52'05" West, 122.42 feet; thence East 199 feet; thence North to the North line of the Southeast Quarter of the Southwest Quarter (SE 1/4 of SW 1/4); thence Easterly, along said North line, to the Northeast corner of said Southeast Quarter of Southwest Quarter (SE 1/4 of SW 1/4); thence Southerly, on the East line of said Southeast Quarter of the Southwest Quarter (SE 1/4 of SW 1/4) to the point of beginning. PARCEL 2 /Jj ~l 1 ~%~ ~E 1/2 of NE ~/4~and(SW 1/4 of NE 1/4 of Section 34-30-1~ SW 1/4 of NW 1/4 of Section 35-30-15 with exception of two (2) ~~~` acres (or approximately 2 acres) located in the southwest corner of SW 1/4 of NW 1/4 of Section 35-30-15. The section line between Section 35-30-15 and Section 34-30-15 is the west boundary, extending 500 feet; the east boundary being Highway 128. Subject to all rights of way, reservations and easements of record on all of above described parcels. Rod Eslinger From: Jansky, Leroy [Ijansky@commerce.state.wi.us] Sent: Tuesday, August 08, 2000 11:21 AM To: 'Rod Eslinger' Subject: RE: Glen Hills Watershed (floodplain) You like putting the pressure on don't you? This situation is a bit tricky because of the age of components and the floodway issue. The new code in 83.32(3)(c) does generally prohibit a new POWTS from being built in the floodway unless allowed under NR 116. I'm not sure what NR 116 states specifically, but it likely speaks to things being constructed or replaced, and not what existed prior to the code and in use now. It is my understanding that the current provisions of 83.32(3)(c) are not retroactive, and thus to determine the compliance of the soil system on this one issue (we should also be checking vertical separation) we need to know the date of installation. I suspect that if NR 116 doesn't prohibit continued use of the soil absorption system, the Department of Commerce will allow its continued provided it is in compliance with the other provisions of Comm 83. If you need a defmitive answer on our position, I suggest we consult with Roman Kaminski, POWTS Program Manager. Unfortunately, he's out until next week sometime. I will bring this matter to his attention and get back to you, unless you're satisfied with my interpretation. Let me know what you'd like me to do. > -----Original Message----- > From: Rod Eslinger [SMTP:Rode@CO.Saint-Croix.WI.US] > Sent: Tuesday, August 08, 2000 10:46 AM > To: Leroy Jansky (E-mail) > Subject: Glen Hills Watershed (floodplain) > Boy, pretty soon we'll have to request a code interpreter for the state. > This one is tricky (well maybe its just simple). A few years ago, our > office issue a sanitary permit for a conventional system in the town of > Glenwood in Sec. 33 below an earthen dam. At the time the permit was > issued there was no floodplain zoning beneath this structure. In 1997 the > DNR required St. Croix County to evaluate the 10 earthen dams in the Glen > Hills Watershed to insure they were safe and proper zoning existed beneath > the structures. These structures were constructed in the late 60's > earlier 70's as a flood control for Glenwood City, Downing, and Boycville. > The Land and Water Conservation Department is responsible for the > maintenance of these structures. As a result, the county enacted a > moratorium on development beneath these structure until a dam beach route > study was completed by Aryes and Associates and approved by the Dam Safety > Department with the DNR. > Well, the approved maps revealed that the sanitary permit that was issued > prior to the moratorium for the property above was shown to be in the > floodway (breach route). The county had a couple of choices to resolve > this issue: 1. Remove the structure (Cheapest solution) 2. Improve the > spill way capacity of the structure (Expensive) or 3. Remove the > structure completely (expensive). All three solutions required > floodplain zoning. Zoning to the breach route would be the least costly > for the county. > Anyways, now the plan is to relocate the house outside of the mapped > floodway, install a new septic tank and utilize the existing drain field > that is shown to be located within the floodway boundaries. According to > Comm 83.32(3)(c.) no part(s) of the POWTS is/are allowed in the floodway, > except were allowed by NR 116. > I can't issue any permits for this site until the moratorium is removed, > but I don't think we can use the existing drain field anyway, right???? > Am I missing anything here with regard to the new code???? This is a hot > topic here, so I need to be absolutely correct on this one. > Thanks for your assistance. > Rod Eslinger > Zoning Specialist > St. Croix County Zoning > 1101 Carmichael Road > Hudson, WI 54016 > phone 715-386-4680 > fax 715-386-4686 > rode@co.saint-croix.wi.us <mailto:rode@co.saint-croix.wi.us> « File: > Chess.gif » 2 Rod Eslinger From: Jansky, Leroy [Ijansky@commerce.state.wi.us] Sent: Monday, August 14, 2000 12:53 PM To: 'Eslinger, Rod' Subject: FW: Glen Hills Watershed (floodplain) Well, here you go Rod. The ball is back in the DNR's court. It looks like DComm would not have any objections to using the existing dispersal cell provided no modifications were made to it. > -----Original Message----- > From: Kaminski, Roman > Sent: Monday, August 14, 2000 10:57 AM > To: Jansky, Leroy > Subject: RE: Glen Hills Watershed (floodplain) > Here's my take on this issue as I understand it from the other messages. > The proposal is to modify an existing POWTS system. The modification will > consist of a replacement ST (that will be located outside of the > floodplain), that will connect to an existing dispersal area that is > located within a identified floodway. > I believe you are correct in your determination that we would require the > new ST portion of the installation to comply w/ the current Comm 83 and > that the existing dispersal area would only be evaluated against the > vertical soil separation requirements based on when the dispersal area was > originally installed. > I believe what the county needs is a statement from the DNR on how they > would apply the provisions of NR 116, specifically s. NR 116.15(1)(a) in > this situation. As I read this subsection, it appears that the connection > of a replacement ST to an existing dispersal area located in the > floodplain could be classified as "ordinary maintenance repairs". But > that determination must be made by DNR not Commerce. > I hope this information is of help! > -----Original Message----- > From: Jansky, Leroy i > Sent: Tuesday, August 08, 2000 1:18 PM > To: Kaminski, Roman > Subject: FW: Glen Hills Watershed (floodplain) > Roman: I'm sure you have a 100+ a-mails to respond to but take some > time to review this case and get back to me and/or the county. > Apparently, this is going to be a big deal and the county needs some > definitive responses to their questions. I took a stab at it as I saw > things, and now we'd like your comments since you are the septic god in > Wisconsin. > -----Original Message----- > From: Rod Eslinger [SMTP:Rode@CO.Saint-Croix.WI.US] > Sent: Tuesday, August 08, 2000 12:10 PM > To: 'Jansky, Leroy' > Subject: RE: Glen Hills Watershed (floodplain) > If Roman has time when he returns to add to your answer, > that would be > great. > Here's some info. on the system: > The sanitary permit was issued to Dean Teigen on May > 24,1996. Permit # > 262460, Plumber was Gale Smith, Trench design. > I really impressed on how quickly you can respond. Sorry > about the > pressure. > -----Original Message----- > From: Jansky, Leroy [mailto:Ijansky@commerce.state.wi.us] > Sent: Tuesday, August 08, 2000 11:21 AM > To: 'Rod Eslinger' > Subject: RE: Glen Hills Watershed (floodplain) > You like putting the pressure on don't you? This situation > is a bit tricky > because of the age of components and the floodway issue. > The new code in > 83.32(3)(c) does generally prohibit a new POWTS from being z > built in the > floodway unless allowed under NR 116. I'm not sure what NR > 116 states > specifically, but it likely speaks to things being > constructed or replaced, > and not what existed prior to the code and in use now. It > is my > understanding that the current provisions of 83.32(3)(c) are > not > retroactive, and thus to determine the compliance of the > soil system on this > one issue (we should also be checking vertical separation) > we need to know > the date of installation. I suspect that if NR 116 doesn't > prohibit > continued use of the soil absorption system, the Department > of Commerce will > allow its continued provided it is in compliance with the > other provisions > of Comm 83. If you need a definitive answer on our > position, I suggest we > consult with Roman Kaminski, POWTS Program Manager. > Unfortunately, he's out > until next week sometime. I will bring this matter to his > attention and get > back to you, unless you're satisfied with my interpretation. > Let me know > what you'd like me to do. > > -----Original Message----- > > From: Rod Eslinger [SMTP:Rode@CO.Saint-Croix.WI.US] > > Sent: Tuesday, August 08, 2000 10:46 AM > > To: Leroy Jansky (E-mail) > > Subject: Glen Hills Watershed (floodplain) > > > > Boy, pretty soon we'll have to request a code interpreter > for the state. > > 3 > > This one is tricky (well maybe its just simple). A few > years ago, our > > office issue a sanitary permit for a conventional system > in the town of > > Glenwood in Sec. 33 below an earthen dam. At the time the > permit was > > issued there was no floodplain zoning beneath this > structure. In 1997 the > > DNR required St. Croix County to evaluate the 10 earthen > dams in the Glen > > Hills Watershed to insure they were safe and proper zoning > existed beneath > > the structures. These structures were constructed in the > late 60's > > earlier 70's as a flood control for Glenwood City, > Downing, and Boycville. > > The Land and Water Conservation Department is responsible > for the > > maintenance of these structures. As a result, the county > enacted a > > moratorium on development beneath these structure until a > dam beach route > > study was completed by Aryes and Associates and approved > by the Dam Safety > > Department with the DNR. > > > > Well, the approved maps revealed that the sanitary permit > that was issued > > prior to the moratorium for the property above was shown >tobeinthe > > floodway (breach route). The county had a couple of > choices to resolve > > this issue: 1. Remove the structure (Cheapest solution) > 2. Improve the > > spill way capacity of the structure (Expensive} or 3. 4 > Remove the > > structure completely (expensive). All three solutions > required > > floodplain zoning. Zoning to the breach route would be > the least costly > > for the county. > > > > Anyways, now the plan is to relocate the house outside of > the mapped > > floodway, install a new septic tank and utilize the > existing drain field > > that is shown to be located within the floodway > boundaries. According to > > Comm 83.32(3)(c.) no part(s) of the POWTS is/are allowed > in the floodway, > > except were allowed by NR 116. > > > > I can't issue any permits for this site until the > moratorium is removed, > > but I don't think we can use the existing drain field > anyway, right???? > > Am I missing anything here with regard to the new code???? > This is a hot > > topic here, so I need to be absolutely correct on this > one. > > > > Thanks for your assistance. > > > > > > Rod Eslinger > > Zoning Specialist > > St. Croix County Zoning > > 1101 Carmichael Road > > Hudson, WI 54016 > > > > phone 715-386-4680 > > fax 715-386-4686 > > > > rode@co.saint-croix.wi.us > <mailto:rode@co.saint-croix.wi.us> « File: > > Chess.gif » 5 Q. Is effluent sampling required for all POWTS systems approved after July O1, 2000? A. No. There is no provision in the new code that automatically requires effluent sampling from all POWTS systems. Sampling could be required by the department or perhaps by the manufacturer of a treatment component, for a specific POWTS system. A sampling requirement would typically be listed in a POWTS system design approval letter or in a management plan that accompanies the approved plan. Q. Under the new code, if someone is replacing a septic tank the soil absorption site does not have to be upgraded if: 1. Documentation is available to show that the system complied with the rules in effect at the time of approval/installation, and; 2. There is proper vertical soil separation between the bottom of the infiltrative surface and a limiting condition. Is this correct? A. Yes, this is correct. If documentation is not available then the next logical step would be to conduct an evaluation of the system against whatever code was in effect at the time it was installed. The most critical issue would be the vertical soil separation distance. Older systems should-not be evaluated against the new code with the exception of a few specific instances that are 'clearly listed in the new code. (Example -Minimum two foot vertical soil separation requirement for systems installed prior to Dec. O1, 1969. Q. I read in the Plumbing Code Report that fees are being revised and that Comm 2 where the fee schedules are listed will go into effect on September O1, 2.000. Is that when the POWTS related fees will change? A. No. The POWTS program related fees were included in the Comm 83 "code package" that went into effect on July O1, 2000. Q. In Table 2.65 it appears that there is an error in the fee schedule for holding tanks. Specifically, items 3. and 4. are worded identically. Is there an error? A. Yes. When the code was printed by the Revisor's office the word "not" was inadvertently omitted in 4. The correct wording should be: "Holding tanks not approved under s. Comm 84.10(2) or (3):". Q. I can't find any reference in the new code for submitting plans to the Department for a POWTS system that will be installed in a floodplain. Can the county approve plans for those categories of POWTS systems listed in Table 83.22-3 that may be installed in a floodplain? A. A county may review and approve plans for those categories of POWTS systems listed in Table 83.22-3, (or Table 83.22-2 if a designated agent). The design must meet all the floodplain criteria found is ss. Comm 83.32(3)(c) and Comm 83.45(6). Consultation with the Department of Natural Resources regarding the requirements of NR 116 may be necessary. Completion of the old "Plb 89" form is no longer necessary. Q. Is there a standard "management plan" example that the department will provide as a guidance document? A. No. The department will not be providing an example of a standard management plan. While the management/maintenance requirements for a "traditional" septic tank soil absorption system would seem to be the same for all applications, that may no longer be true under the provisions of the new code. Designers may select different and/or additional treatment components that require their own unique management/maintenance schedules. For example, a "traditional" septic tank soil absorption system may now also include a treatment tank outlet filter or maybe instead of a septic tank the design will include a "trash tank" upstream from an aerobic treatment unit. Each of these treatment components will have a specific management/maintenance schedule required by the manufacturer and/or the designer. Because of the many component combinations that are now available, it is not possible to provide a standardized example. We will post examples of various managementlmaintenance documents on our website as they become available. Q. Is a management plan a stand alone document, or should it be included with other documents during the plan review/Sanitary Permit issuance process? A. The ultimate goal is to insure that the POWTS system owner has a managementlmaintenance plan that they can refer to. For example, the component manuals currently recognized by the department have a requirement fora "User's Manual" that contains additional important information such as contact names and phone numbers. A management plan could be included as part of this user's manual. It could also be a stand alone document in addition to the user's manual. The provisions of the management plan could also be included in the POWTS design documents as long as the management plan details are clearly identified. The choice is up to the designer/installer and how they intend to communicate this important information to the POWTS system owner. 6 Table 3 Flood Crest Summary Maximum Water Surtace Elevation Time to Peak (feet) ~ (hours] , ..Cross Section River Da Dam iri Place ` - --- - No.. -- Mile m Nonexistent with No _ Failure Dam in Place with Fail Oam'in Place ure with Failure (No Breach) (Breach) (Breach)' 1 (Dam) 0.00 1098.24 1118.63 1118.62 5.3 2 0.04 1097.49 1093.70 1100.19 5,7 3 (Private Drive) 0.22 1092.13 1090.67 1093.33 5.8 4 0.39 1073.87 1069.53 1078.04 5 8 5 0.52 1073.65 1069.06 1077.72 5.8 6 (300th Street) 0.56 1072.99 1068.57 1077,34 5 8 7 0.57 1071.76 1068.05 1075.63 5,8 8 0.65 1069.40 1066.42 1072.20 5,8 9 1.25 1045.34 1043.12 1047.88 6.0 10 1.65 1035.59 1032.06 1037.95 6.2 11 (STH 128) 1.73 1035.24 1031.27 1036.60 6.2 12 1.74 1033.72 1030.23 1035.73 6.3 13 1.80 1032.35 1028.83 1034.52 6.3 14 2.07 1026.71 1023.27 1027.17 6.4 15 (310th Street) 2.10 1026.68 1023.21 1027.08 6.4 16 2.11 1023.45 1021.16 1024.58 6.5 17 2.14 1022.93 1020.66 1024.12 6.5 18 2.45 1019.04 1016.57 1020.13 6.7 19 (Rustic Road) 2.52 1018.63 1016.32 1019.54 6.7 20 2.53 1017.86 1015.73 1019.40 g, 7 21 2.60 1016.81 1014.26 1018.13 g•g 22 2.97 1009.98 1009.09 1011.06 7,0 23 3.30 1005.35 1005.33 1005.91 7.1 24 (130th Street) 3.40 1004.96 1004.95 1005.10 7,2 25 3.41 1004.93 1004.92 1005.03 7.2 26 3.70 999.80 999.79 999.87 7.3 S~ 7 \\50901secr-es\11-0573.001981231 r1.doc BOSS DAMBRK version 3.00 PAGE 14 PROJECT TITLE ST. CROIX COUNTY - GLEN HILLS NO. 2 PROJECT NUMBER 11-0573.00 12/31/1998 CROSS-SECTION NUMBER 2 -------------------------- Cross-Section Location (XS(I), mi) 0.040 Flooding Elevation (FSTG(I), ft MSL) 0.000 DOWNSTREAM REACH NUMBER 2 ----------------------------- Reach Contraction-Expansion Coefficient (FKC) 0.000 Minimum Distance Between Interpolated Cross-Sections (DXM, mi) 0.040 CROSS-SECTION and REACH DESCRIPTION Elevation Channel Channel Storage Top Manning Top Width n Width HS(K,I) BS(K,I) CM(K,I) BSS (K, I) (ft MSL) (ft) (ft) J 1091.00 5.0 0.0400 0.0 ~ (U,1J,_ 1095.00 80.0 0.0400 0.0 1098.50 200.0 0.0500 0.0 1107.00 350.0 0.0600 0.0 1111.00 440.0 0.0700 0.0 1122.00 535.0 0.0800 0.0 PAGE 15 ;.00 CROIX COUNTY - GLEN HILLS NO. 2 12/31/1998 -0573.00 DER ; 3 TOP OF RAPIDS 0.220 :tion Location (XS(i), mi) 0.000 Slevation (FSTG(I), ft MSL) BAM REACH NUMBER 3 ---------------------- ansion Coefficient (FKC) 0.000 h Contraction-Exp mum Distance Between Interpolated Cross-Sections (DXM, mi) 0.500 $$-SECTION and REACH DESCRIPTION Slevation Channel Channel Storage i' Top Manning Top Width n Width -?' HS(K,I) BS(K,I) CM(K,I) BSS (K, I) t ' (ft MSL) (ft) (ft) ~,' 1088.00 5.0 0.0400 0.0 ;; •:4; , 1090.00 10.0 0.0400 0.0 1092.00 370.0 0.0500 0.0 1096.00 460.0 0.0600 0.0 1100.00 490.0 0.0700 0.0 1104.00 515.0 0.0800 0.0 PAGE 14 BOSS DAMBRK version 3.00 pROJECT TITLE ST. CROIX COUNTY - GLEN HILLS NO. 2 12/31/1998 PROJECT NUMBER 11-0573.00 CROSS-SECTION NUMBER 2 -------------------------- 0.040 Cross-Section Location (XS(I), mi) 0.000 Flooding Elevation (FSTG(I), ft MSL) DOWNSTREAM REACH NUMBER 2 ----------------------------- 0.000 Reach Contraction-Expansion Coefficient (FKC) 0.040 Minimum Distance Between Interpolated Cross-Sections (DXM, mi) CROSS-SECTION and REACH DESCRIPTION --------------------------------- Elevation Channel Channel Storage Top Manning Top Width n Width HS (K, I) BS(K,I) CM(K,I) BSS(K,I) (ft MSL) (ft) (ft) --------- --------- 0.0 1091.00 5.0 0.0400 1095.00 80.0 0.0400 0.0 1098.50 200.0 0.0500 0.0 1107.00 350.0 0.0600 0.0 1111.00 440.0 0.0700 0,0 1122.00 535.0 0.0800 a,.r ~1~-~u-^~ ~ ~~, r,~,,,~^ ~oO ~'z- PAGE 15 version 3.00 -TITLE : ST. CROIX COUNTY - GLEN HILLS NO. 2 12/31/1998 CT N~~ 11-0573.00 CRCS3-SECTION NUMBER ~ 3 TOP OF RAPIDS ------------ "'------ 0.220 Cross-Section Location (XS(i), mi) 0.000 Blooding Elevation (FSTG(I), ft MSL) DOWNSTREAM REACH NUMBER-----3 ------------------ 0.000 Reach Contraction-Expansion Coefficient (FKC) 0.500 Minimum Distance Between Interpolated Cross-Sections (DXM, mi) CROSS-SECTION and REACH DESCRIPTION ------------------------- Elevation Channel Channel Storage Top Manning Top Width n Width HS(K,I) BS(K,I) CM(K,I) BSS(K,I) (ft MSL) (ft) (ft) -------- -------- --------- - 5.0 0.0400 0.0 1088.00 0.0 1090.00 10.0 0.0400 0.0 1092.00 370.0 0.0500 0.0 1096.00 460.0 0.0600 1100.00 490.0 0.0700 0.0 1104.00 515.0 0.0800 i