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VM1'sconsin Department of Commerce SOIL EVALUATION REPORT Page-l-__of Div,4tiion of Safety and Buildings ' in accordance with Corn 85,Wis. Adm. Code County Attach complete site plan on paper not less than 8 1/2 x 11' siz Ian must include,but not limited to:vertical and horizontal reference point( nd Parcel I.D. /n / 30— percent slope,scale or dimensions,north arrow,and location distan re road. V Please podnt aH In Revi�nred by Date jQ&i� Personal Information you provide may be used s Law, . (1)(m)). Noy. 3D 2.&e S Prope Owner roperty Location 4 )Q�.° t 1/4_<1/4 S T N R 5 �)W 0. ) fl('T ` `J� Property Owner's Mailing Address of# Block# Subd.Name M# 4 A ST.CROIX COUNTY City State Zip Code ity Village Town Nearest Rgpd I C' .5 0 3 ( 1 ) - `�I .'�h Ave, 0 New Construction UsejD Residential/Number of s _ Code derived sign flow rate d GPD ®Replacement Pu 'c or rciai-Describe: _ _ V Parent material II G +� 0 e.� C(1 Flgod Main eNsv�Mon'if appable_ A R and comments S r-6 I S s 1'TG�UmI� t- a o w d„ S -41 c, s y s-}'21nn oA A-, 1 C,/ ? I ' Wl i+0,Tf 0IA 1 C----�>r © Boring# © Ground surface elev. ft `A v Depth to luntling factor lo. ® Pit Soil.Appkadw Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF In. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. 'Eff#1 'EfM2 N 3 'Si L P, m gQ rP " C o V .� - �►5 3 L_ o-7 b MAU son oring# E] Boring UPit Ground surface elev. 2&o l ft Depth to limiting factor in. Sal Applicatiort Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munseli Qu.Sz. Cont Color Gr.Sz.Sh. '011#1 1 `Eff#2 IM R3 - 'S; L A s t tc 18 101RSi3- Si L 12,M Ak M-�r -0 5 e�L .19 G 'S rvA Pad-rl ll r k— S O E cent#1 =BOD >30:5 220 mg/L and TSS>30<150 mg/L #2;9,OD <49 mg(L and TSS<30 mg/L CST (Please Print) CST Number Address Ev Telephone Number Page�' e Tl ✓ Property Owner �_�J� �� Parcel ID# _ *),Of ❑3 Boring# 0 Boring Pit Ground surface elev.1KA,3__ft Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Stricture Consistence Boundary Roots GPDAf in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. 'Etl#1 'Eff#2 p 3 ' L J1 V R a -1 _ 3 - J .J — .r� �+ S _ I d 4> b 2r °1( N 1 Bing# Boring Pit Ground surface elev. �ft. Depth to limiting factor o in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Stricture Consistence Boundary Roots GPDfft? in. Munsell Qu.Sz. Cont Color Gr.Sz.Sh. 'Efr#1 'Eft#2 U p 51 L , • 1.57 . 9 C.� Si L ms k ry y S Ti 3 Boring# Boring Pit Ground surface elev. it Depth limiting factor in. F-1 Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fP in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. 'Efr#1 'Eff#2 ' Effluent#1 =BOD6>30<220 mg/L and TSS>30<150 mg/L 'Effluent#2=BOD6<_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 608-2648777. saD-a3wrac cx OM) • . ...........�1111...... ............... .............................................. ........................ .......... LAI L . ........ ............. ............ .......... ....................... ........................ ........................ Piro pp .............. i i ............. ..... 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I.......... ....... .... 96,: ......................... .......... ....... ........... ............ . ....... ......................... .................. ............ ........... ........ ..... ................. ...... .......... .................. ............. ......................... ........... .......... ...................... ......................... ....................................1.............1................ ...................................... ...................... ............................ .................................... ..A .......... .......... ...............1 ............ ............ ......................... ............ i. ..........r....................... ............ ...........i i ............. ....................................i j f i ............ ......................... ................................... ............. ............ ............ ............. ........ '.11.1.11.11.1\.............. ............ .......... .......................<........... ..........I.!............ .............. . .....id ........... Ll 5, . ..................... ............ ...... ............ .......... ............ ..... ...... .... ................ ...... ............. ..................... ......................... ............ ] ........................_.I.I.I...I., ....................... .......... Clarence otfelty 4 Enviro- ch Systems&Services ........... N4955 Sunny Hill Road -11 S_ (15A R-90-?Iq a ............ Weyerhaeuser,WI 54895 's ct Yq so 13 7WAIRL6-A) ........... AA A �3 81 28'91 VOL 20 PAGE 5117 KATHEMN H_ REGISTER OF DEEDS ST. CROIX CO. MI RECEIVED FOR RECORD 11/23/2005 03:00PM CERTIFIED SURVEY MAP NO. 5377 CERTIFIED SURVEY MAP PAGE REP FEE: 13.0e VOLUME 20 5777 COPY FEE: 3.00 PAGES: 2 PART OF THE SOUTHEAST QUARTER RECEIVED OF THE SOUTHWEST QUARTER, SECTION 13 TOWNSHIP 29 NORTH, RANGE 15 WEST, 4 � � TOWN OF SPRINGFIELD, ST. CROIX COUNTY, WISCONSIN MI �I LANDS UNPLATTED North line SUMSMS NW corner of SE/SW SE/sw N89'02'59°E 1207.41' / LOT Z LOT 2 236,641 sq.ft. PREPARED FOR: 906,398 sq.ft. 891,970 s ft. i 5.43 acres DANIEL WINE a cZ q q incl. r-o-w 1160 260th ST. N ��; 20.80 acres 20.48 acres Glenwood City, WI moo° �e , /' incl. r-o-w not Incl. r-o-w, OWNERS: ' \ - 227,750 sq. ft. 5.23 acres DANIEL WINE 473.05' / nterline ✓ not Incl. r-O-W ce HAROLD dry"run N89'11'06"E Z 75' Setb V) O / ack pine - 324,, � C.+ i N89-11.06"E N Iz o $ N o Z o o, p v - LO'T 1 w LOT 3 m I� iw - - - 435,600 sq.ft. m soil tests/1 0 10.00 acres ao M o. o I�;g Incl. r-o-W aO ' `O Iv q \F �o� CO-� t"t soil tesis made, �1 GRAFTED BY: ,o \�ond �( j� i,: Joel A. Brandt M 1\ o barn �Z JB SURVEYING LLC ✓ 421 510 sq. ft. 966 Rustic Rd 3 9.6 acres m Glenwood City, WI no in r-o-w CD w shed m p w buil ing setback line _ ___ w SW comer — S88'59'42"W — —— ———1206.68' - SE/SW 29.00' d�ewov $ 30.57' d�ve1 oy 32.13' _ 461.32' 233' �} A 1305.71' 47 459.66 274.00' 99.00' V S89'11'06 W_ S89'11 O6_W 4 3_05_ S89'11'06'W _S89'11 06 Wl_O)� S89'11'O� Southwest Corner centerline 90th AVE. / South 1/4 Corner Section 13-29-15 S8911 1,06"W 1206.71' a. r Section 13-29-15 Found Survey Mark Nail 2611.42' Found 1' Iron Pipe UNPIATTED LANDS Note: Each parcel on this map is subject to State and County laws, rules and regulations (i.e. wet(ands, minimum lot size, access to parcel, etc.). Before purchasing or developing any parcel, contact the St. Croix County Zoning Office for advice. ZV SCALE: 1" = 250' W Joil >F4E03 0' 250' 500' QUIDWOooCITY, yp xn LEGEND North referenced to the L ` _..,...,_.Government Corner (as noted) 3 {\ South Line of the Southwest ` Quarter of Sec. 13-29-15, o._.......Set 3/4" x 18" iron rebar , which bears S09°11'06"W weighing 1.502 Ibs./lineal ft. (5t. Croix County Grid System) Page 1 of 2 Vol.20 Page 5711 0 Safety and Buildings PO BOX 7162 commerce.Wl.goV MADISON WI 53707-7162 TDD#:(608)264-8777 i n www.commerce.wi.gov/sb/ sco n S www.wisconsin.gov Department of Commerce Jim Doyle,Governor Mary P.Burke,Secretary November 08,2005 CUST ID No. 220728 ATTN:POWTS Inspector CLARENCE L GLOTFELTY ZONING OFFICE ENVIRO-TECH SYSTEMS&SERVICE ST CROIX COUNTY SPIA N4955 SUNNY HILL RD 1101 CARMICHAEL RD WEYERHAEUSER WI 54895 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRE : 11/08/2007 Identification Numbers Transaction ID No.1211124 SITE• Site ID No. 706896 Dan Wine-Dwelling Please refer to both identification numbers, 90TH Ave above,in all correspondence with the agency. Town of Springfield,St Croix County SE1/4,SWIA,S13,T29N,R15W,Lot: 1 FOR: Description:New Mound System/600 gpd Object Type:POWTS Component Manual Regulated Object ID No.: 1049263 Maintenance required; 600 GPD Flow rate; 18 in Soil minimum depth to limiting factor from original grade; System(s): Mound Component Manual-Version 2.0,SBD-10691-P(N.01 101),Pressure Distribution Component Manual-Version 2.0,SBD-10706-P(N.01 101); Biofilter 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 P.0 chapter 101.01(10),Wisconsin Statutes,is responsible for compliance with all code requirements. Cond No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, r stats. A D The following conditions shall be met during construction or installation and prior to occupancy or use: DIVIS 1. This system is to be constructed and located in accordance with the approved plans and with the component manuals listed above. 2. On page 8,the system plot plan must show two-foot contours or other appropriate contour interval within the system area as specified in the approved "Mound Component Manual For Private Onsite Wastewater Treatment Systems"(Version 2.0)SBD-10691-P(N.01101). 3. On page 8,the well was not shown as specified in s.Comm 83.22(2)(a)3.c.,Wis.Adm.Code. The well location shall conform to s.Conun 83.43(8)(i).,Wis.Adm.Code. 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. CLARENCE L GLOTFELTY Page 2 11/8/2005 ' 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. :Sincere Fee Required$ 175.00 Fee Received$ 175.00 Balance Due $ 0.00 A � eter E Pagel Private Sewage Pla Reviewer,Integrated Services WiSMART code:7633 (608)266-2889,M-F,0630- 1500 Hrs pepagel @commerce.state.wi.us cc: Leroy G Jansky,Wastewater Specialist,(715)726-2544 MOUND AND PRESSURE DISTRIBUTION'COMP ONENT DESIGN Commercial Application INDEX AND TITLE PAGE Project Name: 1 A U Pncu) ( 0OCT Owner's Name: , , > 2005 ��Ty i3nO05, V IV, Owner's Address: 6c) ;10� �- v C `7l • Legal Description: u !& Pr Township: ' w o ���, County: Subdivision Name: Lot Number. Block Number. Parcel I.D. Number �- Plan Transaction No.: Page 1 Index and title Page 2 Data entry Page 3 Mound drawings W S CORRECTION NEEDED Page 4 Lateral and dose tanktaa a• Page 5 System maintenance specifications SEE CORRESPONDENCE Page 6 Management and contingency plan !` '"% Ppaq Pump curve end specifications �;��c �- I� Cdr,. IY4 C NG SPpNOEN Designer: License Number. al,',1072..B Date: ( j Phone Number 71S-R(A _5$31 Signature: Design ursuant to the Mound Component Manual for POWTS Version 2.0 SDB-10691-P(N. 01/01). and Pressure Distribution/j`&n Version 4.0 (R. 04/03) Page 1 of / J Mound and Pressure Distribution Component Design Design Worksheet Site Information (r or c) Residential or Commercial Design Note: Sand fill(D)calculations assume a Estimated Wastewater Flow(gpd) Table 83-443 in-situ soil treatment for fecal (P O Q Peaking Factor(e.g. 1.5 = 150%) coliform of—38 Inches. 0.00 Design Flow (gpd) Site Slope (%) Contour Line Elevation (ft) Depth to Limiting Factor(in) (� In-situ Soil Application Rate (gpd/ft2) Distribution Cell Information Dispersal Cell Length Along Contour(ft) = rte. Cell Width (ft) Dispersal Cell Design Loading Rate (gpd/ft2) Influent Wastewater Quality (1 or 2) Are the laterals the highest point in the distribution Pressure Disribution Information network? Enter Y or N (c or e) Center or End Manifold Lateral Spacing (ft) If N above, enter the elevation ft Number of Laterals of the highest point. Orifice Diameter(in) (e.g. 0.25) Estimated Orifice Spacing (ft) _ ft2/orifice Forcemain Diameter(in) Forcemain Length (ft) Does the forcemain drain back? Pump Tank Elevation (ft) j Avg to= EnterY or N — Enter Y or N System Head (ft) x 1.3 Forcemain Drainback(gal) '7 o Vertical Lift (ft) 5x Void Volume(gal) Friction Loss (ft)&Ax /•//to Minimum Dose Volume (gal) Total Dynamic Head (ft) p System Demand (gpm) Lateral Diameter Selection Manifold Diameter Selection in. dia. options choice in.dia. options choice - 0.75 1.25 1.00 1.50 1.25 2.00 . 1.50 3.00 2.00 3.00 Gallons/Inch Calculator(optional) Treatment Tank Information 71,8 1 Total Tank Capacity (gal) Septic Tank Capacity (gal) Total Working Liquid Depth (in) Manufacturer L:5�6 gaUin (enter result in cell B49) Dose Tank Information Effluent Filter Information j Dose Tank Capacity (gal) Filter Manufacturer Dose Tank Volume (gal/in) L 16-f Filter Model Number Manufacturer Project: ���� �` Page 2 of Mound Plan View . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1/10B J . . . . . •. . . . . . . . . . . . .. Observation Pipe 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . K A W . . . . . . . . . . . . . . . . . . 4* * , * . . . . . . . . . . . B . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . * * . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . L Mound Component Dimensions A ft E din H ft K ft BL-&r I [-A3-,q ft ft F1 cl,,-) lin L Lai 8 ft DI 1B in G1 0.5' ft J1 ft W �4"1�6 1 ft (ft) Dispersal Cell Area (ft) Basal Area Available (gpd/ft) Linear Loading Rate (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade (ft) H rriiiiir 2 G F . . . . (ft) Lateral . . . . . . . . . . . . . . . . .. Invert . . . . . . . . . . Dispersal Cell Elevation E . . . . . . . . . .. . . . . . .. . . " 'i 'J "i ) 1. ). 4 A A A J J •0 8 (ft) Contour Elevation % Site Slope Geotextile Fabric Cover Shading Key 7Z T Dispersal Cell See lateral details on 1 = Topsoil Cap 1.5 ft _W Page 4 for number, size, riiii Subsoil Cap -4 '0 and spacing of laterals. 1-21 ASTIVI C33 Sand F Laterals are equally HA Tilled Layer 0.5 ft Typical Lateral S- spaced from the distribution cell's Aggregate 0 centerline in the A distribution cell(AxB). Project: Page 3 of 8 Center Connection Lateral Layout Daigram Force main corwwction via tee or cross to manifold at any point. Laterals are identio.W IE P S �L •xx Turn-up wfbali valve or IEX-4IEid2 I *241 Laterals&force main of PVC Soh 40 cleanoutplup per COMM Table 84. 0-6 Holes drilled on dx bottom of the lateral. Number of Laterals Orifice Diameter ./aS./a in Lateral Diameter , j in Orifice Spacing (X) , 4.9 ft Lateral Length (P) 7 ft Orifices per Lateral Lateral Spacing (S) I Q ft Orifice Density p,7 fl?/orifice Lateral Flow Rate 5. -- L gpm Manifold Length A. ft System Flow Rate 3. gpm Manifold Diameter A s in Total Dynamic Head :z, ft Forcemain Velocity ;;k.3:S ft/sec SEPTIC TANK AND PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS Lockkg cover win wamug label.Access Weather Proof Junction sox, openng,not toD df cover, Elearir:al as oer NEC 380 and Vent Pine rust extend at least a' Comm 18.28 WAC >12-above grade above finished grade. A—s opening,not top IIrr''�� of cover.must enarxl to Maximum Cover over Tank a pant no greater Man 6 bNow nrkahed grade. Diswreoa Zr MN.Oper" . y 18'min. ' <� Alternate 1 OWeI I iocstwn f/ 2T min. Approved Face Main Diameter suldi g Opel efiksra filter a Main Length a•at~ < :is are parthda see A Sy ny1Tc e WeW hole or and alahorh davhce. C `— Up Pheao off kbv. ' Dome Tarot Ekv j Bad and bacbdll tank so= ng to manufoutirm speafteown Anchor tank se rleeenary to no"*btloyeM face,. Note: All pipe and vent materials comply with Comm 84. Tank Manufacturer. It (,Doses Per Day: _Dy►� Tank Sizes: Septic Gallons 7,F�D1#o Doses: _i n l--J gallons Pump :15O Gallons Backflow. /D, p ollons Gallons Per Inch:W Total Dose Volume: �,\a/gallons Liquid Level: /5 Required GPM: _a;S,V(0 Pump Manufacturer. /1 /I �'/r— Dimensions Inches Gallons Pump Model: 7 C1/G�✓t/ A B Alarm Manufacturer.' o lt'.t. C a MW` 0 (!! Alarm Model: M WW I�� I Total Vertical Difference between pump off and distribution pipe Minimum Required Supply Pressure(0 for dosed conventional) = 62Feet of force main x/- friction factor/100 =_7 Total Dynamic Head = Mound S.jstem Maintenance and Operation Specifications Service Provider's Name I Phone F71 5. -_ POWTS Regulator's Name lv�x .County Zoning Phone 5.r (�8 System Flow and Load Parameters Design Flow - Peak gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average gpd Maximum BOD5 220 mg/L Septic Tank Capacity gal Maximum TSS 150 mg/L Soil Absorption Component Size 1j9QQ ft2 Maximum FOG 30 mg/L Type of Wastewater Domestic Maximum Fecal Coliforml >10E4 cfu/100 mL Service Freauencv Septic and Pump Tank Inspect and/or service once every 3 years Effluent Filler Should inspect once a year and clean once every 3 years Pump and Controls Test once every 3 years Alarm Should test month) Pressure System Laterals flushed and pressure tested once every 1.5 years Mound Inspect once every 3 years Other Miscellaneous Construction and Materials Statndards 1. Observation pipe materials conform to Table Comm 84.30-1, have a watertight cap, and are secured in as shown in the mound component manual. 2. All gravity and pressure piping materials conform to the requirements in Comm 84,Wis. Adm. Code. 3. Tillage of the basal area is accomplished with a mold board or chisel plow. 4. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion. Lateral Turn-up Detail Finished seen................■••��s■e .w..�..� . Grade Threaded Cleanout 6"Diameter Lawn ; Plug or Bail Valve Sprinkler Valve Box Distribution Lateral Long Sweep go or Two 45 Degree Bends Same Diameter as Lateral Page;;�at- Project: H Mound System Management Plan Pursuant to Comm 83.54,Wis.Adm.Code Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s.281.48,Stats. The contents of the septic tank shall be disposed of in accordance with NR 113,Wis.Adm.Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm,the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment,maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However,if such products are used they shall approved for septic tank use by the Department of Commerce, Safety and Buildings Division. Pump Tank The pump(dosing)tank shall be inspected at least once every 3 years. All switches,alarms,and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter,and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic(other than for vegetative maintenance)on the mound is not recommended since soil conpaction may hinder aeration of he infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations(October-February)dictate that the mound be heavily mulched for frost protection. The pressure distribution system is provided with a flushing point at the end of each lateral,and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure testis peformed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner,and any levels above 4 inches considered as an impending hydraulic failure requiring additional,more frequent monitoring. General This system shall be operated in accordance with Comm 82-84 Wis.Adm.Code,and shall maintained in accordance with its'component manual[SBD-10572-P(R.6/99)]and local or state rules pertaining to system maintence and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33,Wis.Adm.Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers,access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound,defective,or subject to failure must be replaced. Exposed access openings greater than 8-inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into the tank. Continaency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank,pump,pump controls,alarm or related wiring becomes defective the defective component shall be repaired or replaced immediately with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface,it will be repaired or replaced in its'present location by increasing basal area if toe leakage occurs or removing biologically clogged adsorption and dispersal media,and related piping,and replacing said components as deemed necessary to bring the system into proper operating condition. Questions on the operation,nr ma[ntence of this system should be directed to your county zoning or health inspector. 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Clarence Glotfelty B ......................... nviro-Tech Systems Services LO+ .... .. . ... Inv N495 5 Sunny I-lilt Road ............ Weyerhaeuser,W1 54395 Parcel #: 034-1029-30-100 04/01/2008 10:29 AM PAGE 1 OF 1 Alt. Parcel#: 13.29.15.204B 034-TOWN OF SPRINGFIELD Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map# Sales Area Application# Permit# Permit Type 06/27/2005 00 0 Tax Address: Owner(s): O=Current Owner, C=Current Co-Owner O-KOTZ,JOSEPH C& DIANA L JOSEPH C& DIANA L KOTZ 41 6TH AVE BALDWIN WI 54002 Districts: SC =School SP=Special Property Address(es): *=Primary Type Dist# Description *3236 90TH AVE SC 2198 GLENWOOD CITY SP 1700 WITC Legal Description: Acres: 10.000 Plat: 5111-CSM 20-5111 034-05 SEC 13 T29N R15W PT SE SW CSM 20-5111 Block/Condo Bldg: LOT 01 LOT 1 (10 AC) Tract(s): (Sec-Twn-Rng 401/4 1601/4) 13-29N-15W Notes: Parcel History: Date Doc# Vol/Page Type 07/13/2007 855539 WD 04/02/2007 847575 WD 09/28/2006 835510 TI 11/23/2005 812891 20/5111 CSM more... 2008 SUMMARY Bill#: Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 06/15/2007 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 10.000 15,500 0 15,500 NO Totals for 2008: General Property 10.000 15,500 0 15,500 Woodland 0.000 0 0 Totals for 2007: General Property 10.000 15,500 0 15,500 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch#: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Wisconsin Department ofCommerce SOIL EVALUATION REPORT Page 1 of 3 Division of Safety and Buildings in accordance with C 85,Wis. Adm. Code County St.Croix Attach complete site plan on paper not less than 81/2 x 11 i in .Plan must include,but not limited to:vertical and horizontal reference point recti and Parcel I.D. Pending percent slope,scale or dimensions,north arrow,and locati d distan ea ad. Please print all I Reviewed by -� ! Personal information you provide may be used for condarmpu -n-Prvi-cy a Law,s. (1)(m)). Property Owner Pro Location Dan Wine �, (<T l n G Lot SE 1/4 SW 1/4 S 29 N R 15 Property Owner's Mailing Address Lot Block# Subd.Na or CSM# 1160 260th Street ST.CROIX COUNT �O S ` City State Zip Code ity []Village • Town Neareit Road Glenwood City I WI 1 54013 ( 7J5-688-9282 90th Avenue El New Construction UseE] Residential/Number of bedrooms 3 to 4 Code derived design Now rate 450 to 600 GPD Replacement ® Public or commercial-Describe: Parent material Loess over glacial till Flood Plain elevation if applicable AA- ft. General comments This site is suitable for a mound and recommendations: F] Boring# 11 Boring Q Pit Ground surface elev. 98.93 ft. Depth to limiting factor 18 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDN in. Munsell Qu.Sz. Cont Color Gr.Sz.Sh. "Eff#1 'Efr#2 1 0-6 10yr3/2 - sil lmsbk mfr as 2f .4 .6 2 6-18 1 4/4 sil 2msbk mfr cw if .6 .8 3 18-24 10yr4/4 M7.5yr5/8 sil lmsbk mfr - - .4 •6 5 2 Boring# 11 Boring 101.11 18 El 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/lf in. Munseli Qu.Sz. Cont.Color Gr.Sz.Sh. 'Efr#1 'Efr#2 1 0-8 10yr3/2 sil 2msbk mfr as 2f .6 .8 2 8-18 1 4/4 - sil 2msbk mfr cw if .6 .8 3 18-28 10yr4/4 f1f7.5yr5/8 sil lmsbk mfr cw _ .4 .6 4 28-46 7.5yr4/6 - sl Om mfi - - 2 .6 'Effluent#1=BOD >30:E 220 mg/L and TSS>30:<150 mg/L 'Effluent#2- <30 mg/L and TSS<30 mg/L CST Name(Please Print) Signature CST Number Thomas C Nelson 227387 Address Date Evaluation Conducted Telephone Number 1432 120th Street,New Richmond,Wl 7/16/05 715-246-2454 Wine Pending 2 3 Properly Owner Parcel ID# Page Of BM orin # Boring Boring pit Ground surface elev. 99.95 ft. Depth to limiting factor 18 3 in. Soil Applicerflon Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. "Eff#1 *Eff#2 1 0-8 10yr3/2 - sil 2msbk mfr as 2f .6 .8 2 8-18 l 4/4 - sil lmsbk mfr cW if .6 .8 3 18-30 10yr4/4 f2d7.5yr5/8 sil Imsbk mfr - - .4 .6 ❑ Boring# Boring Pit Ground surface elev. ft. Depth to limiting factor in. Soil Appikation Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/Ve in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. *Eff#1 *Eff#2 i Boring# Boring Pit Ground surface elev. ft. Depth to limiting factor in. Soil ication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/IF in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. *Eff#1 *Eff#2 "Effluent#1 =BOD5>30<220 mg1L and TSS>30:5 150 mgA- "Effluent#2=BOD,<30 mg/L and TSS<30 mg1L 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 608-2648777. SBA8330Test(807/00) MM Tw Cofhpie10v00• Dan Wine "BM2 Top of iron pipe 102.65' B1 98.93' 62101.11' Scale 1"=30' lot 1 8399.951 LOO NOO pb� 1 Ole e • Q�1 �5ovl T�.ww.ww N �Iwiwww