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HomeMy WebLinkAbout034-1076-10-000 7 � o - % ¥ ° w 0 CL / EBk k2\ � E � o- ¢ . =2G . { [o ; 0 c fJ%� LL ` #tea - 3 ) )27 E \ J�§ z' §® k V 2 / \ a m \ B z \ � k k j ) k E 2 � � \ Q 2zz \ , z { � § # § ~ � f � § f § I � ) . ■ # a $ 0 l a o o a = E % o § ■ ■ ■ ; M / - k 7 a a a j § � �_ k k ° \ { � co o T \ co 2 kzm - /■ -6 k 3r, 04 = E \ � � 0 ` » ) J \ o $ - = & / § = 2 0 2 4, - 2 » c S a ) 2 I - k § / c § o z / k \ « � � m — EL IL cl: a , & 2 e c IL\ k) k k Parcel #: 034-1076-10-000 08/12/2005 04:36 PM PAGE 1OF1 Alt.Parcel#: 33.29.15.512B 034-TOWN OF SPRINGFIELD 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 CHRIS J&ELLEN M LINDBOM O-LINDBOM,CHRIS J&ELLEN M R1 BOX 164 WILSON WI 54027 Districts: SC=School SP=Special Property Address(es): '=Primary Type Dist# Description SC 0231 BALD SP 1700 WITC WIN-WOODVILLE AREA �f Legal Description: Acres: 9.000 Plat: N/A-NOT AVAILABLE SEC 33 T29N R15W 9A IN SW SE W 958 FT OF Block/Condo Bldg: S 426 FT OF SW SE AS DESC IN VOL 568 PG 219 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 33-29N-15W Notes: Parcel History: Date Doc# Vol/Page Type 07/23/1997 8499/429 07123/1997 791/29 2005 SUMMARY Bill#: Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 06/25/2003 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 6.500 1,000 0 1,000 NO UNDEVELOPED G5 0.500 50 0 50 NO OTHER G7 2.000 9,550 107,450 117,000 NO Totals for 2005: General Property 9.000 10,600 107,450 118,050 Woodland 0.000 0 0 Totals for 2004: General Property 9.000 10,600 107,450 118,050 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch#: 110 Specials: User Special Code Category Amount i Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 P I J � 9p O Cp TG �j 0 DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY&BUILDING LABOR4 HUMAN RELATIONS DIVISION P.O.BOX 7969 " ON-SITE SEWAGE SYSTEMS OFFICE OF DIVISION CODES&APPLICATION NIAQISgj WI„`a370�^' 15W State Plan I.D.Number: �SWW �+, jjj y ❑ CONVENTIONAL ❑ ALTERATIVE (If assigned) Town of Springfie d 60th Ave Holding Tank ❑ In-Ground Pressure )Ei Mound NAME OF PERMIT HOLDER: youte DDRESS OF PERMIT HOLDER: INSPECTION DATE: Don Buerkle 1, 60th Ave.Wilson, WI 8-10-89 3 :OOP BENCH MARK(Permanent reference point)DESCRIBE IF DIFFERENT FROM PLAN: REF.PT.ELEV.: CST REF.PT.ELEV.: Name of Plumber: MP/MPRSW No.: County: Sanitary Permit Number: Lawrence Dahms 5666 St . Croix 128601 SEPTIC TANK/HOLDING TANK: MANUFACTURER: LIQUID CAPACITY: TANK INLET ELEV.: TANK OUTLET ELEV.: WARNING LABEL LOCKING COVER PROVIDED: PROVDED: ❑YES ❑NO ❑YES ❑NO BEDDING: VENT DIA.: VENT MATL.: HIGH WATER NUMBER OF ROAD: PROPERTY WELL: BUILDING: VENT TO FRESH ALARM. FEET FROM LINE: AIR INLET: ❑YES ❑NO ❑YES ❑NO NEAREST-� DOSING CHAMBER: MANUFACTURER: BEDDING: LIQUID CAPACITY: PUMP MODEL: PUMP/SIPHON MANUFACTURER: WARNING LABEL LOCKING COVER PROVIDED: PROVDED: ❑YES ❑NO ❑YES ❑NO ❑YES ❑NO GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL: NUMBER OF PROPERTY WELL: BUILDING: VENT TO FRESH (DIFFERENCE BETWEEN FEET FROM LINE: AIR INLET: PUMP ON AND OFF [--]YES ❑NO NEAREST­011- SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing FORCE LENGTH: DIAMETER: MATERIAL AND MARKING: or excavation. (If soil can be rolled into a wire,construction shall cease until MAIN the soil is dry enough to continue.) CONVENTIONAL SYSTEM: BED/TRENCH WIDTH: LENGTH: NO.OF DISTR.PIPE SPACING: COVER INSIDE DIA.: #PITS: LIQUID TRENCHES: MATERIAL: PIT DEPTH: DIMENSIONS GRAVEL DEPTH FILL DEPTH DISTR.PIPE T DISTR.PIPE DISTR.PIPE MATERIAL NO.DISTR. NUMBER OF PROPERTY WELL: BUILDING: VENT TO FRESH BELOW PIPES: ABOVE COVER: ELEV.INLET: ELEV.END: PIPES: FEET FROM LINE: AIR INLET: NEAREST—♦ MOUND SYSTEM: Mound site plowed perpendicular to Check the texture of the fill material for PROVIDE A DIAGRAM OF SYSTEM slope and furrows thrown unslope: mound systems to make certain that it ON REVERSE SIDE. SHOW ❑YES ❑NO meets the criteria for medium sand. ELEVATIONS MEASURED. SOIL COVER TEXTURE: PERMANENT MARKERS: OBSERVATION WELLS; ❑YES [::]NO ❑YES ❑NO DEPTH OVER TRENCH/BED DEPTH OVER TRENCH/BED DEPTHS OF TOPSOIL: SODDED: SEEDED: MULCHED: CENTER: EDGES: ❑YES ❑NO ❑YES ❑NO ❑YES ❑NO PRESSURIZED DISTRIBUTION SYSTEM: BED/TRENCH WIDTH: LENGTH: NO.OF LATERAL SPACING: GRAVEL DEPTH BELOW PIPE: FILL DEPTH ABOVE COVER: TRENCHES: DIMENSIONS MANIFOLD PUMP MANIFOLD DISTR.PIPE MANIFOLD MATERIAL: NO.DISTR. DISTR.PIPE DISTRIBUTION PIPE MATERIAL&MARKING: ELEV.: ELEV: DIA.: ELEV.: PIPES: DIA.: ELEVATION AND DISTRIBUTION HOLE SIZE: HOLE SPACING: DRILLED CORRECTLY: COVER MATERIAL: VERTICAL LIFT CORRESPONDS TO INFORMATION APPROVED PLANS [--]YES ❑NO ❑YES ❑NO PERMANENT MARKERS: OBSERVATION WELLS: NUMBER OF PROPERTY WELL: BIL UDING: COMMENTS: FEET FROM LINE: ❑YES ❑NO ❑YES ❑NO NEAREST Sketch System on Retain in county file for audit. Reverse Side. SIGNATURE: TITLE: Zoning Administrator SBD-6710(R.06/88) Thomas C. ffie 1 s on Henry F. Grote • Wisconsin Certified Soil Tester 615 Second Avenue ,715-839-9496 No.3065 Eau Claire, Wisconsin 54703 Ck- Q.�s.�._ S e_.ti,� ©•tom cs,,.e 4-e 6 s f v Perk Tests — Mound and In-Ground Pressure Design Ground Water Monitoring SANITARY PERMIT APPLICATION or In accord with ILHR 83.05,Wis.Adm.Code CouN DILH11 STATE SANITARY PERMIT# —Attach complete plans(to the county copy only)for the system,on paper not less than ❑ /Z O&O 8%X 11 inches in size. Check if revision to previous application —See reverse side for instructions for completing this application. STATE ELAN I.D.NUMBS I. APPLICANT INFORMATION—PLEASE PRINT ALL INFORMATION. S — Q� 7 PRO , TY OWNER PROPERTY LOCATION A u � (A) S 33 TZ , N, R 16 E(o PROP RTY OWNER'S MAILING ADDRESS LOT# BLOCK# C-t b +4a f-; CIT� STATE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER I.UILSo>v ZI W t. 1( 71.5 )-772-149 II. TYPE OF BUILDING: Check one CITY NEAREST RQAD ( ) State Owned ❑ Public I kI or 2 Fam.Dwelling-#of bedrooms 3 PARCEL TAX NUMBER(S ) (o III. BUILDING USE: (If building type is public,check all that apply) �! 1 ❑ Apt/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 in line A. Check line B if applicable) A) 1. ❑ New 2. X Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5.❑ Repair of an System System Tank Only Existing System Existing System B) ❑ A Sanitary Permit was previously issued. Permit## — 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 ❑ Seepage Trench 22 ❑ In-Ground 42 ❑ Pit Privy 13 ❑ Seepage Pit Pressure 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. PERC.RATE 6. SYSTEM ELEV. 7. FINAL GRADE 90 REQUIRED(sq.ft.) PROPOSED(sq.ft.) (Gals/day/sq.ft.) (Min./inch) ELEVATION O 600 ,,T0 7, Feet A04 Feet VII. TANK CAPACITY Site in aallons Total ##of Prefab. Fiber- Exper. INFORMATION New istin Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks Tanks structed Septic Tank or Holding Tank 11000 Lift Pump Tank/Siphon Chamber. O VIII. RESPONSIBILITY STATEMENT I,the undersigned,assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name(Print): Plum s Signature:(No Sta a) P PRSW No.: Business Phone Number: 414 CE M S m`1 ��0 6 6 7/s Z3S--d6S/ VPlu4m4be`r1WAddress(Street,City,State,Zip Co 167-() /0 0• ,�QoA/ ,g-y' - lywwd of dAl1le Chi IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved I Sipitary Permit Fee(includes Groundwater a e Issued Is i Agent Signature No Stamps) Approved ❑ Owner Given Initial Surcharge Fee) Adverse Determination � X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-6398(formerly Plb-67)(R.11/88) DISTRIBUTION: Original to County,One Copy To:Safety&Buildings Division,Owner,Plumber INSTRUCTIONS A 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at the 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. nnsite sewage systefns 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 & Buildings Division, 608-?66-3815. 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 in 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 in##1-7. VII. Tank information. Fill in the capacity of every new and/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 if tanks received experimental product approval from DILHR. Vlll. 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% x 11 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 treatment tanks; building sewers; wells; water mains/water service; streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; - C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if - required by the county; E) soil test data on a 115 form; and F) all sizing information. GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater, ground- water contamination investigations and establishment of standards. SBD-6398(R.11/88) APPLICATION FOR SANITARY PERMIT STC - 100 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. Ownepr of roperty Ad �u " LE Sa�� to A(e ra�o� S 3 7-57-1S- S'90 CoO-MW Location of property 2-19-1/4 S 1/9, Section Y j& , T N-R W 0 X7 p �. f .Al X26 Township 2 ! 6s W F3( f Mailing address C ( o o ' (A)I-- S-V O Address of site 16V JA)/ l avJ 61 Ir Subdivision name Lot number �— Previous owner of property Total size of parcel Z2 CCC-LeA---- Date parcel was created / Are all corners and lot lines identifiable? es No Is this property being developed for resale (spec house)? Yes 1/ No Volume and Page Number 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 Hap 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. Y3 4 1 A5 ; and that I (We) presently own the proposed site for the sewage disposal system (or I (we) have obtained an easement, to run with 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. ) . Signature of Owner Signature of Co-Owner (If Appl le) 7 q '7- as Date of Signature Date of Signature V�: oil mm 1 111114,110111 0 IF J. _ g ? Vk t tonald A. rssok ands , ......................................................... .....................................................molk er Recd fv. P atM.._... ��i�..p�..�li�.�'�►tiy... ...,5.�{1f��'A...j.e...��)C�4��Xs. � ...11�..���ts...a1#..�u�ti�Y0=�1R��p..l�►c.#�t�l�,..p�OPor1Y. - ............ .......... .... ................ ...................... . .......0 Gromom That the said-Greater,!sr a valoab►s eowsi�sratiea...... °_ ,{ ig . ......... ........ ............. ... ....... .. ............ � . elwNre b tGraetw tie lsYewims dsseribsd Gael estate i• ......S.t... .CIQiX._..... ""Uaw 10 E �. dltate of wbtsawsiw: �LrG�9vf —iL; fart of the South One-half (Sl/2) of Section ' Thirty-threa (33), Township Twenty-nine (29) Ta:t�e.ed r A' �». 8osth, Range fifteen (15) est, TOWN OF SPRINGFIELD, St. Croix County Viacoasin, described as follows: Commencing at the Southwest corner of the Southeast Quarter (Sel/4) of the Southwest Quarter (SW1/4) of said Section Thirty-three (33)1 x theoee east 2277 feet; thence Borth 426 feet; thence West 958 feet; # theme North 657 feet; thence West 1319 feet; thence South to the Point of Beginning. This . Ap..not..... ... /W► tin net► T49801se Nth ON W eiesmdar the haredbawts awd apparts mmomm Umw4nto belong)t;; ..................... ..._ warraets that the fhb is 944 iadahasible is tw sin 'y fM and tree and clear et eteatnbraacp wept sasewents, restrictions and roadways of record am we warrant and defend the same. t; Dated this ��/., . • - . der of Stptew,be.r (SEAL► �.il• (SEAL) • . ........... +Rnald A. Grezek .(SEAL) � . . .. .(SEAL) ..... .......... ...... .... .. Sandra J. Grezek wvrai.xrrowT:ox wctcxoWL10DOrsxr ire{y ............................................................ STATE OF WISCONSIN t ............................................................................... Dunn......... Coamtr. ( � sntientieatad this ........&W of..---•-----•..... ........ 1f.--..• Pe•eosallr came before me this .....LG.&-der of r ------------------•---..................•--..................................... ....... 40..87. the abo" mamw ....... A,I.G�esek.. Sand) L-JA. •.. .......Gzeziek ..flja&..Sanr..,�,. TITLE: MEMBER STATE BAN OF WISCONSIN ttt --•-...his..Ki e...... ..... tot.............. s- awtborieed br; 706.06.Wis. 84ts.) ............................ .. .. .. . ..r„'•_...V ; . to me known to bq the f rnment sn actnowledp i�!'e TNIS INSTRUMENT WAS DRAFTED SY C .... 11 .stout_. a BM .............7N. �/ .... .. .`�•. ci...... . -°�` .o.a►v Public . tSree may be antbentiated or adcnowled . UtFA are not necewrr.) Iced. Both DIp Commission is permanent.((f met, stab date: .. ......" . 1 E a �ltMO d MIWY eleNee b Mr diaeRr d ode be typal or prieW tYeir wSemture.. i - Stile df Wes" awmy of St. Croix 1 Weby W*fy" d*inftt m"' is a full, W"and aorr"d copy of the doh an foe and of re6ord in *I offibs .MW has bsf+ +off nand by '"e. Atted July 24 _ ,19 89 James O'Connell Co�aiM Items R Deedb DF, Uty I I i R ST. CROIX COUNTY ' WISCONSIN A ZONING OFFICE =' ST.CROIX COUNTY COURTHOUSE 911 FOURTH STREET • HUDSON,WI 54016 (715) 386-4680 July 20, 1989 I Division of Safety and Buildings Bureau of Plumbing P. O. Box 7969 Madison, WI 53707 Dear Sir: An on site investigation of the Don Berkeley property located in the SE 1/4 of the SW 1/4, Section 33 , T29N-R15W, Town of Springfield revealed soils to a depth of 12 inches after which seasonal high groundwater was noted. This site should be suitable for a mound system. Should you have any questions regarding this subject, please feel free to contact this office. Sincerely, C X'0-4-er Thomas C. Nelson Zoning Administrator TCN:sma xxx FAX FLASH xxx ST_ CROIX COUNTY EMERGENCY COMMUNICATIONS CENTER 911 FOURTH STREET HUDSON, WISCONSIN 54016-1698 FAX TELEPHONE * (715) 386-9329 WAX) G3/G2/North American 6-Minute FM Mode DATE: -- I NUMBER OF PAGES INCLUDING THIS PAGE: TO: NAME: v DEPT: C COMMENTS: FROM: -� NAME: i� DEPT: L ` NON-EMERGENCY BUSINESS TELEPHONE DIRECTORY (NON-FAX NUMBERS) St. Croix County Emergency Communications Center (715) 386-4701 St. Croix County Sheriff's Department (715) 386-4640 or (612) 436-5440 St. Croix County Courthouse & All Other County Offices (715) 386-4600 or (612) 436-6888 T0: o, k v e r5°r� FROM: S-T ro x Q\A n DATE: Z o,, ; ,� PAGES INCLUDING f �( THIS PAGE: 9 FAX#: 7 FAX#: PHONE#: I State of Wisconsin \ Department of Industry, Labor and Human Relations PRIVATE SEWAGE PLAN APPROVAL SAFETY&BUILDINGS DIVISION Office of Division Codes and Application 201 East Washington Avenue P.O. Box 7969 Madison, Wisconsin 53707 i HALVERSON BROTHERS, INC. Owner: DONALD D. BUERKLEY 1020 NORTH BROADWAY RR 1 , 60TH AVENUE MENOMONIE, WI 54751 WILSON, WI 54027 I RE: Plan Number: S89-01473 Date Approved: August 1 , 1989 Gallons Per Day: 450 Date Received: July 25, 1989 Project Name: BUERKLEY, DANALD D. - RES. Location: SW,SE,33,29,15W Town of SPRINGFIELD County: ST CROIX The plumbing plans and specifications for this project have been reviewed for compliance with applicable code requirements. This approval is based on Chapter 145, Wisconsin Statutes and the Wisconsin Administrative Code. The plans are stamped 'conditionally approved' . This approval is contingent upon compliance with any stipulations shown on the plans. All items that are noted must be corrected. All permits required by the city, village, township or county shall be obtained prior to construction. The licensed plumber responsible for this installation shall keep one set of plans with the department's approval stamp at the construction site. The installer shall notify the appropriate inspector when inspections can be made. This approval will expire two years from the date approved or if a sanitary j permit is obtained, it will expire the day the initial sanitary permit expires. I The Section of Private Sewage has reviewed these plans for private sewage system code requirements only. These plans have not been reviewed for the code requirements set forth in Section ILHR 82 for general plumbing or in Chapters 50-64 of the Wisconsin Administrative code. This approval is for the following components only: i - REPLACEMENT PETITION - REPLACEMENT MOUND i Inquiries concerning this approval may be made by calling (608) 266-2889. i I Sincer , I A ETER E. PAGEL Section of Priva a Sewage Division of Safety and Buildings PPP013/0009n/ 1 cc: DONALD D. BUERKLEY _Private Sewage Consultant _County UW-SSWMP _Plumbing Consultant _Owner _Plumber _Environmental Health SBD-6423 (R.08/88) State of Wisconsin \ Department of Industry, Labor and Human Relations SAFETY&BUILDINGS DIVISION July 31 , 1989 201 E.Washington Avenue P.O.Box 7969 Madison,Wisconsin 53707 Donald D. Buerkley Route 1 , 60th Avenue Wilson, WI 54027 Petition No. S89-01473-P Dear Mr. Buerkley: Re: Donald D. Buerkley - Residence Onsite Sewage System SW,SE,33,29,15W Town of Springfield, St. Croix County, WI Section 145.24 (1 ), Wisconsin Statutes, and s. ILHR 83.09 (2) (b), Wisconsin Administrative Code, allow the owner to petition the department for a variance to the installation for an onsite sewage system to replace an existing onsite sewage system at a site which is not in full compliance with the siting standards in the administrative rule. The system design proposed should protect the waters of the state from contamination. If this system becomes a failing system or contaminates the waters of the state, this variance shall be rescinded. The petition for a variance requested to s. ILHR 83.23 (1 ) (d) of the Wis. Adm. Code was considered on July 26, 1989. The petition has been approved. The rule requires a mound system site to have a minimum of 24 inches of suitable natural soil . The variance requested was to install a replacement mound system on a site with 12 inches of suitable natural soil . All of the data and statements submitted on behalf of the petitioner were considered. This variance is specific to the subject petition and cannot be used for any additional modifications. Si rely, f+ ichard Meye , rc ect Director, Office of Division Codes and Application (608) 266-3080 RM:PEP:224lg cc: Leroy Jansky, Private Sewage Consultant - District 6, Chippewa Falls Tomas Nelson, Zoning Administrator - St. Croix County VFlalverson Brothers, Inc. SBD-6928(R.10/87) r ONSrrE SAGE sV srEM D SPAR rMErvr of E � e Don Be ke l y - MouncPIVi ST FE l OR AN SAND IN AN TION8 r SEE CCRRESP FNCE Location: SW 1/4, SE 1/4, Sec. 33, T 29 ttt,; R 16 W Town: Springfield County: St. Croix Date: June 15, 1989 Owner: Don Berkely Address: RR 1 , 60th Ave. Wilson, WT 54027 Plumber: Law nce Dahms Signature• ' a r° License # MP 5666 u Attachments: 6748-Plan Approval Application County on-site 115 SB-8 Petition for Variance page 1 : cover 2: calculations ,_ 3: plot plan 4: system cross section 5: plan view, lateral detail 6: pump tank exit detail 7: pump curve Ffi page air 3 f V t l .'`q'��.� � I �,L •ter* � '{ , a ti. w ice. SYSTEM CALCULATIONS One family residence 3 bedrooms- Percolation rate min./in. Depth to grorvegg, ?, 1'Z in. G 114ttle b dro ? Z 4 in. Up- �1 ► \ •- Z a..b.aA th OV-0 "F�oz ��' NG� 1 �4 Z O E, ft. of in, diameter f Forc ( nback gal. 4- s.gZ .«...: o` Elevation difference °��� ft. between pump/siMon and distribution system Force main friction loss 3 � � ft. @ 3 gal./mina Total dynamic head •�1c to ft. Pump/sijR�on G.P.M. 'Ir-< ft. of head Manufacturer o -w z , Model O%V' 11 Dose volume gal. -� Measurement pump on & off in. 1473� '�" Lift/si*phon tank ' s �+� S gal, Septic tank gal. Height alarm above tank bottom \�'�3 in. Lateral length 2- @ SS ,� a ft. of j��z in. diameter Lateral elevation ft. bottom of,pipe Lateral hole size ,�4-- in. @ � � ��3 in. spacing ar•�-g � holes per lateral, holes total Lateral volume � 0 2'� gal. 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R ' PIG All# ddgbk �r 1 2.�t Ml E�G i &T v►�e"� �..6�\1 � b o�o�+. p i �e t� 'LAS' Sr�.ow a•.�s, at. r04AII- W� N 1 (' ( ` 889 - 0147 3 '`eta Pjc s 40 4 i t 1 I 1. �^ cc � f 44 \111 ` tj� � -LA 2-1 �041� O � f,S cz 5 I.O� p (A.- z IV.\A4A q.- \ A Q,. Zs X01 V49a,v.Q VA a Ll I a,-J!� -S t% 'I ;T,�'=:r ..a��•,.. �, µ �._ K ' N 3 �.•/EL'S{;'�y yy '� � y �y •+]�r�r S' i �k Y� f 1, i �f f. j �, � �� :� i �: 5�3 . , .�. w .... I VENT CAP 4"C.1. VENT PIPE WEATHER PROOF APPROVED LOCKIMG JUNCTIOhI BOX MANHOLE COVET: - Z5, a�,� DOOR, 1Z� wAct%%V4 c WINDOW OR FRESH LAQQL: AIR INTAKE GRADE Q\w. w9q � 4u COWDUIT �--- �\ —41 PROVIDE J _ AIRTIGHT SEAL SAS 53.1®x- I +I APPROVED ONE ( I I { W/C.=. ?IF "�` J• I 1) ALARM EXTENDING OWTO SOLI RE Al 13.3 3 I I OA! OR pEPN�I�IeE Nit D� crr FES IF DLOCK 0 go,4D C-14CA S�V-m 6-7 d-ft a Q �"� MODEL: • SOLIDSW' SPHERE —1750 RPM ■■■o■ ■■■► ■ . ■■■■■■■■■■■■■■■■■■■■■■e■■■w =iiii=■�i�ii�ii�i:' iiiiiiiiii■°i:iiiiiwa■iiii ■■■■■■■■■■■■■■► ■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■► ■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■ ■■■■■■■■■■■m■ ■■■■■■■ ■■■■■■■■■�■■ ■■ ■■■■■■■■■■■■■■om mai■■■■■■■■■■■■i■i■ ::::::::::_:ONE 0 :C::e: - • :::::::o ■■■■■■N■■■■■■■■■■■■■■■■ i■■■■■i■ PIN • s • i v �I Al STC - 105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER / Jy tf E7 R,K t ROUTE/BOX NUMBER R 1 , FIRE NO. ` fo CITY/STATE G✓/LJ DA) GtJ ZIP PROPERTY LOCATION: X1/9 IJ 1/4, Section 33 , T_N. R lS� W, Town of _C->n ✓�✓� � , St. Croix County, Subdivision , Lot No. �r Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a LICENSED 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 $3000 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 systems properly maintained. The property owner agrees to submit to St. Croix County Zoning a certification form, signed by the owner and by a master 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. Certification form will be sent approximately 30 days prior to three year expiration. I/WE, 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 Department of Natural Resources. Certification form must be completed and returned to the St.Croix County Zoning Office within 30 days of the three year expiration date. SIGNED DATE St. Croix County Zoning Office St. Croix County Courthouse 911 4th Street Hudson, WI 54016 (715) 386-4680 Sign, Date, and Return to above address //L-029 INDUS DEPARTMENT Y, OF REPORT ON SOIL BORINGS AND SAFETY& BUILDINGS INDUSTRY, r.-._._.._..�__..-_, -----.__`-.---�__�C_. DIVISION HUMAN`RELATIONS PERCOLATION TESTS (115) MADISON WI 3707 (ILHR 83.09(1) & Chapter 145) LOCATION: SECTION: ITOWNSHIP/MUGIPALITY.—IW T NO.:BLK-NO.: SUBDIVISION NAME: SW 1/4 SE 1/4 33 /T29 N/R 15 W Springfield - NA COUNTY: OWNER'S Bttl'E�ME: MAILING ADDRESS: St. Croix Don Berkely RR 1, 60th Ave., Wilson, WI 54027 USE DATES OBSERVATIONS MADE NO.BEDRMS.: COMMERCIAL DESCRIPTION PR FIL DESCRIPTIONS: R LA ION TESTS: QResidence 3 NA ❑New IX-1 ce I 4/11/88 4/12/88 RATING:S=Site suitable for system U=Site unsuitable for system CONVENTIONAL: MOUND: IN--GROUND•PRESSURE: SYSTEM-IN-FILL OLDING TANK:RECOMMENDED SYSTEM:(optional) _❑S �U �S ❑U ❑s �X U ❑S X❑U .]S ❑u Mound via petition via petition if petition denied If Percolation Tests are NOT required DESIGN RATE: 4 If any portion of the tested area is in the under s. ILHR 83.09(5)(b),indicate: NA _ Floodplain,indicate Floodplain elevation: NA PROFILE DESCRIPTIONS BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR, TEXTURE,AND DEPTH NUMBER DEPTH IN, ELEVATION OBSERVED EST. IGHES TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) 1 24 100.1 No 15 0-8 10YR 5/3 sil, 8-15 7.5YR 4/4 heavy sl, 15-24 5YR 4/4 scl B- w/ cm(-p Gy mots 2 24 99.6 No 12 0-11 dk Bn sit, 11-24 10YR 5/3 sil w/ cmd-p R mots below 12 B- B- 3 26 100.1 No 13 0-4 dk Bn sil, 4-18 10YR 5/4 sil w/ fmd R mots below 13, 18-2&R-Rn dense qcllqr (till) 6- 4 24 99.5 No 12 0-4 dk Bn sil, 4-24 Bn sil w/ fm-cd R-Bn mots below 12 B- 5 15 100.0 No 13 0-6 dk Bn sit, 6-15 Bn sil w/ cfd-p R-Bn mots below 13 B- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTER SWELLING INTERVAL-MIN. PERIOD 1 PERT D2 P R PER INCH P- 1 18 No 30 17/16 12/16 12/16 40 P- 2 14 No 30 17/16 19/16 18/16 26.7 P- 3 18 No 30 21/16 12/16 13/16 36.9 P- P- Eleva ions: P-1 - P-2 P-3 contour s 100.1 P- PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent of land slope. SYSTEM ELEVATION 102.1 * Site is almost dead flat old pasture sod w/ occasional small brush - very moderate topography w/ occasional small (3-5' diameter) shallow (4-811) dips possibly old "wallows * Due to old pasture use there is high organic matter in upper 12-15" including old roots and apparent old manure giving in places a R-Bn organic matter - this is possibly somewhat hydrophobic and accounting in part for the slow perk rates (CST estimated perks at 120-60 min/in & was surprised to obtain less than 60 min/in * Due to the above observations a very conservative design is recommended to obtain a low loading rate - a petition for variance for less than 24" of suitable soil must be obtained - * Recommend 2' of sand fill on 100.1 contour as upslope edge of rock bed: a 10' x 60' rock bed will fit the site nicely and w/ 2' of fill using 2% cross slopes as the maximum encountered a loading rate of 0.38 gallons per day per square foot would be obtained * See attached page 2 for plot plan J9 I,the undersigned, hereby certify that the soil tests reported on this for ,,Were made by me iRR a����ith he rocedures and methods specified in the Wisconsin Administrative Code,and that the data recorded and the location of the t is are corr&qR�eBest°tSfmy knj ge and belief. F1 111111 NAME(print): 0ozESTS�W IRE COMPLETED ON: Henry F. Grote `� f ZGO 4/12/88 ADDRESS: 6,E IFICATION NUMBER: PHONE NUMBERIoptionall: 615 Second Ave., Eau Claire, WI 54703 \�`e', 065 839-9496 CST SI N TORE: t DISTRIBUTION:Original and one copy to Local Authority,Property Owner and Soil Tester, page 2 of DILHR-SBD-6395(R• 10/83) —OVER — i r - f3.4- ts-S I t Soh _ h VAT. S V"•K l W C� K QM �t\Y� c c e� bo�•.w� ,�ct, 3 10 so elSl ciz- G►�1 S l0 2. Malt O�.Ctie.Q ��+%i dti.o� S� ��.Z 7+y► S�r�.Tt� ow� -- LLJ I AQ� y. t <� Z c N \ LL Cj O m o w Q O y � 6 - �� -may �/� ,n y m W o Q I I I Q O 0 2 aE o - vo t ww V O pLL oe ^\ \ J z aH a � w � f j• ¢o 0 oc Q V O y W W s _ as °Nj 0 •� °J � Z'E m � J Q o W I j I ex ;a „ I I Em O j v F - - - Z O W� r rc° ' CY 0 ` o U U J F y Q U Parcel #: 034-1076-10-000 06/27/2006 02:07 PM PAGE 1 OF 1 Alt.Parcel#: 33.29.15.512B 034-TOWN OF SPRINGFIELD Current 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 CHRIS J&ELLEN M LINDBOM O-LINDBOM, CHRIS J&ELLEN M R1 BOX 164 WILSON WI 54027 Districts: SC=School SP=Special Property Address(es): "=Primary Type Dist# Description SC 0231 BALDWIN-WOODVILLE AREA i�� I�s���� SP 1700 WITC Legal Description: Acres: 9.000 Plat: N/A-NOT AVAILABLE SEC 33 T29N R1 5W 9A IN SW SE W 958 FT OF Block/Condo Bldg: S 426 FT OF SW SE AS DESC IN VOL 568 PG 219 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 33-29N-15W Notes: Parcel History: Date Doc# Vol/Page Type 07/23/1997 8 07/23/1997 291/29 2006 SUMMARY Bill#: Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 04/14/2006 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 6.500 900 0 900 NO UNDEVELOPED G5 0.500 50 0 50 NO OTHER G7 2.000 9,550 107,750 117,300 NO Totals for 2006: General Property 9.000 10,500 107,750 118,250 Woodland 0.000 0 0 Totals for 2005: General Property 9.000 10,600 107,450 118,050 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch#: 110 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00