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018-1058-30-000
n Department of Commerce PRIVATE SEWAGE SYSTEM nd Building Division INSPECTION REPORT .ENERAL 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 Thom son, Ter Hammond Townshi CST BM Elev: Insp. BM Elev: BM Descript'on: TANK INFORMATION EVATION DATA TYPE MANUFACTURER CAPACITY Septic ~.~, ~(~, cL ~ ~ ~C, ., ~~h e ~ k' ~' Z Dosing `~ 5~% Aeration Holding TANK SETBACK INFORMATION TANK TO P/L ~`~ WELL BLDG. 2 ~ ~ 'e Vent to it Intake .1~5 ROAD Septic > ~h l ~ ~ > 1 ~ ~ Dosing ~ ', Aeration ,.4, Holding r PUMP/SIPHON INFO MATION ~~_ Ct~!~~,~~«;~~tA~o,..~ Manufacturer ~~ ..~ ~ _ Demand GPM Model Dlumber - ~ ~(~ ;~(~~~' TDH 'ft Friction Loss System Head TDH Ft ,~ Forcem in Len Dia. '~j+ Dist. to Well ~ I ~~ L ABSORPTION SYSTEM R ENCH Width ~ ~ Leng1 SIONS ~ INFORMATION DISTRIBUTION SYSTEM LL r T^~'^s :,~ I ~ 1 y' St. Croix iry Permit No: 399615 0 Plan ID No: I Tax No: 018-1058-30-000 STATION BS HI FS ELEV. Benchmark ~ ,~ y 1~ ~ Alt. e r. T Bldg..Sewer ~. St/Ht Inlet , ~ a i ' ~~- 0 SUH Outlet ., j '~ ~ ~~ ~~ Dt Inlet Dt ottom ,~ itm ~f ~f ~'' ~ c~ ' . (~. Header/Mane ~ ]~ ~~.1~Y-~'~<~ ''TPI ~ <~~r~r 2~~ f~,.~~, Dist. Pipe ut -~ `'t~ ` ~ 1 ~~ ~'- ~ a- Bot System ~),~ ]~ I~ Final Grade _ t~ rte- , ~ 2 s St Cover~~~~ S ~~ ~ G .~ <~ ~. l r ,~ I ~ ~ ~L ~I ~~. ~- PIT DIMENS1flNS [No. Of Pits pnside Dia. Sic ~{ •` Header/Manifold Distribution I , g l x Hole Size x Hole Spacing ~ Vent to Air Intake ~/ It ' L ~ ~ Pipe(s) ~~ ~y ~ ~~, ~ 7 i ~ ~ ~~ i/ ~ ~ .~ i ~ ~`~ Length - Dia ng Length • Dia Spac SOIL COVE x Pressure Systems Only xx Mound Or At-Grade Systems Only Dep ver Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bedlfrench Center Bed/Trench Edges Topsoil Yes ~ No ~ Yes ~ No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: ~ / ~"~` I / ~ •T' Inspection #2: /~~(~ / G~ Location: 780 200th St Baldwin WI 54002 SE 1/4 NE 1/4 26 T29N R17W NA Lot ~ ~~~' Parcel No: .1 17.398A ( ) 3" 1 J Alt BM Description =~'C~C"-'``n./ '~;,t>-~ Ccx~y~'1Z~~.~-t3 ~' ~-''`--~,~ ~`~~'y~z''I~-~t,~.~ ~-E-4 C~Jt'C~`~- °'-1~~ fv~ro'L"~ 2.) Bldg sewer length = ~~~~><tiL~~11w>"~' 4 - r~Vt~ C~.:~-~l,<.fic~,,$ ~..3`~"[1~~C~ --~!~~'. ~~~'i ~..~ ~,p -~ <t~fe~ ~~~~-~'~-~~_ amount Of COVer ° n ~~ ~ ~'t(Ll,'~-~ ~C~ C~C'tii-•-~1r /~~~~ ~~r`~/ ~t a«~ (%f tin+~~(~ ~`l ~-~-~ ~[J `/.L~ ,/ 3.) Contour = ~ ~'i}..Fi"w ~~/) ~~ (< i~lL.~- ~ j Z ~ ~ ~ ~ ~-iv ice' ~'~}~-~~120~`~l C'lw,J GtiIS~` ~ ~Fif h2r~~.'b Plan revision Required? ~l Yes `~ No ~~ ~~ ~ . I ~ .~ 6~.c ~~2. _ ~ i ~/ ~ / ~ - Use other side for additional information. ,_ ~ ~ ~ ~ ] ' Date ~ Insepctor's ignature Cert. No. SBD-6710 (R.3/97) Safety and Buildings Division 201 W. Washington Ave., P.O. Box 7162 County _fp t ~/ ' ~ ~ O ~ _ v//1 ® Madison, WI 53707 - 7162 Site Address O/1 /SC "' 7~© zoo ~ De artment of Commerce ~ '~~,~ Sanitary Permit App ' ' ~..t__r ~ , ~ ' Sanita Permit Number ry 3` ~ ~ In accord with Cornm 83.21, Wis. Adm. Code, perso i tion~ir p vide ~' a, ` ~~ ~ ^ Check if evis~on `~~ ma be used for second ses Privac s15. " ., _ , I. Application Information -Please Print All Informat' St3t¢ Plan I.D. Number ~~, ~-~ ~ 70 79 Property Owcer's Nam / ,_.~ ~,P" ~. ,~ ~ ,~- /fD/yJ So ~-~, st ~`~ . ~ ~ Parcel Number Z ~ . z f` 1 ~ . ~ ~~ d arS-/o~8- 30- o00 `. ,' Property Owcer's Mailing Ad ess ~ ` / ~ Property Location Z ~Q I ~ ~ ~'' ~' ' 7~~ moo ~ !k ~,i • S b T N, R Ciry, State Zip Code de ~Iuid~er ~,,-'F` Lot Number Block Number , I Subdivision Name ~ CSM Number II. a of Building (check all that apply) ~ 13 (~ ~, 5.~-c.ti. ; L~~--= ^Ciry 2 ~'~~^' ~ -}- ~ ~ ~ "~ ~~~ Lc-u. - - - 1 or 2 Family Dwelling -Number of Bedrooms J ^Village r ^ Public/Commercial -Describe Use ~-t'r"~~- l~~'~~ ~'t~ f 7''~ ~ownshiP ~Glm/~QyL ^ State Owned •l Nearest Road ~.~'O~ III. Type of Permit: (Check ~n]y one ox on line A (numbering scheme for internal use). Complete line B if applicable) A 1 ^ New 2 'Replacement System 3 ^ Replacement of 6 ^ Addition eo For County use S stem Tank Onl Exis ' S stem Permit Number Date Issued B. ^ Check if Sanitary Pe ously Issued IV. Type of Permit: (Check all that apply)(ntrmbering scheme is for internal use) ,,,~ ~ iland d W t t 50 ^ C ons ruc e e 47 ^ Sand Filter 44 ^ Non -Pressurized In-Ground 21 L7 Mound ~S j~ QO 22 ^ Pressurizcd In-Ground 41 ^ Holding Tank 48 ^ Single Pass 51 ^ Drip Line 45 ^ At-Grade 46 ^ Aerobic Treatment Unit 49 ^ Recirculating 30 ^ Other V. D' rsaVi`reatment Area Information: ~ = ~I3- r /yl G 3 _ Design Flow (gpd) Dispersal Area Dispersal Area Soil Application Percolation Rate System Elevation Final Grade Required Proposed Rate(Gals./Days/Sq.FtJ (Min./Inch) l Elevation / VI. Tank Info Capacity in Gallons .Tonal Gallons Number of Tanks Manufacturer Prefab Concreu Site Constructed Steel Fiber Glass plastic Ncw Ezistuig Tams Tanks Sepdc or Holding Tank ~`6DC ...• 6d~ r ' J Dosing chamber ~D ~" S'd VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber' Name (Print) ~ ~ ~ ~ Plumber's Signature ~~~e-~-- ~ Q ~ MP/MPRS Number z~ 0 5~.~ Business Phone Number 7/~- ~ -33 ~B sv ~ u o . ~ a . a ~, a Plumber's Address (Street, Ciry, State, Zip Code) VIII. Count /De artment Use Onl Sanitary Permit Fee (includes Groundwater Date Issued Issuing Agent Signature (No Stamps) Approved ^ Disapproved Surcharge Fee) ^ Owner Given Initial Adverse I(' ~~~ QQ 1 ~ Y~ ~ Determination lX. Conditions of ApprovaUReasons for Disapproval 1. Effluent filter to be installed and maintained per manufacturer's recommendations. 2. All setbacks to system and residential structure must meet applicable code requirements. 3. The existing system shall be abandoned per code requirements (Comm 83.33). 4. Two residences are all .~.,_ o ~.. ~ ~.. AttaaCh Compltle grans (W ILt l.OUR[y OOIy) ~Vr luC iyxcw w p.p.+ °.. - -- ----- - - s~"lT.~ iy,¢r~ s~ys~~-. ;~~~~~~ .~ a ~ 6~~w. NL6i~9r-Ct. ~' vio~~~`a-- 6T /lei z Sy~rrf ~`r^" Ili. S~°-~39~`'~ OS/Ol~ e~9 , ~ ttiw~'{~~5•-1 ~,~c~-e0.. ~i.~ Q~ s=~K ,~~~r,~~ Safety and Buildings Division Washington Ave., P.O. Box 7162 201 W County t S~ " ~ ^ ~ ~ ~ . _ H ~+ Madison, WI 53707 - 7162 ® Site Address COI /~7/O De artment of Commerce • 1 .1. ~ '% , !,a ' Sanitary Permit Number . _ , ~ ~ ~~ Sanitary Permit App ~ 3 ~ ~ ~ ~S- In accord with Comm 83.21, Wis. Adm. Code, perso i tion~tr p vide -3 ^ Check if eviston } ma be used for seco r ses Privac s15. I. Application Information -Please Print All Informat' ~ ~ Plan I.D. Numbcr ~ ~-~ ~ 7~ 79 -; ~~ Property Owner's N ,_..~ ~'~ ' r X ~.- ; 1 ss c~ 1[ Parcel Number Z ` _ z ~.' ~ _ ~ ~~ d 0~8- /o~F- 30- ooTo ~/ So ~ ,, property Owner's Mailing Ad ess 1 ~ 7~~ Gov v~' P;operty Location ~ // j ~ Sf 54; S Zb T ~Q N, R I7 City, State Zip Code ~ ~_. Number ,='' Lot Ntunber Block Number . / A ~ ~~) `~~ ~~/ tt ~ ~~~~~ ~/~ ~~ , l ~~~~~ /y Subdivisi~~ a CSM Number II, 'hype of Building (check all that aPPIy) Dwelling -Number of Bedrooms ~ 1 or 2 Famil ^Cicy ^ V illage y ^ public/Commercia! -Describe Use ~~ // IldTownship Q ~ jL ^ State Owned Nearest Road ~Q '.~~ III. Type of Permit: (Check ~niy nae_ ox on line A (numbering scheme for internal use). Complete line Ii if applicable) A For County use 1 ^ New 2 'Replacement System 3 ^ Replacemem of 6 ^ Addition to S stem Tank Onl Ezis ' stem Permit Number Date Issued B. ^ Check if Sanitary Pe ous1Y ~~ IV, Type of Permit: (Check all that app~~ly)~~(numbering scheme is for internal use) 50 ^ Constructed Wetland ) 47 ^ Sand Filter 44 ^ Non -Pressurized In-Ground 21ly'Mound CS ~ QO 22 ^ Pressurtzed In~'iround 41 ^ Holding Tank 48 ^ Single Pass 51 ^ Drip Line 45 ^ At-Grade 46 ^ Aerobic Treatment Unit 49 ^ Recirculating 30 ^ Other G 3 _ X73- V. D' ersal/Treatment Area Information: Design Flow (gpd) Dispersal Area Dispersal Area Soil Application Percolation Rate System Elevation Final Grade Elevation , Required Proposed Rate(Gals./Days/Sq.FtJ (Min./Inch) ~ ~5 ~ ' ~~ ~ ~D ~ e ~~~ o) l~~ 9~-31 ~ 96 - /a VI. Tank Info Capacity in Gallons Total Gallons Number of Tanks Manufacturer Prefab Concrete Site Constructed Steel Fiber Giass Plastic New Existing Tanks Tanks Septic or Holding rank ~'' 6~c -- 600 ~ Dosing chamber ~D - ~d VII. Responsibility Statement- I, the undersigned, asstane responsibt'h'ty for installation of the POWTS shown oa the attached plans. Business Phone Number Plumber' Name (Print) Plumber's Signature MP/MPRS Number Plumber's Address (Street, City, State, Zip Code) ~ 1~ ` ~~ (JJ ~l'J~~~ Z~ v ~ ' ~ ~ ~~ ~ ~. - Y ~ e Q ~ ~,... ~~ a D VIII. Count /De artment Use Onl Sanitary Permit Fee (includes Groundwater Date Issued Issuing Agent Signamre (No Stamps) Approved ^ Disapproved Surcharge Fee) ^ Owner Given Initial Adverse ~( ~ > ~ QQ ~ Z +' C~ ~` Determination ~ 1X. Conditions of ApprovaUReasons for Disapproval 1. Effluent filter to be installed and maintained per manufacturer's recommendations. 2. All setbacks to system and residential structure must meet applicable code requirements. 3. The existing system shall be abandoned per code requirements (Comm 83.33). 4. Two residences are all w Attach complde plans (to the County odly) for the system on paper not less Than 81 z Llnc In size St'Orf C e , S \/'iN ~ ~ ypT • t- ~ysT~•.• ;'' . e, i Ec B~~,~ r Q ~ D~rir. i^L S } ~Jt.. c f . ~- U~ O ~all~` e-~ !1~ '~/ ~1"^~ ir.. S~-~39~~ 0~/O 1 ~~„`t-,' ,''~ ww~!~{, ~ ~ y.-T 1~, cv-ea < `~ Qo s,~l'ti ~/.r,~~ ~ $a'l 8 vfa/ua-f~c•~ for t • Ele~a~o~ weld 0 E~,Y~S~i' d~yc~x~/. ,46 a n ddJn as ~v cadc. it pp~ox. /a isE~" o 5•T - ~r cGde. / j .2 bed~ooh i i~ rCSrcleK~, / of Sick',-~g. Assampd ~~/' ati O e` ~~ el e~ = rcr~. ~: X03 ~' ~~~~~, S,l,~• ~4 A , b c ~ ~~ I~~,• ~~~o- oak ,gyp ~ ~ ~' o ~ ~ ~ yih• °~1• ;4 n °e Pc o 'h e ~ ~~ Q ~ h~` o ~ ~~~~ ~`a O ~ ex,s ~~~16z d~~.>-~ z,rai /e wv' ~/a (t cale: / x yo" ~~ ~~o~!•e SSivE' ~~ry ~lvP. N Cho Tc rry ~o m~aScn '~ a e.)ei$~in~l d~iut:..~y Pad posed wtDU.nd a~; /G.88 z ios~SO~wJSX4b _d~apcrsa./ ce.~/, ~.r~Y~ /a~~'a.Lsa~ l1`1rXS~S~ Yu~usy u.~ 1~5`~U ~~~ ~/ ~o \` G vr~~ ~\ \ '7~ S'dc l ApprJxima ~/oc~-E:rin of /ia e, ~0 6 e ~w L.o/ Cp rn~ ly c.w ~ tG. cnJe . d I ~. 8. ~ _ BotYUn, c Q 5; d ~ ~iq r~rocrfr ©W~.er 5 (,vC~C Gt-~~e ~ ~oL-~c ~e P~'aPerfy ~%~ ~ Cu^-~ ~(( (( / / ` // U~ C 7 t v' an ~ K P ~ '~t, c `E'ra ~ ~e r U`O~v~ e ~ S 0.G ~cc a. (/y Z~ ~ ~oy,-. Tk ~ p ~=~er'~'v I.hP _ ~~ ~_ ~scons~n Department of Commerce Safety and Buildings 4003 N KINNEY COULEE RD lA CROSSE WI 54601-1831 TDD #: (608) 264-8777 www.commercestate.wi. us/sb www.wisconsin.gov Scott McCallum, Governor Philip Edw. Albert, Acting Secretary October 08, 2001 CUST ID No.220853 DALE E HUDSON 820 MAIN ST BALDWIN WI 54002 A7TN.• POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 10/08/2003 Identification Numbers Transaction ID No. 677079 SITE• Site ID No. 636528 Terry Thompson - 200`x' Street Please refer to both identification numbers, $t. Croix County, Town of Hammond above, in all comes ondence with the a enc . SE1/4, NE1/4, S26, T29N, R17W FOR: Description: Common Mound System for Two Residences; One Bedroom & Two Bedroom Object Type: POWT System Regulated Object ID No.: 813417 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: General Approval Requirements: • 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/OI) and the "SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (0/81)". • 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. Owner Responsibilities: • 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. • The owner must insure that the operation, maintenance and monitoring duties as described in section V[II of the mound component manual are complied with. A copy of the instructions and information regarding proper use and maintenance of the system must be given to the owner and each subsequent owner upon - completion of the project. • 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. _ DALE E HUDSON Page 2 l0/8/Ol • 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. 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 municipalityshall 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. Sincerely, ~ I% ~ FEE REQUIRED $ 175.00 FEE RECEIVED $ 175.00 BALANCE DUE $ 0.00 Gerard M. Swim POWTS Plan Reviewer -Integrated Services 608-789-7892 Mon -Fri 7:15 AM to 4:30 PM Wi<SMART code: 7633 j swim@commerce. state. wi. us cc: Terry Thompson MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: Progressive Dairy C/O Terry Thompson Owners Name: Progressive Dairy Owners Address: 782 200th Street Sa{dwin, WI 54002 ~~ ~~.0 C~ - -- y ,~ G~ Legal Description: SE1/4NE1/4, Sec.26, T.29N., R.17W. O e9 ~~ ~°o Township: Hammond Qn_A >' County. St. Croix yVO ~~ Subdivision Name: NA ~ Lot Number: Parcel I.D. Number: Plan Transaction No.: Page 1 Page 2 Page 3 Page 4 Page 5 Page 6 Page 7 Page 8 Page 9 Page 10 ~,p.11V.T.S. C'on ~tionally VED pEPARTMENT OF CODMMER~CiR' DrytSION Olrj~~~ ~~ Data entry ' Mound drawings SEE t Lateral and dose tank System maintenance specifications Management and contingency plan Pump curve and specifications Site Plan Soil Evaluation report Easement Designer: Dale Hudson License Number: Date: 09/12/01 Phone Number: Signature ~- ~~ 220853 715-6843378 Desgned Pursuant to the Mound Component Manual for POWTS Version 2.0 SDB-10891-P (N. 01101), and SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01/81) Version 3.0 (03/01 /01) Page 1 of 10 NA Block Number. Mound and Pressure Distribution Component Design Design Worksheet Site Information (r or c) R Residential or Commercial Design 300.00 Estimated Wastewater Flow (gpd) 1.50 Peaking Factor (e.g. 1.5 = 150%) 450.00 Design Flow (gpd) 5.00 Site Slope (°!°) 93.81 Contour Line Elevation (ft) 30.00 Depth to Limiting Factor (in) 0.50 In-situ Soil Application Rate (gpd/ftz) Distribution Ce11 information 90.00 Dispersal Cell Length Along Contour (ft) _ 1.00 Dispersal Cell Design Loading Rate (gpd/ftz) 1 Influent Wastewater Quality (1 or 2) Pressure Disribution Information (c ore) c Center or End Manifold 2.50 Lateral Spacing (ft) 4 Number of Laterals 0.156 Orifice Diameter (in) (e.g. 0.25) 2.50 Estimated Orifice Spacing (ft) _ 2.00 Forcemain Diameter (in) 30.00 Forcemain Length (ft) 86.00 Pump Tank Elevation (ft) 4.55 System Head (ft) x 1.3 + ~ 7.81 Vertical Lift (ft) .~ \ I lp0 0.93 Friction Loss (ft) l 13.29 Total Dynamic Head (ft) Note: Sand fill (D) Calculations assume a Table 83-44-3 in-situ soil treatment for fecal coliform of <= 36 inches. 5.00 Cell Width (ft) Are the laterals the highest point in the distribution Y network? Enter Y or N If N above, enter the elevation (ft) of the highest point. 8.25 ft2/orfice Does the forcemain drain back? Y Enter Y or N 4.89 Forcemain Drainback (gal) 81.25 5x Void Volume (gal) 86.14 Minimum Dose Volume (gal) 38.77 System Demand (gpm) Lateral Diameter Selection Manifold Diameter Selection in, dia. o bons choice in. dia. o bons choice 0.75 1.25 x 1.00 1.50 x x 1.25 x 2.00 1.50 x x 3.00 2.00 x 3.00 x Treatment Tank Information 000.00 Septic Tank Capacity (gal) Wieser Conc. Combo Manufacturer Gallons/Inch Calculator (optional} 602.82 Total Tank Capacity (gal) 51.00 Total Working Liquid Depth (in) 11.82 gal~n (enter result in cell B49) Dose Tank Information ,00.00 Dose Tank Capacity (gal) 11.82 Dose Tank Volume (gal~n) Wieser Conc. Combo Manufacturer Effluent Filter Information Zabel Filter Manufacturer A-100 Filter Model Number Project: Progressive Dairy CIO Terry Thompson Page 2 of 10 Mound Plan View 1 ... 1~1 /10 B~ • Observation Pipe . .~. .'. . K O ~~. .: a: .... .. ...:. .. L ~- Mound Component .Dimensions A 5.00 ft E 9.00 in B _ 90.00 ft F 9.50 in D 6.00 ih G 0.50 ft 450.04 (ft2) Dispersal Cell Area 5.A0 (gpd/ft) Linear Loading Rate H 1.00 ft I 7.21 ft J 4.67 ft -r -f _I -1 K 7.25 ft L 104.50 ft W 16.88 ft 1098.53 (ftZ) Basal Area Available 9.00 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 96.10 (ft) -~- .,~r~ :-:. ,i~r ~ fi. ~ ~~,~ ~ H atera -~ . I F ~ : ~ : ~ : ~ Dispersai•.Cell 94.81 (ft) L I 94.31 ~..~- - Invert Dispersa Cell ~ .~ : ~ ~ ' ~ ~ ~ Elevation ;~:~ ~t E ~ ' D ' ~: ®' ~~~ 93 81 (ft) Contour Elevation 5.0 % Site Slope Geotextile Fabric Cover Shading Key m $. ~- Dispersal Cell See lateral details on Q ~] Topsoil Cap c ~ 1.5 ft Page 4 for number, Q ""' Subsoil Cap ~ c ~ .• ~ ~ size, and spacing of '~ ~. '~~~'• ~. ASTM C33 Sand ~ Z I Typical Lateral F laterals. Laterals are [~ Tilled Layer ~ ~ 0.5 ft 5' equally spaced from Q ~ Aggregate v o ~' ~ the distribution cell's \' ~--- A * centerline in the distribution cell (A>~). Pro}ect: Progressive Dairy C/O Terry Thompson Page 3 of 10 BOLDTS PLBG & HTG Fax ~ 715-684-3144 Dec 06 '01 1451 P02 PlJl~ip CHp,MBtR CfG55 SEC'IOr~ A~IG SP[C1F'ICh'I'IG~!.`: y" C.I. vC ti!T PIPi" WIAIOOLd OR FRESH Alit INTAKE IB"P11A1, T IAILE7 I APPROVED JOINT . ~ ~.~,)~~~ EI~V. ~..:.'.rOFT. ~~~I ~`~ `~~ 86 . v VE1JT CAp WEATHER/ROOF JUAJ[TIOiJ L'10X IE'Mlu. I GRAO~ I co1JCU1T `-- PROVIQE nl AL . ~2 ..L? ' i2~ ~ ;.~~ ~ / pEti 0 6 ~nln1 -- c sz clam ; ~E .C; 7 PI1MaP~~ -.:,. 2 `' ~ ~-_~'`- -, I0 ~ ~ '_ ~ i =~ ~ L COIJCRETE BLOCK 4PFRD~Ep LOCX~AIG !`tA1JNOLE CUVEF. I I _' I I ~_J y" NIIJ. 16' /'S11J. 11l III (I~ V ~; ( APPRCVEp JOIAI' I ~ ~' ALARM ~ EXTEU01114 3' 'r'~ I OIJTO SO~-ti 501 ON I ~ir. OFV. ' ``y ~ RISER EXIT PERIAI'ffED OIJLy IF TAIJK /NAULIF/~CTURCR NAS SUGN APPROVPL ~~~~ '~ ~ ° s T C E , SPECIFI GA T IOAlS . S /', ' ~~ ~e ~~ ~ W KS T MAIJUFACTLI v'' IJUMbEA OF DOSES: PER OAy TAIJK SIDE ; $ GI- LOUS ~ OOSC vOLUME o (,~ ¢ ~~ , L14 ARM I'I !'4AIJUi'ACTIJ~QR: ~, ~e- If~ICLUOIIJ(s d4cK-LOb/: I GA1,~oNls hOCf~L I.JUMbCR: '~ 9 CAPACrr1E5~ A. /;~!~~IUCNES Oll-~35~~~ CALLOUS >S~IITGN Ty/f : NY g = Z IIJGNES OK ~• G4LLOU5 PUMP /1AIJUFAC'TURER: C = y~ IN[HES OR 0~9 GALl01J5 HOpEL h1UM6ER: ~ 0 ~ ~ 111CHE5 O~y GA~1_01J5 SLrITCN T>iPE: GY"L%L~'T JJpTE; PIJiSP AtJD ALARFI qR[ TO OE MIUIMUr'- DISCHARGE RATEJO ~ GPM ~t-EO OAI SEPARATta CIR,CtIITs VERTICAL b1FpEttCllG6 DETW~f<U PUMP OFF AI~IO OISTR14U TIOIJ PIPE.. FEET ' ~ nISJIMUh NETWORK SUPPLY PR ss uR 6 E .. .. .. 2;5 FLET • ~ pp ~~ ~~ T, / _ FEET OF FORCE nAIIJ X Fijo LSZ FRIGTI • 01,~ FAC'rOR ~ ET __ . o r[ ; ~ TOTgI~ DyUAMIC HEAD 11d'PER1.1A1, dIME-lS101J1i oP TAAIK: LE1.IGTN _,~,_~;WIDTH ~r q ;1_IQu1C pEpTl-t~~. SIG-JED: ~~ ~• , !~~~~ I,ICEIJ~F ~.JUrIt3ER: ~2`~6-~~ ~~ j"DI DATE Center Connection Lateral Layout Daigram Force mai n connection ++ia tee or cross to manifold at anq point. ~ P •=Turn-upim'ball valve or ~4-X cleanoutplug Holes drilled on the bottom of the lateral. S Number of Laterals 4 Orifice Diameter Lateral Diameter 1.50 in Orifice Spacing (X) Lateral Length (P) 44.28 ft Orifices per Lateral Lateral Spacing (S) 2.50 ft Orifice Density Lateral Flow Rate 9.69 gpm Manifold Length System Flow Rate 38.77 gpm Manifold Diameter Total Dynamic Head 13.29 ft Forcemain Velocity Dose Tank Information Electrical as per NEG 300 and -~ Comm 16.28 WAC Disconnect ~- Laterals are identical Laterals & force main of PVC Sch 40 per COMM Table 84.30-5 lank component is property vented Wieser COnC. Combo Ca c' 600.00 Volume 11.82 Manufacturer Gallons gal~nch A B C D Dimension Inches Gallons A 29.06 343.54 B 2.00 23.64 C D Tatal 7.70 12.00 50.76 90.98 141.84 600.00 Alarm Manuafacturer LevelArm Alarm Model Number DLV Pump Manufacturer Goulds Pump Model Number 3885 WE03L under tank. Pump Must Deliver 38.77 gpm at 13.29 ft TDH 0.156 in 2.53 ft 18 6. ftz/orifice 2.50 ft n 3.96 ft/sec t.:ocking corer with vraming label and locking device and sealed watertight i 4 in. min. -~_ E---- Attemate outlet location Forcemain diameter ~ 2 in. Weep hole or anti- siphon device ,, Pump off elevation (ft) ~ 87.00 ~ Dose tank elevation (ft) ~~ 86.00 Project: Progressive Dairy C/0 Terry Thompson Page 4 of 10 Mound System Mauatenance and Operation Specifications Service Provider's Name Boldt's Plumbing -Dale Hudson Phone 715-684-3378 POWTS Regulator's Name St. Croix County Zoning Phone 715-386-4680 S sY tem Flow and Load Parameters Design Flow- Peak 450 gpd Ma~amum Influent Particle Size 1/8 in Estimated Flow -Average 300 gpd Ma~amum BOD5 220 mg/L Septic Tank Capacity 1000 gal Ma~amum TSS 150 mg/L Soil Absorption Component Size 450 ftz Ma~amum FOG 30 mg/L Type of Wastewater Domestic Mabmum Fecal Coliform >10E4 cfu/100 mL Service Freauencx Septic and Pump Tank Effluent Filter Pump and Controls Alarm Pressure System Mound Ins and/or service once eve 3 ars Should ins t and clean at least once eve 3 ars Test once eve 3 ears Should test month) Laterals should be flushed and ressure tested eve 1.5 ears Inspect for ponding and seepage once every 3 years 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. AI{ gravity and pressure piping materials canforrn 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 Qetail. Finished •.....•........ ................ Grade ~ :. 6-8" Diameter Lawn ~~ ~ ~ Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Distribution Lateral Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Progressive Dairy C/O Terry Thompson Page 5 of 10 Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code General This system shah be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals [SBD-10691-P (N.01/01) and SSWMP Publication 9.6 (01/81)] and local or state rules pertaining to system maintenance and maintenance reporting. No one should ewer enter a septic a pump tank since dangerous gases may tie present that could cause death. Septic and pump tank at~rdonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks era no longer used as POWTS components. Septic or pump tank manhde users, access risers and kxrvers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the cornpketion d service. Any opening deemed unsound. defectives, o< sut~ject to failure must be replaced. F_xposed access openings greater than 8-inches in diameter shall be secured by an effective locking device to prevent accidental or unauUwrizsd entry into a tank or component. Septic Tank The septic tank shall tie maintained by an individual certified to service septic tanks under s. 281.48, Stets. The contents of the septic tank shaft tie disposed d in accordance with NR 113, Wis. Adm. Code.. The operating condition d the septic tank and outlet filter shall be assessed at (east once ~Y 3 years by inspection. The outlet fitter shall be cleaned as necessary to ensure proper operation. The fitter cartridge should not be removed unless provisions are made to retain edicts in the tank that may slough off the filter when rarnoued from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittarti filter alarms may indicate surge flows or an imperxfing continuous alarm. The septic tank shall have its cattents removed when the volume d sludge and scum in the tank exceeds 1/3 the liquid voume d the tank If the contents d the tank are not removed at the time d a trier-nial assessment, maintenance personnel shall advise the owner d when the next service needs to tie performed to maintain less than ma~dmum srx,rr and sludge accumulation in the tank The addition d bidogical or chemical addftives to enhance septic tank perfornance is generally not required. Fivwever, H such products are used they shall be approved for septic tank use by the Departrrrent d Commerce. Pump Tank The pump (dosing) tank shall. tie inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. tf an effluent filter is installed withinthe'-tank tt shall be inspected and serviced as recessary. Mound and Prossure Qistribution System No trees a 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 sdl compaction may hinder aeration d the infiltrative surface within the mound and snow compaction in the winter will prnrrrote frost pertettation. Cold weather installations (Octd~er-February) dictate the the mound be heavily mulched as pratedion from freezing. Influent quality into the rround system may net exceed 220 mg/L BODS, 150 mg/L TSS, and 30 mg/L FOG for se~ic tank effluent or 30 mg/l. BODS, 30 mglL TSS, 10 mg/L FOG, and 10' cfu/100 mL for highly tried effluent. influent fb~v may not exceed ma~amum design flow specified in the permit f~ this installation. The pressure distribution system is provided with a flushing pant at the end d each lateral, and tt is recommended that each lateral be flushed d accumulated sdids at least once every 18 months. Wttan a pressure test is performed it should tie compared to the initial test when the system was installed to determinerf ~ifice caggin9 t>as occurred and if orifice cleaning is required to maintain equal distributiarr within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent pending. Ptxxiing levels shall be reported to the arvner, and any levels above 6 inches considered'as an impending hydrauficfailure requiring arlditionat, more frequent monitoring. Contingency Plan If the septic tank or any d its components becorrre defective the tank or canportent 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 r~mponent(s) shall be immediately repaired or replaced with a component d the same or equal pertomiance. If the mound component faits fo accept wastewater or t~egins to discharge wastewater to the ground surface, it will be repaired or replaced in ds' present location by increasing basal area if tce leakage occurs or by removing bidogically clogged absorption and dispersal media, and rotated piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 6 d this plan for the name and. telephone number d your local POWTS regulator and service provider. Project: Progressive Dairy C/O Terry Thompson Page 6 of 10 Performance Curves METERS FEET 120 ,~ 35 110 100 30 90 25 ~ 70 s 20 J Fa- ~ F- 15 ~ 40 10 ~ 20 5 10 0 0 f u ~ e~ ~~'~~ ~~ uen~ `u ~ MODEL 3885 SIZE 3/a" Solids H 0 10 20 ~ 30 40 50 60 70 80 90 100 110 120 G P M t i -- ~ -_J 0 t 0 20 0 m'/h CAPACITY ~dp- 7~~ IO 01985 Goulds Pumps, Inc. Effective July. 1935 ~ E 1 e v`a ~'on c.~el( Er,1'/,Sfi' dryc~l/. Aba~ddn as~~~ t.~dc. it pp~cX, /oca~£~n oF'e,1'is~n o S.T. - aS per t.G~de . Ek~s~„~ , 2 bedroo„ ~ ,' ,.~.r ~IOIt ~` z ~ ~~c J!'z 55i/e ~c,.~~y ~ro~0. T. ~f~ e~5~%n~ d r I V t ~y ~ P~nPaS~.d ~~„~ ~; /6.88 x ios~sv "w/sz`b .d. s pcrsa./ Ctl/. f`ro~~Y~ /afera.~s a ~ Il~,X sM~ W~r'ori~iu5 cZ6 2•S~3~S~oac;ny. BenL~ ~~' 8at&an / ati " ~~ of Sic1,' Assumeol ~%o- ~~~ ele~~ ~a~.c~: 3~~ ~ s,~?'' ~, o ~ ~~ ~o-~' x v^ ~ n Q °~~ pc o-~b ~ Q'~4 ~ h~ Ixt~ ~ ~• o r ~ ~ ~y~ o~,c ,v 0 Ex,'s f~n_q,t d e d~c~sr-, L~/'ai /e Cr/: ~ J \ ` \~ 0 r `~`~ '~ ~-. _ , :r~r. ,, C"e sad l ~'~c ~tppr~x~~-G ~/o~~~~, o{ bk~~re.d ~~-fir- s~~,~ ly ~:.c e, Zo b e rvc~ v ~~d tv Co rn/O ly cw ~'~ C.o~~ . 0.{gara~E. Elev: = 91.T~- ropc~fr ©W~.erS Were ~.-b~e ~ ~6L~c `~e P~b~~~y 1~~~ ~ ~~~tlf IMeK2~ `~jl,C TV'Q,tIC(~ U'0~'~Q lS ~~TGtQ,I/~ Z~~ ~YI'O'-'t~ ~C p ~aP~ ~Y l:%~ 1463 Wisconsin Department of Commerce SOIL EVALUATION REPORT page t_ _of -a- Division of Safety and Buildings in accordance with Comm ti5, Wis. Adm. Code A.C.E. Sal 8 Site Evaluations County Attach complete site plan on paper not less than 8'/: x 11 int~es in size. Plan must _ _ St. Croix include, but not limited to: vertical and horizonta reference pant (BM), direction and -- - -- - - _ - - " - - percent slope, scale or dimems'rons, north arrow, and location and distance to nearest road. Parcel LD. 018-1058-30-000, ID#26.29.17.398A Please print all Information. Reviewed gy Date Personal informatron you provide maybe used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). prop~y Owner Property Location Progressive Dairy C/O Terry Thompson _ _ Govt. Lot SE 1/4 NE 1/4 S 26 T 29 N R 17 W Property Owner's Mailing Address Lot # Block # I SulxJ Name or CSM# 782 200th Street ---------__~ _---__! -_-_ _ _. ___ _ . _ _ _ _ City State Zip Code Phone Number ;City Vllage / Town Nearest Road Baldwin I WI 54002 I 715-684-3745 Hammond 200Th Street - New Construction -- Use: / Residential !Number of bedrooms __ _3 __ _ Code deri esign ow r e / Replacernertt _ !, Public or conmiercial -Describe: Parent material Glacial drift ______ ___ .__ _ _ _ __ Flood plain elevation, if applicable _ _ _ _ _na ____ _. General comments and recommendations : Mound system elev. = 101.58' at 6" above 1 01.08' contour. 1 Boring # gOf7"g ~~, Pit Ground Surface elev. _ 93.64 _ ft . Depth to limiting factor _- 32" ___in. Soil Application Rate Horizon De th i, p Dominant Color Redox Descri bon Texture p Structure Boundary j Roots Consistence ._ - _ GPDIK'_ _ . _ 1 0 9 I 10yr3/3 none ! sil , 2fsbk ds as ~ 2f,1m fi -,- 0.5 0.8 - -- +- _ --- -- - ---- --- -----_._ +- 2 915 '~ 10yr4/4 none sil 2msbk dsh ! cw - _ __ _ , _ !, 0.8 t _ _ - - j- - - -r 3 15 26 I - --- -- 7.5 r4/8 - - - -- -- none sl 2msbk mfi ~ cw 1f&vf 0. r - _ _ 4 _ 26-32 ~ y 7.5 r4/6 Is/sl none ` 2msbk ~ I ~ 1 f&vf w - -mfr I~ _ _ , _ .. 0.9 0.5 _, _ r _ 7.5yr4/6 _ _ f2f7.5yr5/8 Is/sl ' - - 2msbk , ~ mfr 1vf 0.5 0.9 -__ t _ ---- ---- -_ - ____ __ - _ _,_ ~~ - - -- -- -- -_-- e condtticxi encl - - - -- ountered ti st t i flects m r e of appraudmatey 6D% lmsbk fs, o~an unsorted mi~Gur H#4 8 5 consist 40% 2msbk sL Loa r v res o c ding ate re within horizon. o Boring # Bon _ - _ _ -. ;.~~, / Pit Ground Surface elev. 9.4.04 ft. Depth to limiting factor _ 31-_ in. Soil Application Rate Horizon Depth Dominant Color Redox Description ~ Texture I Structure ~ Consistence hdary Roots ___~~GPDIft?E _ 1 0 13 10 r3l3 y none I _ sil 2fsbk ' ~ 2f,1m it ds as ; 0.5 0.8 _ _ _ _ - - --- --- __-- -- ----- _ r __ - i ----__-_ ___ __ -__._ .-- - ___ ,- - - _ 2 13-31 10 r4/4 Y none sil 2msbk ~ 2f ds cw 0.5 0.8 - 3 -_ i _ 31 34 -- --- 10yr4/4 - - __ __ r f2fd7 5yr5/8 ~ ~- ---- - sil ~ 2msbk - -~ - - _ - _ _ dsh cw 1 f&vf I __- --_ _ 0.5 0.8 ~ ~ r_ 4 34-59 10yr4/6 f2d 7.5 r5/8 2msbk Is/sl mfr cw 1 f&vf 0.5 0.9 _ -- - _ _ - _. -~ 0 9 5 _ 59-63 -- __ _ _ 7.5 r4/6 Y __ -- __ f2f 7.5 r5/8 Y _ -__ - Is/sl 2msbk _ -- ~ - mfr 1 of } - _ _ - -i . I 0.5 I - - - - - ---- ~_ ° k -~_ -- ! a - _ _ _- - . i st restrictive co flect in te '~ _ _ _ _ . _ _ ndition encountered H# 4 & 5 consist of an unsorted mixtur row 1 60,6 e of app y sl. k Is, 40% 2msb s mo g ra re _o d I ' hin horizon. 'Effluent #1 = BOD F> 30 < 220 mg/L and TSS ~30 < 150 mglL / ~ Efflueny#2 = BODS < 30 mg/L and TSS <_30 mg/L CST Name (Please Print) Sign re: ~J ~ ~~~~~~~ James K. Thompson oK~ ~- 3602 Address A.C.E. Shc & Site Evaluations Date Evaluation Conducted Telephone Nurnber 340 Paulson Lake lane, Osceola, WI 54 20 9/6/01 715-248-7767 property Jwner Fro~reSSive Dairy C/O Terty____ parcellD # 018-1058-30-000 ID#__ __ ____.___. Page _ 2_ _of _4_ Boring # _,' t3onng / Pit Ground Surface elev. __. _ 92.41._ _ _ ft. Depth to limiting factor 30" ___ __ in. Soil Application Rate Horizon Depth Dominant Color ', Redox Description Texture Stn~cture Consistence ~ Boundary Roots !_ __ _ _GPDtft'_.. ___ i i i I `Eff#1 "Eff#2 1 0-7 10yr313 ~ none i sil 2fsbk ~ ds as ~ 2f,1m ! 0.5 ~ 0.8 - - '_ y ___-_ - ---- __ _ _ _ _ _ __ - ,__ _____-.----__-- _ --_____ __-- - i ds- ~ cw ~ 2f 0.5 0.8 2 7-20 10 r4/4 none sil 2msbk ~~ _ __ _--- -----_--.-- ,__ 1 2msbk _ dsh ~ cw ~ 1f&vf 0.5 ~ 0.8 3 20-3 10yr516 _ _ none ~- - sil 4 _ _._ ; . _}_ 4 30 34 10yr5/6 f2f7.5yr5/8 j sil ~ 2msbk mfr ~ cw ; 1f8wf 0.5 0.9 _ __ --Y ------~ ---- --y- j - ----_ __-__+ _ ____ '- -- - 5 34-42 ' 7.5 r5/6 f2f 7.5 r5/8 ~ Is/sl 2msbk I' mfr ' 1 of ~ 0.5 0.9 __. ~- - ~ - _ 6 , 42-65 7.5yr4/6 f2f 7.5yr5/8 i Is/sl 2msbk mfr !i 1 fm ,, 0.5 0.9 - ountered Ft# 5 8 6 consist of an unsorted mixture of approximately 70°~ 1 msbk Is, 30% 2msbk sl. Loading rate reflects most restrictive condition enc within horizon. Boring Boring # Pit Ground Surface elev. ___ __ _. _ __ _ ft• Depth to limiting factor _ _ __ in. Soli Application Rate Horizon Depth Dominant Cdor ' Redox Description Texture SUucture i Consistence ; Boundary ~ Roots i ~ ` GPDId'_ _ . - _ _ -*Eft#1 "Eff#2 ' , a -- ' ~ - I I - - - _ _ __ _ _ -- --- --r- - _ - t _ _ _ _ - - _ _ _.. z ~ _.. - - - r ___ _ ____- ----- -- - ~_- -- --- i- -- _ - __-- ----- ---____ ,_ - --~- - ~ _ _.. - -- `_ - ~ - _...__._ --- ---- - r ----- ____--- -- ~ --- - __~ ---___ 1 I _.__._ - - - _ - ___.. _- -- _ - -.. - - i- i it i ~ ~ 1 # 'Boring ^ Ong ', Pit Ground Surface elev. _____ ___ _ _ _._ ft. Depth to limiting factor _ _ in. Soli Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots ~._* _ _ GPDIft' _ Eff#1 'Eff#2 - --- -- r - -- - ---_ ____ --_---- - I --- ------- ----- -- ---___ ____- -___ -- ____ _ ____ _ _--- - --_ _ _.._ _- __- _, ___ __--- I ~- -- -- - i - - _ ,- - - -_ _ _ - -- _ ------- --- - -- ' - --- r- t t _ _ _ _ - __ _ _ _ .__ _ ---a _ _ -_. _ _ -E ---- - ~ - _ _. __ i -- __ _ - - - __ - - _~ - - - - ___ ~ i } _ - _ I ------ ~-- ~- - - - - - - _ _ _ -- ---_ 'Effluent #1 = BOD 5> 30 < 220 mg/L and TSS >30 < 150 mg/L `Effluent #2 = GODS < 30 mg/L and TSS < 30 nig/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to au;ess services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. ' SOIL AND SITE EVALUATION 1463 Page ,3 _ of __4__ PROPERTY OWNER: Pro_g_ressive Dairy C/O Te~yr _Thompson PARCEL LD.# , 018-1058-30-000 [D#26.29.17.398A A.C.E. Soil 8t Site tivaluations REPORT MEMO Re lacement se tics ern to serve. existi 2 bedroom farm house and ex~stirrg~bedroom traftef t;un°ently tl~ii~f by fa-m lam. ~IxCepiacemenC ®m area ~ros~s. ProAerty {ina treated .tot 1 of m~M Y~ot.~1 T; F'g. 317`1, onto 3te~te Vtlynveen property. Property owner to obtain easemenft to alk~x ~Y~ 4 ply line... Water servi~a:~o Wynveen residence hurried 7' beneath proposed mound area must be relocateda~fo comply. with Comm. 82.40{$)(b). ~e_~' '~ l yG 3 ~- ~ ~C lfQ t~.On c.~e(( 0 ~e~ ~oofc Eris ~tnq z bedrooh --~ I'c s,dw.c ger~h nlav'~C• 8at&an of Sid,-r~. Assccme.d e l e~ ~ rcr7. cam; E'X~3f~it~ d~yc~xl/. 0 4Z- GcdC. O O . / O.~ ,, 1~ .~~ o, 93.7 ~ ~ ~~ S$ ~ ~ e/ ~,°Q ~ ~~ ~~ vi ~9~~ ,~ ~i ^ J ° ~ a I~~ o~~ o ~' ,,,~ eX,s ~ ~16ed~~ ~~ .- esd l \ e~'Ce cr~/e: / = yo, App~~x~~~•~~o~~-~ ~{ b~~r,-e~l ~w~~ ~~r'~ lY ~;.~e, Zo 6p rvtov~~ c~ ~~ ~y w ~~~ ~d~.. ~ro51•e 55i/~' ~~ry ~~010. (~D T /~y'~om~o5on SC{~IF S . 2G,T • d •F ~a. rninen 2)c%$Ei n~J oar 1 V~I~-~/ A 1~..8.n1. ~ $~t~-, of sid~.t~ ~. 3 0~3 1~/isc:~nsin Real Estate Transfer Return VI. TRANSFER ~, 39. GnMoUGraMee X None Partnerehip Femtty >i N Fatuity a Other, Explain reWbnshlp b: lSh> NaWed Otlter ~ Fatrtcial ~ ~ So bslda "°' X ~"~°'")~ EASEMENT FOR MOUND SYSTEM ~' Tn~rtq i~nd ~~ a ~ , 41. ownership imer.st Pani.l onHw trarnlerred X Fu8 (~P~) (e~~) ~ Ownership interest Nanatarrsd may De a lull interest of a Iuli ownership; a fuN kMerest of a partial ownership; or otlier (explain). n ran r ' e Other .. ~ .~ ~ a Fit (ems) ~ . . 45. Gnnlor Is: X ktdividuai Corporetbn Trtet PaAnership ~C~~ ~ OtMr (sPecgY) ~ VII. GRANTEE'S FINANCING FinencialhstMutiar FawicialMsNtutan- oaainedlrom Assumedezlating Olher3rdparty Nofiiartckg X involved liianck tinencin r q g er N. Cheek boxes for all financing types that appty Conventional Govemment se ~ t~AV AND GRANTEE'S PRIMARY USE OF PROPERTY ~f` p X , ' condominium Land and other ~ buiaing(s) (sPe~~r) 46a PredaminaM Agricuttwal, d so, did iM Yes 16b. Cheek N GraMea'e Uae Single famiy Mutti-famiy •~ M• of Time Share Unk grantor own prape~lw Primary ResWena Units less than 5 yearsT No Commerdal X Miscellaneous N arty boxes al Nfl are checked, explain nee Mrs y u,~,r eeviwne`"company EASEMENT FOR MOUND SYSTEM 47a. Lot Slze (AOUND To NEAREST wHOIE Fool) 47b. Total Acres 48. MFUPFClWTL Acres 49. Fast of Water Frontage 47. Ealimated If condominium, lend area cheek here and ~ ~ ~ ~( ~ ~ OR d to Il 50 ne . procee FEET FEET AOUNO TO TENTH OF AN ACAE ROUND TO tJE%T'wHOLE ACR£ h , 52. N W12 provWe document number when raeorded 51. Exdusbn Code ~ I X. ENERGY H W Yes a tt ea 50. Is this property aub)ed to the Rssldential es0lanatbn Rental Weatherizatlon Standards, COMM67T X No (f No, ptvvide exclusion code) •~ W" Q 7 X. CERTIFICATION-We declare under penalty of law, this return has been examined by us and to the best of our knowledge and belief it is true, correct and complete. 50. Agent for 54. AgsnCa Name (B agent krvoNed n sale) 55. TeNphate Number Grantor Grantee 58. Street or Fke Number, U ernr 58e. SVNt Home, PO Box, or other address (enter "PO Box" end box number) ~ ~ 5t: City 58. Stab 59. 21p Cods 60. Preperer's Name or Fkm Name 61. TeMphate Number 425-7281 ~', 5 RODLI, BESKAR, BOLES & KRUEGER, S.C. 71 ~ ~ SENd TAX BILL T0: ez. Name W. Street or Fire Number. b athr 6Ja. StreN Natae, PO Box, or OtMr Address (enter "PO Bo:' and Box Numbed µ, qty 65. Stab 86. 21p Cade Street or Fin Number, N eny 67a. GreMor (wtwro grarrarNeor pre be reached h tM fugms) Street None, PO Box, or Other Address (enbr'PO Box" and Box Number) i7. GnMOr' s [ ,~ `i a 1 a• DoT ~t S~T ~, qty 69. State 7Q 21p Code ~~~-~v~ ~ ~ ~, ~`~ ova 71. Dated 72 Telephone Number 74. DMed 75. TeMphate Number D G 1 3 :~,~ o f ~1 ~ 51o a~ ~ (~ 1~ ~G ~ .3 a (U O ~ ~~ r 5~~ y~~ 5 3 MONTH DAY VF~1A AREA CODE MONTH DAY YEAR AREA OOOE 70. Signaturo of GraMar or Grantor's Agent (PLEASE ATTEMPT TO KEEP SIGNATURE WITHIN 80X) 76. Signature of Grantee or Grantee's Agent (PLEASE ATTEMPT TO KEEP SIGNATURE WITHIN 80X) i ~ ~,~~/~~ ~ u~'Gi I~ ~ ~ ~~ , . STAPr_E Wisconsin ~ ATTACHMENTS HERE Real Estate Transfer Return -confidential , To complete see Instructions /or Real Estate Transfer Return PE-500A. Submit original form to Register of Deeds with document(s) to be recorded. Completely fill in all appropriate areas. TYPE or PRINT clearly in BLACK INK, and use ALL UPPERCASE LETTERS. If typing form, type through vertical character lines. I. GRANTOR (Seller) If more than ONE (t) grantor, check box at left and list on attached addendum. Note: Lk1es 67-72 must be completed with grantor's address. 1. Your Last Name or Company Name Notc For thin purpose s monied ooupb b one grenlor 8 wne bet name (see Inc 2). WYNVEEN 2. Yow First Name(s) and Middle Initial(s) - M a marriod couple, show both tint nartNS and middle initials. 1. Social SscurNy Number a FEIN STEVEN M, AND SUZANNE L. II. GRANTEE (Buyer) X If more than ONE (t) grantee, check box at left and list on attached addendum. 1. Your last Name or Company Nsme Note: For this purpose a married coupb is one grontea A same bet mm~e (see Inc 5). WYNVEEN 5. Your First Name(s) and Middle Initial(s) -11 a monied couple, show both lint names and middle initials. 6. Soebl Security Number or FEIN STEVEN M, AND SUZANNE L. 7. Street or Fire Number, II any 7a. Street Name, PO Box, or Oiher Address (enter "PO Box" and aox Number) 8. City ~ 9. Scats 10. Zlp Code ~ R ~pW i N ~ `~ ~y v~~, TO RECEIVE TAX BILL AT ANOTHER ADDRESS, check hers and complete Section X, page 2. III. PROPERTY TRANSFERRED 11.Indicats: City Village XTown "~ Checkfledditlonalpareslsandllstonattaehedaddendum. 12. Name o1 the ClrylVlllaga/Town 11. County Name HAMMOND ST. CROIX 11. Phyakal Property Addrus or Road Addreu (description) 15. Tex Parcel Number u h appears on Property Tu bill (sw instruetbns) 018-1058-30-100 16. Property Ducriptbn: bt -bock -plat, CertNbd Survey Map (CSLp, ar other dulgnatbn; N daerlptlon will not fb here, add attechmerd (sae Iutrudions) SEE .ADDENDUM t7a. Ssetbn (primary) 17b. Township (prknary) 17c. Range (prknery) Cheek hen N more tMn ow lot and block, ar N legal Mseriptlon b meta and bounds or certified survey map; 2 6 2 9 N 17 W attach bgai dasalption u an addendum (sea Inatruetlona-. IV. COMPUTATION OF FEE OR STATEMENT OF EXEMPTION 18. Total valve of REAL ESTATE IN WHOLE 18. Tnnsfr be due ~'~S CENTS i damfsrtsd (rourM up to the nwrul fT00) ~ 1 0 0 0 Q DDLLARS (line 16 x .001) ~ O O 20. Transfer Fxemptbn 20a. N you aMar "001" or "0T7,' k b 20b.Date of Original Number, SEC 77.25 13 mattdatory to prarka your Lattd CoMnct prwbus document naatber. MONTH oAr rEAR 21. Valve of pareonal proppearrttyy transferred but EXCLDDEb $ IN ~~ DOLLARS 22. Valve of property exempt }~ local property tau IN WHOLE from Nw 18. INCLUDED on Ilrte 18. + DOLLARS V. TO BE COMPLETED BY AUTHORIZED COUNTY/LOCAL OFFICIAL 23. Document Number 2<. YotumalJaekat YS. PagsAmage Y8. Dab Recorded 27. Dab of Corrveysnea 28. Comeyanq wsrtunry/ Larw Our cXaim otna Code Condo Deed Contrail Deed (expbn) i 29. County (i) 10. Munkipality (1) 11. County (2) 12. Munklpal8y (2) 11. Enter number of acres for each parcel clautftatbn and cheek 1 a preceding box to show predominant cluslfleallon. 15. Assessment Year MONTH DAY YEAR MONTH DAY YEAR Cheek ll mon than two (2) munkipalb ~ 11. b ihb a splN paresl7 tbs; H so, refer to Instrudlom (sea kutmctbns) Yes No 1 (ResidentieQ 2 (Commercial) 1(Mamdacluring) /(Apicukrxel) 5 (SwampBYVeste) 6 (Fonat) 7 (OMer) ~. 2 1 1 5 6 7 76. Land 17: Improvanerds 18. ToW Assessment VV„•I~~YCY '7 GRANTOR: STEVEN M. WYNVEEN AND SUZANNE L. V~JYNVEEN GRANTEE: STEVEN M. WYNVEEN AND SUZANNE L. WYNVEEN AND TERRY A. THOMPSON AND LAURA M. THOMPSON ADDENDUM TO TRANSFER RETURN: LINE 4 & 5: THOMPSON, TERRY A. AND LAURA M. LINE 6: SS # LINE 7, 7A, 8, 9 AND 10: ~~ `~~`-" ' n VuL ~-IC~O LINE 16: AN EASEMENT FOR THE INSTALLATION AND MAINTENANCE OF A SEPTIC SYSTEM AS LOCATED ON LOT 1, CERTIFIED SURVEY MAP, VOLUME 11, PAGE 3171, AS DOCUMENT NUMBER 550877, RECORDED IN THE ST. CROIX COUNTY REGISTER OF DEEDS OFFICE ON OCTOBER 15, 1996 BEING PART OF THE NE 1/4 OF THE NE 1/4 OF SECTION 26, TOWNSHIP 29 NORTH, RANGE 17 WEST, TOWN OF HAMMOND. THE APPROXIMATE LOCATION OF SAID EASEMENT IS AS SHOWN ON THE COPY OF THE CERTIFIED SURVEY MAP WHICH IS ATTACHED HERETO AS EXHIBIT "A", SAID EASEMENT IS MARKED IN RED ON THE ATTACHED EXHIBIT "A" AND IS FOR THE CONSTRUCTION OF A MOUND SYSTEM. DOCUMENT NUMBER, QUIT CLAIM DEED Stevan M. Wynwen and Suzanne L. Nynvwn, husband aad wife, quit-claims to Steven M. Wynwen and Suzann. L. ~Pynwen, husband and Nifa and Terry A. Thopmson and Laura M. Thompson, husband and wife, the following described real estate in St. Croix County, State of Wisconsin: An easement for the installation and maintenance of a septic system as located on Lot 1, Certified Survey Map, Volume 11, Paqe 3171, as Document Number 550877, recorded in the St. Croix County Register of Deeds Office on October 15, 1996 being part of the NE 1/4 of the NE 1/4 of Section 26, Township 29 North, Range 17 West, Town of Hammond. The approximate location of said easement is as shown on the copy of NAME the Certified Survey Map which is attached hereto as Exhibit "A", said easement is marked in red on the attached Exhibit "A" and is for the construction of a mound system. 018-1058-30-100 Parcel Identification Number This is not homestead property. Dated this day of September, 20001. (SEAL) *. ,~, ~~ (f 4 ~ N •' L~~1~ ~+\ ~i ~ ~GO ,~~t/~.~.~~ j-'~ ( SEAL I Steven I+t. Wynveen (SEAL) 7"V)t.! ~ ~~'" (SEAL) zann Wynveen AUTHENTICATIOTi ACtQidWLEDQ9ENT Signature(s) STATE OF WISCONSIN ) ss. ~~( U' ! ~ COUNTY ) authenticated this day of 20_ Personally came before me this ~~ day of September 2001 the above named Steven M. Wynwan and Suzanne L. Wynveen to me known to be the person(s) who executed the foreg~o~yin~g'r,}instrument~/and acknowledge the same. TITLE: MEMBER STATE BAR OF WISCONSIN y ~~y ~„J~Y lll~ C. - _~y~~1~ ~~ J ~C..LI/1 (If not, authorized by §706.06, wis. Stets. ) ~ 11C~ 1rQ 6- ~ - p~ ~ ~1~~~~t50V1 THIS INSTR~tT WA3 DRAFTED BY: Notary Public C~~ C,i~C1( ~ County, Wis. My commission is permanent. (If not, expiration date: Joseph D. Boles ` _ i ~f Rodli, Beskar, Boles & Krueger, S.C. ~ 1 ~ V ! ~l~l- ) P.O. Box 138 River Falls, WI 59022 v ~~a.~~ 1 ~CH1~~" t~ O C T 1 5 1996 2 55U8'7'7 kA1NtEEt~H.wAls~ Redlstar of Deeds L sl crolx ca, ~~ 3 CERTIFIED SURVEY-1V~AP LOCATED IN THE NE li4 OF THE NE li4 OF SECTION 26, T29N, R17W, TOWN OF HAMMOND. ST. CROIX CO. , WI. PREPARED FOR: STEVEN WYNVEEN iG A.w NE CORNER OF SEC. 26. RA l C ROAD SPIKE FOl1N0) -~~ ~!~ ~ '~ J `gb, NOTE: BEARINGS ARE I ' REFERENCED TO THE EAST LINE I OF THE NE li4. lASSUhED ~ y 1, •,' , ti;;~r,,f'c C-:J~!~•'••I Y BEARING) ,p I V O ,~ ttl::F::~i4?I1!i!Yi' I'li:tl.^1f ,UNPLATTED„LANDS ( -,$ Q-fJProX• 1ucC~-l;L~r'~ ~c. Se P~ G 3~9' S~IS-h~-+'~ .~ ~'~` ~~' h°c~1 ~ tL~. Z N 90° 00' 00" E 295. 86' ~ :rv Y'~'••'"" ' ~~ `'`'` •• •~ 262. 86' ~ 33. 00' ''"~`' °`~ 9 _ N 90° 00' 00" E_330. 9 7_ ~ 66' WIDE DRIVEWAY EASEMENT $ O 0 0 o°_ o°_ LOT I ~- loo== o $ 3. i2 ACRES cvlni n~ 136, 056 S0. FT.) '~' 2. 44 AC. EXC. EASEMENTS ~ (cu w I f l06, 309 S0. FT.) O O O z - I rn o~ I O HIGHWAY BUILDING-~ O O q SETBACK LINE I A :~ 492, 03' 33. O ;~ I • :m ~ N 90° 00' OO' W 525. 03' ~ ~ 133' ~ 33' z ~`w~~o I _UNPLATTED LANDS °'I$ EAST LINE OF THE NE I i4 \~. I ,~ 0~~~ '~ - ~ E 1 i4 CORNER OF SEC. 26, (~~~~ V\~;~•~~~' (2' IRON PIPE FOUNOI. i 'J O " SFT 1' X 24' IRON PtPg -}~cIGHIIUG !. I3~ B.S PER LINEAR FOOT. :c :z 'a :~ :r iz :N `~M~t~~tN~pa~ ~a'~~~~G~nlsy+i,~ JAMES bl. ~~S WEER a S • t 80! X Qr~r~~. ~.. .,_.. --- . , 50 Continued. ,.. DESCRIPTION A pareei of land located in the NE 1/4 of the NE 1/4 of Section 26, 'I'29N, R17W, Town of Hammond, St.Croix County, Wisconsin, more fully described as follows: Conuuencing at the L 1/4 turner ol'ssrid Bettina 2G: Thence N00°00'00"E along the East lirre of the NE 1/4 ~ distance of 1396.91' to the POINT OF BEGINNING: Thence N90°00'00"W 525.03'; Thence N00°00'00"W 85.54'; Thence N45°54'04"E 319.11'; Thence N90°00'00"E 295.8G' to :~ point on the East line of the NE 1/4 of'said Section 2G; ~ ' Thence S00°00'00"E along said lure 307.G0' to the point of beginning. Contains 3.12 acres (136,05G Sq. FT.) subject to 200th Street right-of--way over the easterly 33' thereof. Also subject to a GG' wide driveway easerrrerrt as shown rrnd any and ail'additional easements, right-of--ways or conveyances ol'record. SURVEYOR'S CERTIFICATE' Y, James M. Weber, registered land surveyor, hereby certii'y: That iiz full conrl~lirrnce with the provisions of Chapter 23G.34 of the Wisconsin Statutes arrd the provisions of the St.Croix County subdivision ordinance and •under the direction of Steven Wyiiveeu, I have surveyed and mapped the above described parcel of land and that this map is a correct representation of the boundary thereof. Dated this_Z.~day of y~ny-r~., ,199G. -~at1~_ yam. James M. Weber S-1804 NELSEN-WEBER LAND SURVEYING t~~`r+st~wj~~,cl `~ ~~ cory.~`~~;. ~,. ~'/ r+,• '~' ~' .[AMES M. f i' ~~ WEDkR S • 1804 3PAING VAU.EY J .~ is ~ WIB. ,~ ~~,~~. •1~ ~~.~~neo r /~rI~Q C6~rOtJ d 3 to~~i NOTE: The parcel shown on this map is subject to Stute, County arrd local laws, rules and regulations (i.e. wetlands, rniuimum lot sixe, access to psrrcel, etc.). }3efore purchasing or developing any parcel, contact the St.Croix County Zoning Office 4 - Wisconsin Deparb-rent of Commefce Division of Safety and Buildings SOIL EVALUATION REPORT 1463 ~ i of 4 A.C.E. Sal & SRe Evaluations ----- - ~~ Attadr carrpl~e site plan on paper not less than 8Y: x 11 inches ~ size. Plan must St. Croix include, txd not km8ed tor. vertical and horizont~ reference ~~~ ~d D Parcel I percent slope, sc~e a dimensions, north arrow, and ~d,~st~ ~ ~'~ ~~ . . 398A 17 29 ID#26 018-1058-30-000 ~ _. . . . , Please print aM !ni' ~ R Dale BY Persons information you provide maybe used far pr)). , s. 15.04 (t ~ ~ ply p~ P ocatiorr Pro ressive Dairy C/O Terry Thompso ~t.1-o1 ;~ SE 1J4 NE 114 S 26 T 29 N R 17 W Property Owner's Mailing Address . , ZQ # Bkxdc # Subd. Name or CSMI~ 782 200th Street ST ` ~X _ City state 7p ~cF ~ ~ Village r Taiun Nearest Road Baldwin ~ WI 54002 •~-084-3745 `~.,, Hammond 200Th Street ---- r _~___...._. -- New Construction Use: r Residentia ! Nu~i be r~ 3 Code derived design fbw rate 450 GPD Repiacerner'rt Public or cxxrur~rcial - Describe: Parent maw Glacial drift ___ Fkxxi plain elevation, ifi applicable nor General and rec comments omrrrendatio ns: Mound system elev. = 101.58` at 6" above 1 01.08' contour. 1 Boring # Boring ~ 32" ~ / P4 Ground Surface elev. 93.64 ft. Depth to limiting factor . Sal AppGcatiar Rate Horiza- Depth Dominant Color Redox Description Texture Structure Cons~tence Boundary Roots GP * Dfitz EftYti:1 1 0-9 t0yr3J3 none sil 2fsbk ds as 2f,1m 0.5 ~ 0.8 ~ 2 _ 9-15 10yr4/4 none sil 2msbk dsh cw 2f 0.5 r 0.8/ 3 15-26 7.5yr4/6 none sl 2msbk mfi cw 1 f$~vf 0.5 r 0.9 / 4 26-32 7.5yr4J6 none ts/sl 2msbk mfr Cw 1 f&vF 0.5 / 0.9 ~ g - 32-48 7.5yr4/8 f2f 7.5yr5/8 Is/sl 2msbk mfr - 1vf 0.5 ~ 0.9 ./ Ffll;4 5 consist an ur~orted mixture of apprordmately 1 msbk ts, 40% 2msbk sl. Loadrng rate mast restrictive c~rrdition errcou ntened within horizon. 2 Boring # / Pit Ground Surface elev. 94.04 ft. Depth to limiting factor 31 ~~ ~. Sal Applir,~or+ Rate t_..~I ~n9 Horizon Depth Dominant Cobr Redox Desrxiptian Texture Structure Consistenrs Barndary Roots GP *Eff#1 DNt~ * 1 0-13 10yr3J3 none sil 2fsbk ds as 2f,1 m 0.5 ~ 0.8 / 2 - 13-31 10yr4J4 none sit 2msbk ds Cw 2f 0.5 / 0.8 / 3 - 31-34 10yr4/4 f2fd7.5yr5J8 sil 2msbk dsh cw 1f8~vf 0.5 / 0.8 / 4 ~ 34-59 10yr4J6 f2d 7.5yr5/8 Is/sl 2msbk mfr cw 1 f&vf 0.5 0.9 ~ 5 - 59-63 7.5yr4/6 P2f 7.5yr5l8 Is/sl 2msbk mfr - 1vf 0.5 / 0.9 / 8~ 5 consist an unsorted modure of 60 1 Is, 40°,6 2msbk sl. ~oadirg rate mast restrictive condition ertcor.~ered in horizon. * Effluent #1 = BOD y> 30 < 220 mglL and TSS 30 < 150 mglL * Effl = BOD <_30 mgll. and 7SS <~0 mglL CST Norms (Please Print) Sig re: CST Number James K. Thompson ~`~ ___ 3602 Address A.C.E. Soil & Site Evaluations Die Evaluation Conducted Telephone Number Sao Paulson take Lire. Osceola WI 9!6/01 _ __ _ 715-248-7787 ply Owner Progressive Dairy CJO Terry p~ lD ~ Qi&105$-30-000, ID# Page 2 d 4 3 e°"ng ~~ # / Pit Ground Surface elev. 92.41 ft Depth to limiting factor 30" in. ~ q Rate Horizon Depth Dominant Color Redox Oescrip6on Texture Structure Consistence Roots 'Eff#1 'Eff#2 1 0-7 10yr3/3 none sil 2fsbk ds as 2f,1 m 0.5 ~ 0.8 ~ 2 7-20 10yr4/4 none sil 2msbk ds cw 2f 0.5 ~ 0.8 / 3 4 20-30 30-34 10yr5/6 10yr5/6 none f2f7.5yr5/8 sil sil 2msbk 2msbk dsh mft cw cw 1f&vf 1f8~vf 0.5 / 0.5 ~ 0.8/ ~ '~ 5 34-42 7.5yr5/6 f2f 7.5yr5/8 Islsl 2msbk mfr - 1 of 0.5 / 0.9 / 6 42-65 7.5yr4/6 f2f 7.5yr518 istsi 2msbk mfr - 1 fm 0.5 ~ 0.9 / t•t# 5 8 6 consist d am unsorted mbdure d approodmdely 70% 1 msbk Is, 3096 2msbk sl. Loading rake r+effects most reslricdve r~rrdfion errcourdered within horizon. Baring # Boring Pit Ground Surface elev. ft. Depth to limiting factor in. ~ ppp~on Rate Horizon Depth Daninant Golor Redox Description Texture SWcture Consistence Boundary Roots 'Effl~'I 'Eff#2 ^ Boring # Boring Pit Ground Surtace elev. _ it. Depth to limiting factor in. ~ q~ Rate Horizon Depth Dominant Cola Redox Description Texture S'hucture Consistence Boundary Roots *Eff#1 'Eff#2 * Effhrerrt #t1= BOD ~ 30 < 220 mg1L and TSS X30 < 150 mgll. 'Effluent #12 =BODE < 30 mgJl. and TSS <,~0 mglL The Department of Commerce is a» equal opportunity service provider and empbyer. If you need assistance to access services or need material in an alternate format, please contact the deaarhnent at608-266-31 S 1 or TTY 60&264-8777. SOIL AND 3lTE EVALUATION 1463 page 3 of a PROPERTY oVYNER: Progressive Dairy C/O Tem Thompson PARCEL LD.# _018-1058-30-000. IDK26.29.17.398A A.C.E. Soil & Site Evaluations REPORT MEMO Replacement septic system to serve existing 2 bedroom farm house and existing one bedroom trailer currently occupied by farm laborers. Replacement system area crosses property line created by lot 1 of CSM Vol. 11, Pg. 3171, onto Steve Wynveen property. Property owner to obtain easement to allow septic system to cross property line. Water service to Wynveen residence burned 7' beneath proposed mound area must be relocated to comply with Comm. 82.40(8)(b). ~~-~ ~ l YG 3 • E I eta ~'on ca/e: / = 5/0~ wel( ~~a5~~e ss,~e ~,~Y P,o,~. Cho T r'r y ~a m/o5 0~ o T.rJ~ PO wv goo (t ~X.%Slti n~ c~ r i ut4J4-~/ t16a~ n a.s~~ *93~, Gadt. O 0 EX~s~t., o. l ,2 bedrac~,h ~~~ rCS,dr~{ ~ i • ~ 93.7 \ ~ ~ s'g / 8 h r-1a~~C.. 8 at&~ o f S i c1,-r~g. A SScc m ed F 1 elee~~ icr~.ct~; ~l h19,~~ ~ APpr~'i'm~ ~ /o ca~-d~ o { ~ 1 ~ 6cc~/',-e.c/ ww~r' ~~cr'j'' ly ~~'~ce, Z-o be rvco~~cpl~v ,~ a, ^ ~ cp.~,oly w,-~ ~~e. ~ ~° ~ ~ ~~ ~ a'h4 q~ °''c,~ =~ o If.. B. ~ott~m. of S~ d.'~~ d° ~ ~,f~~~ ~~`~ Ci_{,gara~e. Elect 91. T3- ~r i-e Suede i~ ` ~r~ 7~ o ~~ o LCX-iS ~in~16•e o~rcts~» cX~ai /e r; ~. 3 0~~ ST CROIX COUNTY OwnerBuyer Mailing Address SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP ERTIFICATION FORM i / i .~ , Property Address ~~ ~ (Verification required from Planning Department for new construction) City/State ~.J a ~(~ w ~ ~-- i ~,,..= Parcel Identification Number LEGAL DESCRIPTION l Property Location S~ '/a, ~ '/a, Sec. ~~ , T~N-R~.W, Town of ~ Dri~O'~ Subdivision /V~ ,Lot # ~~ ~ 1~ Certif/e~11 Survey Map # ,Volume ~ Pale # ~~' . ~3ta~~ Deed # ~~ ~ 6 ~~ Volume 9 Page # .~~ Spec house ^ yes C~'no Lot lines identifiable Id' yes ^ no SYSTEM MAINTENANCE 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 pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a 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/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days of the three year expiration date. / u d7~'l rZ~ 10 / 22 / O 1 SIGN • OF PLICANT DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. ~Lu, ld /az/ a~ SIGNA OF APP ICANT DATE ****** Any information that is mis-represented may result in the sanitary permit being revoked by the Zoning Department. ****** ** Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed %~ DOCUMENT NUMBER QUIT CLAIM DCSD Stevan M. FlynvNn and Susanna L. NynvNn, husband and x1ta, quit-claims to Stevan M. Wynwao and Susanna L. Wynwan, husband and xifa and Tarry A. Thopauton and Laura M. Thompson, husband and xita, the following described real estate in St. Croix County, State of Wisconsin: An easement for the installation and maintenance of a septic system as located on Lot 1, Certified Survey Map, Volume 11, Page 3171, as Document Number 550877, recorded in the St. Croix County Register of Deeds Office on October 15, 1996 being part of [he NE 1/4 of the NE 1/9 of Section 26, Township 29 North, Range 17 West, Town of Hammond. The approximate location of said easement is as shown on the copy of the Certified Survey Map which is attached hereto as Exhibit "A", said easement is marked in red on the attached Exhibit "A" and is for the construction of a mound system. ``,`,~11111111!!!!~!~', Q : ~NOrAr? r ~. °y ~* ~ *= s'•..PUBt1G ' 2 ''~i~~~~OF~ I~S1 ;~`~~`` ~~~~~~ (SEAL) SUwn trymvaan p A~7•l7l/( ~ (~~h_r (SEAL) .bus xynvaan-~ 018-1058-30-100 Parcel Identi cat on Number This is not homestead property. Dated this ./ 11" day of September, 20001. (SEAL) (SEALI .ignature (s) AUTHENTICATION authenticated this day of 20_ TITLE: MEMBER STATE 8AR OF WISCONSIN fIf not, authorized by 5706.06, Wis. Stets.) THSS ZNSTACB~NT WA9 DRAB'TID HS: Joseph D. Boles Rodli, Beskar, Boles a Krueger, S.C. P.O. Box 138 Aiver Falls, WI 54022 E>.56679 kELiS'Ek Of DEL"DS r;tCE1'VeD tns ~E~n~D ~; n-~;~~::~ iD:OO Afl QUIT CLAIM DEED c~E-';~`? N 13 CE~i CGRI' FEE: i:Cr'Y FEE: iNANSFER FEE: 4E;:OkDI~G FEE: 15.00 PkutS: 3 NAME AND RE~RN $DORES ~0 9~ 9oy'~~~-WA~L'~-~ AC1C70WLLDGT~(NT STATE OF WISCONSIN ) ss. C ~ L ( ~. COUNTY ) Personally came before me this ~~41^ day of September 2001 the above named Stevan M. Nynwan and Susanna L. WynvNn to me known to be the person(s) who executed the f(ore~go,,i~nlq instrumentf~an'd`a/~cknowledge the same. ~ X.J1V 1.~~.~lF- ~t - X ~ t (~ ~C..L~ ~ *~nc~~(p~ ~ S'~llb1'~~-f ~or~ Notary Public J1~ Ci~C~I~. County, Wis. My commission is permanent. (If not, expiration date: ~) _ l ~ ~) r '~~~~ ~1719Pb~F `i21 SO Continued. llESCRIPTION A parcel of land located in the NE 1/4 of the NE 114 ut'Sect-ou 26, '1'24N, R17W, Town of Fla-r-mond, St.Croix County, Wisconsin, more fully described as follows: Canuuenciag at the E 1/4 corner of said Section 2G: Thence N00°00'00"E along tl-e East line of the NE 1/4 n distance of 1396.91' to the POINT OF BEGINNING: Thence N90"00'00"W 525.03'; Tl-e-rce N00°00'00"W 85.54'; Thence N45°54'04"E 319.11'; Thence N90"00'00"E 295.8G' to a point on the East line of the NE l/4 of said Section 26; Thence S00"00'00"E along said line 307.G0' to the point of beginning. Contains 312 acres (136,OSG Sq. FT.) subject to 200th Street right-of--way over the easterly 33' thereof. Also subject to a GG' wide driveway easement as shown and any and all~additiona! easements, right-o!'--ways or conveyances oCrecord. SURVEYOR'S CERTIFICATE I, James M. Weber, registered land surveyor, hereby certify: That ul full cunlphnnce with the provisions of Chapter 23G.34 of the Wisconsin Statutes t-r-d the provisions of the St.Croix County subdivision ordinance und•w-der the direction ol'Steveu Wynveen, I have surveyed and mapped the above described p:u•cel of land and shat this map is a correct representation of tl-e boundary thereof. Dated this~day of wnv4.1 ,199G. ;~n~tGOht`~e . ~ i~. Jumes M. Weber S-1804 ' ~` NELSEN-WEBER LAND SURVEYING ~ 1`} JAMES M. ;y W80F:R S ~ iL04 SPflIN~ VALLEY / Wf6. i ~,~~9 ~~~~-~ NOTE: The parcel shown on this map is subject to Stace, County and local laws, rules and regulations (i.e. wetlands, minimum lot size, access to parcel, etc.). Before purchasing or developing any parcel, contact the St.Croix County Zoning Oftiee and the appropriate Town Board fur advice. SI3EE't' 2 O1± 2 ab= 3 T`us ~~itr~rsc. ~irJ~t,1 by Ilm j1' ;•~ QOLBtSE LL YALE 3171 1719PAG~320 5508`7'7 so OCi 15 1996 - 2 KATHLEEN N. WAL$1{ ReGlstar oI Deeds SLGakCn.>;y .~ ~XHiBi`f" ,~ CERTIFIED SURVE P LOCATED IN THE NE 1~4 OF THE NE li4 OF SECTION 26, T29N, RI7W, TOWN OF HAMdOND, ST.CROIX CO., WI. PREPARED FOR: STEVEN WYNVEEN E NE CORNER OF SEC. 26. (RAILROAD SP/KE FOUND)--~~ ~~~ ~ J ~96,' .dl(2IE.i BEAR / NGS ARE REFERENCED TO THE EAST LINE 1 i OF THE Nf 1 ~4. (ASSUMED y l ; , ~ , r, ~~, ;, ~ ; ~~ BEARING} `" OO UNPLATT D LANDS I n, $ ( 'ar.~ C""~ Q-~P-'OX• 1l~CG~fiur-~ ~ p-Fi G SL.IS~-r'~ .~ i A• 2 m • w 8 8 A 33' m 33. : r.:..: a:.~n Gna N 90°00' 00'E 295. 86' ~ ~ :N .;~:`ur, 3ti ~:,,~ .. ' 262.86' 33.00' :p ',~r . ~~ pr 0a ~ ~ O~ °' :^~ I s rr, . 71 :r '.~, ~~ ~ . p. 9 N 90°00' 00"E 330.9 _ 7' O o ~ . , i ~ _ _.. _ y y 66' WIDE DRIVEWAY EASEMENT O O u ~$ ° g ~ :C :z _ LOT I r oo'-i $ $ :~ : r :a ~L 3.12 ACRES m m !' (136, 05S SO. FT. } a 2. 44 AC. EXC. EASEMENTS ' I w w f f 106, 309 SO. FT.) p o O I : r-- :D HIGHWAY BUILDING-~ ~ O :2 '~ SETBACK L/NE O! :y 492.03' 33. 0 ;~ N 90°00' OD•W 525. 03' I :m :m :-~ 33' ~ 33' ~' $ UNPLATTED LANDS ~ °i`$ EAST LINE OF THE NE /i4 "~ ~~ 4 ~ q~ ,, 1 , ~ '•'1 ~ E / i4 CORNER OF SEC. 26. ~,~, ~~'~~ f 2" f RON P !PE FOUND ). v (~i l~J O • SET I" X 24' IRON PIPE WEIGH/NG 1. 13LBS PER L !NEAR f00T. !00 0 /DO 200 300 GRAPHIC SCALE -FEE T SHEET I OF 2 96-78 T}fIS INSTRUMENT GRAFTED BY JfM WEBER ,~.~~c,GO~ysay~ ~ti • !l JAMES M. j} s WEER S • 7801 SPRING VALLEY wls. ~~~~~~ U Ry ~` r ~ts~ -- JAhfS M. 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