Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
034-1045-60-050
Wisconsin Department Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division County: St. Croix INSPECTION REPORT sanitary Permit No: GENERAL INFORMATION (ATTACH TO PERMIT) 572860 0 Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. State Plan ID No: Permit Holder's Name: City Village X Township Fritz, John & Jennifer Parcel Tax No: CST BM Elev: Springfield, Town of 034-1045-60-050 Insp. BM Elev: jBM Description ►/'1Y/ /O Section/Town/Range/Map No: TANK INFORMATION 'J(I ` 20.29.15.3106 ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION .r.~..s5 BS H1 FS ELEV. Septic Z •-2- W G ~n 4 Benchmark Q 14 Dosing ~7 3 Alt. B ' q V..'16 A Aeration e / •~7 S ~'''j• 3 Bldg. Sewer Holding SVHt Inlet l5, S- 3Z TANK SETBACK INFORMATION SVHt outlet TANK TO P/L WELL BLDG. ant t it Intake ROAD Dt Inlet Septic Dt Bottom AM- 3 7 / Dosing Header/Man. /v~ Aeration .~Z add • f!o'5 Dist. Pipe Holding Bot. System S. z7 lab PUMP/SIPHON INFORMATION Final Grade Manufacturer ~ ~ Demand St Cove ' GPM Model Number / 31- / Ca r TDH Lift Friction Loss System Head TDH Q t y. W Forcemain Len th f Dia. Dist. to Wen SOIL ABSORPTION SYSTEM s~ Z BED/TRENCH Width t Length w No. Of ranch - PIT DI IONS No. Of P't~ Inside Dia. Liquid Depth DIMENSIONS 4'i5 ew J SETBACK SYSTEM TO P/L BLDG WELL INFORMATION LAKE/STREAM LEACHING Manufacturer. Type ystem: CHAMBER OR UNIT Model Number. DISTRIBUTION SYSTEM d~ Header/Manifojof / Distribution / x Hole Size ZS' Pipe(s) / x Hole Spacing Ve Air i ke Length Dia Length Dia C Spacing ZZ SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth aaa~~~ Bed/Trench Center I Bed/Trench Edges Topsoil \ Seeded/S dde utched W as No ; Yes Ej No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: /0/ Inspection #2: / / Location: 895 280th Street `godville, WI 54028 (NW 1/4 NW 1/4 20 T29N R1 5W) NA Lot 2 ~'I f Parcel No: 20.29.15.3106 1.) Alt BM Description = ~pw (J 2.) Bldg sewer length = 71-7 w 611- - amount of cover Plan revision Required? Yes )<No / I Z - Use other side for additional information. >l I l 1 ✓ SBD-6710 (R.3/97) Date Insepctor's S' ature (w Cert. No. 0duy "k g~ Industry Services Division County, 1400 E Washington Ave Sanitary Permit Number (to be filled in by Co.) P.O. Box 7162 TT lit" t State Transaction Number ermit App ><c e 7g In accordance wt SVR¢ Wis. Adm. Code, submission of this form to the appropriate governmental unit is required prior obtaining a sanitary permit. Note: Application forms for state-owned POWTS are submitted to Project Address (if different than mailing address) the Department of Safety and Professional Servies. Personal information you provide may be used for seconds (^r.~ 46 purposes in accordance with the Privacy Law, s. 15.04 1 m , Slats. j LL) 1 1. Application Information - Please Print All Info ation Lc-, e od ~ J . Property Owner's Name eA^; Parcel # _ h F 0341 Property Owner's Mailing Address Property Location 331 C.,+~ k df- Govt. Lot " i/,/ U) Section c4 0 City, State Zip Code p Phone Number t`.) t L( W r O-a O 715- - `q/ 7 7` G (circle on TN; R E oW V110, pe of Building (check all that apply) Lot # Subdivision Name 2 Family Dwelling -Number of Bedro s / Block ❑public/Commercial-DescribeUse 7)"1/t- IOC AA_ ail ❑ City of e►►40J2 El Village of l CSM Number D ga o t t t D _A El State Owned -Describe Use A 19 33163? lz-lA Town of ' C_ Ill. Type of Permit: (Check only one box on line A. Complete line B if applicable) A' t~lvew System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) List Previous Permit Number and Date Issued B. ❑ Permit Renewal El Permit Revision El Change of Plumber 11 Permit Transfer to New Before Expiration Owner IV. Type of POWTS System/Component/Device: Check all that apply) 6 t_ ❑ Non-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade NKound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ Holding Tank ❑ O er Dispersal Component (explain) ❑ Pretreatment Device (explain) V. Dis ersal/Trea ent Area Information: G Design Flow (gpd) Design Soil A plication Rate(gpdsf) Dispersal Area Required (s Dispersal Area Proposed ( System Elevation /7 30 oC) VI. Tank Info Capacity in Total # of Manufacturer C Gallons Gallons Units N U w a . New Tanks Existing Tanks w nQ a L C ~1 y Septic or Holding Tank O t7 D t I o„S C Dosing Chamber O O 6 W t 1 VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print~tlcl Plumbe ' gnature MP/MPRS Number Business Phone Number rj n 1 ashes- ~ oa 1 7rS = ~'9S- i.~ Plumber's Address (Street, City, State, Zip Code) VIII. un /De artment Use Onl Permit Fee Date ssu Issuing tSignature Xpproved 727 , ner n Reason for Denial S " 5 17 IX. Conditffi easQf~~Tor D' approval / S (G ✓ C 1 Septic tank, a Uen nRof and 3) Co dispersal cell must all _ s !`rn irate aired rC ~ - W I er.,. 4 as per management plan pfovided by plumo or. 2. 466* npuln Mug I,ttont?ill q per,app>~bl~dodt % adillarlne~ Attach to complete plans for the system and submit to the County only on paper not less than 812 a 11 inches in size SBD-6398 (R0313) G ~ V n~ i~- o ~ )fit E v l S, m / / Iz ZZ, G r ~""jT BENNM W HELGESON Page 2 11/18/2014 Owner Responsibilities: • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation_ and - maintenance manual and/or owner's manual for the POWTS described in this approval. • The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. SPS 383.51(1). • 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 is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. In granting this approval the Division of Industry Services reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 250.00 Fee Received $ 250.00 Balance Due $ 0.00 6rard4M Swim POWTS Plan Reviewer, Integrated Services (608)789-7892, Mon - Fri, 7:15 am - 4:00 pm WiSMART code: 7633 jerry.swim@wisconsin.gov cc: Edwin A Taylor, Wastewater Specialist, (715) 634-3484, Monday - Friday 8:00 am To 4:30 pm ~~ti2aRr~gNT DIVISION OF INDUSTRY SERVICES 3824 N CREEKSIDE LA e$s~ I o P HOLMEN-Wl 54636 h ' Contact Through Relay 3 P K www.dsps.wLgov/sb/ ~ti S www.wisconsin.gov ti o s Scott Walker, Governor ~SSfON Dave Ross, Secretary November 18, 2014 CUST ID No. 220292 ATTN.- POWTS Inspector BENNIE W HELGESON ZONING OFFICE HELGESON ENTERPRISES ST CROIX COUNTY SPIA N7649 STATE ROAD 128 1101 CARMICHAEL RD SPRING VALLEY WI 54767 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 11/18/2016 Identification Numbers SITE: Transaction ID No. 2478172 John Fritz Site ID No. 808027 280TH St Please refer to both identification numbers, Town of Springfield above, in all correspondence with the agency. St Croix County NW1/4, NWl/4, S20, T29N, R15W FOR: Description: Three Bedroom Mound System /11% slope Object Type: POWTS Component Manual Regulated Object IDNo.: 1512604 Maintenance required; 450 GPD Flow rate; 24 in Soil minimum depth to limiting factor from original grade; System(s): Mound Component Manual - Ver. 2.0, SBD -10691-P (N.01101, R. 10/12), Pressure Distribution Component Manual - Ver. 2.0, SBD-10706-P (N.01101, R. 10/12); Effluent Filter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with the enclosed approved plans and with any component manual(s) referenced above. CON The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code A requirements. DEPT O No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s. 145.06, PROFESSI stats. DIVISION of i The following conditions shall be met during construction or installation and prior to occupancy or use: Reminders: -4yu~& • A sanitary permit must be obtained from the county where this project is located in accordance with the SEE CORR 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. • A state approved effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. Access to the filter for cleaning must be provided per SPS 384 product approval conditions. • All POWTS component piping material shall be SPS 384, Wis. Adm. Code compliant. • The area within 15' downslope of the dispersal component shall remain undisturbed. Vehicular traffic, excavation or soil compaction is prohibited in this area. • A copy of the Vproved 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. NOTE: Per CST the site shall be deep chisel plowed to help break up platy soil structure. BENNIE W BELGESON Page 2 11/18/2014 Owner Responsibilities: • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and . maintenance manual and/or owner's manual for the POWTS described in this approval. • The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. SPS 383.54(1). • 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 is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. In granting this approval the Division of Industry Services reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter and the POWTS management plan to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 250.00 Fee Received $ 250.00 Balance Due $ 0.00 rard M Swim POWTS Plan Reviewer, Integrated Services (608)789-7892, Mon - Fri, 7:15 am - 4:00 pm WiSMART code: 7633 jerry.swim@wisconsin.gov cc: Edwin A Taylor, Wastewater Specialist, (715) 634-3484, Monday - Friday 8:00 am To 4:30 pm NOV 12 2014 : N SERVIC': INDEX SHEET PROPERTY OWNER: JOHN FRITZ 331 OAK STREET # I WOODVILLE WI 54028 PROJECT NAME: JOHN FRITZ PROJECT LOCATION: NW '/a , SW '/a , S 20, T 29N, R 15W MUNICIPALITY: TOWN OF SPRINGFIELD COUNTY: ST. CROIX DESIGN: PRESSURE DISTRIBUTION MANUAL VERSION 2.0" SBD-106706-(N. 01 /01) MOUND COMPONENT MANUAL VERSION 2.0" S10IVAL~Y 10691-P (N.01/01) RC-v CONTENTS: SAFET JMA~ S YAND Page 1: Plot Plan 0US 'S'eR /CAS Page 2: Cross Section and Plan View of Mound Vic 'es Page 3: Distribution Pipe Layout zo:t_lkvCE Page 4: Septic Tank and Pump Chamber Cross Section and Specification Page 5: WLP 1000/600 - MR ZABLE Tank Specifications Page 6: Pump Specifications Page 7: Observation Pipe Detail Page 8: POWTS Owner's Manual & Management Plan- Pg 1 Page 9: POWTS Owner's Manual & Management Plan- Pg 2 Name: Bennie Helgeson Signed: Address: N7649 Hwy 128 Spring Valley, WI 54767 Credential Number: 220292 Date: 11-08-2014 o W -Al IA 4 ~1 tr Ya ~ ~ Y , ~ ~ a S S p~ T r i J v C q O 0~ s ~ ~3 N / - 1 4 0 z V) a c v~ -41 4 o ~ ` ,.,,rte ~ w ca.~ Y1 ,r J z Page a O f 9 Synthetic Covering ASTM C-33 Distribution Pipe ~s~ O/. Medium Sand H ~ .~ys ~rm Fk ~ Topsoil F on.ao ` _I r E D ` b ®n Eteo . 44. L) Slope- Ci=UOf %N- 2 % Force Main Plowed /~.i©I ~i Aggregate 2 From Pump Layer To D / Ft. E Ft. Cross Section Of A Mound F Ft. G , S Ft. A Ft. H % Ft. Signed: B Z(2 o Ft. License Number: K 3 Ft. L Ft. Date: j Ft. T f Ft. W~.(d Ft. L Observation Pipe r- Td A I r g -1------------------------------------- j Distribution Of 2 - Pipe Aggregate i Observation Pipe 730 A r~~. Plan View Of Mound OC4 Porlorolna PIP• pnloll A (r5~ 1 End Vlo.u )POtIotolca PVC P P ri^l 1 Holes Located on Bottom are Equally Spaced C L~•a~,c~«~~ olclrlovua~... . PIP. Discribucion Pipe Layouc P R S x Y 3i ~ dT Hole Diameter Inch Signed: Lateral Inch (es) License Number: Manifold " Inches Dace: Force Main Inches f >+ao .Oso f'TO S PC r ~ ,x e rc~ l ~O /11um be r o~ Qtc o-c~ fs ~ ~ To 46L 1~ s _ 7,6 owyl4;;LV`: -,-Tokvx A~r i+-z- Page _q Of__q .SEPTIC TANK E PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS 4" PLALVENT PIPE 12" MIN. ABOVE GRADE E WEATHERPROOF ? 25' FROM DOOR, WINDOW OR JUNCTION BOX APPROVED FRESH AIR INTAKE WITH CONDUIT MANHOLE COVER W1 PADLOCK E ' WARNING LABEL s 4 n MIN. 18" IN. 1. d. M1N• 7 INLET 87. WATER TIGHT SEALS GAS- ; 'TIGHT APPROVEA FILTER A SEAL JOINTS WITH L ; ALM APPROVED PIPE APPROVED Pb lo ~ PIPE 3'~S B ' ON 3' ONTO ONTO SOLID C ' SOLID SOIL SOIL C PUMP OFF ELEV. TT. --I- OFF :r I - v"A D 3" APPROVED BEDDING UNDER TANK CONCRETE PAD SPECIFICATIONS 'T"o to l C ~1 s rr. Laf~ rst~.S SEPTIC / DOSE TANK MANUFACTURER: ~8 X 'r = Gc3 , TANK SIZES: SEPTIC /00C) GAL. DOSE VOLUME INCLUDING DOSE app GAL. 50 6-cil. ---i?FLOWBACK: OYO GAL. ALARM MANUFACTURER: -~JE ~hdw~bus CAPACITIES: A = /8 INCHES = J01,6gGAL. .MODEL NUMBER: /0/ SWITCH TYPE: Mec ha~rccc_rB = 2 INCHES = ZLSS2 GAL. PUMP MANUFACTURER: C = 0 --t INCHES = /.?.3r GAL. MODEL NUMBER: /•S"3 . S~ 7 GAL. SWITCH TYPE: Mec anrcQ.l 7=/dad" D = INCHES =Id S- 7 - REQUIRED DISCHARGE RATE 31,16 GPM PUMP E ALARM WIRING AS PER ILHR 16.23 WAC VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE T_ FEET 155 + MINIMUM NETWORK SUPPLY PRESSURE . . . . . : . . . FEET + 3~. FEET FORCEMAIN X -R,a FT/100 FT. FRICTION FACTOR FEET TOTAL DYNAMIC HEAD = FEET28,(v INTERNAL DIMENSIONS OF PUMP TANK: LENGTH WIDTH DIAMETER LIQUID. t5EPTH- 16 , 76 See 75_n _~aec, Sir ee f- SIGNED: LICENSE NUMBER: DATE: 1/88 t a I V a t 'moo z [wJtf) Qv o m 00 ~ ¢ N _ V~ m Z ~ J .Cno 55 o()O N F~ FL) n: ~ o Oz I p~ a U) o Y I- w a N co a\ Q o=' o° o~ V) n: r--~ 2K) o U) P o ~m 4k.¢ zz I°~o I ova o Psi,] o o-w o aow~ w L) aQ in a a~ c°v wI-- w ou z -IUxo0 wof o J W w ~ o o l~. o I-I 11 f I to (n O U 1- O WA o o N~~ ;Q ~ ~;o J Q tD CL -od Po LO I! mWW I,co ° 0 c; 0 F- z M: DLO. J>.q W!E V LLI O Y Lnwn ~Zwr ~w M J.. J D~F- O Z vi ..odo=r ..-Zt ooy oow a w Q °aoo¢wz°0a2 °zMQ °z`ssmo z mU~2-1 mJ ¢.h C7 ¢S~ Q z LLI D J b o z z ° v) o aZ-v z _ M 1 ' i I I I W a5 a8'b aZ Ld ■ I s 4 I ~ \ I o I I I 1 ; I I W LwaJ In J I U ¢ i U) j z I a . I 1 > , .I i ~1 `r •i I I F- W 01 K~ ,~95 y- ~a~ h ~r'i -fz• 4 b o-F TOTAL DYNAMIC HEAD/CAPACITY HEAD CAPACITY CURVE PER MINUTE EFFLUENT AND DEWATERING or MODEL 152/153 MODEL 152 153 50 Feet Meters Gal. Liters Gal. Liters 153 5 1.5 69 261 77 291 12 40 152 10 3:1 61 231 70 265 0 15 4.6 53 201 61 231 = 20 6.1 44 167 52 197 30 8 25 7.6 34 129 42 159 r 30 9.1 23 87 33 125 0 a 20 35 10.7 22 85 ° 40 12.2 11 42 4 10 Lock Valve: 38.0 Ft. (11.6m) 44.0 Ft. (13.4m) 014506 0 20 40 60 80 100 GALLONS LITERS 0 80 160 240 320 6 1/a 3 27/32 4 5/8 FLOW PER MINUTE CONSULT FACTORY FOR SPECIAL APPLICATIONS 3 27/32 • Timed dosing panels available. 4 • Electrical alternators, for duplex systems, are available and supplied with 3 27/32 an alarm. • Variable level control switches are available for controlling single phase I - systems. • Double piggyback variable level float switches are available for variable level long and short cycle controls. • Sealed Qwik-Box available for outdoor installations. See FM1420. • Over 130°F. (54°C.) special quotation required. 1521153 Series 12 1/8 152/153 MODELS Control Selection Model Volts-Ph Mode Amps Sim lex Duplex 5 1/8 115 1 Nan 8.5 1 2or3 SN1 8N752 115 1 Auto 8.5 Included 2or3 E152 230 1 Non 4.3 1 2 or 3 sK2oa SE152 230 1 Auto 4.3 Included 2 or 3 N153 115 1 Non 10.5 1 2or3 , BN153 115 1 Auto 10.5 Included 2or3 SELECTION GUIDE E153 230 1 Non 5.3 1 2 or 3 1. Single piggyback variable level float switch or double piggyback variable level float BE153 230 1 Auto 5.3 Included 2 or 3 switch. Refer to FM0477. O CAUTION 2. See FM0712 for correct model of Electrical Altemator E,Pak. All installation of controls, protection devices and wiring should be done by a qualified 3: Variable level control switch 10-0225 used as a control activator, specify duplex (3) licensed electrician. All electrical and safety codes should be followed Including the most recent National Electric Code (NEC) and the Occupational Safety and Health Act (OSHA), or (4) float system. RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAIL T0: P.O. BOX 16347 ~O Louisville, KY 40256-0347 Manufacturersof.. SHIP T0: 3649 Cane Run Road Louisville 1• " ® ~ ® , KY 40211961 ZcaurrPuuve SNCE 1939 (502) 778.2731.1(800) 928-PUMP httpJ/www.zooller.com PUM~ ~0 FAX(502)774-3624 0 Copyright 2001 Zoeller Co. All rights reserved. f-7- Watertight cap " min. dia. Piping material can be ASTM D2665, D1785 or D3034 Slot " min. min.' Infiltrative surface Water Closet Collar Bar (318" min. dia.) Clbservatiori pipes must. _ • be located such that there are a minlmum of two Installed in each dispersal cell at opposite ends from one another • be located near the dispersal cell ends • be at least 6 lnches from the end wall and sldewall • be installed at an elevation to view the horizontal or level infiltrative surface within the dispersal cell Observation pipes may be located less than S Inches from end walls or side walls If specified in state approved manufacturers' installation Instructions. du> n er ~ Td ~ h ~c' i kv ' Page ` of START UP AND OPERATION For new construction, prior to use :of the POWTS'check:::treatmerit. tank(s) for the presence of painting.. products,: solvents or. other chemicals or sediment that may Impede the treatment process'andlordamage•the soil absorption system. If high concentrations are detected have the contents of the tank(s) removed by a Septage Servicing Operator (pumper) prior to use. Pump tanks may fill above normal highwater levels prior to startup of due to pump failures.. Start up or restoration of power under these; conditions is not recommended, as the excess wastewater will beidischarged to the soil absorption system in one large dose causing an overload that may result in the backup or surface discharge of effluent. and damage;toaite system. To avoid this situation have the contents of the pump tank removed by s Septage Servicing Operator(pumper)-priorto-restoring power to>the pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls until normal effluent levels are restored within the pump tank. System start up shall not occur when soil.oondidons are frozen at the Infiltrative surface. Do not drive, or park vehicles over tanks or the soil' absorption `system. Do not drive or park over, or otherwise disturb or compact, the area. within 15 feet down slope of any mound or at-grade soil absorption area. : Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the treatment tanks and soil absorption system: acids, antibiotics; baby wipes, cigarette butts, condoms, cotton swabs, degreasers, dental floss, diapers, disinfectants, fats, foundation tirsin (sump pump) discharge, fruit and vegetable peelings, gasoline, greases, herbicides, meat scraps, medications, oils, painting products, pesticides, sanitary napkins, solvents, tampons, 'and water softener brine discharge: ABANDONMENT. When the POWTS fails and/or is permanently taken out of service the following steps shall be taken'to insure that the system is properly and safely abandoned'in compliance with a. Comm 83.33, Wisconsin AlMiriistre04e Oodei • All piping to tanks, pits and other soil absorption systems shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator (pumper). • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another Inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the. following measures have been, or must be taken,. to provide a code compliant replacement system: Q A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area -should be. protected from disturbance- and compaction, and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site, evaluation to establish a suitable replacement area. 'Replacement system's 'must comply with the rules in effect at the time of their permit Issuance. Q A suitable replacement area Is not available due to setback and/or soil limitations: If the soil absorption system cannot be rehabilitated and barring advances In POWTS technology, a holding tank may be installed as a last resort. Q The site has not been evaluated to Identify a suitable replacement area. Upon failure of the POWTS. a soil and site evaluation must be performed to locate a suitable replacement area. If no replace men4.ares is available a holding tank may be installed.as a last resort to replace the failed POWTS. Mound and at grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. WARNING TREATMENT TANKS, PUMP TANKS, AND HOLDING TANKS MAY' CONTAIN POISONOUS .GASSES OR LACK SUFFICIENT OXYGEN TO SUSTAIN LIFE. NEVER ENTER ANY TANK UNDER ANY. CIRCUMSTANCE. DEATH MAY FiESE?Lfi"-ESCAJFE'•QR~FtBSCiiE.;FR01111:'T.R`Df"W1'A1tiC'M"; . ADDITIONAL INSTRUCTIONS: POWTS-MAINTAtNER .'yj POWTS INSTALLER Name 'Ben Name T %,a Phone -P 75 `6 . 1 . Phone ~ ! S - "j-Z oZ - 3 Uy ~ . . SEPTAGE SERVICING OPERATOR PUMPER LO.CAL;REGULATORYAUTHORITY Name Name Phone If 5 -012 ~ `7 $ C Phone l ~ - 6 This document was drafted by the staffs of the Green Lake, Marquette and Waushara County POWTS regulatory agencies in compliance with sections Comm 83.22(2)(b)(1)(d)&(f) and 83.54(1), (2) & (3), Wisconsin Administrative Code. POWTS OWNER'S MANUAL. & MANAGEMENT PLAN Page of 9 FILE INFPRMA7!Q +1 SYSTEM -SPECIFICATIONS Ovrher z_ Tank Manufacturer: l~ S~ r ❑ NA Permit # P9 Septic O Dose.0 Holding Volume: /bOO (gal) DESIGN PARAMETERS ETER$ Tank Manufacturer: ❑ NA Number of Bedrooms: ❑ NA ❑ Septic IQ Dose ❑ Holding Volume: L60 (gal) Number of Public Facility Units: NA Vertical Distance Tank Bottom(s) to Service 'Pad: (ft) Estimated (average) Fiow : (gal/day) Horizontal Distance Tank(s) to Service'Pad: /04 (ft) Specific servicing mechanics must be provided if vertical is >15 feet or Design (peak) Flow = (estimated x 1.5): (gal/day) if horizontal Is >150 feet. Specific instructlons to be provided on back. In Situ Soil Application Rate: (gal/daye) . Effluent. Filter Manufacturer: p NA Standard (Domestic) Influent/Effluent onthly'average Effluent Filter Model: Fats, Oil & Grease (FOG) s30•ing/t Pump Manufacturer: 70-.0,R! we-Y Biochemical Oxygen Demand (BODE) s220 mg/L ❑ NA ❑ NA Tc~tal_$uspehdsd;S 7lids.(TSS. ;'51-8:0 mggIL Pump,Model; High Strength Influent/Effluent Monthly average Pretreatment Unite (FOG) >30 mg/L Manufacturer. (aOD6) >220 mg/L ❑ NA ?9 NA (TSS) >150 mg/L ❑ Mechanical Aeration ❑ Peat Bflter ❑ Pretreated Effluent Monthly average Disinfection ❑ Wetland Y g ❑ Send/Gravel Filter ❑ Other; (BODE) s30 mg/L Soil Absorption System (TSS) s30 mg/L 1% NA Fecal Coliform (geometric mean) sW ' ❑ in-Ground (gravity) . ❑ In-Ground (pressure) ❑ NA El NA El At-Grade go Mound Maximum Effluent Particle Size ;~•in dia• ❑ Drip-Line " ❑ Other: Other: ❑ NA Other: ❑ NA MAINTENANCE SCHEDULE Service Event Service Frequency Pump out contents .of tank(s). When combined sludge and scum equals or v4lyd of tank volume ❑ When the high water alarm is activated Inspect condition of tank(s) At least once every: ❑ month(s) 69 year(s) (Maximum 3 years) ❑ NA a. - Inspect dispersal cells . At least once eve ❑ month(s) . every: year(s). (Maximum' 3 years) ❑ NA 19 month(s) Clean effluent filter At least once every: El NA ❑ year(s) Inspect pump, pump controls & alarm At least.once,every: month(s) ❑ NA (aj year(s) Flush laterals and pressure test. At least once every:. ❑ month(s) ❑ NA ear(s) Other: At least once every: ❑ month(s) ❑ `NA Q year(s).. Other: ❑ NA MAINTENANCE INSTRUCTIONS Inspections of tanks and soil absorption systems shall be made by an Individual carrying one of the following licenses or certifications: Master Plumber, Master Plumber Restricted Sewer, POWTS Inspector, POWTS 'Maintainer or Septage Servicing Operator (pumper), Tank inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined. sludge and scum and a check for any back up or ponding of effluent on the ground surface. The soil absorption system shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on, the ground surface may indicate a failing condition and requires she <immediate notification of the local regulatory authority. When the combined ;accumulation of sludge and scum in any treatment tank equals one-third or more of the. tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator (pumper) and disposed of in accordance with chapter NR 113, Wisconsin Administrative Code: All-other .services, including but not limited. to the servicing of effluent filters, mechanical >or-pressurized components, ;pretreatment units, and any servicing at intervals cf 512 months. shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 30 days of completion of any service event. GMW-005 (02/05) n Page of START UP AND OPERATION .presence of painting products, ;solvents or other For new construction, prior to use :of the. POWTS'check'::treatment. tank(s) for the : P, chemicals or sediment that may impede the treatmentprocess'andlor damage-the soil absortion sus tem. if high concentrations are detected have the contents of the tank(s) removed by a Septage Servicing Operator (pumper) prior oration wer under these Pump tanks may fill above normal highWater :w be dischaerged to the soil absorption systremtIn one largeodose causing an conditions is not recommended, as the excess or contact a Plumber • overload that may result in the backup or surface discharge of effluent. and damage to the system.- Tothav. o~ tltl {his situation -have the -rdstorin rmal effluent levoarerresto ed within the pump tank. toi contents the pump tank removed manuallyeoperat ng Servicing Operator pump controls until noels or PQWTS Maintainer to assist System start up shall not occur when soil. conditions are frozen at the infiltrative surface. Do drive or park vehicles .over tanks or the soil absorption system. Do not drive or park over, or ntherwtse disturb or compact, the not treatment area within 15 feet down slope of any mound or at-grade soil absorption area. n'd • Reduction or elimination of the following dsoantibfo icstebabyrwstrea may improve ipesmcigarette butts,hcondoms,acotton swabs,-degreasers, the life degreasersof, the dental .floss, tanks and soil absorption system. diapers, disinfectants, fats, foundation dram (sump pump) discharga fruit and vegetable peelings,: gasoline, greases., herbicides, meat scraps, medications, oils, painting products, .pesticides, sanitary napkins, solvents, tampons, *and water softener brine discharge: ABANDONMENT. When the POWTS fails and/or is permanently taken out of service in Administrative steps shall be taken to insure that the system is properly and safely abandoned in compliance with s. Comm 83.33, Wisconsin All piping to tanks, pits and other soil absorption systems shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shali be removed and properly disposed of by a Septage Servicing Operator (pumper). • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS falls and cannot be repaired the following measures have been, or must be taken,, to provide a code compliant ...replacement system: lac and red een evaluated abso A suitable re eat a ea hoarea ld has bebo otected from dismay cbe- e utilizecompactlond for the n_ and should repot bee In'fnnged upontby s reion the The rcks.c a ill re Failure t Replacement s ystems mustacomply with the rules in need setbacks from m ex existing and proto establish lot lines nd wes. for a new soil and site. evaluation effect at the time of their permit issuance. lion system cannot be technologyt and/or soil' limitations, If the soil .p . A suitable replacement area in available due to may be installed as a last resort. rehabilitated and barring a area. Upon S. a soil and The site has. not been evaluated to suitablereplacement ' area replacement no nreplacement area islavailable a holding tank may be t e stalledeas a must be performed to locate a . last resort to replace the failed POWTS. Mound and at-grade soil absorption systems may be reconstructed in place following removal of the blomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. WARNING TREATMENT TANKS, PUMP TANKS, AND HOLDING TANKS MAY CONTAIN POISONOUS GASSES OR .LACK SUFFICIENT OXYGEN TO SUSTAIN LIFE. NEVER ENTER ANY TANK UNDER ANY. CIRCUMSTANCE DEATH MAY *3te; . ;RESf7LT~-EgCAPE°~~RESGkiE;FRO1Vl;'I`111+tflTERIO.R:~'~~'•~W 1":OT.Bep ADDITIONAL INSTRUCTIONS: ` P01Ni`S NIAINTNNER 1 s INSTALLER _ Name ENe Phone 1115, 73at -7 ;2 ~ ~ 1 S -7 (PUMPER) LOCAL; REGULATORY AUTHORITY BEPTAGE SERVIE-7 PERATOR Name Name Phone Phone i-5 X51 t This document was drafted by the staffs of the GrefsLase, Marquettetan Codeshara County POWTS regulatory agencies In compliance with section Comm 83.22(2)(b)(1)(d)&(f) and 83.54(1), (2) & (3), RECEIVED 3 $~y^ OCT ` 4 ~ 3 3 1.6 3 '7 268 VOL21 PAGE REGISTER OF DEEDS ST. ECEI ED FORS kEUWD CERTIFIED SURVE ~NTr R VOLUME 21 PAGE s26sO~ 09/e1/ee6 ii:isA21 C TIFIED SURVEY tlAP THE NORTHWEST QUARTER OF THE NORTHWEST QUARTER OF C RFC ! OPYF : 3.000 SECTION 20. TOWNSHIP 29 NORTH, RANGE 15 WEST, PAGES., 2 TOWN OF SPRINGFIELD, ST. CROIX COUNTY. WISCONSIN U_N_PL_A_TT_ED I Al\ DS Northwest Corner North 1/4 Corner SeCtlon 20-29-15 2651.76 N= COrn-f $r:CSiOn 20'29-:5 Found 2' Iron Pipe 1 FV89589'S9*47 47.4 ";E 1323255,88 .88' 90th Ave. Fd Aturlinurt Cop POB 274.n2 conte`'ine iu <7` ' t a6.a`~ - - _1325.8_8' ' -.~~e c-~"_ _.r.'~ ~ ~ tD++~4~..._ ~ ~ ~ f~t89-59'47"E 33.00' _ N89-59'47`E~- _ 7292.64' _ 33.00' ra / ! z - `ho c .R e,l b~;idsng setbocK Ime J ro wC34 of r.,,cC 770.445 sp. ft. co 0 o I • ~ m sec. .c 301•977 sp 1.r o-c 7.00 acres LOT 1 6.21 acres 00 i Co I I° w 1 ncl. r-o-w not mcl r-o-w aD l 'nrn ~ N8~'SS'47"•,',_.-•- n T 1134E 15'.Or. r - ) _ yF' Ir,- .s• ~ o i -tiCi' ~9t5 t ~ t p i = t~ 478,h60 SC.ft 1.51.289 sq. ft. 1c I 50 i - 1 11.00 acres 2, to _ 10.36 acres e o j incl. not incl. r-o-w r^ " ±3-a0 Co-nor .r; z t' I c 1292,24 wes! ^r fence Ib Z - - _ i rr°.` NE9'56'01 "c 1325 .24 L _ I LOT 3 '14 rn j C~ m ! Co soil tests 467,036 sq. ft. IAL1.78.966 sq.ft. t 10.72 ot incl. IZ Q n cc 'L 11,00 acres not r»o-w r; w i° m k 33.00' V t 241..86' J I N89'S6'01-£ 1324.1.36• 2p 1 Yon+ar :s r6' tuncc N f Cast Of to I ' tQ LOT 4 479.966 sq.ft. w o 11.00 acres rn i ~lir I iFttl. r-o-w 457,034 sq f! . l\ 10.72 acres co-ner ,s =~c' soil test not incl. r-o-w ! acs, one 6t 5.;..OJ , 1 no-,h Of fenCC jW co-rer I 1291.47' I _ Nw/Nw-I $89'56'01"W 1324.47' , 5 corner z Corner 1.11' (589'49-54`WS (t 32•.5•': Iv v!/t~Y: n0-lh p! ttln CC I 1 N DRAFTED BY: PREPARED FOR: Ow Z Joel A. Brandt UN_PLATTED CHARLES DALY TRUST JB SURVEYING LLC LwAD5 1241 Fifth St 966 Rust,c Rd 3 St.Paul, MN 55106 Glenwood City, WI Vest 114 Corner Section 20-29-15 Note: Each parcel on this map is subject to State and County laws, rules and regulations Found Aluminum Lap (i.e wetlands, minimum tot size. access to parcel, etc.). Before purchasing or developing any parcel, contact the St Croix County Zoning Office for advice. Note A possible violation of the St. Croix County Zoning Ordinance A .will be created if the existing structure. 10C2ted within 104 feet of JLW/ the property line, ever houses livestock or poultry. 00 S' SCALE= 1" = 250' JOEL ~ : tttr~wnx . tlr ` 0 2so Soo' t , inn 0........Gavernment Corner (as noted) ~p- Nortn is retrrrenced to the e..,..._...Set 3/4° x 24" Iron Rod 114"---•-.:. 14 rth Line of the Norrnwesl weighing 1.502 tbs./lineal ft Quarter of Sec 20-29-15. .......,.Found US" Iron rebar whtctt pears N89°59.1.7"E page 1 of 2 tSt Lroix County Grid Systeml ( 1 Record Data t 1oi2 Vol 21 Page 5268 T ' CI 99~S~899 T G X3 aA,,leH e80:01 b l 80 loo ST, CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer n-`-~ Mailing Address 1 1 v, C ~3 :a a fs Property Address' (Verification required from Planning & Zoning Department for new. construction ) City/State Parcel Identification Number t4 -!r5-- -a LEGAL DESCRIPTION Property Location !/4, pit) V4, Sec. ZU , T 99 N R 1r~ W, Town of SI I ho ~1 E. of Subdivision , f-- Lot # Certified Survey Map # 933 e_" 3 7 Volume Page _.5:) G /1( Warranty Deed # fo 17 y , Volume , Page # Spec house O yes P no Lot lines identifiable-yes Q no SYSTEM MAINTENANCE AND OWNER CERTIFICATION 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. Owner maintenance responsibilities are specified in §Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & 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 Planning & Zoning Department.within 30 days of the three year expiration date. Uwe certify that all statements on form are true to the best of my/our knowledge. Uwe am/are the owner(s) of the property described above, by virtue of a 7 ty deed recorded in Register of Deeds Office. Number of bedrooms S GNATURE OF APPLICANTS/-/_-'- DATE ***Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV. 08/05) 990170 BETH PABST REGISTER OF DEEDS STATE BAR OF WISCONSIN FORM 2 - 2000 ST. CROIX CO., WI RECEIVED FOR RECORD Document Number WARRANTY DEED 12/10/2013 08:01 AM THIS DEED, made between Michael John Daly, a married EXEMPT # N/A person, Grantor, and John J. Fritz and Jennifer A. Fritz, V REC FEE: 30.00 husband and wife, Grantee. TRANS FEE: 90.00 Grantor for a valuable consideration, conveys and warrants to PAGES: 3 Grantee the following described real estate in St. Croix County, **The above reconriny information Wisconsin: verifies that this document has been electronically recorded SEE EXHIBIT "A" ATTACHED HERETO AND MADE A PART returned to the submitter HEREOF Recording Area Name and Return Address: Edina Realty Title, Inc. 400 South Second Street, Suite 115 Hudson, WI 54016 1056635 Exceptions to warranties: 034-1045-60-050 Easements, restrictions and rights-of-way of record, if any. Parcel Identification Number (PIN) This is not homestead property. Dated this November 13, 2013 Michael J n Daly WARRANTY DEED STATE BAR OF WISCONSIN FORM No. 2-2000 1 of 3 AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE O.F( f7 COUNTY OF authenticated this November 13, 2013 Personally came before me this f the above Michael John Daly, a married person to me TITLE: MEMBER STATE BAR OF WISCONSIN known to be the person or persons who executed the (If not, foregoing instrument and acknowledged the same. authorized by §706.06, Wis. Stats.) t THIS INSTRUMENT WAS DRAFTED BY P1 ~ Martin D. Henschel Cheri Brown 6800 France Avenue South, Suite 410 Notary Public, State of Wisconsin Edina, MN 55435 My commission is permanent. (If not, state the (Signatures may be authenticated or acknowledged. expiration date: 03/01/2015) Both are not necessary.) 'Names of persons signing in any capacity must be typed or printed below their signature. CHERI BROWN NOTARY PUBLIC STATE OF WISCONSIN WARRANTY DEED STATE BAR OF WISCONSIN FORM No. 2-2000 i Exhibit A Legal Description Part of the Northwest Quarter~of the Northwest Quarter (NW 114 of the NW 1/4) of Section Twenty (20), Township Twenty-nine (29) North, Range Fifteen (15) West, Town of Springfield, St. Croix County, Wisconsin, more particularly described as follows: Lot Two (2) of Certified Survey Map filed September 1, 2006 in Volume 21 of Certified Survey Maps, Page 5268, as Document No. 833637, Office of the Register of Deeds for St. Croix County, Wisconsin. WARRANTY DEED STATE BAR OF WISCONSIN FORM No. 2-2000 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3 • Division of Safety and Buildings In accordance with Comm 85, Wis. A 0 Attach complete site plan on paper not less than 8'/2 x 11 inches in s' PI unty a ~St St. Croix Include but not limited to: vertical and horizontal reference point (B direction and L~Q6 P I I.D. Percent slope, scale or dimensions, north arrow, and BM referenced to earest road Q 4-1045-60-e99-- 3 0 Please print all information P b ~ Date 5 0 Personal information you provide may be used for secondary purposes (Privacy La 's. 15. (4 Property Owner rty ation T 9 N R 15 w Michael John DalGo % NW 00090 Property Owner's Mailing Address Lot # Block # Subd. Name CSM# 1241 E Fifth Street 2 02 3~ Y City State Zip Code Phone ❑ City ❑ Village 0 Town Nearest Road St. Paul MN 55106 651-771-1258 Springfield 280th Street ❑ New Construction Use: 0 Residential / Number of Bedrooms 3 Code derived design flow rate 450 GPD 0 Replacement ❑ Public or Commercial - Describe: Parent Material Loess over Till Flood Plain elevation if applicable N/A ft. General comments and recommendations: ❑Boring 1 Boring # 0 pit Ground Surface Elevation 100.5 ft. Depth to Limiting factor 30 in. Soil AoDfication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots PM' in. Munsell u. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 "Eff#2 1 0-8 10YR3/3 - L 2-m-gr ds gs 3f 0.6 0.8 2 8-12 10YR4/4 - L 1-m PI ds gs 2f 0.4 0.6 3 12-18 10YR4/4 - SL 1-co-bk dh gs 1f 0.4 0.7 4 18-30 7.5YR4/4 - SL 2-m-bk mfi gw - 0.6 1.0 5 30-40+ 5YR4/4 5YR4/6 &5/3 c-2-p SCL 1-m-bk mVfl - - 0.2 0.3 J_ T T__ ❑ ❑ Boring 2 Boring # Wit Ground Surface Elevation 97.8 ft. Depth to Limiting factor 24 min. Soil A lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/e in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 7Eff#1 "Eff#2 1 0-9 10YR3/3 - SIL 2-m-gr ds gs 3f 0.6 0.8 2 9-15 10YR4/4 - FSL 1-f-PI dsh gw if 0.2 0.6 3 15-24 10YR4/4 - SL 1-co-bk dh gw 1f 0.4 0.7 4 24-45+ 7.5YR4/4 7.5YR4/6 f-1-f SL 0-m mfi - - 0.2 0.6 • Effluent # I = BODS > 30!5 220 mg/L and TSS > 30:5 150 mgt • Effluent #2 = BOD5 5 30 mg/L and TSS 30 mg/L CST Name (Please Print) Si ature CST Number Mark Iverson 12~,_ 46672 Address Date Evaluation Conducted Telephone Number P.O. Box 155 Hammond, WI 54015 July 28. 2006 715-796-5664 Property Owner Michael John Daly Parcel ID# 034-1045-60-000 page 2 of 3 ❑ Boring / 3 Boring # ®pit Ground Surface Elevation 97.2 ft. Depth to Limiting factor 30 ✓ in. Soil ADylication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-9 10YR3/3 - FSL 2-f-gr dsh cS 3f 0.4 0.8 2 9-17 10YR4/4 - SL 1-m--I dsh cs if 0.4 0.6 3 17-30 7.5YR4/4 - SL 1-m-bk dsh gs 1f 0.4 0.7 4 30-50+ 5YR4/4 5YR5/6 f-1-f SL 1-co-bk mfr - - 0.4 0.7 Boring # ❑ Boring Wit Ground Surface Elevation ft. Depth to Limiting factor in. Soil ADolication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. M n II u. S z. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 Boring # ❑ Boring Elpit Ground Surface Elevation ft. Depth to Limiting factor in. Soil A lication Rat Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 * Effluent # 1= B0D5> 30 220 mg/L and TSS > 30 150 mg/L * Effluent #2 = BOD55 30 mg/L and TSS 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or Need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. r Page 3of3 0 ft. 24 ft. 40 ft. 80 ft. place system on N the 100.0' contour LOT 2 LOT 1 m c J Proposed' House CL Location . a 101, Property Line BW2 - Top of 1/2 inch PVC pipe ~ 0.- 100.0' &1 O 100.5 ~7 98'- 97' B-3 97.2 01112"PAC P~ 96' \ :81 ~O 100 0 95' B-2 97.8 \ BM# & Description . Bench Mark B-1 Elevation 100 =Boring Location & Elevation All property lines not identified on the map are greater than 100' from the borings Owner: Michael John Daly Site Information: Lot 2 Completed By: Mark Iverson 1241 E Fifth Street NW 1/4, NW 1/4, S20, T29N, R15W 680 Larcom Street St. Paul, MN 55106 Town of Springfield Hammond, WI 54015 Phone: 651-771-1258 St. Croix County 715-796-5664 PSS#198 / CST# 46672 RECEIVED 3 8 3 3 OCT 4M 1837 VOL21 PAGE 5268 KATALI'SA H. REGISTER OF DfiEDS CERTIFIED S U R V E' NTY RECEI VEDxFOR' hECCORD jW=Fo 09/01/2006 11:15AN VOLUME 21 PAGE 5268 CERTIFIED SURVEY MAP THE NORTHWEST QUARTER OF THE NORTHWEST QUARTER OF COPY FEE: 33800 SECTION 20. TOWNSHIP 29 NORTH. RANGE 15 WEST, PAGES: 2 TOWN OF SPRINGFIELD. ST_ CROIX COUNTY, WISCONSIN _N_PLA_TT_ED LANDS Northwest Corner - _ Section 20-29-15 2651.76' North 1/4 Corner Found 2' Iron Pipe (S89-46'1 7-17) (1325.87') NE corner Section 20-2 p L N89~4z€ N89'59'47"E 1325.88' 90th Ave_ NW/NW Fd Aluminum Cap P023 279.42 centerline N89'59'47"E 1046.46 1325.88' X6.42' _1046.42 N89'S9 47"E II - 33.00' `N89'59'47"E 0 1292.84' 33.00 7 r - - - - _ _ - - _ - - - - - - - - - - - I - Corner is f12' Z well building setback line west of fence I v oN N ho se; 'A n> I ° `O CI septic 304,977 sq.ft 270,445 sq. ft. _r4n 66 O ~~U n J a( / C( acres LOT , acres W x~ (O bornd~,lf/ r-o-w not t incl. r-o-w l~ I~ N N I F N8959'47"E 1046.15' Corner i.±12' I I OT west of fence I to L / O sOA tests N Q j I Lc I O ( 478,960 sq.ft. 451,289 sq. ft. to Irv- 501 33.00' 11.00 acres 10.36 acres o I z o v l incl. r-o-w not incl. r-o-w rq " °o O I Corner is t1' It✓ l~ ci i13 I 1292.24' west of fence IZ w n I ; Z N89'56'01"E 1325.24' CID W 'd N w{w g LOT 3 W4 c01 °i I CO soil tests 467,038 sq. ft. ;%1A ::E 478,966 sqft. ir» oo ' 10.72 acres a 11.00 acres not incl. r-o-w w icon { 33.00' S^' u I ,ate 1291.86' w N89'56.01"E 1324.86' Corner is 1:6' ca e" east of fence ca AL N u? I 1 N LOT 4 478,966 sq.ft.,~~ Q~~.. ° 11.00 acres Jl~n I ia 1. r-o-w ,x 467,034 sq. ft. ml -1{ 10.72 acres Corner is soil tests L/ \ x 33.00' lTJ 1291,47' not incl. r-0-w east and 6± /j/313.00 I/J I ,,114 north of fence SW corner 6t / NW/NW I x-x x er 1 Corner is 111 S89'56'01"W 1324.47' I SE corner Z north of fence (S89"49'54"W) (1324.51') I NN.'/NW 0 !=1 1'r DRAFTED BY: PREPARED FOR: Joel A. Brandt U_NPLA_TT_E_D CHARLES DALY TRUST JB SURVEYING LLC LANDS 1241 Fifth St 966 Rustic Rd 3 - St.Paul, MN 55106 Glenwood City, WI West 114 Corner Section 20-29-I5 Note: Each parcel on this map is subject to State and County laws, rules and regulations Found Aluminum Cap (i.e. wetlands, minimum lot size, access to parcel, etc.). Before purchasing or developing any parcel, contact the St. Croix County Zoning Office for advice. Note: A possible violation of the St. Croix County Zoning Ordinance will be created if the existing structure, located within 100 feet of the property line, ever houses livestock or poultry. SCALE: 1" = 250' ~~~'•`4~ y JIM A, 7y * tIPA►Dt 250' 500' 8- 03 , ~._OLETAMOOL'i LEGEND 0---------- Government Corner (as noted) 'ODD N North is referenced to the o...... ....Set- 3/4" x 24" Iron Rod North Line of the Northwest Quarter of Sec. 20-29-15, weighing 1.502 lbs./lineal ft which bears N89°59'47"E ..........-Found 1.2S" Iron rebar (St. Croix County Grid System) ( ) Record Data Page 1 of 2 1 of 2 _ Vol 21 Page 5268 Parcel 034-1045-60-050 04/01/2008 11:34 AM PAGE 1 OF 1 Alt. llarcel 20.29.15.31013 034 - TOWN OF SPRINGFIELD Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 09/01/2006 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner O - DALY, MICHAEL JOHN MICHAEL JOHN DALY 1241 E 5TH ST ST PAUL MN 55106 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description " 895 280TH ST SC 0231 BALDWIN-WOODVILLE AREA 2801 90TH AVE OR SP 1700 WITC Legal Description: Acres: 11.000 Plat: 5268-CSM 21-5268 034-06 SEC 20 T29N R15W PT NW NW CSM 21-5268 Block/Condo Bldg: LOT 02 LOT 2 (11 AC) Tract(s): (Sec-Twn-Rng 401/4 1601/4) 20-29N-15W Notes: Parcel History: Date Doc # Vol/Page Type 11/20/2006 839169 QC 11/20/2006 839167 TD 09/01/2006 833637 21/5268 CSM 07/23/1997 1248/111 mor 2008 SUMMARY Bill Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 06/15/2007 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 6.000 1,050 0 1,050 NO UNDEVELOPED G5 5.000 6,500 0 6,500 NO Totals for 2008: General Property 11.000 7,550 0 7,550 Woodland 0.000 0 0 Totals for 2007: General Property 11.000 7,550 0 7,550 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00