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034-1053-60-050
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: (ATTACH TO PERMIT) 579036 0 GENERAL INFORMATION State Plan ID No: 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 Parcel Tax No: Evans, Robert J. & Laura E. Springfield, Town of 034-1053-60-050 CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No: 24.29.15.373A50 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing Alt. BM Aeration Bldg. Sewer Holding St/Ht Inlet St/Ht Outlet TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic Dt Bottom Dosing Header/Man. Aeration Dist. Pipe Holding Bot. System Final Grade PUMP/SIPHON INFORMATION Manufacturer Demand St Cover GPM Model Number TDH Lift Friction Loss System Head TDH Ft Forcemain Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM BEDITRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type Of System: UNIT Model Number: DISTRIBUTION SYSTEM Header/Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) Length Dia Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth of r7~ded T Mulched Bed/Trench Center Bed/Trench Edges Topsoil 0 Yes [id No ~ Yes E] No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / / Inspection #2: Location: 3245 90th Ave Glenwood City, WI 54013 (NE 114 NW 1/4 24 T29N R15W) NA Lot 1 Parcel No: 24.29.15.373A50 1.) Alt BM Description = 2.) Bldg sewer length = - amount of cover = Plan revision Required? ❑ Yes No Use other side for additional information. Date Insepctor's Signature Cert. No. SBD-6710 (R.3/97) 5" Iva ok"_ IV am County IJI)dustry Services Division 5 T. -R-d / k. 3 ` Q 1 1400 E Washington Ave Sanitary Permit Number (to be filled in by Co.) P.O. Box 7162 UNTY Madison, i W1 53707-7162 s LOPMENT Sanitary Permit Application State Transaction Number In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit / 3 9 7 is required prior to 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 secondary purposes in accordance with the Privacy law, s. 15.040)(m), Stats. #.,Z*5 7 1. Application Information - Please Print orlnation Property Owner's Name / Parcel # e b t L. st v 1^4 t~van. S, 034- 165 ( 'cO - 6b Property Owner's Mailing Address Property Location 32yt' 90?K-.0~ r37k/r7 b~ City, State Zip Code Phone Number Govt Lot tl+, r/+, Section Csl Weed t t, / S tit G ! 3 TAN, R circle on W IL Type of Building (check all that apply) Lot # I or 2 Family Dwelling - Number of Bedrooms / Subdivision Name 64 Block # Public/Commercial - Describe Use City of State Owned - Describe Use CSM Number Village of S X 0 /D lL ~~3 / Town of Sr^IG/ !`l G ~E III. Type of Permit: (Check only one box on -fine A. Complete line B V applicable) A. New Systeny Replacement System Treatment/Holding Tank Replacement Only Other Modification to Existing System (explain) B• Permit Renewal Permit Revision Change of Plumber Permit Transfer to New Ltst Previous Permit Number and Date Issued Before Expiration Owner IV. Type of POWTS S em(Com nent/Device: Check all that apply) p Non-Pressurized In-Ground Pressurized In-Ground At-Grade L19ound > 24 in. of suitable soil Mound < 24 in. of suitable soil Holding Tank Other Dispersal Component (explain) Pretreatment Device (explain) V. Dis rsaUTrea nt Area Information: Design Flow (gpd) Design Soil Application Rate(gpds Dispersal Area Required (sf) Dispersal Area Propos sl) System Elevation 300 .4 s°° saw o `~S. 7Z. VI. Tank Info Capacity in Total # of Manufacturer Gallons Gallons Units 1 New Tanks Existing Tanks `v V W d 'a~ J ZJ 1 v, h in ti v a Septic or Holding Tank mOV /~S Dosing Chamber VII. Responsibility Statement- I, the undersigned, responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plu 's Signatu MP/MPRS Number Business Phone Number ,,41 1 c a►~- ( S . KUf-t'S Zlo 79d~s' ?/5-ZGr y//5 Plumber's Address (Street, City, State, Zip Code) /k~ c 2 9 ff3 /30~`,i.~ ~sl~u~ s ~J ,S /3 /110 VIII. Court /Department Use Only Approval pprov Perrmit.~Fe`e ;77 sued Issuing ent Signat Owner r eason for 'al $ .66 /67 IX, ConditBReasons for Disapproval t Septic tank, effluent filter and 3) - 4 A t A p/"o 8ispersal cell must all be services /-maintained as per management plan provided by plumber, 0J4L_ 1 W1 s~IH,, °2. Adt's~tlckl'equtrerr)ts ►r be inttiniaitttad. 40 per appicoble tAde / or d artca. Attach to complete plans for the system and submit to the County only on paper not less than 81/2 x 11 inches in sire SBD-6398 (R0313) t 1 i 94•x- ~ ~ _ _ I i P ~ i L.dLr4 t '~1,2 ~r1 C~ob~~Ura.~✓cv+s, T2,5 I'/ pwP?~TUyr DIVISION OF INDUSTRY SERVICES Qo 3824 N CREEKSIDE LA .p HOLMEN WI 54636 31 S Contact Through Relay P http://dsps.wi.gov/programs/industry-services Iq~o S www.wisconsin.gov 16 's'sfo* ~t Scott Walker, Governor Dave Ross, Secretary May 18, 2015 CUST ID No. 267985 ATTN.- POWTS Inspector MICHAEL J MYERS ZONING OFFICE NORTHLAND PLUMBING INC ST CROIX COUNTY SPIA 2943 130TH AVE 1101 CARMICHAEL RD GLENWOOD CITY WI 54013 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 05/18/2017 Identification Numbers Transaction ID No. 2539397 SITE: Site ID No. 812114 Carol Repphun Please refer to both identification numbers, 3241 90TH Ave above, in all correspondence with the agency. Town of Springfield St Croix County NE1/4, NW1/4, S24, T29N, R15W Lot:, FOR: Description: Mound / Two Bedroom / Sloping Site Object Type: POWTS Component Manual Regulated Object ID No.: 1533708 Maintenance required; 300 GPD Flow rate; 17 in Soil minimum depth to limiting factor from original grade; System: Mound Component Manual - Ver. 2.0, SBD -10691-P (N.01/01, R. 10/12), Pressure Distribution Component Manual - Ver. 2.0, SBD-10706-P (N.01/01, 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. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. CONO~ No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, ap stats. Of The following conditions shall be met during construction or installation and prior to occupancy or use: ROFEgSI Reminders OisloN OF I • This system is to be constructed and located in accordance with the enclosed approved plans and with the component manuals listed above. • Per manual cited above, limited activities are allowed in the area 15 feet down slope of the component area. 5EE Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption area. chs. NR 811 & 812c • 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 POWTS 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. Stat MICHAEL J MYERS Page 2 5/18/2015 • SPS 383 22(7) 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 Owner Responsibilities: • SPS 383.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. SPS 383.54(1). • SPS 383.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. SPS 383.54(4) shall be considered a human health hazard. • SPS 383.55 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. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. In granting this approval the Division of 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 for designing a safe buildingstructure or component. of the responsibility 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 Charles L Bratz r, POWTS Reviewer 2, Division of Industry Services WiSMART code: 7633 (608)789-7893 , 7:45 am - 4:30 pm Monday - Friday charles.bratz@wisconsin.gov n cc: Edwin A Taylor, Wastewater Specialist, (715) 634-3484, Monday - Friday 8:00 am To 4:30 pm II MICHAEL J MYERS Page 2 5/18/2015 • SPS 383.22(7) 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. Owner Responsibilities: • SPS 383.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. SPS 383.54(1). • SPS 383.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. SPS 383.54(4) shall be considered a human health hazard. • SPS 383.55 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. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. In granting this approval the Division of 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 K~ Fee Received $ 250.00 Balance Due $ 0.00 Charles L Bratz POWTS Reviewer 2, Division of Industry Services WiSMART code: 7633 (608)789-7893 , 7:45 am - 4:30 pm Monday - Friday charles.bratz@wisconsin.gov cc: Edwin A Taylor, Wastewater Specialist, (715) 634-3484, Monday - Friday 8:00 am To 4:30 pm Mound System Cover Page Pg , of a MIENER ~ORETE Project Name: Repphun-mound Owner's Name Carol Repphun Owners Address 3241 90th Ave Glenwood City,Wl 54013 Legal Description NE Nw v I Y. Sec 24 T 29 N, R 15 W Township Springfield County Saint Croix Subdivision Lot# 2 Parcel I D# Table of Contents pg- 1 Cover page 2 Mound Sizing Calculations 3 Pressure Distribution Layout and Dynamics 4 Dose Tank JJ Management and Contingency Plan ;ZONALLY Plot Map ROVED 7 Pump Curve 8 Filter SAFETY AND MAL SERVICE 4DUSTRY SERV CES total # of pages: 8 Designer Name: Michael J. Myers MP/License 267985 ""RESPONDENC Date: 4/20/2015 Ph. 715-765-4115 Signature: tL=r==~ & edd,,/ Mound System Design Methods Used per "Mound Component Manual For Private Onsite Wastewater Treatment Systems" (Version 2.0) SBD-10691-P (N.01/01) per" Pressure Distribution Component manual for Private Onsite Wastewater Treatment Systems" (Version 2.0) SBD-10706-P (N 01101) Spreadsheet provided by: 3bAdvisement N12486 220th St, Boycevitle, WI 54725 Ph: 715-643-6068 email: 3baQ3badvisement.com Mound System Page 2 of 8 Mound Sizing Calculations Project Name: Repphun-mound Site ConditionsDesign of Entire Fill Project Type: 1 or 2 Family Dwelling Cell depth at upslope edge (D): 19.0 in. % Slope: 2 % Cell depth at downslope edge (E): 20.5 in. # of Bedrooms: 2 Distribution cell depth (F): 9.5 in. Depth to limiting factor. 17 in. Cover thickness over edge (G): 6 in. Absorbtion rate of fill material: 1 gal/fe/day Cover thickness over center (H): 12 in. Absorbtion rate of in-situ soil: 0.6 ga /ftz/day r End slope width (K): 10.4 ft. Effluent quality Eff#1 • Fill length (L): 70.8 ft. Max BOD effluent value: 220 mg/I Upslope width (J): 8.2 ft. Max TSS effluent value: 150 mg/I Downslope width (Toe) (1): 9.6 ft. Fill Width (W): 23.8 ft. Design of the Distribution Cell Basal Area System Design Flow: 300.0 gal/day Basal area required: 500 ft2 Distribution cell width (A): 6.00 ft Basal area available: 780 fe Distribution cell length (B): 50.0 ft Area of Distribution Cell: 340.0 fta Observation Pipes Contour Elevation of Mound: 94.14 ft Location from end of cell (Z): 8.333 ft System Elevation of Mound: 95.72 ft Final Grade of Mound: 97.52 ft Mound Plan View Observation Pipes Z~Z--IT W K- o Distribution Cell A 31- T B I- K I Tilled Area/Fill Material L ' Mound Cross Section Final Grade bserva i n Pipe Synthetic Fabric Distribution Cell System Elevation %n p ~2•~ F 1 Cover Material Lateral 3 Fill Material Invert Tided Area Slope Forcemain System Contour Notes: Fill material to consist of ASTM C33 Sand Distribution cell aggregate to comply with SPS 384.30(6)(1) Synthetic Fabric covering on cell per sib s84.30(6)(g) Distribution Cell to have minimum 6" aggregate below lateral and 2" above. U5/18/20 15 08:Z4 YAX {!Ivvv Mound System P,peaor e Pressure Distribution Calculations Project Name: Repphun-mound Lateral Layout Lateral/Manifold Design Lateral elevation: 96.2 ft Lateral diameter. ~In. Rows of Laterals: ~z Lateral spacing (S): ft Manifold type: EndLateral to cell edge: 1.5 ft Orifice diameter O,igB In, Lateral discharge rate: 16.47 gpm # of Laterals: 2 System discharge rate: 32.94 gpm Distai Pressure: 2.5 ft Manifold diameter. Fva In. Lateral Length: 49 ft Manifold length: 3 ft Orifice Spacing/Distribution Forcemain Friction Loss Orifice spacing (X): 24.50 Inches Forcemain length: ft Orifices per lateral: Forcemain diameter: Vmln. Avg, fe/Orifice: 6.00 fe Friction loss in forcemaln: 1.844 ft Lateral Side View Manifold J==Lateral x x x x 7r 7 x Lnter& Length Lateral Plan View - Lateral Length ?urn-up w/ball valve or cleanout plug Orifices on bottom of PVC laterals and forcemain to comply with lateral oquall~v spaced specifications per Comm 84,30(2yel Forcemain connection via tee or cross to manifold at any point Clean Out Detail Observation Pipes clearrout plug Final Grade or ball valve Wetter tight cap or plug Lnwn Sprinkler Box Slot Note; Closet Cc4& G" MinimX rnav be used in Long Sweep 90 place of 3~V' bm or two 45's__ 3/8" Bar Lateral Mound System Page 4 of 8 Septic, Pump and Dose Tank Project: Repphun-mound Tank Information Dosage Volume Pump tank manufacturer: Wieser Concrete Forcemain drains back to tank? OQ Yes Onto Pump tank size/model: W1000/500-MR _I Lateral void volume: 10.4 gal Pump tank gal/inch: 9.84 Dosage to absorbtion Cell: 51.8 gal Actual Pump Tank Volume: 502 gal Forcemain volume: 13.9 gal Tank bottom elevation (inside): 83.5 ft Total dosage: 65.7 gal Septic tank size/model: W1000/500-MR--------- Pump and Filter Total Dynamic Head Pump Manufacturer: Goulds Are laterals highest point? y Pump Model: PE41 P1 if not, enter highest elevation: fl ft Effluent Filter: Polylock 525 System head (distal x 1.3) 3.25 ft Vertical Lift ("D" to lateral) 12.06 ft Note: Access opening of sufficient size to be provided to allow removal of filter. Opening to terminate at or above grade. Friction loss in forcemain: 1.84 ft Pressure loss from filter: ~1 ft Total dynamic head (TDH): 17.15 ft Pump Tank Diagram Dose Tank Levels Watertight Locking Cover In. Gal 4 Inch With Warning Label Finished A Reserve 34.3 337.9 Minimum Grade B Pump off to Alarm 2.0 19.7 Alternate C Total Dosage 6.7 65.7 Outlet Location Elect. per Comm D Effluent depth for pump 8.0 78.7 16.28 and Total Capacity: 51.0 502.0 NEC 300 Weep Hole A or Anti- Siphon B Device C D Pump must be capable of: 32.9 GPM and head pressure of: 17.2 Feet 00/16/ZU10 :L V-8-1 Igj U U b PageS_' of~LL POWTS OWNER'S MANUAL & MANAGEMENT PLAN FILE INFORMATION SYSTEM SPECIFICATIQN8 0 NA' n lSg owner Septic Tank Capacity Perrnlt# Septic Tank Manufacturer k1 EJ WA pl:81aN PARAMETERS Effluent Flltar Manufacturer of - UC Number of Bedrooms El A Effluent Fitter Model q NA Number of Commorclal Units- CNA Pump Tank Capacity Q O es1 0 NA._ . Estimated now (Average) ,300 of/da Pump 'rank Menufeclurer fl)tfsS(3 R 0 NA Design flow (teak), (Estimated x 1.8) 3sW gg a pump Manufacturer G lout.[) $ 0 NA Soil Application Rata g®ydaylft Pump Modal PAN I I 0 NA Influent/Effluent Quality Monthly average' Pretreatment unit PlA f=ate, OII & Grease (FOG) .00 mQlL [3 Band/Gravel Filter 0 Peat Filter Lt Mechanical Aeration ❑ Wetland ©iocherpion) oxygen Demand (BODe) X220 mgll. q Disinfection O Other; Total Suspended Solids (P83) {160 m /L Manufacturer Pretreated Effluent Quality A Monthly average-' Dispersal Cell(s) 30 mIL b In-gro und (gre►vlty) n In-ground (pressurized) Biochemical Oxygen [)emend (80W < mg /L Total Suspended Sollde (TS9) :20 mg/L v At grade t~ Other: Fecal Caliform (geometrlo mean) _ 410' efu/1o0m1 0 Drip--line - - ValUa typkal for domaottc (noon commeraiE,l) w®swwater end Maximum Effluent Particle Size Inch diameter, e~ k emueal Velu" typlpat for pretreated weatvwater. MAINTENANCE SCHEDULE EorYtce Fsyquency Service Event Inspect condition of tank(s) At least once every O months 9year(s) (IIIaxlmum 8 yr:.) I Pump out contents of tank(s) When combined sludge and scum equals one-third ( ) of tank volume Inspect dispersal cell(s) At lsasf once every ❑ months Kyear(s) (Maximum 3 ym_) _ months fffi year(s) i Clean effluent fitter - At least once every ri Inspect pump, pump controls & alarm At least once every ❑ months .Kyear(s) ❑ NA _ Flush )aterals and pressure test At least once every ^2 Q months )Kyear(s) Q NA At least once every ❑ months .17 year(s) DNA lost.' At least once every U months ❑ year(s) 0 NA MAINTENANCE INSTRUCTIONS: Inspections of tanks end dispersal cellei shall be made by en Individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Re mricted Sewer, POWTS Inspector, POWTB Maintainer, to check f`or ny back up orken rdwa 8 dentify e y c acks or al oks,pmo~esu a the volume of combined Inspection of d the s lank(a) to Identify an ha ponding of effluent on the ground eurface. The dispersal cell(s) shall be visually Inspected to check the efliuent levels In the observation pipes and to check for any ponding of effluenton the ground surface. The pomdlhg of effluent on the ground surface may Indicate to falling condition and requires the Immediate notification of the local rogutotory authority- When the combined accumulation of sludge and scum In any tank equals one-1hlyd (7y) or more of the tank volume, the entire contents of the tank (shall be removed by a Septage Servicing Operator and disposed of In accordance with ch. NR 113, Wis. Adm. Code. Tho servlcing of effluent Alters, mechanical or presaurtzed POV TS components, pretmetement components, and any other maintensnca or monitorlina fit intervsla of 12 months or tows shall be corformod by a certified POWTS Maintainer. I II i II I i I vaitaicuta u0:44 rxa - Lg.j VV1 Oct. 9 2014 11.55AM 110.luva r, c ' PsseS~ of START UP ANU OPERATION For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other Chemicals That may Impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil condttiorw are frozen at rho lnflkrat►ve sutiscc During power outages pump tanks may till above normal highweter levels. When power Is restored the excess wastewater will be discharged to the dispersal cell(s) in one large dose, overloading the cell(s) and may result in the backup or surface diacharge of elfluent. the To avoid this situation have the contents of the pump tank removed by a Septage Servlcine Operator prior to restoring power effluent pump or contact a Plumber or POWTS Maintainer to asslat In manually operating the pump controls to restore normal levels within the pump tank, Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over. or otherwise disturb or compact, the area within 16 feet down slope of any mound or at-grade loll absorption arse. Reduction or elimination of the following from-the wastewater stream may improve the pertamance and prolong the life of the POWTS- antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) water; fruit and vegetable peaiingo; gasoline: grease; 'herbicldas; meat scrape; medications; alt; painting products; peollcldes; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and/or Is permanently taken out of aerv%cs the tollowlr% steps shalt be taken to Insure that the system is propa~y and safely abandoned in compliance with chapter SPS 383.33, Wisconsin Administretlve Coda: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings seated. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void apace 1lited 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: #-A suitable replacement area has bears evaluated and may be utilized for the location of a replacement soli absorption system. The replacement ores should be protected from disturbance and compaction and should not be Infringed upon by required to establish a suitable role ernent area. t Raplacamenkaayete s rrwstmcomplymw th the the in far aane new from it and site eve proposed atfsct at that time. ❑ A suitable replacement area is not available due to setback and/or soil nmltatlons_ Barring advances In POVJTS technology a holding tank nroy be installed ®a a lost resort to rvplooe the failed POWTS. ❑ The site has not been evaluated to identify a suitable replacement area- Upon fawure of the POWTS a soil and site evaluation must be perfomiad to locate d suitable replacement area. If no replacement area Is available a holding tank may be Installed as a last resort to replace the failed POWYS, ❑ Mound and at-OW* moll absorption systemis may be reconstructed In place following removal of the bkxnat at the Infiltrative surface. Reconstructions of such systems must comply with the rules In effect at that time. «WARNINa» SEPTIC, PUMP ANI3 OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF ATANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS I POWTS INSTALLER POWs MAINTAINER Name j,w.•E, J. 2/"S E Name Phone -j (S 1 5 Phona SEPTAGE SERVICING OPERATOR PUMPER L Al. REG ATORY RUTH ITY E ame S-l-, ct-at) o~.ti ,trr~~+ Nome N Phone Phone .64 7 2 lx 3 Wlsoonsln Adm nlatraM Code. ReMaeow2sha This document wag drafted in compliance with chapter 131'8 383.7.2(2)(b)(t)(d)~t`g end as3(). ( NGOULDS PUMPS Submersible Effluent Pump PE "t"M PUMP SPECIFICATIONS MOTOR FEATURES Pump - General: General: ■ Corrosion resistant 'A" • Single phase construction. • Discharge Temperature: 104NPT F (400C) . 60 Hertz ■ Cast iron body. maximum, continuous when • 115 and 230 volts ■ Thermoplastic impeller and fully submerged. • Buift•in thermal overload pro- cover. • Solids handling: 'h" tection with automatic reset. ■ Upper sleeve and lower maximum sphere. • Class B insulation. heavy duty ball bearing • Automatic models include a • Oil-filled design. construction. APPLICATIONS float switch. • High strength carbon steel ■ Motor is permanently • Manual models available. shaft. lubricated for extended Specially designed for the . Pumping range: see PE31 Motor. service life. following uses: performance chart or curve. • .33 HP, 3000 RPM ■ Powered for continuous • Mound Systems operation. • Effluent/Dosing Systems PE31 Pump: 115 volts • Shaded pole design ■ All ratings are within the • Low Pressure Pipe Systems • Maximum capacity: 53 GPM P working limits of the motor. Basement Draining • Maximum head. 25. TDH PE41 Motor: ■ Quick disconnect power • Heavy Duty Sump/ PE41 Pump: • .40 HP, 3400 RPM cord, 20 standard length, Dewatering • Maximum capacity: 61 GPM • 115 and 230 volts heavy duty 16/3 SJTW with • Maximum head: 29' TDH • PSC design 115 or 230 volt grounding PE51 Pump: PE51 Motor: plug. • Maximum capacity: 70 GPM • .50 HP, 3400 RPM ■ Complete unit is heavy duty, • Maximum head: 37' TDH • 115 and 230 volts portable and compact. • PSC design ■ Mechanical seal is carbon, METERS FEET ceramic, BUNA and stainless 40 MODELS: PE31. PE41, PE51i steel. PESY . . . . MP:33-40_50 ■ Stainless steel fasteners. 35 - - --1 . t_ _ - - to- 2 GPM ! AGENCY LISTINGS 30 1 FT i ! ~ _ : ~ i _ _-mil - ~ = 25 C~p US Tested to UL 778 an 11 Z 20 CSA 22.2108 Standards By Canadian standards Association C File #1838549 15 , i i Goulds Pumps is ISO 9001 Registered. 10 5 i 0 O 0 `10 20 30 40 50 60 70 GPM 80 0 5 10 15 m31h Goulds Pumps CAPACITY ® 2004 ITT Water Technology, Inc ITT Industries Effective June. 2004 OPE31/41 MAINTENANCE INSTRUCTIONS Step 1: Stop 2: Stop 3: -state theoutlet of the septic tank (k) Remove tank cover and pump (A) Insart the filter cartridge back necessary into the the housing making sure all, I • • 6:1 (B) Pul the filter out of the housing. the filter is properly alighed . . andcompletetyinserted. (ClHoseoffriefdierovertheseptictadc. ®tank cover USE RUBBERGLOVES Make sure all solids fall back into the Ftef ese c WHEN CLEANING FILTER sepuc tank r!~~INSTALLATION INSTRUCTIONS r..,Ft PL-525/PL-625 FILTER PL-525/PL-625 FEATURES & BENEFITS di Features & Benefits: • Rated for 10,000 GIRD • PL-525 = 525 Linear Feet of 1/18" Filtration PL-625 = 625 Linear Feet of 1132" Filtration PL-525 PL-625 .Accepts 4" and 6" SCHD. 40 pipe The PL-525/625 Effluent Filter should operate efficiently • Built in Gas Deflector for several years under normal conditions before .Automatic Shut-Off Ball when Filter is Removed requiring cleaning. It is recommended that the filter be cleaned every time the tank is pumped or at least every • Alarm Accessibility three years. If the installed filter contains an optional alarm, the owner will be notified by an alarm when the .Accepts PVC Extension Handle filter needs servicing. Servicing should be done by a certified septic tank pumper or installer. w /1V/LV1 yr LV ♦ta..i - (po ~ 2 3 p R,,,~ r SIG oa i i , q41AL I , ii I .ho = 95.3x' 1z, 3 = ` 9,13 I P P rat 2 C~eb~~vrw.~~o~~S, tJ 614, N w'/y ,5 24 T 2-91J f ~ 15 W -s+ F(IgGnF-4 TiuS~l .S'r, C?,tLk Caur~lTy ST. CROIX COUNTY SEPTIC TANK N•IAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM s ~yeKp Owner'Buver R, Mailing Address Propert\ Address --C16W;0'.4 ~i W;Sco tiler 5*41s (Verification required from Planning & Zoning Department for new construction.) CityE'State C wl„d~C~y~ / Parcel Identification Number C),54.. 653 (01)' LEGAL DESCRIPTION Property Location 6(g_ 1/4 - 'id • Sec. T 2aj N R l5 W, Town of s~lZ/iclG/7 Lot # Subdivision Plat: Volume Page # Certified Survey Map # Warranty Deed # (before 2007)Volume 2, Page # 5? Spec house yes no Lot lines identifiable 2es no SYSTEM .N, IAINTENANCE 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 andor 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 t 's forni 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 w ranty deed recorded in Register of Deeds Office. Number of bedrooms l / 9f1.5 S GNATU A I NT(S) DATE ***Any information that i 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. (REN'. 08/05) 14OVAR "arm mm •111.. ~ iE( ? i' -j.:•wr...::~c;l 1 1 1 l 1^~ li i rApd Z00l] Iva LV : TT STOZ/tZ/LO tJoliutij SOIL EVALUATION REPORT - ° #68 P y' Departm f Professional Services 1 of 3 Division . fVqty,and artdBuildings Northland Plumbing, Inc. in accordance with Comm 85, Wis. Adm. Code - ~ , County Attach complAlsice$Q" t less than 8% x 11 inches in size. Plan must St. Croix include, t3pDN~t+9lt?fitQ Fe~f i S 1ii6 l-Rontal reference point (BM), direction and parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. 6 00 0-1) 3 q- Please print all information. Reviewed By Date Personal information you provide maybe used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location Repphun,Carol Govt. Lot NE1/4, NW1/4, S24, T29N, R15W Property Owner's Mailing Address L # ` Block # Subd. Name or CSM# 3241 90th Ave l City State Zip Code Phone Number City Village r Town Nearest Road Glenwood City i WI 154013 ; Springfield 90Th Ave New Construction Use: Residential/ Number of bedrooms 2 Code derived design flow rate 300 GPD J' Replacement Public or commercial - Describe: Parent material glacial till Flood plain elevation, if applicable ft. General comments and recommendations: Na (.ln1V o4 CG-1- y Boring # Boring - pit Ground surface elev. 95.30 ft. Depth to limiting factor 17 in. Soil Application Rate Horizon Depth ' Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0-11 10YR3/2 A 3sbk mvfr cs 3f .6 .8 2 1 11-17 , 10 YR4/6 sil 2sbk mvfr cs 2f .6 .8 3 17-22 10YR5/8 7.5YR6/8 flf spots sicI 2sbk mfr cs if .4 j .6 Boring ❑ Boring # Pit Ground surface elev. 94.14 ft. Depth to limiting factor 17 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 1 0-9 10YR3/2 sil 3sbk mvfr cs 3f .6 .8 2 9-17 10YR4/6 sil 2sbk mvfr cs 2f .6 .8 3 17-24 10YR5/8 7.5YR6/81flf spots sicl 2sbk mfr cs 2f .4 .6 ' Effluent #1 = BOD 5> 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD5 s.30 mg/L and TSS <_30 mg/L CST Name (Please Print) Signat CST Number Michael J. Myers A~e~ 267985 Address Northland Plumbing, Inc. Date Evaluation Conducted Telephone Number 2943 130th Ave Glenwood City, WI 54013 11/21/2014 715-265-4115 SBD-8330 (R.11/11) Property Owner Repphun,Carol Parcel ID # Page 2 of r 3 Boring F318oring # L= Pit Ground surface elev. 94.13 ft. Depth to limiting factor 17 in. Soil Application 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 10YR3/2 A 3sbk mvfr cs 3f .6 .8 2 9-17 10YR4/6 sil 2sbk mvfr cs 2f .6 .8 3 17-23 10YRS/8 7.5YR6/8flf spots sicl 2sbk mfr cs i 2f j .4 j .6 l l Boring Boring # Pit Ground surface elev. ft. Depth to limiting factor in, Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eif#t *Eff#2 j i Boring Boring # Pit Ground surface elev. ft. Depth to limiting factor in, Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz, Sh. *Eft#1 •Eff#2 i * Effluent #1 = BOD? 30 < 220 mg/L and TSS >30 <150 mg/L ` Effluent #2 = BODS < 30 mg/L and TSS,- 30 mg/L The Department of Safety and Professional Servicese is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, contact the department at 608-266-3151 or TTY through Relay. SBD-8330Test (R.11/11) Northland Plumbing, Inc. Property Owner Repphun,Carol Parcel ID # Page 2 of 3 Boring 3 Boring # Pit Ground surface elev. 94.13 ft. Depth to limiting factor 17 in. Soil Application Rate Horizon I Depth 1 Dominant Color Redox Description Texture ! Structure Consistence' Boundary 1 Roots GPD/ft2 in. Munsell j Qu. Sz. Cont. Color I Gr. Sz. Sh. I *Eff#1 1 *Eff#2 1 0-9 10YR3/2 11 sil l 3sbk i mvfr cs 3f i .6 .8 sil 2sbk mvfr Cs 2f .6 .8 2 9-17 10YR4/6 l i I 2sbk mfr i cs j 2f 4 6 3 i7-23 10YR518 7.5YR6/8f1f spots Sid I ~ 1 i I I I it I ~ I i I ~ I I I 1 -.Boring ❑ Boring # pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure IConsistencel Boundary 1 Roots GPD/ft2 in. 1 Munsell .Qu. Sz. Cont. Color Gr. Sz. Sh. 1 j *Eff#1 *Eff#2 l I i i I j I I I I 'Boring Boring # pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture j Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color 1 ...Gr. Sz. Sh. *Eff#1 *Eff#2 1 i I I 11 I ~ i j i j I i 1 i* Effluent #1 = BODS> 30 < 220 mg/L and TSS >30 <150 mg/L * Effluent #2 = BOD5 , 30 mg/L and TSS <30 mg/L The Department of Safety and Professional Servicese is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, contact the department at 608-266-3151 or TTY through Relay. SBD-8330Test (R.11/1 1) Northland Plumbing, Inc. 3 1 r I I ~ B I 0 l \ Bt = 95.3a' ScOdle., \ 33 - 9q.13' ~Yo ~~~~{w~ Cl~eb~~dra.~vdrtis) NE`lam NW`/y ,524{ TZg1v►Z(5W --S ~,RtxtG 5E4.Sj Tws- - C?.bLk Ccu&cTy ~/s 7 26 7 QQS Parcel 034-1053-60-000 05/04/2015 01:37 PM PAGE 1 OF 1 Alt. Parcel M 24.29.15.373 034 - TOWN OF SPRINGFIELD Current ❑X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner O - EVANS, ROBERT J & LAURA E ROBERT J & LAURA E EVANS 3241 90TH AVE GLENWOOD CITY WI 54013 Property Address(es): = Primary Districts: SC = School SP = Special Type Dist # Description SC 2198 SCH DIST GLENWOOD CITY SP 1700 WITC Notes: Legal Description: Acres: 40.000 SEC 24 T29N R15W 40A NE NW EZ-UT-1557/45 Parcel History: Date Doc # Vol/Page Type 08/23/2004 772274 2641/525 WD 10/01/2001 657830 1728/397 EZ 04/12/2000 621045 1501/591 TD 01/29/1999 596722 1399/178 QC more... Plat: Primary Tract: (S-T-R 40% 160% GL) Block/Condo Bldg: * N/A-NOT AVAILABLE 24-29N-15W 2015 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 08/07/2012 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.000 14,000 258,400 272,400 NO UNDEVELOPED G5 5.000 5,500 0 5,500 NO PRODUCTIVE FORST LANDS G6 33.000 80,900 0 80,900 NO Totals for 2015: General Property 40.000 100,400 258,400 358,800 Woodland 0.000 0 0 Totals for 2014: General Property 40.000 100,400 258,400 358,800 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 r SOIL PROFILE DESCRIPTION ~i Owner: (}~20~ 17~~ CST: AG44el System Elev. Proposed: ft Syst. Range ft to ft Ld Rate: # Elevation: 9S~D # Z Elevation: 9y/y # 3 Elevation: Boring & Boring o Boring GG X Pit x Pit Pit 7~0 9 S - - - - -17 o ~L s;1 ~l2 - s GI K6 ~L Wsconsir.4139partmenToj Industry, SOIL AND SITE EVALUATION Labor and Human Relations Page _ of Division of Safety and Buildings in accordance with s. ILHR 83.09, Wis. Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County include, but not limited to: vertical and horizontal reference point (BM), direction and f C percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. # APPLICANT INFORMATION - Please print all information. R 'ewes y Date q Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Z' L' l Property Owner I Property Location /40 Govt. Lot IVF 1/4 4 /1/4,Sa T.2 9 N,R OW W 00 G G SNi L Property Owner's Mailing Address Lot # TBIock# Subd. Name or CSM~ 2_10 Q~,h~ gy 1-7 L? / O City State Zip Code Phone Number Nearest Road ❑ City ❑ Village Town To 'v e' New Construction Use: ® Residential / Number of bedrooms Addition to existing buil ing ❑ Replacement ❑ Public or commercial - Describe: U5 f,4 1 40 2. Code derived daily flow .~J gpd Recommended design loading rate _,#--bed, gpd/ft2 trench, gpd/ft2 Absorption area required - bed, ft2 3 trench, ft2 Maximum design loading rate bed, gpd/fi? . ~ trench, gpd/ft2 Recommended infiltration surface elevation(s) 'Fo ft (as referred to site plan benchmark) Additional design/site considerations Parent material 4 .4 C /A L Flood plain elevation, if applicable _&.4 ft S = Suitable for system Conventional Mound In-Ground Pressure AT-Grade System in Fill Holding Tank U = Unsuitable for system ❑ S U X S ❑ U ❑ S Dr U ❑ S U ❑ S PO U ❑ s XU SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Structure GPD/ g Texture Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. ~ Sz. Sh. Bed Trench o- g lo Ig S s 1\4 FR e a o M M Ur .5' Ground %Ne S L- C$ V -G elev. qft f "a R 3 C /0/ Se L. 6 k C M V F.t - - AVI /V spor's Depth to limiting factor Remarks: Boring # l o.o o S z dA Mfi:g L_ o-! a a4 a M F' ~z f in►e S NIL v r C d $ C?' Ground V44 R elev. s' /b p ~s ~C 00 70 W. Depth to limiting fac r in. Remarks: CST Name (Please Print) Signature phone No. = t . G AZ SM ~7' 71j Address Date CST Number PROPERTY OWNER G`~~ sue/ ~h /PSOIL DESCRIPTION REPORT e ' ' A Q Page of PARCEL I.D.# 0-Boring # Horizon Depth Dominant Color Mottles Structure 2 Texture Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench 3 a l o e Sly 2-iz &M M rR c jr- JANZ At .4.4 k r-%' w Ground _ % (ye- V elev. 9n .S' ~/d se/ v /+1 vF~ N•9 $'Po tS Depth to limiting factor in. Remarks: Boring # Ground elev. ft. Depth to limiting factor in. Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/fit in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench Boring # ; Ground elev. ft. Depth to limiting factor in. Remarks: Boring # Ground elev. ft. Depth to limiting factor in. Remarks: SBDW-8330 (R. 08/95) I : i I - + I ' - I i- i " w I ~QQ~fh / I { j, - 1 2 Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page _ of Labor and Human Relations Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but St. Croix PARCEL I.D. # not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or dimensioned, north arrow, and location and distance to nearest road. 034-1053-90 APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION R E E BY DATE PROPERTY OWNER: PROPERTY LOCATI 12.0 1/4 4 T 29 N,R 15 for) W Edward C. Russell GOVT. LOT SE 1/4 Nw- Am PROPERTY OWNER':S MAILING ADDRESS IvTna LOCK # SUED. NAME OR CSM # 2548 New Pine Dr. na CITY, STATE ZIP CODE PHONE NUMBER []CITY []VILLAGE EFOWN NEAREAltoona, WI. 54720-1378 (715)830-0632 S rin field 32T. ic ] New Construction Use [x] Residential / Number of bedrooms 3 [ ] Addition to existing building j ] Replacement [ ] Public or commercial describe Code derived daily flow 450 gpd Recommended design loading rate na bed, gpd/ft2 na trench, gpd/ft2 Absorption area required nP bed, ft2np_ trench, ft2 Maximum design loading rate na bed, gpd/ft2 na trench, gpd/ft2 Recommended infiltration surface elevation(s) na ft (as referred to site plan ben Additional design / site considerations 7k) y~ a ` Parent material glacial drift FI plain el ation, if applicable na ft LU ]U:nsauitable tble for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK fors stem ❑ S KI U ❑ S 97 U ❑ S KI U ❑ S ice] U ❑ S E$U ❑ S Ilu SO D CRI 10 IN R T Depth Dominant Col Mottles xture tructure Consistence Bourxiary Roots GPD/ft Boring # Horizon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Treri 1 -8 10yr4/3 none sil 2msbk mfr cs 2f .5 ro -20 10yr5/6 c2p 7.5yr5/8 sicl 2msbk mfr gw if .4 .5 Ground 3 0-50 7.5yr4/4 c2p 7.5yr5/8 scl M na na na np np elev. na ft. Depth to limiting factor 8" Remarks: Boring # 1 -9 10yr3/3 none L 2msbk mfr cs 2f .5 .6 2 -22 10yr4/4 c2p 7.5yr5/8 scl 2msbk mfr gw if 1.4 .5 3 2-45 7.5yr4/4 c2p 7.5yr5/8 scl lmsbk mfr na --na___. .2 .3 Ground elev. na ft. P Depth to limiting < factor c~ 9„ oA,C o~ o Remarks: CST Name:--Please Print Gary L. Steel Phone: 715-246-6200 r 6 Address: 1554 200th, Ave., New Richm d WI 54017 Signature: . Date: 12-12-97 CST Number: m02298 PROPERTY OWNER Edward C. Russell SOIL DESCRIPTION REPORT Page-2- a e- 3, g 2 of PARCEL I.D. #__Aot% O J3 - lc) Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 1 0-8 ne 1 2msbk mfr cs 2f .5 .6 2 8-20 10yr5/4 c2p 7.5yr5/8 scl lcsbk mfr na if .2 .3 Ground elev. Na ft. Depth to limiting factor Remarks: Boring # 1 0-9 10yr4/3 none 1 2msbk mfr 9w 2f .5 ; .6 9-22 10yr4/4 c2p 7.5yr5/8 scl lcsbk mfr gw if .2 ::.3 Ground elev. na ft. Depth to limiting factor 911 Remarks: Boring # 1 N 0-8 10yr3/3 none 1 2msbk mfr gw 2f 1.5 .6 5€ 2 8-10 10yr4/4 none scl 2msbk mfr 9w if .4 .5 3 10-22 10yr4/4 c2p 7.5yr5/8 scl 2msb mfr gw na .4 ::.5 Ground elev. 4 22-45 7.5yr4/4 c2p 7.5yr5/8 scl M na na na np np na ft. Depth to limiting factor 11 Remarks: Boring # 1 0-6 10yr4/3 none 1 2msbk mfr gw 2f .5 .6 - 0 10yr4/4 c2p 7.5yr5/8 scl 2msbk mfr na na .4 `.5 Ground elev. na ft. Depth to limiting factor 6" Remarks: SBD-8330(8.05/92) M STEEL'S SOIL SERVICE Gary L. Steel Edward C. Russell 1554 200th Ave. CSTM2298 SE4NW4 S24-T29N-r15w New Richmond, WI 54017 MPRSW 3254 town of Springfield (715) 246-6200 not to scale 20 acres a f3~~ a a ~1K Gary L. Steel 12-12-97 04/01/2008 12:11 PM Parcel 034-1053-90-000 PAGE 1 OF 1 Alt. Parcel M 24.29.15.376 034 - TOWN OF SPRINGFIELD ST. CROIX COUNTY, WISCONSIN Current X Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner O - SMITH, G & G, LLP G & G, LLP SMITH PO BOX 96 KNAPP WI 54749 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description SC 2198 GLENWOOD CITY SP 1700 WITC Legal Description: Acres: 40.000 Plat: N/A-NOT AVAILABLE SEC 24 T29N R1 5W 40A SE NW Block/Condo Bldg: Tract(s): (Sec-Twn-Rng 401/4 1601/4) 24-29N-15W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 1213/568 QC 07/23/1997 1175/99 SD 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 34.000 5,500 0 5,500 NO UNDEVELOPED G5 6.000 7,800 0 7,800 NO Totals for 2008: General Property 40.000 13,300 0 13,3000 Woodland 0.000 0 Totals for 2007: General Property 40.000 13,300 0 13,300 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 LEGAL ST. CROIX COUNTY, WISCONSIN OLD TXSCR02 REAL ESTATE TOWN OF SPRINGFIELD COMPUTER NUMBER 034-1053-90-000 Parcel Number 24.29.15.376 OWNER NAME: First G & G, LLP Last SMITH PROPERTY ADDRESS: Hse # 1/2 PD --Street Name-- Type SD Apartment SECTION 24 TOWN 29N RANGE 15W 1/4160 '/40 Line Description Line Description TOTAL ACREAGE 40.000 PLAT LOT BLK 01 SEC 24 T29N R15W 40A SE NW 15 02 16 03 17 04 18 05 19 06 20 07 21 08 22 09 23 10 24 11 25 12 26 13 27 14 28 F1-General, F4-Prev. Parcel, F5-Next Parcel, F7-Valuations, F8-History, F10-Exit 07/21/2015 07:04 FAX Q001 NORTHLAND PLUMBING INC ........./0..- 130 Ave GMenwoW CNy, WI $4013 Phone number 715-26S-41 IS Fox number 715-265-4120 Send to: From: ^Aw ~fc ~WS'/M Mike Myers Attandotu Date X-W Office 1 on: Office location: Glenwood city, W1 Pax iminber Phone number. r 5 ^3~G r `r'G b~ 715-26S-41 IS Urgent ❑ Reply ASAP ❑ Please comment ❑ P1e w review ❑ For your information Totol pigM including cover: Commeaio= et d/41/ 141Vk /0 44 740 5'44;14 e~op 16