HomeMy WebLinkAbout034-1072-40-100
V'nS:.OnNn IJeladrneiil V' ~)O.9nrei Cr 9unlY _ -
;aten a--. RuonmT PRIVATE SEWAGE SYSTEM St. CfOIX I
INSPECTION REPORT sans eery ..NO
iATTACH TO P=RM TI 5974931
GENERAL INFORMATION - Stag Mai, ID Nc
Peraona iau mason vin: crc niev Ir. a+eC I aoJOn Car} c.upn.r5 lPnva"y Law s D Ca r;l°I 2989904
r..1 H'A*,. N."^" City villa, irnare:rnp 11 Pa: rrn Tax Nn_
PAT 81 MELINDA MAHONEY TOWN OF SPRINGFIELD 034-1072-40-100
CS- BM tin' u51: BM LBM ni•snrnl'on ;u,nbivvTOwr-. ka +aaRta: Nc
8 6A 4 32.29.15.4859
TANK INFORMATION ELEVATION DATA
TYVL MANUF AC IUHFR CAPACITY '-"A I"'N BS H1 F5 ELEV.
Xplrc Rew:nrnar•:
Dosing At SM
o n.~oa 65D Ln 13. 93 Z
heeeflen Ring Sewer
(e,nc, :a 18iD S~ 8
IHnldmn SVHI Inlet p qq
~r_ I S• V S $
TANK SETBACK INFORMATION SVHI Outlet \ -
TANK l0 P:L OVE RI CIG VE All
ROAD JI Inlet
55Pbc r Dt BUIIO!11 - -
14 /TO 42,
:1::sluy TSr 1Qo/ 4~ q 7 1 He,aerlMan
O Z9 /03
i'eraaor Dist PIPE
IlPldrng - Rn; s3enS5 3,55 /d3•
z
mal Grade
PUMP/SIPHON INFORMATION 1 i ~
IManutamirer Demacc •St Cover
Zo G GPM 7..1 1 0~ E. /3. !o . Z
Model Number B I ✓ Z_ z ; LC OIj
7DH L,t Fncuon Less Syslem dead fU,-i r
1q•5 z.o . ZS 8'
IO Da Z nrsr re ten
Forcemaln f e,156'
SOIL ABSORPTION SYSTEM -
FIFO/TRENCH tVCtr 'e'317' N: O' oxran-- PIT DIMENSIONS Nc I-sc
DIMENSIONS / l0 e D= Lqur. 76
SETBACK SYSTEM TO PQ (BLDG WEt.l r AKFI SiR-_AM LEACHING IAanwr tu.m
INFORMATION CHAMBER OR
Gb 1102- UNIT MOOCl Number _
3 V
TvMM n` n V6146i
DISTRIBUTION SYSTEM re
aCe^Mandyl0 ;LSInJUtUn r. Hnr S.n HOE SFa]i'10 Vee' a• Inltve
Lcn,N_,~ ur: , LergN JVarane__~ /
SOIL COVER tt x Pressure Systems Only xx Mound CH Al-Grade Systems Only V
EvAt, 0' Gcnlri b: IJNGin 0' .nsort'SM] MulcnPn
TV,-, N, YA,, N-,
COMMENTS: Dncu,de /code drsdepences Persons Present. etc) Inspe n Yt 111$/ 9/1 ( 7 A6 ns~edron t{~ ~1
Location: 66821101 H ST D L i &A _Lv6A~ 96~ tJ (~G~~• it" oe
Alt BM Description - "f' LO~ 6 `ryrj_/~dy~
2 1 Bldg sewer length -
amount 01 Inver = I/
-2 rZ' /on~ e
J _ 7y 5
Plan revision Reoured'J l5df Ps No 1 I Q I f,3 T
Use Wrier side for addition, item h 1 O
Cen
SR68.710 (P,.Jr91) D:ns msc a> &P' ure W
n M-mmew 1ue 9 b~ SZ,i -COOS c \
:ancd lsoc '31 VO co/m/no *31va 0[469 191 'N Oa NNIVW OL Am" an sltfm
a- 313N0000 03631M lVf1NVW ~Ild3S
T. \
ancd gar .o-.1->, I a Iv ,r.xm :xe Nv.vao lOj-099/000IdIM
ir.
O
W W
U
N J
O H Q
w m0
W vi a
~ Z L moo. V)
D O w wm W a d
0: w r
L~ ~ r w -a
U a O o z z u m 1i z
U r Z \ J Q p W ZO H O w o <
O
lf) m °o W as z a 3 LL
o .r
LL. Q. O Uj m J U U w z vN VI Q rc> u
a o
0 6 . m w a n Gi to = m Y R a u
O W - ci I m o < O1 o a a x a D t o
O OL O O O N0 ap p F n r
N. o HJO r l r W a\ oz ym
O (n n, LION J~!N ~a 1.1 J Z j (W/1 F NU ZO
V) V < r
r n.. J....~?DV) r o 0 W Uw pp rm
- Z ZO Jo>ZUZ~Ojxj Z' Z W 0 0. < p? n O W~
~Q Naooawl,lywoY as aw u U U ~o
yi m()7 xJ ~m~ to z rc OW
W r r p 0 Y 1'1 z N
m J a o a o~
p Z ? J r U U
i%
-y
II
tl
I J 4
W ? n z
W
T-I
i - 1t W
D
~I ( 1 I~, I I ' I
•II 1 .-i II ~ . I.
I N
II II I I U
II I~ f ~
I <
> I > X
I
rn31 alnon I. _ o
I W ~ ~ I „L4 I
:n I w
..60 0
W
- - z
a
z a
ao_a "9s _ Y
z
i sv C r
CHECK 3J%a:: ANVI CRP= Gyi=CR lfJA ~u A~~. C:Aa.- ~I
SOIL EVALUATION scale. r=4J WISYSTEM PAGED
~ SITE MAP Q K PLOT PLAN
PROJEC"' h1A'•.1C DrsnzN a.> agp
Pat Mahoney Aram acspn Sae calculations tot wmiiefca puns
AtURL` l _ 290tn Siree: ! SpnnS fleid „N P,x Mwlenat A^,'M S;anaard ~~aWea 3fie :i4:5 & :ff14.30-5)
4. 30-u
By s, a Bbl Fln•Nio• '0~ I J" g^•, 40
pA' IX•s:Ogt?l: Top o' mr pipe -ork Nero. _ _ -
Slope Gadierl'$; Im~~+e. ~cr. f. IMPORTAN'_
of rwdA•e9 SV<I~$Vn100 ii'ap~hC39pt O .^.uvn)a arr.,. ShrwCJfoind eoe\eUUn colvur at sunbW in*Na15.
_ _ tt ae v>rerme 1~e.
ASPS SF* ( T55" :5
Cl tN--k 4,m fl-143
grc
Q61
~-T• 14
ti
QSN
$m 16
III _ a ~
40
r W
anA
i DO U~
94s
sAr~
Safcfy and B lOn St. Croix
7132 111 II . IY n, t MArlherlro he lill.d ir, h.• l •
p g Q M 53. C ~~'~2
O V Cla•: I:.IO~t:aon l~a"hct
Sanitary Perma , Zxau 1 O
R
1, it +III AI 6 _ l n : I I t I,'.ro I ' ,'li sUnme III Ill 2989904
a l I I0. -iwi I it . 1 , t1' I i III \ I 11 r.LL ti n I I T" III P/AI ar s,hin 11 to I, .t I t." 9,.'. n.,'. nJ .,J.1.Y`ssi I- I Ih.
D. ,.,.I nu nl .l I%,m .,ud l .1.~.., 1,1 1 n n:I nl. if .:.C k"w'. r%., ht uVd If, onA.1.:
•.e ,•...r.r ::c:aadec:c•:.r'c he Pr s.• . I 131 nI S:J.
LApolicalion Inl'nrmati(sn - I'leave Print \II Infon_na ion _ 668.290th St.
I r I u, O, I ne v
Pat Mahoney 034-1072-40-100
I I );•nol A., b. u:::1Jd I'nP,11 '..mat a- Y.. IS. DI_
1637 Soath White Ash Lane I oI _
.lv.-.:::I: N mrP.o' SE NE 4au.,n 32
Balsam Laxe WI 54810 715-205-47gy 29 t 15";i"I`;,`„
It.I,pe of liti- I check all that app l) 1/^~~••'-'~~ [.0
\ ~ ~,.hJ clven Nmnc
I _ Er.uh U Ih-.[ N I: I s' ;I IS¢dlouu
_I'uh. cY'un n•rnal -i)icClhclsc _ cw, kit
iP l5\1 Nwnsc ❑ Vdl"r nl
k75 ~/,-////Yy((gQ1J -"3172- sPrirgflalA
0
Ill.( )pe of Permit: I( heck (I (site hu\ on line ('ung)lete line R if applicahlcl
X I E.y ra,ucn.1 Iu:Imnn it 4:1 u,I: -LIn{. Rcpla:ctncu; nl,Iq t nhcr Aleddica i m to (.v lcn,- .hem I:N Izmi
It. ❑ It'nln Rcuc'nd ❑Pcnll i(C%1sIf lh'. ~ 'tI ❑I': Pit ranch'( lu No, ,I ['I,-,' lou, Vc-niitNIIher xllA Dale 1,_cc
f~pe of 1'O\\ "I S Swern.-''ontpunenti Dcv ice: ( (('heck all that aii I v _
I V I ..n sJ I s7:and ❑ ,'.•.I 1 I 1 _.ud A.1n:.:I.' X VI.IW.j I In its III l N cd I A1. n1' r.;l dd +od
II in Im 11I',':, I1 .I'.~ml n nt ..:Lit :.I I-Prrt m IUc•ns I sl l,w;./
\ Uupen_il?Ile: hen( \ICa In(unn• Ion
1 ' n-I •n 11 h' i. e"I , h:AI Ln;' ~.1st1 U, cr.1 \I<:. Ii: cLd I.I. D"J", -.I \caV hlr: auou /
4~~102
L450 6 450 0 450 :25ft /
k Info cr ~
.1 7
I: n1.II ,n. X 1150 1 Le\v Blork LLC X rpp- 1 Le' is Bjmk LLC X .
Ir-
\'I I. Recpnn%ihility Statement- I. the undrtsirne7 acsnnwynlal 'bili v for invla lien ' it., I'O\\'1S vhuxn un Ilu• all:mhed plan..
V.rn II 'n.'. It,.me.z l'P;In.. N..., his
Lewis [3 ork 253976 715-231-7375
I hum: .,;I >ucn ('m. titn'c /IP Co, :
E7818 County Road E, Menomonie, WI 54751
-~\II ount, Dap Irtmcnl1 cOnh _
\ j \ III I I)m; I ne:1 1"i cnt Swnelur
Lqw t y
I\. Condit IIl l 01 kapproval J~
to rwat *1 be 3
amber.
M Pit IIYK`.IIOMMR! Dlsn P' '
2 Ij WAlNM*must--
so pr ilppk" Cpdf 1 aelinavu,
\IIacL cnml'letc ph., for Ihr x,,trm Ana mlhmv to Ill.- (titan, si Im papa not I,,, than h 1 2 I I inrhe, in size
❑ SOIL EVALUATION S'ele:1' =40' SYSTEM PAGEOW
SITE MAP
PLOT PLAN
=ROJECT NAME: DES134 =lO1: 450 vvc.
1f'
Pal Mahoney Aaa& cesign law ~a:cutaticns for acnunernai olans.
ri2JJYi:" ACORF55 _ 29Dth Stree! i Sxicg fielc ul;t Nla:enal AS- NI Standard (Tables 3E✓..3•^.-3 Y 394 ,3P5j
1Dp N 53nmwv sewer.- 3034
5V svm,-d + WA Nt-,t4nn: V_
ro•ce riainbla c<scacoa^ Tor, o` ~rsr ploe
zee C,r;,~iire• i'i' hyioe> nonr. n, 'MPOP,TAAT-
v:'Ie5lea nea 1WOll_yr:bo ','apo ;dpN.: casing ar a,n. Shcw
n, ~,-aoc'nomr m. ' 4re3nc elevatio' corcu•s at sulwble irlurvals.
D6P6 SE+ t3~Lc =SSu C 5 ❑ &r~N 110 p-t3
Q ooJi aJ~ (,.oc~s~i fi ~ ~'{f~•ii Sla'~
Hamt Qc151A~
1&-T, lati Lex
QS
16
- a,~ A o OA tl
- -
I D,
DIVISION OF INDUSTRY SERVICES
233' SAN LUIS I'L STE 150
D CRFFN HAY WI 54204-5211
Contact Through Relay
http 1.'dsps w_gov;proc rams indcstry scrv~cos
,vrv wisconsin gov
Scott Walker. Governor
Laura Gutierrez. Secretary
September 06, 2017
S 111) No. .'.53976 A1TV: POW, IS In.%ped(ir
I_I.A1~ IS C WORK ZONING 01'FICL
I.FWIN B.IORK I_LC SF ('ROIX COI IN I Y SPIA
17818 COL:NI l' ROAD L 1101 (AR \11( I IAFI. RD
MFNOM19t_)NIL WI 517 51-00,7 II( I)SON N I i40Io 7708
CONDITIONAL APPRO\ Al.
PLAN APPROVAL PXPIRES:09;116;2(119 IdentiliealionNumbers '
Transaction ID No. 2989904
SITE: Site ID No. 841936
Pal Mahoney Please refer to both identification nurrI
'90TI I St above. in all correspondence_ with the agency.
Ibwn of Spring ield
tit Croix Cotum
SLI4,NET 4,S2."1''_N.RI W
FOR:
Description: Residential Mound-New Construction
Ob ect Typc: POWTS Component Manual Rcgulaled Object ID No.: 1723,158
Maintenance required: 450 6111) Flow rate: I~ in Snit nlininuun depth to Iinlitim! factor front original grade. Svsten(s):
Mound Component Manual - Ver. 2.0, SfiU -10691-1' ON 01 111, K. 111 1.'.), Pressure Distribution Component Manual -
Ver. 2 .0, SBD-10706-1) (N.0101. R. 10!1?); 1(ftlocnl Filer
I )c submittal described above has been re%icwcd Ibr confonnance with applicable Wisconsin .Administrative Codes
and Wisconsin Statutes. I he submittal has been CONDITIONALLY APPROVED. 'I -his svslcni is to be constructed
;u:d located in accordance kith the enclosed apprmcd plans and with any component nanuak,i) referenced above.
fhc owner, as defined in chapter 101.01(10), Wixonsin Stauncs, is responsible l6r compliance with all code
requitenients.
No person may engaee in or work at plumbing. in the state unless licensed to do so by the I )epartincru per N. 145.06,
Nlats.
I he lollotvine conditions >Im11 he mct during con;u'uction or installation and prior to occupancy or u;c-
Key Items- POWTS Design Approval
• 'phis system is to be constructed and located in accordance with lie approved pL•tns. and the "Mound
Cutnponcttl Manual lift Private Onsite A14~stecsaler Sss(enu Ver'sion'.0'" SDD-10691-Pt's.01'(II) and will dlc
approved plans rod svilh the 'Pressure Distribution Component Manual tin Private Unite 1Vastewater
Twatncnl Syslenn Vrersion ).0" SIiD-10706-P tN.01 IM. • The soil evaluation report I'or Lot I is allached to the back of the plans. ~-`tt ,-Cf
• Fence off dispersal area prior anti during construction to protect and avoid disturbance, cornpaction •a
use of the site.
• With new construction. it is recommended not to activate the pump in the dose tank until the tanks are II
pumped prior to homcowneroccupancy it
• YVaslewater generated front contractors clcaniny; of equipment anti tools arid or left over construction `A
products shall not be discharged into the drains discharging to the private onsite wastewater treatment
system (1'OWFS). \Vasle generated shall be properly disposed of ou-silo or off rile.
It 1A Is t'ItR K I'eccl vi. „it.
• Any tall grasses, leaves and shrubs shall be cut short and removod prior to tilling the surface liar installation to
prevent mating under the dispeasal area.
• Prior to construction of the dispersal area, check the moisture content of the soil to a depth ol'8 inches.
Sntcarim, and compacting of wel soil \vill result in reducin_ the infiltration capacith of the soil. Proper soil
moisture content can be determined by rollin_ a soil sample between the hands. If'it rolls into a I4- inch wire,
the site is too wcl to prepare. II it crumbles, site preparation can proceed. It the site is too wet to prepare. do not
proceed mail it dries.
• Provide surface water diversion around the treatment tanks and mound dispersal component.
• The owner is responsible fir the operation and maimcnancc of the private onsne ssaste"aier treatment Syslont
(POWTS) in accordance with SPS 383 and the aplrovcd management plan
• The oswer of a POW'fS shall be responsible liar cnsurin-, that access opening covers remain locked or
secured cscept liar inspectow cvalu:uiun, wainlen,lnce or sC.'%W I, I`urnu.c..
• Owners shall receive a copy ofthe appropriate operation and maintenance manual antdor owner's manual for
the POkk I s, described in this approval.
• Provide a copy of the approved PON`TS plans and this letter to the owner.
A copy of the approved plans. spccitications and Illis leuer shall be on-site dorm, construction and open to
inspection by authorized representatives of the Department. which ntav include local inspeclor.. All pctanits
required by the stale or the local municipality shall be obtained prior to connncncement of
constmction!installation!operation,
hl ranlim,, this approval the Division of Industry Scr\ ices reserves the right to require changes or additions should
conditions arise making them necessary lir code Compliance. As per sane slats 101,1 _'1.21. nothing. in this rev icsv
shall relieve the desieper of the responsibility for designing a safe building. siruclUre, or componenl.
Inquiries concgrnim_ this correspondence may be made to tire al the telephone number listed below, or at the address
on this letteflhead~
(
I hd we lull addressce shall provide a copy or this Ieucr ,out the Pt 1W I S mina emenl plan to the owner and am
I sli Ire lesp~nsiblc air the' instulhnion. Opel anon or inainten;nee of Ihr 1,OV1 I S.
Si -cielr' I cc Required 11 250.00
this +lnxwnr Will Be Imrolccl.
When Yon Receive IL:n bl%kme.
N al I?roger i PleasC IUCIUde a Copy Wilh Your
130 N TS'1Lastewallc S L Ji ist , Division of Industry Services Pawnem Subntinal.
1608671-1180 7 Ot : I - :4~PNI WiSMART code: 7633
marl, . hihei'etiw: C'oMitl.9[
cc, Edy%in A I at lor, lVaslesvaler Sp,-;:ialist. ( s i C>J 1-IS4. Nlonca\ - I rid.iN 8:00 am lo-1:310 pert
MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN
Residential Application
INDEX AND TITLE PAGE
Project Name Pat Mahoney
Owner's Name. Pat Mahoney p
Owner's Address: 1537 South White Ash Lane C.
Balsm Lake WI 54810
715-205-9764
Legal Description: SE NE 32 29 15W
Township, Spring Field
County: St Croix
Subdivision Name. Part of 3.4 acres
Lot Number Block Number.
Parcel I.D. Number: NALLY
VED
Plan Transaction No ;A GTy AND
qt VICES
Page1 Index and title SERVICES
Page 2 Data entry
Page 3 Mound drawings I
Page 4 Lateral and dose tank
Page 5 System maintenance specifications
Page 6 Management and contingency pan. p
Page 7 Pump curve and specifications
Page 8 Plot plan
Page 10 Attchments Effluent filter/ septic & dose tanks /manhole
Page 11 Soil report
Designer. Lewiis13ork License Number: 253976
Date- 081 7 Phone Number: 715-231-7375
Signature.
D signed suant to the
Mound Component Manual for POWTS Version 2.0 SDB-10691-P (N. 01101), and both
SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01/81) and
Pressure Distribution Component Manual Ver. 2.0 SBO-10706-P (N. 01101)
Version 7.0 (R. 03/2012) Pace 1 of 10
1
1
Mound and Pressure Distribution Component Design
Desian Worksheet
Site Information
R or C: r Residentia! or Commercial Design No!e Sara fill (D) calculations assume a
300.001 Estimated Wastewater Flow (gpd) Tat-le 383-44-3 it-situ soil treatment fo~
1.50 Peaking Factor (e.g. 1.5 = 150%) `ecai conform or 36 inches
450.00 Design Flow (gpd)
11.00 Site Slope
100.50 Contour Line Elevation (ft)
15.001 Depth to Limiting Factor (in)
0.601 In-situ Soil Application Rate (gpd!ft')
Distribution Cell Information
75.00 Dispersal Cell Length Along Contour (ft) = 6 00 Cell Width (ft)
1.00 Dispersal Cell Design Loading Rate (gpd& )
1 Influent Wastewater Quality (1 or 2) Are the laterals the highest point
in the distribution Y
Pressure Disribution Information network? Enter Y cr N
(C cr E! e Center or Eric Manifold
3.C0 Lateral Spacing (ft) If N above, enter the elevation (ft) _
2 Number of Laterals of the highest point.
0.1881 Orifice Diameter (in)
4.00' Estimated Orifice Spacing (ft) = 11.84 ft2/orifice
2.00 Forcemain Diameter (in)
100.00 Forcemam Length (ft) Does the forcemain drain back? Y
86.001, Pump Tank Elevation (ft) Enter Y or N
3.25 System Head (ft) x 1 3 16.31 Forcemain Drainback (gal)
16.17 Vertical Lift (ft) 67.38 5x Void Volume (gal)
1 37 Friction Loss (ft) 83.70 Minimum Dose Volume (gal)
0.00 In-line Filter Loss (ft) 24.90 System Demand (gpm)
20.79 Total Dynamic Head (ft)
Lateral Diameter Selection Manifold Diameter Selection
in dia, o lions choice in dia o tions choice
0.75 1.25 x
1.00 1.50 x x
1.25 _ 2.00
1.50 x x 3.00
2.00 x
3 OC x
Gallons/Inch Calculator (cptiona
Treatment Tank Information 7 Total Tank Capacity (gal)
1150.001 Septic Tank Capacity (gal) Total Working Liquid Depth (in)
Lewis Bjork LLC Manufacturer gallin (enter result in cell B49)
Dose Tank Information Effluent Filter Information
700 00 Dose Tank Capacity (gal) orenco Filler Manufacturer
18 85 Dose Tank Volume (gal/in) Bio-tube :Filter Model Number
Lewis Bjork LLC Manufacturer
Project Pat Mahoney Page 2 of 10
Mound Plan and Cross Section Views
1 1110 B J
• lps t r Pipe
K
• B
0.
p _ L - -
Mound Component Dimensions
A 6-0-0] ft E 28.92 in H 1 00 ft K 11.62 ft
B 75.00 ft F 9.50 in '6.57 ft L 98.23 ft
D 21.00 in G 0.50 ft J 6.86 ft W 29.44 ft
450.00 (ft2) Dispersal Cell Area 1693.10 (ft') Basal Area Available
6-00 (gpd/ft) Linear Loading Rate 7.50 (ft) 1110 B Obs- Pipe Placement
Mound Cross Section View
Aggregate Dispersal Area
Finished Grade 104.04 (ft) T
- G } H
T F Dispe Ce i •I 02.75 (ft) Lateral
102 25 (ft) - - Invert
Dispersal .el! ❑
Elevatior F 1D E
•
•
100.50 (ft) Contour Elevation
11.0 % Site Slooe
Geotextile Fabric Cover
I Dispersal Cell
Shading Key v a See lateral details on
❑ _ Topsoil Cap o c 1.5
ft f?""^ Page 4 for number size,
❑ 77=,l Subsoil Cap w o ❑ and spacing of laterals.
ASTM C33 Sand :o Z Laterals are equally
[c, 0 Tilled Layer 0 n .q ft T.Olcal Lateral ` spaced from the
Q 0 Aggregate a p distribution cell's
centerline in the
A + distribution cell (AxB).
Project: Pat Mahoney Page 3 of 10
End Connection Lateral Layout Diagram
Lateral cemerec over thr A B dimensior
f P 'urn-up v.V ball valve or clean out plug
Rillaterals are id~nllnal IEX~ Holes drilled on the cotlom o(rhe:a[eral ~
eeuavyspaced 5
Foree main cunnoction via teo or cross to mamtold at anu Domt.
Laterals &forceriarn Sch 40 PVC per SPS Table 384.3 D-b
Number of Laterals 2 Orifice Diameter 0 188 in
Lateral Diameter 1.50 in Orifice Spacing (X) 4.08 ft
Lateral Length (P) 73.44 ft Orifices per Lateral 19
Lateral Spacing (S) 3.00 ft Orifice Density 11.84 felorifice
Lateral Flow Rate 12.45 gpm Manifold Length 3.00 ft
System Flow Rate 24.90 gpm Manifold Diameter 1.50 in
Total Dynamic Head 20,79 ft Forcemarn velocity 2.54 ft/sec
Dose Tank Information Locking cover with warning
- label and locking device and
sea.ed wateiight
Electnca as per NEC 3C0 and
SPS 3'6 3= wAC 4 in min.
11sconnect
Tank component is propeey vented Alternate outlet
location
Forcemain diameter
s 9 orktt8 Manufacturer 2 in.
Capacityl ZOO-08 Gallons &:5C> T
Volume auinch G A
/I ' Weepholeact,-
Dimension Inches Gallons q siphon device
A 23:70 446.65 t{ 2(c
B 2.00 1 C Pump off elevation (ft)
C . Z7_ 4 4 8376 $i 86.58
D 700 131 95 j o,
Total 377 700.00 D
f Dose tank elevation (ft)
~i 3" Bedding un er tank, 86.00
Alarm Manuafacturer ISJE-RomBus Nose: Swixhes
Alarm Model Numbe• 520-002A ccrtaining mercuri
may ino: be Lsea :n
Pump Manufacturer 'Zchler :Pis system.
Pump Model Number 152
Pump Must Deliver 24.90 gpm at 20 79 ft TDH
Praect Pat Mahoney Page 4 of 10
Mound System Maintenance and Operation Specifications
Service Provider's Name Lewis Bjork LLC Phone 715-231-7375
POWTS Regulator's Name st Croix County Phone 715-386-4680
System Flow and Load Parameters
Design Flow - Peak 450 gpd Maximum Infiuent Particle Sze 118 in
Estimated Flow-Average 300 gpd Maximum BOD5 220 mgiL
Septic Tank Capacity 1150 gal Maximum TSS 150 mg;L
Soil Absorption Component Size 450 ft' Maximum FOG 30 mg;L
Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu/100 mL
Service Frequency
Septic and Pump Tank Inspect and/or service once eve 3 ears
Effuent Filter Should inspect and clean at least once eve 3 ears
Pump and Controls Test once eve 3 ears
Alarm Should test month)
Pressure System Laterals should be flushed and pressure tested eve 1 5 ears
Mound Inspect for ponding and seepage once eve 3 ears
Lewis B ork for Pumping
Miscellaneous Construction and Materials Standards
1 Observation pipes are slotted and materials conform to Table SPS 384 30-1, have a watertight cap.
and are secured in as shown in the mound component manual.
2. Dispersal cell aggregate conforms to SPS 384.30 (6)(j). Wis Adm. Code.
3. Ali gravity and pressure piping materials conform to the requirements in SPS 384. Wis. Adm. Code.
4 Tillage of the basal area is accomplished with a mold board or chisel plow,
5 The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion
and help reduce frost penetration.
Lateral Turn-up Detail
Finished
Grade Jr
6-8" Diameter Lawn - Threaded Cleanout
Sprinkler Valve Box Plug or Ball Valve
Distribution
Lateral
- Long Sweep 90 or Two
45 Degree Bends Same
Diameter as Lateral
Project Pat Mahoney Page 5 of 10
Mound System Management Plan
Pursuant to SPS 383.54, Wis. Adm. Code
General
This system shah be operated in accordance with SPS 382-84 W s. Acm. Code, arc shal: maintained :r accordance with its' component
manuals (SBD-10691-P (N .01i01 i. SSWMP Publication 9.6 (01:81), arc Pressure Distribution Component Manua: Vert 2.0 SBD-10706-P
(N. 01/01)) and local, or state rules pertaining to system maintenance and maintenaroe reporting.
No ore should ever enter a septic or pimp tang since dangerous gases may de present that could cause death.
Septic and pump tank abandonment shall be in accordance with SPS 383.33. Wis. Adm. Code wher the larks are no longer used as
POWTS components
Septic or pump tank manhole rsers. access risers and covers snould be inspected for water tightness and soundness. Access openrgs
used for service anc assessment shall be sealed watertight upon the completion of service . Any opening deemed unscurc, defective, or
subject to failure must be replaced Exposed access openings greater than 8-3ncnes in diameter shaa be secured by an effective locking
device to prevent accideral or unauthorized enty into a lank or component.
Septic Tank
'he septic tark shat' be main:ained by an individual certified to serv ce septic tams under s. 281 Stals. The contents of the septic
tank shall be disposed of in accordance with NR 113. Wis. Adm. Coble The operating condition of the septc tank and outlet filter shall be
assessed at least once every 3 years by.rspection.
The outlet 5ker shall be c;eaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions
are made to retain solids in the tank that may s.ougn off tie filter when removed from its enclosure. If the fitter is equipped with an alarm,
the `her shall be serviced if the alarm is act vat" continuously. Iitermiaent filter alarms may indicate surge flows or an impending
continuous alarm.
The septic tank shall have its contents removed when the volume of sludge and scum :r the tank exceeds 1 t3 the liquid volume of the
:ark. If !le conterts of the lank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of
when the next service needs to be performed to maintain 'ess than maximum scum and sludge accumulation in the tang
The addition of biological or chemical: addRives to enlarce septic:ank performance is generally not required. However, if such
products are used they slat, be aporoved for septic tank use by the Department of Commerce
Pump Tank
The Bump (dosing) tank shat be inspected at least once every 3 years. All switches. alarms, and pumps shall be tested to verify procer
operation If an ef8uert flter.s installed wthin the tank it shall be inspected and serviced as necessary
.
Mound and Pressure Distribution System
No trees of shrubs should be parted tin the mound. Plartings may be mace around the mound's perimeter and the mound snaa be
seedec and mulched as necessary :0 prevent erosior. and to provide some protection from !cost penetration. I raffic (other than for
vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltratlve surface within the
mound and snow compaction in the winter will promote frost penetration Cold weather installations (October-February) dictate that the
mound be heav:ly mulched as protection from freezing.
Influent gaality,nto the mound system may not exceed 220 mgrL BODE., 150 mglL TSS and 30 mg?L FOG for septic tank effluent or 30
mgrL BODE. 30 mgrL TSS. 10 mgrL FOG. and 104 cfuH00 mL for highly treated effluent. Influent Flow may not exceed maximum design now
specified in :he permit for Ihs mstallat:on
The pressure distribution system is p•ovoed with a flushing point at the end of each lateral, and it is recommended that each :aleral be
P.cshec of accumulated solids a: least once every 18 months. When a pressure test is performed t should be compared to the initial test
when the system was installed to determine if office c.oggmg has occur•ed aid if office cleaning is required to maintain equal distdbuton
within the dispersal cell.
Observation pipes withr the dispersal cell shat be checked to, effluent cording. bonding levels shall be reported to the owner. and ary
levels above 6'i.rches cons.dered as an impending hydraulic failure requiring additional. more frequent monitoring.
Contingency Plan
the septic tank or any of its components become defective tae tank or component shall be repaired or replaced to keep the system In
proper operating cond:tior.
If the dosing lark, pump, pump controls, alarm or related wiring becomes defective the defective compenentisl shall be immediately
repaired or replaced with a component of the same or equal performance.
If the mound component fails to accept wastewater o• begins to discharge wastewater to the ground si face it will be repaired of
reniaced in its' cresent location by iicreasing basal area rt toe IeaKage occurs or by removing brologil clogged absorption and dispersa
,red a. and related piping, and replacing said components as deemed necessary to bring the system into proper operating conditor.
See Page 5 of this plan for the rame and telephone number of your local POWTS regulator and service provider.
Pretreatment Units
Tie information and schedule of mananagemen: and maintenance for pretreatment devices such as aerobic treatment units or
disinfection units are attached as separate documents anc are considered part of the overall management plan for this system.
Project Page 6 of 10
9:39211 u3.GIF IdPGG IMAGE, :511 x 1165 1'1\@I.S) -SCUED (!I I'°:) U'PPPS://FIIN.ULIi.'11'A111vi11.C11R1/IiTI'/TlNll,ti/9a821W;3.G11'
L.Lj CIJ
PUMP PERFORMANCE CURVE
7~! LL
MODEL 15111521153
50
45 153 I t
40 -
35-
LL~ - -
0 _ 152 -
s
30
Q
0 8 25 151
J
Q III
0 6 2
15 -
4 .
10-
2-
0 1-
30 40 5,- 6G 50 9C D,
GALLONS
LITERS I - T---- - T-
0 4C 80 120 160 200 240 280 320 360
FLOW PER MINUTE
I OF 1 5/27/2016 10:-17 A!1
CyECK aOX.vW tF'~IIC•V . E. ~y_pK SOX ac n~~LIG•b:E. 'I
SOIL EVALUATION Scale; 1 • SYSTEM PAGE
SITE MAP ° °
PLOT PLAN
PROJECT NAME: - DESIGN=Lw: _ 450 Apo
1f.'
Pat Mahoney Attach design low calWations for commercial plans.
PROJFCT ADDRESS 290th Street: S_oring field l Pipe Material: ASTm Standard fables 384,30.38 WSr
.5)
sa4" 3034
etnsymto: 1111" 61.1 Rcvtllnn 100 ET ` ray seer 7• ch 0
-oree Harr.
Ent ues:n:cs, Top of iron
. pipe '
ape odic^1 i': IMPORTANT.
r r r Ar• svcr. Sy-"no •aporcauer. Show ground elevator contours at suitable irtervals.
- e . upp ropnlC In:
ASPS Sr,}- t3~Lc T55uC 5 ❑ Bf~►, 4(0t. t~
0 ~oo~ JJ1 ~oc~~ ~ ~ I"fMi~ 54OCt
C3>B2
Mai G400, c~
~-T lati Lol-
P
a ~~m
I
DO
- +94
DIMSION OF INDUSTRY SERVICES
PO BOX 7302
`s'• / MADISON WI 53707-7302
y 1 Contact Through Relay
l S'p http,gdsps.wi.gov/programsitr:dustry-services
•nvnv.wisconsir.gov
Scott Walker, Governor
Laura Gutierrez, Secretary
May 19, 2017 Identification Numbers
Transaction ID No. 2944957
Site ID No.
Please refer to both identification numbers,
CUST[DNo. 253976 above, :_n all correspondence with the agency.
LEWIS C BJORK
LEWIS WORK LLC
P7818 COL1-hY ROAD E
MENOMONIE WI 54751-6637
CONDITIONAL APPROVAL
PLAN APPROVAL EXPU ES: 05/31/2022
Re: Description: SEWAGE TANKS, CONCRETE
Manufacturer: LEWIS BJORK, LLC
Product Name: (tyrans id 2944957) SEPTIC, PUMP OR HOLDING (TANK AND ADAPTOR)
Model Number(s): LB700, LB1150 (700 AND 1150 gals.)
;070C BASE TANK; LB1150 CONSISTING OF 3 SECTIONS WITH THE 450-
GAL. ADAPTOR AS THE MID-SECTION)
)381N. L.L., 18.85 GAL/IN; 96 IN. MAX. DEPTH OF BURY, 335 OR 551 GPD
WHEN USED AS A SEPTIC TANK BASED ON A 3 YR SERVICE INTERVAL
FOR RESIDENTIAL WASTEWATER; TANK DIMENSIONS = 66 IN. L X 36 IN.
W X 54 IN. H; ADAPTOR DIMENSIONS = 65 IN L X 35 IN. W X 24 IN. H)
Product File No: 20170151
The specifications and/or plans for this plumbing product have been reviewed and determined to pe in
compliance with chapters SPS 382 through 384, Wisconsin Adminstrative Code, and Chapters '45 and
160, Wisconsin Statutes.
The Department hereby issues an apprcval based on the Wisconsir Statutes and the Wisconsin
Administrative Code. This approval is valid until the end of May 2022.
This approval supersedes the approval issued on 6/28/2012 under product file number 20120193.
This approval is contingent upon compliance with the following stipulation(s):
• This tank must be designed to withstand the pressures to which it will be subjected.
• The manufacturer must keep at the manufacturing plant a set of plans and specificatiors bearing the
department's stamD of approval. The plans and specifications must be open to inspect on by an
authorzed representative of the department.
• All manhole covers terminating at or above grade must have effective locking devices.
• When this product rece'ves wastewater from dwellings, it will produce an effluent quality with a
maximum monthiy average value for BOD5 of less than or equal to 30 mg/L, TSS of less than cr
equal to 3C mg/L TSS and F.O.G. of less char 30 mg/L.
CONSTRUCTION PRODUCTS
T U F nT I T E
CE) Tuf-rite Riser System - - - - -
Safety Lid in 6" Tall Riser
4 sc•ews ircludec
wits each Safety Lid
Access hole
allcws p unc-ou' -
v:ithout remaaa.
Concrete Lid _
4e Swe _
" cast Safety Lid Top and Bottom View
M
ll M A
r ` 24"-RISL-FLAT-SL is made
with 2 sets of screw holes rose-up view)
for orotter alignment in 6" :a l
and 12 tall risers. -
Available in 4 diameters.
Size Part No. Qty / Carton as
12" 12-RISL-FLAT-SL 38
16` 16-RISL-FLAT-SL 30
afety _ics sit on Riser Ledgcsos sit on Riser Ledges
20` 20-RISL-FLAT-SL 20 vitii snatching screw holes
24" 24-RISL-FLAT-SL 17
12-RISL-FLAT-SL in 16-RISL-FLAT-SL in 20-RISL-FLAT-SL in 24-RISL-FLAT-SL in
12-RIS-GREEN 16-RIS-GREEN 20-RIS-GREEN 2402-R!S GRFFN
lip
-,,,,TUFmTIT[' TO -Tite Inc. 00 Flex Court, Lake Zurich, IL 660047
IiAN&
800-382.7009
Biofibe® Eftent Filters CIS
1110111
Installation, Operation and Maintenance Instructions
FM8 Models and All Base Inlet Models
U.S. Patent Nos. 5294635 / 4439323
Installation Instructions:
The Biotube Effluent Filter is suspended in the septic tank by the 4° outlet pipe. The filter is composed of a
vault body that will be fixed to the discharge pipe and a removable cartridge that consists of the Biotube
filter cartridge and the extendible handle.
1. Test-fit the effluent filter on the 4" out-
let pipe without gluing. Make sure that
it fits plumb. g
Any existing outlettee will have to be
removed.
ry
u
r j
!I
1
w
Y r
2. Ensure sufficient clearance for trouble-
free servicing of filter cartridge. Install
assembly near the tank wall to reduce
any stresses that may be caused by
maintenance. Sufficient room between the access r t'
port and filter should be provided for
easy removal of solids from the tank.
The cartridge will need to be removed
and cleaned while the tank's solids
content is being pumped-out
I
NIN-Fr-FW1
, Rev. 13.C1Lm
Page 1 of 4
ALARM SYSTEMS
~S~
Septic Products Inc.
"Observer 500" Series Indoor/Outdoor Alarm
Features & Benefits
NEMA 4x Thermoplastic Enclosure 1
• Large Alarm Condition Indicating Light O
• Audible Horn rated 85db , u 10'
• Alarm Test-Normal-Silence switch U e
• Automatic Alarm Reset CN&SZWVER SW
• Supplied w/Cord Grip for Float Switch ft"V Sffi r
Installation ~
• Includes 15' Mechanical Alarm Float ?
& mounting tie strap
• 6' Power Cord with 115 volt plug AKJ3=E Tawr
• Suitable for Indoor or Outdoor Use
• Two Year Limited Warranty
• Available in both High Water &
Low Level Alarm versions
O
Dimensions i REF O
-
C
lJ
7-2
(F~ e1rowetcoon (SIDE)
120V Pur.
*Note: Consult the factory for other available options.
Septic Products, Inc. 1378 Twp Rd Ashland, Ohio 44805 Ph: (419)282-5933 Fix: (419)282-5943
ST. CROIX COFNTV
Si'PHC I \NK NIAINTF\'A\t E A(;RHAlI*NT
OWNERSHIP CI.Rl11~IC11 HON FORM
l)wnCI- f3tlcet. Pat Mahoney
\lailing Addre s 1637 South White Ash Lane
668 290th St.
Property Address
I\:rrLion required hoI I I PI mtin_ onin mpmtnen Im net\ CUmlr t etiUn.i
Cit\ swic w I I'S n Parcel Identification Numbcr 034-1072-40-100
LEGAL DESCRIPTION
Pntpcrly l ocalion SE „ i NE Se 32 1"29 \ R 15 W..Fimn of* Springfield
Subdivision Plat: Q~ Lojrj _
Certified Survey Map i? -_~7 ' ~Z Vohunc I V Pa_oc r /-a ~L
Warranty Decd (before 2(1(I?)Volume page #
Sp:::: hou,e❑te,Dw Lot hte idenU liable ❑ycs0no
SYSTEM MAIN•ITI:N,\NCE AND ONV\FR CERTIFICATION
Improper use and mainfalanrc ol'yeur .puc ;yslcni could rc.ult in il, prrnwnae f tillan to h:uu!Ir tvtntes. Proper
atainlcnnnec ean,isls of puntpin_ out the optic lank every Ihrce yema ur sooner. it needed. by H IICCnsal pumper. R Iml you put into
the <\,tem ran al leet the function of the septic tank as a (real ntent stage in the waste disposal system Owner maintenance
I"I II,ibil it ies are specitiea ht §SPS :R:.~'I I i and in ('hapler I' - St. ( roil ('aunty Sari Iary Ordinawc.
I'he pruperl) ow'ncr agrees to suhnnt it, St. ('roiz ('oun[y Planting fi Zoning Department a ceinficaton limn. signed by the
owicr and M a master phimhet, lounieyman plumber. regriclcd plumber or a licensed prnnpcr verItyin_ that ( I I the on-site
w.utoealcr disposal :ys:em is in proper operatnn_ condition and:ill- (2)after mnpeown:nd ptInl)in-' (if ncco,arc the septict n6
ie:ss that I; full of Judge.
If wc. the uodcniened have rend file abotc requirements and a_rec to maintain the private sewage disposal stem will the
stanaants :el Guth, herein. as set 1?y the Department of Safety And Prolessional Services and the Deparunew ol'Katural Rc,o;vccs.
SGUe of \\'is:onsin. <'ertilicafi-m ~Ulling that Will septlc,y:Dent has been maintained must he completed and rourned to Iha St L'roi\
( mini I'lannin_ K. Zoning Department wuhin 3,0 days of the Ihice \car expiration date.
I \ve certify that all ntaicounls ,it this torm are true to the hest of op antr knm%1cdee. I wo an: ;ere I ic otcneti; i ,I the
properly dcs ob d above. ht virluc of a 'a rramy deed recorded in Reeiswr of Dccds Office.
NuZ't ,0(bedrooms 3 _
9 ` LI. /7
SIGT~;1 fllI2I OF Apt , ( \N' I i DA I I':
Any int.>rnmlinn that is misrepresented may result in the sanitary permit beutg rooked by the Planning R• Zoning Department.
Include with this application a recorded warranty deed f -o m the Rceister ofDeeds Office and n copy of the ceroBcd surv'cu neap if
retcrence I, made in the xvarramv decd
(RV% . 04 12)
-N JaD 1-.11------,~/I a-,. I W
CD.
_ - - A Is
O O t - Z/i 0-.9
V f\
jjI a I 8tfl fl
l m
w' ~ .v2 Ili il~ i_l Zf
(C I N~
q ~ CA 90-t 3 T T
N { 4 W d ,o
T.
d'
f I iS I
IIZY 1 I \
m ~ ~ _I I> J !
-i T
_ T ~I
T - -.f I -OMN3dD MIJ Zh Z-,6
dt
--r-7T T
~ I
====T ° Zf T E T I
r
f ----al 'T' sA1ZAfll------- m T.~
r J
III^~- ~ 8 Y ` a LI 4l ~ o, Y._ fV
I - - .r T_I T
I(~I 1 _ N f
♦I xI III II A I~ IQ 1 I/, N
~ LJJ _ _ Ot O
I
I .o
u~ vle
If I N ifv.r LrFUt119YI CT-)
T ~ ~ I°• I~ J ~ 9i t ,
`V 1
n II „ I
its
~'So
~ r. 'I ~Id4P 'I If IIYA :II It t I ~ r+> 7-J
11 t '
I I 1
! i {`V 1 D
,
I1 ~ 4 Mall r1.:
vYiscrosin Department of Commerce SOIL EVALUATION REPORT _ Page ~L of~
Division of Safety and Buildings -
in accordance with Comm 85, Ws. Adm. Code
County
Attach complete site plan on paper not less than 8 112 x 11 inches in size. Plan must _ (-C" I x
include, but not limited to: vertical and horizontal reference point IBM), direction and C~.Qy',nJ,p L'•' ` -
percent slope. scale or dimensions, north arrow, and location and distance to nearest road.
P/ease print all information. RCA jay Date
Pmsonal riormatwn you wov de may be used for secondary o:rposes (Privacy Law, . 15 U (11(m) ) Y~
Property Owner _ Property Location
t'-_ E11 C7:C-'Y"1 Govt. Lot 114 114 ST N R ~S E( W
Property Owners Mailing Address Lot # Block # Subd. Name or (SM#
S~ K~ la 0 .14?
City State Zip Code Phone Number ❑ City ❑ Village (Town Nearest Road
I~ir ~ COr .ill -.4'i-~ - 1 (-I '}'.:-.icy' ,r°rrAa~~'~ -Q q0 1M STl
.
New Construction Use: ® Residential ! Number of bedrooms ? Code derived design flow rate S O GPD
❑Replacement 11 ❑ Public or oonvnercial - Describe:
Parent material ~ Kc G 1 Flood Pltin elevation it applicable It.
General comments _ r -(Flood Ll r
and recommendations: ~ - _
❑ Boring # El Boring .
l~ pit Ground surface elev. i`~ • f fL Depth to limiting factor in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF
in. Munsell Ou. Sz. Cont, Color Gr. Sz. Sh. 'E4#1 'Eff#2
I L'_ yl' 'i4' F I;'
7-6, D L!
a Boring # ❑ boring tt p c~
d` ® pit Ground surface elev.-r1._C.~_L y ft. Depth to limiting factorin.
Soil Application flare
(Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM
in Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
Q
r
r
Effluent #1 = BOD, > 30 < 220 mgtl and TSS >30 < 150 mg/L ' Effluent 02 = BOO 30 mgR and TSS < 30 MWL
CST Name (Please Prinfl r Signatures CST Number
Address Date Evaluation Conducted Telephone Number
1 1 C
li
~.e e- -k l>e
Property Owner S C r~ L- Parcel ID # Page °l of
Boring # El Boring
~ LJ pit Ground surface elev. dL R. Depth to limiting factor U in.
Sal Aoplicatbn Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDIfF
Munsell Qu. Sz. Con[. Color _ Gr. Sz. Sh. •Eff#1 •Eff#2
U--7 16 vR3~a F aF S a
01 -t pJV old - L ~FS'U ~F CW I F S
3 !a a ,SYR SIq - - - SL RESd 20 F P, CLIJ 1v l
La ao a- 7s~ I FIF1,SVR ~°,B sL ' I SC1~ CW I
' C IF~,S y~' e~ E ScL aIt4S R - t0
❑ Boring # ❑ Boring _
❑ pit Ground surface elev. f1. Depth to limiting factor in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD'*
in. Munsell Qu. Sz. Cont. Cola Gr. Sz. Sh. •Eff#1 'Eff#2
❑ Boring # ❑ Boring
❑ Pit Ground surface elev. 11. Depth to limiting factor in.
Shc Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDlff
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#7 'EM#2
Effluent #r - BODE > 30 < 220 mglL and TSS >30 < 150 mWL ' Effluent #2 = BODY < 30 mgrL and TSS : 30 mglL
'I he 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'rI'Y 608-2648777.
$PI>FI IO/R O~.WI
vmp«tyoatnr~ +gn
❑ ~ s ❑ Bmv varoN to r Papa ~ of
3 U Pit Grano wrtaw wv. l DD, q 6 it. Dom Ion vsts actor aD n.
n I oapm Dorn t color Radox DmaVb „ T.>s.. Slouch. Comemm ne. t,a,tl.,y goose f ply
ovR'la1 L aFSAK .9
a aF s
01 4 "a Sa w ► 5
,5 51q SL aF C v .5 '4 ao-a 7,SYK y 1rj,SV 4
mr-P
,ow
D Own, a ❑ tromp
❑ Pit Ground auram aaav. fl. Depth b Wainp actor in.
Apploskin Rob
Horizon 9d
Depth Domira RaOO: Daaoptlon Ta~mn Strudrs CorrrWroa Bouravy HoW OPD~[
n. aauran Ou. Sx Cont. Corer Gr. Sx. Sh. 'EOrt
I
❑ Bomp a ❑ Soma
❑ pit Grwnd wr4u alsv. ft Deem to Yminp arson N.
Sea Avollowbon Raw
pPm Donanra Color Ramx Oaawtpaon Taa►n 9a1ac4a+a Ceruutanea Saurtlary Roos
n. ahartaa Ou. SL Cont. Color Gr. St. Sh. "E!N •9A2
' Eftm a1 • BOD, > 30 _ 7211 mgt. au TSS >3U:150
rrV'L ' EMuarY aQ • BOOT < 30 n1p1L and T95 < 30 rrp4
The Deparm>mt of Commerce is an equal opportunity service provider and employer. If you rued assiwhoe to seem services or
need matenal in an altemau format, Please ceewc[ the dcparmlmt at 608-266.3151 or TTY 60&264-1777,
aao.arta.awu
~
-DI
l6 IL + s 7a
,fig
V ~ z
lJ
i
i
D YV
0
oS
T
T1 0
(l' ~ cfiap
~ J
d s ~
06
v li q ~9 Qo
t 2e In c _ Cb a` - I
~u2~ 120 ca m co-
Parcel 034-1072-40-100 0621.2005 11-24 AM
PAGE 1 OF 1
Alt. Parcel 32.29.15.4856 034 - I OWN Or SPRINGFIELD
Current X ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type
09;08+2004 00 0
Tax Address: Owner(s): = Current Owner
h1ABEL A TR THOMPSON TNOMPSON. MABEL A TR
2891 HVVY 12
WILSON WI 54027
Districts: SC = School SP = Special Property Address(es): = P nrar,
Type Dist # Description ' 668 290TI I ST
SC 0231 BAt 010IIN-WOODVILLE AREA
SP 1700 WITC
Legal Description: Acres: 3.710 Plat: 4832-(,Ski 18-48:32 034-04
SEC 32 T29N R15:^J PT SE NE CSNl 18-4832 Block]Condo Bldg: LOT 1
LOT 1 (3.71 AC)
Tract(s): (Sec- I wn-Rng 40 114 160 114)
32-29W15W SE NE
Notes: Parcel History:
Date Doc # Vol/Page Type
09/0812004 773772 18(4832 CSM
07123:1997 11501265 QC
071231997 10311327 TI
2005 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 05x2612005
Description Class Acres Land Improve Total State Reason
AGRICULTURAL FORESI- G5M, 3.71. 3,350 0 3,350 NO
Totals for 2005:
General Property 3.710 3,350 0 3,35E
Woodland 0.000 0 C
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