Loading...
HomeMy WebLinkAbout016-1060-20-175 r Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Bui'kling Division INSPECTION REPORT Sanitary Permit No: ( ATTACH TO PERMIT) 538705 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: Delong, Corey & Allison Nitchey Glenwood, Town of 016 - 1060 -20 -175 CST BM Bev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: /6(,. (p -14-- 6r - 28.30.15.421A40 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER ! `,,, S CAPACITY STATION BS 1 FS ELEV. kti- 6m — Z 3 Mg, 3 �o�.t-, Septic P J P � Z / ��� Benchmark 3 102 / l Gv _// T / J �` Dosing `7' J /, 6 /Oa • 4 Aeration //�� J Bldg. Sewer 3` /8'3 / 3e6# (7E /� Holding St/Ht ( .SL 57.•7 St /Ht Outlet �_ TANK SETBACK INFORMATION s. TANK TO E P /L — WELL BLDG. Vent to Air Intake ROAD Dt Inlet \_ Septic / / / Dt Bottom g /CC) /eb /06 M M. ° '414 Dosing / / /e MO / ` 6 / — Header /M Aeration Dist. Pipe Holding Bot. System 31 146,911 .?, s Final Grade PUMP /SIPHON INFORMATION OKDemand Z • o /4Z �j ef Manufacturer �/ L St C�ver J 3 • ' )4 i C /OL r fP"� 6i aw GPM ✓l) nicvmhts, 61:1,-/-e-A._ f Model Number 16/71— 4 43 �O�4—oo ' / 7 G , L//__, TDH Lift ' Frictio Loss System Head TDH_ / Ft n "� r ] 7 2.3 I 3. 5 I / ' Z-- K.A-L CJe d dO Corte &, �-- 7 2 • 7 b Forcemain Length + Dia. 1 Dist. to Well 10`7 Z. n4 � m A /bS ! l SOIL ABSORPTION SYSTEM BED /TRENCH Width • / No. Of Tren s PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS g 1Length 57 & Je _ \_ `,_ _ ∎. . SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING Manufacturer: INFORMATION f f CHAMBER OR Type O j �stem: 3 (, '0' / 6 Z / _ , /] UNIT Model Number: \` DISTRIBUTION SYSTEM /J al 4 Header /Manifol r / Distribution /( // / x Hole Size / � x Hole Spacing/ VelAto Air Intake / Pi es � / (G 3 � � 1 �L / J1 " Length 7 Dia Z Length Dia Z., Spacing _ a SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only / Depth Over ' Depth Over xx Depth of xx Seeded /S�dded xx Mulched Bed/Trench Center ] 9 3 Bed/Trench Edges \ Topsoil / W y Ei No Yes El No I COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: /d / / / i a /� y Inspection #2: / / Location: 2938 130th Avpue Glenwood City, WI 54013 (SE 1/4 SW144 28�T3ON R15W) NA Lot 5 � an, ��'"°c arcel No: 28.30.15.421A40 1.) Alt BM Description = J 7 / d ikei� / " e 6 Pk' ` ` (, 1� 2.) Bldg sewer length = /3S l - fie �1 v 1 �- amount of cover = C..(44,.....- OJ k AA /0 Plan revision Required? El Yes ;0o / /6 ' rW_Tc/ 7i'" Use other side for additional information. Date Insepctor's S' a nature / Cert. No. SBD -6710 (R.3/97) 1 r • PAID 1 WOke,10 4 eommerce.Wlgov Safety and Buildings Division County'_ ' r0 f 201 W. Washington Ave., P.O. Box 7162 �� x. tiisconsin Madison, WI 53707 -7162 Sanitary Permit Number (to be filled in by Co.) Department of Commerce 53 8 S Sanitary Permit Application State T / ) ran G saction Number ' In accordance with s. Comm. 83.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental o eQi /esS unit is required prior to obtaining a sanitary permit. Note: Application f..... ; . S are Project Address (if different than mailing address) submitted to the Department of Commerce. Personal informati ' # i - !':,'1' '3 N :'� P for . - ondary purposes in accordance with the Privacy Law, s. 15.04(1)(m), Stets. G 3g /3,04II4 I. Application Information - Please Prin 1 formatio / Property ► ner's Name P AA ( OCT a / / .�_ , a `t lJ l ! rc 0 � 4 , 1 — _ 2 Property Owne ar ailing Address �� S CROIX • s :: tb00 / L� Q FFI C E Lot C r / City, State V Zip Code Phone Number rJ y Section �_ • sRr l igk II. Type of Building (check all that apps 3 Lot # ,)11 Family Dwelling - Number of Bedroo . 5 Subdivision Name Q � � Block # ✓ ✓ ✓J ❑ Public /Commercial - Describe Use ____41 ❑ City of ❑ State Owned - Describe Use w f CSM �S Number -7 ❑ Village of - 57 Ma I? �/71. / ` ownof aw' - � / III. Type of Permit: (Check o 1 . one box on line A. Complete line B if applicable) j A. ❑ New System r: .lacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain) B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Owner / f r-!y" /y -�/ Ivpr e of POWTS S stem /Component/Device: (Check all tha pply k C- I / ge::"%t ' ressurized In- Ground 0 Pressurized In- Ground ❑ At -Grade and > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain) TT // V. DispersaUTreat nt Area Information: 4 1 /Z D �i nFlow (gpd) Design Soil Application ' . (gpdsf) Dispersal Area Require. Dis. ersal Area Prop.. . - ° System Elevatio / X < 0 I . _ ✓ VI. Tank Info Capacity in Total # of Manutac rer Gallons Gallons Units .fl t o g New Tanks Existing Tanks /i f o g ` A " ksi Septic or Holding Tank Dosing Chamber _ . ~�/ ' EU MI VII. Responsibility Statement I, the undersi l ned, assume responsibility fo installation of the POWTS shown on the attached plans. Plumber's Nam int) ice' ber a . MP /MPRS Number Business Phone Number : . r _ .�. :i r . « � ‘ a = 5 -7363 ' umber's Address (Street, City, State, Zip Code) A i i/eieti0 7ee,4)//e.. 2 2 cit 2S VIII. County /Department Use Only i Approved R • tsapprov -. Permit Fee Date Iss ed Issuing t Signatu • / 1 • Well Reason for Denial 62.6 ' G1G A/5 � /b IX. Condit reasons for Disapproval , t t - 1 v 11 i e �' 3) Lo• /� �t m5 t A,...-- d" 1. Septic tank, effluent filter and / t l dispersal cell must all be services / maintalm • : ,/.., W 1‘11 a " 1 . as per management plan provided by plumber. 2., Alt aetbackk rrequ Cements must be rriaintain*d all PAr tstcb to a fete Mani ar e system and submit to the Court only on paper p Ys y y p per sot less than 8 to x 11 Inches in size SBD -6398 (R. 01/07) Valid thru 01/09 PLOT PLAN PROJECT Cory Delona ADDRESS 2938 130th ave Glenwood City Wi 54013 SE 1/4 SW 1 /4S 28 /T 30 N/R 15 W TOWN Glenwood COUNTY ST.CROIX SYSTEM ELEVATION 100.4' BEDROOM CONVENTIONAL AT -GRADE CONVENTIONAL LIFT HOLDING TANK MOUND )000( SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE 630 HOLDING TANK SIZE LOAD RATE 1.0 ABSORPTION AREA 456 # of chambers BENCHMARK V.R.P. top of cement base of satellite ASSUME ELEVATION 100' Filter BEST GF10 -8 ❑ BOREHOLE O WELL *H.R.P. Same as Benchmark 1320' Property Line Area 1 5' below system is to remain undisturbed B- 2 99' 99.4' 100' 6% Slope Huffcutt B - 3 Combo Tank 0 • 1 B.M. #1 Tank is to be properly bedded and B.M. #2 N provided with Iockdown covers with approved Shed warning labels Well o Existing 3 Bedroom • • House, not a 4 bedroom ST DW as listed on soil test, verified by county Existing system is to be 100' 36 Acre Parcel pumped and buried CC Scale = 1 /4" = 10' 7 130th Ave Safety and Buildings 3824 N CREEKSIDE LA commerce.wi.gov HOLMEN WI 54636 Contact Through Relay sco ns' n www.commerce.wi.gov /sb/ www.wisconsin.gov Department of Commerce Jim Doyle, Governor Aaron Diver, Secretary October 01, 2010 CUST ID No. 226900 ATTN: POWTS Inspector SHAUN R BIRD ZONING OFFICE BIRD PLUMBING INC ST CROIX COUNTY SPIA 1008 192ND AVE 1101 CARMICHAEL RD NEW RICHMOND WI 54017 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 10/01/2012 Identification Numbers Transaction ID No. 1861105 SITE Site ID No. 760597 Cory Delong Please refer to both identification numbers, 2938 130TH Ave above, in all correspondence with the agency. Town of Glenwood, 54012 St Croix County SE1 /4, SW1 /4, S28, T30N, R15W FOR: Description: Mound / Three Bedroom / Sloping Site Object Type: POWTS Component Manual Regulated Object ID No.: 1282663 Maintenance required; Replacement system; 450 GPD Flow rate; 30 in Soil minimum depth to limiting factor from original grade; System: Mound Component Manual - Version 2.0, SBD 10691 - (N.01 /O1), Pressure Distribution Component Manual - Version 2.0, SBD- 10706 -P (N.01 /01); 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. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: Reminders • This system is to be constructed and located in accordance with the enclosed approved plans and with the component manuals listed above. • The minimum distal pressure at the end of the distribution lateral is to meet three feet. This amount of pressure will supply a discharge of 0.72 gallons per minute through the 3/16 inch orifice. • Per manual cited above, limited activities are allowed in the area 15 feet down slope of the component area. ° b ' c Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and - T dispersal are prohibited. t 1 1 • 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. SHAUN R BIRD Page 2 10/1/2010 • 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 • Comm 83.22(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: • Comm 83.52 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. Comm 83.54(1). • Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • Comm 83.55 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 Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. 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 (0 � J� Balance Due $ 0.00 Charles L Bratz POWTS Reviewer II , Integrated Services WiSMART code: 7633 (608)789 -7893 , 7:45 am - 4:30 pm Monday - Friday charles.bratz @wisconsin.gov cc: Leroy G Jansky, POWTS Wastewater Specialist, (715) 828 -5902 , Monday, 7:00 A.M. To 3:30 P.M. Notice: Starting July 1, 2009, no person or entity may engage or offer to engage in construction business in Wisconsin unless they hold a Building Contractor Registration, or equivalent, issued by the Safety and Buildings Division of the Wisconsin Department of Commerce. SHAUN R BIRD Page 2 10/1/2010 • 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 • Comm 83.22(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: • Comm 83.52 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. Comm 83.54(1). • Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • Comm 83.55 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 Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. 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 POWTS Reviewer II , Integrated Services WiSMARTcode 7633 (608)789 -7893 , 7:45 am - 4:30 pm Monday - Friday charles.bratz@wisconsin.gov cc: Leroy G Jansky, POWTS Wastewater Specialist, (715) 828 -5902 , Monday, 7:00 A.M. To 3:30 P.M. Notice: Starting July 1, 2009, no person or entity may engage or offer to engage in construction business in Wisconsin unless they hold a Building Contractor Registration, or equivalent, issued by the Safety and Buildings Division of the Wisconsin Department of Commerce. RECEIVED SEP 2 2 20i0 Cover Page SAFETY & BUILDINGS Shaun Bird Bird Plumbing Inc. 1008 192nd Ave New Richmond Wi 54017 715- 246 -4516 Date: 06/ 28/10 Owner:Cory Delong Location:SE1 /4 SW1 /4 S 28 T30 N,R15 W 2938 130th Ave Glenwood System type: Mound System Manuals Used: Mound Component Manual Version 2.0 (01/31) Pressure Distribution Manual Version 2.0 (01/31) Page# 1. Cover Page 2. Mound Plot Plan 3. Mound Cross Section 4. Pipe Cross Section /Pipe Layout 5. Pump Chamber Cross Section ` � w +++ III IIII 6. Pump Curve ,. 7 -8. Maintance and Conti- nc ` n .. .. Sj 9 -12. Soil testI 311/1/N I q 'Z C �� /864-0 0 * c Shaun Bird SRI C H M 0 /Va 4, Signature �!. 5� on idly License number a64 -007 / OF COMMERCE EY i . !ILDINGS SPONDEN PLOT PLAN PROJECT Cory Delona ADDRESS 2938 130th ave Glenwood City Wi 54013 SE 1/4 SW 1/4S 28 /T 30 N/R 15 W TOWN Glenwood COUNTY ST.CROIX SYSTEM ELEVATION 100.4' BEDROOM CONVENTIONAL AT -GRADE CONVENTIONAL LIFT HOLDING TANK MOUND )000( SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE 630 HOLDING TANK SIZE LOAD RATE 1.0 ABSORPTION AREA 456 # of chambers Ilk BENCHMARK V.R.P. top of cement base of satellite ASSUME ELEVATION 100' Filter BEST GF10 -8 ❑ BOREHOLE O WELL * H. R. P. Same as Benchmark 1 320' Property Line Area 15' below system is to remain undisturbed B- 2 99' 99.4' 1 100' 6% Slope Huffcutt B - 3 Combo Tank 4 B.M. #1 p Tank is to be properly bedded and B.M. #2 \ provided with lockdown covers with approved Shed warning labels Well o Existing 3 Bedroom • • House, not a 4 bedroom ST DW as listed on soil test, • verified by county Existing system is to be 100' 36 Acre Parcel pumped and buried ..../ Scale = 1 /4" = 10' 130th Ave Mound System Cross Section and Plan View . 0, ,,, ,rn T we - � . :.. , "RA ,,,,,,,,, , ,' ' .- w " '++ Dimension Feet A J t B 7 4 1 1 ::„..,1111111111:01.1:::::1111.111:1111111111ii ^ ' 1 D $} •v {, G 1 ' � .} +t { ^7 J I1S r •r. t r i z•, 'E . 4',1Lt'• } r rt r.j t. t ��' tz" z•� %x• •x •z' 1 • . 1' rx{ ^ 'i , }" Itzt,vf.5‘,,•24.:,44i, : }r t. :1 1 ' ^S 1zi " x• '1 a T� ,� r. 1 n+*r�+ : +'J J t {' 1 A } x� z• t {, t t tr+ y . }, x ,� F S x r -z1 r ':t , (r, t , ^_ _ .� ) " +�} fr, {SIa yy,, [C t' "! ', r .1, ii L(t;��i f, • I' J• 7: 7171t{ fttx �r %iL t•.t < +_,.t ;t t {_ft . {t- .t. W r: �Z G H LC r' I i .3 I J 1 3 r K . i I 0 t� ' L 8 ` � ra r .� ya r' W / �'wi •r .� .r r �. r r. Y.. r - `. 027, 4 K l ,B Z Slope L t71 = Topsoil = ASTM C -33 4t i = Clean aggregate o = 4 in. sch. 40 pvc 1 Cap Material sand fill ;'. } `/z to 2 `/z in. dia. observation pipe IP • Geotextile IY 1-1 Fabric u , rf r r � 4 T x ; � r '4 f , F :, • • z ' � �r i ?, Ft T " . D . E ►11 11•x• 1111 111 ►y11111111ti111ti1 1111 111111111111 ►111111111 � :' ► 411111111111 attl ii i .:'' r1J b�► ti1titi�1111111�111111111 ►11111111`. ►11T111 1 1►1' 1111. iii:::':' �'''' iir::: �,�.���:�����::��;���::;. N.11. r..1`iii111 1411111111111`11111111111 '���111111111111111111111 1 - �t.�1a�►��►till Plow S urface iitiiitititi Ft Contour ti,N4v. ti, . WpWpii Slope Direction �.. GENERAL INSTALLATION: The mound area is staked out along the design contour. Existing off the site. The mound basal area (L x W) is vegetation is mowed and raked ( ) plowed with a moldboard or p g chisel plow. g Y low. Plowin may not proceed if the soil is wet enough at the plow depth th to f orm a '/4 inch soil wire when a sample is rolled between the palms of the hands. ASTM C -33 quality sand is placed immediately after plowing. Sand is placed with a tracked machine keeping 12 or more inches of sand under the tracks or is placed overhead by a backhoe. Special care must be used when placing sand of less than one foot thickness to minimize compaction of the plowed surface. After the topsoil cap is placed, the entire mound is seeded and mulched to promote vegetative growth, limit erosion and protect from freezing. The observation pipes are slotted in the lower 6 inches and secured in place with rebar or a closet flange. 10 /07lgj Page of • Pressure Lateral Layout Two Laterals — End Manifold 4 Threaded Cleanout Lateral Turn -up ---► Plug Manifold Cl 411k1 • . 3 AL1 1 • • .____O , , X -- t L • Long Force Main Sweep /' 90 c Bend Distribution Network Specifications Pressure System Construction Lateral Diameter 'Z.. In. Manifold Diameter y In. Laterals are constructed of Schedule 40 PVC Orifice Diameter 3// In. pipe. Orifices are drilled perpendicular to X (Orifice Spacing) , In. the pipe with a sharp drill bit and face down. L (Lateral Length) ,S"� Ft. Lateral turn -ups terminate with a threaded M (Manifold Length) 4 / Ft. cleanout plug and are enclosed in a 6 -8 inch Force Main Diameter Z, In. diameter lawn sprinkler valve box accessible Force Main Length s y � ! ' ' c Ft. from finished grade. L J c /` ut" ;CM % rt- • Grade •••••• :8. ••••••• 6 -8 Inch Lawn Sprinkler Valve Box 1 Page of 03/05 tgj Septic -Dose 'Tank Cross Section And Pump performance Specifications �� r Pump Manufacturer X ,' / sg Tank Manufacturer � .0 J _ .. CO Pump Model Number Tank Model Number PTA/ Alarm Manufacturer e - .. S 5144/4 Total Tank Capacity „,, � Alarm Mode! Number ,0 L- v Max. Bury Depth Switch Type Ci e,ic Filter Manufacturer i Total Dynamic Head (TDH) -Feet - Filter Model Number - Elevation Head 0 Distal Pressure lir Network Loss ® r Minimum Pump Performance Required Force Main Loss i 7 D ♦' * 3 GPM n 574 Ft TDH Total tom" - -- -- Outlet Manhole Min. 4" Above Grade With Manhole Min. 4" Above Grade Locking Device. Inlet Manhole IN Mounted With Locking Device < 6" Below Grade Sealed Watertight Weather -proof p 1 1 l Junction Box `-- -■ Finished Grade - —÷ t [!!!!'!'!!''' -'' Vent Min. 12" Disconnect Above Grade ■IPIU Means With Vent Cap Outlet Filter --- - -. _ , �� : ffle Inlet ,.. 4.-------- Inlet Ba N � ;', Reserve Capacity '•: Switch Settings and Rese pac ,; Weep Tank Volume = GPI , u ' Hole Dimension V olume Gal. 13 ly :: :: 3 : (reserve) A' % 74M1- d : ; : : p levation C ' . ` (alarm) B 2 Ft I .-_,.. Bottdm (dose) C �, Elevation :: D :. :: D (dead) :. ■ . 111 :. 'r. a D Ft : : :. Total ; • ... . a . � .j: �. �.- a�.. a .T ..... a , . < .':'.'<'.`.'i`.'a < .. 1 ... GENERAL INSTALLATION: The septic /dose tank is bedded and back filled in accordance er with the not manufacturer's product approval specifications. Maximum depth of have an ffec t ve t l h ocki g device (padlock) be exceeded without prior approval. Manhole covers exposed Br and installed. Piping at the inlet and outlet is of approved material, connected a ed with 4�3ch. 40 PVC to bridg the , tank laid on stable soil to prevent settling or sagging. The force main excavation and the sleeve is sealed watertight. Electrical service complies with NEC 300 and Comm 16.23. Page of 02/05 Li •- •8y: HP LaserJet 3100; ' jai; 1L1 MJ , ±Thfl1 th .1) ( 1 gEH Sg al " EUts .____," 41,..wa,,,,in_w_________,Llimii-ww---------------""-'Fill—UE ' NT PUMP 1 1.154 . i. .,: - ' ' '' - ' '' 4 i ,.., r " n ',. ---- gm * ` + � r , .....____ • 4; _.,•,.., . .4 tRisio • y • ala W wig" IMM • ese i A w et) III 15 SK 1t1711i1sY1 arm Ilse 115 al tap 11® - 1N 66 41 11.1 1 81 1.11 r11�IM1M MOM WWI • df O Oa ES 1$ 83 1� 71 i1 ib H 0 11 81 8 t 11 1 inti M IOWAN 11Mi yya 11ti 145 8M to IN 74 V z f . 1 y - FLOW- Lon s ue , - I11>a 111111111111111111111111 to . o '°°° aouo i eil+tic emu► ' . . `. !!!!! 1 M anual SksR Seal Nitrite witio carbon snit . . 01111.01 VA 1110 21111 1111111111111 84 ..... a 0 r��rrI-r ■ 0. .- . - sr iO 8° Co. Or r ' ' • .." irwm —Moa • • ' Pa ge MANt°►GM� Pl. Page of pt�wts a tER' DUAL S , t;ATIOMs fispatoN septic oti A i • ,/ © 0 • v i r G . I - µapt r� - r 1 % / Effluent Filter iblatractliter ; ...<— a 14 p . � CC CC 6 ' , 0 NA N p �I1tETn 3 a NA n tea bof Bedrooms Ai-NA MAW ❑ NA � �omnt t urripTank Ntf! nuurer Number j 117.7 .. . 3 . •9 ►d- a NA' Wooled Wig (*age) .pump IrIGa� riff • (f:� 3c1-5) _ F*t$ O _ . Melon ui Pcais - p pert Fllbsr influsatiEttfuent OullifiY Monthly average fl s� p Vltafiead £ Graeae _) O mg/t, D in Other: n on Total spt ont* ovoroao' Dtsper� r ek) a tDCrnd (P Sessustedi " ` 0 ln�round I� • �'�� Demand (800s) ¢ mg1�. p At-grade fl Ottleer- s30 mg/L � Suspended eta- OOmi Q • vsdurs•t � Of° - MSOCIMUnt llt Few d X indbdiarneter ,t Particle Me iyp °ss ust.d ft, septintenk.ollinerc. retatNreru►Nt S " Service Frequency s) t1Y(axlt"a"" a '� Ser tan gent 0 month of tank rn 3 y At feast once every (X) Pu condition c ont n of r tans) When combined sludge and scum equals Pump out contents 1 tank(*) snos 0 At least once emery inspect dispersed cogs) a7 NA u every s ) p N Fns1 P ' Worm At least or At least once every 0 yards) 0 NA Fhs� �eI''"' Al feast voce every 0 months fl yowls) 13 NA NA O d+.r= At least once every ��"� or nsAZNYt$NANCE caw wait be mode carrying ono °f �f: POINTS „�y mti or relge servicing of emus Plumes of the Imago) scum m shed k � r up certilicationa. Master Plumber; Mester Tank inspections must include a lure the volume of w ed a 'n Cheek cnedcs cell(s) s shall be vtswaX • in the eme. Willa cm the 9o' w on the g d su the lac regulatory eelefe on ift The PundkV Of or P01100 Ot indicate a i � requires the Immedia�� Or the io al of R condition ground outface tray n octmti �°r' of sludge by scum in an S e r Servicing and °� to WA Obeifehe Of the VIM std be removed - , and e W neln Administrative Code or p surf ed components. p bff� M s i r>i Powrs The of efl at of months or iese shall be ant. $6 * t °l' to the local regulatory authority with n is days of waif/eon of any A sauiAge of painting blr or . ST ART UP POINTS dtetdC f l s} fivr f P are F � ant p and/or damage the dispersal W s f high d�ernicabr trier may Impede a servicing operator to use_ of the WOO) removed by a s • t��tli him . - • i--. five s �srfare - Page of 2ttttB Ynftttr� ` ` v vtren •,�o rxdstions are from at • ss up t t a not above normal highwater levels. When pc f result in the ., owing powor the ,c�lf(s } and mad► PAP �e cell(s) in one large dose. overloading of the pump t($) and nav re p u by a �� or be egeoherged To avoid this situation have the contents a Plumber or PAS MBfitanler bac a surface pfbr t reslf n9'power to the effluent pump ar assist spy l to restore normal %evels within the pump tank.. in d oper �' I� .. aver, or otherwise tfisburb or compact, and dispersal . Do not drive or patio De V d in 15 feet down slope of mound or at -grade soil absorption area- prolong the Gf+e the f rom the wastewater" stream may improve the pew ft S alum following rte butts; condoms; r tton swabs; degreasers; dental floss; dope of the a e (sum pump) water; fruit and vegetable peelings; gasoline; grease; ; �; mea fides; sanitary nap per scoops off: AeAsootrimarr tiy.takert out of service the following steps stlafl t° Insure that the When the POW1 andlar is P� e � in compliance with ch. Comm 83.33, V'Vssocx'ssin Ndmitt system is properly ato tanks safely a�psnshn be disconnected and the abandoned pipe openings sealed- • The coot tanks Snit ptt disposed of by a Septette .Servicing Operator. .. contents of all tanks and pits sheltie* removed and proPe!'fY ail tanks and OS shall be excavated and removed or their covers �mvved.e,rrd the void space • Atmr pu m p ing, inert solid material filled with soil. graver orartodaedr • CONTINGENCY PLAN the foilavving measures have been, or must be taken, to provide a code if the PO1d�IfrS fails and cannot be repaired compliant replacement system e valuated and may be utilized for the location of a replacement soil o a so ant std has been and compaction and should not replacement area should be protected from disturbance bes:x r The set from existing and proposed structure. lot lines and wens- Faaure to protect ge+d upon by new a suitable protectthn replacement area vrlil r+estrK in the nee f with iherrules site n effect at that tirrte_ replacement area- Replaent systems must comply O A suitable repla ement area is not availabte'due to setback and/or soil limitations. Barring advances in POWTS technology a holding tank. may be tiled as a last resort to replace the failed POINTS to identify a suitable replacement area. Upon failure of the POWTS a sod and The site has not been evaluated t area is available a site evaluation must be � to locate a suitable replacement If no replacement J h_ tank may be installed as a last resort to replace the failed POWTS. removal of the biarnat at d — "p ound and at -grade soli awn systems may be reconstructed in place following the inflid-aliee surisoe, fictions of such systems roust comply with the rules in effect at that time_ «WARNING›› TANKS MAY CQNTAfN LETHAL HAf GASSES AND/OR INSUFFICIENT OXYGEN_ NOT PUMP A S OTHER TREATMENT DO NOT ENTER 1� SEPTIC, PUIHIP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT _BEscue OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS - . POWTS 11AAiNT� POINTS INSTALLER � Name r crC L ' . • —C- Phone Phone _ 5 5 6, t_ 3 LOCAL REGULATORY AUTHORITY SERVICING OPERATOR PUMP "' LO X 1p a n 1 genc,Y f , � ff Phone '7 / j --p) • Phone 9/..)-- j/ . — • i rues aocm>nart was dratisd bylke staff onto men take, Marquette and Waushara County Zoning and Sa - This docume rtmet t me,mama m of dr_ Caaua 88.22CZXbx1Xd)a•Ct) and 83 -sa(s ). (2) & (3). Wisconsin Adr�rtnIstrztive Cade. Use of Rita document � nD GM+'v(ZroI) guarantee she pwrloananoe of ere Pow'rS. 7 'c - 2 - 9:530 1Niscansin Department of Commerce SOIL AND SITE EVALUATION Page 1 of 3 , ' Division of Safety and Buildings in accord with Comm 83.05, Wis. Adm. Code Gustum Septic Service Attach complete site plan on paper not less than 8% x 11 inches in size. Plan must County include, but not limited to: vertical and horizontal reference point (BM), direction and St. Croix percent slope, scale or dimemsions, north arrow, and location and distance to nearest road. Parcel I.D.# APPLICANT INFORMATION - P - a` t all info ation. D !r /D/�Il} Personal information you provide may be us •,to( nd mitoses (Prit';i1my w, s. 15.04 (1) (m)). RMwttf Date o /75--- Property Owner' , Y h t n , (L 1 � Pi:.C�s �: fi a f f-..,• , • -.. Property Location ,i �� Canfield, William & Jean i - -. 0 \ Govt. Lot SE 1/4 SW 1/4 _ T 30 N,R 15 W Property Owner's Mailing Address ; r 7 -� . Lot # Block # Subd. Nam or CSM# �,Q` lq 2520 10th Ave. s 1 " cH x 98 n/a / t /� City St�te•; ,''Zip Code e mber - ...,,. City 1 Village Town Nearest Road 0 - Woodville WI " $402 Nflrt ®18€26' 1 Glenwood 26137 130 Ave n use: 1 ` � . : - o ► : - • rooms 4 Addition to existing building �Il Replacement Pub : •• ii II - describe e Derive ' flow 600 gpd Recommended design loading rate .5 bed, gpolfl .6 trench, gpdlft Absorption area required 1200 bed, ft 1000 trench, ft Maximum design loading rate .5 bed, gpolft .6 trench, gpd /ft Recommended infiltration surface elevation(s) along 99.4' contour ft (as referred to site plan benchmark) Additional design / site considerations part of 36 acres Parent material sand stone Flood plain elevation, if applicable n/a ft S= Suitable for system Conventional Mound In Ground Pressure AT - Grade System in Fill Holding Tank U= Unsuitable for system ❑ S N u ❑ S ❑ u ❑ s ❑ u ❑ S ®u ❑ S ® u ❑ S ® u SOIL DESCRIPTION REPORT Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft2 Bonin 9# in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed ; Trench 1 1 0 -9 10yr3/3 none sil 2msbk mvfr as 3f,lm 0.5 0.6 2 9 -14 10yr5/3 none sl 2msbk mfr cw 1f 0.5 0.6 Ground 3 14 -23 10yr5/6 none Is lmsbk mvfr cw - 0.7 0.8 elev 100.1 ft 4 23 -30 10yr7/3 1. none Is lmsbk mvfr cw - 0.7 0.8 Depth to 5 30 -34 10 r7/3 f2d 10yr6/2 De - p Y 7.Syr5/6 sl 2msbk mfr cw 0.5 0.6 limiting factor 6 34 -40 2. - - � - - - - n.p. n.p. 30" Remarks: 1. few thin bands of 10yr4 /41s. 2. Glauconite Sandstone 2 1 0 -8 10yr3/3 none sil 2msbk mvfr as 3f,lm 0.5 0.6 2 8 -14 10yr5/3 none sl 2msbk mfr cw 1f 0.5 0.6 Ground 3 14 -20 10yr4/6 none sl 2msbk mvfr cw - 0.5 0.6 elev 98.7ft 4 20 -33 10yr7/3 none is lmsbk mvfr cw - 0.7 0.8 Depth to 5 33 -40 10 r7/2 c2d yr 812 De - - p Y 7.Syr�%6 sl 2msbk mfr 0.5 0.6 limiting factor 33" Remarks: CST Name (Please Print) Signature: Telephone No. Tom Gustum • • 715 -658 -1344 Address Gustum Septic Service Date CST Number Ref# N13450 937th St., New Auburn, WI 54757 10/7/98 227618 1023 r I PROPERTY OWNER Canfield, William & Jean SOIL DESCRIPTION REPORT 1 1023 Page 2 A a 3 PARCEL LDJ Gustum Septi . Depth Dominant Color I Horizon iii. Munsell Mottles Qu. sz. cont. color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/ft2 Bed : Trench 3 _ 1 _ 0-9 I 0yr3/3 none si I 2msbk mvfr as 3f,lm 05 0.6, 2 9-15 10yr5/3 none sl 2msbk mfr cw if 0.5 0.6 Ground - - elev 3 15-21 10yr4/6 none sl 2msbk mvfr cw - 0.5 0.6 983 ft 4 21-33 10yr7/3 none Is lmsbk mvfr cw - 0.7 0.8 Depth to 5 33-39 10yr7/2 c2d 7.510yr8/2 yr5/6 sl 2msbk mfr cw - 0.5 0.6 limiting • factor 33' 6 39-45 1. - - - - - - n.p. n.p. 4*.- R emar k s: 1. Glauconite Sandstone. Ground — °ley Depth to limiting _ factor I — Remarks: 1 i Ground elev Depth to limiting factor . : Remarks: - - Ground elev Depth to limiting _ _ -- factor 1 - -- - -- - -- --- --- Remarks: i . 1 . PROPERTY OWNER: Canfield wiuiam& Jean SOIL DESCRIPTION REPORT 1023 Page 2 , of 3_ . PARCEL LD.# Gustum Septic Service Depth Dominant Color Mottles Structure Gpp�t? ' Horizon in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed T1ench I 3 _ 1 0 - 10yr3/3 none sil 2msbk mvfr as 3f,lm 0.5 0.6, 2 9 -15 10yr5/3 none sl 2msbk mfr cw if 0.5 0.6 Ground — — — — — — — — — — elev 3 15 -21 10yr4/6 none sl 2msbk mvfr cw - 0.5 0.6 - -- -- - - - - -- -- — - - - - -- - -- 987ft 4 21 - 10yr7/3 none Is lmsbk mvfr cw - 0.7 0.8 Depth to 5 33 -39 10 r7/2 c2d 10yr8/2 limiting y 7.5yr5/6 sl 2msbk mfr cw - - 0.5 0.6 - 33• 6 39 -45 1. - - - - - fa n.p. np Remarks: 1. Glauconite Sandstone. Ground — — — elev Depth to limiting _ _ factor - - - - -- — Remarks: Ground elev Depth to limiting - — - -- — — — factor — Remarks: Ground - - elev Depth to limiting _ — factor Remarks: . e r CI V1 - -O (,11 A a A (11 Q--- p 9 -.ND ..,,_ ,...1 a - _ � a is 7' cs 1' ' PrE' Pr,' ✓c cJa f- b " p r `6 0 S � s 111 -4 it C ' Q 2 r 4 N, rl `s P 3'' p. n *'S 0 a-- 0 4 C1.1 • 1 y IA �*, P -A cs (I \ 3 \ V °14 .- r i Ve- LAJ41/ si 7' - 4■-') , , 1 ~ . � i v A O O 3 �" , 1 w II I 11111 11111 11111 11111 11111111111111111111111 895955 STATE BAR OF WISCONSIN FORM 1 - 2000 BETH PABST WARRANTY DEED REGISTER OF DEEDS Document Number ST. CROIX CO., WI THIS DEED, made between Douglas J. RECEIVED FOR RECORD 05/19/2009 03:55PM Doornink, Q Ann i 'c1 pnew,hyt Grantor, and Cory J. DeLong and WARRANTY DEED Allison M. Nitchey, 51 t/iq le. .� �c' . Ii�0Y75- EXEMPT 1 Grantee. J REC FEE: 11.00 Grantor, for a valuable consideration, conveys to Grantee the following TRANS FEE: 356.40 described real estate in St. Croix County, State of Wisconsin (the PAGES: 1 "Property"): Lot 5 of Certified Survey Map filed June 22, 2004, in Vol. 18 of C.S.M., pg. 4774, as Doc. No. 766607 located in the SE% of the SW% of Section 28, Township 30 North, Range 15 West, Town of Glenwood, St. Croix County, Wisconsin; being part of Lot 2 of Certified Survey Map filed Rec ording Area March 31, 2000, in Vol. 14 of C.S.M., pg. 3821, as Doc. No. 620491. Name and Return Address: - - • - St. Croix County Abstract & Title Co., Inc. c yb t ✓L S 219 S. Knowles Ave New Richmond, WI 54017 SFA7164 Together with all appurtenant rights, title and interests. 016 1060 - 20 - 175 Parcel Identification Number (PIN) This k S V ('i homestead property. Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except easements, covenants, and conditions of record. Dated this � day of MC , 2009. * * Douglas J. Doo ink * AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ) COUNTY ST. CROIX ) ss. authenticated this Personally came before me this IS day of f 1,2 . j , 2009 the above named Douglas J. Doornink to me known to be the „ person(s) who executed the foregoing instrument and TITLE: MEMBER STATE BAR OF WISCONSIN ac ledged the same. (If not, LL A 1 authorized by § 706.06, Wis. Stats.) * IJ�LF�MISIM > � THIS INSTRUMENT WAS DRAFTED BY Notary Pub i-, State of Wisconsin My commission is permanent. (If not, state exRjratiorrdaty Robert L. Loberg 3 -i - O "%. Loberg Law Office alm/ . •. T ' (Signatures may be authenticated or acknowledged. Both are not necessary.) •• et- C.) �y *Names of persons signing in any capacity must be typed or printed below their signature Q - U n t S r _ ,nnv WARRANTY DEED STATE BAR OF WISCONSIN FORM Ndsj 000 . 0 • 1 of 1 ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer Mailing Address 22 g /3f t 414, ‹- z. Property Address (Verification required from Planning & Zoning Department for new construction.) � City /State Parcel Identification Number 0 1 - lbl�- LEGAL DESCRIPTION Property Location� %4`;� - 1 1a ,Set;. 2 2 , T �� 1 ‘—S W, To of ( • , Lot # . Subdivision / Certified Survey Map # 6 E ta. 7 , Volume / g , Page # 97 7 Y . Warranty Deed # • 0 / --' 1 -' , alume Page # S p e c house Lot lines id i. ' : , 1e yes 10 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 puffer verifying that (1) the on 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 staling 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. 1/we certify that all statements on this form are true to the best of my /our knowledge. I/we am/are the owner(s) of the property described above, by ' of a warranty deed recorded in Register of Deeds Office. Age II I . r of bedroo Y 6 SIGNATURE OF APPLICANT(S) 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) \ 766607 VOL18 PAGE 4774 KATHLEEN H. WALSH REGISTER OF DEEDS ST. CROIX CO. , WI RECEIVED FOR RECORD 06/22/2004 10:40AK CERTIFIED SURVEY KAP REA, r t:r.: LJ. VW CERTIFIED SURVEY MAP COPY FEE: PAGES: 2 William and Jeane Canfield, Aaron and Spring Doornink Part of the Southeast'/ of the Southwest Y4 of Section 28, Township 30 North, Range 15 West, Town of Glenwood, St. Croix County, Wisconsin, being Lots 1 and 2 of that Certified Survey Map recorded in Volume 14, Page 3821 of St. Croix County Certified Survey Maps. N LEGEND NORTH 1/4 CORNER N SECTION 28,T 30N, R 15W - (FOUND COUNTY BERNTSEN NAIL) BEARINGSAREREFERENCED p INDICATES 1' O.D. x 18' IRON P4 ° TO THE SOUTH LINE OF THE PIPE SET (MIN. WT 1.13 LB A F.) 3 SOUTHWEST 1/4 OF SECTION 28, • INDICATES 1' IRON PIPE FOUND § i T30N,R15W, ASSUMED AS N E " S 90'00'00" . W O SOIL BORINGS (PROPOSED SEPTIC SYSTEM) $ 0 SECTION CORNER MONUMENT (AS NOTED) to 2 — x — INDICATES FENCELINE SCALE IN FEET 1'■ 250' NOTE AN EROSION CONTROL PLAN WILL BE REQUIRED BY THE ST. CROIX § COUNTY ZONING OFFICE PRIOR TO CONSTRUCTION ON LOT 4. 50 50 1 01 200 250 I u■PAATTEQ LANDS UNPLATTED ::: L NORMUNX SE1/4 -SWI /4 x X89 °44'3: E 1326 I x xT '2.,---,,... . . • LANDS __ - - f NOTH UNE LOT 1 660.64' Q 1 —665.83' — �\ OA 38.67' s* kec y 1--51 REFERENCE CORNER OWNER'S ADDRESS LOT 3 r t._ - x._ _ B.M. ELEVATION 1096.25 " Z 2938130THAVENUE CONTAINS 876,433 SQ. FT. OR 20.120AC. LOT 4 to n GLENWOOD CITY, W/ 54013 (856,612 SQ. FT. OR 19.665 AC. IXCLUD/NG CONTAINS 579,116 SQ. FT OR 13.295 AC. N M a 2930 130TH AVENUE TOWN ROAD RIGHT OF WAY) ) A a Ill GLENWOOD CITY, W1 54013 ti A 01 - (5 666 SQ. FT. OR 13.193 AC. EXCLUDING o 0 SEE SURVEYORS NOTE TOWN A ROAD RIGHT OF WAY) .4 0 cv) Q ON SHEET 2 REGARDING sEPTic LOWEST BUILDING W N Z POND BERM ELEVATION. AREA OPENING ELEVATION = 1106.64' 0 cN B.M. ELEVATION SOUTH LINE NOTE _ 1134.2' LOT I A USE PERMIT REQUIRED 2rt ; wEU , \� DWELLING �Q EAST UNE S 90 °00'00" W FOR THE DISTURBANCE OF „. lNv� LOT 2 1 264.01' i SLOPES 20% OR GREATER °� C5 • 1. ��y� NOTE - 3 NOT IDENTIFIED ON THE oi V o LOT 5 CONTAINS I APPROVED PERMff IS DIED FOR " . �l��� Q N S 94,083 SQ, FT OR Co t • OF AND IS REVIEWED &) ZONING LLI ? • \ G � R ! r (87140 SQ. FT. OR ' ,i g 8 THROUGH A PUBLIC v A \ 8 2.000 AC. EXCLUDING I '- 1 HEARING PROCESS BY THE o N - 1 "' TOWN ROAD RIGHT „ ' W O ST. CROIXCOUNTYBOARD o o i F WAY) M k 0 OF ADJUSTMENT. 23 �t., 6 S 89 ° 48'53" E Z % SHED Q 0 _ N 0 ~ ( , $`� N 247.07' 1 8 z: 3 W -- Y - • e2 I h �� 1, �QS W LOT 5 o N a LI � 0 ! k �� �- • b 'c' GARAGE 8 W w 3 (� �Q�`" I ov SHED - /FOUNDATION tn I ! SETBACK UNE " s �HFD � ^�., W /WELL Z 'W' t K I 8 - - - 1�t - -1- %.. U _�� CE E 3 ' I N 89 °48'53" W 061.08' { �� — C - - — i_ — 659.247 -. id 154.77 - 61`x . 247.07' AREA S 90 W 1i 1325.08 •31.13' 65.3 -i. 7T k}:47:11/ `90 W 264.01' SOUTH UNE SW1/4 _ _1 °QQ W 1 1,0 ( �N " - S 90°00'00"W 2650.16' - 430TH A.VE.NL1 ' SOUTHWEST CORNER ' � SG s/ti SECflON28, T30N,R15W _� -SO . ...•••.. ''� SECTION24T3ON,R15W (FOUND ALUMIN MMON BERNTSEN . . (INPUTTED ATTC N th FOUND CAPCaONE)MONUMENT- _ : • LAU w �'�✓ - • StNPMLll.D �TYCIATTFQ X ALUMINUM MONUMENT) t'p* - 3 / Y � 7 * LANDS qp ROVEDIA_ NDS DATED: 2004 `i� - - DENVILLE, X = ` T IX COUNTY MAY 2004 ! 0' . WI : . _ nlnv Ptin, TMv v� P f• i.n.lre'`..mn+lMnp . • _ NJUN 2 2 2004 , LA$O THIS INSTRUMENT DRAFTED BYJERALD . LARSON It not cec oraea wawa Su s.;): aT SHEET 1 OF 2 aPp roval dat" approval rhaf be Vol 18 Page 4774 nuP::1idvoid CERTIFIED SURVEY MAP William and Jeane Canfield, Aaron and Spring Doornink Part of the Southeast' / of the Southwest / of Section 28, Township 30 North, Range 15 West, Town of Glenwood, St. Croix County, Wisconsin, being Lots 1 and 2 of that Certified Survey Map recorded in Volume 14, Page 3821 of St. Croix County Certified Survey Maps. Description That certain parcel of land located in the Southeast 1/4 of the Southwest 1/4 of Section 28, Township 30 North, Range 15 West, Town of Glenwood, St. Croix County, Wisconsin, being Lots 1 and 2 of that Certified Survey Map recorded in Volume 14, Page 3821 of St. Croix County Certified Survey Maps, more fully described as follows: Commencing at the South 1/4 comer of said Section 28; thence S 90 °00'00" W, (assumed bearing on the South line of the Southwest 1/4 of said Section), a distance of 264.01' to the Southeast corner of Lot 2 of said Certified Survey Map, being the Point of Beginning of the parcel to be herein described; thence continuing along said South line, S 90 °00'00" W, 1,061.07' to the Southwest corner of Lot 1 of said Certified Survey Map; thence along the West line of said Lot 1, being also the West line of said Southeast V4 of the Southwest 1/4, N 00 °23'48" E, 1,329.58'; thence along the North line of said Lot 1, being also the North line of said Southeast V4 of the Southwest 1/4, S 89 °44'30" E, 1,326.47'; thence along the East line of said Lot 1, being also the North-South 1/4 section line of said Section 28, S 00 °27'30" W, 531.58'; thence along the South line of said Lot 1, S 90 °00'00" W, 264.01'; thence along the East line of said Lot 2, S 00 °27'30" W, 792.03' to the Point of Beginning, containing 1,549,632 square feet or 35.575 acres, being subject to an easement for town road purposes over the Southerly portion of said parcel as shown on this map and to all easements and restrictions of record. State of Wisconsin) County of Pierce) I, Laurence W. Murphy, Registered Land Surveyor, do hereby certify that by direction of the Owners, William and Jeane Canfield, and Aaron and Spring Doornink � I have surveyed and divided the lands shown P g hereon in accordance with official records, Chapter 236.34 of Wisconsin Statutes and the Ordinances of St. Croix County and that this map and description are a true and correct representation thereof. Dated: May 7, 2004. NOTE: Each parcel shown on this map is subject to State, County, and Township laws, rules and regulations (i.e. wetlands, minimum lot size, access to parcel, etc.). Before purchasing or developing any parcel, contact the St. Croix County Zoning Office and the Town of Glenwood. SURVEYOR'S NOTE: The top of the berm of the pond that retains the water at the Northeast comer of Lot 1 has bench mark with an elevation noted as 1102.64' . There is a bench mark at the approximate Northeast corner of Lot 1, being the top of a 1" iron pipe with s�o^'s g P " i PP th ti an elevation of 1096.2'. There is a bench mark at the Northeast = • • • •'' corner of Lot 2, being the top of a 1" iron pipe with an elevation = • LAU,RNENC ; of 1134.2'. No construction of improvements is allowed below * • MUR ,3" : * • the elevation of 1106.64' or the top of the berm. • s - ENViuE, x wi. v • 4 4 , ..... s o D • •a F 9 THIS INSTRUMENT DRAFTED BY JERALD L. LARSON SHEET 2 OF 2 Vol 18 Page 4774 CO PLANNING & ZONING July 2, 2010 Corey DeLong 2938 130 Ave. Glenwood City, WI 54013 Code Administra 'of. RE: Non - compliant Private On -site Wastewater Treatment System (POWTS) 715 386 - 4680 Parcel # 016 - 1060 -20 -175 - Computer #28.30.15.421A40 Land Information & Dear Mr. DeLong: Planning 715 - 386 -4674 Per your request, I conducted an inspection of the existing wastewater tank(s) connected to your residence. The metal "septic tank" immediately next to the house collapsed and the soil cover Real Prope: has now been removed, which revealed that an old metal milk can had been used as the access 715 - 3? 677 port in the top. The age of the "system" is unknown; a Soil and Site Evaluation Report was Re ''cling completed for William & Jean Canfield on 10/7/1998 by Certified Soil Tester Tom Gustum and - 386 4675 is on file with the Planning and Zoning Department. The report identifies a potential replacement area for a mound Private On -site Wastewater Treatment System (POWTS) and the site plan showed two tanks off the east side of the house. No permit has been issued for a replacement POWTS for this property. In May 2009, I contacted then owner Doug Doomink after receiving a report that excavation } work was being done on/near the septic system. I have enclosed a copy of the letter sent to Mr. Doornink on May 5, 2009 and an e -mail dated 6/6/2008 that documents a complaint by the Town of Glenwood that Mr. Doomink was installing his own sanitary system. I was informed by Mr. Doornink that the reported excavation was to both locate the cover of the tank to have it pumped, as well as make a repair to the building sewer line above the tank inlet. I did not �;. conduct an inspection, since neither of those activities is regulated by our office and was not j:. considered a violation requiring code enforcement. An inspection report completed by Brad Stevens, MP #658442 on May 6, 2009 states that "the tank(s) were not pumped, but from readily observable features, it appears to be functioning properly" and "A visual inspection indicates that the septic system and all components are located the proper distances from the dwelling's p Y p foundation, well, and property boundary lines." This jury- rigged system presents a safety and health hazard and is in violation of county ordinance Section 12.3.A.1.a permit requirements -0 and Section 12.1.F.4.e discharge to waters of the state, as well as Dept. of Commerce code violations per Comm 83.41(3) and 83.26(2). y This letter will serve as a first Notice of Violation per Section 12.1.F.4.d and is an order to replace the existing tank(s) with a code - compliant POWTS. You must contact a licensed master plumber to assist you with obtaining a permit for the replacement of the existing POWTS. Please contact me within ten (10) days of receipt of this letter with your plans for resolving this code violation. I can be reached at (715) 386 -4683 (8:00 A.M. to 5:00 P.M. weekdays). Your cooperation in resolving this issue in a timely manner would be greatly appreciated. ST. CROIX COUNTY GOVERNMENT CENTER 1 101 CARMICHAEL ROAD, HUDSON, WI 54016 715386 - 4686 FAX PZ @CO.SAINT -CRO/X W/. US WNW WI US ay a ya�.br�a+. Please fee "ee o con • c mei you aveques ions regar. ng i is ors er oron e'proce s ure ` • i • = - • Y j POWTS rvicing this dwelling. Sincerely, Y�. 2 /s t• `amela Quin `. Zoning Specia Enc. (2) °., Cc: Leroy Jans, Dept. of Commerce Wastewater Specialist Town • lenwood Chairman Brae evens, MP #658442 g Doomink, former owner T7 Y) �r4 � e tl d F f r Sr. CROIX COUNTY GOVERNMENT CENTER 1 101 CARMICHAEL ROAD, HUDSON, WI 54016 715386.4686 FAX PZ @CO. SAINT - CROIX. WI. US W W W. CO. SAI NT-C ROIX. W I. US it �• k'l i t-' „ , . d ``r Y +' " c °' . :0. f k. � ✓ $L 11 k ,.j,, Y t ''X ' . G' r to iji . . k /'S '4 * *�7t i` ) j 1 t • 414114t • fi } T ."I ' tj ��dN -� 4 1 p3 'S ir >t :. ` . i 4 .. s ,' is t .. ,i • _ +.tr Y� + '� r r. + , r , * a +' fie r • t„ • t '° j f '1, '� . ., tr k —; r* Y 1, -, a ' .. A y . i 4 t '] r trip Yr •' 1 .if, A .. • i t € f f p 1 r + ts• . . / j �e. x, t y 1 5 Y .♦ • 11 f r''' ' h ■ ' ''''''4 .� ., Ir � l y am- � !` y a • .r. r ;0, • x j ',+R` . t , 1 , 1 I" ` . i w '�,� : . �e � ... IM: +a ps,„‘,..) � S �y �aP ► '� '' ! x.. a . 4 , e d, 't. .. l °. , x «, ,, • j1 ` ■ " :M ip. ° ' � ; ti ' �� � *. Ili • g 766612)'7 a VOL18 PAGE 4774 FEB KATRLEEI( 11. WALSH LLUU REGISTER OF DEEDS I "' ST. CROIX CO. , WI ' RECEIVED FOR RECORD -- . _ - -- p ' 06/22/2004 10:40AM S I. CR'(X COL3I�e 16 SURVEYOR'S RECORD CERTIFIED SURVEY MAP - CERTIFIED SURVEY MAP COPY FEE: PAGES: 2 William and Jeane Canfield, Aaron and Spring Doornink Part of the Southeast 1/4 of the Southwest % of Section 28, Township 30 North, Range 15 West, Town of Glenwood, Sr. Croix County, Wisconsin, being Lots 1 and 2 of that Certified Survey Map recorded in Volume 14, Page 3821 of St. Croix County Certified Survey Maps. N LEGEND NORTH 1/4 CORNER e SECTION 28, 730N,R 15W - V (FOUND COUNTY BERNTSEN NAIL) °• Z BEARINGS ARE REFERENCED 0 INDICATES 1" O.O. x 18' IRON TO THE SOUTH LINE OF THE PIPE SET (MIN. WT. - 1.13 L8.2 F.) } SOUTHWEST 1/4 OF SECTION 28, • INDICATES 1' IRON PIPE FOUND T 30 N, R 15 W, ASSUMED AS SOIL BORINGS (PROPOSED SEPTIC SYSTEM) S 80•00t00" W. 0 SECTION CORNER MONUMENT (AS NOTED) y — x --- INDICATES FENCELINE SCALE IN FEET 1' = 250' NOTE - AN EROSION CONTROL PLAN WILL BE REQUIRED BY THE ST. CROIX I COUNTY ZONING OFFICE PRIOR TO CONSTRUCTION ON LOT 4 So So 1 0 1 o zoo 250 MNP.LtD LANDS UNP1..ATTED 1 } NORTH UNE SE1/4-SW1/4 x k89 ° 44'3(' E 1326,47' 1 x x-- .'%�'`� P_QAIO LANDS — - - f NOTH LINE LOT 1 660.64' 0._ r -665.83' - 38.67 . — I5't h aYV4, REFERENCE CORNER OWNER ADDRESS LOT 3 9't' 8.M. ELEVATION 1096.25 X co. S 2938 130TH AVENUE CONTAINS 876 SQ FT. OR 20.120 AC. � LOT 4 o n GLENWOOD CITY, WI 54013 C 579,116 SQ. FT OR 13.295 AC. (856,612 SQ. FT. OR 19.665 AC. EXCLUDING M 2930 130TH AVENUE TOWN ROAD RIGHT OF WAY) 1 - p A V .r� W' GLENWOOD CITY WI 54013 kgs 1 � 1 y( 5V 6 6 SQ. OR 13.193 AC. EXCLUDING o SEE SUR VEYOR S NOTE ` `s' N TOWN A ROAD RIGHT OF WAY) r, Q_ ON SHEET 2 REGARDING V " +/ sEpnc LOWEST BUILDING z o POND BERM ELEVATION. ; OPENING ELEVATION = 1106.84' g ,I NOTE- j B.M. ul to ELEVATION SOUTH LINE 1134.2 LOT 1 t WELL A SPECIAL EXCEPTION — USE PERMIT is REQUIRED 2Tt-z OWELUNG Mfg aP J . - EAST UNE S 9O ° OO'OO" W FOR THE DISTURBANCE OF } ' LOT 2 264.01' R SLOPES 20% OR GREATER °� tg • ! ��y 07E - NOT IDENTIFIED ON THE a; Y m • T 5 CONTAINS APPROVED CSM- THIS cq ��D " 3 r 083 SQ. FT OR �, o P PERMIT IS APPLIED FOR 1 R'i (> THROUGH THE ZONING w - • \ Cy.t.R • 160 AC. � - Pa OFFICE AND IS REVIEWED V' (• 7,140 SQ. FT. OR g � p S "' THROUGH A PUBLIC -. M3 \ 8. 1 I I AC. EXCLUDING ti V A 1 HEARING PROCESS BY THE N 'I `" • WN ROAD RIGHT �[ W ST. CRODX COUNTY BOARD F WA Y) - OF ADJUSTMENT g 231 , . Z SHED d - : 9 E O $ o $�1 Z. 247.07 Q • /1 4 aQ0� ¢ �- - LOT5 o - ` � 'l" 1. - GARAGE Lu 2 Y Q m SHED FOUNOA • 7. 0 e i' 4 5,1 SETBACK LI1VE "__ - - - S H D- LIE,. W/WELL K 1't , 1 " L a • N RUNE 3t — I $ N 89'48'53" W 061.08' % C G — - 659.24' - 154.77 `t� 247.07' S 90 W 1325.08' 31.13' 65>r' -1— _ _ — 2T.M -� i - • - c. &tbb 1 4it 1 E 1i 1 : ' . 264.01' AREA SOUTH UNE SWI /4 a �T ��. O t, /{ o ` - S 90 W 2650 - 1_39T_H _ SOUTHWEST CORNER � gG ON �g /� � , TH SOU I/4 CORNER SECTION 28, T 30 N, R 15 W -_ ---- - 4 4 • ` SECTION 28, 730 N, R 15 W (FOUND COUNTY BERNTSEN = • M' AT"T ED �NP1- TIFQ (FOUND COUNTY BERNTSEN CAP ALUMINUM MONUMENT - = • ` t�U w N/ Fh/ �� ` p ALUMINUM MONUMENT) MURP - LANDS APPROVEDLAND a DATED: ' F O . x : ST. IX COUNTY MA 7, 2004 St- • WI. • A O _ Plann1n,,7,, &',. +',.t - (- .•_.,, ' ��R " ' •••••'0 , J UN 2 2 2004 / // '' I' , O ,,NO, Itg THIS INSTRUMENT DRAFTED BY JERALD L. LARSON It not recxwrclea 1111(. 01 .iv :;., y� ...if SHEET 1 OF 2 pr apoval oat. 1pprov.-,i email 5e J. Vol 18 Page 4774 nul:::•1d void 3 9-1 ' (e „ . 0 9' - J F) KATHLEEN H. WALSH �' ti D M a REGISTER OF DEEDS U ST. CROIX CO., WI � "5 ' 4 RECEIVED FOR RECORD FILED D 03 -31 -2000 3:45 PM 01 CERTIFIED SURVEY MAP MAR 3 1 2000 S R EYOR S COMITY RECORD �� � EXEMPT R KATHLEEN H.C'ALSH R� a CERT COPY FEE: ciotor of Depot ` t _ SiCroocCII.V � ./ TRANSFER : FEE: r cb 2 CERTIFIED SURVEY MA S DIHG FEE: 12.00 William and Jeane Canfield Part of the Southeast 1/4 of the Southwest 1/4 of Section 28, T. 30 N., R. 15 W., N. Town of Glenwood, St. Croix County, Wisconsin BEARINGS ARE REFERENCED TO THE SOUTH LINE OF THE SW //4, SEE SURVEYORS NOTE SHEET 2 SEC. 28 , T 30 N, R/5 W, ASSUMED 1 AS 590.00'00 "W. REGARDING POND BERM ELEV. a OWNER'S ADDRESS- * S 2938 /30th AVENUE NORTH //4 CORNER EC. 28, T30N,R /5W m 2 j O GLENWOOD C /TY, W/ 540/3 /FND. BERN7sENNA /L /a 0 14, ; SCALE IN FEET I 3 °° ' An erosion control plan will be required on et ,1 c r ty 1 44 181. Lot 1, prior to construction. This plan is to •• ; ee 2 S ; 0 50 /00 200 300 ( 600 be submitted to the St . Croix County Zoning o h a u o I N;1 Office ., J //' ; ? i n � n r r £ � L ;.. "v'� $ PON k-lit W R — ,�� ' /. S 89° 44 E /326. 47' 4 ' c. __ U,t } ' NORTH t; /NE SE //4 -SW //4 N COR. ` �. ' 1. I NW COR . y SE / /4 -SW //4 SE / / 4 - SW //4 � � y, �: I �5 SETBACK LINE /NF ` ` .. i Q. -JI > ' h 4 V L T / �3 ti 14 3 b b ;, a CONTA /NS /, 1/3,692 . FT. OR 25.567 AC. h M; 0 CO (/,098, 205 SO. FT OR 5.2// AC. EXCLUD/NG ROA r j � q RIGHT OF WAY) h o a APPROVED t � '. i :o ST. CROIX COUNTY ,/ c •� Planning Zoning and Parks Committee S 90 ° 00'00 "W 4.86' � W 3 SEP IC AREA GG/t Or. neI 22,—. I Parcel #: 016 - 1060 -20 -175 06/25/2010 11:22 AM PAGE 1 OF Alt. Parcel #: 28.30.15.421A -40 016 - TOWN OF GLENWOOD Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units 06/22/2004 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner O - DELONG, CORY J CORY J DELONG C - NITCHEY, ALLISON M ALLISON M NITCHEY 2938 130TH AVE GLENWOOD CITY WI 54013 Districts: SC = School SP = Special Property Address(es): *= Primary Type Dist # Description * 2938 130TH AVE SC 2198 GLENWOOD CITY SP 1700 WITC Legal Description: Acres: 2.160 Plat: 4774 -CSM 18 -4774 016 -2004 SEC 28 T3ON R15W PT SE SW BEING CSM Block/Condo Bldg: LOT 5 14/3821 LOT 2 (10.008AC) & INC PT LOT 1 SAID CSM NKA PARCEL B (18.32AC) NKA CSM Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) 18 -4774 LOT 5 (2.16 AC) 28- 30N -15W SE SW Notes: Parcel History: Date Doc # Vol /Page Type 05/19/2009 895955 WD 02/16/2007 844667 WD 07/06/2005 799542 2837/448 WD 11/23/2004 780791 2701/559 QC more... 2010 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 06/04/2010 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.160 25,500 109,900 135,400 NO 08 Totals for 2010: General Property 2.160 25,500 109,900 135,400 Woodland 0.000 0 0 Totals for 2009: General Property 2.160 25,500 83,100 108,600 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: 04/01/2010 Batch #: 10 -02 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 . st CROIX C OUNU PLANNING & ZONING MEMO Sv ly DATE: J8, 2010 To Corey Delong NOV file for 2938 130 Ave. Code Administra FROM Pam Quinn, POWTS Inspector 715 - 386 -4680 RE: NOV for Parcel # 016 - 1060 -20 -175 - Computer #28.30.15.421A40 Land Information &`' Planning 715 - 386 -4674 received a phone call from Brad Stevens of Brand Plumbing this morning, who Real Prop - wanted to clarify his activities at the above property prior to its sale to Mr. Delong in 715 - 3:;677 2009. Brad says that he provided an inspection report on the POWTS at the request of then owner Doug Doornink. The tank had not been pumped and Brad Re !cling completed the report without inspecting the interior of the tank. His plumbing work -3864675 was limited to replacing a section of building sewer from approximately 2 feet above the existing tank inlet and running new 4 -inch PVC building sewer into the house. He also made plumbing repairs on the interior of the structure, so there should be some type of UDC inspection documentation for that work. I informed Brad Stevens that our office had issued a Notice of Violation and an order to replace the existing failed septic tank and whatever type of dispersal area has been in use We have not issued any permits for POWTS replacement at this site; a 1998 CST soil and site evaluation report indicated there were 2 tanks on the east side of the house and soil conditions require a mound replacement treatment system. Any misrepresentation of the septic system made between the seller of the property, Doug Doornink, and current owner, Corey Delong, during the purchase will have to be addressed in civil court. Our office will enforce state and county regulations that pertain to sanitary permits and health hazards related to untreated wastewater. -7 S 10 �Lt cZ�? h, t' ��L. c� dot /Ai c 2f a/t . 7e ■ (/&-:: a-Gy `ia 41-4014 - ST. CROIX COUNTY GOVERNMENT CENTER 1 101 CARMICHAEL ROAD, HUDSON, WI 54016 715386 -4686 FAX PZ @CO. SAINT- CROIX.WI.US WWW.CO.SAINT-CROIX.WI.US Water Well Inspection Well is up to code Well is not up to code X Water sample has been ken — Water sample not taken Water test results included Water test results sent separately Certification The undersigned cannot guarantee the continued acceptability of the private sewage dispsal system due to unpredictable factors, which could later determine the life or code compliance f of thesyssem., ,Ttie undersigned cannot guarantee the continued acceptability of the private well and water system due to unpredictable factors, which could later determine the life or code compliance the system. (61246 14 f ' 6i' VR / / /ti�d1 Inspectors Signature , License # t of License .asn luau= ioj panoiddBsip si pue pally,' sell uza;sAs alp nip sa ;Botput uor adsut lunsin d — :snn0jj0j se papaau arg sip3da' •Bugij ;nq `8uiuoi;ounj si uialsAs alp sanoiput uoi oodsui jgnstn y — •£8 unuoa `apop •uiulpy iad sg asn;uauno roj panoiddds!p;ou ST pm? pazis Aja ;Bnbapti si uia ;s/Cs aq j •oulp sup ;g orally,' uza ;sds 3o aouapina ou sonoipui uopoadsui jgnsin y suopguimaa ;aU •t(padoid 8uiuopaunj aq o; s.Tgaddg ;i `sam;Baj alqumasgo Ajipgar mug ;ng `padumd ;ou 0.10A1 (SAM; aq j 5 :spojap jgm;on.Rs 8urnnojio3 aq; pajBOAOI uoRoadsui mopuigup pug (s) u aqj •Apadord Suiuoi;ounj aq o; read& puw s ;oajap jBrn;onus Aug jo aar3 aq o; naddg para;ua ;ou ;nq padumd aaam (s)ju ouj, — • (1.Tado.Td BiiuOi ;ounj a .TB pug s;oapp jwnpn.i;s iCua jo aa.TJ art puu `pa;oadsui Aja ;ajduioo 010M pug paia;ua /CjjgoisAgd araM pug padumd uaaq angg (s)Aum auj — •sautj £mpunoq Alladaid pug `[tans `uopgpuno; s a�►p all uio aoulo iadosd,agp pa;gooj am s;uauoduioo jjg pug uia;si(s opdas a ;mp sa;goipuw uoiloadsm pnsuc' ' uo! uasgp • Ion 8mPIOH — !mow .— iaglp — apgrD - ;d — jguouuanuo3 ma ;s,Cs Jo adAi Clobi rr^ I4 :21 oom Na /j b 0 _ _5 a ;gQ uoi ;oadsuj J/)vk f o ct (90b e ,Clradord 03 aalgM pug 11aM ao puy uoi ;aadsuI ignsiA ma;s,CS ai ;das �g3 ££6P (SIL) ssauisng use-80£ (SIL) ISLi'S IM `aiuoaiouahj q ,OPZ OOZSri aigdag dmnd a8 8 aigmnid pugag cpb,Dix couNTy PLANNING & G May 5, 2009 oit Doug Doornink 2936 130 Ave. Glenwood City, WI 54013 Code Administrat $ ' 715 - 3864680 ';° RE: Parcel # 016 - 1060 -20 -175 - Computer #28.30.15.421A40 2938 130 Ave. residence Land Information Planning 715 -386 -4674 ' Dear Mr. Doornink: Real Proper Per your telephone request, this letter will clarify our sanitary records for the above 715-3: 677 parcel. A notation in our database regarding a telephone complaint I received in June 2008 was of specific concern to a potential buyer of the property. I contacted you after Re. 'cling receiving the call reporting excavation work on /near your septic system and was told - 386 -4675 . that it was to both locate the cover of the tank to have it pumped, as well as make a repair to the building sewer line above the tank inlet. I did not conduct an inspection, since neither of those activities is regulated by our office and was not considered a violation requiring code enforcement. A Soil and Site Evaluation Report is currently on file with the Planning and Zoning Department that identifies a replacement area for the existing Private On -site Wastewater Treatment System ( POWTS). The soil report was completed for William & Jean Canfield on 10/7/1998 by Certified Soil Tester Tom Gustum, but as yet no permit has been issued for a replacement POWTS. The replacement POWTS will need to be a mound system due to high groundwater documented at approximately 30 inches below grade. The existing house and septic system pre -date any of our archived permit records, so it is difficult to determine the actual age of components. Enclosed is a copy of the report for your review. Please feel free to contact us if you have concerns regarding POWTS maintenance or how to proceed with future replacement of the POWTS servicing this dwelling. Sincerel , / 010/AL/7"---1--- Pamela Quinn Zoning Specialist Enc. ST. CROIX COUNTY GOVERNMENT CENTER 1 101 CARMICHAEL ROAD, HUDSON, WI 54016 715 - 386 -4686 FAX PZ6CO. SAINT- CROIX. WI. US W W W . CO SAINT-CROIX WI US • Page 1 of 1 Pam Quinn From: Jennifer Shillcox Sent: Friday, June 06, 2008 10:43 AM To: Daniel Sitz; Pam Quinn; Ryan Yarrington Cc: Becky Eggen Subject: Sanitary Complaint - Town of Glenwood Hey Dan, 745'' 2 0 I just received a call from Joe Draxler, Town Chair for the Town of Glenwood. He called in a complaint about a guy putting in his own sanitary system. The guy's name is Doug Dornick and his property is just east of 2936 130 Avenue. I'm not sure who wants to follow -up with Joe — it sounds like a sanitary code violation so that's why I'm sending it to you, but I'm including Ryan and Pam in the e-mail. Joe's number is 715 - 265 -7023. Jenny S Mika it a4A-r Ctrvvt. s' r1- C! 4,e pv e d „At / tell, .14424-.2-4 Usk dayz 6/6/2008 • U fUi? co i~` 3 F 4 0 \ I it 0 Ry ..... „ .-. _. . — .- . - co 9' --1 ( CD ," m m N o m ° o , ^ o m c T ' I o cn o O N N Q a 2 \ f J� + 7 f/ W = O U7 0 D g c Of CO w o R Z I m m v> Z D m Q o m cQ D N a a, Q o o m I Q a 00 O ■ 0 r In o CD co O N N o 0- • • O -0 Z FT I 0 0 0 n II !V e 1 Z C G < U ' Z I A 3 to to co -- I o_ D o C O O — - a Si a o za _ N O co Z to .. °. y CO A 3 m A N ,..„ v� Duo 0 I I w N. N F.' /�J��p N N - �f _ 1 Il m o. m 6 - 2 m A N c - X ,n.. 0 A 7 1 cn N m o Ca cn 73 y E I cD A A N n CD sn rno D= m m- D 3 00 *p • tD. a o n m O N 7 N = RI I' CO c Q o N 3 m fD (') c.A ` 3 m d co O. 0 f: 4._ ''., ,k a -o N .......=, o ° CC o . N N �y a .� Q cn w n om o N 3 0) r ,„ j i E N 0 ca, 5 o v 1 � m � 03 (0 a 09 I ? C 0 o N ' f/1 -0 CD O N o ‘14 • kl 1 G 7 p p fD 7 `z �\ O N a e. CD D y • 4 Col <n O A.. L I o g o m 0 0 - .. ! . - 7/S -2-4 WiscgnsirtDepartmentofCommerce SOIL AND SITE EVALUATION Page 1 of 3 Division of Safety and Buildings in accord with Comm 83.05, Wis. Adm. Code Gustum Septic Service Attach co replete site plan on paper not less than 8'/ x 11 inches in size. Plan must County include, but not limited to: vertical and horizontal reference point (BM), direction and St. Croix percent slope, scale or dimemsions, north arrow, and location and distance to nearest road. Parcel I.D.# APPLICANT INFORMATION - P .. - s i all inf 1, ation. S c_ S 0/6 Personal information you provide may be us- • or, s- •. ndary pu poses (Pr' g y -w, s. 15.04 (1) (m)). RMw Date /'JS Property Owner') Yy1ln, (r ! E • IV[ Property Location Canfield, William & Jean . ----' r I - Govt. Lot SE 1/4 SW 1/4 _ : T 30 N R 15 W Property Owner's Mailing Address Q r T ,) r ... Lot # Block # Subd. Nam or CSM# /4',/77g 2520 10th Ave. ° .1 - . F Rya n/a / City St. t',, ty , A Code 1 ; tuber Li City _J Village MTown ALearest Road i Woodville + Glenwood 02187N(YIl®!$fiZ6 1 130 h Ave '- 4 n Use: �� • o►: -drooms Addition to existing building Replacement 1 1 Pub : ..• u describe • •.• a Deriv- • • - • ' flow 600 gpd Recommended design loading rate .5 bed, gpd/ft .6 trench, gpd/ft Absorption area required 1200 bed, ft 1000 trench, ft Maximum design loading rate .5 bed, gpd /ft .6 trench, gpd/ft Recommended infiltration surface elevation(s) along 99.4' contour ft (as referred to site plan benchmark) Additional design / site considerations part of 36 acres Parent material sand stone Flood lain elevation if applicable n/a ft P � pP S= Suitable for system Conventional Mound In Ground Pressure AT - Grade System in Fill Holding Tank U= Unsuitable f o r system ❑ s ® u ® s ❑ u ❑ S ®u ❑ S ® U ❑ S ® U ❑ S ® U SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Structure GPD/ft B Horizon Texture Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed ; Trench 1 1 0 -9 10yr3/3 none sil 2msbk mvfr as 3f,lm 0.5 ; 0.6 2 9 -14 10yr5/3 none sl 2msbk mfr cw if 0.5 0.6 Ground 3 14 -23 10yr5/6 none Is lmsbk mvfr cw - 0.7 0.8 Bleu 100.1 ft 4 23 -30 10yr7/3 1. none is lmsbk mvfr cw - 0.7 0.8 Depth to 5 30 - 34 10 7/3 f27d 10yr8/2 De - p 10yr7/3 7.Syr5 /6 sl 2msbk mfr cw 0.5 0.6 limiting factor 6 34 -40 2. - - S4; - - - - n.p. n.p. 30" Remarks: 1. few thin bands of 10yr4/4 Is. 2. Glauconite Sandstone 2 1 0 -8 10yr3/3 none sil 2msbk mvfr as 3f,lm 0.5 0.6 2 8 -14 10yr5/3 none sl 2msbk mfr cw if 0.5 0.6 Ground 3 14 -20 10yr4/6 none sl 2msbk mvfr cw - 0.5 0.6 Bleu 98.7 ft 4 20 -33 10yr7/3 none is lmsbk mvfr cw - 0.7 0.8 Depth to 5 33 -40 10 r7/2 c2d 10yr8/2 De - - p Y 7.Syr5 /6 sl 2msbk mfr 0.5 0.6 limiting factor 33" Remarks: CST Name (Please Print) Signature: Telephone No. Tom Gustum 715 -658 -1344 Address Gustum Septic Service Date CST Number Ref # N13450 937th St., New Auburn, WI 54757 10/7/98 227618 1023 PROPERTY OWNER Canfield, William & Jean SOIL DESCRIPTION REPORT 1023 Page 2 . of ' 3 PARCEL LOA Gustum Septic Service ` Depth Dominant Color Mottles Structure GRIT? Honzon in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots ] , Bed Tench 3 1 0 -9 10yr3/3 none sil 2msbk mvfr as 3f,lm 0:5 0.6, 2 9 -15 10yr5/3 none sl 2msbk mfr cw If 0.5 0.6 Ground - -- - - - -- -- elev 3 15 -21 10yr4/6 none sl 2msbk mvfr cw - 0.5 0.6 98.7 ft 4 21 -33 I0yr7/3 none Is lmsbk mvfr cw - 0.7 0.8 Depth to S 33 -39 10 r7/2 c2d 10yr8 /2 limiting Y 7.5yr5/6 sl 2msbk mfr cw - - 0.5 0.6 33' 6 39 -45 1. - P n. P - - - n. . Remarks: 1. Glauconite Sandstone. Ground -- — elev Depth to limiting factor - -- — Remarks: Ground elev Depth to limiting -- -- -- — — factor 1 Remarks: Ground - elev Depth to -- limiting _ _ ________ — factor Remarks: 1 Su S - (J Co � ` Q_ 7 rh ® sa Z ■ � _ W G� A 1 Z� �� ao f I 7, NE s In CI' CC : o F co h 3 n 0..._ 0 s r F - b C 3 s" l 6, 3 A 9 r l' 4/4.- IAA. y le c 7' - ''...!:‘, O , 0 1 2 , i \ / us n ° o . c t "., t‘ ' 11 : s ., ( / ` ..... C , 1 \7-) . 1 76Ea612)7 VOL 18 PAGE 4774 F CD Z 8 i 1 g KATHCEEt( H. WALSH Lit .! LLU) l� 4 .; REGISTER OF DEEDS ST. CROIX CO,., WI RECEIVED FOR ECORD �- - ,.�z..� 06/22/2004 10:40AM S1. CR )'tX COUNTY SURVEYOR'S RECORD CERTIFIED SURVEY MAP - a , , CERTIFIED SURVEY MAP COPY FEES PAGE5: 2 William and Jeane Canfield, Aaron and Spring Doornink Part of the Southeast 1/4 of the Southwest I/4 of Section 28, Township 30 North, Range 15 West, Town of Glenwood, St. Croix County, Wisconsin, being Lots 1 and 2 of that Certified Survey Map recorded in Volume 14, Page 3821 of St. Croix County Certified Survey Maps. e NORTH 1/4 CORNER - N SECTION 26T30N,R15W - W 6 L EGEND (FOUND COUNTY BERNTSEN NAIL) y BEARINGS ARE REFERENCED 0 INDICATES 1' O.O. x 18' IRON PIPE SET (MIN. W - 1.13 L8.2.F.) I ■ 1 TO THE SOUTH LINE OF THE T 3 § ' j , SOUTHWEST 1/4 OF SECTION 28, • INDICATES 1' IRON PIPE FOUND T 30 N, R 15 W, ASSUMED AS S 90'00'00' W. p SOIL BORINGS (PROPOSED SEPTIC SYSTEM) 0 SECTION CORNER MONUMENT (AS NOTED) 2'n — x — INDICATES FENCEUNE SCALE IN FEET 1° a 250' NOTE- 4 AN EROSION CONTROL PLAN WILL BE REQUIRED BY THE ST. CRODC 50 50 1 1 200 250 ( COUNTY ZONING OFFICE PRIOR TO CONSTRUCTION ON LOT 4. !1NP_LATI_ED l_AN.a9 LibLE A_ TIED . Lot, NORTH UN, SE1 /4-SW114 x �89 °44'3Q,'E 1326 1 x x-,-- , D LANDS — - - t x N0114 UNE LOT 1 660.64' 1 - 665.83' - S\ REFER CO 38.67' -- �5 D ECO RNER OWNERS ADDRESS LOT 3 9•t x- B.M. ELEVATION 1096.2' x Ci 2938 130TH AVENUE CONTAINS 876,433 SQ. FT . OR 20.120 AC LOT 4 5t z GLENWOOD CITY, WI 54013 x - u, (856,612 SQ. FT OR 19.665 AC. EXCLUDING CONTAINS 579,116 SQ. FT. OR 13.295 AC. a, p 2930 130TH AVENUE TOWN ROAD RIGHT OF WAY) I p ti p, Lu GLENWOOD CITY, WI 54013 1 n 4 666 SQ. FT OR 13.193 AC. EXCLUDING •= - . SEE SURVEYORS NOTE 1`g �9 `�� TOWN 8, ROAD RIGHT OF WAY) 0 co Q ON SHEET 2 REGARDING SEPTIC I LOWEST BUILDING W N POND BERM ELEVATION. AREA OPENING ELEVA770N .• 1106.64' B.M. ELEVATION SOUTH LINE NOTE W�1 O 1134.2' LOT 1 A SPECIAL EXCEPTION USE PERMIT 1S REQUIRED 2rt •- DWELLING EAST UNE S 90 ° 00'00" W FOR THE DISTURBANCE OF �� 4o i LOT 2 • 264.01' SLOPES 20% OR GREATER ,° - / $y i NOT IDENTIFIED ON THE of Y $�' .O 5 CONTAINS 1 APPROVED CSM. THIS PERMIT IS APPLIED FOR ‘ ,\ ���tl� FT OR - 0 w THROUGH THE ZONING - . 160 1 660 0 A A C. SQ. FT OR '� T' St 8 OFFICE AND IS REVIEWED y v THROUGH A PUBLIC A M \ 8 .. 11 1 AC. EXCLUDING 0 ' " Q HEARING PROCESS BY THE c■I ` • WN ROAD RIGHT " ST. CROD(COUNTY BOARD o •/F WAY) ° W OF ADJUSTMENT. co 1 23'1.. in a 8 vj Z - : 9'48'53" E V` 1 1 SH d b • ° 7, • 1 . P ��' ‘9--C .. LOT o I ca 0 W W; 7 `'o P, a 3 a GARAGE $ u , �., SHE - FOUNDA •N 'GI SETBACK UNE _ - VED a Ol LLJ K I - 1 •t --- 1 �, .E NE 3't - 1 8 N 6 9'48'53" W 061.08' e SEPTIC / AY - 659.24' - 154.7T h `0' 247.0T , x S 90°00'00" W ' — 6 ' ' r . — — ' - ° : Ili ltL. tie., , , 2{01 SOUTH UNE SW1 /4 --- _ _ �90 1T 1. /1 - -� y ' ' 1∎1g, - S 90°00'00" W 2650.16' - i3l1T_H _ _ - — — - -= SOUTHWEST CORNER - % S SOUTH 1/4 CORNER SECTION 28, T30N,RI5W = ...... ( • FOUND COUNTY BERNTSEN ,- SECTION 2$, T 30 N, R 15 W ALUMINUM MONUMENT - = F)` UNPI ELTTEQ UMPI ATTEQ (FOUND COUNTY BERNTSEN CAP GONE) _ • emu F2EN , 7 ALUMINUM MONUMENT) i MU RP ,. : * LANDS AP4 /_AND � A 13 �V DATED: • tDENVILLE. • 0 C IX COUNTY MAY 7. 2004 4, wI. � Planning 7, o.v.∎,•,.i "- .,,..._., -. ... M FR • "•°'" JUN 2 2 2004 ' ' / ' '',,,,4 , „ LANG - .V THIS INSTRUMENT DRAFTED BY JERALD :. LARSON If not tewrae° wI J iol Su s., I : ,;1 SHEET 1 OF 2 approval oat' :approval Shall be Vol 18 Page 4774 out! :: void 1 397 -.-4' ' tin , Parcel #: 016- 1060 -20 -175 04/06/2007 09:36 AM PAGE 1 OF 1 Alt. Parcel #: 28.30.15.421A -40 016 - TOWN OF GLENWOOD Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 06/22/2004 00 0 Tax Address: Owner(s): 0 = Current Owner, C = Current Co -Owner O - DOORNINK, DOUGLAS J DOUGLAS J DOORNINK 2936 130TH AVE GLENWOOD CITY WI 54013 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 2938 130TH AVE SC 2198 GLENWOOD CITY SP 1700 WITC Legal Description: Acres: 2.160 Plat: 4774 -CSM 18 -4774 016 -04 SEC 28 T3ON R15W PT SE SW BEING CSM Block/Condo Bldg: LOT 5 14/3821 LOT 2 (10.008AC) & INC PT LOT 1 SAID CSM NKA PARCEL B (18.32AC) NKA CSM Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) 18 -4774 LOT 5 (2.16 AC) 28- 30N -15W SE SW Notes: Parcel History: Date Doc # Vol /Page Type 02/16/2007 844667 WD 07/06/2005 799542 2837/448 WD 11/23/2004 780791 2701/559 QC 07/02/2004 767767 2609/422 QC more ... 2007 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 06/06/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.160 12,000 60,900 72,900 NO Totals for 2007: General Property 2.160 12,000 60,900 72,900 Woodland 0.000 0 0 Totals for 2006: General Property 2.160 12,000 60,900 72,900 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 0 ..,. , • q' KATHLEEN H. WALSH _______ (..... D ST. CROIX WI cL RECEIVED FOR RECORD �° 3 FC'�4�D 03 -31 -2000 3:45 PM 0l MAR 3 1 2000 - S CROIX S COUNTY CERTIFIED SURVEY MAP KATHLEEN H EXEMPT N C ERT COPY FEE: R„fliotor cb S TRANSFER FEE: y_ : :i CERTIFIED SURVEY MA DING FEE: 22.00 William and Jeane Canfield Part of the Southeast 1/4 of the Southwest 1/4 of Section 28, T. 30 N., R. 15 W., J Town of Glenwood, St. Croix County, Wisconsin. BEARINGS ARE REFERENCED TO . THE SOUTH LINE OF THE SW //4, SEE SURVEYORS NOTE SHEET 2 SEC. 28 , 730 N, R /5 W, ASSUMED AS S90.00'00 "W. REGARDING POND BERM ELEV. a OWNER'S ADDRESS- g m NORTH 1/4 CORNER' ' ti 2938 /30 /h AVENUE SEC. 28, T3ON,R/5 W e O GLENWOOD C /TY, W/ 540/3 (END. BERNTSENNAIL /b J J SCALE /N FEET 1' ` " ' 2 LS:. An erosion control plan will be required on Flu Oh 1I1 j_�iiii Lot 1, prior to construction. This plan is to z o S;I 0 50 /00 200 300 I 60o be submitted to the St . Croix County Zoning M o o No Office y,.,o, nrrE 1 A r• A POND i■III ti Op ." ") b � l k SB9 ° 4430 "E /326.47' 1 h `' z __38.67'k _ V, l 1 "� NORTH /NE SE //4 - SW //4 L CJ 1 NW CDR. ' AT CDR. `p*, h °1 . SE / /4 -SW //4 SE / /4 - SW? /� 3 y, ki . ..:1 .5' SETBACK LINE '- , 3 a 'JI a : 1 ha 3 L T/ ',, e k, a CONTAINS /, //3,692 . FT. OR 25.567 AC. h M; H CO \ is H I C) W (1,098, 205 S0. FT. OR 5.2// AC. EXCLUDING ROAD rq o ► RIGHT OF WAY) b o �v APPROVED o �' : o ST. CROIX COUNTY . ? s Planning Zoning and Parks Committee `�" S 90 ° OD X 00 � rW 7 .86' �W ry SEPTIC AREA 3 MAR 3 1 2000 NI, 0 ° c 550.85' t -264.6 tu H \ O 1 ' N hoot mcoruea within 30 days of N t N LOT 2 Q O M (�� ° o approval dale approval shall be null and void a 1 N. I CONTAINS 435,940 SO. cy �'1 M cl H I FT. OR /0.008 A C. �� o . � c, o (420, 2/4 SO. FT. 4it- � � j �I O n "' 1 O 3 9.647 AC. EXC. - D M 264 Is. I `'i Z2 ' a R/G TQ,i �) e, 3 a i %. 1 - 1 h ^,,� 1 l f W C i 3i I CI 04 ...,i 3 o v .t1 W r, i 1 3' 1 r NO 4, . - n ti �'I h ,• o �Cl o 6ul R; \ /N /00'BU /L - G SETBACK .. 44 ° LTNE T- ° `'I h i,� M 1n - N89 °48'53 "W /06/.08' -- ‘i ' y -,1 i� . A _ /1.06' 550. ° • cs S PT /C _ �- ,s - 9o_•OO'oo "W% 325.OB' /.07 . /v_ *2E 7: — 550. �'� ■ •I • — — - — — — t — -,— — S 90°00 00 "W-- /06/.0 , =2.90 '00" _:_.--4-- SOUTHWEST CORNER M M -- S 90 °00'00 "W 2650. /6' -- SOUTH 1/4 CORNER ' SEC. 28, T 30 N, R /5W SW COR. SEC. 28, T 30 N, R /5 W 1 BERN TSEN MONUMENT- 5E1 /4 -SW //4 £ /30th AVE (BERNTSEN ALUMINUM CAPPED ALUM /NUM CAP GONE/ MONUMENT/ '/ 'Ol A7r'-r• • , on/n^ 0 • LEGEND ! \SG O /� + 4 i 0 SET / "X24 " IRON P /PE (MIN. WT.1. /3LB. /L.F.) I • •I' Z GOVERNMENT CORNER AS NOTED ;' LAU CE': It m • W R PHY ? FENCE LINE 1713 . - -DR V WAY / E S :RIVER F ALLS • . , J • Dated: Sept. 6, 1999 L/ y wtSC. Z "Revised this 25th day of Oct. 1 9.' �' <t % %-.. " "" . ea, or. ••• u LAND % o• ''•ai„es's'- 4 THIS INSTRUMENT DRAFTED BY JERALD L. LARSON SHEET / OF 5 Vo1.14 Page 3821