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008-1084-40-000
n N O 0 N O 13 - u n d T I CD n O O w d O _ O d CA ° N v o CD i 00 N �� ) I m ( O • CD �. �' CD H O o CD N w . 7 G7 °N° - - k CD 5 CD ° n I m w N N N fl. N 6 y O W y ET ° p p M n °—' O (D n m O OD O r O w ca rn 0 m 0 w o O 7 y N 7 y ' N fA ° to !n ° O !�I � �* O N �—► C N � -w � _ v> v y A° o l CI) ( D C CCC p o C� N y °• O C A y °• �' =3 co CO A c On- O r O� Q C O O N N 3 O Se ( O (D 0 W Z O A Y �1 O O 0 O0 N N W` W CD �7 °° O° a l CD m ;:8 01 n r cn y w w f y coo co :E 3° r CD Q C C c ¢ O C O O Y = C G c A D G G A a CD V CA °o Q N co c ° o m Q y 3 o v ^' c 0 6 'a CD I N N N 'O Cp CD CS CD 3 m C CD CL N o a D o o a N A N (n CD • N CD C O Q O N O CD w CD O O fD CD �- CD y I CD �p �_ -1 co y C y O II A Z (D C O A 2 O I I Q En --1 N CD m I A m m o m CL 3 n z 0 l A G M C N N < A I 00 CD A m I A m $co o �•� D 3 CD v r.> a 0 y C D• CD N 7 T j' O N 7 T N Cn N fD y . 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CD A A N A N (DD N ET t0 O z > 3 O N ro 3 Q j ro a ro . CO CC CD , �, 3 O. O U.' C N < CD' CD p < C' -n �' O N 7 B - n N� T. N N C N G N• N 7 7 3 Cn ro 7 7 a j 0 G - N CD 0 d 7 0 41 CO pQ O C �� O .Z1 CJ 7 N O N C C CL C C 7 7 y CD N O S 7 a C O n fi N 3 a , a O CD . O. L C. O i -^ Y �.m CD - 'ro Qj 3 0 O 00 ro w O - N a n� ro r t a - cn ='O @ x ti ^ O O O N O �.aSO 3 n p CO ro O a N C CU 3 '•.1 CD ° (D O I (D v O a 7 O O � c b o CD CD O, 69 Q EA 0 '�. O p •E p * a O i O CL r h ST. CROIX COUNTY WISCONSIN ZONING OFFICE 11 Nov No ■� ww■ ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road Hudson, WI 54016 -7710 (715) 386 -4680 FAX (715) 386 -4686 January 3, 2005 DORALLA CAREY 120 230 ST. BALDWIN, WI 54002 Dear Ms.Carey, After reviewing your application for the Wisconsin Fund Grant Program I have determined the application to be ineligible to receive a grant. The WI Fund guidelines are very specific as far as the date of the installed failing system. The failed system had to be installed before July 1, 1978. Existing septic system application and paperwork filed at St. Croix County Zoning department show an installation date of August 18, 1978 for the failed system. I have contacted Jean Joyce who is the WI Fund Grant Specialist, the person who processes the grant applications, and she stated that there is no variation of the installed date requirement. The installation date requirement is a state statute and cannot be changed without proper legislative procedures, no exceptions. An applicant can still be eligible to apply for the ant program for three ears from the date of s g pp Y �' p �' Y Y failure determination. If the state legislature should change the date of installation for the failing system, you may be eligible to apply for the grant at that time, as long as it is within the three year time period expressed above. I am returning your $100.00 grant application fee. Please call me with any questions or concerns. F 1y rabau Zoning Specialist Cc: file 0 ow 0 O O Mi a ' O O v1 N c m 0 y N C N C O L x p 0 y l(y m L U1 w Y O w a C y N 3 m N • 01 i y:s•c= 'n N m a O Y m 7 N m np c o O O_� O c O) c 0 Z m w p Z o E c � E c LO 4) (D ii c mo li mmxy _ >p m C> oc c Lc cc E ¢- U)i a w o rn F m " c I = o Z € v € v co m m I m m L O U ) am am y o O Z � . V .mn N H �' E a�i E o N `O M N N N CL O O O rn U) N c • `m a`) o r c O 0 U 1 Q Z 1- z m z z N I Z I c i c N L R z L a m L A p Q a m m V) m d 2 c o N O 0 d ° N 0 G CL 9 u m w Z o v) v) t/) o to v) to a .r+J 0 1 � I A a= o z •N ;� �aaa I �a IL c 1 C I N 0 3 co co v, 3 G c 4) w v')�v '�rnrn m X00 m m } m N N O "O Z i� N n w 0) o r 0 E co m O d O) L N O1 Cl) m m Q} U) m 4 n fn o@ O O O N C N 04 0 C o Q O m 0 J+ a7 O d O co 0 o m E r a 0 1 T O N 1 �� • C, c6 N .ym. N Z N M .4) N ,� C y O o o m o co o o m Cl) o o u as �v v Q O N W U' Z F- U O Z c r L In a 4, ` a ` a n Z • 04 a d .� m m c 0 w c _ 2 0 M o o A c)a 0 w() I Parcel #: 008 - 1084 -40 -000 07/13/2005 02:45 PM PAGE 1 OF 1 Alt. Parcel #: 29.28.16.448B 008 - TOWN OF EAU GALLE Current X;. ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): * = Current Owner * DORALLA M CAREY CAREY, DORALLA M 120 230TH ST BALDWIN WI 54002 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 120 230TH ST SC 0231 BALDWIN- WOODVILLE AREA SP 1700 WITC i Legal Description: Acres: 1.900 Plat: N/A -NOT AVAILABLE SEC 29 T28N R16W 1.9A PARCEL IN SE SE Block/Condo Bldg: COM CEN INT TN RDS AT SE COR, TH N 7822" TO POB; TH W 333'N 234'4" E 333' Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) S 234'4" TO POB 29- 28N -16W Notes: Parcel History: Date Doc # Vol /Page Type 07/23/1997 1199/159 WD 07/23/1997 TI 07/23/1997 485/112 07/23/1997 2005 SUMMARY Bill M Fair Market Value: Assessed with: 0 Valuations: Last Changed: 05/13/2002 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.900 21,800 98,800 120,600 NO Totals for 2005: General Property 1.900 21,800 98,800 120,600 Woodland 0.000 0 0 Totals for 2004: General Property 1.900 21,800 98,800 120,600 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: 04/17/2001 Batch M 513 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel #: 008 - 1084 -30 -000 07/13/2005 02:46 PM PAGE 1 OF 2 Alt. Parcel M 29.28.16.448A 008 - TOWN OF EAU GALLE Current X' ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): ` = Current Owner * DAGNER, WILLIAM R & ELENA D WILLIAM R & ELENA D DAGNER 150 230TH ST BALDWIN WI 54002 Districts: SC = School SP = Special Property Address(es): " = Primary Type Dist # Description SC 0231 BALDWIN- WOODVILLE AREA SP 1700 WITC Legal Description: Acres: 38.100 Plat: N/A -NOT AVAILABLE SEC 29 T28N R16W 38.1A SE SE EXC 1.9A Block/Condo Bldg: Tract(s): (Sec- Twn -Rng 401/4 1601/4) 29- 28N -16W Notes: Parcel History: Date Doc # Vol /Page Type 04/05/2004 758745 2542/116 WD 02/25/2004 755161 2516/189 ALC 02/18/2004 754555 2511/562 WD 10/10/2003 743285 2433/263 LC more... 2005 SUMMARY Bill #: Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 07/19/2004 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 30.600 4,000 0 4,000 NO UNDEVELOPED G5 5.500 2,100 0 2,100 NO PRODUCTIVE FORST LANC G6 2.000 2,100 0 2,100 NO Totals for 2005: General Property 38.100 8,200 0 8,200 Woodland 0.000 0 0 Totals for 2004: General Property 38.100 8,200 0 8,200 Woodland 0.000 0 0 Lottery C redit: Claim Count: 0 Certification Date: 0411712001 Batch #: PRGRM Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel #: 008 - 1084 -30 -000 07/13/2005 02:46 PM PAGE 2OF2 Parcel History: cont. 10/26/1998 589814 1369/208 LC 07/23/1997 1193/468 QC 07/23/1997 1073/40 LC 07/23/1997 942/211 A AS BUILT SANITARY SYSTEM REPORT 9 OWNE t TOWNSHIP , SEC 9 T 2S N, R W P.O. ADDRESS ST. CROIX COUNTY, WISCONSIN SUBDIVISION LOT LOT SIZE PLAN VIEW Distances & dimensions to meet requirements of H52. SHOW EVERYTHING WITHIN 100FEET OF SYSTEM 31 i w1 ` SEPTIC TANK(S) / MFGR. CONCRETE 4- STEEL NO. o7 rings on cover_ p Depth DRY WELL j TRENCHES No. of ti width .3 engtn j area /soo t: 4, . qier f BED no. of lines width 1 ngth area dept to top of pipe AGGREGATE �� PERK RATE 30 AREA REQUIRED I s4c AREA AS BUILT f DISCLAIMER: The inspection of this system by St, Croix County does not imply complete compliance with State Administrative Codes. There are other areas that it is not possible to inspect at this point of construction. St Croix County assumes no liability for system operation. However, if failure is noted the County will make every effort to determi,Rin--�cause o failure. GREASES AND OILS SHOULD NOT BE DISPOSED THROUG ''THZS` SYSTEM ,, � p P INSPECTOR DATED PL BER ON JOB LICENSE # Qo� i f i1 z 7 REPORT OF INSPECTION SEWAGE SYSTEM Sanitaxy PexmitI0 State Septic NAME Tawna ip h St. CAO,i x County Locatiov�% of L , , ., Sect-i.ont9T ,k,R W SEPTIC TANK Size 4n a.Qttons. Number o Cam axtment.6 ! � 9 � p � Di.6tance Fxom: WeZz St. 12% ox gxeatex 4tope � 6t Bu.i td.Lng 6t. Wettand4 ----- bt. Highw aten 6t. DISPOSAL SYSTEM Distance Fnam: Wet 6t. 12% ox gxeateA stope f� t. Building 6t. Wettandd F t. Highwatex bt. FIELD DIMENSIONS: Width of txench _ 6t. Depth o6 Ao below tite 2 in. Length o6 each tine 6t. Depth o6 Aock oven tile 2 i n. Numb eA , o j Zin ez Depth o6 tiZe b etow gxade (o in. Totat .length o6 tines & (2 6t. Sto pe o j txench in pen 100 6t. Di4tance between tines AQ 6 t. Depth to bedxock "'' 6t. Totat abs oxbtion axea_/ �^t Depth to gxoundwateA ---- 6t. RequiAed axea 6t 2 PIT DIMENSIONS: NumbeA oo Gxavet around pit.6 yea no Out6ide 6t. Depth below inlet 6t. 2 Totat ab bt z A AAea Aequ i 2 rn INSPECTED 4 -- TIT APPR0 V ('�� , DATE 1970. REJECTED ,DATE 197. 1 -' EM 115 WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH P.O. BOX 309 MADISON, WISCONSIN 53701 REPORT ON SOIL BORINGS AND PERCOLATION TESTS �p LOCATION: s� %, M214, Section `7 , T 2k, R i6 J a (or) W, Township or Municipality FAku Gall Lot No. , Block No. p County Ste Croix Owner's Name: l *y Greet Subdivision Name Mailing Address: MR 1 Baldxin TYPE OF OCCUPANCY: Residence = No. of Bedrooms Other EFFLUENT DISPOSAL SYSTEM: NEW ADDITION REPLACEMENT = DATES OBSERVATIONS MADE: SOIL BORINGS July 5. 1978 PERCOLATION TESTS ;U 6 0 -... 1 91 8 SOIL MAP SHEET 1" 31 SOIL TYPE Sandiado silt Loan PERCOLATION TESTS TEST DEPTH CHARACTER OF SOIL HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES RATE NUM- INCHES THICKNESS IN INCHES SINCE HOLE HOLE AFTER INTERVAL MIN /IN BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 6* up soil, P 1 36 30" BMW Loan 8 11<0 30 "" �" 30 P 2 36 6 1 T3 30" sandy Loan 8 No 30 1 30 P _3 36 1 P TS 30" Saudy 14M No 30 }" }" }• 1 30 SOIL BORING TESTS TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, INCHES NUMBER INCHES OBSERVED ESTIMATED HIGHEST (DEPTH TO BEDROCK IF OBSERVED) B _ 1 72 None 6" T. 66" sandy Loan 2 72 None 6" T.s. 66 a sandy Lom B _ 3 72 Nona 6 T.S. 66 sandy Lea- � 7 2 »ona 6 1 T.3. 66 s sandy Loala 5 72 l�na " T. - 2 dy san Loaf B 6 72 Noes 6" T.s. 66" sandy Lally PLAN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.) Indicate on the plan the location and square feet of suitabje�rgas Ind* to number of square feet of absorption area needed for building type and occupancy. 1 © Indicate scale or distances. Give horizontal and vertical reference points. Indicate slope. � cc5 / O I � I I I 1 � N ,t g Y Y P he undersigned, here certi that the soil tests r on this form were made by me in accord with the procedures and methods specified in the Wisconsin Administrative Code, and that the data recorded and location of test holes are correct to the best of my knowledge and belief. Name (print) Stephen L. Aaby Certification No. 406 Address Woodville, Wise Name of in if known Aaby Plba 11tas & =lest IRS CST Signature COPY A —LOCAL AUTHORITY State and County State Permit # - 7 9-A 4p PLB67 Permit Application County Permi # — !$3 for Private Domestic Sewage Systems County *DENOTES STATE APPROVAL REQUIRED Date Approval Received from State if Required State Plan I.D. # A. OWNER OF PROPERTY Mailing Address: Dwsy gross RR 1, Baldwin. bliss B. LOCATION: 32 '/ 3S ' /4, Section 29L, T28 N, R 16 3E (or) W Lot# City Subdivision Name, nearest road, lake or landmark Blk# Village Township JbU G1a11A C. TYPE OF OCCUPANCY: Commercial *Industrial *Other (specify) Variance Single family Z Duplex No. of Bedrooms No. of Persons D. TYPE OF APPLIANCES: Dishwasher YES Z NO Food Waste Grinder YES Z NO # of Bathrooms 2 Automatic Washer X YES NO Other (specify) E. SEPTIC TANK CAPACITY Total gallons No. of tanks 1 *Holding tank capacity Total gallons No. of tanks New Installation Addition Replacement _ X Prefab Concrete *Poured in Place Steel Other (specify) F. EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1) _r 2)303) 30 Total Absorb Area 1 Q sq. ft. New Addition Replacement X *Fill System Seepage Trench: No. Lin. Feet 300' Width 5_ Depth 31 Tile Depth 2 No. of Trenches Seepage Bed: Length Width Depth Tile Depth No. of Lines Seepage Pit: Inside diameter Liquid Depth Tile Size Percent slope of land Distance from critical slope NOnf I, the undersigned, do hereby certify that the information I have reported is in accord with Section H62.20, Wisconsin Administrative Code, and that I have sized the effluent disposal system from the EH -115 prepared by the Certified Soil Tester, NAME Strphss L . Aahy C.S.T. # 1$0 and other information obtained from 0WAsr (owner/builder). Plumber's Signature MP /MPRSW# 5 18 111 Phone # 698 — 2497 Plumber's Address o odvAio, Wisconsin PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with H62.20, including well). I wL� /0p or T n f < �GILS' I I Do Not Write in Space Below FOR DEPARTMENT USE ONLY Date of Application - 7--7 -- 78 Fees Paid: State Am" County 1° D to - 7-7 - 26 Permit Issued /Rejected (date) 7 8 Issuing Agent Name / Inspection Yes No Valid# Date Rec'd 1. county (w to copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701 2. state (pink copy) 4. plumber (canary copy) R e v ised Date 6/11/76 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix ' Safety and tuildng Division INSPECTION REPORT Sanitary Permit No: 430300 0 GENERAL INFORMATION 9 (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)j. Permit Holder's Name: City Village X Township Parcel Tax No: Carey, Daralla I Eau Galle Township 008 - 1084 -40 -000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: iuu, c 7 r ot- Lk)z Cam. "' 2928.16.448B TANK INFORMATION ELEVA' ION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark (v Z- a 2 c� . Zz± ioo.Z Dosing Alt. BM Aeration Bldg. Sew 6r Holding St/Ht Inlet / J I oa:Z TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic � � � � Dt Bottom Dosing i � � � �-- _ Header /Man. _ � 7 '3 Z �►'1 Z Aeration Dist. Pe = Z*I irJ�s' /0&� Holding w _ -- ' "" Bot. System E �.+ 4 - 1!9. Final Grade PUMP /SIPHON INFORMATION Manufacturer � Demand St Cover GPM Model Number 'r � � 3 7.7 C�.,��`� ,� X02. z. .3 97 - 85 AIL TDH Lift Friction Loss Syste Hea TDH Fto�4oti. •� f : . Z o �D 8� 8 /. 40c. _ a 15 Forcemain Length ( Dia. Dist. to Wel� �$ , SOIL ABSORPTION S - 2, 8A7 6 Q 1c�c� /�� a�+. w.t y�- sh �r t� t.•�s.. oi.� BEDITRENCH Width Length hes PIT DIMENSIONS [go. Of Pits Inside Dia. ILiquid Depth DIMENSIONS SETBACK SYSTEM TO P/L BLDG IWELL LAKE /STREAM LEA„ anufacturer: INFORMATION CHAMBER (W Type Of System: / 01 � 8dl _` UNIT Mode DISTRIBUTION SYSTEM Header /Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake i Pipe(s) Length Dia Length - —3. Dia S acin 36 SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth of xx Seede dded xx Mulche Bed/Trench Center S Bed/Trench Edges o-- r Topsoil Yes /•� -�..No Yes COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / / d 3 Inspection #2: 10 ! 03 Location: 120 230th Street Baldwin, WI 54002 (SE 1/4 SE 1/4 29 T28N R16W) NA Lot Parcel No: 29.28.16.4488 1.) Alt BM Description = �'`� i 2.) Bldg sewer length= -40.. (t,�d) *, a � `►�� T �b.� hC+4✓l - (�'� q� - amount of cover = C Plan Use other l s de for Req Y No additional information. I ® G� - - - - -- — , - - -- - f SBD -6710 (R.3/97) Date Insepctor's Signature Cent. No. ` Safeey and Buildings Division Cowry — es 201 W. Washingeon Ave., P.O. Hots 7062 f rP r ( � Madison. Wt 33707 — 7062 SuLiwy P it Number (to bt+ 61kd in by Co.) Department of Commerce (608) 261.046 3a 3 M Sanitary permit Application Stir` Platt LD. Number m sceotd with Comm 9321, W1a. Ad= Cade, petsooai iof ottaation yos provide 9�9Sei tray be [tied for wwadary putpoca Privacy Law. ri S.os(!}(m) Project Address (i f dilfeseat then mailiod address} I. Application Inforntaatoa — please Print All Infora ems ��� Property Owtta's Name —+-- - Psrscl # DG,^a l 1 c Ca r t C. �f gB oB8 /t�8y -w -sop Ptopaty ownew s Mailin= Addrae Ptvpeny l watioa /moo zoo � St, 9 City, Stitt Zi Code `� yti Section P �botieMttmtie� z�'0)0)to Y•- l J', S lev W viral L i 4 ,8 r. IL Type of Ba (check all that apply) T *• R "` e'J tG t of 2 Family D-olli m - Numbw dBedrooms subdivision Nave CSM Number Q PabkOComemial - bimbo use - N 0 stem Owed- Dwribe use t K w► ! 3 r [}Vitlsge ouetsbip of R u tya ilI. type of peraait•, (Cheek our our H" ti complete Use H if applicable A. 0% . - Sys" ' &� Vwftnft symma ❑ Treattnent/Holding Tank Replaeartitrtt Only 0 Otber Moilifieetioo to Existing Syatan 13. Liu 0 Permit, Aaneaal ❑ Permit savisioa Q Changt of 11 Permit Transfer to New Previous Permit Number and Daft Issued � a Plumber t)ww IV. Type of POWTS S sheen: Cheek sl that apply) _ Noe -Piet WiZW I,-Qtouad Mound Z 24 in of svltable soil I] Mowrd -C 2A in. ofsvitsbk soil ❑ At -(ride O Single Pass Seed Filter (] Coostrttet A WdLad Q PNwwimd l04mml ❑ Holding Tank ❑ Pen Fitter ❑ Acrobio Treatment Unit ❑ Recirtalatias Send Fitter Cl Recimlating Synthade Medic Filter ❑ Leeching Chamber I] Line Gtavd - less Pipe ❑ qter ( .n V. DispersavrreatmistAries Information. --j0i3 Design Flow (gpd) Dann Soil Application IOZAst) l Ara► Requ'usd (d) Dispersal Area (%t) y:�em Elevation 9 q � � boo - .5" 1.0 hD t od 9 , YL Task Iaro Capeoity in Tout Nwfiber Manufaoogor Ptvfab Site Steel Piba Plus* Chaim 0910rd of Units Concrde Constructed aim Nair tmtWas Turks I Tasks Sep it «Holding Trek e- i :!Ve- Y'.5 Aerat ie 7rewpery Unit Dealog Zso o, p Gtr t' VII. Rne!asIbM I tatetmmt- 1, the uttdeaylgned, unman eupoadhltlty for laetalliedon of the POWTS stoat on the atnched plant. ' Plambes's Name (Prin") Plumber's Sigeaturt MPIMPR5 Number Business Phone Number - Da/f, 1 zzo85"� Plumber's Added (Sheet. City. Suite, Zip Cod Fl- O a; !.- S- 1; Lea d i rI. VIII. COaa 104partment Use onl Approved 0 Disapproved Sanitary 1 nit induda Gmoodwata Dote hawed Is 5istioure Stamps) for Denial SwdwV Fm) 350- -- , ❑ O++vn.r elivert Reeaon UL Coaditicns of ApprovaUReaaons for Disapproval SYSTEM OWNER: 3) f • ' 1 Septic tank, effluent filter and dispersal cell must all be serviced I Maintained _ as per management plan provided by plumber. 2. All setback requirements must be maintained as per applicable code /ordinances. Attica camPhIN pNrts ( tee 11w Coomy easy) rer tke aysnat as papa met Ira Am stn z 41 Iwkr to sine SBD -6398 (R. 08/02) C � 3 ■ Proposed Rn O"Cl at X 96.03 dl & ``'✓ 8'X 75'd :SPersa! c e/l - k ■ .sn;1 a ✓a /aab'on p,�6 f 7 re e (3) d ;36 - bca6iO 8y /n fe ra. /-s It P% "Jr 73.37' / — E,CiSvnq lace /m < w /YS " Grij; us spacedat 2.53; 3 .y / � �jriSfi'nc� gradQ e%v.' h aft c c orb a{' CDnC4UC. orb; a P � f /oi.a'eo�t�var- r 9yo' d�s4�i6"C" Cell II I A� ' 44D y� • 93.0 92 A' = 7 ioo o' : T�of �e11 Case . c •s eel/ ci/00 ca w- A4 p rox /oc o 'ors o{ 4- - tvt /I 2 5-..40 O.U. 8 Pro posed /� ZSL7 /8Q7 q� r Y su�i.S/aPd,C. ^ Go•nb;•- to_t�� 9.T.�i!C.. bel.wdr ;ut�aa w /Za,b2/ ,! - /GD eA'/ae4 :sEin4 n /� F: itcr a t S,T. oa7lct, codr- par" CeVJC L .6 !nanbe /e Gvde. S.T. outl¢ � p 7 s ' EXiSt�Jnq Sa% c465o rpstr'on Sysfa.,� �. Safety and Buildings ti 4003 N KINNEY COULEE RD LA CROSSE WI 54601 -1831 TD #: (608) 264 -8777 erc � www w ww.commerce .sta t e.w i. us/sb ons .wisonsin.gov Department of Commerce Jim Doyle, Governor Cory L. Nettles, Secretary August 08, 2003 CUST ID No.220853 ATTN: POWTS Inspector DALE E HUDSON ZONING OFFICE BOLDT'S PLUMBING & HEATING, INC. ST CROIX COUNTY SPIA PO BOX 78 1101 CARMICHAEL RD BALDWIN WI 54002 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 08/08/2005 Identification Numbers Transaction ID No. 895952 SITE• Site ID No. 663095 Daralla Carey Please refer to both identification numbers, 120 230TH St above, in all correspondence with the agency. Town of Eau Galle, 54002 St Croix County SE1 /4, SE1 /4, S29, T28N, R16W FOR: Description: Four Bedroom Mound System Object Type: POWT System Regulated Object ID No.: 914993 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes COhtd id and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in ���� chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: DIEPARTMENT 0 7 � 14 General Approval Requirements: • This system is to be constructed and located in accordance with the enclosed approved plans and with the SEE CORRESI "Mound Component Manual for Private Onsite Wastewater Systems VERSION 2.0" SBD- 10691 -P (N.01 101) and the SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST SAS (0 1/8 1) • The existing septic tank must be inspected for structural soundness and baffles and must be brought into conformance with the requirements of ch. Comm 83, Wis. Adm. Code. If it does not conform the tank must be properly abandoned. The existing POWTS must be properly abandoned per Comm 83.33 Wisc.Adm. Code. • Access to the filter for cleaning must be provided per Comm 84 product approval conditions. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required • Per manual cited above, limited activities are allowed in the area 15 feet down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption area. chs. NR 811 & 812c • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. ' DALE E HUDSON Page 2 8/8/03 • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. 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 to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 175.00 Fee Received $ 175.00 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 cbratz @commerce. state. wi.us cc: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544 i MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: Daralla Carey 4 bedroom residential mound Owner's Name: Daralla Carey Owner's Address: 120 230th Street AV Baldwin, tft 54002 Site Address: 120 230th Street Legal Description: SE1 /4SE1 /4, Sec. 29, T.28N., R.16W. Township: Eau Galle County: St. Croix Subdivision Name: Lot Number: Block Number: Parcel I.D. Number: 008 - 1084 -40 -000 Plan Transaction No.: 7 4111 y Page 1 Index and title )tD Page 2 Data entry ooMAMEa RECEIVER Page 3 Mound drawings Page 4 Lateral and dose tank cs Page 5 System maintenance specifications }O ND JUL E E $ Page 6 Management and contingency plan SAFETY & BLDGS DIV. Page 7 Pump curve and specifications Page 8 Site Plan Page 9 Soil Evaluation Report Designer: Dale Hudson License Number: 220853 Date: 07/22/03 Phone Number: 715 - 684 -3378 Sig nature; C:w Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SDB- 10691 -P (N. 01/01), and SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01181) Version 3.0 (03/01/01) Pagel of 9 Mound and Pressure Distribution Component Design Design Worksheet Site Information (r or c) R Residential or Commercial Design Note: Sand rill (D) calculations assume 400.00 Estimated Wastewater Flow (gpd) Table 83 -44-3 in -situ soil treatment for fecal 1.50 Peaking Factor (e.g. 1.5 = 150 %) coliform of - 36 inches. 600.00 Design Flow (gpd) 10.00 Site Slope ( %) r 97.85 Contour Line Elevation (ft) 20.00 Depth to Limiting Factor (in) 0.50 In -situ Soil Application Rate (gpd /ft Distribution Cell Information 75.00 Dispersal Cell Length Along Contour (ft) = 8.00 Cell Width (ft) j 1.00 Dispersal Cell Design Loading Rate (gpd /ft -` 1 Influent Wastewater Quality (1 or 2) Are the laterals the highest point in the distribution Y Pressure Disribution Information network? Enter Y or N (c or e) (� e Center or End Manifold 2.67 Lateral Spacing (ft) If N above, enter the ele ft 3 Number of Laterals of the highest point. 0.125 Orifice Diameter (in) (e.g. 0.25 2.50 Estimated Orifice Spacing (ft) = 6.67 ft /orifice 2.00 Forcemain Diameter (in) _ 100.00 Forcemain Length (ft) Does the forcemain drain back? 88.00 Pump Tank Elevation (ft) Enter Y or N 6.50 System Head (ft) x 1.3 16.31 Forcemain Drainback (gal) 10.85 Vertical Lift (ft) 70.12 5x Void Volume (gal) 2.87 'Friction Loss (ft) 44 Minimum Dose Volume (gal) __ Dynamic Head (ft) 37.0 System Demand (gpm) Lateral Diameter Selection Manifold Diameter Selection in. dia. options choice in. dia. options cho 0.75 1.25 x _ x 1.00 1.50 x 1.25 x x 2.00 x - -_- - - -- _____ 1.50 x _ 3.00 2.00 x 3.00 x Gallons /Inch Calculator (optional) Trea tment Tank Information 8 _ 00.64 Total Tank Capacity (gal) 1200.00 Septic Tank Capacity (gal) _ 36.00 Total Working Liquid Depth (in) Wieser Combinat Manufacturer _ 22.24 gal /in (enter result in cell B49) Dose Tank Information Effluent Filter Information 8 00.641 Dose Tank Capacity (gal) Zab Filter Manufacturer _ 22.24 Dose Tank Volume (gal /in) A10 Filter Model Number CWieser WLP1 200 /800 Manufacturer Project: Daralla Carey 4 bedroom residential mound Page 2 of 9 2 Mound Plan View • • O . Observation Pipe 3 . — K :'r T �� }'r : ° r: Y 5 • L ' • • ti '• ' L ''� • A . . . . . . . . . . . . . . . . . . . . . W �.�.�.�.� .......... ]. • . . I . . . L.:J . . . . . . . I Mound Component Dimensions A 8.00 ft E 25.60 in H Aft ft K 10.51 ft B 75.00 ft F 9.25 in z ft L 96.03 ft D 16.00 in G 0.50 ft J W 28.60 ft 600.00 (ft Dispersal Cell Area 1694.20 (ft Basal Area Available 8.00 (gpd /ft) Linear Loading Rate 7.50 (ft) 1/10 B obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 100.95 (ft) - -� .r�r ... G ♦ H • F :: : ;' Dispersal Cell 99 68 ( ft) Lateral Invert 99.18 (ft) — 0 , - — Dispersal Cell ;[ Elevation E {._ /, . L +.:_� J, -_]�� 4 ?,�,� .. ..: ��.. J.. - : { ,ti�;+ M1'•.,�'•� ,� ` !:,ti p ,_: ].,� _ �: {. �., 7.,�':, _� I� '.i .; �,_'.. �� ~.: .: . ,. .], !. . 97.85 (ft) Contour Elevation 10.0 % Site Slope Geotextile Fabric Cover Shading Key '� �. Dispersal Cell See lateral details on 1� Topsoil Cap o = 1.5 ft f ..�;. : ;: , Page 4 for number, ;., d sp acing Subsoil Cap h o size, an s s P 9 of © [ ASTM C33 Sand F laterals. Laterals are FA] •° 2: 0.5 ft Typical Lateral equally spaced from "];` Tilled Layer c y 4 Y P Aggregate �r the distribution cell's * A centerline in the distribution cell (AxB). Project: Daralla Carey 4 bedroom residential mound Page 3 of 9 i End Connection Lateral Layout Diagram Center the laterals over the A & B dimension •= Tu rn -up wf be 11 va Ive or of ea n out pl u 9 P .1 Fl.m. 4entloal If X -3 1 Holes drilled on the bottom of the lateral S equally spaoed Laterals & Foroe main of PVC Soh 40 S (per COMM Table 84.30 -6) onneotlon via tea or oross to manifold at any point. Number of Laterals 3 Orifice Diameter 0.125 in Lateral Diameter 1.25 in Orifice Spacing (X) 2.53 ft Lateral Length (P) 73.37 ft Orifices per Lateral 30 Lateral Spacing (S) 2.67 ft Orifice Density 6.67 ft /orifice Lateral Flow Rate 12.36 gpm Manifold Length 5.33 ft System Flow Rate 37.07 gpm Manifold Diameter 1.25 in Total Dynamic Head 20.22 1 ft Forcemain Velocity 3.79 ft/sec Dose Tank Information Locking cover with warning i 9 label and locking device and sealed watertight Electrical as per NEC 300 and Comm 16.28 WAC 4 in. min. Disconnect Tank component is properly vented f-- Alternate outlet location Forcemain diameter Wieser Com Manufacturer 2 in. Capacityl 800.64 Gallons Volume 22.24 gal /inch A Weep hole or anti - Dimension Inches Gallons B siphon device A 18.46 410.50 B 2.00 44.48 C P ump off e levation (ft) C 5.54 123.26 88.83 D 10.00 222.40 D Total 36.001 800.64 Dose tank elevation (ft) 3" Bedding un er tank. 88.00 Alarm Manuafacturer Alarm Model Number Pump Manufacturer lGoulds Pump Model Number 13885 WE0 Pump Must Deliver 1 37.07 gpm at 20.22 ft TDH Project: Daralla Carey 4 bedroom residential mound Page 4 of 9 Mound System Maintenance and Operation Specifications Service Provider's Name Boldt's Plumbing - Huds Phone 715 -684 3378 POWTS Regulator's Name St. Cr County Zoning J Phone 715-3 0 System Flow and Load Parameters Design Flow - Peak 600 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 400 gpd Maximum BOD5 220 mg /L Septic Tank Capacity 1200 gal Maximum TSS 150 mg /L Soil Absorption Component Size 600 ft 2 Maximum FOG 30 mg /L Type of Wastewaterl Domestic Maximum Fecal Coliform >10E4 cfu /100 mL Service Frequency Septic and Pump Tank Inspect and /or service once every 3 years Effluent Filter Should inspect and clean at least once every 3 years Pump and Controls Test once every 3 ears Alarm Should test month) Pressure System Laterals should be flushed and pressure tested every 1.5 years Mound Inspect for po nding and seepage once every 3 years Other' Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table Comm 84.30 -1, have a watertight cap, and are secured in as shown in the mound component manual. 2. Dispersal cell aggregate conforms to Comm 84.30 (6)(i), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in Comm 84, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn -up Detail Finished •.. ......... ............... Grade \ 6 -8" Diameter Lawn Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Distribution Lateral �► Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Daralla Carey 4 bedroom residential mound Page 5 of 9 r Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code General This system shall be operated in accordance with Comm 82 -84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals {SBD- 10691 -P (N.01/01) and SSWMP Publication 9.6 (01/81)] and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8- inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet fitter shall be cleaned as necessary to ensure proper operation. The fitter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the fitter when removed from its enclosure. If the fitter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent 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 in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank 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 less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce. Puma Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent fitter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mounds perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October- February) dictate that the mound be heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mg/L BOD5, 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L BOD 30 mg/L TSS, 10 mg/L FOG, and 10 cfu/100 mL for highly treated effluent. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Continaencv Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 6 of this plan for the name and telephone number of your local POWTS regulator and service provider. Project: Daralla Carey 4 bedroom residential mound Page 6 of 9 I MO • • MO P • WE 03 H thr 1 . 1 1 • 1 / 1 /• 1 V N � x' J I MODEL. 3885 MODEL 33;'r - - _. �• ,� 5o mn cr'n APAU , CAPACITY /!p 3 - - - -- 370 a. ," ,�, ; ,, ;M �,,,, �, a , Pump Specifications reatLires and Benefits �N Purlip S e.cifications Features andYenVufits `� •4 models feature silicon carbide Up 10 75 GPM " E IFS �'Iw =�. mechanical seal faces for superior Maximum head to 18' 123'' abrasive resstance and extra Discharge size 2 NPT Ion PJPT life. R g Solids 2' maxinwil l�ler �� s '�I • Cast Ir Se,i'li - open nor, - clog Motor ow p -ow , anes su E rr r , r hinr�c fen. it h_rl sei' prott ctior: a n� co lsttuc' cn • Pug<<e c st,,o r elute t pe casing Isr t r - r adaptaole fog slide ral s�sten�s EIf , I' Materials of Construction vu . t ; tros o resls� ant threaded � ' r C aS IrOI r6 e ��,ir ��oa as!tc - • r1J Or S ..l! SIiIJ 11erCJ.'.,l f+ hlgl� �1,1,11?SS S?Pti ��iaht\ o f0 t <ternIs of Construction irc of'iclent he�l,t transfer • Option �� s�lir -o� ��ror'ze I npe!ler C. � ,s�rc � ; • CSA isted a aval'ab e Ur Underwriters Laboratories 4!/ /'Iocyets are designed for continuous operation and teatt.te sta;nies s ee, ■ 9z Scar _ / $to. ■ Proposed mo"cl 28.ta0 ,r 9403' °� 8i g6 w/ 8'X 7S dJ ,Wpa+'Sa1 ee/% k ■ %/ a ✓a h c4 6b o n P• J Th re c (3) d ;jY rib °� $y _ E",CTSz�inq A is e l; n c <a f tea. /s a f / %i')r 73.3 / Q ro . %nf U-)/ f/g / ',ari t1 ccj spa C" at )dl P rade e/ev io7 � / d�s�ib�w, c,cll 97 '940 y�o • 93.0 9.2 d = Y ° b. ,tick 990 • ! nvAx1( umcd zlvop- /oo. oo: 1 0 - l�' 't ex,' 410 P.O. c . g -(-a rc.0 mw, 8 Y 3cti.vOAd,C. Co•nbi- 10.t<<i+t S.T.�I!C. bel�wd�iut�.9a w / za6Q/ �•! -/ effYu¢.r _ �ns�aC a P. Itt./ a t S.T. o �` "f j ow code. �,risf ozn 9e,1. Poe" Conn. r Sc/6*r- •6o•nK . B :Tor aPaT. manhole C.vtr: s.T. ou.t/,e y�a7's A. 50,% etbSo�p�'on b S 6c. �j ayl0 It( Pe. 1 1536 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 4 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code A.C.E. Soil & Site Evaluations Attach complete site Ian on County p p paper not less than 8% x 11 inches in size. Plan must St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and parcel I. D. percent slope, scale or dimemsions, north arrow, and location and distance to nearest road. 00 - 10 84 -40 -000 Please print all information. -- Reviewed By Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)) I Property Owner Property Location Daralla Carey Govt. Lot SE 1/4 SE - 1/4 S 29 T 2/8 N R 1 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 120 230th Street na Na City State Zip Code Phone Number City Village to. Town Nearest Road Baldwin I WI 1 54002 715 - 684 - 5927 Eau Galle 230Th Street I New Construction Use: A Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD ✓J Replacement Public or commercial - Describe: Parent material Glacial Till Flood plain elevation, if applicable na General comments and recommendations. Install mound system at elev. 100.25' at 18" above 98.75' contour. FTI Boring # A Boring 1/ Pit Ground Surface elev. 95.60 ft. Depth to limiting factor 2 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture . Structure Consistence Boundary Roots GPD /fl' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0 6 10yr3/2 none sil 2fcr mvfr as —�_ 2f 0.5 0.8 2 6 -12 10yr5/4 none sil 2fsbk mvfr cs 1f 0.5 0.8 3 12 -24 10yr5/4 none sil 2msbk mvfr cw 1vf,f 0.5 0.8 4_ 24 -30 10yr5/6 m2d 7.5yr5/8 scl 2msbk mfr cw j - 0.4 0.6 5 30 -42 10yr5/6 m2d 7.5yr5/8 scl 1 csbk mf - j - 0.2 0.3 I a Boring # Lj Boring 0 Pit Ground Surface elev. 98.25 ft. Depth to limiting factor _ 30 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft' — in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0 -8 10yr3/3 none sil 2fcr mvfr as 2f 0.5 0,8 2 8 -16 10yr514 none sil 2fsbk mvfr cs 1f 0.5 0.8 3 16 -20 10yr5/4 none sl 2msbk mfr cw 1f 0.5 0.9 4 20 -30 10yr4/4 none sl 2msbk mfr cw 0.5 0.9 5 30 -48 10yr4l6 m2d 7.5yr5/8 scl 1 csbk mf - 0.2 0.3 — Effluent #1 = SOD ? 30 < 220 mg/L an TSS >30 < 1 mg /l- ( fluent #2 = BOD < 30 mg/L and TSS < 30 mg /L CST Name (Please Print) Signatur . CST Number James K. Thompson 3 602 Address A.C.E. Soil & Site Evaluations Date Evaluation Conducted Telephone Number 340 Paulson Lake Lane, Osceola, WI 54020 5/8/2003 715 - 248 -7767 1 Property Owner Daralla Care 008- 1084 -40 -000 Page 2 of 4 perty Y Parcel ID # 9 - _ - -- 3] Boding # J Boring - � J✓ Pit Ground Surface elev. 92.75 ft. Depth to limiting factor 20 " in. Soil Application Rale Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots _ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 'Eff#2 1 0-6 10yr3/2 none sil 2fcr mvfr as 2f 0.5 0.8 2 6 -15 10yr5/4 none sil 2fsbk mvfr cs 1f 0.5 0.8 3 15 -20 10yr5/4 none sil 2msbk ni Cw 1f 0.5 0.8 4 20 -30 7.5yr416 m3d 7.5yr5/8 scl 2msbk mfr Cw 1 V 0.4 0.6 5 30 -53 10yr5/6 map 7.5yr5/8 sc 1 csbk mfl 0.2 0.3 I i I 7 Bonng # Boring - -- &01 Pit Ground Surface elev. 100.10 ft. Depth to limiting factor 20 " in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots ' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0 10yr3/3 none sil 2fcr mvfr as 2f 0.5 0.8 2 6 -16 10yr5/4 none sil 2fsbk mvfr Cs if 0.5 0.8 3 16 -20 7.5yr5/4 nt sl 2msbk ni cw if 0.5 0.9 4 20 -30 7.5yr5/4 m2d 7.5yr5/8 sl 1 msbk mfr cw 0.4 0.6 5 30-48 5yr4/6 map 7.5yr5/8 scl 1 csbk mfi 02 0.3 I I I 5 Boring # o Boring J✓ Pit Ground Surface elev. 98.53 ft. Depth to limiting factor 20 " in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 Eff#2 1 0-6 10yr3/2 none sil 2fcr mvfr as 2f 0.5 ! 0,8 - -- - -- - 2 6 -14 10yr5/3 none sil 2fsbk mvfr Cs 1f f 0.5 0 8 3 14 -20 10yr5/4 none sl 2msbk mfr Cw 1f 0.5 0.9 - - 4 20 -32 10yr5/4 m2d 7.5yr5/8 sl 1 msbk mfr cw - 0.4 0 6 5 i 32 -54 5yr4 /6 m2d 7.5yr5/8 scl 1 csbk mfl 0.2 0.3 Effluent #1 = BOD ? 30 <220 mg/L and TSS >30 < 150 mg/L ` Effluent #2 = BOD < mg /L and TSS < 30 mg /L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608 - 266 -3151 or TTY 608 -264 -8777. w Property Owner Daralla Carey Parcel ID # 008 - 1084 -40 -000 Page 3 of 4 a Boring # 'J Boring — 1% Pit Ground Surface elev. 102.85 ft. Depth to limiting factor 12' in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence ! Boundary Roots GPOIT in. Munsell Qu, Sz. Cont. Color Gr, Sz. Sh. " 'Eff#1 'Eff#2 1 0 - 8 10yr32 none sit 2fcr mvfr as 2f 0.5 0.8 2 j 8 - 10yr5/4 none sit 2fsbk mvfr cs 1f j 0.5 0.8 3 j 12 -26 10yr5/4 m2d 7.5yr5/8 sil 2msbk mvfr cw 1 v j 0.5 0.8 4 26-40 10yr5/6 m3p 7.5yr5/8 S 0 sg ml - 0.7 I 1.2 I Saturated flow observed at 26" I ❑ Boring # J Boring — — J Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots ' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 L i I i I I ❑ Boring # � Boring i factor — -- J Pit Ground Surface elev. ft. Depth to limiting n. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDff _ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 I T I I I Effluent #1 = SOD ? 30 < 220 mg /L and TSS >30 < 1 50 mg /L " Effluent #2 = BOD 30 mg /L and TSS < 30 mg /L a The Department of Commerce is an equal opportunity service provid a nd employer. 1f y ou need assistance to access services or need material in an alternate format, please contact the department at 608 - 266 -3151 or TTY 608 -264 -8777. 3 ,��■ 3 ♦ EXiS� "n� ��ad� Q�e� i ,47 io7 i 91fo g o, 970' 4.0 ?40' 93.0 9.2.0" /oo•a' QnL� WInrIL opof Loci! Casr��- 9y o . As54Ma.d zlet,' = /ao. oo: o w-- etc+ sb �9 ux /1 u, �)r�•sfln , QAp gal. ', Mango /e Gvu: EYiSt�l nq > S C- a ; / 46s ,-p6 Sysban� �1� I � .Z3S/ P yob `� 1636 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 4 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code A.C.E. Soil & Site Evaluations Attach complete site plan on paper not less than 8'% x 11 inches in size. Plan must County St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. 008- 1084 -40 -000 Please print fH4n1acRqfion. Reviewed By Date Personal information you provide may be u for seQr�ry ( .04 (1) (m)). Property Owner roperty Location Daralla Carey l . Lot SE 19 SE 1/4 S 29 T 298 N R 16 W Property Owner's Mailing Address of # Block # Subd. Name or CSM# 120 230th Street ��� ;_;:,,� �� �., , - , na Na City State t- �h6fC� 1�}ft�9l�ei' �] City Village 1I Town Nearest Road Baldwin WI 1 54002 1 715 - Eau Galle 230Th Street J New Construction Use: 16 Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD W1 Replacement Public or commercial - Describe: Parent material Glacial Till Flood plain elevation, if applicable na General comments and recommendations: Install mound system at elev. 100.25' at 18" above 98.75' contour. Boring # I Boring 1m Pit Ground Surface elev. 95.60 ft. Depth to limiting factor 24 " in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence B&unclary Roots GPD/1`1 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. I 'Eff#1 I 'Eff#2 1 0-6 10yr3/2 none sil 2fcr mvfr as 21' 0.5 0.8 2 6-12 10yr5/4 none sil 2fsbk mvfr cs 1f 0.5 0.8 3 12 -24 10yr5/4 none sil 2msbk mvfr cw 1vf,f 0.5 0.8 4 2 0 10yr5/6 m2d 7.5yr5/8 scl 2msbk mfr cw - 0.4 0.6 5 30-42 10yr5/6 m2d 7.5yr5/8 scl 1 csbk mfi - - 0.2 0.3 F L 2 jBoring # Boring Pit Ground Surface elev. 98.25 ft. 30" in. Soil Depth to limiting factor -- Application Rate zon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 `Eff#2 1 0 -8 10yr3/3 none sit 2fcr mvfr as 2f 0.5 0.8 2 8 -16 10yr5/4 none sil 2fsbk mvfr cs 1f 0.5 0.8 3 16 -20 10yr5/4 none sl 2msbk mfr cw 1f 0.5 0.9 4 20 -30 10yr4/4 none sl 2msbk mfr cw - 0.5 0.9 5 30-48 10yr4/6 m2d 7.5yr5/8 scl 1 csbk mfi - - 0.2 0.3 * Effluent #1 = BOD ? 30 < 220 mg/L an TSS >30 < 1 mg/L ffluent #2 = BOD < 30 mg/L and TSS <-0 mg/L CST Name (Please Print) Signatur . CST Number James K. Thompson 3602 Address A.C:E. Soil & Site Evaluations Date Evaluation Conducted Telephone Number 340 Paulson Lake Lane, Osceola, Wl 54020 5/82003 715- 248 -7767 Property Owner Daralla Carey Parcel ID # 008 - 1084 -40 -000 Page 2 of 4 3 • # Boring 1+ Pit Ground Surface elev. 97.75 ft. Depth to limiting factor 20" Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-6 10yrM none sil 2fcr mvfr as 2f 0.5 0.8 2 6 -15 10yr5/4 none sil 2fsbk mvfr es 1f 0.5 0.8 3 15 -20 10yr5/4 none sil 2msbk mvfr cw 1f 0.5 0.8 4 20 -30 7.5yr4/6 mad 7.5yr5/8 scl 2msbk mfr cw 1vf 0.4 0.6 5 30 -53 10yr5/6 m3p 7.5yr5/8 sc 1 csbk mfi - - 0.2 0.3 F4] Boring # Boring * Pit Ground Surface elev. 100.10 ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-6 10yr3/3 none sil 2fcr mvfr as 2f 0.5 1 0.8 2 6 -16 10yr5/4 none SO 2fsbk mvfr cs 1f 0.5 0.8 3 16 -20 7.5yr5/4 fmf 7.5yr5/8 sl 2msbk mvfr cw if 0.5 0.9 4 20 -30 7.5yr5/4 m2d 7.5yr5/8 sl 1 msbk mfr cw - 0.4 0.6 5 30-48 5yr4/6 m3p 7.5yr5/8 scl 1 csbk mfi - - 0.2 0.3 oring # I Boring ✓� Pit Ground Surface elev. 98.53 ft. Depth to limiting factor 2 Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-6 10yrM none SO 2fcr mvfr as 2f 0.5 0.8 2 6 -14 10yr5/3 none sil 2fsbk mvfr cs 1f 0.5 0.8 3 14 -20 10yr5/4 none sl 2msbk mfr cw 1f 0.5 0.9 4 20- 2 10yr5/4 m2d 7.5yr5/8 sl 1 msbk mfr cw - 0.4 0.6 5 32 -54 5yr4/6 m2d 7.5yr5/8 scl 1 csbk mfi - - 0.2 0.3 * Effluent #1 = BOD 5 > 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD < 30 mg/L and TSS <30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608 - 266 -3151 or TTY 608 -264 -8777. Property Owner Daralla Carey Parcel ID # 008 - 1084 -40 -000 Page 3 of 4 F61 13oring # �j Boring Pit Ground Surface elev. 102.85 ft. Depth to limiting factor 12" Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence 7 ry Roots GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -8 10yr3/2 none sil 2fcr mvfr 2f 0.5 0. 8 2 8 -12 10yr5/4 none sil 2fsbk mvfr 1f 0.5 0.8 3 12 -26 10yr5/4 m2d 7.5yr5/8 sil 2msbk mvfr cw 1vf 0.5 0.8 4 26-40 10yr5/6 m3p 7.5yr5/8 s 0 sg ml - - 0.7 1.2 Saturated flow observed at 26' F—I Boring # I Boring _j Pit Ground Surface elev. ft. Depth to limiting factor in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots QP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 F—I Boring # I Boring J Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots QP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 * Effluent #1 = BOD 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD 30 mg/L and TSS <30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608- 266 -3151 or TTY 608 -264 -8777. B , le ■ 8` `� - ;' ■ ■50:1 ei(a /cca.6en P i � 8y � --�- EX; s� n� � ice !,•n c Q �oro�o. / :nf �,� 3 ♦ rps& o , elect i fZ ion �oi.o'ceo�ow^ 9Sl,D A&�' 97.a 4df.0 o • 43. 9Z ra' ioo.o' � Topaf �tll Cos;n�. 940 AsS4Med elect'= ioo.00: 8 8 Ejrls,b'n ® �,risft av �� Ca+tcnt� Syfi'a�rl'. 1"aAho% Wee. EYiSt�lnq i Sa% eRbso �p�'on b SyS Z3 asl � �-trte � P yo�y ST CROIX COUNTY SEPTIC TANK MAINTEN CH AGREEMENT AND . OWNERSHIP CERTtF1CA1ION FORM Owner/Buyer -D®r 0 I I a C a r t' Mailing Address /20 Property Address - ca Y - ,- (Verification required from Planning Depatttamt for new construction) City/State )EaUz,0 n , ldo l . Parcel Identification Number 04 ' F /4 D - ovo LEGAL DESCRIPTION r Property Location 5- F %<, SF ' /<, Sec. �9 , T,&LN -R /G W, Town of 1a0 Subdivision Lot # Certified Survey Map # Volume , Page # Warranty Deed Volume /� 9 , Page it Spec house ❑ yes 8 Lot lines identifiable 9 yes ❑. no OS"1ENiWARaFKNANCE Im pxoperuseandmaintcaa= ofyoursepticsystemcotddtesattisits f U rctobandiewastes _Propermatmt=ance consists of pumping oat the septic tank every that years or sooner. if fronded by a riceasod pumper What yon pat into the system caasffodtbc- fi=tioa of the septic taalcss.a t mtmcatstageia&e Vistertvosd.tystem. 11 Y owner a8rocs to submit to St. Croat Zeroing Depart i - cutificabion form, signori by ffic owner and by a P jomneymmpkmdbcx resWctedphmdworir Fo=sodp=perycd5 ag Scat (l) the on-ite wastmviwdisposal spsteam is mproPer%lc n con&tionandlor(2) after=poctmandpmpig,(Ifnecessary). the scptrc.tmk-ts Iess.than 1/3 full ofsludge. Uwc. the to dersignod have read Sic above requir==& and :give to maintain tine private sewage disposal system with the standards set forth, hemin.'as set by the Department of Commerce and the Departma t of Natural R,csourocs� State of Wisconsin.. CaUfieatm that Y= septic system has beta maintained Est be completed and rcUmed to &e St. Croix County Zoning Office within 30 days - of the throe year expiration date. SIGNAIURE OF APPLI DATE OWNER CERTUTCAT1iON I (we) catify that all statements on this form arc true to the best of nny (our) knowledge. I (we) am (arc) the owner(s) of the Property described above. by virtue of a warranty deed recorded in Register of Deeds Office. SIGNATURE OF APPLICANT DATE «s « «ss Any information that is mis rcpncscntcd may result in the sanitary permit being rcvokod by the Zoning Department. `s Include with this application: a stamped warranty decd from the Register of Dcodc office a copy of the certified survey map if reference is wade in the warranty deed ± 54920:1 VOL 1199- 5 FACE19 ti g ' STATE BAR OF WISCONSIN FORM 2 — 1982 a G 4 WARRANTY DEED R �r DOCUMENT NO ;i EG Dorothy J. Green, a single person L I ( j conveys and warrants to DOralla M. Carey, a ain l� a . M erson k � a , i i THIS SPACE RESERVED FOR RECORDING DATA the following described real estate in St • C roi x NAME AND RETURN ADDRESS County j� State of Wisconsin: 1 . ,Onsin Credit Union I Baldwin Branch P.O. Box 126 Baldwin, `A 51002 i ( 008-1084-40 PARCEL IDENTIFICATION NUMBER ' E 333 feet of N 234 feet 4 inches of S 1015 feet 6 inches of Southeast Quarter of Southeast Quarter (SEk of SEk) of t Section Twenty -nine (29), Township Twenty -eight (28) North, Range Sixteen (16) West. TRANSFER s 1� This i S homestead property. {� (is) 09XX C ( Exception to warranties: Easements and restrictions of record. jj Dated this 5th day of S eptember 96 A.D., 19 I j (SEAL) (SEAL) i Doroth . Green it (SEAL) (SEAL) is Z AUTHENTICATION ACKNOWLEDGMENT ` i !j Signature(s) State of Wisconsin, ss. 'i St. Croix authenticated this day of 19 _ County. Personally me �tfore me this day of$i - 'e�i�r► t�lr the above named j _Dorothy J. Green j TITLE: MEMBER STALE BAR OF WISCONSIN �! I! (if not. t` R authorized by $706.06, Wis. Stats.) .... LLI ` ,% to gte - kltown to be the person who executed the foregoing = � a d kk nowled a sa �m � THIS INSTRUMENT WAS DRAFTED By '' .• .J ., t Thomas A. McCormack ' • -: ! ,! Baldwin, WI 54002 otary Pubfic, d� ]s• L /� /,O< (Signatures may be authenticated or acknowledged. Both aie County Wis. !� • nd''•., bfy, SorftDtissio is permanent. (If not, state expiration te: i necessary.) s„ i • Names of persons signing in any capacity should by typed or printed below their signatures. II *: ;j WARRANTY DEED STATE BAR of WISCONSIN WiaepMn Lg1aI BIatW Co.. m t i Form No. 2 - 1982 MkIlukes W41. ... ,, v.. a '. °� '. �` a �: -.. •:> .- �1 ': 1v' 4 "t+hf;•"".: +.:+^' :v °i'._.aw_a. ...- ....,.. .... .. �.... ,._' -. y; DEC -21 -2004 12:12 PM A.C.E. Soil & Size Eval. 715 248 7764 P.01 A.C.E. Soil & Site Evaluations James K. Thompson 340 Paulson Lake Ln. Osceola. WI 54020 (719)248.7767 To. Zon u - Attu: Kevin _ fax# 715 -386 -4686 From: Jim Thompson Date; leer 2l, 2004 # pages including cover shear: 3 If fax is incomplete or illegible, please contact Jim Thompson at telephone number listed above. Kevin. t Attached is the revised soil evaluation report that I have on file for the Darla Carey ptoper y, indicating the number correction of boring #7 and indicatinf, an clevation for the existing system. If you have any questions give me a call. Thanks, i m _ DEC -21 -2004 12:12 PM A.C.E. Soil & Site E--�al. 715 248 7764 P.02 lea Wisconsin Deparhnsnt of Commerce SOIL EVALUATION REPORT pqp t of 2 DNhlon of Oddy and Built tns In accordance with Comm 85, Wis. Adm. Code A.C.E. Sod 8 81b Evaluations Attach complete site plan an paper not Ins then 6% U 11 inches in size. Pion must County St Crobt include, but not limited to: voftW and horizontal reteronospoint (BM), direction and percent slop, scale or d memelons, north arrow, and ksalron and dbtertoe b nearest load. Parcel I. D. 008 -108440-000 Please print all lnfbrnM dan_ RwAswed By Date N am al inrarmelbrr you mM& mW be used for --Wwy papoose (prlveay Lei• s. 1SAM ( (m)) PraP" Owner Property Location Daralla Carey Govs. Lot SE 1/4 SE 114 S _29 T 2 N R 16 W Properly Owners Mailing Address Lot # Block # eubd. Name or GSM# 120 23M Street na _Na_ City State Zip Code Phone Number 10 City 11 VMage 10 Town Nearest Road_ 8aldwln I WI 1 54002 715.884 -5927 Eau Gale I 23017h Street New Construction Use: M Residential / Number of badrows 4 Cede derived design Aeiw rate fi00 _ - - -__ - GPD Replacement Pubik: or Cominat al - Describe' Parent rnederiel Glada Ted Flood plain elevation, If applicable Naval aorrsttente and reaoinnodatlons: Evaluation completed to determine a dollIng POWYS and soN suitability for Wisconsin Fund application. ExiorUng system elev. - 98.00 Boring N ' Boring __._. N PR -- Ground Surface elev. 1 GC.87 _ ft- Depth to limiting Factor .. 28 in. Sod Appdcation Rile Horizon Depth Dominant Color Redork Description Texlws inrdule Consistence Boundary Rookq _ QPQff in. Munsell Clu. $z. Cont. Color Gr. Sz. Sh. "Eff#I �Pfd2 1 0-12 10yr3/3 none all 2%bk mvfr as 2tMn 0.8 0.8 2 12 -28 10yr5/4 none sit 2ltsbk mfr cs Urn 0.8 0.8 _ 3 28.84 7.5yr4/4 f2f 7. SyrS/8 at 1 msbk mvfr cw 1 of f 0.4 0.7 4 64 -72 7.5yrMS none Is 1 msbk mvfr CW - 0.7 1.2 5 72 -87 7.5yr4/4 none e14eMs 1msbk mfr gW - 0.4 .07 B 87 -123 7.5yr4/4 f2f7.5vr5 /lt�t _•••._— ._,__.- ,...___...__— - - f2d Io /3 !msbk mfr 0.4 0.7 **Maw an unno rredure . msbk yr & 10yr4/6 is. " Etllued #1 = BOD ? 30 c mg/L and TSS 30 c 130 mg/L - Effluent 02 '- BOD S . 30 mg/L and T33 , c_,V mWL CST Name (Plows Print) Ignatum - CST Number James K. Thompson �` s 3802 Address A.C.E. Soil a Site Evel"9104 Dater Evaluation Conducted Telephone Number 340 Paulson Labe LaW. Cacecla WI 54020 5/82003 715 - 248 -7787 DEC -21 -2004 12:13 PM A.C.E. Soil & Size Eual. 715 248 7764 P.03 Pro posed PM 4t 18,44 f l40.3 ` � � � 501 cra 1rra.6en w/8 X7 5 'd /ars.J c,v/. BL el�nc �fti �S a s''73 37 /, /;me Or; Wi Or ;F'i` SIO NC" vt 3 / Ez�S�inq 9�aet e/W � C�r+�✓e.po�ba., aF ' 93,0 Z 11 , v.>Ld das: 4"..cd �Itlt• IdO, 00: � l"f,f cort.6w- 9: o = 74' .4p p�a,�r, �eea 'esi G{ �— •►� fri b�r.:td Myoyrrv:Gt 2 "S..1�40 g Aw rcA mw. n ProP° l,zso /� i"'.suf.KcOrc. � �•nbi�gw„�r/►� y.T, /��. , ieI•�rrtriut�•a� `•'�l��+el sl- /dD ej{i�+�+ �xa � ZNS.l�C 4 cotwv at ST 06-t /cF, code. .B r. * WA nf or.�ti.le Gam: �rs6► c Z!U' .2 qc 2 1636 Wisconsin Department of Commerce IT page I of 2 Division of Safety and Buildings A.C.E. Soil & Site Evaluations Attach complete site plan on pap )unty St. Croix include, but not limited to: vertica_____--------' -rcel I.D. percent slope, scale or dimemsioi 008-1084-40-000 Please _--riewed By Date Personal information you provide me) Property Owner Daralla Carey 1/4 SE 1/4 S 29 T 298 N R 16 W Property Owner's Mailing Address W. Name or CSM# 120 230th Street Na City late Town Nearest Road Baldwin L V 230Th Street L _j New Construction Use: design flow rate 600 _GPD 0 Replacement I F Parent material Glacial Till Flood plain elevation, if applicable na General comments and recommendations: Evaluation completed to determine existing POWTS and soil suitability for Wisconsin Fund application. 171 Boring # I Boring 0 Pit Ground Surface elev. 100.87 ft. Depth to limiting factor 28' in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont, Color Gr. Sz. Sh. -Eff#1 -Efl#2 1 0-12 1 Oyr3/3 none Sil 2fsbk mvfr Cs 2fm 0.6 0.8 2 12-28 1 Oyr5/4 none Sil 2fsbk mfr cs lfm 0.6 0.8 3 28-64 7.5yr4/4 f2f 7.5yr5/8 sl 1 msbk mvfr cVV 1 vf,f_ 0.4 0.7 4 64-72 7.5yr4/6 none Is 1 msbk mvfr cVV - 0.7 1.2 5 72-87 7.5yr4/4 none swsft 1 msbk mfr 9w - 0.4 .07 6 87-123 7.5yr4/4 j f2f 7. /8 Imsbk mfr 0.4 0.7_ ,2T I /8 & Oyr6N swsft I H# 4 & 5 qdhsist of an unso mxture of 1 msbk 7.5yr4/4 SI, 7.5yr4/6 Its & 1 Oyr4/6 ft. F V * Effluent #1 = BOD 30 < 220 mg/L and TSS >30 < 150 L �uent #2 = BOD.-S.30 mg/L and TSS <-30 mg/L CST Name (Please Print) Signature: CST Number James K. Thompson 3602 Address A.C.E. Soil & Site Evaluations Date Evaluation Conducted Telephone Number 340 Paulson Lake Lane, Osceola, 154020 5182003 715-248-7767 3 l Proposed m0"cl at Z8.6 X 96.03 • � dl 7S'd iS PerSa1 W/. X S / a ✓a /U- a ?� , -tc (3)d ;.3'ib oh 8� / _. _ E,{ S�'n lorlcel;n f lnfera. /S Q. / >z. ")r 73.37' t / lv,oro ,4. /;ne L,)/ obi f'i cez Sect c" at ia7 i A c c. on a{' ioi.o'ce�ow- 9S!0' 97 ' "0 yl°• /oo o : ToQ of Lo Or s n . 76. Stt/►t2d 2�C1/."= /00.00.' J 1u1�� ci/anq c�o�tt6w- 99 ° • c /O' U ��prQX. /oco- - 6 - an OC F ev �v (tX lI 6L N g rc e mcx 8 Pro posed �, Z , S O /eat 9o.A Go�nb��at�cn, 9.T.�P.C. v .swde;vk4, w/4a,6el 4 -/da eft' /W4 ' bGl•w dri utwaa - E}r.3�'n, :,,$,daj6c a �: Itc/ a t per Code. e<Xj5 fr �9 9a.1. ►�orc 1. COM- Sce6 c. �nK. 14c S a r" or s. r r»anbo /e C.utu: E/e = i% 32' S.T, 0wt(¢4_ YJQ7'r EYiSfJny 50,% abSorpsr"on b Sysbc.n F " zss�' 2 P 5. ST. CROIX COUNTY �`�.. WISCONSIN ZONING OFFICE ^: N f N f f N N N• r�..r ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road ''•- _.� Hudson, WI 54016 -7710 -_"—" (715) 386 -4680 FAX (715) 386 -4686 January 3, 2005 DORALLA CAREY 120 230 ST. BALDWIN, WI 54002 Dear Ms.Carey, After reviewing your application for the Wisconsin Fund Grant Program, I have determined the application to be ineligible to receive a grant. The WI Fund guidelines are very specific as far as the date of the installed failing system. The failed system had to be installed before July 1, 1978. Existing septic system application and paperwork filed at St. Croix County Zoning department show an installation date of August 18, 1978 for the failed system. I have contacted Jean Joyce who is the WI Fund Grant Specialist, the person who processes the grant applications, and she stated that there is no variation of the installed date requirement. The installation date requirement is a state statute and cannot be changed without proper legislative procedures, no exceptions. An applicant can still be eligible to apply for the grant program for three years from the date of system failure determination. If the state legislature should change the date of installation for the failing system, you may be eligible to apply for the grant at that time, as long as it is within the three year time period expressed above. I am returning your $100.00 grant application fee. Please call me with any questions or concerns. Sincer ly, evin rabau Zoning Specialist Cc: file a ST. CROIX COUNTY WISCONSIN ZONING OFFICE ■ ■ ■ ■ r���r ST. CROIX COUNTY GOVERNMENT CENTER \ 1101 Carmichael Road �•. -�— Hudson, WI 54016 -7710 s _ (715) 386 -4680 FAX (715) 386 -4686 NOTICE OF VIOLATION September 03, 2003 DORALLA CAREY 120 230 ST. BALDWIN, WI 54002 RE: Failing septic system at 120 230 St. Town of Eau Galle - St. Croix County, WI Computer # 008 - 1084 -40 -000 Parcel # 29.28.16.448B Dear Ms. Carey: As required by the ST. CROIX COUNTY ZONING ORDINANCE, notice is hereby given that you are in violation of § 254.59(2) Wisconsin Statutes, COMM 83.32(1) Wisconsin Administrative Code, and Article 15.04 of the St. Croix County Zoning Ordinance. This system has failed under the definition in § 145.245(4)(b) Wisconsin Statutes (Category I). This violation was first noted on September 03, 2003. The violation noted is septic effluent discharging to the ground surface. An on -site inspection on 09/03/2003 did reveal the septic effluent discharging to the ground surface. If fines and or forfeitures become necessary to bring about the abatement of this violation, they will be assessed as of 09/03/2003 in accordance with Chapter 145.12(4) Wisconsin Statutes. THE FAILING SANITARY SYSTEM ON THIS PROPERTY POSES IMMEDIATE HEALTH CONCERNS AND NEEDS PROMPT ATTENTION. REQUIRED ACTION: By October 01, 2003, contract with a certified soil tester to have a soil evaluation conducted. The soil evaluation will determine the type of septic system needed and it's location. Then contract with a licensed plumber, who will design the septic system and obtain a sanitary permit through this office. The septic system must be installed no later than December 01, 2003. If you have any questions or concerns that I can address for you in this matter, please feel free to contact me. I look forward to working together to resolve this matter. Sincerely, 6 K&Grabau Zoning Specialist cc: file THIS DO CUMENT 17 _ _ 7 a r 7s ' £ 3. } i . d k y y K "r.� ", ` _ '.✓ a f c 4; of y $ %: ' ss. � g x � tw �t�L✓ &s.a r.8 �• F 0. 3 AWN xu Ci iw n�� x. mss„ lR S ':• mc& :: 3 :ro '�§ u ,z a :s d. � ���` ?,a �o-� X� • � � . '� .:' , m¢ � d t `5 F t x'"A � «�, �` .,� �� °'�.� � r ' '� ��`4 „ & q::� a *a,� �r. ',""`sw�. � �'^ , � ',• �'�• -�. � ��e � _ �,` :� '� 1. s �'�,:: fi r` >➢c.'.3 !?°. � .�'.' $z 6 � F � �. fi '� � � � .: -. � 1 ;.; .,� s COUNTY OF ST. CROIX STATE OF WISCONSIN GH�G:K NQ VEi!00.R NO .; ...._.. .,......_ ............_......._.......... .._ .iii ._........._...._........... VENDOR: DORALLA CAREY 01/06/05 00589163 888888 iNVCfICE DE GREPTiON VC)UCHER 10. AMOUNT PAID 12 -31 -2004 REFUND WI FUND APPLICATION FEE 00039180 100.00 ST. CROIX COUNTY WISCONSIN ZONING OFFICE ST. CROIX COUNTY GOVERNMENT CENTER _ 1101 Carmichael Road �•N�' -—� Hudson, WI 54016 -7710 (715) 386 -4680 FAX (715) 386 -4686 NOTICE OF VIOLATION September 03, 2003 DORALLA CAREY 120 230 ST. BALDWIN, WI 54002 RE: Failing septic system at 120 230 St. Town of Eau Galle - St. Croix County, WI Computer # 008 - 1084 -40 -000 Parcel # 29.28.16.448B Dear Ms. Carey: As required by the ST. CROIX COUNTY ZONING ORDINANCE, notice is hereby given that you are in violation of § 254.59(2) Wisconsin Statutes, COMM 83.32(1) Wisconsin Administrative Code, and Article 15.04 of the St. Croix County Zoning Ordinance. This system has failed under the definition in § 145.245(4)(b) Wisconsin Statutes (Category I). This violation was first noted on September 03, 2003. The violation noted is septic effluent discharging to the ground surface. An on -site inspection on 09/03/2003 did reveal the septic effluent discharging to the ground surface. If fines and or forfeitures become necessary to bring about the abatement of this violation, they will be assessed as of 09/03/2003 in accordance with Chapter 145.12(4) Wisconsin Statutes. THE FAILING SANITARY SYSTEM ON THIS PROPERTY POSES IMMEDIATE HEALTH CONCERNS AND NEEDS PROMPT ATTENTION. REQUIRED ACTION: By October 01, 2003, contract with a certified soil tester to have a soil evaluation conducted. The soil evaluation will determine the type of septic system needed and it's location. Then contract with a licensed plumber, who will design the septic system and obtain a sanitary permit through this office. The septic system must be installed no later than December 01, 2003. If you have any questions or concerns that I can address for you in this matter, please feel free to contact me. I look forward to working together to resolve this matter. Sincerely, Kevin Grabau Zoning Specialist cc: file