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106-2033-30-200
0 2 0: 3 0 c � f� �k � ■ � / ƒ J z ° 2 \ 'k ; ` e m 0) N) P. @ }( k k 9 d k / / a - < § CL t & - m a & § \ / \ \' k \ / ■ E m < { S E o k_ ) $ f ± C ~ R G� 3 \ / E 7 / o, �; CD s z CL / \ § / Co o a 2 ° E rT t k V -V -0 ƒ \ , 0 0 o s; cn Cl) j GC, 0 I . 2 c Can G 0 k w k \ \ \ CD § 7 © � CD � ) � § § E ƒ / � C. 3 � ) \ CD \ 2 z ° / k \ ; S \ } \ \ --I ° 0 / \ } CA) % \ . < ± ,R& a) co z E \ C ` o« C> i /\ \ \\ _ . ) / i 2 , o ® \ � � \ ■ 0 » < § / \ 69 � \ 7 Parcel #: 106 - 2033-30 -200 04/24/2008 05:14 PM PAGE 1 OF 1 Alt. Parcel #: 06.28.16.937B 106 - VILLAGE OF BALDWIN Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 03/21/2006 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner O - HIELKEMA, HARVEY N & SUE HARVEY N & SUE HIELKEMA 2150 55TH AVE BALDWIN WI 54002 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description 2105 55TH AVE SC 0231 BALDWIN - WOODVILLE AREA SP 1700 WITC Legal Description: Acres: 1.374 Plat: 5178 -CSM 20 -5178 106 -06 SEC 6 T28N R16W PT SW NE EXC W 680 FT Block/Condo Bldg: LOT 05 FKA PT LOT 1 CSM 4/1123 (19.000AC)FORMERLY (83A) 008 - 1016 -30 Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) AX- 535608 EZ- U- 1164/238 NKA CSM 20 -5178 06- 28N -16W SW NE LOT 5 (1.374AC) Notes: Parcel History: Date Doc # Vol /Page Type 03/21/2006 821155 CSM 2008 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 06/20/2007 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.374 45,000 20,000 65,000 NO Totals for 2008: General Property 1.374 45,000 20,000 65,000 Woodland 0.000 0 0 Totals for 2007: General Property 1.374 45,000 20,000 65,000 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 Parcel #: 106- 2033 -30 -000 04/24/2008 05:12 PM 1 1 OF 1 Alt. Parcel #: 06.28.16.937 106 - VILLAGE Of= BALDWIN Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 03/21/2006 00 6 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner O - HIELKEMA, RETIRED RETIRED HIELKEMA Districts: SC = School SP = Special Property Address(es): " = Primary Type Dist # Description SC 0231 BALDWIN- WOODVILLE AREA SP 1700 WITC Legal Description: Acres: 19.500 Plat: 1123 -CSM 04 -1123 SEC 6 T28N R16W PT SW NE EXC W 680 FT Block/Condo Bldg: AKA LOT 1 CSM 4/1123 FORMERLY (83A) 008 - 1016 -30 AX- 535608 EZ -U- 1164/238 NKA Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) CSM 20 -5178 06- 28N -16W Notes: Parcel History: Date Doc # Vol /Page Type 2008 SUMMARY Bill M Fair Market Value: Assessed with: 0 Valuations: Last Changed: 05/16/2006 Description Class Acres Land Improve Total State Reason Totals for 2008: General Property 0.000 0 0 0 Woodland 0.000 0 0 Totals for 2007: General Property 0.000 0 0 0 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch M Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel #: 106- 2033 -30 -100 04/25/2008 07:44 AM PAGE 1 OF 1 Alt. Parcel #: 06.28.16.937A 106 - VILLAGE OF BALDWIN Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 03/21/2006 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner O - HIELKEMA, HARVEY N & SUE HARVEY N & SUE HIELKEMA 2150 55TH AVE BALDWIN WI 54002 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 2105 55TH AVE SC 0231 BALDWIN - WOODVILLE AREA SP 1700 WITC Legal Description: Acres: 17.909 Plat: 5178 -CSM 20 -5178 106 -06 SEC 6 T28N R16W PT SW NE EXC W 680 FT Block/Condo Bldg: LOT 04 FKA PT LOT 1 CSM 4/1123 (19.500AC)FORMERLY (83A) 008 - 1016 -30 Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) AX- 535608 EZ- U- 1164/238 NKA CSM 20 -5178 06- 28N -16W SW NE LOT 4 (17.909AC) Notes: Parcel History: Date Doc # Vol /Page Type 03/21/2006 821155 CSM 2008 SUMMARY Bill #: Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 06/20/2007 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 0.909 10,000 32,100 42,100 NO AGRICULTURAL G4 17.000 4,500 0 4,500 NO Totals for 2008: General Property 17.909 14,500 32,100 46,600 Woodland 0.000 0 0 Totals for 2007: General Property 17.909 14,500 32,100 46,600 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 y� eaZ t tss VOL 20 PAGE 5178 KATffL7= H. REGISTER OF DEEDS ST. CROIX CO. MI RECEI V D FOR t?F rnRp 37 2006 12:46PH CERTIFIED SURVEY MAP CERTIFIED SURVEY MAP REC FEE: 15.00 Harvey N. Hielkema COPY FEE: 4.00 Located in part of the Southwest % of the Northeast '/4 of Section 6, PAGES: 3 Township 28 North, Range 16 West, Village of Baldwin, St. Croix County, Wisconsin, being Lot I of that Certified Survey Map recorded in Volume 4, Page 1123 of St. Croix County Certified Survey Maps. VILLAGE OF BALDWIN APPROVED BY: U TITLE: ,/, DATED: �� i/J� - �OIC'�i FND. 3 ;V 0' E, 1.91' Uk)?4ATTED LANDS UNPE JA_ T7 EA N. LINE SWI14 -NE1 /4 (R= S 87 E 6$8.367 ° , LA ND ^ x— S 87 °58'40" E 638.17 --Lx N to , UNPLATT_ED V OWNER HARVEY N. HIELKEMA LOT 4 T, 540 SUMMIT CIRCLE I" BALOWIN, 1/1(1 54002 CONTAINS 780,124 SQ. FT. OR 17.909 AC. Z5 (762,574 SQ. FT. OR 17.506 AC. EXCLUDING SURVEYOR SCALE IN FEET 1" .2W' TOWN ROAD RIGHT OF WAY) LAURENCE W. MURPHY W7409 S.T.H. "65" BELDENVILLE, WI 54003 100 0 160 210 �3 BEARINGS ARE REFERENCED TO THE EAST -WEST 114 SECTION a LINE OF SECTION 6, T 28 N, R 16 W, ASSUMED AS S 874771"E. m u1 ►U a r ? 3 ; g o =r QQ 95 C2 g DATED: LEGEND Z ����'' g JANUARYS 2006 co Q INDICATES I "O.D. x 18 "IRON \�� " REVISED: PIPE SET (MIN. WT - 1.13 LB./L-F.) 10• JANUARY 10, 2006 OO INDICATES 314" IRON ROD FOUND CJ, GpN.R/ A SOIL BORINGS (PROPOSED SEPTIC SYSTEM) 0 SECTION CORNER MONUMENT ��RQ -86't °Esau w IV (AS NOTED) MURPf�(Y •� — " INDICATES FENCELINE G G s 3 Ir INDICATESR - I - L ZONING 200.12' �� � VILLE,� 7� (REMAINDER IS INDUSTRIAL N 87 "56'58" W ' - --- °� •�' �' x ' • . ",4i ZONING) T LO 5 CONTAINS 59,846 01'_ 1 y � • ° J � — — VILLAGE SETBACK LINE o LO 5 OR 1.374 10'+ Liallo I- QT 2 (51,630 SO. FT. OR 1.185 1 �ERTIFIED - $URVEY MAP y AC. EXCLUDING TOWN LANDS -- ROAD RIGHT OF WAY)' ►%9.1 •• _ _1 �, P_ . _4033 g (R= N 87 - W 637.17 S (R= S 87 6 - E E) N 87 °56 W 637.15 � 3 14'! (I?= s A 32o4a. R= 51. h ? sr— 437.0,x' _ _� !R S87* 594z ' E 1315409 S 87°4771' E _ 2048.69 � = 39.5T — L S -88'0038" E 1317.419 — - — - $5TH( AVE 40.80' -;- S 87 a�.3 .4r2l' E 1317.79 A EAST -WEST 1/4 SEC_LIN � - - — _ - -� WEST 1/4 CORNER 437.04` 200 21" W . 1 N L (R 49.09 Zti SECTION 6, T 28 , R 16 W OT 2 g; a`o' N 87'47 637.18' (FOUND P.K NAIL) - S 87 � (R w 637 L 087 ��UTOT LOT 2 FAST i/I CORNER CERTIFIED c i I SEC 6, a; . 4721 • E 4003.66' - T R 16 W SURVEY MAP �; rR= 66•oa36 - E 3 1 _ CERTIFIED (F 28 N, �yD y 40031 �� SUREY MAP VQL, V RErR) 7, P_ 2Q12 i� (R S87.5942'E) 05 1 26 A L , OT 2 VOL, 9, P. THIS INSTRUMENT DRAFTED BY JERALD L. LARSON SHEET 1 OF 3 1 of 3 Vol 20 Page 5178 Parcel #: 008- 1016 -30 -000 04/24/2008 05:11 PM PAGE 1 OF 1 Alt. Parcel #: 06.28.16.83A 008 - TOWN OF EAU GALLE Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 5 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner O - HIELKEMA, HARVEY N & SUE HARVEY N & SUE HIELKEMA Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description SC 0231 BALDWIN - WOODVILLE AREA SP 1700 WITC Legal Description: Acres: 19.500 Plat: N/A -NOT AVAILABLE SEC 6 T28N R1 6W 19.5A SW NE EXC WEST 680 BlocklCondo Bldg: FT ALSO KNOWN AS LOT 1 CSM VOL 4/1123 NKA 106 - 2033 -30 (937) AX- 535608 Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) (EZ -U- 1127/336) 06- 28N -16W Notes: Parcel History: Date Doc # Vol /Page Type 2008 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 01/10/1996 Description Class Acres Land Improve Total State Reason Totals for 2008: General Property 0.000 0 0 0 Woodland 0.000 0 0 Totals for 2007: General Property 0.000 0 0 0 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 I ` County: Wisconsin Qe*rtmenf of Commerce PRIVATE SEWAGE SYSTEM St. Croix Safety and Building Division INSPECTION REPORT Sanitary hermit No 499124 U � GENERAL INFORMATION (ATTACH TO PERMIT) 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: Hielkema, Harvey Eau Galle, Town of 008- 1016 -30 -000 CST BM Elev: Insp. BM Elev: BM Description: / � Section /Town /Range /Map No'. /00 M Ike GST 06.28.11.83A TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER i CAPACITY STATION ' Bj I_ FS ELEV. Septic , S p� Benchmark es,�._ Alt. y.45 l;64.45 .�s q , /66 /66 Dosing G Dv�b fdJ� . •� �1 �p. (� I 77. Bldg. Sewer Holding St/Ht Inlet /�•� 9 St/Ht Outlet TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet ` Septic $ 14 4-6 ) t Q / Dt Bottom Dosing ?q I-6 J Header /Man. / Aeration Dist. Pipe 3. (o i a16 •9 Holding Bot. System 1 4, 15 35 PUMP /SIPHON INFORMATION Final Grade 2.6 X04 9 T r Manufacturer Q V n Demand St ` ve 9 C�'7, Z$ �1 GPM b Model Number E P aS 33. S . - $ � • 1 6 ( TDH Liftl S5 Frictiol} L� System . Z TD i � 3 F Forcemain TLenj thG -, Dia. Dist. to Well SOIL ABSORPTION SYSTEM BED/TRENCH Width / Length No. Of Tr ches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 45C �_ \ _�, SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING Manufacturer: CHAMBER OR INFORMATION � UNIT Model Number: Type q� ��s�t e: 1 { � - / V I '1 DISTRIBUTION SYSTEM laev� ' Header /Manifo� Distribution x Hole Size �� I x Hole Spacing VenJlo Air Intake /� Pipe(s) 4 9 x 3 v Length_ Dia h • w Length " Dia I' �+" Spacing 3 SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth of f xx Seeded /Sodded xx Mulched Bed/Trench Center 5 5 Bed/Trench Edges ` Topsoil ' �t?" Yes No Yes No COMMENTS (Include code discrepencies, persons present, etc.) Inspection #1: { // O ( o Inspection #2: / / Location: PENDING Baldwin, WI 54002 (SW 1/4 NE 1/4 6 T28N R16W) NA Lot 5 O>� ��, Parcel No: 06.28.11.83A • ► u 1.) Alt BM Description = F �. C..OJe .— 2. Bldg ewer length = 9 9 amount of cover = I C 4 1-0 C" d v—... Plan revision Required? Yes ` $ 7 0- Use other side for additional information. /_ Date Insepctor's gnature Cert No SBD -6710 (R.3/97) Safety and Buildings Division County A I / � ' 201 W. Washington Ave., P.O. Box 7162 St ( led sconsin ]Madison, WI 53707 - 7162 Sanitary Permit Number (to be filled in by Co.) Department of Commerce (608) 266 -3151 X79 /Z Sanitary Permit Application State Plan I.D. Number n In accord with Comm 83.21, Wis. Adm. Code, personal information you provide 1 2 4 - / 1 � D may be used for secondary purposes Privacy Law, s15.04(1)(m) Project Address (if different than mailing address) I. Application Information - Please Print All Informatio Pro pertyOwner's Na me 1 Q ,2 Parcel /t of # Block H ut 615% _ al �X1 PO - t� 1 ' o -�o s PropertY Owner' Mailing Address gT, CR Property Location �o te � /V /_ City, State / 0 a Zip Code Phone Number - �� ��' 'k,Secdon to [ 0 L (.�t�� s�� � ����G / -( �V circle one) � Q' / II. Type of Building (check all that apply) T // N; R_L W C Subdivision Name CSM Number f�l 1 or 2 Family Dwelling -Number of Bedrooms }s ❑ Public /Commercial - Describe Use ❑ State Owned -Describe Use ❑City_ ihlage Township oL4 III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A ' New System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System B. ❑Permit Renewal El Permit Revision El Change of ❑Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner IV. Type of POWTS System: (Check all that apply) ❑ Non - Pressurized In- Ground %Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter ❑ Constructed Wetland ❑ Pressurized In- Ground Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter ❑ Leaching Chamber ❑ Drip Line ❑ Gravel -less Pipe ❑ Other (explain)5. /S V. Dispersal/Treatment Area Information: Design Flow (gpd) Design Soil Application Rate Dispersal Area Requir sf) Dispersal Area Propos (sf) System Elevation VI. Tank Info Capacity in Total Number Manufacturer Prefa Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Existing T Tanks Septic or Holding Tank G G G L✓ E'5e� Aerobic Treatment Unit Dosing Chamber t � VII Responsibility Statement- I; the under geed; ass ponsibility for installation of t he POWTS shown on the attached plans. Plumber's Na rye (Print) Plum 's Si gnatur /MPRS Number Business Phone Number Plumber's Addre ss (Street- ity, State, Zip ode) /vi Ca �3 L—I'd o Co VIII. Count Department Use Onl K A ' pproved ❑ Z=ven Sanitary Permit Fee (includes Groundwater D to Is ed Issuin gent Si re Stam El Reason Surcharge Fee) C C O Ob $ 2� b V J J IX. Conditions of Approval /Reasons for Disapproval nn i. S" 1M10 *,effl ue 3, La,tdL t'� ' °�4S ti �, / ro U t . Septpc tank, eff luent flfter and 1 dispersal cell must all be servites / maintained as per management plan provided by plumber. 2. AN se back requirements must be maintained as per applicable code / ordinances. Attach complete plans (to the County only) for the system on paper not less than 81/2 x 11 inches in size SBD -6398 (R. 01/03) Y � • r, r w., " 'RaWWO M3T,3YZ Nob(INd OA phi:. ',. •�i _.. t ':., ... p9✓ ti2 �9 %.;�ih w Y, Ij ID IJ- k' � j 5 rr - -- �a �,_.___ ►�._ _s:���'' c .. _ -:A !�- - Lot I ; m t CX p o -� I Safety and Buildings ` commerceml. ov 4003 N KINNEY COULEE RD g LA CROSSE WI 54601 -1831 TDD #: (608) 264 -8777 isconsin www.commerce.wi.gov /sb/ Department of Commerce www.wisconsin.gov Jim Doyle, Governor Mary P. Burke, Secretary May 26, 2006 CUST ID No. 223475 ATTN.- POWTS Inspector JOE STANG ZONING OFFICE STANG PLUMBING & ELECTRIC ST CROIX COUNTY SPIA PO BOX 263 1101 CARMICHAEL RD WOODVILLE WI 54028 HUDSON WI 54016 CONDITIONAL APPROVAL Identification Numbers PLAN APPROVAL EXPIRES: 05/26/2008 Transaction 'ID No. 1275359 SITE• Site ID No. 713328 Hielkema Mound Please refer to both identification numbers, 55 Ave above, in all come ondence with the a enc Village of Baldwin, 54002 St Croix County SWIA, NEIA, S6, T28N, R16W Lot: 4, FOR: Description: Three Bedroom Mound System Object Type: POWTS Component Manual Regulated Object ID No.: 1077470 Maintenance required; 450 GPD Flow rate; 21 in Soil minim depth to limiting factor from original grade; System: Mound Component Manual - Version 2.0, SBD- 10691 -P (N.01 101), Pressure Distribution Component Manual - Version 2.0, SBD - 10706 -P (N.01 101); Biofilter 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, Co►ytd stats. The following conditions shall be met during construction or installation and prior to occupancy or use: APP Reminders pEPARTMEI • This system is to be constructed and located in accordance with the enclosed approved plans and with the $EE CORI component manuals listed above. • 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. • 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 JOE STANG Page 2 5/26/2006 • Comm 83.22(7) A CORY 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 charlie.bratz@wisconsin.gov cc: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544 MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: Hielkema Mound Owner's Name: Harvy Hielkema Owner's Address: 540 Summit Circle tSgF j 1 200 Baldwin Wisc. 54022 eU / ZD s Legal Description: SW 1/4, NE 1/4, S 6, T28N, R16W Township: Village of Baldwin County: St. Criox Subdivision Name: Lot Number: 5 Block Number. Parcel I.D. Number: Plan Transaction No.: Page 1 Index and title Page 2 Data entry Page 3 Mound drawings Page 4 Lateral and dose tank Page 5 System maintenance specifications Page 6 Management and contingency plan �fi�l1lllr Page 7 Pump curve and specifications y � Page 8 Plot Plan VED Page 9 Soil Evaluation Report r OF Cot 1,1ERCE r DINGS E SPONDENCE Designer: Joe Stang License Number: 223475 Date: 05/1 /06 Phone Number: (715) 6845166 Signature: 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 (01/81) Version 4.01 (R. 09/04) Page 1 of 9 Mound and Pressure Distribution Component Design Design Worksheet Site Information (r or c) R Residential or Commercial Design Note: Sand fill (D) calculations assume a 300.00 Estimated Wastewater Flow (gpd) Table 83 -44 -3 in -situ soil treatment for fecal 1.50 Peaking Factor (e.g. 1.5 = 150 %) col form of - 36 inches. 450.00 Design Flow (gpd) 3.50 Site Slope ( %) 99.10 Contour Line Elevation (ft) 21.00 Depth to Limiting Factor (in) 0.40 In -situ Soil Application Rate (gpd/ft Distribution Cell Information 50.00 1 Dispersal Cell Length Along Contour (ft) = 9.00 Cell Width (ft) 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) a Center or End Manifold 3.00 Lateral Spacing (ft) If N above, enter the elevation ft 3 Number of Laterals of the highest point. 0.188 Orifice Diameter (in) (e.g. 0.25) 3.00 Estimated Orifice Spacing (ft) = 8.82 ft /orifice 2.00 Forcemain Diameter (in) 40.00 Forcemain Length (ft) Does the forcemain drain back? Y 83.80 Pump Tank Elevation (ft) Enter Y or N 3.25 System Head (ft) x 1.3 6.52 Forcemain Drainback (gal) 16.30 Vertical Lift (ft) 46.34 5x Void Volume (gal) 0.95 Friction Loss (ft) 52.86 Minimum Dose Volume (gal) 20.50 Total Dynamic Head (ft) 33.42 System Demand (gpm) Lateral Diameter Selection Manifold Diamet Selection in. dia. options choice in. dia. options choice 0.75 1.25 1.00 1.50 x 1.25 x x 2.00 x x 1.50 x 3.00 2.00 x 3.00 x Gallons /inch Calculator (optional) Treatment Tank Information 650.00 Total Tank Capacity (gal) 1000.001 Septic Tank Capacity (gal) 38.00 Total Working Liquid Depth (in) Wieser IManufacturer 17.11 gal /in (enter result in cell B49) Dose Tank Information Effluent Filter Information 650.00 Dose Tank Capacity (gal) JZabel Filter Manufacturer 17.00 Dose Tank Volume (gal /in) A100 Filter Model Number Wieser Manufacturer Project: Hielkema Mound Page 2 of 9 Mound Plan View ...... T l 1 /10 B� • Observation Pipe Q ' .T '.'T j K — T 9 A B I I L Mound Component Dimensions Down slop toe extension made. A 9.00 ft E 18.78 in H 1.00 ft K 9.54 ft B 50.00 ft F 9.25 in I 13.50 ft L 69.07 ft D 15.00 in G 0.50 ft J 6.84 ft W 29.34 ft 450.00 (ft) Dispersal Cell Area 1125.00 (ft) Basal Area Available 9.00 (gpd /ft) Linear Loading Rate 5.00 (ft) 1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 102.12 (ft) —� H F :: Dispersal Cell 100.85 (ft) Lateral 100.35 (ft)—► — Invert Dispersal Cell 3 = t Elevation E D: J ' ' J ' 1 '. ._, - j - j _j . -� •;� _j - y �; - - ; ' { ; - _ - �' - �� - -1_ -� '•_��_-� ' - - - _- J ' -�•� ! �_- J �_ -�_: - J `_C_'_ a - = •f� • �� �C A '_` J J, l J ` 4 99.10 (ft) Contour Elevation 3.5 %Site Slope Geotextile Fabric Cover Shading Key 'a _Q. T Dispersal Cell See lateral details on Q ®Topsoil Cap °� 1.5 ft Page 4 for number, size, Q F<<,f p 5 © Subsoil Cap and spacing of laterals. 0 ASTM C33 Sand 2 F Laterals are equally Tilled Layer 0.5 ft Typical Lateral spaced from the 05 0 Aggregate a c 5 IF distribution cell's centerline in the A distribution cell (AxB). Project: Hielkema Mound Page 3 of 9 End Connection Lateral Layout Diagram Center the laterals over the A & E3 dimension 4 0= Turn -up vdball v ®Iva or olannoutplug E P All laterals are Identical X - ->I Holes drilled on the bottom of the lateral 3 equally spaced Laterals & force main of PVC Sch 40 S [per COMM Table 84.30 -6] Force main conneotion via tee or cross to manifold at any point. Number of Laterals 3 Orifice Diameter 0.188 in Lateral Diameter 1.25 in Orifice Spacing (X) 3.03 ft Lateral Length (P) 48.48 ft Orifices per Lateral 17 Lateral Spacing (S) 3.00 ft Orifice Density 8.82 ft /orifice Lateral Flow Rate 11.14 gpm Manifold Length 6.00 ft System Flow Rate L 33.42 gpm Manifold Diameter 2.00 in Total Dynamic Head 20.50 ft Forcemain Velocity 3.41 ft/sec Dose Tank Information Locking cover with warning 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 Alternate outlet location Forcemain diameter Wieser Manufacturer 2 in. Capacityl 650.00 Gallons Volume 17.00 gal /inch A Weep hole or anti - Dimension Inches Gallons B siphon device A 24.13 410.14 C B 2.00 34.00 P � ump off elevation (ft) C 3.11 52.86 1 84.55 D 9.00 153.00 D Total 1 38.24 650.00 1 =� Dose tank elevation (ft) 3" Bedding uncTer tank. 83.80 Alarm Manuafacturer SJE- Rhombus Controls Alarm Model Number ITank Alert 1 Pump Manufacturer JGoulds Pump Model Number 13871 EP05 Pump Must Deliver 1 33.42 gpm at 20.50 ft TDH Project: Hielkema Mound Page 4 of 9 Mound Svstem Maintenance and Operation Specifications Service Provider's Name Joe Stang Phone 1- 715 -684 -5166 POWTS Regulator's Name St. Croix County Zoning Phone 1- 715 - 386 -4680 System Flow and Load Parameters Design Flow - Peak 450 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 300 gpd Maximum BOD5 220 mg /L Septic Tank Capacity 1000 gal Maximum TSS 150 mg /L Soil Absorption Component Size 450 fl? Maximum FOG 30 mg /L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu /100 ml- Service Frequency Septic and Pump Tank Inspect and /or service once every 3 years Effluent Filter Should inspect and clean at least once every 3 years Pump and Controls Test once every 3 years Alarm Should test month) Pressure System Laterals should be flushed and pressure tested every 1.5 years Mounidl Inspect for ponding and seepage once every 3 ears 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 Tum-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: Hielkema Mound Page 5 of 9 Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code Ge neral 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 filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter 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 P the Department of Commerce. Pump 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 filter 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 mound's 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 BOD 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. Contingency 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 dogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 5 of this plan for the name and telephone number of your local POWTS regulator and service provider. Project: Hielkema Mound Page 6 of 9 ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM ��uyer HAYVe emc\ Mailing Address 5 O $ Property Address (Verification required from Planning & Zoning Department for new construction.) City /State f>a 1 A w : , &,, sc- 5 a oZ Parcel Identification Number L- o + LEGAL DESCRIPTION Property Location S 1n1 Y4 , N E ' /a , Sec. T 2-8 N R / (o W, X11 of _Subdivision __ _. _ _ - _ __ _ - , Lot # _ Certified Survey Map # a ? , Volume _, Page # 5 ? Warranty Deed # 6 U , Volume Page # Spec house yes no Lot lines identifiable yes no SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic iystem could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system Owner maintenance responsibilities are specified in §Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. Uwe certify that all statements on this form are true to the best of my /our knowledge. Uwe am/are the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Number of bedrooms SIGNAAM 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. 08105) 'tea a t9s ises ii :>ioti� GOULDS PUMPS �tlbin@I"� rr Em - 3 0 EP05 aloft • FO p No ■ElIi !,.—," " rHe racer to "aw Rft tsoreaer %MM for pas�y dt�A► lreerd�0 iorba sad d °°rorod'u" nest �ansier. �� � t$M cm Minn -w •+ .H arr1 c* kM tc l y ► � r +. A mo yl il w er ` sin s + atf V . for ~hwi , ■! f fI V •/ Sr �A1i�a w� onarowbUSIM PAWN • Solids m LPL Tommo , 5o*$VA C11 • U �fo60 p1 p� �R R Mfr pww of t vamn for w pMrar"w 3om d* Toter isow. up b 31 fat s rabdoAaW lo Disd�arge sa!~ 1 � NPT. + Modo" seat cabw er1m" AMIDMIM • r� + Faatrnue�i 3b0 swies -- --- • capabb of nooft 9 .—� • ....:.. —. i .. ds�nape b 1 i 7 • EMs aaHP, 1i5or230 .60HZt35D bWtln vA"dwrfh &f j f s w 1 f00t 15/S SJrW Vdlh p E on � � M 20 SO ._� . . _.. 5 18 woo CAPY11C[iY C,oulds Pumps saaoo oo,�sw •7 C� iTT induSb ies f•4nnnr. zoo° �� o� _ slow 5011 EVALUATION R papa __ _ o 3 in woe WMb Coom ark v1L AdOL Code sl„m D of Ohition of Stw Must Oak St. Crobc AtW� cow ° bn on pepar t° teas then 834 x 11 Indies ti Lo p prblt aY k Rlwiwwed Mi Ode �w �, am. �wo�v�� ►e.�.sauor..00na.ry�a�►�ar. &,s.o.rn 6eD1� Pkopetq►Owner � � na SWIM. NEW. 85, T28K R18W i oema.Hewe!► L,at# Blod� SL6&NameorC PtoPeijq► Owls NmMM Addmas 5�t0 Summit Ck re Stale *Code Phone Number CW ❑ ~ ® Town No@" Road g Cw 11Vi 540Q2 7t5 B 56ThAvs tJee: Reeldediai / Iroonber of bodrooms 3 Cods de�irsd dseTpn lbw nale 4W �D . ate _ _ - Awdpi�, l,g >< Goamd cc mil 31 Mmmd ,, boo beds ao6em won 10Q80R and 99.8!»t baased on conloltr Ines 9®.56 and 96.368. and rocomm I -'Imp nr M o # O found suface fAm. 99.75 it. Doplh to trm0 9 fadw 21 tn. Appicm6on Rob MF tbtboe Deplh tiddnenl odor Redw Deeatpiion Todwe R°°b (' ii. Mum" Qu. St. Cant. Cdw far. SL Sh. 1 0-12 10yr/2 none Sit 2msbk mfr cs if .6 .8 2 12-21 10yr1/4 none Sid 2msbk mfr CS ivf 4 .6 3 21-36 10y" cid 7—VW sid 2msbk mfr na no 4 . F 3 eor(rg f 0 Gmund s ime dsv. 9&35 A DeptlNo Hadmoa Daplh DomimntCobr RedootD d= TSOM shuck" BWKIWY Rants GPONLR in. mwAd OLL SL Cast Odw 6r. SE Sh. 'fit 'M I 0 IOWAf2 none * 2msbk mfr cs if .6 1.0 2 15-26 10yrV4 none Sid 2msbk mfr 9w lvf .4 .6 3 26-36 IOWV4 dd 7.9pW6 Sid 2msbk mfr rya m .4 .6 = went# t� <220aglLand7SS >30 <150mW ' Ef�ed32 =� CST Ntn,e (Pbme PliriQ CST Number David J. Sleds 248966 Ad*m Slesfs 89 Saryioe, 4M~ Dale loon t:onduded Takphone Number 994 20M St. Baldwin, VVI 540M 1013122 715 seuswoe�sbes+ � � g o' oa�����0000 STEE SOIL SERVICE INC* David J St W HurvW I -1ed=a 994 20e St. csT�pwTSM SWll4;pWlA^l2RW6W BakiwiR wI 54002 Iaa. 5748956 Tom of , St txon� Oo. Dited 715- 760-0347' IAP44 pJM 715-684 -3449 maevabmdm wncon&x*dtosods&&=Ei a requkmams, k may °rw&y nu t W 4oryourm Lgpmd � M _ L G6. 100.00 it Tap of3w pw pipe - =-A>t "Bmc A mm& - - 100.45 Top of 3W pvclip E3 =Badgp Bars8 Blow dodo Bl = 99 75 ft BZ = 98M ft Ei = 9L35 ft ]M= 97.05 ft Mr � X ' Ts'..FS269TS: P_ ai ,Tp*{ -14 -98 96:22 PM MNRPFRY LAND SURVEY =�' , i a a CERTIFIED SURVEY MAP llarvey N. judb ; InpwlaftheSom*w&at % a'*e gfseado.6, - x 16 Wa K YAW O'Addo t R Ovk Cry 'maybeft Lori gjrAWC"l&ds`er-w7A&pmcmdle lW g AaAM 4. Aqua 1123 yfAt OW& C..& CIVWAw M MAMOF TAM 041M WE for UNRAM LAW MUM) Laws 4 WEV PL HE MEMA toTS ewowa �,�r sa Fr. at t�.a� r� r•sr raaraa� afw�� - UUWCEWMAWW :* a " `� ¢ lamp wioirataa pm aw " mum o r : mrn naeaer�ca tatsafJ i w , ` / vw. • WL46ESEMWLW t0� aGaArUMB SOff a f.JTfa %^W= t. .Bwaa R. OR J m A 4P jr xa as • »ucRaw j KeT w Wam " i earwca.ee �Ylf6P � -� E.arr ' � •� � VC L. 7, P...�Rt2 e" y as rmw.�eaaa�r�aaw SHEET t (IF 3 � y: RECEIVED " 1 4sconsin SOIL EVAb TION REPORT #1800 Page 1 of 3 Department of Commerce FEB 24 wit Co 5, Wis. Adm. Code Pa g Division of Safety and Buildings T R�� CD r Steel's Soil Service, Inc. Attach complete site plan on paper less than q z T1 iWPQ in s' PI u County St. Croix include, but not limited to: vertical oint BM dire on percent slope, scale or dimensions, north arrow, and location an is ance to nea road. Parcel I.D. Please print all information. Revie d By Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). 3 b Property Owner Property Location Hielkema, Harvey Govt. Lo na SW1 , NE1 /4, S6, T28N, R16W Property Owner's Mailing Address Lot Block # Subd. Name or CSM# 540 Summit Cir. X I na .,,�-, � City State Zip Code Phone Number ❑ City V' Town Nearest Road Baldwin WI 54002 715 - 6842850 55Th Ave ® New Construction Use: ❑ Residential / Number of bedrooms 3 erived design flow rate 450 GPD ❑ Replacement ❑ Public or commercial - Describe na Parent material Drainageways of ground moraines Flood plain elevation, if applicable na ft. General comments Mound design, two beds system elevation 100.80ft and 99.60ft based on contour lines 99.55ft and 98.35ft. and recommendations: ❑ Boring # ❑ Ground surface elev. 99.75 ft. Depth to limiting factor 21 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD1ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'EM 1 0 -12 10yr3/2 none A 2msbk mfr cs if .6 .8 2 12 -21 10yr4 /4 none sid 2msbk mfr cs 1Vf .4 .6 3 21 -36 10yr4/4 cld 7.5yr5/6 sicl 2msbk mfr na na .4 .6 2] Boring # ® Ground surface elev. 98.35 ft. Depth to limiting factor 26 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 -Ef= 1 0 -13 10yr3/2 none sl 2msbk mfr cs if .6 1.0 2 13 -26 10yr4 /4 none sid 2msbk mfr gw 1vf .4 .6 3 26 -36 10yr4 /4 cld 7.5yr5/6 sic[ 2msbk mfr na na .4 .6 " Effluent #1 = BOD 30 < 220 mg/L and TSS >30 < 150 mg/L " Effluent #2 = BOD s30 mg/L and TSS <_30 mg/L CST Name (Please Print) � Sig CST Number David J. Steel 248956 Address Steel's Soil Service, Inc. Date Evaluation Conducted Telephone Number 994 200th St. Baldwin, W154002 10/31/2005 715- 760 -0347 SBD- 8330/R.07/001 i Property Owner Hlelkema, Harvey parcel ID # Pag 2 of 3 [ ] Boring # ❑ ® Ground surface elev. 98.35 ft. Depth to limiting factor 96 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. *Ef#1 I *Eff#2 1 0 -20 10yr3/2 none sl 2msbk mfr cs ivf .6 .8 2 20-46 10yr4 /4 none scl 2msbk mfr cs na .4 .6 3 46 -96 10yr5 /6 none cos osg mvfr na na .7 1.6 h # i w horiz 3 s et Boring # ❑ Ground surface elev. 97.05 ft. Depth to limiting factor 100 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 0-48 10yr3 /2 none sl icsbk mfr gw ivf .4 .6 2 48 -100 10yr4 /4 none cos osg mfr na na .7 1.6 F - 1 Borin # El g Ground surface elev. ft. Depth to limiting factor in. ❑ Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDtft' 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. SBD- 8330 (R07 100) Steel's Soil serv6[e. im. I� y STEEL'S SOIL SERVICE INC 3 of 3 David J. Steel Harvey Hielkema 994200 th St. CST - POWTSM SW1 /4,NE1 /4,S6,T28N,R16W Baldwin, Wl 54002 Lic. #248956 To of Baldwin, St. Croix Co. Direct 715- 760 -0347 Lot, C �) Fax 715- 6843449 This soil evaluation was conducted to satisfy a zoning requirement, it may or may not be suitable for your use. Legend N 1 = 40' ♦ = Benchmark Ele. 100.00 ft Top of 3/4" pvc pipe • = Alt Benchmark Ele. 100.45 ft Top of 3/4" pvc pipe ❑ = Borings Boring Elevations B1= 99.75 ft B2 = 98.35 ft B3 = 98.35 ft B4 = 97.05 ft U // t I q LA o� y9 Sid'` 11 J .: _ 7 7 7 DOCU OMNI NO. r 6 �J0 � r � qQ STATE BAR OF WISCONSIN —FORM S i VOL PA' f 1 �3 �7 PUtSONei .EPMENTATtV21 DAD THIS SPACE RESERVED FOR RECORDOW DATA 374 500 _ _ Crystal Lynn Fern REGISTERS OFfICE _ ST. CROIX CO., WI& as Personal Representative of the estate of Roe'd. for Record ft 17th Maxine M. Bengtson a /k /a Maxine Margaret liongtaork day of Nov A.D. 19 el t - at 3:00 P AA6 for a valuable consideration conveys without warranty to Harv _ Hielkema and Sue Hielkema, husband and - wife. _ as tenants i n en mon and no as faint_ -tgnan S ter el Ma/r RETU TO _ _ Grantee, a the following described real estate 3t. Croi Cc_nty, HAROLD D. OLSON State of Wisconsin; (hereinafter cal led the "Property ") ATTCP •.Cr AT LAVI BALDti',IN.1Vt � ��� A parcel of land located in the East One- half (El%) of Section Six (6) , Township Tax Key No. Twenty -eight North (T28N), of Range Sixteen West (R16W), described as follows: Lot One (1) of Certified Survey Map filed 11/5/81 in Volume 4 , pagel Office of the Register of Deeds for St. Croix County, Wisconsin. I a I Personal Representative by this deed does convey to Grantee all of the estate and interest in the Property which the Decedent had immediately prior to Decedent's death, and all of the estate and interest in the Property which the Personal Representative has since acquired. Dated October 23, 1981 � (SEAL) *,.� ; �. - (SEAL) Crystal Lynn Fern Personal Representative Personal Representative AUTHENTICATION ACKNOWLEDGMENT Signatures authenticated this 23rd day of STATE OF WISCONSIN 1 19 81 % ss. County. Personally came before me, this day of s Thnmaa A_ McCormack _ the above named TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by 4 706.06, Wis. Slats.) f � This instrument was drafted by I ? Thomas A. McCormack to me known to be the person who executed the fore - k eoine instrument and acknowledzed the same. State of Wiisconsih DEPARTMENT OF NATURAL RESOURCES Place Holder DNR Address Line 1 Jim Doyle, Governor RECEIVED , Wisconsin Scott Hassett, Secretary 7OFNATURAL D RESOURCES AUG 1 .6 2006 ST. CROIX COUNTY August 15, 2006 INF -WC- 2006- 56- 0064ST Harvey Hielkema 540 Summit Circle Baldwin, WI 54002 Dear Mr. Hielkema: This letter is in response to your written request, asking whether a proposed activity or the proposed location of the activity is within Department jurisdiction and required to be permitted under the requirements of Chapter 30, Wis. Stats. The waterway is a grassed waterway, located "in' ;V4lfage of Baldwin in St Croix County. Your proposed activity is to discharge fill or excavated material in a wetland or tributary for the installation of a sewer line. Department staff have reviewed your request, and determined that the activity or location is not an "Area of Special Natural Resource Interest". This activity is not being conducted in a jurisdictional waterway pursuant to s. 30.10, Wisconsin Statutes, provided that the project is performed at the location identified in the submitted maps and drawings. Please note that if modifications are made to the proposal, the project may no longer be considered an exempt activity. If the project is modified, contact the department again prior to beginning construction to ensure that it complies with all applicable regulations. You are responsible for obtaining any permit or approval that may be required for your project by local zoning ordinances or by the U.S. Army Corps of Engineers before starting your project. If you have any questions about this determination, please call me at (715) 839 -3722. Sincerely, Dan Baumann WCR Water Management cc: Jim Weinzierl , Project Manager, 190 Fifth Street Fast, St. Paul, MN 55101 -1638 U.S. Army Corps of Engineers -. Ryan Yarrington, St. Croix County Zoning, 1101 Carmichael Rd, Hudson, WI 54016 dnrmi.gov Quality Natural Resources Management wisconsin.gov Through Excellent Customer Service Rn`�� Paper JAN -10 -06 06:22 PM MURPHY LAND SURVEYING 7154269711 P.01 t 1l Si } CERTIFIED SURVEY MAP 4 H a rvey N . Hielkemta r4l Inlwt afihe S(Puthwest % c f the Northeast '/, r fSeciion 6, j hip 28 AfOrlh Rmge 16 West, Village uflkcldwin, Sr. Croix County. ' WIscow/n, helm; l.W 1 c f that Certified Swwy Ahr rer(Prded In s ; ;''(Plume 4. Page 1123 of w Croix County Certified Suety Aix NLLdfigQF& TITLE DATED. ND'$ r 9r !ll1rQ4AL7 P 4 A ( KQS UlKPl r rrED r a h min W w uNpi A T190 .._.L.,,_* `' Nurfswur�w- AaaRT+riwE >^ � ;�•'-,' Y N. HIELKEMA LOT 4 W 840 SUMMIT CIRCLE CONTAWS 7K 124 SQ FT. OR 17.909AC 8/u D1MN, W! � (761:574 = FT. oR 17.506 AC EXC umi NFOT 1•.aw TOWN ROADRIGHTOFWAV) W. MURPHY BEELDEE K.I.E, WI 54003 ARE 1rM N: 611r"MFSr W R CTM OFS CI M T2fINRI#W, ASS67'fJ71'E J! at Ul 8! 3t 3t f r GEND z » QAYM. i s � '` it 14AVARY9. • PFE WT (MM/ M Aw NR 3LB�L.F.) r0 44AWRYrR 1000 YgfCA TES 3Yw NtON ROO FpU11D 1! Sy$ TB ;ROPOSED �eaot yti a WCWNCORAERAOmAKNT 11M)M.ATES FENCE W Mln tr 71 NOWESR- 14 !S 1 Ia •L i POV IS+YMOUSTRW N6T"56L6• ILE,, Z OWQ (MOTE- j � •• — ratAC,e st: � a T 5 cOAT�ABYS � 848 m .......�► . g SO- FT OR 1.371 AC, lot LAr+a .a r L (2r (51.&V SQ. FT. QR 1.165 \ t w6clEiD URV 1!�y4P ' AC ExctW MO rOWV 8:l [ANDS PRIM r� 14 61STWESiL tMSE ttAf X8 41 MJ " 5 � , 1 a M r 1311.; N 87 W 637.18 0. - SaT' -. r2f✓AtRNw WA. VEYAW— sent= VOL. 718.2012 a I s '+ l ? "N -lu8 9YhfA.P I lk, LQT_ �VOL, 8, - 2 wlstAwETlrt T� BY•IERAIDL LMWN SHEET t OF 3 € ' i 3 f• g8 -18 - 06 09:46 _ ID= P03 Al • a I 1� a R- S. 0 0 R� S O . �, sv x R o b8 -19 -96 09:45 ID= Pet t ti'f „£N r � :. •h Y A y a „ ny • r,f� ,ty3s y K:�•, ��' i s µ , " {• " ;.,\ `',vis: i •���W Parcel #: 008 - 1016 -30 -000 08/21/2006 09:08 AM PAGE 1 OF 1 Alt. Parcel #: 6.28.16.83A 008 - TOWN OF EAU GALLE Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 5 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner HARVEY N &SUE HIELKEMA O - HIELKEMA, HARVEY N & SUE i Districts: SC = School SP = Special Property Address(es): " = Primary Type Dist # Description SC 0231 BALDWIN- WOODVILLE AREA SP 1700 WITC Legal Description: Acres: 19.500 Plat: N/A -NOT AVAILABLE SEC 6 T28N R1 6W 19.5A SW NE EXC WEST 680 Block/Condo Bldg: FT ALSO KNOWN AS LOT 1 CSM VOL 4/1123 NKA 106 - 2033 -30 (937) AX- 535608 Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) (EZ -U- 1127/336) 06- 28N -16W Notes: Parcel History: Date Doc # Vol /Page Type 2006 SUMMARY Bill M Fair Market Value: Assessed with: 0 Valuations: Last Changed: 01/10/1996 Description Class Acres Land Improve Total State Reason Totals for 2006: General Property 0.000 0 0 0 Woodland 0.000 0 0 Totals for 2005: General Property 0.000 0 0 0 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch M Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00