Loading...
HomeMy WebLinkAbout030-2117-80-100 0 w 0 o d m o v h' .. (D m ro s c ` 3 w r: M , g' Cl) m Z m Z p N 'I (D W 'C • n at M O (n 0 (p 3 G p ` rn rn a m p 4 co °w r7 G ro s `° `° 0 c0 0 0 0N° ° 3 CD o rn o \O1 CD 3' _ (O 6) 3 a 0 s- N K 0 CO p c p O M o D m m �n y D m Q. ( iC7 'p' N C. N co N C p W oN 3 0 C a o Z w �r - < N N 2 N N W W (n U�7 O C C. R T CL o !�M • Z 0 0 0 c ! � ►i l o � G U1 fA UJ - � S I f7• 7 CD O' M a q N m 0 G o; H OD ro N CD a 0 Z � O O !�1 D O 0 lV w Q O j (n I w m '� Cb ro ro C -+ N s (D w N a z -+ —I fn o y D o �' z 0 CD c - . X Z O 0) O 7 O W < C (O C. Z A (J O '' Z 3 (D a Z I A CD I a I Oo oy DON a (D? Cl- C o a ;2: a - ?7 ay.0 N + •ro O T M a o ro o�' w_ c ^° CD z a (�� Com 0 w0 0 0 CD 3 0 S d CD O N 7 3 ro n 7 m m o � n�i y a CD O ' . G G N a 0 ro 0. (n N CD AS?. < O 0 Co - C < S 7 7 ch 90 3 =r o N m a Da 303 -'0o c 0a CL 3 9 - to D I o b CD a0 N O C) 000 pp CD �' a -V 0 d ;�. m . ac � v �• I � I I n r Cl) o c b V � -i W p ? n ^^Z 0 I � a Zw H A A O N O O V j A li A O I r 0O r y i Parcel #: 030 - 2117 -80 -100 05/10/2007 05:10 PM PAGE I OF 1 Alt. Parcel #: 19.30.19.969B 030 - TOWN OF SAINT JOSEPH 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 - HANSON, RAYMOND K & GALE M RAYMOND K & GALE M HANSON 298 ARBOR HILLS DR HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description SC 5432 SOMERSET SP 1700 WITC Legal Description: Acres: 6.027 Plat: 2614- WHITETAIL RIDGE 1 99 SEC 19 T30N R19W NW SW FRL FKA LOT 8 Block/Condo Bldg: LOT 09 WHITETAIL RIDGE NKA CSM 20 -5132 LOT 9 EXC PT TO HWY(0.053AC Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) b l 41 19- 30N -19W NW SW Notes: Parcel History: Date D Vol /Page Type 12/27/2005 C 814907 20/5132_ CSM 07/08/2005 5 2839/459 WD 01/28/2005 786028 2738/632 WD 02/10/2003 709137 2137/469 WD 2007 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 04/27/2006 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 6.027 83,800 253,600 337,400 NO Totals for 2007: General Property 6.027 83,800 253,600 337,400 Woodland 0.000 0 0 Totals for 2006: General Property 6.027 83,800 253,600 337,400 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount i Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel #: 030 - 2117 -80 -050 05/11/2007 08:31 AM PAGE 1 OF 1 Alt. Parcel #: 19.30.19.969A 030 - TOWN OF SAINT JOSEPH Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 03/21/2006 00 5 Tax Address: Owner(s): 0 = Current Owner, C = Current Co -Owner 0 - HANSON, RETIRED RETIRED HANSON Districts: SC = School SP = Special Property Address(es): " = Primary Type Dist # Description SC 5432 SOMERSET SP 1700 WITC Legal Description: Acres: 0.000 Plat: 2614- WHITETAIL RIDGE 1 99 SEC 19 T30N R19W NW SW FRL LOT 8 Block/Condo Bldg: LOT 08 WHITETAIL RIDGE (3.004 ACRES) EXC PT TO HWY(0.053AC Tract(s): (Sec- Twn -Rng 401/4 1601/4) 19- 30N -19W NW SW Notes: Parcel History: Date Doc # Vol /Page Type 07/08/2005 799815 2839/459 WD 01/28/2005 786028 2738/632 WD 02/10/2003 709137 2137/469 WD 2007 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 03/21/2006 Description Class Acres Land Improve Total State Reason Totals for 2007: General Property 0.000 0 0 0 Woodland 0.000 0 0 Totals for 2006: 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 i3 8 1 4 9 0 7 VOL 20 PAGE 5132 KATHEEM H. REGISTER OF DEEDS ST. CROIX Co., WI RECEIVED FOR RECORD o v 3 v a? 0 j (n N C) v m a ;u n m� cn N 12/27/2005 08: 40AN m =r (a w C 0 Z m m n n C 2 )1- O n o z Z ° c7 'z a N z CERTIFIED SURVEY MAP N to o z n 0 �$mrn v z b �NV r , I REC FEE: 13.00 �� > >o I �o z -U � COPY FEE: N a - o o m S'�� °C- o zmn Z PAGES: 2 o� CQ , Imm °D ��v m °D a o " a ° ; Q c*j THE WEST UNE OF THE SW1 /4 OF SECTION C _�moc mr1i><M - 1 O a r�* v -• o -m r n z II 19 BEARS S0022 "23'W AS REFERENCED TO o n n p p N = THE ST. CROIX COUNTY COORDINATE SYSTEM cC. Inc mm o C O z N --11 Ec ny. -� LOT 5 PLAT OF z -n O m���fl�*1��V) o °a vz�ir r nc m i� 77z A RBOR HILLS v m N 2%--4 m A p�C SOO'22'23'W 2642.92' -- z '� °'�^ o o m R1!� ti� v a z� WEST UNE OF THE SW 1/4 o r — rn�. SOO'22 "W 476.93' `° in A � 1387.35" I 6 8 , • f .' R= N00'38 476.57 77$,6�j' Z 2 I 1 1 00'x... N Oy . 00 Z D ZA t� co W e 1 O <D tp I �- N C7 C C N 'I ._g'qs\\• /` ���� •"` I"'� �Z ♦I/ � W N ? O,? 33 -sv 8 g N "� u bo y ��;QJ I \ :gyp _ I m w J N N N r Z7 r7i m N o af. i N R 1, I O m O O O O to --I \ tLl rn 2 O i - yy zzo t,3 A Of 7 m I 1 N U N O m _ - cp 1 -.S r.{ j ^• Q 2 �lr eS� \ ''- N J 0 • y 1 x � ! C ! r �0+� N: ' k'. N cr a; cn n \ n 2 O G7 m e 4, cn cn min N ; C: ; O I �t9 Nie � �G O 1 r � * � 'A� � /'7' i C=) z N vi o oD m z 'sue. "� rNn O N O C" O t �_ (A C 1 p V N O o — d '�l ' �D' ` \ �w 07 , N cWp J 07 T �� C, \. � W zrnzz -4- rn rn Ca oD o O w ; C" j k • \ C� C , i� 11 G� r4 O+ N N 7 :�\ ' \` " ' Ons9Ur141N1 m rn m m v rn v ° ° °'1 z l m c rn v n v n ° n n r sum $ n c s ° OD po A N O N > �° rtiG1�� ZC �C �CC m = t �a v� O - r rn r - , � R1 h Z Z Z 2 2ZZ _ r'•m L79 2 Om p J W 0% O D m A 20; : m0 m0 m O . i p m % l7 ZmR- v Zm0 v O O v 'V v m Z 'n��'mrrnennmc+ ^..��`'` � � N "n p _ _ Z NCJC m O O m"t m m - ?� � � � 0 v -ur m v rn v SHEET 1 OF 2 Vol 20 Page 5132 Labor and sin Human Relations REPORT Department of Industry, Labor SOIL AND SITE EVALUATION e � of 3 La LRICE�WECI Page Division bf Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but 5-T - not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or . # Ff�- O� dimensioned, north arrow, and location and distance tO f a 3 O - APPLICANT INFORMATION- PLEASE P 6-AL 4kFb'R#�+1` 16 B DATE 2 -�- ZhW PR OPERTY OWNER P OPEATY LOCATION ��E111ED 1/4 S L.V 1/4,S V° T '3 ;Z) N,R E " 1 PROPERTY OWNER':S MAILING ADDRESS • 1 j/ l - LOCK# SU80. NAME OR CSM �� Z �Z lvt�'N1E1zF, 6 � �oP 16 — W 1 '�f'rtL_ NIVD G:r 3 CITY, STATE ZIP CO ,J PHONE xx ILLAGE �JfOWN ' NEAREST ROAD d 1oSOtJ , LJ 1 5�01� Hli�?64� S7'. 5�5��� L° Tli [x[ New Construction Use k] Residential [ ] Addition to existing building [ j Replacement [� Public or commer ` c}i$e Code derived daily flow Apo gpd Recommended design loading rate •`� bed, gpd/ft - trench, gpd/ft Absorption area required SI�0 bed, ft She trench, 11 aximum desig riloading rate S bed, gpd/ft , b trench, gpd/ft Recommended infiltration surface elevation(s) o Z. v' IDI. D' C,e.dew (as referred to site plan benchmark) Additional design/ site considerations 1 - 10 ur - b w /8'X63' B 6'Y-6I' B;�9 FoTL 3 BD" mou>Ub� Parent material Lrj e—, S Flood plain elevation, if applicable R\ ft �F=Sl able for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING TANK s stem O S Eau RI S o U 0S oU I ❑ S ®U CIS I1 U [IS ® U SOIL DESCRIPTION REPORT Boring# Horizon Depth Dominant Color Mottles Texture Structure Consistence Banc�y Roots GPD /ft in. Munsell Cu. Sz. Cont Color Gr. Sz. Sh. B Trends 3 -10 to4�L_ 3 Z IZ 31 y — S 1 g U 1 Yt `tl- � g - • S . 6 Ground 3 Zoas X16 - S i 1 Le Sb17_ elev. ? b2.0 ft. S_66 Lo IZ 316 eta Z Sly 5 i 1 rn `N tu�:Z Depth to limiting factor — 7` Remarks: Boring # [72 Z t�z tio�t ti V I t/ — S i 1 Zyn s I Ground 1 01ev-'o ft y ` -3-63 ) 0 L 12 316- �.S`1R Depth to limiting factor Remarks: T Name: — Please Print Phone: Arthur L. We erer - - 7I5 425 0165 egerer Soil Testing & Design Service -P.O. Box 74 River- Fa11S,WI 54022 Signature: /� p .. Date: CST Number:, �4 - � 8 �7 —[S 220254 .. I PROPERTY OWNER V \, Z Trr r - SOIL DESCRIPTION REPORT PARCEL I.D. # FT- r3 o s e . 10 D - Page Z of 3 Boring # Horizon Depth Dominant Color Mottles :.:.:....,., in. Munsell Qu. Sz. Cont Color Texture Structure Gr. Sz. Sh. Consistence Bour>dary Roots GPD /ft Bed Trench si 1 Z`p s�1z Yvr fH c� s s' I Zwr sbk vr�'F►- c.S � . s ..6 Ground 3 1 - 1�Li R_ Si 1 \ ��by elev. 98 3 ft. l • 3 y 36 -6y 10 3A. SA!, si i oti., Depth to ly, `F I- N P i • 2 limiting factor ; Remarks: Boring # Ground elev. , ft. Depth to i limiting factor Remarks: i Boring # i Ground elev. — ft. i Depth to limiting factor Remarks: f Boring # I:' i«: is iJt Ground elev. i ft. Depth to limiting factor Remarks: — PLOT PLAN Pa 3 of 3 SCALE 1 "= I i V, 0 1 bLS�h 'F11�S - 7L ^ a. 8 H • � lolo t,oCp�O� Sk'Teti I t45TTF I i 5 _ b ? J Sl fl' iy.; � c 90., Lg I 15 42.5 -01 h5 CST Signature Date Signed Telephone No. CST # Labor and Human'Rela6o�s —7, J V]lL A U 571 It 1 REPORT Page N of 3 Division of salary b Buildings in accord with ILHR 83.05, Wis. Adm. Code CQUNTY Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but not limited to vertical and horizontal reference point (SM), direction and % of slope, scale or 1PARCELI.D.# dimensioned, north arrow, and location and distance l �' 0 3 O .- 4oy p- to APPLICANT INFORMATION - PLEASE R I REVIEWED BY DATE PROPERTY OWNER: 'P OPERTY LOCATION EV �} N V 1E1z GG E: f�FI VF tJ'�.) 1/4 4 S 1 /S1 T NR W ° 1 3 0„ 1 q E (or W� PROPERTY OWNER':S MAILING ADDRESS • M L ; # BLOCK . SUBD. NAME OR CSM # �Z o8 ivRwl E1z fL 6 b� <-�. oP � 5 _ CITY, STATE ZIP CO PHONE r ��rr ITY LIVILLAGE ©TOWN ' NEAREST ROAD d vaSOrJ , LJ 1 S of New Construction Use Residential � ( [XJ rnb06'r oprr�s '' [ J AdditiQn to existing building [ ] Replacement [ ] Public or commer ` c�il4e Code derived daily flow boo gpd Recommended design loading rate bed, glx[10 - trench, gpd/ft Absorption area required S bo bed, ft Sob trench, 11 � 2 Maximum design loading rate S bed, gpd$ , trench, gpd/ft Recommended infiltration surface elevation(s) \-o z, b' ft (as referred to site plan benchmark) Additional design/ site considerations 1-1 uyr-p w/S 'XL3' 6 `x- r-0 IvL 3 8 b" M DUtiv Parent material Lb e-.. S Flood plain elevation, if applicable fJp it r S = Suitable for system CONVENTIONAL MOUND IN•GROUND PRESSURE AT -GRADE SYSTEM IN RLL HOLDING TANK U= Unsuitable for stem ❑ S IaU I RI S ❑ U O S OU CIS ®U ❑ S 191 U CIS ® U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bourx�r Roots GPD /ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed rartdl j L Z Z 1 p � t o� IZ 31 y — S 11 Z �-s bk »� `ri- cg - • S . 6 Ground 3 2o .3S 316 - g j 1 l � Sb 1z Y,� `i 1- c S 1 - Z- - 3 elev. l a3�n S_69 t 316 - ,.s'.�ZS�� si oh-, Depth to limiting factor . 3s Remarks: Boring # E l ti o Ll ti v 1 Ground 1 1(3 L IP - 316 Depth to limiting factor Remarks: T Name: - Please Print Phone: Arthur L. We erer 715 - 425 -0165 ' Tess: egerer Soil Testing & Design Service - P.O. Box 74 River.Falls,WI. 54022 Sgnature: Date: CST Number: . q7- 8 r7 -1SS19 220254 I PROPERTY OWNER SOIL DESCRIPTION REPORT • PARCEL 1.1). t n� p f 0 3 b 1 tJy_ Page z of 3 Boring # Horizon Depth Dominant Color Mottles in. Munsell Qu. Sz. Cont. Color Texture Structure Consistence GPD /ft Gr. Sz. Sh. Y Roots Bed T rent y � Sit Zy„ Sblz vr,'�►- cS � . s , 6 Ground L i IZ IN , elev. S ►1 1 e b 12 rn `�1- o- 's 3 1t. y 3 A j t o `12. 3 /6 Depth to limiting fact 4 I Remarks: Boring # Ground elev. It. Depth to limiting factor Remarks: Boring # } 2 F •4k i r Ground i elev. it. Depth to limiting factor Remarks: 1 Boring # x Ground ; elev. ! ft. Depth to limiting factor Remarks: i f • PLOT PLAN Pa 3 of 3 SCALE 1 "= !-)Q r I Dv wuT O�Lt� T Ufz- ^ ,___S eowNv�Z � P tot, b' �1S11h� 6'��YiS 1Z:`'f1� ' a.l 8 u��^t o� 8e l - i �y"lfitl tst.Lo�.p' ot�l l'`btA tlZ�yv ptPC UTr COMMM -- �2 ISLE IoZ.O' k S "ti1GN, 31 °�lA. 1'VC P�p� Wl�, �oCp�10N Sk"TcH I �4STk 3 Z lo e. -�1 -12°J 'z Zo Z S `! .7` (715 ) 425 -07 CST Signature Date Signed Telephone No. CST # I , W O K v n r_ _ 3 1 O � O d tD y /\ l l m o � < cn o 0 0 m Z N • Cu fD qty; m O N a CD a O CD O` O p N ~ ccc 111 � Ua V w7 m CD .+ 1 N CD p N :3 CD C 0 C, 0 0 3 ° y p 0 O y c 3 0 o O 14 In o OR o j cn z D m - D w a co co N LC C " U01 D N O i p O O N N N O O CA O C 'fl V 0 "WA • z 0 0 0 c ! \ ` r 1 1 0 m c m CD N m io :3 m m O cn . C of CO OD co N W fD a O N Z z =� D o O 0 O y N C � O C CD (D W CD a a 3 3 -i N o Cl) PZCo c o a a C 3 0 M _ oov �o� a m z 3 a 3 z `° y z CD A I O 0 C j 0 D D o N n CD 3 fll N N CD O O. li O CD Cp L a O i S 7. O N L 0) CL orn� w_ c CD 3 cr �p +f o 'm �° o a — W p 5 N O� O c C O, to O CD "O � .Z1 CD N CD > > y v' 30< c F O � j a N a O o N C < N O fi G C p 1 C 3 CD Z CD aA fD 7 AS?. cA ,< 7 O W `OG 7 CA N y O* N A 3 c a ?y CT = o CD ~o 3 v 3 p o FL 0 0 0 NC 0) y O D w v — � a 0 CD ti A CD p o O CD y� O O- +� Parcel #: 030 05/10/2007 05:10 PM 2117 90 000 PAGE 1 OF 1 Alt. Parcel #: 19.30.19.970 030 - TOWN OF SAINT JOSEPH Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 03/21/2006 00 5 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner O - KREILING, RETIRED RETIRED KREILING Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description SC 5432 SOMERSET SP 1700 WITC Legal Description: Acres: 3.025 Plat: 2614- WHITETAIL RIDGE 1 99 SEC 19 T30N R19W NW SW FRL LOT 9 Block/Condo Bldg: LOT 09 WHITETAIL RIDGE Tract(s): (Sec- Twn -Rng 401/4 1601/4) 19- 30N -19W NW SW Notes: Parcel History: Date Doc # Vol /Page Type 12/27/2005 814905 2948/318 QC 07/08/2005 799815 2839/459 WD 01/28/2005 786029 27381634 WD 07/21/2003 731192 2323/206 EZ -U more 2007 SUMMARY Bill M Fair Market Value: Assessed with: 0 Valuations: Last Changed: 03/21/2006 Description Class Acres Land Improve Total State Reason Totals for 2007: General Property 0.000 0 0 0 Woodland 0.000 0 0 Totals for 2006: 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 6 3 4 KATHLEEN H. WALSH „ REGISTER OF DEEDS ST. CROIX CO., WI RECEIVED FOR RECORD 01/28/2005 10:15AN CERTIFIED COPY EXEMPT # REC FEE: 13.00 TRANS FEE: 1155.00 COPY FEE: Aoeoc�j�� • 2 Mme. tad RA= Address Universal Title 7235 Ohms Lane Edina, MN 55439 A 7N: Recor Dept, 030_P11 90. 000 raced idealiGuf1 etimnbtr (FUQ "MIS FACE IS PART OF rUIS LEGAL DOCURUrr — DO NOT REHOVE" mas 61waube 00- a b7 dqc— p w vv dr4. Wane {S =n oddrerr. v4 DLI (V rvj+er,rdl. OdwWon "don rr�fi Re *4 snowN per. ksa A— w 4n — — —7 b- Iu- - djijl fdwt date < cw"au K M7 &c p&c4d M aMdendiwia 4 Ae 4raloa Wt d AU ownrp je a" wu pale se 7vur doaoaau ara JIM m At renri6r fee. it"utaru{n Sraaga, fi wA LAf U, 2738P 635 STATE BAR OF WISCONSIN FORM 2 - 1999 Document Number WARRANTY DEED This Deed, made between Don E. Vieregge and Christine R. Vieregee. husband and wife Grantor, and Raymond K. Hanson and Gale M. Hanson, husband and Wife Grantee. Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate in St. !Croix County, State of Wisconsin (if more space is needed, please attach addendum): Lot 9 in the Plat of Whitetail Ridge, St. Croix County, Wisconsin. Recording Area Name and Return Address Universal Title 7235 Ohms Lane Edina, MN 55.139 AI' N: Re� u din Dept. 030-2117- 90-000 Parcel Identification Number (PIN) This is not homestead property (is) (is not) Exceptions to warranties: Easements, restrictions and rights -of -way of record, N any. Dated this day of November , 2004 * * Don E. Vieregge n * * Christine R. Vieregge V V AUTHENTICATION ^^ �� A ,,,,, C � KNOWLEDGMENT Signature(s) STATE OF t 1t�'i�. ) ) ss. County ) authenticated this _ day of - Bavefs — Personally came before me this day of Notary P liblic _ November , 2004 the above named * State of Wisconsin Don E. Vieregge and Christine R. Vieregge, husband and wife TITLE: MEMBER STATE BAR OF WISCONSIN (If not, — to me known to be the person(s) who executed the foregoing authorized by § 706.06, Wis. Stats.) instrument and ac owledged the same. THIS INSTRUMENT WAS DRAFTED BY Attorney Kristina Ogland H udson, WI 54016 Notary Public, State of My mmiss' n is permanent. (If not, state exp' ation date: (Signatures may be authenticated or acknowledged. Both are not necessary.) .0 4%V ) * Names of persons signing in any capacity must be typed or printed below their signature. Information Professionals Co., Fond du Lac, Wl STATE BAR OF WISCONSIN 800. 655 -2021 WARRANTY DEED FORM No. 2 -1999 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 429979 0 GENERAL IN (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: Vieregge Construction I St. Joseph Township 6 3D _a!!3— 0 -dUZI CST BM Elev: Insp. BM Elev: IBM Description: Sectionfrown/Range/Map No: QQ „ I /QQ, 13 rX, �, Z fd14 -" . sL a ,j__k , 19.30.19.970 TANK INFORMATION I ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic I o2r�D Benchmark„�� Dosing U b Alt. BM � / Z Im Aeration Bldg. Sewer Holding �- St/Ht Inlet s� St/Ht Outlet TANK SETBACK INFORMATION TANK TO ( P� /L� WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic ,V i / Dt Bottom I .5 ns • c 5.� g7. p1 q0 Dosing �f Header/Man. , L ' 53 - 7 t / 'i Aeration Dist. Pi a to, ' 13,-7 o f C 7- q3 .Dl 9 p 1 Holding Bot. Sy tem -q t Z• .IY 9j, d PUMP /SIPHON INFORMATION Final Grade /-[ Uui},W2� �d.5 S4eYv\ a l( Manufacturer U Demand St Cover GPM — x.25 1 1 �. 9 6. a-�e Model Number isz & y - - Ft 2 4A" 11.7 9l -ol TDH Lift . n Fricti�n Lo Sys m He7 TDH Ft . I of �i I �� Forcemain Len�tt) Dia, N Dist. to Well S OIL ABSORPTION SYSTEM� BED/TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS / 1 4 y / SETBACK SYSTEM TO JP/1_10 BLDG WELL LAKE /STREAM e! Mu�rer: INFORMATION T f System: G! 'TUx y� /I-� I� Model Number: / D RIBUTION SYSTEM �/ ead /Manifold istribution x Hole Size 7Hole p acing Vent to Air Inta e Pipe(s / w +/ — i Length Zo Dia Dia Spacing SOIL COVER x Pressure Sy stems Only xx Mound Or At - Grade Systems Only Depth Over �1 I Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center v Bed/Trench Edges Topsoil Yes No Yes No 0 COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: b / 6 3 Inspection #2: Location: 298 Arbor Hills Dr Houlton, WI 54082 (SW 1/4 NW 1/4 19T30N R19W) Whitetail Ridge Lot '9 Q Parcel No: 19.30.19.970 1.) Alt BM Description = > -FC� � /�V# a 7 �ito 2.) Bldg sewer length - amount of cover = �-'— ^ L Plan revision Required? F Yes [/o Use other side for additional information. SBD -6710 (R.3/97) Date Insepctor'qSlinature Cert. No. 1 e v )1vi ST. CROIX COUNTY WISCONSIN PLANNING & ZONING OFFICE ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road Hudson, WI 54016 -7710 (715) 386 -4680 FAX (715) 386 -4686 February 9, 2005 Raymond & Gale Hanson 298 Arbor Hills Drive Houlton, WI 54082 RE: Remodeling & house addition, Town of St. Joseph, St. Croix County Parcel # 030 - 2117 -90 -000 (19.30.19.970) Dear Mr. & Mrs. Hanson: You have requested the Zoning Office review your remodeling/addition project for compliance with the state sanitary code (COMM 83). When remodeling or adding onto a dwelling you are required to examine whether or not the planned modifications involve an increase in design wastewater flows to the Private On- site Wastewater Treatment System (POWYS). I have reviewed your remodeling plans for the above residence. The project involves finishing two additional bedrooms within the structure. The septic system was designed and installed based on wastewater flow for four (4) bedrooms with a maximum occupancy of eight (8) persons. This project will increase the total number of bedrooms to five (5). Technically, the POWTS will be undersized for the number of finished bedrooms in the residence, however, current occupancy does not exceed the design wastewater flow for the POWTS. An Occupancy Affidavit is required to disclose the difference between number of bedrooms and septic system sizing to any future owner(s) of the residence. This affidavit will be submitted to the St. Croix County Register of Deeds office and recorded against the deed #786029, Vol. 2738, Page 634. The original system was installed in June 2003 by Paul Steiner and was inspected by zoning staff at the time of installation. The system was found to be code compliant at that time. Inspection report, as- built, and sanitary permit documents are on file with the zoning department. To prolong the life of the POWTS, remember to have the septic tank pumped at least once every three years or when the tank becomes 1/3 full of sludge and scum. Other efforts to extend the lifespan of the system include water conservation measures such as repair or replacement of leaking plumbing fixtures, reducing shower time, running the dish washer only when it's full, avoid using a garbage disposal, using a wash machine with a suds -saver feature, etc. The projected lifespan of your POWTS is dependent upon proper maintenance of the system. 1 If this POWTS should fail at any time in the future, the system will be need to be inspected by a licensed plumber or POWTS maintainer to determine if it must be replaced according to state code requirements in effect at that time. The proposed remodeling and room addition project must comply with all applicable building codes. Please contact the Zoning Administrator for the town of St. Joseph to obtain a building permit. Should you have any questions, please contact this office. Sinc Pamela Quinn Zoning Specialist Cc: Dwight Farnham, St. Joseph Z.A. file I Ii US7 9 OF ul�Z 6'G ctbv- 2jcTtUK Co 1 1 � 1 i � 1 p 1 l k 6�Q 3 0 - t'(01"1 OF Ct'�L -i 'UNS: - -_ �o uPl?m. PLC - 1• N NXT - Hsu - -'"L. GZ,0 L� ti LT7_ 9.1, S - l I-vkV L,:lr-ST W - VL _ °� -0 t �o� JL Sp�C e 1 o �lsT • St. x — — r F.Yt..1tvU= _kS.O�� � u�Q 1 N O � N IV moo /� � kl ''� •D�Z.�U��„��`( ell l 311 "bl -A PuC PIPE u LP?N / / - Safety and Buildings Division County � � W . Washington Ave., P.O. Box 7162 0� c K Vsoonsin c L 201 W Madison, WI 53707 - 7162 Sanitary�rmit Nu her (to be filled in by Co.) Department of Commerce 1 (608) 266 -3151 oC G Sanitary Permit Application State Plan I.D.,N Q mber In accord with Comm 83.21, Wis. Adm. Code, personal information you provide � ' ` 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 Information A % a'bpy HLits 012 . � Pro ty Owner's Na me arcel # Lot // Block N e Co 6+,, Co - _T41 - 30 -Q > »- G o / Ct Property Owner's M ailin A dress C ] � , L �/�` roperty Locat�io(n J �� l y�(l.� Ce Y( q vV . 'k, NID IA,Section Iq ® �� City, State Zip Code PhoneATM* OFFICE (circle one) II. Type of Building (check all that apply) 1 T N; R W Subdivision Name CSM Number 1 or 2 Family Dwelling Number of Bedrooms B� �- Y • 1 I Q I—. TC�`T(t � l 1 �e �Q ❑ Public /Commercial - Describe Use 7 W/ ❑ State Owned - Describe Use Vlti ❑Cit ❑Village�ownship of 5 \— no III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A, 1Y New System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System B. ❑ Permit Renewal ❑ Permit Revision ❑ 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 El Holding Tank El Peat Filter El Aerobic Treatment Unit El Recirculating Sand Filter - ❑ Recirculating Synthetic Media Filter eaching hamber El Drip Line ❑ Gravel -less Pipe ❑ Other (explain) - r Other �� V. Dispersal/Treatment Area Information: ; 0, - 1 d Design Flow (gpd) Design Soil Application Rate(gpdsf) Dispersal Area Requir sf) Dispersal Area Propos (S6 stem Elevation a \ 1 6 aq �S � 7 � 2 4 ) 1 41, o d VI. Tank Info Capacity in Total Number Ma ufacturer Prefab Site Steel Fiber plash Gallons Gallons of Units _ � 'H"� A Vtf b //r00 Concrete Constructed Glass New Existing Tanks I Tanks Septic or- Fleldiag T aolc_, p , Aerobic Treatment Unit Dosing Chamber y 1 VII: Responsibility Statement - I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Na me (Print) P ber s Si nature MP /I H4W -Pdmber Business Phone Number ftu� �S 4-ei rze ►- c� d a S I - 715- C/ 2 S- 5L5 1 Plumber's Addre ss (Street, City, State, Zip Code) N %3 3c) qy 5 <a. iii u r F d 115i to VIII ount /De artment Use Onl Approved ❑Disapproved Sanitary Permit Fee (includes Groundwater D Issu Issuing Age Sign re (No Stamps) Surcharge Fee) ❑ Owner Given Reason for Denial IX. Conditions of Approval /Reasons for Disapprov �Xuf C -I-- w y 5 ttach c niplete plans to the C puny only) for the syste n paper not than 8 11 inch SBD -6398 (R. 01/03) Wisconsin Department of Commerce SOIL EVALUATION REPORT I of 3 ,Division of Safety and Buildings Page in accordance with Comm 85, Wis. Adm. Code Attach r,ompiete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County c� C ��{j �X 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. 30 -Z1t�- q0- 000 RECEIVED Please print all information Rev' e e y Date Personal information you provide may be used for secondary urposes (Privacy Lava, s. 15.04 (1) (m ). �f/Yv1 Property Owner MAR 3 �o lion 1 V l ZZ S —G G E C.0>., STuv 0- so�te4 �� LV 114 SK)1 /4 S T N R ! q E (o' yy Property Owner's Mailing Addre ST. CROIX BI ck # Subd. Name or CSM# Zutj N �.1c- 6isoh1 U) > ZONING FI w4} �"P!1L City State Zip Code Phone Number ( ❑ City ❑ Village Town Nearest Road ® New Construction Use: ® Residential / Number of bedrooms Code derived design flow rate !1U GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material _ L.0 tm 3 0 V v1Z ov - w A-S N Flood Plain elevation if applicable /J ft General comments and recommendations: ' Lok j S (S f„ / V tv t,rS 0 r 1 Q F=1 L �'f D 1Z , " F Boring # ❑ Boring Pit Ground surface elev. S - 3 ft. Depth to limiting factor 1 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft in. Munseli Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 o -10 l Zm R-- -! Z i0 3 $ 0� 8316 — s l� Z � b wt's► Clv - 3 3g��z , sy►� �y — s � 1. cS bk mv°fi- cw - • � • � - J2 - IZ(, SYcZ - - S 6h U S I - k• Z F-1 Boring # t ❑fix Boring p � t�l Pit Ground surface elev. R u ( ft� /- Depth to limiting factor_ `� in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 1 =1 C O `� R- 3 - S i 1 Z`Fs bk 1rvir Cc,j Z. 10 -32 M K 1i 316 - Si Z S b m' cam, - s 8 z40 tD -1p, b — s 6D -1Zp to (L 0( • Effluent #1 = BOD > 30 < 220 m g/L nd TSS >30 < 150 m g/L • Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L . CST Name (Please Print) Si ature CST Number Arthur L ' 'Wegerer ' 220254 Address Date Evaluation Co nducted hone Number t>1 e e r e r Soil 11 T e � o d Tele � Tes ti n g & Design P . � gn Service 421 W. Main St. River Falls, UI 54022 3 -Z6 - 715 -425 -0165 i Property Owner V Parcel ID # Q 3 O - z ^ Page Z of 3 a Boring # El Boring pit Ground surface elev. 0 19 - 7 ft. Depth to limiting factor 7 �?� in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 o -�o ioye3tz - S11 Z� %6k - cc -S -£3 Z 10 1 D`-1 R 31 6 — 5 Z ►yl S b k 3 3b - Z - - SLf Z3 /v _ m v e� - • 6 y 6z_1 koLi VZ- V \-Z F-1 Boring # ❑ Boring ❑ pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft= in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 F-1 Boring # E] Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft 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 (R.6l00) 1 PLOT PLAN Page 3 of 3 Scale I'= 4Z ' Vh s E `n " E > I S' fi M Q-LrLL-S J ® aY✓1 # O 8.3 F -2 �.• 3.1 OQ ti C - - LOCPZ110n1 S4 �"i C;� I D °�Z_ s © d1Z_9 _ 1" =zoo' q . S A Z � �►'�# -1 - �- ,.1Do -Q'c�v �C 3.��``DIA PUL°. �I.PL� _.- 5 �' Hve. �o VtL. `'s 3 —�6 -03 715- 425 -0165 220254 v3 -3 3 CST Signature Date Telephone Ito. CST No. Job NO. `DLO l PL.� 1`•J - - "�6 �, � o F- 3 _ _ - LIST cl O \3L ( 6'G G�vS i lZ v - cT1Uti tj (3 , CIO- Zll7 -Q -000 �i 1 30 0 of CAL LZLCNS_: L va a 2 � h W - c �— N j�yv► / — � �oZv�t e c�-�� 6F � G / �— 1 1 p r^J `► kT C \ / 1 31V 1.A 4UC F&PE LJILPM14 CAS 1p IIti: -t'Vp�T tz� i / Combination Sept;.c:Tank and PUMP CHAMBER CROSS SECTION AUD SPEC PAGE Z O.F 3 •VEIJT CAP WEATHER PROOF JUUCTIOIJ BOX . 'f C.Z. VEIJ7 PIPC APPROVED LOCK IMG 10 FROM DOOR, &WHOLE COVE A0 1 V :AUDOW OR FRESH � wA(ttJ11JG LA6EL wlptR- llst>-7 -enp ALP, INTAKE S coraDulr i F1 i u tSIft IAJLET PROVIDE I _- ;� �]""AIRTI6HT SEAL ( I Ls I Approved zfae- rwx� A I�� Approved joint w /- -��io� I I joint w/ PVC pip I I� ALARM PVC pipe a �I II I 1 Ij ,L36Y, _ C I Ou ' " p CLEY. PUMP -_J OFF D COU CKETE Ll-L- . $ 8. 0 0 1 BLOCK RISER EXIT PE IJ RMITTED OLy IF TAW MAlrUFACTURER HAS SUCH APPROVAL 3 "A ?PRotiE` . �BEOt7 i N4 SEPTIC f SPEC,IFICATIOUS DOSE TA Q KS MAU UFACTURER:WIS�7SkfTZ C10ltJC - le - D IJUMBER OF DOSES: L4 ' W \-P PE R DA.. TA�1K .,IZi<: �`SLb-I`'1 -R GALLp1J5 DOSE VOLUME r l/ ' ALAR#% MAUUFACTUFZCR: % • S - �L7"121T S'� STJ I 1 I BACXFLOW: —_ X33 -T CALLOUS MODEL IJUMBER: ��) � CAP S: Ac ACITIE 1� L ' INCHES OR 1)b � GALLOy YVl s 5 W 1 TCH Ty /E: _ �- U�-C-1 $_ � IAICHES'OR 44'S PUMP AANUFACTURER: �� � GIX��P' G�►LLQ115 C= IUCHES OR � l L 7 GALLOWS. MODEL AJUMBER: ISZ. D= 5WITCH TYPE: �Z°C - C! 1 IMCHES OR Z�"�' GALLOMS MOTE: PUAP A1JhLARM ARE TO BE ` MIIJIMUM DISCHARGE RATE 4 ' ` t;pM INSTALLED OIJ SEPARATE CIRCUITS VERTICAL DIFFERENCE BETWE[U PUMP AMO..DI 30><. 6• 11 `� ` • FEET f MlQIAUM METWORK SUPPLY PRESSURE . N -1� , FEET "f' �� FEET OF FORCE MAIN X 10 0 FLFR ►CTtOU FA[TOR_. FEET .73 TOTAL 09WAMIC. HEAD FEET �3 - As per manufacturer z Z. 2 3 ` _ � gal /in. Liquid depth 6 . TOTAL DYNAMIC HEAD /CAPACITY HEAD CAPACITY CURVE , PER MINUTE EFFLUENT AND DEWATERING MODEL 152/153 - - - LJ MODEL 152 153 50 - -- -- - -- — - - -- Feet Meters Gal. Liters Gal. Liters 153 5 1.5 69 261 77 291 12 40 152 10 3.1 61 231 70 265 N 15 4.6 53 201 61 231 20 6.1 44 167 52 197 30 z 8– 25;- 7.6 34 129 42 159 >- 30 9.1 23 87 33 125 a 20 35 10.7 — -- 22 85 �— 40 12.2 -- _11 - - 4� 4 Lock Valve: 38.0 Ft. (11.6m) 44.0 ft. (1141TI) 10 - - -- - 014508 0 20 40 6l y 80 100 GALLONS LITERS 6 1/4 0 80 160 240 320 3 27/32 -- 4 5/8 FLOW PER MINUTE -- CONSULT FACTORY FOR SPECIAL APPLICATIONS 3 11 /.2 • Timed dosing panels available. 0 3 27/;52 • Electrical alternators, for duplex systems, are available and supplied with an alarm. • Variable level control switches are available for controlling single phase systems. • Double piggyback variable level float switches are available for variable level long and short cycle controls. • Sealed Qwik -Box available for outdoor installations. See FM1420. • Over 130 °F. (54 0 C.) special quotation required. i 1521153 Series 12 1/8 1521153 MODELS Co ntrol Selec tion Model Voks•Ph Mode Amps Simplex Duplex 5 1/8 N152 115 1 Non 8.5 1 2 or 3 BN152 115 1 Auto 8.5 Included 2 or 3 j E152 230 1 Non 4.3 1 2 or 3 — -- L siczos4 BE152 230 1 Auto 4.3 Included 2 or 3 _ N153 115 1 Non 10.5 1 2 or 3 BN1531 115 1 Auto 10.5 Included 2 3 SELECTION GUIDE E153 I 230 1 Non 5.3 1 2 or 3 1. Single piggyback variable level float switch or double piggyback variable level float BE153 230 1 Auto 5.3 Included 2 or 3 switch. Refer to FM0477. o CAUTION 2. See FM0712 for correct model of Electrical Alternator E -Pak. All Installation of controls, protection devices and wiring should be done by a qualified 3. Variable level control switch 10 -0225 used as a control activator, specify duplex (3) licensed electrician. All electrical and safety codes should be followed Including the most recent National Electric Code (NEC) and the Occupational Safety and Health Act (OSHA). or (4) float system. RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAIL TO: P.O. BOX 16347 ` Louisville, KY 40256 -0347 Manufacturers of . . SHIP TO: 3649 Cane Run Road ® Louisville, KY 40111 -1961 r1J4L1rK PUMPS SIN-1-1 ��999 (502) 778 - 2731.1(800) 928 -PUMP http://www.zoelle►.com PU /Y /P ZO FAX(502) 774 -3624 © Copyright 2000 Zoeller Co. All rights reserved. POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page ( of 2 i FILE INFORMATION SYSTEM SPECIFICATIONS Owner V 1 > N Septic Tank Capacity 12_0(7 a l ❑ NA Permit # Septic Tank Manufacturer byl E ❑ NA DESIGN PARAMETERS Effluent Filter Manufacturer el__ ❑ NA Number of Bedrooms ❑ NA Effluent Filter Model 4 `od s j ej ❑ NA Number of Public Facility Units NA Pump Tank Capacity SOD gal ❑ NA Estimated flow (average) gal/day Pump Tank Manufacturer !6'.1z, ❑ NA Design flow (peak), (Estimated x 1.5) �j OD al /day Pump Manufacturer ❑ NA Soil Application Rate 0 al /day /ftz Pump Model ❑ NA Standard Influent /Effluent Quality Monthly average* Pretreatment Unit h44A Fats, Oil & Grease (FOG) 530 mg /L ❑ Sand /Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BOD 5220 mg /L ❑ NA ❑ Mechanical Aeration ❑ Wetland Total Suspended So lids (TSS) 5150 mg /L ❑ Disinfection ❑ Other: Pretreated Effluent Quality Monthly average Disper al Cell(s) [3 NA Biochemical Oxygen Demand (BOD 530 mg /L n- Ground (grav ity) ❑ In- Ground (pressurized) Total Suspended Solids (TSS) 530 mg /L NA El At-Grade ❑ Mound Fecal Coliform (geom mean) 510 Cfu /100m ❑ Drip -Line ❑ Other: Maximum Effluent Particle Size Y in d(a) ❑ NA Other: ❑ NA Other: ❑ NA Other: ❑ NA *Values typical for domestic wastewater and septic tank effluent. Other: ❑ NA MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every: 2 , 3 ❑ month(s) (Maximum 3 years) [3 NA ear(s) Pump out contents of tank(s) When combined sludge and scum equals one -third (Y of tank volume ❑ NA Inspect dispersal cell(s) At least once every: 2 _ ❑ month(s) (Maximum 3 years) ❑ NA years) ❑ month(s) ❑ NA Clean effluent filter � A��b At least once every: — Z year(s) Inspect pump, pump controls & alarm At least once every: � ye ar(s) month(s) ❑ NA Flush laterals and pressure test At least once every: ' ❑ month(s) ❑ NA 0 year(s) Other: E3 month(s) ❑ NA At least once every: ❑ year(s) Other: ❑ NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tank inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cell(s) shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one -third (Y or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of 512 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. Page , of 2 START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that may impede the treatment process and /or damage the dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal cell(s) in one large dose, overloading the cell(s) and may result in the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at -grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and /or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Sep tage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or: must be taken, to provide a code compliant replacement system: ❑ A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. ❑ A suitable replacement area is not available due to setback and /or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. T fj/'� alua " g '� D 8 Try ¢oil A/61A/ a"S7RUC- - A O ank b e ai >Q i-ll ❑ Mound and at -grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. < <WARNING> > SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND /OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER POWTS MAINTAINER Name �(� 5TH Name Phone Phone SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name Name s^'r, C Phone Phone —7 I f 3 Co _ (p This document was drafted in compliance with chapter Comm 83.22(2)(b)(1)(d)&(f) and 83.54(1), (2) & (3), Wisconsin Administrative Code. 09/22/00 FRI 14;46 FAX 715 386 4686 ST CRX CO ZONING Q001 ST CKOIX COUNTY SEPTIC TANK MAINTENANCE AGREE&U T AND OWNERSHIP CERTIFICATION FORM Owner/Buyer i e" - Mailing Address Property Address 4� `�i r? I P- 61 '� (Verification required from Planning Department for comneued0Q `J City/State I�t�'1( I _ Parcel Identification Number LggAL• DESCRYPTION p ro p er t y Location S(,L) V., . ' /,, Sex. , T3_0N -R_B—W, Town of Subdivision Lot #____. Certified Survey Map It (D I In , Vohsme page # ...�1 Warmnty Dead # ( 60O Cg .,` Volume , „ )1,; Pap # .4 S.rd.L Spec house EM yes p no Lot lines identifiable S yes ❑ no %Vtoper use and maintemweeof your septio system could result in its prem:tury failure m baulk wastes. Proper maintenance eoessim of pumping out the septic tank every three years or sooner, if wedod by A Lioex W pampa. What you put MW the system caa affect the fimetion of the septic tank as a treatment stage in We wastes disposal "Mm. The property trweresr agrees to submit to St. Croix Zoning Department a oectlftcAdw form, signed by the owner sad by a mssterpWmber, j=wym=phaaba6 mtricted plumber or a hco wed pampa vet*108 that (1) the 0 0 - ft w&0"1ater*W0aal sysw is in proper operating condition andla (2) after inspection and plumping (if 601 Y), tlm ttvptic teak is leas *= 113 full of sludge. Uwe, the undersigned have teed the above requirements acct agree to wAhm in th privato wimp disposal systos with dw standards act &46 horeia, as set by the Department of Commerce sad the Departane W of Natural RawKes, State of Wisconsin. Certification sdtmg that your septic system has been maintained owl be complatcd and retu=d to the 3t. trout Couonty Zoning Office within 30 of the thus year expiration date. ��� SIGNATURE OF APPLICANT DATE OWNER CE=C . Tj0N 1(we) certify that all statcmcata on this form are Uw to the beat of soy (oo knowledge. I (we) am (are) &e owners) of property described above, by virtue of a waetaaty deed recorded in Register of Deeds Office. PAtA-�� JILOrA9 , �3 /2 SIGNATURB OF APPLICANT DATE ****** A ny iafonnatiou that is wit-represented, tray result is the unitary peewit being Y �� �• " ledude witb this application: a stamped wattauty deed itnom the Register of Deeds office a ewpy of lice a tifle d survey map if "foam is made in due wan=W deed /0 VOL Es00898 WARRANTY DEED R O D EEDS REGISTER OF DEEDS DOCUMENT NO. ST CROIX CO., WI RECEIVED FOR RECORD 04-07 -1499 4:20 PM This Deed made between MARVIN O. RADKE, a WARRANTY DEED single man, Grantor and VIEREGGE CONSTRUCTION EXEIQT M COMPANY, INC., a Wisconsin corporation, Grantee, C COPY FEE: Witnesseth, That the said Grantor conveys to TRANSFER FEE: 480.00 CORDING Grantee the following described real estate in St. Croix AGES: FEE: I 0.00 County, State of Wisconsin: A parcel of land " lbcated - in the SW'1%4'ot the NW /4 and'the NW 1/4 of the SW 1/4 of Section 19, T30N, R19W, town of St. Joseph, St. Croix County, Wisconsin' described as follows: Beginning at the West quarter corner of said Section 19, thence NOOo 18' 36 "E 55.42 feet along the West line of the NW 1/4 of Tax Parce N 030-1040-10 Section 19; (bearings referenced to the West line of the RETURN TO Northwest quarter of Section 19, assumed to bear North' - /Vai►+ e �° a a v� OOo 18'36"E); thence S89oO4'41 "E 1229.07 feet; thence South _Z �/� 00°02'08 "W 55,42 feet; thence S00o05 "W 481,68 feet; thence Southwester y 961.54 feet along the arc of a 833.00 feet radius curve concave to the Northwest whose chord bears South 33009'09 "W 909.04 feet; thence S66o 13' 16 "W 169.50 feet; thence N89oO5'06 "W 388.36 feet; thence Northwesterly 187.90 feet along the arc of a 233.00 foot radius curve concave to the South whose chord bears N67o39' 11 "W 182,85 feet; thence S89o14'38 "W 27.63 feet to the West line of the Southwest quarter of Section 19; thence N00o24'09 "E 1255.54 feet along said West line to the Point of Beginning, containing 1,539,526 square feet (35.343 acres) more or less, and being subject to all easements, restrictions and covenants of record. This is not homestead property. Together with all and singular the hereditaments and appurtenances thereunto belonging; And Grantor warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances, and will warrant and defend same. Dated this day of April, 1999, ) - �Tl� �t �� ��'Y�'/ / ` ( SEAL) Lbrvin O. Radke STATE OF WISCONSIN )SS ST. CROIX COUNTY Personally came before me this day of April, !etE a Ellce, to me known to be the person who executed the foregoing instru 1 P Notary Public, State of isconsi n My Commission is permanent. THIS INSTRUMENT DRAFTED BY: Robert W. Mudge, Attorney MUDGE, PORTER, LUNDEEN & SEGUIN, S.C. 110 Second Street, P,O, Box 469 Hudson, Wisconsin 54016 N ;Z a r rn per O 42'-0 1/2' is-ti 1/2 /2" M O t• Pi 0 m ?0� s• -tt 1f2 Z 1 o 113 r21-1 m p m ' CD 33 24 -1 RO 3' -2 1/2'x4' -9 z 8 . RD 3' -2 1/2'x4' -9 10' -11 to' 11" m o N � ' n v c N u r- 1 a ` ► n c O U \ N m l .2 0% Lo r m N \ /� z 74 To L i 4 C � ? �ST ^I NH /� 1 24 is ot i I co c `N m n 6 1e r WASH �� DRr t® '' _ ! _ - _ P RY BASE90MD Z ae .1 4' -3 t /2• y'b }- - ^ 3090$ 0 Z -� 1 / �A 2 1 / 1 yC L 1 1� `1.0 OT .34 1� � o S Q \� N c to A ,l' 3 -' . N 0 8 O� w � "rTT !•'� s 27 Le 10 N i I 1 IN i 1 to n Ri y In I ± L t N l c HIGH SNACK BAR fm N 1 3. 0 0 . m CA z b Aq\ ` °• °e g g ! \\ ?bl ► 1 1 _ % 0 BY WH g 1� SHIP / °° Q D /r te < -7 , o % to m 9' 8-It 1/2 ' u + KC6068 O 1 O1 Zti N RO 6' -8 3/8 -7t' 4 1 2 -2x10 HEADER p ^; 32 O1 '- _-7' -0 3/4" 30 - t � C _ \ 1Y O o M AIR RML P 1 I R * pp ml = N To \ 0 0 O 30 A Z - 0 - - 13' -3 1/2" � • s ir e ►� e'-o' s e •- CDH3224 -1 CO}t3224 Ro 3' -2 1/2" RO .4'- 1// 2" x4' -9,. x4' -9� Q I 2' -6 1/2 z \ o _ i 2 0= t 1 z EU cn �: W a. Z fj > } I z o ry < n� 4.I O F- W 4, 0 W •'Q � V Q� F �R w t� w 'li z s+u �I v 7 < r ���m� �# (K �zr w `< < C F - F < tki d p C.� �.1 •t Q a o 0 o I ke a W 8 � 9 ,� a m w z z - a £a _ u o � w o c� a In D Z ., w h p I la Z �.�' �� iii ��ai k' ~ isf CY I F- p 0 U c� 1� w w 1- 0 7 7 o I a < I.. < W I N N 'IS 8 > r- a a Ir p � � t y � L , • P �' e i - y $ ITL � � N p 4 3 ' 4.L.1; I p 0 z O 2 K IL l a ." x' /' to LL_ O C5 z w Q< x Z I N I I a S213H10_ �l8 a_3NM0 I� I Z W ILJ ``' D <U o! � I Q. Iz I m 0 V) l i i :xi i i i i � x. SONVI Q311dldNn � ` 11 I z � < v J ci ! �' � • • O j i ! i � g 1 i T : 1 F ! ! J ii Z � I I I j 2 Ls t — -------- - - - - -- ---- -- - -- - - Id ' S213H10 .l8 a3 SC1Nb� 031 , r V9 9 /• /IMS 3N1 10 r /IMN d I N .�_ 3N1 JO 3Nn 1SV3 !f3 00 i N M..L t,S LO — — — — — -- -- a,— M 5 F , tu 0 3�Nn *1ms 3 fi 3� - - - %- - - -- 3Nn�31N3 — I I DOC M..91 F h � ................. ...._�.. 1..._� i 1 F._.._.._.. _.._..� � ED , _ - ^w• • 0j \M i, • S \r �1� � \ ® V \ \ V IP i \ o I n 1 \ '' to .C9'40S 3..13$,90.ION �~ //! / L CA n ,,\ �• ,`\ F \ Vii I v In ?�' 'M•. Ft�„y 4 I N ,4 ti.� / i % • +'' \\ �`•\ •�\.\ I x� 1R ^ ry .` ^''\'. �f \\ �'S. O hYl:; mow, °` u •Z O �•� •! \ • (n \ 2 I n�„' ;�►M 1 v a + ` N ^ � � / " ;ti � ' '� ? ''. `' \ • '� I •+ '� n N Wj ' � I s . .°'W 0. �, i „ o J I '� r ' .' % .� / / � r ' h i / •. a '�" +�• °t � \ �\ , � Y `6- I '6 PT a" p n �O Z : i �7 •% •r ! \ i • ~ _� n \ \ v1 r I''t� i � ;i M r .. / / � °./• o a ^ •� 1 O "}: I S :• A Tt t; 00 k.IFO ¢ J ry oY O� • C' i p 'mod i rJ In t l PrS y 141, ._..l, .._.:..... -.._.. N ..i - ^'i• ' ar� ` \.yr�` ry P '\b'� \. �fp xi m ~ .• r 'Y •fi, � �"�i (/') i C am(' .. _ - �i -�- -- �.`' � " , j • i � / '. / Ct. ` �/ l 1 1 c`t 6 "i•re �^•r C] i m r Mt,,�i'. .� . �: j ; ......... \U'06'13 "W 518.6 1 ` w In O N ••'••. fQ I Q cl) F t O tl) ® O n 1 1 K ` "�r w 3 3 n ; �''r v _m � . •Lr2 • 't N I'•1 I '-"'i liu.'10. `If� n Q 41 O [, V : } �'��••�' p k 1 W r Pe'F'A� .M a 61 , N ri 11 j • 1 '� F� 1 �• ' i t c T� .. r ' t F."^I p � Q t 's . � �•�i p� 0 f t z r ,.. cri Q5— ,00'LZZ , 1 1 ,C 'cc m m 3 „ZZ.I£.00N - , "'°�' - 2 19,94t 1 I 3,.OZ.BC.00N C6ti'96Zl) 3 U I 1 1 \\ 5 3N1 d0 f /IMN 3N1 j0 3Nf1 153.M W i i v 1 / 1 /lM 1 \ 333 3 333 333 3 w wwww w ww o Spy f ► /4N5 / 1MN 31U !0 3FI1 JO 3`rll 153M h , � 1 1 i \\ h iv 1. of :- c, o ` a �p w rv oN N Y nY N lg r •I•� nS o ,n 4 Tj N �..i mho blhbl h m Cm V io ' �! In I r r r r P r' P r Fn lol I / \ tlWp N ,.p �pp m m to p YI Yl O� p N Y � Imp n 10 n 114 z Vl z 2 2 Z 2 In In N m yl I/1 yl In N . < 1 oI OI a6 - ' I I r' 3 i 3 3 3 3 3 3 3 3 3 3 3 W W w w , r W W 3 fl op , U O I \ YY O _r !7 NIV O r 04 C . , \ \\ z n rf �a m in in m ioh amao r tD� �' r H \ 'R p o 10 aow a pp rp ulnN n ! O� \\ VINN N 22 Z 2 22 2 2 In in V N NN n N { i 3.ZZ,1£.00N 0 0t I 't; /IMN NIM Q -.10 3NIl 1.S3M 31{t l 0 ?3N JN3N313N 311Y SONR1V3F1 / \ u S Fi 8 °$HO any $ S� \ u w n n N 1 ri b p pp pp // \ . i UI �_m N N�m� ,mp n Om 2 N p Y IY W n P n Vl Q OI N Yl Y T n V f0 s n pO' 1,myI ¢I' C1 yy tV to N m DO N 1j 0 1 m n O m Y x 3 3 3 3 3 n i n 3 3 3 3 p 3 i t of a :- YI a nn P. n I Fn 0) c v� v v� v z z i z i z i Inn 7A "� I In $ a CY u i J-- f pp V p p F fN� n gN� ry n ' n n ng „� a ; rj LL f 7� vhh hty :1 iv LL I Q U W ry b• f ry N Y N.• N W � O Q' J � '11TO \ \; \ �� 1- g 8 8 8 '8 8 8 .� n8 r81 g $ $ $ gi, gi $ LL fx '�, e t \, 0 4v n nm '� ry N N .u ' e r ry n n n C: P' W m '9 o< °z nm m° �N nYn .on C�Sa I� y� a I� _ z 7 e Wisconsin Department of Industry SOIL AND I T E E r1 V A L rT �.. Page \ of 3 Labot "aril Human Relations i I t „, ,� _ _ • Division of Safety 8 t3uil�ngs in accord with ILHR 83.ode °Q Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. lAIV o not limited to vertical and horizontal reference point (BM), direction and % PARC . dimensioned, north arrow, and location and distance to nearest road. Q APPLICANT INFORMATION- PLEASE PR1NT ALL 1NFORMATIO cRpJx ,_� DATE U PROPERTY OWNER: 'E'O P'S7J V `�M �9 G 6 E R TY /A1t t V 1 � 6E CAYJS`f2UC -'[t tJIV tf\} C_ W 1/4_Fi�1 �°`iT 3O ,N,R 1q E( W PROPERTY OWNER':S MAILING ADDRESS. LOT # IA� AE: OR CSM # 1ZA`b NiRMr; 1rc A uo” x,.00 \� — L_ CITY, CITY, STATE ZIP CODE PHONE NUMBER E]CITY OVILLAGE MOWN ' NEAREST ROAD l�vpSo)V, kVI Sklotf, nls) 356_$699 s'r_ S N Ft2L1JR 1 - z�7, 1>4 New Construction Use K Residential / Number of bedrooms L4 [ j Addition to existing building I j Replacement [ j Public or commercial describe Code derived daily flow 6QO 0 gpd Recommended design loading rate • bed, gpd/ft trench, gpd1ft Absorption area required a Sy bed, ft _"'t -S 3 trench, 11 Maximum design loading rate bed, gpd/ft •8 trench, gpd1ft Recommended infiltration surface elevation(s) %0 d . O` B OT'H( `C�ZLfi1C�$:~s ft (as referred to site plan benchmark) Additional design / site considerations Z TV_e)uC1s, CRc-f 3 's_ S' WAtc -4 C I*el` y S"t,&J) it: -eg LIvo� cwm - l-�mS Parent material \—o S '* V Lm S ;f G)- Flood plain elevation, if applicable !'l A ft S = Suitable for system CONVENTIONAL I MOUND IN- GROUND PRESSURE I AT -GRADE SYSTEM IN FILL HOLDMIG TANK U = Unsuitable for s stem ®S Gl U @ S ❑ U o S ❑ U ®S C7 U (RS ❑ U ❑ S oU SOIL DESCRIPTION REPORT "o) (),i j - 1->5 3 Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bound3y Roots GPD /ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed JTrench o -1 Fz N t1 -� o vw-I R 34 — 3 Zm S b m`ct- Z — - S , 6 Ground 3 3� 1 �S `t P_31V a � eSb1z vnUli�,- (2-S .S elev. Lo 3b -\�o . lo`�t ID G�' wt 1 Depth to limiting factor r Remarks: Boring # Z` t, cL 3 L z — s t 1 2 `F S 1-L vv1'�t- �S • S 1 311 * GI, o S9 N � s — �, •� Y! Ground eley. S -3 ft Depth to limiting factor Remarks: CST Name: - Please Print Arthur L. We erer Phone: 715 -425 -0165 V egerer.Soi Testing & Design Service -P.O. Box 74 River.Falls,WI 54022 Signature: (1i T �9 _ I Date: _ CST Number: 91 -� 9 220254 PROPEM OWNER \I tfZ eiQ GG SOIL DESCRIPTION REPORT Page? of 3 PARCEL I.D.# 03p - 10 — 10 l Depth Dominant Color Mottles Boring # Horizon Texture Structure Consistence Boundary Roots GPDLft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trerxl� Ground 3 1'1_6S 7 S `t2 Sly 6�` U g� wl CS elev. 1C Z- it. y bS t 10 ' g m 1 — •� ;.s; Depth to limiting i factor i Remarks: Boring # ` ^M £�,'�.�,•.•:rs::.a: � � 1 � �'1 tZ 3 f Z � S ! ( Z,�' S b `M Tl-- C. S • S i :• \i i Ground 1 S d S°� m elev. _ p �� ti tiS.l ft. i Depth to limiting r factor Remarks: Boring # lo`t ti 3 1 Z Z = s 3 y G�- i 1� 3b Ground �.Sy23 /y elev. y :J- 5 la Lf ft. i Depth to i • limiting factor Remarks: 3oring # around i ;lev. ft. )epth to imiting actor Remarks: PLOT PLAN Page 3 of 3 SCALE 1 "= IC) ' • �• �'E��'1't�l �:..t'U �`�C� S l`TC� l?L �lv3.p� 2 . ��T--� CLL, t� S�C"Kt._.L� 1✓G T\z -��\1 �,!{ -��5. 71((Z S'-t S)MM M=L' t r ht G 4• vvi�jvsE - M PST �-�aT ZS' '=tom `T Exi c 5. - LU i r✓ J z v"r u V11* I LoCp�lpnJ Sh�`Tc�} �r�11+ �l..lUO -& c+v 1`'Ivzo) C'1QE UbT Co e tom- _ Cl t4S'TTi z � -7 S1 4s s .� t Li,s � - r t_ 715 ) CST Signature Date Signed Telephone No. CST # Wisconsin Department of Industry SOIL AND SITE EVALUATION REPORT Page 1 of 3 Labor.and Human Relations g — DivWon of Safety & Buikfings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. ' 0 3 ©- LO `�0 -1 l7' APPLICANT INFORMATION PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: E,V Py -,) V \�M G G G E PROPERTY LOCATION V � Zt?'G6E CA1�!S`ftct ct1 tJtV tt�J C_ GOVT 1:. tV 1/4 SW 1/4,S \O�T 3q ,N,R 1 9 E( W PROPERTY OWNER'.S MAILING ADDRESS. LOT # I BLOCK # SUBD. NAME OR CSM # ZZc3'6 lvtatMc`kA ksw C "I - w�ri'lt 'CR1t_ �?a�G CITY, STATE ZIP CODE PHONE NUMBER []CITY []VILLAGE WOWN ' NEAREST ROAD �rvpSnt�1, tvl Sttol ( - )ts) 386: $69 MZ'm I i bR- [xj New Construction Use Residential / Number of bedrooms L 4 [ j Addition to existing building Replacement [ j Public or commercial describe Code derived daily flow bo t3 gpd Recommended design loading rate • bed, gpd /ft trench, gpd /ft Absorption area required b Sy bed, ft -- N S 3 trench, ft Maximum design loading rate bed, gpolft -8 trench, gpd1ft Recommended infiltration surface elevation(s) tl� 0-' 4' %MT ' ft (as referred to site plan benchmark) Additional design/ site considerations 2 -11ZvCt tn, f 3 'K s W/ / Kt6N CA li ry sib&11'tAQ1Z Lyyzt Cl{�IYI S'. Parent material r_' 'r5 S . *QtM S e Gi- Flood plain elevation, if applicable �Q ft S = Suitable for system CONVENTIONAL MOUND ND PR R IN- GOUESSURE AT -GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable for s stem ®S O U [a ❑ U I B S D U ®S [] U [R ❑ U 0 S ® U SOIL DESCRIPTION REPORT SCE" hJor�r, orb --t 3 Boring # Horizon Depth Dominant Color Nbtles Texture Structure Consistence Boundar Roots GPD /ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed ffre d1 j D -11 1u)-iR -J1Z - S Z • F U Ground 3 --3b -S `t (Z-3!V un V`�1- C°_S — •� .S el ► S ft 36 -`l0 . LO `-i fi- of — S d 6� 0 Fg Depth to limiting factor it r3" Remarks: Boring # L CL �> is s9 Nm � — �`� •� Ground elev. 1 1) S .3 fL Depth to limiting factor Remarks: CST Name : - Please Print Arthur L. We erer Phone: 715- 425 -0165 egerer Soil,, Testing & Design Service -P.O. Box 74 River Fa11s,WI 54022' Signature; i� �� ��_ Date: -�_� CST Number: �- - q1 -9 25 1 4 PROPERTY OWNER \) tk1ZL-G G C SOIL DESCRIPTION REPORT ` Page `- of 3 PARCEL I.D. # 0 30 - 10L-10 —10 Depth Dominant Color Mottles Texture GPD /ft Boring # Horizon Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed I Trench 0-S - S 31y S� vT V c LV ~ , s . Ground 31y S elev. Gr 1 s U g9 m cs io y bS 1zA �Q0 `•tSLvly S G S`3 m 1 — •1 i,$ Depth to ; limiting factor i 3 _ Remarks: Boring # Ground 3 Z3 -y �•S�R3Ly G� �S G S°► M elev. y y$ -lo3 1 U`J R Y/y S *t 6r- o S 1 �S.1 ft. `� M Depth to limiting I factor E 7103 Remarks: Boring # :<:::a «: < >: 1 © lb`11Z 31 Z - Gh s t� Z`�Sb1 - c. Y"t`�1 -� e.S - •S ' . � S >' Z - ? —tPa 1. S If ti 31 y G� s 1 Z� sbk wt v� ` ............... 3 1 3 b 1 -S t� 3 i Ground — GH is elev. Ll 3b �1o0 ��� y�y - S G►. tom. ft. c� s9 i Depth to limiting factor j _ Remarks: 3oring # 3 around i ;lev. it. )epth to imiting actor Remarks: _ �n nb•nit+ ,r ...., PLOT PLAN Page 3 o f 3 SCALE 1 "= 30 ` �• t'1CD-D vr L►aG Z Tl z:: StZ kaL.. k �,p D U B TU PUlvCe 't;JISE tnSs U 4. F=t�1 "f Z j c± `3. 7 S �.Ua eS 1nJG Z(JVp� 0. $.If F1. Ltl S l j 9.1 E-L LO 3 � �T' L.1 �• k)Y11 * l G L.oCP�IOr Sh`TcH 3r -1*1- Q.tUO,O' ct\j \ "tCzolV l'�1pE LOT �T ys- svis fl v t . \fl � J '• C 110. �`4 C1g -I 9 � zzoZS ( 715 ) 475 -()1 65 CST Signature Date Signed Telephone No. CST # d H u m a n Rel ati D e p a rt me n t ti P Re Industry, L abor and SOIL AND SITE EVALUATION REPORT e ` of 3 L abor — Divisioraf Safety & Buildngs in accord with ILHR 83.05, Wis. Adm. Code ` = Attach complete site plan on paper not less than 81/2 x 11 inc must include, but not limited to vertical and horizontal reference point (BM r � 7a.,,'-Plan y7 scale or PARCEL I.D. # T�QCtZT pF dimensioned, north arrow, and location and distance rfeaahatoad: 0 3 O . Loy p_ LO APPLICANT INFORMATION PLEASE PRIN .A INF ION REVIEWED BY DATE PROPERTY OWNER: 1 PROPER ; LOCATION E\l "N N V � \ 1= GG ` .; J l // l 1 t-J 'n1 1/4 S LA} 1/4,S 1� T 3 0 ,N,R 1 E (or " 1 PROPERTY OWNER' MAILING ADDRESS • '.... S r Cgprx OT .. LOCK # SUBD. NAME OR CSM # �Z o8 iUR��fL 6ar.� Lo �a CITY, STATE ZIP CODE P N LyRVG QC VILLAGE QfOWN ' NEAREST ROAD NvoSt w t S (7 ') � S� 9 _: -, Z S� ,'Q\4 AiZ$ 4'nL`s o�z. [q New Construction Use [ Residential l Number of be [ j Addibgn to existing building j j Replacement (j Public or commercial describe Code derived daily flow 1 SCJ gpd Recommended design loading rate ` bed, gpd /ft — trench, gpd/ft Absorption area required \Z S bed, ft � S trench, ft Maximum design loading rate - S bed, gpolft -� trench, gpd /ft Recommended infiltration surface elevation(s) 0 %Ck . h ft (as referred to site plan benchmark) Additional design / site considerations M o vn.p w 1$' Y_ l b' @ S ry o'T "z: 0 rJ ?, .1 Parent material Rood plain elevation, if applicable - tvA ft S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U =Unsuitable for sy stem ❑ S Q.0 p S O U 0S ®U O S [� U O S IR U OS O U SOIL DESCRIPTION REPORT Boring# Horizon Depth Dominant Color ( Mottles Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Ou. Sz. Cont Color Gr. Sz. Sh. BWd rer& o -1 1 10`-12 31 w Ground o -S `1 fZ 1 y — ;� s e sbh ► U`� r i't:J S elev. $ fL 1, 31 S v s �, w; 1 • - t Depth to limiting factor y Remarks: Boring # 0 —LO 1 D`1R 3Z2 — s t I Z`�S wI`�,. C W _ •S Z. 1b 3Z 10`ttZ -3!(, -' St1 Zrn3b _ S I Ground 3 3 z- \l7 l o o - 311e — s } 1 eSb1� »7 v >_ C S. ,� i , S I ql Depth to limiting factor 7�S Remarks: T Name ewe Print Phone: Ad dress: Arthur L. We erer 715 - 425 -0165 . egerer Soil Testing & Design Service -P.O. Box 74 River.Falls,WI 54022 ' Si Date: CST Number.. r -�� 49 =�7- 9 `7 15.9 220254 i I PROPERTY OWNER i SOIL DESCRIPTION REPORT PARCEL W. nT bF dS0.10�(D_ Page Z of 3 Boring # Horizon Depth Dominant Color Mottles •....,_ in. Texture Structure Qu. Sz. Cont. Color Gr. Sz. Sh. Consistence Boundary Roots GPD /ft 3 l D `-I R 31 � Trench Z s ,b z 1 Z b sl s Ground 3/y - `1 (z S /Q, S J I 1 G. s4,k elev. h► 92.5 ft. Depth to ' limiting i factor f _7� i Remarks: Boring # f,. >., , > „ » >f i c b 1 c� k R_ 3l 2 Z`Fs 6k k , Ground 3 Z6 - 1 S`7R jl — CSbtt elev. S3_ 1 S`12 9/y Depth to limiting factor Remarks: Boring # Ground elev. �� S �sU Z. J n/ 3 it. Ev V Wt ) Sa► t- Depth to Vv\ - F factor g I A O v � L Ulv T t? V 1 D U L 1Z fir 3 `z Q Remarks: Boring # Ground elev, ft. Depth to limiting factor Remarks: PLOT PLAN Page of 3 SCALE 1 "= i r 1 / tst.inon q:L a.l 1� 1 �L. L00,0' W - 4) V qty' b1)1 I ' CA , t .. ti - -- - - -- �0^_P�1DrJ Sh:"Tc� �us 1 b ,o a g9- X1 - 2Z O zsy ( 715 ) 425-0169 CST Signature Date Signed Telephone No. CST # Wiscosin bor u ti us SOIL AND SITE EVALUATION REPORT Pa e � of 3 labor and Human Relations g _ Division of safety b 6uik6ngs in accord with ILHR 83.05, Wis. Adm. Code CQUNTY Attach complete site plan on paper not less than 8112 x 11 inc Plan must include, but not limited to vertical and horizontal reference point (B it r e, scale or PARCELt.D. # PP�tL� p� dimensioned, north arrow, and location and distance oa IN, REVIEWED BY DATE APPLICANT INFORMATION PLEASE PR! �, INF t ON PROPERTY OWNER: PROPER LOCATION ,� E\l A N V 1ETZ GG ` - t �!!! / 1 N',J 1/a S W 114,S 1° T 3 O ,N,R S E ( " 1 PROPERTY OWNER'S MAILING ADDRESS ST C i�O OT LOCKS SUBD. NAME OR CSM;t 6 WI) L4 -'t _ � IX W��C�' CPriI.- �Z_ C:) 6:~ CITY, STATE ZIP CODE P E'. 'OPFJC ILLAGE QfOWN ' NEAREST ROAD 1'fvtaSOrJ W t S4 0 �, (7 ' ?- 'Li - S6 49 - ., 5k T- S� S� 5'� palaoR "lo-s b \�. (� New Construction Use Residential / Number of be (j AdditiQn to existing building [ j Replacement [ J Public or commercial describe Code derived daily flow 'k- gpd Recommended design loading rate bed, gpd/it trench, gpd/ft Absorption area required \1 S bed, ft ` trench, ft Maximum design loading rate - S bed, gpd/ft -d trench, gpd/ft Recommended infiltration surface elevation(s) OIL a - b ft (as referred to site plan benchmark) Additional design / site considerations _M o vhvp >N l a' hL l b' 8 kz S r�1UT o rJ V Z Parent material Flood plain elevation, if applicable 1U t7 . ft rU = Suitable for system COWDNTIONAL MOUND IN- GROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING TANK = Unsuitable for s stem [IS L�.0 S❑ U C7 S ®U I ❑ S [� U C] S Eau 0S o U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Roots GPD /ft f.. in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed r> Id1 Ground 3 Z'l S 0 '7 -S ' rL 3 Ltd 0 - sblz lm U`F',. CW +q . S elev. �l 6- fL l • S 1 '1 R 31 Depth to limiting factor Remarks: Boring # , � o -L� lo�ltz.�tz - st Z`� -sb1-z w,�1.. Cw _ •s _•� Ground ir Cft Depth to limiting factor S Remarks: T Name: — Please Print Phone: Arthur L. We erer 715 -425 -0165 e res g s - �rer Soil Testing & Design Service -P.O. Box 74 River Falls., WI. 54022' Signature: Date CST Number. . 16- ;[ _ 'Z ? - 9 '7 —IS 220254 PROPERTYOWNER SOIL DESCRIPTION REPORT PARCELI.D. #_ r b d3p. 10`lb - Page Z of 3 Boring # Horizon Depth Dominant Color Mottles t in. Munselt Qu.Sz.Con[ Color Texture Structure Consistence GPD /ft € Gr. Sz. Sh. Y Roots 1 0 _t Bed Trends � •s 'b sll Z Y 3b>t tin P Ground 3 33-SS -� • s R 3/y , S ti rz s/a s i I 1 �� sb> elev. )V; 1.5 ft. Depth to limiting i factor + 33" ' i Remarks: Boring # I[ } ) 0 -8 y 3 g 2 1Uk2 3/6 ,.�� <w:. s i 7 2svr s bk m �r c s • s. (, Ground 3 ZL S 3 1. S -M j l e o �'p S3=L3 1•S `12 3�y ` Depth to r limiting . factor Remarks: Boring # t O `l R- r Ground �e3 ft. UU s U'ZI/s/ Wt ) S t_ n Depth to ��I G l.tt imitiing actor L 2 't..-) Remarks: :oring # round ev. it. 3pth to iiiing ,tor Remarks: n9•nrt� .:r +.... PL P LAN Page of 3 SCALE 1 "= yQ' f' � 1, � /i• � N \ �q1 Jv� � 0�4`" J \o T1 1 q Z 8.1 • c*1.�t6g l� 1 BM +H — Lft 1, W. 0' '1 IA-1GN, L M-N - - - -- - -- LOCp�10nJ Sh."TCN I 1VSTT} 4 L4, 9 - b D z ( 715 ) 4L-0165 CST Signature Date Signed Telephone No. CST #