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030-1073-10-050
n y O n y O C - V n � C, d A) o I °c m� I m� o o m(D 3 CD 3 0 o d 0 o ° m 0 < m cn o p o N 0) ° W C O �, j • CO CD 3' 3 o CD s o CD� � 3(D M N CD W W ° 0- Y -: N a o 0 � � a it N O Ir p M z _ OD ifl p O co CD A N N N C1 O O 0 N a O 0 = 7 -+ O 0 O -� 3 CD n N O fig O h C. Cn ° O v C71 O O p �- 3 H A 7 y N Go to N N co .. i C Z O y (D m CD D D a 1++1, m ;n D ¢ f 1 F v.> w D m CD "-: N CD N Q N (D (S ? In �, O O N 3 C' °° A N N 3 [� W CO (D � C`: W -4 O oCD CD a CD z A zt zt N CL .. O N N " O CD O O (7 r to ! CD CD ( c '�. cn w co wW a N coo coo m ',, 3 o a N c CD O O O a O O O ° 'p S C G N Z X N N Cn O N y to N o D 0 3 0 3 �E .. C- 0 fu CA 3 °—' C w 3 ° N ° Z o z m z z z D 0 ? C, u O D O a O D D N D J O O C3 ro CD N CD h • O) O CD (D w CD A_ in c C CD lJ � 3 3 O (D a ! A Z 3 O .. I I m m a M o w rn T o Z 0 3 °o ° U o " 3 (D N Z < CD CD CD n n Cr N 7 a p D !a) Cll 'O CD N o �ocnl< CDCc a � m °_D Q CD m 3 C) Cr CD N m ° r n ° m am o.3 o o o W<-�° o 0 T 3 7 N m _ d m c 3 3 W v c 0 CD m n`� o CD = Z o 0 Z °^ o ° a m co W 0 fQ 0 0 m a °� o �� W= r CD cn 0 '°'oos3 c °� : - 0 m av N- m 3 U0 a .0 0 0 O N n N C O f0 CAD � =' o O c N N T A Cn fD N � N N< N O O �� aCll Np Q (D O (D (a 7 O O N d' O�co - *N aN O 4 M 1 3 0 m m o n a e 7 N N N C C a n CL N �C.CD CD O x w a 00 0 0 ti fD CD ~ en O v+ O CD I RECEIVED MAY i 5 =6 -7331011 VOL 19 PAGE 4966 KATALEEA H. ST. CROIX COUNTY REGISTER OF DEEDS ST. CROIX Co., NI CERTIFIED SU EY MAP 04/04/EW5 LOCATED IN PART OF GOVERNMENT LOTS 6 & 7, SECTION 26, TOWNSHIP 30 NORTH, CERTIFIED SURVEY HAP RANGE 19 WEST, TOWN OF ST. JOSEPH, ST. CROIX COUNTY, WISCONSIN, INCLUDING REC FEE: SURVEY LOT 1 OF THAT CERTIFIED SURVEY MAP RECORDED IN VOLUME 19 , PAGE 4965 COPY FEE: 3.00 AT THE ST. CROIX COUNTY REGISTER OF DEEDS OFFICE. PAGES: 2 SURVEYOR: OWNER: DOUGLAS J. ZAHLER RICHARD STOUT NOTE: S 8 N LAND SURVEYING, INC. 1353 AWATUKEE TRAIL LOTS MAY BE SUBJECT TO 2920 ENLOE STREET HUDSON, WI 54016 FUTURE SPECIAL ASSESSMENTS HUDSON, WI 54016 FOR ANY UPGRADES AND SCALE IN FEET I"= 150 LOT AREA TABLE IMPROVEMENTS TO THE ROAD. Lot # Description ACRES SQ. FT. NOTE: 150 0 150 LOT 3 TO MEANDER 2.730 118,928 AN EROSION CONTROL PLAN ' * m WILL BE REQUIRED BY ST. CROIX ro m LOT 3 TO O.H.W.M. 3.02f COUNTY PRIOR TO THE LOT 4 TO MEANDER 2.840 123,711 ISSUANCE OF A SEPTIC PERMIT Nii Z LOT 4 TO O.H.W.M. 3.16f FOR NEW CONSTRUCTION. c M Co LOT 5 TO MEANDER 2.894 126,049 m LOT 5 TO O.H.W.M. 3.06t m z , NW COR. SEC. 26 +' Z OC) Y ��• �.� `. t7 O S ' j313 - Ins r o 5 1 0 ` , IO 11 LOT 3 3� g y BENCH MARK TOP �•i -• . � ' N89 °$$'S7 "\ OF 1• IRON PIPE, f a m O \ ELEVATION 949.8 � ro M cma \ \ bTi ' N 611 LOT 4 ZriousE�\ _ z ♦� \ ® 233- rn BENCH ♦ `� \ \ ( GARAGE TOP OF 1• IRON I \♦ O ` ♦\ ` p1 N �. ELEVATION ` ♦ ♦` vI `♦ �� ` ♦♦ �'� '° \ f 1,g2 - -fi ^ �$� ® W �` 909.7 ` ♦`. :� . ♦� d g6• f j � s \ y ,� O ® �♦ I ♦�` ♦`; ` �\ - 354• LOT 5 5 1QZ56A \ \ i _ ,� ♦ 69' SEE DETAIL ` `I y g ♦ 0 - -- �` 14g ON SHEET2 3 ♦ ♦ \� —� '^� � N83'33'14"E 81.89' 1 CP o ♦� �I \ \ �' OARw r' 1` 1 ? _ ♦ ♦` `♦ ♦ �j ♦;� 'c \' \��-► °�� I sue'+ , \♦ ♦ ♦ aJ� ♦`♦ f W1/4 COR. i SEC, 26 LE4TiENp��� V py FOU�UMINUM COUNTY �l �$rct;TION CORNER MONUMENT UNPLATTED FOUND 1" OUTSIDE - - -- LANDS DIAMETER IRON PIPE ' - - -- -- I , SET 1" OUTSIDE DIAMETER BY 0 18" LONG IRON PIPE, WEIGHING 1.13 LBS. PER LINEAR FOOT S WELL La CURVE DATA TABLE Q SEPTIC VENT Curve Radius Central Chord Chord Arc Tangent Bearings 0 SOIL BORING ' Number Length Angle Bearing Length Length Tangent In Tangent Out C1 300.79' 02 N26 °13'18"W 13.30' 13.30' N §4 °57'17"W N27- 29 -19-W O.H.W.M. ORDINARY HIGH WATER MARK THIS INSTRUMENT DRAFTED BY: WILLIAM KANE JOB NO. $052 -01 DATE: 07/20/2004 SHEET 1 OF 2 SHEETS Vol 19 Page 4966 1 2GUu6 WA AY -7 4-73 i Z& ;;:-9 VOL 19 PAGE 4965 ST. CROIX COUNTY XATHLSEN H. WWESA' REGISTER OF DEEDS sURVEY RECORD RECEIVED DFOR RECORD CERTIFIED S V RVEY MAP 04/04/2005 03:30PH LOCATED IN PART OF GOVERNMENT LOTS 6 & 7, SECTION 26, TOWNSHIP 30 NORTH, CERTIFIED SURVEY MAP RANGE 19 WEST, TOWN OF ST. JOSEPH, ST. CROIX COUNTY, WISCONSIN, INCLUDING REC FEE: 13.00 LOT 13 OF THE PLAT OF BASS LAKE SOUTH AND LOT 1 OF THAT CERTIFIED SURVEY COPY FEE: 3.00 MAP RECORDED IN VOLUME 6, PAGE 1523 AT THE ST. CROIX COUNTY REGISTER OF PAGES: 2 DEEDS OFFICE. SURVEYOR: OWNER: OWNER: DOUGLAS J. ZAHLER RICHARD STOUT STEVEN HIRSCH m m S & N LAND SURVEYING, INC. 1353 AWATUKEE TRAIL 1349 AWATUKEE TRAIL N S 2920 ENLOE STREET HUDSON, WI 54016 HUDSON, WI 54016 C Z HUDSON, WI 54016 m y CURVE DATA TABLE (ALL LENGTHS ARE IN FEET) m Curve Radius Central Chord Chord Are Tangent Bearings o Number/ Lot Length Angle Bearing Length Length Tangent In Tangent Out A C 300.79 40 °57'16" N07'00'41"W 210.45 215.00 N13'2T57"E N27.29 -19-W m 2 300.79 38 N05'44'40"W 197.94 201.70 N13'27'57'E N24 8 1 300.79 02'32'02" N26'13'18"W 13.30 13.30 N24'57'17"W N27'29'19"W NW COR. SEC. 26 z m v v ov; Y Al 4 4 0 8 1997.56 —' 1A ,� y5. LOT 1 : • o.,` ` N89'58'57 \ BENa! MARK: Top 8.464 ACRES ^{ OF t" IRON PIPE, 1 ELEVATION 919.8 (368.688 SQ. FT.) ® o 6\ TO MEANDER LINE V �\ 9.24 ACRES.* �� >' S' M \ TO O. M. HOUSE \ m \ / GARAGE 4/ ee TENNIS Ck "I '' \� c�0liel► IT! ��` � C OURT I / 1 Z BEE DE ET O 2 N S HEET 2 rn BENCFI MARK: ^� �O TOP OF 1' IRON \ \� , 1y N om\ \, PIPE, ELEVATION W1/4 COR. \�� \ \ 5 OT 2 118E ` '+\ SEC. 26 2.870 ACRES (125.019SQ. FT.) \3 "1 TO MEANDER LINE Z� 2.98 ACRES.* NOTES: DR y TO O.H.W. D. LOTS MAY BE SUBJECT TO 5a1 FUTURE SPECIAL ASSESSMENTS ED 1 1 " 63g.Kd 6 ` b G'S FOR ANY UPGRADES AND UNPLAT IMPROVEMENTS TO THE ROAD. ' E ANDS THE BOUNDARY OF THIS CERTIFIED SURVEY MAP IS LOT 13 OF THE PLAT OF BASS LAKE SOUTH, OWNED BY RICHARD STOUT AND LOT 1 OF A CERTIFIED SURVEY MAP 1 PLU LEGEND RECORDED IN VOLUME 6, PAGE 1523 AT THE ST. CROIX COUNTY REGISTER OF DEEDS OFFICE, OWNED BY HIRSCH. THIS MAP SHOWS THE EXCHANGE OF LAND w oN FOUND ALUMINUM COUNTY BETWEEN ADJOINING PARCELS AND HAS BEEN = SECTION CORNER MONUMENT COMPLETED WITH DOCUMENTS # (QCD) AND Z FOUND 1" OUTSIDE # && f 47 (QCD). NO ADDITIONAL LOTS ARE CREATED BY DIAMETER IRON PIPE THIS INSTRUMENT. SET V OUTSIDE DIAMETER BY ALL CONDITIONS, RESTRICTION, NOTES, ETC. LISTED ON O 18" LONG IRON PIPE, WEIGHING , THE PREVIOUS CERTIFIED SURVEY MAP AND PLAT ARE 1.13 LBS. PER LINEAR FOOT APPLICABLE UNLESS OTHERWISE INDICATED. ® WELL SCALE IN FEET I "= 200' 0 SEPTIC VENT iia O.H.W.M. ORDINARY HIGH WATER MARK 200 O 200 ® SOIL BORING , THIS INSTRUMENT DRAFTED BY: WILLIAM KANE JOB NO. 6052 -01 DATE: 07128/2004 SHEET 1 OF 2 SHEETS Vol 19 Page 4965 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division • INSPECTION REPORT Sanitary Permit No: (ATTACH TO PERMIT) 514929 0 GENERAL INFORMATION State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: Robertson, Jeff I St. Joseph, Town of 030 - 1073 -10 -050 CST BM Elev: Insp. BM Elev: BM Description: �� Section/Town /Range /Map No: � ( m 1 G 26.30.19.255D TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS FS ELEV. too Septic Benchmark / 6-f 3, 7 163, /Cc) Dosing Alt. BM Aj Aeration Bldg. Sewer Ga Cx t Holding St/Ht Inlet TANK SETBACK INFORMATION w..�-c� � I, St/Ht Outlet TANK TO P/L WELL BLDG. ent to Air Intake ROAD Dt Inlet Septic Dt Bottom Dosing Header /Man. 6 1 ZZSS /tS Z . 13 Aeration Dist. Pipe Holding Bot. System / ' 3 • `7 z. PUMP /SIPHON INFORMATION Final Grade 16 3 • J3 Z Manufacturer \ Demand St Cover LaJ CAL 1 GPM .� Model Number 1!5 Z7, / I 3.72— TDH 1 i Friction Loss ,, System Hgad . J TD � 15 , Forcemain Length , Dia. i I Dist. tto F t SOIL ABSOR SYSTEM BED/TRENCH Width / Length No. Of nch PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS Gb �1 ` SETBACK SYSTEM TO I P/ BLDG IWELL LAKE /STREAM LEACHING Manufacturer: _\ INFORMATION Type Of System: ^ 5 1 • ,S ?Z) CHA U N IT OR Model Number:` DISTRIB SYSTEM Header /Manifold Distribution 7 x Hole Size /J x Hole Spacing �� Ve to Air Intake Pipe(s) 1 j , / , . ` /,6 Length Dia Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded /Sodded I J xx Mulched Bed/Trench Center Bed/Trench Edges ` Topsoil ) P, I Yes 0 No Yes No COMMENTS: (Include code discrepencies persons present, etc.) Inspection #1: / 7 / Inspection #2: Location: 1349 Awatukee Trail Hudson, WI 54016 (Gov't Lot 6 &7 26 T30N R19W) NA Lot 1� P kw No: 26.30.19.255D 1.) Alt BM Description = I- .y✓�Sv �Ci i U�,�, ��� ��� w 2.) Bldg sewer length = �. ^'� • O tI�- �a �; /�, amount of cover= A � �Q c - w Plan revision Required. Ej Yes No Use other side for additional Information. ____ _l Date Insepc is Sig ure Cert. No. SBD -6710 (R.3/97) t�mmerce.wl.goV Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7162 St. Croix e filled Madison, WI 53707 - 7162 Sanitary Permit Number (to bed in by Co.) Depament t# Comrner co 5 / Sanitary Permit Application State Transaction Number In accordance with s. Comm. 83.21(2), Wis. Adm. Code, submission of this form to a approp o e 1546444 unit is required prior to obtaining a sanitary permit Note: Application forms for -0wned S Project Address (if different than mailing address) submitted to the Department of Com e for s Commerce. Personal information you provide may b 1349 Awatukee Trail uses m accordance with the Privacy Law s. 15.04 1 m , Slats. Hudson, WI 54016 I. Application Information — PI int All Information Property owner's Name / Parcel # f 30 Jeff &N Robertson jUN 4 dP-1073-10-050 Property Owner's Mailing Address Property Location 1349 Awatukee Trail ST. CROix COUNTY Govt. Lot 6 & 7 C • City, State Zip Code -- '/4, _:-- - ' /s, Section 26 (circle one) Hudson, Wl 54016 715) 549 -6118 T 13(_ N; R 19 W IL Type of Building (cbeck all that apply) t # 1 or 2 Family Dwelling — Number of Bedrooms 3 2 Subdivision Name Block # Na ❑ Public/Commercial — Describe Use Na ❑ City of ❑ State Owned — Describe Use CSM Number 11 village of p / X l� 6j , � M I Vol. 19, Pg. 4965 0 f' of St. Jost gh 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 (explain) B- ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber 1 ❑ Permit Transfer to New List Pre vious Permit N and Date Issued Before Expiration Owner 4 3 Y SY1 �7 3 IV. Type of POWTS Sy stem/Com onent/Device: Check al that appl ❑ Non - Pressurized In- Ground ❑ Pressurized In- Ground _ At -Grade ❑ Mound > 24 in. of suitable sod ❑ MourA< 24 in. of suitable soil ❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain) V. Dis persa Vrres true nt Area Information: Jr- /r e f eov - e/ 0. y Design Flow (gpd Soil Application Rate( f) Dispersal Area Required (sf) Dispersal Area Proposed (sf) System Elevation 450 gpd ,/ A 0.5 -situ soil 900 sq. ft. 950 sq. ft. 100.65' contour VL Tank Info Capacity in Total # of Manufacturer Gallons Gallons Units o v New Tanks Existing Tanks e U Septic or Holdin Tank 00 1,000 1 Skaw Concrete X Dosmg Chamber 800 800 1 Skaw Concrete X VII. Responsibility Statement - 1, the un rsigned, assume responsibility for' stall ' of the POWTS shown on the attached plans. Plumber's Name ' Plumber' N B Phone Name (Print) umbe Sign MP/MPRS umber Business Pho Number James K. Thompson 5--- 1 30021 715 248 -7767 Plumber's Address (Street, City, State, Zip Code) 340 Paulson Lake Lane, Osceola, WI 54020 -5413 VIII. un epartment Use Onl roved ❑Disapproved Permit F;eee Date Issued I mg Agent 'gnature ❑ Owner Given Reason for Denial $ i(!V f b IXg f" t8tAA jkproval/Reasons for Disapproval 3 1 Septic tank, effluent filter and dispersal cell must all be serviced / maintained as per management plan provided by plumber. 2. All setback requirements must be maintained to cem phas for the system and submit to the County only on paper not less than 8 1/2 x 11 inches in size SBD -6398 (R. 01/07) Valid thru 01/09 i Soi/ e ✓a/ua - b� ,, n b tinnda.uyar ♦ ek.3 Eln9 Qr•ade eiv. • ,Co Ca- 5 ca /oz<�, c�,.� ✓o-/. /4 �. Y9GS Ey�:s�'�q /%y. "�orc�na,�r. Govt. /ats 647 j0�/ � To 5� isCnnn«�,c�t • � % sta.�,o ci6„ cr•.,Ea � � "sc.Ji.40 PJ.C, "Tnskl - SCa I" ir7 Su /a �e�J {y 6e i n 36LIke/ b en e 4 c CC^e - 6e � a s okaC� `�+'c� CORR SPOND f� /a0r�idilS ot� driV G�0.y� "nq / `jr', ' tJ ��oy J,9r�` !e5 "clegtC L� A OP C e ( lat.2 /,O'x O.G0'wy .0 /QO.O /4�G/a�5 t✓L Z�X SrBTS / ,) / i i �� �� r _ dbrH54. 7 3/ i IECO P 5� Safety and Buildings 3824 N CREEKSIDE LA commerce.wi.gov HOLMEN WI 54636 ■ www oo me i. rce.wi.gov /sb/ i sco ns i Department of Commerce Jim Doyle, Governor Jack L. Fischer, A.I.A., Secretary July 11, 2008 CUST ID No. 30021 ATTIC• POWTSInspector JAMES K THOMPSON ZONING OFFICE A.C.E. SOIL AND SITE EVALUATIONS ST CROIX COUNTY SPIA 340 PAULSON LAKE LN 1101 CARMICHAEL RD OSCEOLA WI 54020 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 07/11/2010 Identification Numbers Transaction ID No. 1546444 SITE: Site ID No. 738928 Jeff & Nancy Robertson Please 'refer to both identification numbers, 1349 Awatukee Trail above, in all correspondence with the agency. Town of Saint Joseph St Croix County Government Lots 6 & 7, S26, T30N, R19W Lot: 2, Subdivision: CSM Vol 19 Pg 4965 FOR: Description: At -Grade / Three Bedroom / Sloping Site Object Type: POWTS Component Manual Regulated Object ID No.: 1187684 Maintenance required; Replacement system; 450 GPD Flow rate; 41 in Soil minimum depth to limiting factor from original grade; System: At- grade Component Manual, SBD- 10570 -P (R.6/99), Pressure Distribution Component Manual, SBD- 10573 -P (R.6/99); Biofilter The submittal described above has been reviewed for conformance withapplicable 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. !"44 COO f,.� No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, +r' stars. The following conditions shall be met during construction or installation and prior to occupancy or use: 0 OF , Reminders SEE COws.E • This system is to be constructed and located in accordance with the enclosed approved plans and with the component manuals listed above. • The existing septic tank must be inspected for structural soundness, size and baffles and must be brought into conformance with the requirements of ch. Comm 83, Wis. Adm. Code. If it does not conform, a state approved tank must be installed. • Per manual cited above, limited activities are allowed in the area 15 feet down slope of the component arat. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. • 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. JAMES K THOMPSON Page 2 7/11/2008 • Inspection of the POWTS installation is required. Arrangements for inspection shall bemade with the designated county official in accordance with the provisions ofSec. 145.20(2)(d), Wis. Stat • Comm 83.22(7) A copy of the approved plans specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department which may include local inspectors • This plan replaces a previously approved plan from 6/18/08 to accommodate a soil application rate of 0.5 gallons per square foot. 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 charles.bratz@wisconsin.gov cc: Leroy G Jansky, POWTS Wastewater Specialist, (715) 726-2544, Friday, 7:00 A.M. To 3:30 P.M. I R8 CEiV ✓1A 1 1 20 FO SAF 08 RESIDENTIAL AT -GRADE DESIGN GS Pressurized - Sloping Site INDEX AND TITLE SHEET Project Jeff & Nancy Robertson 3- bedroom At -Grade Owner Jeff & Nancy Robertson Address 1349 Awatukee Trail Hudson, WI 54016 Site Address: Same Legal Description Gov't. Lots 6 & 7, Sec. 26, T.30N., R.19W. Township St. Joseph County St. Croix Subdivision Name CSM Vol. 19, Pg. 4965 Lot No. 2 Parcel ID Number 030 - 1073 -10 -050 Plan Transaction Number 5 6 YYY Index sheet Page 1 Calculations Page 2 At -grade drawings Page 3 Laterals and dose tank Page 4 Specifications Page 5 'a.'l'rV Management & contingency plan Page 6 Pump curve & specifications Page 7 �D Site plan Page 8 = COMMFRrE Attached Soil Evaluation Report Page 9 DING -TONDENC Designer James I . Thompson License Number 30021 Signature 5..- -- Phone Number (715) 248 -7767 Date 07/04/08 Designed pursuant to: At -grade Component Manual for POWTS SBD- 10570 -P (R.6/99), and SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST - SAS (01/81) Version 4.0 (04/03) Page 1 of 9 PRESSURIZED AT -GRADE DESIGN At -grade Design Worksheet - Sloping Site Flows and Site Data Entry. (r or c) R'Residential or commercial? 300.0 Estimated wastewater flow (gpd) 450.01 Design wastewater flow (gpd) 11.00 % Site slope 100.65! Contour elev. below lateral (ft) / 41.00 Depth to limiting factor (in) ✓ 0.50 In -situ soil application rate (gpd /ft ^2) Distribution Cell Information (1 or 2) 1 Influent wastewater quality 4.50 Linear loading rate gpd /ft r/ 9.00 ; Effective absorption width (ft) 9.00 Max. effective width permitted (ft) 100.001 Aggregate length (ft) Pressure Distribution Data Entry (c or e) � I Center or end lateral connection l. 1 Number of laterals 0. 125, Orifice diameter (in) e.g. 0.188 Not a final calculation _.._ . 1.50' Estimated orifice spacing (ft) 2.00; Forcemain diameter (in) 2.781 Forcemain flow velocity (ft/sec) 275.00; Forcemain length (ft) y or n y Does forcemain drain back? 8 ump tank elevation (ft) y or n y Are laterats at highest point? L� 0.5 NA I 6.5 S stem head (ft) x 1.3 44.9 Forcemain drainback (gal) Ilk� 12.65 V rtical lift (ft) 45.0 5x Lateral void volume (gal) ?j 4 iction loss (ft) 89.9 Minimum dose volume (gal) otal dynamic head -(ft) 27.2 System demand (gpm) 1 r Lateral Diameter Selection Gallons /Inch Calculator (optional) J Pipe diameter Design options Design choice Total Tank Capacity (gal) Designer 1 in Total Working Liquid Depth (in) must select 1.25 in x Gal /in (enter result in cell G46) one lateral 1,5 in x diameter 2 in x Treatment Tank Information 3 in x 1,000 Septic tank capacity (gal) Skaw Precast Manufacturer Effluent Filter Information Dose Tank Information SIM/Tech ., Filter manufacturer 800.0; Dose tank capacity (gal) STF 100A2 '!Filter model number 19.1 tank volume (gaVin) Skaw Precast Manufacturer Project: Jeff & Nancy Robertson 3- bedroom At -Grade Transaction Number. Page 2 of 9 AT -GRADE PLAN VIEW D 1/6 B Observation pipes (2 typical) B 100.00 ft i # 1/6 B 16.67 ft W C 11.00 ft D 5.00 ft E 2.00 ft D L 110.00 ft B W 21.00 ft A x B 900.00 ft ^2 L Cap Typical obs. pipe. = Total aggregate cell A x B Slotted in the tower 6 ", and anchored Plowed area L x W I securely. s „ AT -GRADE CROSS SECTION Svnthetic fabric cover — 102.44 ft Finished grade Lateral elevation invert elev. 101.15 ft �-- Observation pipe at aggregate toe E 11 %Slope Surface contour 100.65 ft C A Y ands stem elevation D ® = 12 in. topsoil and subsoil Plowed layer over aggregate and tapered to toes. below L x W = 6 in. aggregate below pipe(s), and 2 in. above pipe. Project: Jeff & Nancy Robertson 3- bedroom At -Grade Transaction Number: Page 3 of 9 PRESSURE DISTRIBUTION AND DOSE TANK Lateral Diagram - Center Connection I P ' I IE- X I<- x12 I x12 Laterals & force main of PVC Sch 40 Last hole drilled next to end cap (per COMM Table 84.30 -5) Holes drilled on the bottom of the lateral, equallyspaced • = Turn- upwlball valve orclesnoutplug Lateral Specifications 0.125 Orifice diameter (in) Center Lateral connection point X 1.50 Orifice spacing (ft) 2 Number laterals 33 Orifices /lateral P 48.75 Lateral length (ft) 13.6 Lat. discharge rate (gpm) 1.50 Lateral diameter (in) 2.00 Forcemajn diameter (in) 27.2 Sys. discharge rate (gpm) 275.00 Forcemain Length (ft) 2 TDH (ft) Typical Pump Chamber Layout Approved manhole cover with Weather -proof warning label and locking device junction box Final grade 4 " disconnect Tank component is Alternate properly vented outlet location 18" min. Electrical as per NEC 300 and Approved outlet Comm 16.28 WAC joint Tank full Inches Gallons JA Provide 1/4° o A 23.2 442.7 Alarm on weep hole or antisiphon E B 4. 89.9 Pu on B device. o D 12.0! 229.2 88.50 ft .9 Totals 41 800.0 Pump off D 3" Bedd9 in under tank ♦ 87.50 ft Zoeller Pump manufacturer JH Rhombus Alarm manufacturer BN 152 Pump model number SJE 1011421 Alarm model number Project: Jeff & Nancy Robertson 3- bedroom At -Grade Transaction Number: Page 4 of 9 I At-grade System Maintenance and Operation Specifications - Service Provider's ' Phone son . J ames .' .._.� � POVVTS Regulator's Name | St Croix o Zo i 9 Dept_____ ] Phone! System Flow and Load Parameters Desi Flow - Peak 450 gpd Maximum Influent Particle Size in Estimated Flow 'Avera 300 gud MaximumBOD5 220 mg/L Septic Tank Capacity 1000 gal MoximumT8G 150 mg/L Soil Absorption Component Size 900.0 *u Maximum FOG 30 mo/L Type ofVVmobavvobar Maximum Fecal Co|iform ofu/100 mL Service Frequency Septic and Pump Tank Inspect and/or service once every 3 years Effluent Filter Inspect and clean at least once every 3 years Pump and Controls Test once every 3 years Alarm Should test monthly Pressure System K8ound|nsoeothz/oondino�aru_.se@PaAe every L3 years _--__ Miscellaneous Construction and Materials Standards 1. Observat pipes are slotted and materials conform to Table Comm 84.30-1, have a watertight cap, and are secured inma shown in the at-grade component manual. 2. Dispersal cell aggregate conforms to Comm 84.3O(0)(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 at-grade structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. 6. Areas within 15 feet of the downslope toe will be protected from compaction. 7. All other construction details are as per the at-grade component manual SBD-1 0570-P (R. 6/99). Lateral Turn-up Detail Finished Grade Threaded 6-8" Diameter Lawn Cleanou Sprinkler Valve Box Plug or Ball Valve Distribution Lateral Long Sweep 9OorTwo 101.15 ft -----10 45 Degree Bends Same Diameter asLateral Project: Jeff & Nancy Robertson 3-bednoomAt-Grade Transaction Number: Page 5ofS � At -grade System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code General This system shall be operated in accordance with Comm 82 -84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals [SBD- 10570 -P (R. 06/99) and SSWMP Pub. 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 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. At -grade and Pressure Distribution System No trees or shrubs should be planted on the at- grade. Plantings may be made around the at- grade's perimeter, and the at -grade shall r be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for I vegetative maintenance) on the at -grade 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 at- grade be heavily mulched as protection from freezing. Influent quality into the at -grade system may not exceed 220 mg /L BOD5, 150 mg /L TSS, and 30 mg /L FOG for septic tank effluent or 30 mg /L BOD5, 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 4 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 at -grade 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 renovating the biologically clogged absorption and dispersal media, installing new piping, and replacing other 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: Jeff & Nancy Robertson 3- bedrooTransaction Number: Page 6 of 9 • N PUMP PERFORMANCE CURVE TOTAL DYNAMIC HEAD /FLOW MODEL 151/152/153 so PER MINUTE 14 EFFLUENT AND DEWATERING tz �o MODEL 151 152 153 to 152 Feel Molars Gal. u ws Gal. Liters Gel. Liters 30 5 ' 1.5 50 189 69 261 77 291 10 3.0 45 170 81 231 70 266 25 15 4.6 38 144 53 201 61 231 �U s 20 6.1 29 110 44 187 52 197 8 2D 25 7.8 1 16 61 34 129 42 159 30 9.1 23 87 33 125 4 t5 35 10.7 22 95 ID 40 122 1 - - - 11 42 2 Shut-off Head: 30 R (9.11m) 38 it (it AM) 44 IL (13.4m) 5 0145088 0 10 20 40 80 SO W 7 G11L1.ONs Uf AS 40 16 110 1 3 2,���.�.�'l m s�s�°/0 �'/ elyy. Model 151 Models 1521153 CONSULT FACTORY FOR SPECIAL APPLICATIONS 67132 6V4 Timed ] 7b 46M 7 21x32 ! 56 • Timed dosing panels available, • Electrical alternators, for duplex systems, are available and ] 1w ] nn2 supplied with an alarm. • Variable level control switches are available for controlling ® 1 374 single phase systems. • Double piggyback variable level float switches are available I I far variable level long and shat cycle controls. • Sealed Qwk-Box available for outdoor installations. See FM1420. 1 1 i • Over 130•F. (54•C special quotation required. 151/152/153 S 11 Will 121/ 1 161M521163 MODELS Control Selection Yodel Volts Pb Mode Am Sim ex Duplex 1 434 s to N151 115 1 Non 6.0 1 2 or 3 BN151 115 1 Auto 8.0 Included 2 or 3 El 51 230 1 Non 3.2 1 2 or 3 8E151 230 1 Auld, 3.2 Included 2 or 3 SK2444 SK2064 N152 115 1 Non 8.5 1 2 or 3 BN152 115 1 Auto 8.5 Included 2 or 3 El 52 230 1 Non 4.3 1 2 or 3 BE152 230 1 hub 4.3 Included 2 or 3 N153 115 1 Non 10.5 1 2 or 3 BN153 115 1 Aub 10.5 Included 2 or 3 E153 230 1 Non 5.3 t 2 or3 SELECTION GUIDE BE153 30 1 Aub 5.3 Included 2.3 1. Single piggyback variable level float switch or double piggyback variable level float A CAUTION switch. Refer to FM0477. All installation of controls, protection devices and wiring should be done by a qualified 2. See FL40712 for coned model of Electrical Alternator E-Pak. icensed 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). 3. Variable level control switch 10.0225 used as a control activator, Specify duplex (3) or (4) float system. RESERVE POWERED DESIGN For u nusua l conditions a reserve safety factor is engineered into the design of every Zoeller pump. 6WL TO: P.O. BOX 18347 t Manu PLI Lou1rv18e, Ky 402 hcdn ersoi.. SHIP T0: 3849 CaRun LaulsWBe, KY 4021 -1981 Z&V7y �4.Pa S wr /999 kr com (502) 778-27 X (50 774.3 D28 PUMP FAX (502) 774J824 0 Copyright 2004 Zoeller Co. All rights reserved. i • Sod e ✓a/ua- 6 j �tn.tdac.t�ar �k.JEinq Q/-adc eiv J • �.o C a-�< of P/'O �fqr�. 5C-4 le : /'= 519 tQepl.=o /0 ea C-6 ✓or /9 �.Y9GS E� ♦sf.' /li. "�orc�♦na;rt. GavB /a s �o�7 6 -c. zG, jai/ �' �obe diaConncLktsdf e r.5 . T�.S�i, V �.'� ���. � gf ' ew:rd' tf C30-%C73-10-0-5 � ;s�'�•'Sd��� E�.•sf.'� i Iwo y�.G Sra Z � �� x♦ Scpb'ctA�K \ �- �Scl�•S/OP.d.C. �"centa��. - o_ 8 Su /a fe / o �o e {� 6E i n S<n/k of S COR b417e R SpONp C� 4t� Ca�crc�e�as/okaCE Con ereft V I A- ) /tS•c*rltG , _- - -•- w�� O df' A a4i Ilk /SOU Yi+1AS \ 7 � t i a cY 4 Ceflat 2/, d / /o•��`� / /•OC /OO.o' f 41 �a ✓�f bz&. Tcvo (z) u 3 fi bw& vh /Cc r`Gra -�5 !cam .Z �X 5�B T.S /�) � ♦ �' i r � � � � .. _ d b r �tS L i •'(i3,• /0 6 /owe ' io yo 3 /off Red P. nCJ r 7� �0 50`- 2120 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page I of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code A.C.E. Soil & Site Evaluations Attach complete site plan on paper not less than 8' %x 11 inches in size. Plan must County St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and — percent slope, scale or dimemsions, north arrow, and location and distance to nearest road. Parcel I.D. 030 - 1073 -10 -050 Pl ease print all information. Reviewed By Date Personal information you provide may be used for secondary purposes (Privacy Law, s, 15.04 (1) (m)). Property Owner Property Location Jeffrey & Nancy Robertson Govt, Lot 6 & 7 _ _1_/4 1/4 S 26 T 30 NR 19 Property Owner's Mailing Address lot # Br lock # Subd. Name or CSM# 1349 Awat Trail 2 CSM Vol. 19, Pg. 4965 City State Zip Code Phone Number City Village y; Town Nearest Road Hudson WI 1 54016 1 (715) 549 - 6118 St.Joseph Awatukee Trail New Construction Use: J Residential / Number of bedrooms _ 3 Code derived design flow rate 4 50 GPD ✓ Replacement Ji Public or commercial - Describe: — Parent material loess Flood lain elevation, if applicable Na - - - -- P PP General comments and recommendations: Site suitable for At -Grade of Mound system with 6" sand lift placed on 100.65' contour. FTI Boring # _J Boring ✓1 Pit Ground Surface elev. 100.05 ft. Depth to limiting factor — 5� n. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Eff#1 'Eff#2 — - - -- 1 0 -12 I 10yr3/2 ; � — n I Ifs 0 sg ml cs 2fm,1 c 0. - T 2 12 -25 10yr3/3 j none Ifs 0 s ml cs 1fmc 0.5 1.0 i i Y none I 9 — —�-— --;— - - - - -- _ 3 25 -33 10 r4/4 Ifs _ 0 sg I ml cw 2fm,1 c 0.5 1.0 4 T 33 -50 10yr5/4 none — sil 2msbk mfr cw 2fm,1c 0.6 0.8 5 50 -78 10yr5/4 f2d 7.5yr5/8 sil 1msbk mfr 1 f 04 0.6 2 Boring # —I Boring ✓J Pit Ground Surface elev. 98.95 ft. Depth to limiting factor ____ 41 .in. Soil Application Rate rionzon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Ef 'Eff#2 1 0 -5 10yr3/2 none Ifs 0 sg ml cs 2fm 1 c 0.5 1.0 2 5-21 10yr3/3 I none Ifs 0 sg ml cs 1fmc 0.5 1.0 3 21 -33 10 r4/4 i none — — +_ - - -- � 2fm, y � Ifs O s ml cw 1 c 0.5 1.0 ' 4 33-41 10yr5/4 none s 0 sg ml cw 1 2fm,1 c 0.7 T 1.6 5 41-45 10yr5/4 I f2d 7.5yr5/8 sll 1 msbk mfr cw 1 fm T 0.4 0.6 6 45 -65 10yr5/4 m2p 7.5yr5/8 1 sll 1 1 msbk mfr 1 fm 0.4 0.6 I Effluent #1 = BOD 30 < 220 mg /L and SS >30 < 15 mg /L Effluent #2 = BOD < mg /L and TSS < 30 mg /L CST Name (Please Print) nature CST Number James K. Thompson �____. 3602 Address A.C.E. Soil & Site Evaluations Date Evaluation Conducted Telephone Number 340 Paulson Lake Lane, Osceola, WI 54020 5/5/2008 715 - 248 -7767 Property Owner Jeffrey & Nancy Robertson Parcel ID # 030 - 1073 -10 -050 Page 2 of _ 3 73 # VI Boring I Pit Ground Surface elev. 101.96 ft. Depth to limiting factor 40" in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots ' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'E� ff#1 *Eff#2 1 0-6 10yr3/2 none Ifs 0 sg ml Cs 2fm,1 c 0.5 1. 2 6 -15 10yr3/3 none Ifs 0 sg ml Cs 1fmc 0.5 1.0 3 j 15 -31 10yr4/4 none Ifs 0 sg ml cw 2fm,1 c 0.5 1.0 4 1 31 -40 10yr5/4 none s 0 sg ml Cw 2fm,1c % 0.7 1.6 5 40 -52 10yr5/4 f2d 7.5yr5/8 sil 1 msbk mfr cw 1 fm 0.4 0.6 6 52 -60 10yr5/4 m2p 7.5yr5/8 sil lmsbk mfr 1fm 0.4 0.6 71 I i Borin g # J Boring J Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDKV _ . in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 'Eff#2 I Boring # J Boring J Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDtftl in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 "Eff#2 i I � I i ' Effluent #1 = BOD 30 < 220 mg /L and TSS >30 < 150 mg /L " Effluent #2 = BOD -i 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 T 608- 264 -8777. SBD -8330 (R.07 /00) A.C.E. Soil & Site Evaluations eIla 'on �I So;/ a ✓a /ua-b7.n 6 i �ia�dac�¢r i CX.J &ing a/ad( 21St! • ca c d P�o / o. i6we 242 c I /oER, Cs,.T ✓0'//9 a. Y9GS Ex�:sf.''� /�. "{,o,^ocr►ta ;�t. Gov �. /ais l0 4 7 elvsd' A 030-/07,3 / - o.SO `os Conerc& SEE C RRESPO DENCE � '� l FXiJf.ny e,�ay Av - wait �araGe , � Ab r k5i� i R S /off Re cl P r neJ to r(A-14 2120 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page t of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code A.C.E. Soil & Site Evaluations Attach complete site plan on paper not less than 8% x 11 i in s' Plan must County St. Croix include, but not limited to: vertical and horizontal refs (B , i nd , percent slope, scale or dimemsions, north arrow, and location Parcel I.D. 103-10 -050 2�5p� Please print a�tinfo Rev' By D / e Personal information you prov r, (P vacy La�v, s. m)). `i Property Owner Property Location Jeffrey & Nancy Robertso Q8 Govt. Lot 6 & 7 19 19S 26 T 30 N R 19 W Property Owner's Mailing Add Lot # Block # Subd. Name or CSM# 1349 Awatukee Trail I COON" 2 CSM Vol. 19, Pg. 4965 City tate tg 6 r City f Village �/ Town Nearest Road Hudson L 6 1 (715) 549 -6118 St.Joseph Awatukee Trail New Construction Use: a Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD 0 Replacement J Public or commercial - Describe: Parent material loess Flood plain elevation, if applicable Na General comments and recommendations: Site suitable for At -Grade of Mound system with 6" sand lift placed on 100.65' contour. Boring # J Boring 01 Pit Ground Surface elev. 100.05 ft. Depth to limiting factor 50" in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots PD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff #1 *Eff#2 1 0-12 10yr3/2 none Ifs 0 sg ml cs 2fm,1 c 0.5 1.0 2 12 -25 10yr3/3 none Ifs 0 sg ml cs 1fmc 0.5 1.0 3 1 25 -33 10yr4/4 none Ifs 0 sg ml cw 2frn 1 c 0.5 1.0 4 33 -50 10yr5/4 none sil 2msbk mfr cw 2fm,1c 0.6 0.8 5 50 -78 10yr5/4 f2d 7.5yr5/8 sil 1msbk mfr - 1fm 0.4 0.6 [ Boring # I Boring 0, Pit Ground Surface elev. 98.95 ft. Depth to limiting factor 41 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. - Eff#1 *Eff#2 1 0-5 10yr3/2 none Ifs 0 sg ml cs 2fm,1 c 0.5 1.0 2 5-21 10yr3/3 none Ifs 0 sg ml cs 1fmc 0.5 1.0 3 21 -33 10yr4/4 none Ifs 0 sg ml cw 2fm,lc 5 1.0 4 33-41 10yr5/4 none s 0 sg ml cw 2fm,1 c 0.7 1.6 5 41-45 10yr5/4 f2d 7.5yr5/8 sil 1msbk mfr cw 1fm 0.4 0.6 6 45-65 10yr5/4 m2p 7.5yr5/8 sit 1 msbk mfr - 1 fm 0.4 0.6 Effluent #1 = BOD? 30 < 220 mg /L and S >30 < 4 mg/L Effluent #2 = BOD mg/L and TSS < 30 mg/L CST Name (Please Print) nature' CST Number James K. Thompson � -_ L _ 3602 Address A.C.E. Soil & Site Evaluations Date Evaluation Conducted Telephone Number 340 Paulson Lake Lane, Osceola, WI 54020 5/5/2008 715- 248 -7767 I i N n 030- 1073 -10 -050 Pa • Proper Owner ]effre & an Robertson I 9 rtY Parcel D # e 2 of 3 3] Boring # VI Boring Pit Ground Surface elev. 101.96 ft. Depth to limiting factor 40" in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr, Sz. Sh. *EN#1 *Eff#2 1 0-6 10yr3/2 none Ifs 0 Sg ml cs 2fm,1 c 0.5 1.0 2 6 -15 10yr3/3 none Ifs 0 Sg ml cs 1fmc CO.5 1.0 3 15 -31 10yr4/4 none Ifs 0 Sg ml cw 2fm,1 c 0.5 1.0 4 31-40 10yr5/4 none s 0 Sg ml cw 2fm,1 c 0.7 1.6 5 40 -52 10yr5/4 f2d 7.5yr5/8 sil 1msbk mfr cw 1fm 0.4 0.6 6 52 -60 10yr5/4 m2p 7.5yr5/8 sil 1msbk mfr - 1fm 0.4 0.6 ❑ Boring # Boring J Pit Ground Surface elev. ft. Depth to limiting factor in. Sod Application Rate Horizon Depth Dominant Color Redox Description Texture Stricture Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 ❑ 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 QPDIW in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 * Effluent #1 = BOD 5 > 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD S.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.07 /00) A.C.E. Sol & Site Evaluations Soi/ a ✓a /ua bin 6y /�a .►dau�sr Cx, J�in 8/'aote elv! • C.o c�d Prop. ��'a n c y ,Pb� son 0 �3t✓9A�a� - Kc� r�'4/l /0:<,2 CS,.� ✓off /y P Y9GS E�.sE / "{arc�nta ;t. Gw$. /ads 6 4 7 5u.. xG, .Q. � yam. T . o f s� . Toss, � • • � � $f • ewsd'.q ��� �� o3d- �o7 /4 -05 IW AX ' eon e.rc& a� �u►��'` E,?rifj 'dai4�� �` /'es•crencc 9f 0 1 A 4C 6ru,54 ` 1 v/ �Y / c5 /off l oo 01 .�� -5 1,,14e i r 0 CO) 0''c- n C7 ° c > > 3 r* CD o m m to 0 cn 0 = m z o � ? — rn n O N v O L � 3 o c j n o is .� rl 0o Q Z a s =r N O O :3 o j c a o W a o f O 1 CO C11 d O N O N �, N W .Z 0 0 0 (D O N O --I C77 O �O{ O �1 Ut 3 O p • N N A .i o O C CO O 'r7 ID D m r- L F ', (D N D. N N 07 C Z. V� f2 C O O N N N 3 C i N� OD CD !: O O CD -- w r r ''.I 0 L Q� C CD co � _ Q C N W W d .. O cn � T T v ? "W . O O O �E 0 m A m rn rn D1 N W N rT 0 zmz c A D o a r D No ° C , � • rn z � a �J v �yl, (D ��l o @ `i � C N. W fD CD a 0 CD P. ? Z N O N C 7 z 0 CD.. p N W M O W O Z N O F O CD N fZD'i < W 0 (nNm ap y o cnl< m c CL C M a M y m 0 a < �a3o DN(D - N° 1 v c co CD m =, CD _ o z o a o30�0o C O C O D N O fD td N O O 11) a 2. o 3 o y OD CO 0) N (D O C O 7- O N C O li H W y N Q N N fD < te 7 0 Q N N O(DO O O 'o Cc m a y c m o a �. 3 a mmo n 0 m Z m M ti m ry a CD ° o a a c x m 0 w (OD C A w v (A O o � H Parcel #: 030 - 1073 -10 -050 06/12/2008 03:31 PM PAGE 1 OF 1 Alt. Parcel #: 26.30.19.255D -05 030 - TOWN OF SAINT JOSEPH Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 03/20/2006 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner O - ROBERTSON, JEFFREY & NANCY JEFFREY & NANCY ROBERTSON 1349 AWATUKEE TRL HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 1349 AWATUKEE TRL SC 5432 SOMERSET SP 8040 BASS LAKE REHAB DIST SP 1700 WITC Legal Description: Acres: 2.980 Plat: 4965 -CSM 19 -4965 SEC 26 T30N R19W PART OF GL 6 & 7 AS Block/Condo Bldg: LOT 02 DESC IN 646/185 LOT 1 AS IN CSM 6/1523 NKA CSM 19 -4965 LOT 2 EXC PT TO AWATUKEE Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) TR 26- 30N -19W Notes: Parcel History: Date Doc # Vol /Page Type 08/16/2007 857745 WD 07/03/2007 854992 WD 04/04/2005 791329 19/4965 CSM 01/31/2005 786197 2739/639 WD more... 2008 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 04/24/2008 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.980 274,700 253,800 528,500 NO Totals for 2008: General Property 2.980 274,700 253,800 528,500 Woodland 0.000 0 0 Totals for 2007: General Property 2.980 274,700 213,500 488,200 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 ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Mailing Address 13 Property Address 6 orie- (Verification required from Planning & Zoning Department for new construction.) c d--. 42'? e.J /. o - /O 3 , 16 - ' City /State � Pa rcel Identification Number 3f 05 O 7 I LEGAL DESCRIPTION Gdv �• l�s 1Q�7 Property Location % , Sec. Z 4 , T 3 N R.Zf ... W, Town of J` • T 5 C1 44 Subdivision 4 Lot # Z Certified Survey Map # , Volume _�_, Page # 5r9G.5� Warranty Deed # , Volume , Page # Spec house no Lot lines identifiable yes SYSTEM MAINTENANCE AND OMMR CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed 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. I/we, 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. Itwe certify that all statements on this form are true to the best of my /our knowledge. I/we am/are the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Number of bedrooms siGNA OF APPLICANTS) DATE ** *Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. * ** Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV. 08/05) I i ST. CROIX COUNTY ZONING OFFICE CERTIFICATION STATEMENT FOR UTILIZATION OF AN EXISTING SEPTIC TANK This is to certify that I have inspected the septic tank presently serving the e residence located at: G L-. * Section X 7-6 Town 30 N, Range _ W, Town of _ '- e p'�/ , St. Croix County Wisconsin. Upon inspection, I certify that I have found the tank(s), to the best of my knowledge, will conform to the requirements of Comm. 84.25, and it (they) appear(s) to be functioning properly. Most recent date of service - ���,.,,,Q /7 ZCO Did flow back occur from absorption system? Yes r/ No (if no, skip next line.) Approximate volume or length of time: gallons minutes Capacity: Construction: Prefab Concrete Steel Other Manufacturer (if known): S �e C4-S A ank (if known): ,f,' e � S4 3 19f-3 - --25`v /-S icensed Plumber Signature) (Print Name) (License Number) $ MPRS �� 201 ;ate) Form to be completed by licensed plumber (s. 145.06, Wisconsin Statutes) or licensed disposer (NR 113 Wisconsin Administrative Code) i i d 1111111111111111111111111111111111illllllllf111111 State Bar of Wisconsin Form 2 -2003 8 5 7 7 4 5 1 CORRECTIVE WARRANTY DEED 857745 Document Number Document Name KATHLEEN H • WALSH REGISTER OF DEEDS ST, CROIX CO., WI RECEIVED FOR RECORD THIS DEED, made between Steven J Hirsch and Pamela K. Hirsch, husband and 08/16/2007 04:OOPM WARRANTY DEED wife EXEMPT N ( "Grantor," whether one or more), REC FEE: 11.00 and Jeffrey Robertson and Nancy Robertson husband and wife PAGES: 1 ( "Grantee," whether one or more). Grantor, for a valuable consideration, conveys and warrants to Grantee the following Recording Area described real estate, together with the rents, profits, fixtures and other appurtenant interests, in St. Croix County, State of Wisconsin ( "Property ") (if more space is Name and Return Address Estreen and Ogtand needed, please attach addendum): That part of Government Lots 6 and 7 Section 26- T30N -R19W including Lot 13 of the Plat of Bass Lake South and Lot 1 of that Certified Survey Map recorded in Vol. 6, page 1523 described as follows: Lot 2 of Certified Survey Map recorded in Vol. 19 of Certified Survey Maps, page 4965 as Doc. No. 791329. 030 -1073 -10-050 *THIS IS A CORRECTIVE DEED WHICH IS CORRECTING THE LEGAL Parcel Identification Number (PIN) DESCRIPTION USED ON THE ORIGINAL WARRANTY RECORDED 7/3/07 AS DOC. NO. 854992 This is homestead property. (is) (is not) Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any. Dated & (SEAL) (SEAL) * *Steven J. Hfrsch (SEAL) t . -* �C (SEAL) * *Pamela K. Hirsch AUTHENTICATION ACKNOWLEDGMENT Signature(s) authenticated on STATE OF WISCONSIN ) ) ss, ST. CROIX COUNTY ) * TITLE: MEMBER STATE BAR OF WISCONSIN Personally came before me on 8 1, 0 /v - 7 (If not, the abov amed Steven J. Hirsch and Pamela K Hirsch authorized by Wis. Stat. § 706.06) husbaindand wife '1 to own to be the person(s) wh if the - fdrq Y g THIS INSTRUMENT DRAFTED BY: i ent and ackn ledged the same. a ; q , l Elf) Attorney David J. Estreen 304 Locust Street, Hudson, WI 54016 S P ' V. I U Notary Public, State of W , s C 1 �;� ! ,' ..• ,.•' a My Commission (is permanent) ( P.3pim S 1 g- (Signatures may be authenticated or acknowledged. Both are not necessary.) NOTE: THIS IS A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. WARRANTY DEED 0 2003 STATE BAR OF WISCONSIN FORM NO. 2 * Type name below signatures. INFO -PROTM Legal Forms 600- 655 -2021 www.infoproforms.com 1 of 1 LC+j S� t of 030 - /073 l0- D54 �3d - /U7& i0 -OETO o��j ~ D vv VOL 19 :PAGE. 4965 KATHLEEN H. W _ REGISTER OF DEEDS ST. CROIX Co., NI CERTIFIED S V RVEY MAP RECEIVED FOR RECORD 04/04/2005 03 ;30PM LOCATED IN PART OF GOVERNMENT LOTS 6 & 7, SECTION 26 TOWNSHIP 30 NORT CERTIFIED SURVEY MAf' j RANGE 19 WEST, TOWN OF ST. JOSEPH, ST. CROIX COUNTY, WISCONSIN, INCLUDING REC FEE: 13.00 LOT 13 O T OF BASS LAKE SOUTH AND LOT 1 OF THAT CERTIFIED SURVEY COPY FEE: 3.00 MAP RECORDED IN VOLUME 6, PAGE 1523 AT THE ST. CROIX COUNTY REGISTER OF PAGES: 2 DEEDS OFFICE. _ SURVEYOR: OWNER: OWNER: DOUGLAS J. ZAHLER RICHARD STOUT STEVEN HIRSCH ro `� S & N LAND SURVEYING, INC. 1353 AWATUKEE TRAIL 1349 AWATUKEE TRAIL C � S 2920 ENLOE STREET HUDSON, WI 54016 HUDSON, WI 54016 z D HUDSON, WI 54016 N Z O CURVE DATA TABLE (ALL LENGTHS ARE IN FEET) m O Curve Radius Central Chord Chord Arc Tangent Bearings p Y m Number/ Lot Length Angle Bearing Length Length Tangent In Tangent Out O m r m C1 300.79 40 "5716" N07 °00'41"W 210.45 215.00 N13 °2757 "E N27 °29'19"W co Z ' 2 300.79 38 °25'14" N05 °44'40"W 197.94 201.70 N13 °27'57"E N24 °57'17"W i Z 1 300.79 02 °32'02" N26 °13'18 "W 13 -30 13.30 N24'57'1 7 N27 °29'19"W g 0 m to o NW COR. w C) SEC, 26 N O z m i Cl? 0i' -'' - ' A- 639859 7`'� 0 1997.56_\ 1 25. -tit' 14 LOT 1 ra\ N89 ° 58'57 "E BENCH MARK: TOP G . 4 OF 1' IRON PIPE, 8464 ACRES ELE VATION 849.6 (366,668 SQ. FT.) ® 12 TO MEANDER LINE 9.24ACRESt m �\ TOO.H.W.M. Y House O M Za° / j_ GARAGE `Pa Z �Z �� TENNIS COURT SEE DETAI ON SHEET a A ` ' O _•` O_-- -� - - -y Z \�� ry�� t j � BENCH MARK. .. TOP OF 1 IRON PIPE, ELEVATION `. \ h am' 15 „� . v\ 1 � 803.7 \ 7.. S6a CEMENT SLAH .'V 1!4 COR� HousE SEC. 26 ,``a�� �g \�6 2.8700 ACRES S \ 6 (125,019 SO. FT.) TO MEANDER MEANDER LINE .I1 _ 2.98 ACRES± NOTES: _____ -- DRIVEWAY _ TO O.H. W. A LOTS MAY BE SUBJECT TO FUTURE SPECIAL ASSESSMENTS 366,�a. �1� L FOR ANY UPGRADES AND UNPLATTEV 26A�,33 L_ -' IMPROVEMENTS TO THE ROAD. T "AwT l BOUNDARY OF THIS CERTIFIED SURVEY MAP IS LOT Y OF THE PLAT OF BASS LAKE SOUTH, OWNED BY iCHARD STOUT AND LOT 1 OF A CERTIFIED SURVEY MAP LEGEND =CORDED IN VOLUME 6, PAGE 1523 AT THE ST. CROIX / �� )LINTY REGISTER OF DEEDS OFFICE, OWNED BY STEVE / ? � 'SCH. THIS MAP SHOWS THE EXCHANGE OF LAND oV FOUND ALUMINUM COUNTY "'WEEK ADJOINING PARCELS AND HAS BEEN 2 ^ SECTION CORNER MONUMENT PLETED WITH DOCUMENTS #7 (, 9 ,�(OCD) AND Z FOUND 1" OUTSIDE j (OCD). NO ADDITIONAL LOTS ARE CREATED BY DIAMETER IRON PIPE TRUMENT. SET 1' OUTSIDE DIAMETER BY IONS, RESTRICTION, NOTES, ETC. LISTED ON O 18" LONG IRON PIPE, WEIGHING S CERTIFIED SURVEY MAP AND PLAT ARE 1.13 LBS. PER LINEAR FOOT LESS OTHERWISE INDICATED. ® WELL ET 1 " = 200' Q SEPTIC VENT O.H.W.M. ORDINARY HIGH WATER MARK 200 tb SOIL BORING BY' WIL LIAM KANE °O SHEET 1 OF 2 SHEETS z�o U) r T p z 07 n �� ymz i N C m ,Z z y o zz o 'mD T c � ;R �iN I _ - 0 to O 3 m n d [� fD cD M '° M n c CD (D n 3 � � o �S� (D 3 3 (D (D o O O -+ C � j I W CL z o w ? w Q� y� NNW n oC( CD ��CD o Ul 3 W 5 O °O 3 0 U) a ° ° O ° o O CD cQ d 0 CD W W C CD CL 3 O (D CD w '{ ftr CL v. -C CO CO V) w w c to o c C .. c ( ( O o O O O � 'E * 0 7 c N to y a D o. v (D Gov o iQ C- d rn v � ° _ ° CL ,z M CA) N z W z Q D a !1 CD m lhNv • CD m c. c c m m a 3 z (D D O ? A Dpi 0. a o. N W CD A O z C :: O ° y z W CD CD c c D °aC °° CD o t° CD v, CD =° v v c N (D -pp '0 (D v O n y Q d o 3 0�oCO (D E M (D N N 7 + 7 S vao C m (n O m o ; 0 � � e Ch c odCDcmm_ m o N o C7 aN 0 co @ CK A I i m a m N N O CD a O 3 x ° a m d I CD o O a 0 CD Parcel #: 030 - 1073 -10 -000 02/24/2005 08:00 AM PAGE 1 OF 1 Alt. Parcel #: 2630.19.255D 030 - TOWN OF SAINT JOSEPH Current [X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type ` 00 0 Tax Address: Owner(s): ' = Current Owner STEVEN J HIRSCH " HIRSCH, STEVEN J 1349 AWATUKEE TR HUDSON WI 54016 -7407 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description " 1349 AWATUKEE TR SC 5432 SCH D OF SOMERSET SP 8040 BASS LAKE REHAB DIST SP 1700 WITC Legal Description: Acres: 3.000 Plat: N/A -NOT AVAILABLE SEC 26 T30N R1 9W PART OF GL 6 & 7 AS Block/Condo Bldg: DESC IN 646/185 LOT 1 AS IN CSM 6/1523 EXC PT TO AWATUKEE TR Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) 26- 30N -19W Notes: Parcel History: Date Doc # Vol /Page Type 07/23/1997 1078/180 RD 07/23/1997 1013/617 QC 07/23/1997 679/523 2004 SUMMARY Bill #: Fair Market Value: Assessed with: 5345 493,200 Valuations: Last Changed: 07/08/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.000 271,700 213,500 485,200 NO Totals for 2004: General Property 3.000 271,700 213,500 485,200 Woodland 0.000 0 0 Totals for 2003: General Property 3.000 161,500 179,500 341,000 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch #: 501 Specials: User Special Code Category Amount 040 -OTHER ASSM'T SPECIAL ASSESSMENT 691.10 Special Assessments Special Charges Delinquent Charges Total 691.10 0.00 0.00 Parcel #: 030 - 1073 -10 -000 03/22/2005 05:18 PM PAGE 1 OF 1 Alt. Parcel #: 26.30.19.255D 030 - TOWN OF SAINT JOSEPH Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): " = Current Owner * STEVEN J HIRSCH HIRSCH, STEVEN J 1349 AWATUKEE TR HUDSON WI 54016 -7407 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 1349 AWATUKEE TR SC 5432 SCH D OF SOMERSET SP 8040 BASS LAKE REHAB DIST /� c/ �L I SP 1700 WITC l �o) Legal Description: Acres: 3.000 Plat: N/A -NOT AVAILABLE SEC 26 T30N R1 9W PART OF GL 6 & 7 AS Block/Condo Bldg: DESC IN 646/185 LOT 1 AS IN CSM 6/1523 EXC PT TO AWATUKEE TR Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) 26- 30N -19W Notes: Parcel History: Date Doc # Vol /Page Type 07/23/1997 1078/180 RD 07/23/1997 1013/617 QC 07/23/1997 679/523 2004 SUMMARY Bill #: Fair Market Value: Assessed with: 5345 493,200 Valuations Last Changed: 07/08/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.000 271,700 213,500 485,200 NO Totals for 2004: General Property 3.000 271,700 213,500 485,200 Woodland 0.000 0 0 Totals for 2003: General Property 3.000 161,500 179,500 341,000 Woodland 0.000 0 0 Lottery Credit Claim Count: 1 Certification Date: Batch #: 501 Specials: User Special Code Category Amount 040 -OTHER ASSM'T SPECIAL ASSESSMENT 691.10 Special Assessments Special Charges Delinquent Charges Total 691.10 0.00 0.00 L I i i 989t (9 LL) XBJ a 089t ( 9 LL) O LLL-9 LOBS IM `uospnH _ peon Iaepiwaeo LOLL a31N301N31NNa3A09 Jl1Nnoo XIOao '1S ... ■. _ IIJIAAo O IINOZ raanwnnn� -� - - -- NISNOOSIM AINnoo XIOao 1S f AS BUILT SANITARY SYSTEM REPORT OWNER 1�ie-Sc� TOWNSHIP��SEC. T.0N -R�W ADDUSS _�o,6Er`7�S , CJ;. ST. CROIX COUNTY, WISCONSIN. ' SUBDIVISION ick S+ �_ ArQ Cr` LOT Z5' acreS T zL PLAN VIEW / 3 7 AWd-(- 4zjz-- Ir4 Distances and dimensions to meet requirements of H63 R QW - RWR YTHING WITHIN 100 FEET OF SYSTEM r- IN III I V7. T O G � M I di a e o th Arrow SC L o Sc� ' Al BENCHMARK: (Permanent reference Point) Describe F Elevation of vertical reference point: /60,0' Slope at site: & SEPTIC TANK: Manufacturer Sk prrecesl Co., Liquid Capacity: /000 gwl Number of rings on cover : at Tan manhole cover elevation: 97'2 *_e ? Z /7' Tank Inlet Elevation: gq' W Tank Outlet Elevation: gg- ser8� PUMP CHAMBtR Manufacturer:. SkgW w c f Number of gallons QQ af. Number of gal. pump set for a cycle 4 gallons; tota c acity of distribution lines allon: size o um — gallon per minute 7�� g p p � 23 �� head; g p 2 horsepowe ran name of pump and model numbe s M C_ , Type of warning e ce_2i � le�r► HOLDING TANK: Manufacturer WA Number of gallons Elevation of manhole cover Type of warning device SEEPAGE PIT SIZE: Number of pits teet diameter feet liquid-depth seepage pit in e� pipe- elevation bottom of seepage pit e evation feet. SEEPAGE BED SIZE: number of lines 2 width _ length 5e the depth SG * / SEEPAGE TRENCH: width N length PERCOLATION RATE < 10 AREA REQUIRED (, AR EA AS BUILT INSPECTOR DATED g �� / �. $ 3 PLUMBER O N J B r{ P kn r•a_-__ LICENSE NUMBER 3'Z 17- I C7 J C.c{ 1 F I-*s c rl G l le fi I s t N j IP I I i 7 . a t O r L1 i F' DEPART , NKT OF INDUSTRY INSPECTION REPORT FOR 0 SAFETY & BUILDINGS LABOR WAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION t * 'P.O. BOX, 7969 / BUREAU OF PLUMBING MADISON, WI 53707 C CONVENTIONAL ❑ALTERNATIVE State Plan l.D. Numb er: Ilf assigned) ❑ Holding Tank ❑ In- Ground Pressure El Mound NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPECTION DATE: Steven Hirsch Roberts, WI BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN: REF. PT. ELEV: CST REF. PT. ELEV.: NE SW- Section 26, T30N —R19W, Town of St. Jospeh Name of Plumber MP(MPRSW N.- Coumy Sanitary Permit Number: John Sykora, III 3212 St. Croix 38541 SEPTIC TANK /HOLDING TANK: MANUFACTURER: ,���jjj L107 CAPACITY TANK INLET EL V. TANK OUTLET V.: WARNING LABEL LOCKING ED: P O OVE h��JJ P V RVID / /(/ YES 1:1 NO 0 BEDDING: =VENT DI : VENT TL HIGH WATERt}MM1E ROAD: P PERT WELL: BUILDING: VENT TO RESH ALARM. FET LI E: / AIR IN T ❑YES ❑YES ONO LNFAREST DOSING CHAMBER: MANUFACTURER: BEDDING: LIOUID CAPACITY. PUMP MODEL. PUMPlSIPHON MANUFACTURER: WARNING LABEL LOCKING COVER �,�jCJ��"' PROVIDED: P V ED: DYES O VW +) +J �C - ]YES ❑NO YES ONO GALLONS PER CYCLE: I PUMP AND CONTROLS OPERATIONAL OF PR OPERTV WELL: J BUIfING. VENT TO FRESH (DIFFERENCE BETWEEN BET FROM LINE AtR INLET: PUMP ON AND OFF) ❑YES ❑NO NEAREST SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing LENGTH I DIAMEleIr — [ ATEFOC L AND MARKING f:OfICE or excavation. (If soil can be rolled into a wire, construction shall cease until MAIN the soil is dry enough to continue.) MAIN CONVENTIONAL SYSTEM: �a WIDTH: LENGTH INO.OF IDISTR . PIPE SPACING J INIIDI DIA.. #PITS: LIOUID �I?1TREN H" TRENy11FS»"^ -' RIAL' PIS- DEPTH: GRAVEL EPTFFFFFFyyyyyy FILL DEPTH j DI1TR , 1IP 1 . DISTR. PIPE DISTR. PIPE MATERIAL: N DI NUMBER O PROPERTY WELL: BUILDING VENT TO FRESH BELOW PE ABOVE COVER. ELEV. N � ELEV. END: PIPE W FEET FR LI AIR INLET: WEAR MOUND SYSTEM: Mound site plowed perpendicular to slope I/ets he texture of the fill /ain rial for PROVIDE A DIAGRAM OFSYSTEM and furrows thrown upslope: DYES NO s stems to make ce tha t it ON REVERSE SIDE. SHOW ELEVA- e criter ia for mediu sand. TIONS MEASURED. j / ❑ SOIL COVER TEx TURE PERMANENT MARK RS BSERVATION WELLS ❑YES NO DEPTH OVER TRENCHIBED DEPTH OVER TRENCH(BEO DEPTH Of PSOIL. D. EE MULCHED: CENTER: EDGES. ❑Y OYES ❑N NO PRESSURIZED DISTRIBUTION SYST M: 'WIDTH � LENj f "NO. F L ERAL SPA �ROVE B ELOW PIPE FILL TH ABOVE COVER. jj r "jiT L ° TRENCHES: M I PUM ANIF TR. PIPE ANIFO LD MA I STR. DIS .PIPE DISTRIBUTION PIPE MATERIAL & MARKING EL .: D LE V. �� IPE : DI SPF. ':,' HOLE SIZE PA ING. DRILLED C LV. COVER MAT AL. VERTICAL LIFT CORRESPONDS TO APPROVED . "0`FAiIATiflN °.r PLANS: ❑ FV' EINO OYES ❑NO COMMENTS: PERMANENT MARKERS: OBSERVATION WELLS: NUMBER "Q -,, LROPERTY W [:]YES ❑NO ❑YES NO I NEAFLEST M ' FEET IFAO to�108 �� '12A S - c° �• f ©a S2ss Sketch System on �/ lYl Retain county file for audit. Reverse Side. 7 L � TITLE: DI LHR SBD 6710 (R. 01 /82) SIGNATURE. i i t 3 « ! • ( y r • ! * i ¢ a • r . w".. ION ok l T tPARJIUIENT OF APPLICATION SAFETY &BUILDINGS INDUS, FOR SANITARY DIVISION LABOR ANb PERMIT P.O. BOX 7969 HUMAN RELATIONS (PLB 67) MADISON, WI 53707 Attach plans for the system on paper not less than 8% x 11 inches in size. Include a plot plan that is dimensioned or drawn to scale. Horizontal and vertical elevation reference points must be shown. All appropriate separating distances and physical characteristics as specified in chapter H -63, Wis. Adm. Code, must be shown. An index page or each page must be signed, sealed and dated by the designer. If designed by a Master Plumber, the date, signature and license number must be shown. The owners copy or a legible reproduction of the soil test report must be included. Property Owner: Mail A / d - dress: ) P-,l 4 / V �-- G �C c3 1� �S Property Location: Gky, YiHege or Towns ip: County: IVE '/a - /aS 26 /T �Q NCR /9 E (DO W 6 S � CV- r Lot Number: Blk No.: Subdivi Name: Nearest Road, State Plan I.D. Number: A/ 1 sio tom_ Q (if assigned) TYPE OF BUILDING Number of ❑ Public* ❑ Variance ❑ Other (specify) � /' - 1� • ) �j —A0 —om Bedrooms: 1 or 2 Family *State Approval Required. TOTAL NUMBER PREFAB POURED -IN STEEL FIBERGLASS NEW REPLACE- OTHER GALLONS OF TANKS CONCRETE PLACE INSTALLATION MENT (Specify) SEPTIC TANK CAPACITY HOLDING TANK CAPACITY LIFT PUMP TANK /SIPHON CHAMBER MANUFACTURER: EFFLUENT DISPOSAL SYSTEM PERCOLATION RATE ABSORPTION AREA rr� (Minutes per inch): PROPOSED (Square feet): LO New El Replacement ❑ Experimental Seepage Bed 1:1 Seepage Pit El Alternative (specify) ❑ Seepage Trench Wat Owner's Name as Listed on Soil Test Report (If other than present owner): L�J Private ❑ Joint ❑ Public I ek", I, the undersigned, hereby assume responsibility for installation of the private sewage system shown on the attached plans. Name of Plumber: Signa re: MPRSW No.: Phone Number: �. �? S0 3z� Z (74S ►��6� Plumber' Address: tj t -j Name of Designer: 2 S f3l .ti S� z s�LI,— �/ COUNTY /DEPARTMENT USE ONLY Signa ur of Issuin Age Fee: Date: Sanitary Permit Number: J�� �y® / l APPROVED �0 +� (�/ ��!'� DISAPPROVED Re son for Disapproval: Alternate course(s) of Action Available: Change of ownership, building use or plumber requires a Sanitary Permit Transfer Form (67 -T) to be submitted to the county prior to in- stallation. Failure to comply will void the sanitary permit. •` A. DISTRIBUTION: White - County; Canary- Bureau of Plumbing, Pink - Owner, Goldenrod-Plumber DILHR -SBD -6398 (N.03/81) Form - S T C 100 Owner of Property 5T•Pdesq V • /J �` SCl� 17 !� ,Location of Property k LW h, Section o76 T '?LIN R_MW Township 5 'dse'017 Mailing Address r Subdivision Name Lot Number Previous Owner of Property �lC1or� A 5yoU4 rd e Y 4 Total Size of Parcel p6' q 4cr-e Date Parcel Was Created Are all corners identifiable? X Yes No Include with this application one of the following .Certified Survey Map .Deed .Land Contract or .Other Legal Document which describes the property PROPERTY OWNER CERTIFICATION I (We) certify that all statements on this form are true to the best of my (our) knowledge; that I (we) am (are) the owner(s) of the property described in this information form, by virtue of a warranty deed recorded in the Office of the County Register of Deeds as Document No. - 7 74 �Z ; and that I (we) presently own the proposed site for the sewage disposal system (or I (we) have obtained an easement, to run with the above described property, for the construction of said system, and the same has been duly recorded in the Office of the County Register of Deeds, as Document No. ). SIGNATUR I E 00 OWNER SIGNATURE OF CO -OWNER (IF APPLICABLE) 3/ sw 3 DATE SIGNED DATE SIGNED -W REAL ESTATE TRANSFER RETURN Wisconsin Department of Revenue - GRANTOR: GRANTEE: `Name RI _'A1' C) . and JYI 7 ?? 1;T0L `� Name sr"EVEN J. I RSch Social Security Number br iyilleq§Q I Social Security Number I P,: iVji3.C'oed Full Address - New address if property transferred was residence Full Address i OU4:L: Bo il 5 _iL1C1:i011 �4Cj�:. St. Josepi2 1 540: Is arantor related to grantee? Relationship includes, Name and address to which tax bills should be sent marriage, blood relative, partner, lessee - lessor, co- te- Yes 2 No r • a=1Ct SS. R iClaard 0. to owner, parent corporation or joint owner. Route 2, :lud , r.7 54016 Grantor is — .Individual ❑ Partnership ❑ Corporation ❑ Other Telephone: Grantor ( ) — Telephone: Grantee ( ) — C'� (� 1 - PROPER r `.` TRANSFERRED t: neck proper box and ent_r name of municipality and county Street address of property transferred include road name and ,.'C' fir number. r _] City El Viliace w! Town of: joser); County of: S Lc.,-.al Description ( Fill in complete legal description in space below or if metes and bounds description attach 3 copies of it as shown on the instrument o- conveyance. If certified survey map number is used in description list town, range, section and acres.) Lot N o . --------- ----- ------ ------------ - - - - -- Block No. ----- - - -- -- - -- -- Plat Name ------------------------------------------- Town ---- ------- - - - - -- Range --- - - --�_ — Section --- -_—_- - --- - -- ____Property Parcel Number -- -- --__ _- -•-- --- -. -_ - --- ---- --- --- J3. t N-Tt%C!MD aDESCRIP PART II - PHYSICAL DESCRIPTION AND INTENDED USE 1. Kind of Property b. Residential Units, if any 2. Principal Intended Use 3. Land Area and Type Estimated a.,,: Land Only (] One Family a. ❑ Residential d. ❑ Agricultural a. Lot size x ❑ ❑ New Construction ❑ 2 and 3 units b. ❑ Commercial e. ❑ Recreational b. 25 1 9 Total Acres ❑ ❑ Building Previously Used ❑ 4 or more units c. ❑ Industrial f. ❑ Other (Explain) 1. Tillable Acres ❑ Solar Design C. ❑ Rental 2. IN.T.L. Acres ❑ Earth Sheltered Home 3. F.C. Acres ❑ Condominium c. Ft. of Water Frontage ❑ PA III - TRANSFER (Answer as many as apply) 1. Sale 2. ❑ Gift 3. ❑ Exchange 4. ❑ Deed in satisfaction of land contract - What was the date of the original land contract? 5. ❑ Other transfers (Explain below) 6. Ownership interest transferred Full ❑ Other (Explain below) 7. What is the amount of mortgage assumed by grantee? $ 8. Does the grantor retain any of the following rights: ❑ Life estate ❑ Easement ❑ Other (explain below). PART IV - COMPUTATION OF FEE OR STATEMENT OF EXEMPTION 5fir VtiV . ilil 1. Total value of REAL ESTATE transferred (purchase price, etc., Do not include personal property) ..... ....... .... $ -- 2. Value of personal property transferred but excluded from line 1 ....................... $ 3. Value of tax exempt property (solar, wind, waste treatment, mfg. M &E, other) included in line 1 .... $ 4. TRANSFER EXEMPTION NUMBER if exempt for Reasons 1 -13 (see instructions) .... ................ Sec. 77.25 ( ) ORIGI14AL LAND CONTIRACTI 5. Fee - thirty cents per one hundred dollars of value (line 1 times .003) (Make check payable to Register of Deeds) . $ PART V - CERTIFICATION We declare under penalty of law, that this return (Including any accompanying schedule) has been examined by us and to the best of our knowledge and belief it is true, correct and complete. (G rantc)r understands that the transfer must be reported for Wisconsin Franchise or Income Tax purposes regardless of the Grantor's state of residence.) Signature of Granto- or Agent Date Print or Type Agent's Name !Si_^,nawr of Gramea or ..went (Date (Print or Type Agent's Name Fa^ t;r.13g2; Date Re !Data and Kind cf Convcvcnc- _.�. Go Couny; T ax is J _ VOL 646 PACE 1�� REGiS�bR '"�"7�*�� S OFFICE ST, CROIX. CO., WIS.. Rec'd. for Record This 6th day of May A.D. 19 82 at 1. M. � Dedv LAND CONTRACT 14941w o CONTRACT, by and between RICHARD O. STOUT and JAN P. STOUT ( "Vendor ") and STEVEN J. HIRSCH ( "Purchaser "). Vendor sells and agrees to convey to Purchaser, upon the prompt and full performance of this contract by Purchaser, the following property, together with the rents, profits, fixtures and other appurtenant Anterests (all called the "Property"), in St. Croix County, State of Wisconsin: A :}art of the SW 1/4 of the NW 1/4 and Gov't Lot 6 and 7 of Section 26, T301`1, R19W, 'Town of St. Joseph, St. Croix County, Wisconsin, further dr- �r,cribed as follows Coi ,-omencing at the West 1/4 corner of said Section 26 (assumed bearing referenced along the West line of the SW 1/4 of said Section 26, as N 00 0 00' - 17" W) thence S 89 2 9' -57" E, 2827.34 feet to the ooint of be .pinning; of this description; thence N 61 '47' -33" E, 88.26 feet to a point located on the westerly shore of Bass Take, and is the beginning of the meander line along snid lake; thence N 41 1 D6'-56 ,, W along said rne,ulder line 14.28 feet; thence N 1.554' -39" W, 203.72 feet to a point located on the westerly shore of Mass Lake, and the end of said meander line; thence S 64 ° -- 35' -2? W, 575.68 feet to the easterly R/W line of a 66 foot private road easement;.thence N 27 °08' - 22" W along said easterly V 773,76 feet to a point of curvature of a curve concaved to the southwest having a central angle of 62' -26" and a radius of 280,97 feed:; thence northwesterly, 304.08 feet along the arc of the curve, the l.ort;; chord of which bears N 58 ° - ,18' -35" W, 290.854to the point of tangency thereof; thence N 89 ° - T_8' -48 W, 1706.22 feet to the West line of. the SW 1/4 of' the NW 1 /4; thence S 00'- 42' -53" W along said West line 500.00 feet; thence N 89 ' - 10" E, 2047.00 feet to the westerly R/W line of a 66 Coot pz road easement; 'thence S 27 - 22 - E along said westerly RjW line 50;.17 feet to a point of curvature of a curve concaved westerly having a central angle of 40- 17' - and a radius of 234.79 feet; thence southerly, 1.67.82 feet along the arc of the curve; the chord of which bears S 6•-39' - E 1.6 .27 feet to the point of tangency thereof, said arc also being the al'or.esaid westerly R/W line of the private easement; thence continuing along said westerly R/W line S 13 ° - 48' -54° W, 1. feet; thence S 76° 11' -06" E, 66.00 feet to the easterly R /Waline of said private road easement; thence N 61 -33" E, 526.30 feet to the point of beginning............ including all lands lying between the meander line herein described and the water's ed�.,e of Bass Lake which lies between true extensions of the northerly and southerly boundary lines of said,meander line, herein described. Said parcel contains 25.9 acres within meander line. Vendor agrees that the 3 acre lake parcel shall be surveyed and staked out prior to final closing on the Property. Vendor agrees that Purchaser will be provided with a roadway easement to the property and Purchaser agrees that he will be responsible for a portion of the costs of maintaining said roadway. This is not homestead property. Purchaser agrees to purchase the Property, and to pay to Vendor at the address of Vendor's choosing the sum of $56,000.00 in the following manner: $10,000.00 at the execution of this Contract, and the balance of $46,000.00 together with interest from date hereof on such portions as remain from time to time unpaid, at the rate of nine (9 %) percent per annum, through October 31, 1983, with interest being increased to thirteen (13 %) percent P er annum beginning November 1, 1983, with only interest payments being due on April 3.0, 1983, April 30, 1984, April 30, 1985, April 30, 1986, and the entire unpaid balance plus interest being due in full on April 30, 1987. -Z- zopuan 10 uoTgdo aqq qV 'ao :Aaqua -aa go ggbta agq anpg 9014ou gnoggTM PUP gg TM gqaog TTegs zopuatl pup :guauiaa.zbt sTtn TTTJTng og ATagaTdwoo aznlTpJ aqg zoo sabEUiep pagepTnbTT st put s9sTutaad pTps 30 Tpguaz sp Agzadozd s,aopuan utem;9.t og aums agg 'pg .zapunazag zasugoznd Aq pTed sgunouie agq pug 'paTTaouto 4u9tuaaa6g sTUq aapun zaspgoznd agq go sgubTz TTe 'pue up qg 40ea4uoo aqq aaeloap 'uoTgdo s,zopuan gp 'Aeuz aopuaA uagq 'sApp 09 go poTZad t lo; anucguoo TTpgs gTnpjap eons pup 'aesegoand go sastuioad ao 'squeuanoo 'suoTgtpuoo aqg 10 Aup go aoupui _zo zad agq uT ao ' anp UggA gsaaagUT zo TedTouTad Aup go guauiApd agg uT gTnpjap g aseo uT pup aauassa atlq Jo sT 9ULTg getR saazbt zaspgoznd •zasugoand 90 gTnegap ao goe atn Aq pageaao saouezgiunotza zo suaTT Aup gdaoxa 'saoupacpnoua Pup suaTt TTt go atarto Pug aaaJ 'Agzadoad ate. -4o 'a aaJ UT 'pagG AqupazvtA a 'aaspgoand aqg oq aanTZap pug egnoaxa 'pupuiap uo TTTM zopuan 'PaTJToads aAoge zauu - em aqg ut pug sauiTq agq gp pauizoJzad ATInj aq TTegs suoTgTpuoo TTt put pTed AjTnj aq TTegs sAauoui.zaggo PUP gsazaqut q4 TM eoTad astgoand atig aseo ut gegg saazbp zopuan J •A4aadoaa aqg buTgoag,jp suoTquTnba.z pup saoueuTpzo 'sMeT TTe ggTM ATduioo oq pup 'govaquoD sTUq go uaTT aqq oq zotzadns suaTT uioaJ aaa; Agzadoad atn deax o 'zTedaz pup uoTgTpuoo aTgpqupuaq poob uT Agaadozd aqn daax oq 'Agzadozd aqq uo paggTunuoo e a�� r / aq oq agsPm MoTTe aou agseM gtunuoo og you squpuanoo zaspgoznd 'Z86T 'T APW uo Agzadozd agg go uoTssassod expq oq POMqua aq TTtgs aaspgoand •pTtd sT aoTad'asegoand TTn3 aqg TTgun zopuan Aq pautpgaa aq TTegs qT 'govagsqp up go uiaoj agg uT sT aouapTna aTgTq °' soo� a A -ed o4 saaabp zopuan �I •aouaptna aTgTq aangn� �o q tiq 'S6'E8T'S$ Ot 10 q.uttoute aqg uT pTtdun UTeutaz tzoTuM 'T861 zeaA aqg zoo saxpg �daoxa uoTgtutuipxa 109 aaspgoznd og paggtuugns aduaptna GlgTg aqg Aq uMogs SP aTgTg aqq ggtM paTIsTges sT zastgoznd qtt sagpgs zaspgoznd • uiozj -aaaq papnToxa za��eaaagq buTaq sesTuiazd paumapuoo agg 'uoTgpuuiapuoo zo aoupznsuT go spaaooad Aue 90 gtpaao J quana attq uT panuTquoo aq TTpgs ti°;� sguaiuAed ATgguom gegg papTnoJd i anogp paTgToads 4saTJ st appui uaaq sguauiApd noM ssau a a uT P T Ps agg ptg uaaq antq pI P �g ps gpgq gunowp agq P P. a�eM� upgq ssaT sT (IpdToutad PTedun sr pageaa4 aq TTpgs gquoui oq gquoui uioag gsazaqut butnaoov aseo eons uT pue) 4s919quT pup 'TpdTouTzd go aoupTpq pTpdun aqq se buoT os gueuiAed o4 4oadsaz ggTM 4TnpjaP uT sp °d�e pageazq aq qou TTegs 43ez4u00 sTtn 'ququiApdaad Aup go guava aqq uI • OWTq Aut ge TedToutad uodn aaj zo uinTwaid gnoggTM pTpdazd aq Apui qunouie AuV •IedTauTxd oq uatM pup PaTJToads agpz agq qe aoupTpq pTpdun aqq uo gsazaguT oq gsatj paTtddt aq TTpgs squawApd •aasegoand oq paap AqueaatM v Aq paAanuoo sT Agzadozd pits sp auitq Bons TTqun Agaadoad aq4 . uo anp s4u9tuss9ssp TpToads zo /pup saxpq Agaadozd ITe go guauzApd aol aTgTsuodsaa eq oq saazbp zopuan ,• von 646 ; A-E 3 and without notice to Purchaser, notice being hereby expressly waived, the whole amount of unpaid principal shall be deemed to have become due and payable; in case such option shall be exercised the u - r r principal and interest together with all sums which may be or have been paid by Vendor as herein - authorized with interest on such disbursements at the rate aforesaid shall be collectable in a suit at law, or by foreclosure of this contract in the same manner as if the whole of unpaid principal had been due at the time when any such default occurred, and the indebtedness shall embrace, with unpaid principal and interest, all the sums so disbursed with interest as aforesaid. In case of legal proceedings to enforce any remedy hereunder, whether abated or not, all expenses, including reasonable attorney's fees, shall be added to the principal, become due as incurred, and in case of judgment shall be included therein. Upon the commencement or.during the pendency of any action of foreclosure of this contract, Purchaser consents to the appointment of a receiver of the Property, including homestead interest, to collect the rents, issues, and profits of the Property, during the pendency of such action, and such rents, issues, and profits when so collected shall be held and applied as_the court shall direct. All terms of this Contract shall be binding upon and insure to the benefits of the heirs, legal representatives, successors and assigns of Vendor and Purchaser. (If not an owner of the Property the spouse of Vendor for a valuable consideration joins herein to release homestead rights in the subject Property and agrees to join in the execution of the deed to be made'in fulfillment hereof.) Dated this 30th day of April, 1982. iCl � Richard 0. Stout 'Steven . Hirsch (SEAL) (SEAL) Janet P. Stout AUTHENTICATION Signatures authenticated this 30 d o Ap , 98 , of the above named Richard 0. Stout, Janet out nd tev J. Hirsch. be t W. Mudge TITLE: MEMBER STATE B R OF ISCONSIN This instrument was drafted by: Robert W. Mudge, Attprney GWIN, GILBERT, GWIN & MUDGE 430 Second Street Hudson, Wisconsin 54016 -3- 1 , Ste /�'r D C 1 Y op ..�. in sump_. .v; _.. 7 r � i �'`1 P ovoc 11 �JIC r .,:I_ _ ,�...,.`� ,s�;p�_�¢van�c. °j „ ;ncl ji V. ?h V ,...! oveIlOaC n C ). jc° , r e • ail l -:::n3 1u7 c!, ;c.,. 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As the - - - -- �` !; d'i; v�O down hr, tkte Puroopa, the c.ction is " �'� SV? aAl 1/4 Fig 115V Automatic Pump rc, ' the circuit. ` _ X31 :;V�' 1/411P 115V Manual Pun - ,p $ V.�,W 1 /3fl?115VAutorn alicP_smp ! — 2 -- S) V 3 31M 1 1 /3 r 1 ? 115V Manua P i: p y a s C ' O . 0 i inn o ` Q " F m en \ e � EA Y , An LA w a a Vj �a y .. .. V O p W 44 U) A kkk y 41 A z W a H I... c T m a u, ao cn y .. 3 o o . V A ' o •� w �H w E a 'o a o ow a o o °aa n 4'+ w,o Ui E44 MA 3xa H � N U 3 a a a # o 1 d ++ E GL Z O m p z � q raj N a W m w w a� # a a a� a -° a� M n uo .a� t: m $4 4J °' 3 'a �-+ E g 'o C7 U A E ^� N �+ v a z a H a z a s cn a a w IDLISTfMEN, -O REPORT ON SOIL BORINGS AND S AFETY &BUILDINGS �DUST'R . Y, , DIVISION /�HOR AND PERCOLATION TESTS (115) MADISON WBOX I 3909 IUMAN RELATIONS (H63.090) & Chapter 146.045) rj7�nfiTi"�j:� T � TOWNSHIP /MtiM1fTY: OT NO.: BLK. NO.: SUBDIVISION NAME: /YA it IN T - OuVfJLR 7Li�t NA : MA l l l ADDR S ` (..Roy �RS /� DATES OBSERVATIONS MADE t��_.. .____...- --�-_. Np.�3ELlF1MS.: O KWW /kL D S��i' ION: - - �� — -- �PR6�TC � �FfIr Ib4s P A ON TES S: it'Rasiciance I � 4New ❑Replace ATING: S- Site suitable for sy U- Site unsuitable for syste _ tNVEN`(IONAL: MOUND, IN- GROUN[1PHESiUH.: SYSTEM -IN -FILL HOLDING TANK: REC MMENDED SYSTENQ:loptional► X' [u I ss 0 1)1 s auks ® uIa s r� �d,JYe_/V4 a�A� I- IJ/4rf.r.,��M I'en:olauon Tests are NOT required OESIGN RATE: I If any portion of the tested area is in the nder s.H63.09(5 indi cate: I Floodplain indicate Floodplain elevation: PROFILE DESCRIPTIONS C)RINGTTTOTAh GROUNDWATER-INCHES HARA TER O SOIL WI H THICKN SS, COLOR, TEXTURE, AND DEPTH itIMBER Df' -PTH IN. ELEVAT'10N TO BEDROCK IF S EE ABBRV. ON BACK.) _ _ r 8 �. > 7-��._. .f�s,c.. °, �2,7"�Y.e, rn ,s H 723 /03,A0 ff } 7'33 ' ,7Sd1.V,L /,51.64S,4. /.bt3 3:6'7 144.rr _3 7 3 3 ! o A, �r 7, 3 •6 7 'So 4 5, o fie s, l /r 33 W e s t. r 7, x,3' as -�s' fi > 7, 3, ' , 67 e1 9, OCT, L Rt oes SpXg- �I S H 7.33 /0-5 I► > 7, 3 3 , r , 13- _ r4 PERCOLATION TESTS TMT DEPTH WATER IN HOE EST TI E A L H RAT INU rvtNylBER AFTERS LLIN INTERVAL -MIN. PER IN _ - e ft A/ 0 S f ,, LOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- n ral and vertical elevation reference pointe and show their location on the plot plan. Sh -&ur* vation�at all borings and the direction and percent r land slope. ,YSTEM ELEVATION C / F7 IN Z _ : : i I I , I 1 �3 I ! ;3 1 f � I w 1 t I . I, the undersigned, hereby grtify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin Administrative Code, and that the 0. eta r4gorded and the location of the tests are correct to the best of my knowledge and belief. i NAME print : TESTS WERE COMPLETED ON: nDORESS:� - ; S CER�FICATION NUMBER: PHONE NUMBERIoptionall: l� �.d w� N , W 5 �7/J w - 6 Pei -33 7 b' -- Ci TURF: ,4 w )ISTRIBUTION: Original and one Copy to Local Authority, Property Owner and Soil Tester. 1iR -8BD -6395 (R. 02/82) OVER -- ,Ai TA+vs A �---y IR h4 401 l� r2aad .a f ' CST + r /oa,o GAR AJ -e. A T' n tt LL su f'/ , 3 f p 3 , .5 y � __J�}�"t k?,r4_A'S __{ �/ Mr ' ',�Q \�' � ,,,�/ o ,iv-�c ,fArc�. -/c �'• ` T JIB It so r�� nr f c�RAr�.A h.lcK FR O�h c(A2 A , AV OF to rt 9 A+ 614 c' Q i ° 49; `fl.� mi a t o j /! ►ti+ AN J u�' �, � Q - ._ 9 Q � •— ��p �C°� � . � _«�:.... '^--'� L �r `r r t� n: , c �' ('fi �� r 1 � VA / t C ►Q v. .DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY &BUILDINGS fNDUSTRY, DIVISION L4BOR AN PERCOLATION TESTS ( 115 ) MADISON WI 79 HUMAN RE ATIONS ` / (H63.090) & Chapter 145.045) LOCATION: SECTION: TOWNSHIP / OT NO.: BL NO. SUBD VISION NAME: 1 /,,W/ 2 /T r, s N/R /9 E ( dA I a ti A- COUNTY: OWNER'S /0*"'eR`rN M/AlLIN6 ADDRESS: SL" Sluttu 4 ;rsa t II S , S e64 J USE _ DATES OBSERVATIONS MADE NO. BEDRMS.: COMMER — CIAL DESCRIPTION:I PROFILE DESCRIPTIONS: 1 PERCOLATION TESTS: Residence �II-� I KNew ❑Replace 1 9 , 1 2i RATING: S= Site suitable for system U= u nsuitable for system ONVENTIONAL: MOUND: IN- GROUND-PRIIE: SYSTEM -IN-FILL HOLDING TANK: RECOMMENDED SYSTEM: (optional) WS [IV S DU S ❑u ❑ S u ❑ S u c.�,,, o,,d -11'0 ---' If Percolation Tests are NOT requiESIGN RATE: I If any portion of the tested area is in the red D under s.H63.09(5)(b), indicate: A/ A indicate Floodptain elevation: Al k I PROFILE DESCRIPTIONS BORING TOTAL DEPTH TO GR UNDWATER- INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN, ELEVATION OBSERVED ES t HE TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- B- l B- 1 B- B- B- - PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL- INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL -MIN. PERI t PERIOD2 P ER PER INCH P- ..r P- P- / P- P • P- PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent of land slope. SYSTEM ELEVATION a� 1 1 I , I , IN I I ; , / { JO P' 1, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin Administrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. NAME (print): TESTS WERE COMPLETED ON: CERTIFICATION NUMBER: PHONE NUMBER (optional): C SIC AT RE: DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR -SBD -6395 (R. 02/82) - OVER - l J ST. CROI X COUNTY WI SC O N S I N s' 4 ` Eu? Ys� " •,;� ZONING OFFICE 796 -2239 (HAMMOND) 425 -8363 (RIVER FALLS) HAMMOND, WI 54015 October 17, 1983 z,,,t- +° Mr. Steven Hirsch Dear Mr. Hirsch: On August 31, 1983 an inspection was conducted on the septic system located on the property in the NE4 of the SW4 of Sec- tion 26, T30N -R19W, Town of St. Joseph, verifying that the septic system was installed at the wrong elevation. The system elevation was originally described at 98.87 as per percolation tests, and the system was installed at a depth of 100.47. If this new elevation is compared with the soil profile as decribed by the original soil boring, it would place the system in the silt loams, which would possibly produce a slower percolation rate requiring a larger absorption area. The plumber was to have conducted a new percolation test to verify soil conditions would perc the same at this new elevation. We have never received this information and therefore cannot give final approval. Until this information is provided, the residence cannot be occupied. Should you have any further questions regarding this subject, please feel free to contact this office. Sincerely, Thomas C. Nelson Assistant Zoning Administrator TCN:mj ` cc: John Sykora, III, Plumber LeRoy Jansky, State OnSite Waste Specialist i s gib ST. CROI X COUNTY x r a .�i£Y . K• W I S C O N S I N ZONING OFFICE 796 -2239 (HAMMOND) 425 -8363 (RIVER FALLS) HAMMOND, WI 54015 Decembea 21 1983 Mn. Steven HiUch R. R. 1, Box 504 St. Joseph, WI 54082 Dean Ak . Hiu ch : This o6jice is in neeeipt o6 the amended aepont on the peneotati.on .teat at the depth. o6 the .ina.taPted .system, conducted by John Sykora, III on 10 27 - 83. The nes.idenee may now be occupied. Enc owed ptease bind a copy ob the EH 115 nepont 6onm bo your %eco&d6. Showed- you have any 6uhthen questions neganding this subject, pteaae See.0 6nee to contact tliiz o46iee. Sin , Thomas C. Nebon Assistant Zoning Adminiatnatoh TCN: m1 Enctosune: EH 115 . cc: John S ykona, III r INDUSTRY,, , OF REPORT ON SOIL BO RING AND SAFETY &BUILDINGS INDUSRY, GG DIVISION -t AND HUMAN RELATIONS PERCOLATION TESTS (11J) MADISON W BOX 53 07 (H63.090) & Chapter 145.045) LOCATION: �/�� SECTION: p r TOWNSHIP/#A04 OT NO.:BL A NO.: SUBD V ISION NAME: {'r 1 /4W,/ / T k N//1 /9 L ( r? 51 + COUNTY: OWNER'S MAI LIN ADDRESS: Sf, s e-64 J1 USE DATES OBSERVATIONS MADE NO. BEDRMS.: COMMERCIAL DESCRIPTION: PROFILE DE CRIPTIONS: ER OLATION TESTS: Residence *'2 �/� A New ❑Replace 0V Z 7 � RATING: S= Site suitable for system U= Site unsuitable for system / CONVENTIONAL: MOUND: IN- GROUND - PRESSURE: SYSTEM- IN- FILLHOLDING TANK: RECOMMENDED SYSTEM: (optional) S ❑U ❑U M S ❑U ❑ S U❑ S U If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the under s.H63.09(5)(b), indicate: /� Floodplain, indicate Floodplain elevation: Al PROFILE DESCRIPTIONS BORING TOTAL DEPTH TO GROUNDWATER- INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN. ELEVATION OBSERVED EST. IGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- D��S� d&-r401 e2i L B- B- B- B- B- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL - INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL -MIN. PERIOD 1 PER D2 __ PERIO D PER INCH P ... P- P- P -_ P_ PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all,,borings and the direction and percent of land slope. ' v SYSTEM ELEVATION 2_946 Ga� _ _ _ _. w E i I E t t 3 r E . .. _.. p € _...... .__.. t. ,. �......_ x . ........ . ....... _ .. w a_. f f E I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin Administrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. NAME (prints: TESTS WERE COMPLETED ON: 04!4 /D z7 /$ ADDRESS: CERTIFICATION NUMBER: � 1,5 HONE NUMBER (optional): ftkd �. �� Z 2 z � C SI ATURE: DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR -SBD -6395 (R. 02/82) — OVER — t h INSTRUCTIONS FOR COMPLETING FORM 115 - SBD - 6395 To be a complete and accurate soil test, your report most incluOe, 1. Complete legal description; 2. The use section mast clearly indicate whether this is a residence or rcmmercial project; 1 MAXIMUM number of bedrooms or commei use planned; 4. Is this a new or replacement system; 5. Complete the suitability rating boxes. A SITE IS SUITABLE FOR A lA LDING -TANK ONLY IF ALL OTHER SYSTEMS ARE RULED OUT BASED ON SOIL CONDITIONS; B. PLEASE use the abbreviations shown here for vvriting profile descriptions and completing the plot plan; 7. MAKE A LEGIBLE diagram accurately locating your test locations. Drawing to scale is preferred. A separate sheet may be used if desired; B. Make sure your benchmark and vertical elevation reference point are cleanly shown, and are permanent; P. Complete all appropriate boxes as to dates, names, addresses, flood plain data, percolation test exemp- tion, if appropriate; 10 If the information (such as flood plain, elevation) does not apply, place N.A. in the appropriate late box; 11 , Sign the form and place your current address and your certification n€ rnber; 12. Mahe legible copies and distribute as rerluired. ALL SOIL TESTS MUST BE FILED WITH THE LOCAL AUTHORITY WITHIN 30 DAYS OF COMPLETION. ABBREVIATIONS FOR CERTIFIED SOIL TESTERS Soil Separates and Textures Other Symbols st - Stone (over 10 ") BIR - Bedrock cot) - Cobble (3 - 10 ") SS Sandstone gr - Gvavel (under 3 ") LS - Limestone S - Sand HGW - High Giomidwater cs - Coarse Sand Perc Percolation Rate reed s - Medium Sand W Well fs -. Fine Sand Pldq Buildinq Is Loarn'y Sated > - Greater i hat 'sl - Sandy Loam < -- Less Than "I - Loam Bn -- Bl sil - Silt Loam BI - Black si - Silt Gy Gray c, -- Clay Loam Y ..- Yellow scl - -- Sartrly Clay Loam R - Red siel - Silty Clay Loam n)ot - Mottles s - Sandy Clay �, -- with sic - Silty Clay f;f few, "=. tE: =rlr, c Clay <;r. _ c<)mri)or?, c;oarse, pE - Peat tymn Many, rnediun m - Muck d - r'fistsnct_ F-VvL IAigh vv at e val, Six general soil textures surface water fnr liquid wastes disposal BM - Bench f;l <ark VRP `u`ertica l f' = €:f rt rcc Po int TO THE OWNER: This sail Best report is the first sws p in securinc a sanitary permit. The county m tite Departm^rrt may rertuest :ration of 'this soil fast ill t1�e field prioi io permit issuance, A cornf*l. sari of plans for the private se aille systc?n and a permit application nluxll be suhllm tefj ;o the appl € ,, local authority in order to .)wai i a permit, I - )e sa nitary perrnit. ;IIIW he obta ined and l' osted Li for to t:Il ,f hrt of Fafly construction.