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HomeMy WebLinkAbout030-2066-20-000 0 cn O 0 (4 O 3 T 0 A s fD A m A m 'O A d tD A 3 3 3 3* Cn 2 v 0 cn S (n T. x F z o a r U) w 0 • 0 0 O 0 N Q O N I 0 A G_ CD l< N C O co O (J7 w d 3 O N N 0 QO N O CD = A t O ':I c w O .7 C Res Z a 7 N C ("S N N O r CO (D W S p D) A o O O 1 O O 0 O CD (D �� m c S A � '', � OD c) O rr'j � rlJ N) CL O (n C M 1 0 CD C (D C O 0 Ul O n O l� 7 fA � O � O O N C O i--_ d C O r '7 (D Es A N d '� N (C': — N d FD* N m _ m 1 o D 4 p ry (O W (D ,_" Z a N N CL D C O N d (n (0 0 0 0 r N CD A 0 0 ' N A A N N O O C 3 ° a CL N O O O = n O O O P �• x 3 N w ti 0 o 3 N y v , OI Q Q o 0 0 v@ T O _0 o A o z CD (D of 'O O D) 'O m H C - _ H c0 D v 3 °' ° 3 3 °' w m a A rn (D w N 3 m . . •• N °zQ zco z z�z Q ro o n D a m D u o o =^ 0 0 a y 0 m o N /yam rn o CD d CD co N A d �. � a CD 0 m U) o Z A N c a c n Q CL A .. 0 w 0 ('D I ( ',, 4 Z CL 3 " 3 r ;u y N y 'CD w F d N N N CO Q A a 3 � A N a "' CL vCD m c QX W a N_ o co a T. o c ° d =, xn v0 x N N p wR + `a . m 6 CD O N V d 3 A 0) I o� � v A m �' (A Y 3 � N C_ O O a 0 � A 0 0 O lz 0C A CD dQ Op 0 O o O c o CD O C. O n ti y I 0 C� I ST. CROIX COUNTY WISCONSIN ZONING OFFICE ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road Hudson, WI 54016 -7710 (715) 386 -4680 August 8, 194 Mr. Roger Hetchler Edina Realty 700 Second Street K � (�0✓I� 1� G� Hudson, Wisconsin 54016 RE: Water Inspection for Douglas Nelson Address: 165 Riverview Acres Road, Hudson, Wisconsin Dear Mr. Hetchler: Enclosed is the original test results from Commercial Testing Laboratory, Inc. for water inspection of the above property. If you have any questions with regard to said report, please let me know. 4 sicerely, 1 _ :J� Mary J. Jen ins Assistant Zoning Administrator mz Enclosure COMMERCIAL TESTING LABORATORY, INC. 514 Main Street, P.O. Box 526 Colfax, Wisconsin 54730 715- 962 -3121 800 - 962 - 5227 FAX - 715 - 962 - 4030 ST. CROIX COUNTY ZONING OFFICE REPORT NO.-. x,7590/01 PAGE 1 ` ST.CROIX CTY GOV.CTR REPORT DATE: ,8/05/94 1101 CARMSICHAEL ROAD DATE RECEIVED: 8/03/94 HUDSON!, WI 54016 ATTN: THOMAS C. NELSON I r t OWNER#* Douglas Nelson LOCATION. 165 Riverview Acres Rd., Oudson COLLECTOR#* St, Croix County Zoning DATE COLLECTED#* 8 -01 -94 TIME COLLECTED. 2#*00pm SOURCE OF SAMIPL.E#* Kitchen faucet " f DATE F YZED:B -03 -94 D ��EIV l i Cb ! TIME ANALYZED21 m - !� P.O COLIFORMf,MiFCC#* 0 /100 ml r' ST CR INTERPRETATION#* BacteriologicalLy SAFE COUNTY ZCDiVINGOFFIC Y � j NITRATE -N#* 7 PPM 5 +] Above 10 ppm exceeds the recommended Pubit Drinking Water Standard, l i Coliform Bacteria /100 ml Nitrate- Nitrogen, mg/L i I. . r LAB TECHNICIAN#* Pam Gane i DlVFyQFHr WI Approved Lab No. 19 = A < Means "LESS THAN" Detec.tabLe Level j Approved by. ® PROFESSIONAL LABORATORY SERVICES SINCE 1952 i 4 ST. CROIX COUNTY WISCONSIN - - -- -- ZONING OFFICE �,�\. MNxUNUrq� - -- arrrd _ ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road Hudson, WI 54016 -7710 _ - -= (715) 386 -4680 August 1, 1994 Mr. Roger Hetchler Edina Realty 700 Second Street Hudson, Wisconsin 54016 RE: Septic Inspection for Residence located at 165 Riverview Acres Road, Hudson, Wisconsin Dear Mr. Hetchler: An inspection of the septic system on the property of Douglas Nelson located at 165 Riverview Acres Road, Hudson, Wisconsin, was conducted today, August 1, 1994. At the time of inspection, the sanitary system appeared to be functioning properly. The inspection of this sewage disposal system was based upon a surface inspection of said system, and did not involve any excavating or chemical analysis. Accordingly, there is the possibility of hidden defects in the system not discoverable by this inspection. This does not in any way warrant or guarantee the continued proper functioning or operation of this system. It is recommended that the system should be pumped once every three years. Therefore, the prolonged life of this system may be dependent upon proper maintenance of the system. Also, water samples were taken. Once we receive the results we will forward the same on to you. Should you have any questions in the meantime, please do not hesitate in contacting this office. Sincerely, Mary Jenkins Assistant Zoning Administrator mz ST. CROIX COUNTY MP_Y� WISCONSIN ZONING OFFICE N lips N INN rrrrii.� ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road F ____ --•-- Hudson, WI 54016 -7710 (715) 386 -4680 SEPTIC INSPECTION / WATER TEST REQUEST FORM Please specify desired test(s) & remit appropriate fee with X application. Outside water lines are often turned off during winter months, making access to the home necessary. Please make arrangements with this office to insure that entry can be gained. ❑ Water (VOC'S) $185.00 ,1d,Septic $50.00 Water (Nitrate & Bacteria) 45.00 ❑ Nitrate & Bacteria A y� �,/ retest $ 1)0 Owner: 0 V GL AS IV ELSoA1 Requested by: �oC, E2 14 ETC hfL CYz -� Addres / (o s Wj v Eer vi E W A cRe5 Ifp Address: 7ov a '= 917 H 0 D sON W1 ZIP s;lo l l & Telephone N°: ( 7/5 7 ) 5 (voo4 Telephone N°: ( 5 % g Property address (Fire Ns & Street) Locat ;, �, Sec. ,T R acy W, Town of ST Realty firm: Lock Box Combo: )-f Erg- Closing Date: 53• -15 -y y TO BE COMPLETED BY PROPERTY OWNER *PROVIDE A SKETCH OF HOUSE & SEPTIC SYSTEM ON REVERSE OF THIS FORM* Water sample tap location: Is the dwelling currently occupied? Yes ❑ No If vacant, date last occupied: Age of septic system: Septic tank last pumped by: J U IV E Date: ! `j 9 3 Previous Owner's Name(s): Have any of the following been observed? ❑Y CJ Slow drainage from house. ❑Y 09 Sewage Back -up into dwelling. ❑Y M Sewage discharge to ground surface or road ditch. ❑Y 2N Foul odors. Other comments relative to system operation: I certify that the above information is complete and true to the best of my knowledge. nn � �j OWNERS SIGNATURE: P&,Aj& .! /w DATE: 1/93 i� a14TI T, a oadsu I _I i i f MOI,Lv00'I Hai S 30 ''HOS3?IS S2iOS03dSMI :s uaUffuOD Tex ua0 :abxeuoslQp /n( s��t :burpuodp xal{ pp auTT •doxdp TTaMD /� asn :sXoeggaS �° ,j ' f uIa - 4sA uoY� xosgV TTOS butxTM • oa 3p UllL Vp s -4eoT,3 /d utndp TageT buT xanoo buTxooZp xaq�0❑ auTT •doxdp TTaM❑ snoHp :sXoegg ueq asoa 9 xaq '40p auTT •doxdp /A TTaMp �` asnoHp :sXoeq , 4aS _p Nue4 5 - T: — 4cla S Y UMOUxunp xag4oc] SaION3IOI33Q o3AHaS80 adtd TTe34nOp Xues buipToHp TTaM Axap goua.zyp page Z ' - 43 pazTxnsseldp asopp A4TAexOp X, azts •xoxddV punowp px0 -4VO pxb MoTagg : uot4 xosge ITos 3o a y # - 4 aags : AanxnS TtoS S0S .Tad saT xas TtoS OM saAo Lalt3 uo 4TUtxad xo /gyp ubtsap W94SAS ADHaDle MOIS03dSHI AS a3s3ZdWOO 39 OIL �I NOIJVDOZ W3,LSAS 3I,Ld3S I 3SOOH 30 9NIMVUG SUSNMO Edina Really. ... . MAP Please use the space below to sketch the real property being sold and the location of EACH well on the property. Include distances from fixed reference points such as streets and buildings. a l � ATTACH ADDITIONAL SHEETS AS NEEDED. i ER 125A ®M1f Parcel #: 030 - 2066 -20 -000 10121/2009 09:29 AM PAGE 1 OF 1 Alt. Parcel #: 35.30.20.608C 030 - TOWN OF SAINT JOSEPH Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner O - LORIA, KIM M KIM M LORIA 165 RIVERVIEW ACRES RD HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description ' 165 RIVERVIEW ACRS RD SC 2611 HUDSON SP 1700 WITC Legal Description: Acres: 2.260 Plat: N/A -NOT AVAILABLE SEC 35 T30N R20W GL 3 LOT 4 OF CSM 1/133 Block/Condo Bldg: TOGETHER WITH THAT PARCEL OF LAND DESCRIBED AS LOT 1 OF C.S.M. VOL 5 PAGE Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) 1497 EXC LOT 2 IN CSM 5/1497 35- 30N -20W Notes: Parcel History: Date Doc # Vol /Page Type 07/23/1997 1091/530 WD 07/23/1997 704/130 07/23/1997 692/32 2009 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 04/24/2008 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.260 325,400 335,100 660,500 NO Totals for 2009: General Property 2.260 325,400 335,100 660,500 Woodland 0.000 0 0 Totals for 2008: General Property 2.260 325,400 335,100 660,500 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch #: 131 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 I r t County: Wisconsin Department of Commerce - PRIVATE SEWAGE SYSTEM St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 499205 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: ,/� Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. r/ Permit Holder's Name: City Village X Township Parcel Tax No: Loria, Kim I St. Joseph, Town of 030 - 2066 -20 -000 CST BM Elev: ! Insp. BM Elev: B Description: ection/Town /Range /Map No: CO , Z) C��¢ �GSTT ,8Iu 35.30.20.608C U TANK INFORMATION ELEVATI N DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic I Benchmark S D � I ' Alt, BM Aeration Bldg. Sewer Holding St/Ht Inlet ( /7 T TANK SETBACK INFORMATION St/Ht Outlet t' p,� i (� fj0. • VY1 TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic z 5 + , S „ O ' Dt Bottom Npe ..c� ` Header /Man. A2 �' 3 /7 Aeration Dist. Pipe 1 t• if Holding Bot. System Final Grade PUMP /SIPHON INFORMATION �p J Manufacturer Demand St Cover GPM YWa.� /w`- Model Numbe . 3R q`l.I TDH Lift Friction Loss System Head TDH Ft 4- s T fit l 0. 34 q`f�6 Forcem in Length ia. Di e I SOIL A RPTION SYSTE S MB EN Width erg (g No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 3 1 3) 7 1 SETBACK SYSTEM TO P/L JBLDG WELL LAKE /STREAM LEACHING Manufa�yrrsr� INFORMATION CHAMBER OR � � - - Type 6f Syst�. 2 �� 3 � , > 3 � UNIT Model ber. I _ DISTRIBlkTION t6a Te fold K Distribution x Hole Size x Hole Spacing Vent to Air Intake Pipe( ength '�D ia Length a Sp SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded /Sodded xx Mulched Bed /Trench Center Bed /Trench Edges Topsoil Yes No Yes No �n MEN7 %Qudey6dediscrgpencies, persons present, tc.) nspection #1: 0 Cr / 20 /. Inspection #2: - l l ation: 165 Rivervi Acres ' } l u WI 5f1016 (G v't of 3 35 T 0 R20W), Riv rview A 1 ar o: 35.30.2 . 08C S T N�aw► �!L �� �t�t4J 7 �i 141 1.) Alt BM Description 2.) Bldg sewer length � _ i ^ L •� amount of cover Z �C (yw19� Plan revision Required? Yes X No tea- e' T IS •� 1 Use other side for additional informati / J. Date Insepctor's Signature Cert, N �1p_ o SBD -6710 (R.3/97) i Safety and Buildings Division County 201 W. `Washington Ave., P.O. Box 7162 St. Croix �s Madison, WI 53707 — 7162 Sanitary Permit Number (to be filled in by Co.) cons�n Department of Commerce (608) 266 -3151 '/F S Sanitary Permit Application Nta Plan I.D. Number In accord with Comm 83.21, Wis. Adm. Code, personal information you provide oject Address (if different than mailing address) may be used for secondary purposes Privacy Law, s I5.04(1)(m) - 4 6 16:5 R V" V ; tw I. Application Information — Please Print All Information Same R, Property Owner's Name Parcel #: ea# Block # Kim Loria & Matt Sklar REC 030 - 2066 -20 -000 4 na Property Owner's Mailing Address Property Location 165 River View Acres Road OCT 1 2 2006 ( l7 _�+i., Gov't. lot 3 Section 35 City, State Zi Codd Phone Number ST. R81X CebUNTY T 30 N; R 20 W Hudson, WI (715 ) 549 -6059 l ' ip 03 C II. Type of Building (check all that apply) ❑Xl or 2 Family Dwelling — Number of Bedrooms 4 Subdivision Name c� � SM Number ❑Public /Commercial — Describe Use CSM V P .1497 /� 33 ❑ State Owned — Describe Use 3 �,b�- e J ; �,� t� - i� 17 a- 11 = SZ ❑City❑Village ❑XTownship of St. Joseph II1. Type of Permit: (Check only one box on line A. Complete line B if applicable) A' ❑ New System ❑XReplacement 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 S Z. �✓ cJ�- �Lt4 IV. Type of POWTS System: Check all that apply) T ' ❑ XNon — Pressurized In- Ground ❑ Mound > 24 in, of suitable soil ❑ Mound < 24 in. of suitable soil AtZrrade ❑ Single Pass Sand Filter ❑ Constructed Wetland ❑ Pressurized In- Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter ❑ Leachim Leach' Chamber ❑ Drip Line ❑ Gravel -less Pipe ❑ Other (explain) V. Dispersal/Treatment Area Informatio (. 52 Ofiltrator "Quick 4" Chambers at 19.1 sq. ft. EISA/chamber + 3pr. end caps = 1,010.60 sq. ft. EISA Design Flow (gpd) Design Soil Application R dsf) Dispersal Area Required (sq I Dispersal Area Proposed (sf) System Elevation 600 gpd 0.6 gpd sq. ft. �/ 1,000.00 sq ft ,/ 1,010.60 sq. ft. EISA ✓ 92.50' VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank 1,000 1,000 1 Weeks Concrete X 260 260 1 Weeks Concrete with X Pol Lok PL -525 effluent filter -� Aerobic Treatment Unit Dosing Chamber VII. Responsibility Statem nt- 1, then dersigned, assume r sr ility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) lumbe s Sign a - MP/MPRS Number Business Phone Number James K. Thompson r -- MPRS #30021 (715) 248 -7767 Plumber's Address (Street, City, Zip Code) 340 Paulson Lake Lane, Osceola, WI 54020 VIII. Coun /De artment Use Onl ,Approved ppr Sanitary Permit Fee (includes Date Issued Issuin gent Si tur p Groundwater Surcharge Fee) /A . rven Reason for al /t? /Z D IX. Conditions of Approval/Reasons for Disapproval SYSTEM OWNER: 1. Septic tank, effluent filter and dispersal cell must ON be servibea / mefMained as per management plan provided by plumber. 2. AN setback requirements must be maintained as per applicable code / ordlnwms. Attach complete plans (to the County only) for the system on paper not less than 81/2 x 11 inches in size SBD -6398 (R. 01/03) - -�r JC %�7 .(aY'iQ � /�1a� S�' /ar-iOr-eP; ,Cider' ✓it.c,J \ Coo 9- h6 3, T. 3a/l 2Wu)� �. a ToscP�, s�. Cro (S.., 2 020/ I�pp�ex. /oca.�. 0{' '6� sr�_ � Ce// K,o%Pe; - . AY . B.177 Tf+ of S.T �al r /�' l32 n4an/ro% tom Elea : r ' /�i i d 63 Gvice�f s C�mcr�e, z �/ 9aP e Q Se 6 / jy %e M �arc�t 6, wP• Ass amen/ E ll E,Yis�i' q 0 h O / yo 5..-- ♦ E,Yisz�i�g c %va.-&a,, \ • /oca-- C.�. �o��o. ��e �t� �e{'�2cb7 JC %�7 .�6ri4 4t IY�¢ S /aripreP; �idGr ✓iGc c� \ �e0 3, SsC.3ST.36a, .e20, -), �CrcS .,Tascox, St, emi 60., Ce/l Tnrre� e- lee W, ,6' oopt, . 6Jst�3 Cct7Cr eke S. T, = Y'�f! �-Z . �- — — -•� �d AY-. B.�? : TPofs.T d0.i � gz �ell i Benue o o{ e' 6n fc 46edreoe, • Q� s; d�Ncc P• Ass amen/ q 0 h O r i I n l i Z a I i f'l n C CD m �A • D m ewe ■r`�.. _ _ _ P - mow•- -. v d D T < r A J A > C. C/ T. z J T t , > 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 �m Loria residence located at: �v /0-6 _ ` /4, Section .35 , Town 30 N, Range :24 W, Town of Sevp�' 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 Oc� � Did flow back occur from absorption system? Yes No t, (if no, skip next line.) Approximate volume or length of time: gallons minutes Capacity: Construction: Prefab Concrete r/ Steel Other Manufacturer (if known): u2U6 Cyr Age o Tank (if known): 90 V� '-5 ?` icensed Plumber ignature) (Print Name) 1 , . fes 3 W-zl (Title) (License Number)fMPRS oce 9 (Date) Form to be completed by licensed plumber (s. 145.06, Wisconsin Statutes) or licensed disposer (NR 113 Wisconsin Administrative Code) ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner /z Mailing Address Property Address �54� / (Verification required from Planning & Zoning Department for new construction.) City /State kf� -1 -SGrt, CA21 Parcel Identification Number 0 - 2-044 -?!�- LEGAL DESCRIPTION 0. Property Location Sec. T 3 N R 21 W, Town of s� �TTSe Subdivision j Z / 3 3 , Lot # . Certified Survey Map # 3- 75Y7 , Volume , Page # /0 Warranty Deed # , Volume Page # Spec house yes no Lot lines identifiable yes no SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of YOU 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. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. Uwe certify that all statements on this form are true to the best of my /our knowledge. Uwe am/are the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Number of ed nis SIG NATI� ' R ' E — OT — A - � Pl-..-TC-ANT(S) DATE ** *Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. * ** Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV. 08/05) Conventional Septic System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code GeneraI The conventional septic system shall be operated in accordance with Comm 82 -84 Wis. Adm. Code, and shall be maintained in accordance with component manual SBD- 10705 -P (N.01/01). All local and/or state rules pertaining to system maintenance and maintenance reporting shall be complied with. Septic Tank Septic tank servicing mechanics comply with Comm. 83.54(1)(e). Septic tank to be located within 150' of service pad, with bottom of tank to be :5 15' below service pad elevation. The operating condition of the septic tank and outlet filter shall be assessed at least once every two years by inspection. The septic tank contents shall be removed when the sludge and scum in the tank exceed 1/3 the liquid volume of the tank. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code, by an individual certified to service septic tanks under s. 281.48, Stats. If the contents of the tank are not removed at the time of a biannual assessment, maintenance personnel shall advise the owner of when service will be needed to maintain less than 1/3 scum and sludge accumulation in the tank. 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. Septic tank manholes 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 the tank. No individual should ever enter the septic tank as dangerous gases may be present that could cause death. Septic tank abandonment shall be in accordance with Comm83.33, Wis. Adm. Code when the tank is no longer used as a POWTS component. The addition of biological or chemical additives to enhance septic tank performance is generally not required. If such products are used they shall be approved for septic tank use by the Department of Commerce, Safety and Buildings Division. Soil Absorption Cell Trees or shrubs should not be planted directly on the soil absorption system. The area above and around the system should be seeded and mulched as necessary to prevent erosion and provide some degree of frost protection. Traffic (other than for vegetative maintenance) over the system is to be avoided. Soil compaction may hinder aeration of the infiltrative surface within and above the system and will promote frost penetration during cold weather months. Cold weather installations (October- March) dictate that the system be heavily mulched for frost protection. Influent quality into the system may not exceed 220mg/L BOD5, 150 MG/L TSS, and 30 mg/L FOG. Influent flow may not exceed maximum design flow specified in the permit for the installation. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner. Levels above 4 inches indicate an impending hydraulic failure requiring additional, more frequent monitoring. Effluent flow shall be alternated between dispersal cells on a two -year schedule by use of a diversion valve. Valve to be switched diverting effluent from dispersal cell currently in use to resting cell on a two -year cycle coinciding with septic tank inspection and maintenance. Contingency Plau 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. Excessive ponding within the dispersal cell will be eliminated by installing a new soil absorption cell to bring the system into proper operating condition. Questions on the operation or maintenance of the system should be directed to the installing plumber, dim Thompson at (715) 248 -7767 or the St Croix County Zoning Department at (715) 386 -4680. s 3 7 S 46 W 8.69 �. �. 183. 87' 174. 54 o rn O` N c 4 11 N � cr '�� 2.13 ACRES 1 1 �►- o_ `� �F i,. ro c • - , Il6�� _ . N S 48 °39 40 W 2.4 ACRES 575.90., 1 4 8 . 3,4' 2 0 4.2V „• 223..28 S . , O w y 0� 1 1 69 1.9 0'- ( t .TOP OF BLUFF P 1 1 3 G POINT OF _ BEGINNING �0° Q ^ 6d+ 48 0 39�40 u E 570.1o"') °o• X 346.82 223.28 630, N43003'W 1963.95' SCALE too 0 50 100 SECTION CORNER MONUMENT 0 1" X 24" IRON PIPE SE CORNE WEIGHING 1.68 # /LINEAL FOOT SECTION 35 NGS T 3 0 N, R 20W SURVEYED FOR LaVerne Anderson, R. R. #2, Hudson, Wisconsin 54016 DESCRIPTION A parcel of land located in Government Lot. 3 of Section 35, T30N, R20W, Town of St. Joseph, St. Croix County, Wisconsin, described as follows: Commencing at the ,SE corner of said Section 35; thence N43 ° 03 1 W (true bearing) 1963.95' to the point of beginning; thence N51 324.94 thence S48 ° 39 1 40 "W 581.69 thence S53 0 20 1 20 "E 163.57 thence S48 116 or less, to the shore line of Lake St. Croix; thence Southeasterly along said shore line to a point which is S48 0 39 1 40 "W 630 or less, of the point of beginning; thence N48 630 more or less, to the point of beginning. I certify that the above description and map are correct and that I have fully complied with the provisions of Sec. 236. 4 of the Wisconsin Statutes. DATE: April 14, 1975 ' i FRANC 2 AP OVEN .. No . - ,�� �� /� �' 7 ST. CROIX COUTY N % � CSC 0N S /' 041, , COMPREHENSIVE PARKS PLANNING. AND ZON.NG COMMITTEE FRANCIS OGDENs 1 S s-882 i Z RIVER FALLS, • FILED , ,•� vvls. . 01 K JUN 1 31975 �' "•_............�.. AAAE3 01' C 64 Croix Count' u Vdima 1 Pala 133 ' ,. I l"'a %A 1T�.C'I1(� l'�.I !) 1 . ( i i. nti. ,. .n . .I... i.ti.. l �, . , i Ut1E +d In 1.. Ili a i�N rrb •- fTl CJ _ m G7 N r n z y m cn -rr �— m m A m o m O rn CD \ \ S O � Z o cn o m ,L• ni \ r o T '� �� ° r \ l \ n n A \ n < H m - z Cn Ln A r v •- v Q \ rm V, N \ Q'� co ' � \ N sIS \ ti .r O \ r c7 /y `\ w C.D cn JAN 4 cn • \ \ 7 2 Irn r N CD r7-1 w C, � a_ r T7 co r . ID ur s, v> CD H —7 O m m C7 (n rn O m m zr o m TN I ' 2007 Wisconsin Department of Commerce L A A REPORT Page 1 of 3 Division of Safety and Buildings in accordance r omm 85, Wis. Adm. Code A.C.E. Soil & Site Evaluations ..- -+ Attach complete she plan on paper not less than B% x 11 inch n must County St. Croix include, but not limited to: vertical and horizontal reference point (BM) direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road, Parcel .D. 30- - 20-000 Please print all information. Rev' d Dat Personal information you provide r s. 15.04 (1) (m)). Property Owner Property Location Kim M. Loria & Matt Sklar Govt. Lot 3 9 1/4 S 35 T 30 N R 20 W Property Owner's Mailing Address OCVYL L Lot # Block # Subd. Name or CSM# 165 Riverview Acres Road 4 1 CSM Vol. 5, Pg. 1497 City Sta Zi umber City J Village j e Town Nearest Road Hudson W 59 St.Joseph 165 Riverview Acres Road J New Construction Use: VI Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD VI Replacement J Public or commercial - Describe: Parent material Glacial Outwash Flood plain elevation, if applicable na General comments and recommendations: Site suitable for conventional dispersal cell at 0.6 gpd loading rate. Existing dispersal cell elev. = 91.50'. New dispersal cell elev. to be = 92.50'. a Boring # J Boring m Pit Ground Surface elev. 98.23 ft. Depth to limiting factor > 132 " in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft� in. Munsell Qu. Sz. Cont. COW Gr. Sz. Sh. *Eff#1 "Eff#2 1 0 -15 10yr3/2 none Isnfs /sl Na mfr aw 2f,1 OA 0.0 2 15-24 10yr2/1 none sil 2fsbk mfr gs 1 fm 0.6 0.8 3 24-44 10yr414 none sit 2fsbk mfr cw - 0.6 0.8 4 44132 7.5yr4/6 none cos & grl 0 sg ml - - 0.6 1.0 tit 5 ° r ,'1ln 4 1 contains a mix of 10yr5 /4 Is, 10y0 2 Ifs, & 1 r4/4 sl. Horizon # 4 contains approx. % gr. & cobbles. Loading rate of horizons reduced to 0. gpd/sq.ft/day due to high clay content of Icos. Boring # J Boring gJ Pit Ground Surface elev. 97.02 ft. Depth to limiting factor >124 in. Soil 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 0-10 10yr3/2 none IsAfslsl Na mfr aw 2f,1 0.0 0.0 2 10 -23 10yr2/1 none sil 2fsbk mfr gs 1fm 0.6 0.8 3 23 -34 10yr4/4 none sil 2fsbk mfr cw - 0.6 0.8 4 34124 7.5yr4/6 none cos & gr 0 sg ml - - 0.6 1.0 2.5a l H#1 contains a mix of 10yr5/4 Is, 10yr3/2 10yr4 /4 s . Horizon # 4 contains approx. 40% gr. & cobbles. Loading rate of horizons reduced to 0.6 gpd /sq. day due to high clay content of icos. " Effluent #1 = BOD? 30 < 220 mg/L a d TSS >30 < 150 g/L nt #2 = BOD s30 mg/L and TSS <30 mg/L CST Name (Please Print) Signature: CST Number James K. Thompson - 1 �1 3602 Address A.C.E. Soil & Site Evaluations Date Evaluation Conducted Telephone Number 340 Paulson Lake Lane, 0 s WI 54020 9/15/2006 715 - 248 -7767 Property owner Kim M. Loria & Matt Sklar Parcel ID # 030 - 2066 -20 -000 Page 2 of 3 F 31 Boring # I Boring JIM Pit Ground Surface elev. 96.83 ft. Depth to limiting factor >125" in. SoN Apprmation Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDW In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh, `Eff#1 'Eff#2 1 0 -24 10yr3/2 none ISMS/sl Na mfr aw 2f,1 0.0 0.0 2 24 -31 10yr2/1 none sil 2fsbk mfr gs 1fm 0.6 0.8 3 31-48 10yr4/4 none sil 2fsbk mfr Cw - 0.6 0.8 4 48 -125 7.5yr4/6 none lcos & gr 0 sg ml - - 0.6 1.0 O q Cp l ,�(c H#1 contains a mix of 10yr5/4 Is, 10yr3/2 Ifs, & 10yr4/4 sl. Horizon # 4 contains approx. 40% gr. & cobbles. Loading rate of horizons reduced to 0.6 gpd /sq.ft/day due to high clay content of Icos. Boring # J Boring De to limiting factor F � Pit Ground Surface elev. ft. Depth 9 in. Sod 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 F-1 Boring # J Boring Pit Ground Surface elev. ft. Depth to limiting factor in. Sop 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 " Effluent #1 = BOD 30 < 220 mg /L and TSS >30 < 150 mg/L Effluent #2 = BOO <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. SON & Ste EvakofiWs • Soi/ 2da /ua \. Ej�/ Sr�/19 G�GdQi4� Ca 6 3 Ssc. 3S T, i 00 � /0 , , - 7, - ?. or s4 ., ascPx, St . cro iX (I*,, ClY. 2oa d \ e�ci3�Ean� ds�3a./ cell 62- — J �cr irton/ra /e rv�r, E /ev; = 9B.Bf�' / i ce �3`' -- — - - __ - - -- � r �a ra9c 7 ooe P• Assumtd elUr, : IGYI.cD' e q 0 h ,rah : . ";+1d.'+'3F`�"!`A1!R Jet. l'. T" k: .;r�tT�ZiNF41nt�iF4�/i4'L)1� 1P�h�V'�'b' ;ys. '� w....� n ��:..�e a...r �vr® wars. -.-. -..�o s...... .�,_ ... 0C,UMENT NO wARRAMY DEED T%-a asA RcscRVaa FOR MCCOR04HO DATA STATE BAR OF WISCONSIN FORK 2 1M I _ - -� REGISTER'S Douglas L. Nelson and Pamela J. Nelson, an husband d Wd b Record ... r _ ...... . .. .. ................................. ..................... ........ et ..... ......... ................ --- AUG Is im . ._._ . ............................. ........... ................. ..................•••- -••-- ••-- •...---- •- ....... at 11:30 Ai M conveys and warrants to Kim...._- Loria,,_ s ingle . person, •.........---- ••• ....................................................... ............................... llsOsOSrd0"ft - ....._...-- " ..... ....................... ....... .................... ..... ........... ........ .......... ' --- - - -- ------------- • ------------- ............................... . ......... .,.--- . ...... . ................ ... R \TURN TO . ..- ___•_.. ............................................. ................................................................ ............................... . the following described real estate in .......... $t. CroiX ..._County, State of Wisconsin: Tax Parcel 'Xo :.................__-.----.--- (See Attached Exhibit W) 1 F ��,� 5 This --------- is ............... homestead property. (in) XNAM Exception to warranties: Easements, restrictions and rights -of -clay of record, if any. Dated this - -- • ----- -• - - -- ....... 1.1................. day of ................. A u s .... ppt , 19 ------------------------------- _.......•. - -- 'l:/ ......... ...........(SEAL) ----•- . -.. .._..._(SEAL) ` ------------------------ ----•-- ••- •-- ............ las L. Nelson Doug......-- • - - - -- (SEAL) Y 1. . _.. .................. (SEAL) • Pamela J. Nelsbn ............................. .. ...........................• ..... ----•----............---......_..........__..............--- AQTBSNTICATION ACENOWLEDOI MINT skmatuze(s) ............................................................ STATE OF WISCONSIN St. Croix Cau,ry. i meted this -------- day oL. ... _ .............. ...... 19..._._ Personally came before me this .../._. .....day of t ........................ 19.l... the above named _ . . _.__ ..... ............................... I�!- --- _ •.---_ w.._ ............................................................... - Nelson. husban and w e •- •--- - - -... T1TI.E: KZMI S STATE BAR OF WISCONSIN - -... -• ......................•----.... ...._................-- -•-_.... - -- -• - •_....._.. ------------- Stets.) .....--•-•-• ......................•---._........ .....----- ..- °•- •-- •--......... to me known to be the person$ ........... wbo executed the f inatru and ledge the aaltse_ THIS 1"C'MLS'MTHT WA* DRArrgo e Y Kristine Lmd ..... �u . ............. Attar>,ey. ..... •............................. AV ----------- at taw ......-• ......................_ _....- ---- •..........---- -..... - Notary Pablie ............... Coun Wis. (Stigsat - ss may be aathentleatod or acknowledge Both M7 Caaamission to Per (if not, state expiration are slot eeeesatry.) date ........... ........... .--- 10................... •Yaws of in a4 eai•ekr Owutd be typed or printed Defow their Aisn turn. ♦AtltdMW aHM RATE BAR OO Wti0O"11M Wfw~ Leo Sh" Co." Me- PORN No. a -- 1"s hHMaukoe, lMsconsin R- A{►MT? 'li^1!€'v� "'YVt ffi1 Yc'iwwn!_ #:+....VP'+ car° i°]^. 4Ya. eT- vaanpsc` �++ r.- nw'.ars+v�ww- anwwva�w...nw nrer ®.�.- .•..- ..+... -, ..�,. _.-.._.� _ � �.-.. - ....-- ��._.,..o __... ,._. _ EXHIBff "A" Part of Government Lot *3 of Section 35, Tcvnship 30 North, Range 30 Nest, St. Croix County, Visoonsin described as follows: Lot 4 of Certified Su"OY Nap tiled June 13, 1975 in Vol. "3 ft9e 133 EXCEPT Lot 2 of Csrtitisd Survey Nap in Vol. 0 5 0 , Page 1497. ALSO part of Goverment Lot "3• of Section 35, Township 30 North, Range 20 heat, St. Croix County, Wisconsin described as follows: Lot 1 of Certified Survey leap tiled January 4, 1945 in Vol. "5", Page 1497. -&%#Nmi VIIN a non - exclusive easement for rcadvaY purposes over a parcel of land 66 fast in width located in the 12 of 381/4 of Section 35- 30-30 described as fol:ays: Being all lands lyin3 radially and right angles 33 feet each side of the following described ee:zterline of roadways Binning at a point North (true bearing) 1330.98 fetat and West 883.34 feet of SE corner of said Section 35; thence M22 429.09 feet; thence MIY 200.34 loot along a 585.54 toot radius curve concave NWIy whose chord Dears X12'29 199.33 tr't; thence N2'41 623 feet., more or less to tAe VQ termination, said point of termination beirg on the centerline . present State Trunk Highway 0 35 0 . = } wp y 4 i . Y• Y . In I Q 4-) L!1 J 4-J �l p 00 �o i �^ C14 o S � w _ zi � `n �J O > Z H c E N O r--1 T H X o H -0 � O p P4 U) rn W N 3 ' 4 v� m P Form- S T C - 104 AS BUILT SANITARY SYSTEM REPORT OWNER �IJ f' f t ! ' - U( SEC. �} � � � .,� TOWNSHIP U SEC . T N - R W ADDRESS & , J , V IE W kC a S ST. CROIX COUNTY, WISCONSIN SUBDIVISION LOT LOT SIZE PLAN VIEW Distances and dimensions to meet requirements of I•LHR 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM alit --� t00 a, a r 1 3y' � 12x " Hof N INDICATE NORTH ARROW r .G�.py fees ce Pos a' BENCHMARK: Describe the vertical reference point used Elevation of vertical reference point: Proposed slope at site: S� SEPTIC TANK: Manufacturer: WeeK Liquid Capacity: Vo Number of rings used: I Tank manhole cover elevation: 4 Tank Inlet Elevation: Tank Outlet Elevation: Number of feet from nearest Road: Front,O Side ,Q Rear, 150 feet From nearest property line Front,OSide, Rear ,O feet Number of feet from: well building: (Include this information of the above plot plan)( 2 reference dimensions to septic tank) SEE REVERSE SIDE J . _ PUMP CHAMBER Manufacturer: Liquid Capacity: Pump Model: Pump /Siphon Manufacturer: Pump Size Elevation of inlet: Bottom of tank elevation: Pump off switch elevation: Gallons per cycle: Alarm Manufacturer: Alarm Switch Type: Number of feet from nearest property line: Front, O O Side, Rear, 0 Ft. Number of feet from well: Number of feet from building: (Include distances on plot plan). SOIL ABSORPTION SYSTEM Bed: V Trench: Width: r � Length: Number of Lines: 3 Area Built Fill depth to top of pipe: 7�A Number of feet from nearest property line: Front, Side, O Rear, O Ft. 3(V Number of feet from well: Number of feet from building: l X1 (Include distances on plot plan). SEEPAGE PIT Size: Number of pits: Diameter: Liquid depth: Bottom of seepage pit elevation: Area Built: Has either a drop box O or distribution box O been used on any of the above soil absorbtion sytems? (Check one). HOLDING TANK Manufacturer: Capacity: Number of rings used: Elevation of bottom of tank: Elevation of inlet: Number of feet from nearest property line: Front, O Side, O Rear, 0Ft. Number of feet from well: Number of feet from building: Number of feet from nearest road: Alarm Manufacturer: Inspector: Dated: Plumber on job: VA901�� License Number: 3/84:ma y 7 II' DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDINGS LABOR & HUMAN REL A TIONS PRIVATE SEWAGE SYSTEMS DIVISION P.O. (3OX 7969 BUREAU OF PLUMBING MADISON, WI 53707 CONVENTIONAL ❑ALTERNATIVE I State Plan I.D. Number: El Holding Tank El In-Ground Pressure El Mound [if assigned) NAME OF PERMIT HOLDER: J ADDRESS OF PERMIT HOLDER: INSPECTION DATE: Dean Hanson 206 - 2nd St., Hudson, WI BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN: REF, PT. ELEV.: CST REF. PT. ELEV.: NW SE, Section 35, T30N —R20W, Town of St.Joseph,Lot #6, Riverview Acre Name of Plumber: MP /MPRSW No.. County: Sanitary Permit Number: Richard Hopkins 1059 St. Croix 54969 —T SEPTIC TANK /HOLDING TANK: MANUFACTURER: LIQUID CAPACITY: TANK INLET T ELEV.: TANK OUTLET EL V.: WARNING LABEL LOCKING COVER PROV ED: PROVIDED: ES 1:1 NO OYES ONO BEDDING: VENT DIA.: VENT MAT L.: HIGH WATER NUMBS OF ' ROAD: PROPERTY WELL: BUILDING VENT TO FRESH ALARM: FEET FROM LINE: � AIR INLET: DYES ONO C ❑YES E:1 NO NEAREST 7 I s DOSING CHAMBER: MANUFACTURER. BEDD NG I: LIQUID CAPACITY. PUMP MODEL. PUMPlSIPHON MANUFACTURER. WARNING LABEL LOCKING COVER PROVIDED: PROVIDED: ❑YES ONO OYES ONO OYES ONO GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL: NUMBER OF - PROPERTY WELL BUILDING. J VENTTOFRESH (DIFFERENCE BETWEEN FEET FROM LINE AIR INLET PUMP ON AND OFF) DYES ONO NEAREST SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing LENGTH DIAMETER MATERIAL AND MARKING or excavation. (If soil can be rolled into a wire, construction shall cease until FORCE the soil is dry enough to continue.) MAIN CONVENTIONAL SYSTEM: WIDTH: LENGTH - . J NO.OF DISTR. PIPE SPACING. COVER ' INSIDE DIA.. #PITS. LIQUID BhO/TRE%cH TRENCHES MATERIAL' PIT DEPTH. DI1kIENSi6NS I % 3 — `� o� GRAVEL DEPTH FILL DEPTH DISTR. PIPE DISTR. PIPE DISTR. PIPE MATERIAL: NO. DI NUMBER OF PROPERTY WELL: BUILDING VENT TO FRESH BELOW PIP S ABOV COVER. ELEV. INLET ELEV. EN f� PIPES LIN AIR INL Z L) �� , Zi Z 7 Z '� 3 NEARES FROM �" U Z J MOUND SYSTEM: Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OFSYSTEM and furrows thrown upslope: mound systems to make certain that it ON REVERSE SIDE. SHOW ELEVA- ❑YES El NO meets the criteria for medium sand. TIONS MEASURED. SOIL COVER TEXTURE. PER ENT MARKERS: OBSERVATION WELLS. YES NO ❑YES NO DEPTH OVER TRENCH/BED DEPTH OVER TRENCH /BED DEPTH OF TOPSOY SOD SEEDED MULCHED. CENTER: EDGES. / ❑Y ❑NO I OYES ONO 1 0YES 0 N PRESSURIZED DISTRIBUTION SYSTEM: R , 1 /T ENOfI, WIDTH LENGTH: TRENCHES: LAT RAL P CING: G BELOW PIPE: FILL DEPTH ABOVE COVER. EIOIt►S. 'I MANIFOLD PUMP MANIFOLD STR. PIPE MANIFOLD MATERIAL: NO. DISTR. JDISTR. PIPE DISTRIBUTION PIPE MATERIAL & MARKING. ELEV.. ELE V.. DIA.. LEV.. PIPES. UTA.: Ef�E1l`ATION °A, ?fTRIBtITlON : HOLE SIZE HOLE SPACING DRILLED CORRECTLY COVER MATERIAL VERTICAL LIFT CORRESPONDS TO APPROVED PLANS: OYES ONO ❑YES NO COMMENTS: PERMANENT MARKERS: OBSERVATION WELLS: I NUMSER 01: PROPERTY WELL: BUILDING: FEET FROM LINE: OYES ❑NO DYES ❑NO NEAREST s O o °' r � ° i v. 5 Sketch System on Retain in c � ount file for audit. Reverse Side. SIGNATURE: / TITLE: DILHR SBD 6710 (R. 01/82) ��Z 57 Wisconsin APPLICATION FOR SANITARY PERMIT D St . CEO) x COUNTY ��� UNIFORM SANITARY PERMIT # — 1170USTRV, LRBOR 6 HUTRn RELRT10n5 lI f lV / � f 7— — Attach complete plans in accord with s. H 63.05, Wis. Adm. Code for the system, on paper not less than 8' /2x 11 inches in size. —See reverse side for instructions for completing this application. PLEASE PRINT PROPERTY OWNER MAILING ADDRESS , De, A 0 8 a �j Sit �j (n j N - — _ (A 4 SON WISC PROPERTY LOCATION CITY: C Q1/4.5E1/4, S I T30N, RDU E (or LOT NUMBER BLOCK NUMBER SUBDIVISION NAME NEAREST ROAD, LAKE OR LAND ARK STATE PLAN I.D. NUMBER c e S e w 35 �1 TYPE OF BUILDING OR USE SERVED K 1 or 2 Family Number of Bedrooms: 3 ❑ Public (Specify): C �}Jv QlJ 1 V s � THIS PERMIT IS FOR A: MI New System ❑ Tank Replacement ❑ Repair ❑ Replacement Soil Absorption System ❑ Revision ❑ Privy ❑ Alternate System ❑ Reconnection ❑ Petition for Modification IF THIS IS A CONVENTIONAL SYSTEM COMPLETE THIS BLOCK. 7 Bed ❑ Seepage Trench ❑ Seepage Pit ❑ Holding Tank ❑ System -In -Fill ❑ In- Ground Pressure ❑ Vault Privy ❑ Pit Privy ❑ Existing, For Which A Previous Permit Is On File, Permit # issued ❑ An Existing System That Has Been Inspected And Is Compliant As Far As Soil Conditions. Total #of Prefab. Site Steel Fiberglass Plastic Gallons Tanks Con rete Constructed Septic Tank Capacity 0 Lift Pump Tank /Siphon Chamber Holding Tank capacity Manufacturer: j 0 ( ZU IF THIS IS AN ALTERNATIVE SYSTEM COMPLETE THIS BLOCK: ❑ Mound ❑ In Ground Pressure Total *of Prefab, Site Steel Fiberglass Plastic Gallons Tanks Concrete Constructed Septic Tank Capacity Lift Pump /Siphon Chamber Manufacturer: PERCOLATION RATE ABSORPTION AREA ABSORPTION AREA WATER SUPPLY: (Minut per inch): REQUIRED (Square Feet): PROPOSED (Square Feet): 3 �0 1 � `! \v Private ❑ Joint ❑ Public I, the undersigned, hereby assume responsibility for installation of the private sewage system shown on the attached plans. Nam Plumber (Print) Signatur MPRSW No.: Phone Number: Plumber' Address: &40 gAl Name Desii ne l�0� 1� COUNTY /DEPARTMENT USE ONLY Signature of Issuing Agent: Fee: Date: ❑ Disapproved , ❑ Owner Given Initial /� �K./LUti(l 1 9 / .o Approved Adverse Determination Reason for Disapproval: Alternate course(s) of Action Available: DILHR -SBD -6398 (R. 5/82) DISTRIBUTION: Original to County, One Copy To; Bureau of Plumbing, Owner, Plumber INSTRUCTIONS FOR COMPLETING THIS PERMIT APPLICATION, PLB 67 - SBD 6398 To be complete and accurate the permit application must include: 1. Property owner's name and complete legal description, please circle the appropriate municipal government unit, (whether this is in a city, village or town); 2. Indicate specifically what type of use is served, if public is checked indicate type of use (i.e. 10 unit apartment, 30 seat restaurant, etc.); 3. Complete the block for conventional or alternate system depending on system type, check all appropriate boxes or blanks. 4. Indicate the design percolation rate listed on the 115 soil test report, the number of square feet required by code and the number of square feet to be installed; 5. Complete the section on water supply; 6. PRINT the name of the master plumber or master plumber restricted who will install the system, circle the appropriate license classi- fication, place your license number in the space provided and sign the permit in the signature block; 7. Please place the plumbers business phone number in the blank provided, if there is a problem or question this will speed review of the permit; 8. Change of ownership or plumber requires a Sanitary Permit Transfer Form (67 -T) to be submitted to the county prior to installation. Failure to comply will void the sanitary permit. 9. This permit may be renewed, and at the time of renewal any new criteria in the Wis. Adm. Code will be applicable. 10. A new permit will be needed if there is a change in, estimated wastewater flow, (number of bedrooms, etc.), location of the system, depth of the system, type of system. 11. All revisions to this permit must be approved by the permit issuing authority. 12. A complete plan including a plot plan, drawn to scale or with complete dimensions. 13. Horizontal and vertical elevation reference points that are permanent and clearly shown. 14. Piping detail including pipe size, separating distances, distances between beds if appropriate, tank locations, effluent line from tank(s) to system, building sewer and vent observation pipe(s). 15. The permit issuing agent may require a cross section drawing of the effluent disposal system. TO THE OWNER: This is valid for two years. Changes in your building plans or locations may require you to obtain a new permit. Private sewage systems must be properly maintained. Have a licensed pumper clean your septic tank whenever necessary usually every 2 to 3 years. If you have questions concerning your system, contact your local code administrator or the Bureau of Plumbing, DILHR, State of Wisconsin. I w w V SANITARY PERMIT � �� COUNTY 0LH TRANSFER /RENEWAL UNIFOR PERMIT r PERMIT RENEWAL DATE: PERMIT TRANSFER DATE: ORIGINAL PERMIT ISSUANCE DATE: STATE PLAN I.D. NUMBER: �-a._ -5 PRO ERTY LOCATION: CITY: .� ' /4 ' /4,S3J _ T 30 N,R Z Q E (or W WN O �/ .S& !LOT NUMBER: BLO K NUMBER: SUBDIVISION N E: _ ST ROAD, LAKE OR LANDMARK: 9 PREVIOUS SANITARY PERMIT HOLDER (IF CHANGED): SANITARY ERMIT TRANSFERRED TO: a SIGNA T UR=: IN A... )PHONE NU... -- � f I f l - .DD ;. =SS: PHON= NU., BER: ADDRESS: I, the undersigned, hereby assume responsibility for .installation of the private sewage system that has previously been approved for this property. IPLUN;3 = S PREVIDU PLUMBER'S NAME 1F CHANGEp _UL - ^R'S DREGS: IPR OL- 'SPLUNr 4ADDRESS (PLi0:.= (\:Uro. R: �MP '.'iPRS J NUMBER. (PHONE NUMBER: C•= 'SSUIN AGE%- 1DATE .PP 0 ED: DISTRIBUTION: Ornajna� - C.our - , , , ' I O S Copy - Bureau of Piumomc - -- Copy - Owner -1. u_ . — cone — Coov - Plumber — c Cn p C Z co v A -0 Z rn M M O m X c N r 0 �1 CIO* rn -i x m . rn N. % 00 C i n m Go Now No r :30 6 4 O n N D O O o C C/) D Fn 00 --q p C � p M M z � � F, D C O rn O — lJ cn -n 0 n O O - m C z GJ m 1 c T� mom »'a U--- Ere: vim, Z z 0 3_ CD D� oz mJ om mC IZ ID rn m e W•y m F m° 7 N y ay m e 0 co 3 ;g �� ? N 3o m ' 7° `�° `�° ° 10 70 W ID ID co3 and H ma'm3 'q CD o. rn w �� m 10 o pm "3 v 3 ` y ca gym° (D v3 n rn <o o�N 3 Fi Z " D a� 6 3 ° ao fD , o Z cr = H a „ Hy O Z 1G N 7 7 y C D c� ago m y ra °� ` 0 0 � m d o 3 .w C 0D; 'So ti cn p d d o < °t � a v 0 .jam 3o v ° ,� a _. 3 0 z rn C - �� SCD R'H.L., 67PLO T-AND CROSS SE I0 N PROJECT PLUMBER NAME -R N - - -- - NAME LOCH ION v e� v "�. _ ��..:. L ICENSE O s' �_..__ ;�_...... P - 0 T_ M _A_ P ��,� , ARM -. t t ACftl �. -f4 -y; �; � � lol' � fC;v NO K ?l. W I,Ne I4tio 3AI FA R N T G7 Ba I ��[~ i 6i SKru�fi thoiv r i 0 0.0 3 B� 'B3 G� G �2ru ,; tc@ 1 1'eNce J Past 76 _L 1""Q 38' FRESH AIR INLETS AND OBSERVATI()d PIPE CROSS SECTION Approved Vent Cap Minimum 12" Above ,�� ,NR J RAJ -t Final Grad 4 Cast Iron Above Pipe Vent Pipe To Final Grad Marsh Hay Or Synth Covering Min. 2" Aggreg�., - e Over Pipe Distribution �J I 4— — Tee Pipe `'fit_! Aggregate �O�' Perforated Pipe Below Beneath Pipe �-- Coupling Terminating At Bo ttom f System o m o 0 'I DEPARTMENT OF INDUSTRY INSPECTION REPORT FOR SAFETY & BUILDINGS LABOR & HUMAN REL PRIVATE SEWAGE SYSTEMS DIVISION P.O. BOX 7969 s BUREAU OF PLUMBING MADISON, WI, 53707 17 C ONVENTIONAL C ONVENTIONAL ❑ALTERNATIVE I State Plan I.D. Number: [if assigned) El Holding Tank ❑ In- Ground Pressure El Mound NAME OF PERMIT HOLDER: I ADDRESS OF PERMIT HOLDER INSPECTION DATE: Dean Hansen 206 S. 2nd, Hudson, WI BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN: REF. PT. ELEV.: CST REF. PT. ELEV.: NW SE, Section 35,T30N —R20W, Town of St.Joseph,Lot #6,Riverview Acres Name of Plumber: MP /MPRSW No County Sanitary Permit Number: Robert Ulbricht 3307 St. Croix 54969 SEPTIC TANK /HOLDING TANK: MANUFACTURER. LIQUID CAPACITY: TANK INLET ELEV.. TANK OUTLET ELEV.: WARNING LABEL LOCKING COVER PROVIDED: PROVIDED: OYES ONO ❑YES ❑NO BEDDING: VENT DIA.: VENT MATL.: HIGH WATER NUMBER ROAD: PROPERTY WELL: BUILDING: IVENT TO FRESH ALAM. FEET FR LINE: AIR INLET. ❑YES ONO DYES ONO N DOSING CHAMBER: MANUFACTURER. BEDDING: LIQUID CAPACITY PUMP MODEL. PUMP /SIPHON MANUFACTURER. WARNING LABEL LOCKING COVER PROVIDED: PROVIDED: ❑YES ❑NO DYES ONO OYES ONO GALLONS PER CYCLE: 7 7ND CONTROLS OPERATIONAL. NUMBER OF - PROPERTY WELL. BUILDING. VENT TO FRESH (DIFFERENCE BETWEEN FEET FROM LINE AIR INLET: PUMP ON AND OFF) DYES 1:1 NO NEAREST' SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing FORCE LENGTH DIAMETER MATERIAL AND MARKING or excavation. (If soil can be rolled into a wire, construction shall cease until MAIN the soil is dry enough to continue.) CONVENTIONAL SYSTEM: .,55,� �v#issIe�uE--AA WIDTH. LENGTH. NO. OF JDISTR. PIPE SPACING: COVER !.INSIDE DIA. *PITS: LIQUID `C►E TRENCHES. MATERIAL: PIT DEPTH: GRAVEL DEPTH FILL DEPTH DISTR. PIPF DISTR. PIPE DISTR. PIPE MATERIAL: NO. DISTR NUMBED OF -i PROPERTY WELL: BUILDING: VENT LE FRESH BELOW PIPES. ABOVE COVER. ELEV. INLET ELEV. END. PIPES. FEET FROM LINE: AIR INLET: NEAREST: MOUND SYSTEM: Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OFSYSTEM and furrows thrown upslope: mound systems to make certain that it ON REVERSE SIDE. SHOW ELEVA- 1:1 YES El NO meets the criteria for medium sand. TIONS MEASURED. SOIL COVER TEXTURE PERMANENT MARKERS OBSERVATION WELLS El YES ONO ❑YES NO DEPTH OVER TRENCH/BED DEPTH OVER TRENCH /BED DEPTH OF TOPSOIL. SODDED SEEDED. MULCHED. CENTER EDGES: OYES ONO I DYES 1:1 NO 1 YES ❑NO PRESSURIZED DISTRIBUTION SYSTEM: t WIDTH. LENGTH. TRENCHES: LATERAL SPACING: . G: GRAVEL DEPTH BELOW PIP FILL DEPTH ABOVE COVER. '� 'C3IMEINId7NS ', ' +. MANIFOLD PUMP MANIFOLD DISTR. PIPE MANIFOLD MATERIAL. NO. DISTR. DISTR. PIPE DISFRIBUTION PIPE MATERIAL & MARKING. ELEV.: ELEV.. DIA.. ELEV.: PIPES. CIA.: LEY AT I AN . I?M�TSTN HOLE SIZE HOLE SPACING DRILLED CORRECTLY COVER MATERIAL VERTICAL LIFT CORRESPONDS TO APPROVED I+FiiAAATf€lAl -, PLANS. ❑YES ❑NO 1:1 YES El NO COMMENTS: PERMANENT MARKERS: OBSERVATION WELLS: NUMB OF PROPERTY WELL: BUILDING: FEET 'FROM LINE: ❑ YES 1:1 NO 1:1 YES 1:1 NO NEAREST Sketch System on Retain in county file for audit. Reverse Side. SIGNATURE: TITLE: DILHR SBD 6710 (R. 01/82) F - ujisconsin APPLICATION FOR SANITARY PERMIT ® ILH ( PLB 67) f / OUNTY DEPRRTmEr1T OF UNIFORM SANITARY PERMIT # IhOUSTRV, LRE10R 6 HUTR1 - I RELiiT10r75 _rAlg6 9 — Attach complete plans in accord with s. H 63.05, Wis. Adm. Code for the system, on paper not less than 8 %x 11 inches in size. —See reverse side for instructions for completing this application. PLEASE PRINT PROPERTY A AQ& e A , - - NER MAILING ADDRESS �d� r7 x " S f — At 0 4% r PROPERTY LOCATION CITY: N S 3S , T N, R 2 E (or) TOWN OF LOT NUMBER BLOCK NUMBER SUBDIVISI N NAME NEAREST ROA D, LAKE OR LANDMARK STATE PLAN I.D. NUMBER f�GcQS TYPE OF BUILDING OR USE SERVED 1 or 2 Family Number of Bedrooms: ❑ Public (Specify): THIS PERMIT IS FOR A: ,K New System ❑ Tank Replacement ❑ Repair ❑ Replacement Soil Absorption System ❑ Revision ❑ Privy ❑ Alternate System ❑ Reconnection ❑ Petition for Modification IF THIS IS A CONVENTIONAL SYSTEM COMPLETE THIS BLOCK. Seepage Bed ❑ Seepage Trench ❑ Seepage Pit ❑ Holding Tank System -In -Fill ❑ In- Ground Pressure ❑ Vault Privy ❑ Pit Privy ❑ Existing, For Which A Previous Permit Is On File, Permit # issued ❑ An Existing System That Has Been Inspected And Is Compliant As Far As Soil Conditions. Total #of Prefab. Site Steel Fiberglass Plastic Gallons Tanks Concrete Constructed Septic Tank Capacity / r Lift Pump Tank /Siphon Chamber Holding Tank capacity Manufacturer: A I -EE-e el IF THIS IS AN ALTERNATIVE SYSTEM COMPLETE THIS BLOCK: ❑ Mound ❑ In- Ground Pressure Total #of Prefab. Site Steel Fiberglass Plastic Gallons Tanks Concrete Constructed Septic Tank Capacity Lift Pump /Siphon Chamber Manufacturer: PERCOLATION RATE ABSORPTION AREA ABSORPTION AREA WATER SUPPLY: (Minut per inch): REQUIRED (Square Feet): PROPOSE (Square Feet) / ZJ 6, G /, (O1 / Private El Joint El Public I, the undersigned, hereby assume responsibility for installation of the private sewage system shown on the attached plans. Name of Plumber (Pr n Signature: 1 f%PYMPRSW No.: Phone Numb r: H $I1E SEPTIC PLUMBING CO. � 3 3 0 '� (7/1 ►3X6 d1 /4 Plumber's Address: ROBERT ULBRICHT Name of Designer: MS. MASTER PLUMBER UC. NO. 3307M.P11 COUNTY /DEPARTMENT USE ONLY Signature of Issuing Agent: Fee: Date: ❑ Disapproved El Owner Given Initial 7 Approved Adverse Determination eason for Disapproval: Alternate course(s) of Action Available: DILHR -SBO -6398 (R. 5/82) DISTRIBUTION: Original to County, One Copy To: Bureau of Plumbing, Owner, Plumber INSTRUCTIONS FOR COMPLETING THIS PERMIT APPLICATION, PLB 67 - SBD 6398 To be complete and accurate the permit application must include: 1. Property owner's name and complete legal description, please circle the appropriate municipal government unit, (whether this is in a city, village or town); 2. Indicate specifically what type of use is served, if public is checked indicate type of use (i.e. 10 unit apartment, 30 seat restaurant, etc.); 3. Complete the block for conventional or alternate system depending on system type, check all appropriate boxes or blanks. 4. Indicate the design percolation rate listed on the 115 soil test report, the number of square feet required by code and the number of square feet to be installed; 5. Complete the section on water supply; 6. PRINT the name of the master plumber or master plumber restricted who will install the system, circle the appropriate license classi- fication, place your license number in the space provided and sign the permit in the signature block; 7. Please place the plumbers business phone number in the blank provided, if there is a problem or question this will speed review of the permit; 8. Change of ownership or plumber requires a Sanitary Permit Transfer Form (67 -T) to be submitted to the county prior to installation. Failure to comply will void the sanitary permit. s 9. This permit may be renewed, and at the time of renewal any new criteria in the Wis. Adm. Code will be applicable. 10. A new permit will be needed if there is a change in, estimated wastewater flow, (number of bedrooms, etc.), location of the system, depth of the system, type of system. 11. All revisions to this permit must be approved by the permit issuing authority. 12. A complete plan including a plot plan, drawn to scale or with complete dimensions. 13. Horizontal and vertical elevation reference points that are permanent and clearly shown. 14. Piping detail including pipe size, separating distances, distances between beds if appropriate, tank locations, effluent line from tank(s) to system, building sewer and vent observation pipes). 15. The permit issuing agent may require a cross section drawing of the effluent disposal system. TO THE OWNER: This is valid for two years. Changes in your building plans or locations may require you to obtain a new permit. Private sewage systems must be properly maintained. Have a licensed pumper clean your septic tank whenever necessary usually every 2 to 3 years. If you have questions concerning your system, contact your local code administrator or the Bureau of Plumbing, DILHR, State of Wisconsin. Fo ral - S '1' C 100 Owner of Property ' DAM, v Location of Property It N , Section S ,T N RW Township S Mailing Address 20 Co Subdivision Name ; U/ & Z Gc .Q S Lot Number Previous Owner of Property GAS• Total Size of Parcel 2- f Date Parcel Was Created Are all corners identifiable? Yes No Include with this application one of the following .Certified Survey Map .Deed .Land Contract. or .Other Vagal 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 1 (we) am (are) the owner(s) of the property described in this information form, by virtue of a warranty deed fec ad in the Office of the County Register of Deeds as Document No. ; and that 1 (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 some has been duly recorded in the Office of my Register Deeds, as Document No. ), f ,. SIGNATURE Of OWNER SIGNATURE OF CO-OWNER (IF APPLICABLE) DATE SIGN�O DATE SIGNED MENT N o. STATE, BAR OF WISCONSIN FORM 11 -1982 THIS SPACE RESERVED FOR RECORDING DATA • LAND CONTRACT 1 Individual and Corporate (TO RE USED FOR ALL TRANSACTIONS wHF.RE OVER 525.000 IS FINANCED AND IN OTHER NON - CONSUMER _- - .ACT_T1LA24SA(`T { Contract, by and between Lester T. Jones , ... Jr ........... -------------------------------------- nd_ B_. Jones, husband and wife as 'oint .................... •------ •- ..a ............. t -en -a 1t. S--------------------------------------------•------------------------ ...... - - - -- ( "Vendor ", whether one or more) and... Dean K. - - -- Hanson, a single man ---------------------------------------------- •------- •--- - - - - -- •---.....----------------------- •- •-- •-- - - - - -- .......................................................... ( "Purchaser ", whether one or more). Vendor sells and agrees to convey to Purchaser, upon the prompt and full per - formance of this contract by Purchaser, the following property, together with the rents and other appurtenant interests (all called the "Property "), in------------------------------------- -------- --- -- -------- --- - - - - - -- County, State of Wisconsin: RETURN To A parcel of land located in Government Lot 3 of l Section 35, Township 30 North, Range 20 West, Town of St. Joseph, St. Croix County, Wisconsin, Described as: Tax Parcel No ............................... ' Lot 6 of Certified Survey Map filed in the Office of the Register of Deeds.,, for St. Croix County, Wisconsin, in Volume 1, Page 134. SUBJECT To Protective Covenants recorded in Vol. 566, Page 148 as Document #345378 and miendmen to said covenants which are recorded in Vol. 582, page 630 as Document #352436.' chaser agrees that in the event an electric lift is installed in Outlot 1 (said Outlot j be owned by Croixview Landowners Association pursuant to covenants referred to above)' :,;J1 t he will contribute his proportionate share of the cost of said lift and its installation. The urchaser's proportionate share shall not be greater than one - fourth of the cost of the lift d its installation since there will be a minimum of four lot owners who will be members of e Landowners Association. In the event that additional lots are created and additional of owners are added to the Association, purchaser's proportionate share shall be adjusted ,,! ccordingly.' This ......... ip..nm....... homestead property. (is) (is not) Purchase a e s to purchase the Property and to pay to Vendor at .such_place as_ they_ designate ]17,;:. the sum of g -7,.0� g • () $ •• - ..2. 440 " 00 g --- •-_ --- ------------ --------------- --- --- ---- -- ---- in the followin manner a r.....s_...-•.--._...._. ............... at the execution of this Contract; and (b) the balance of s _.x7.,0.0 0__ ....... .. ...... together with interest from date hereof on the balance outstanding from time to time at the rate of ---- .. ............................... per cent per annum until paid in full, as follows: In equal Mnthly installments of $358.07 per month with the first such payment due September 1, 1984 and each succeeding payment to be made on the first Jay c month. i of each succeeding g { i Provided, however, the ent balance shall be paid in full on or before the ....... 1St............. day of " Al1gL1SC -- ----- --- -- --- - -- - -0 19....J.. ( the maturity date). Following any default in payment, interest shall accrue at the rate of ....11.... % per annum on the entire amount in default (which shall include, without limitation, delinquent interest and, upon acceleration or maturity, the entire r'! principal balance). r P.urci►a�er, u JNee- we er :�G$'�i'ettder,'b'T�'!'3�tfhtX ficieat- Yn- g.aiL-ac���.antiei -- " "' patesi a fie' afeel- s} �eeie�- a�aebeR+e+rt�rFin-- rr++el° repai red - irrsararree- pren"tt? sIfiberr�ve Vender -agreee- ie aPrlY1 m"nTest9-ttr -8trs, rMivativrrswher, due Stich -amenms received by tit e- Vendez iet • of- will be depesked into sit esetew idild 62 trerelee- necetmt,— baC•-aira}1 -not - bear - ialerest ,»w. si�lesa- e6kerw�ee- rec}uiy� -}�: "' Payments shall be applied first to interest on the unpaid balance at the rate specified and then to principal. Any amount may be prepaid without premium or fee upon principal at any time, -.,nom - sas sy- be-rya T""In metk t permission I,f lveadori— '. In the event of any prepayment, this contract shall not be treated as in default with respect to payment so long • .:; as the unpaid balance of principal, and interest (and in such case accruing interest from month to month shall be treated 9= as unpaid principal) is less than the amount that said indebtedness would have been had the monthly payments been made as first specified above; provided that monthly payments shall be continued in the evept of credit of any proceeds of insurance or condemnation, the condemned premises being thereafter excluded herefrom. i Purchaser states that Purchaser is satisfied with the title as shown by the title evidence submitted to Purchaser II for examination except: Any defects arising on or after June 20, 1984 at 8:00 A.M. I' I Purchaser agrees to pay the cost of future title evidence. If title evidence is in the form of an abstract, it shall be retained by Vendor until the full purchase price is paid. j Purchaser shall be entitled to take possession of the Property on.... August..l ....... ............................. f ig ....84. *Cross Out One. l ' LAND CONTRACT — Individual and STA•rF. BAR OF WISCONSIN Wleconsln Lelral Blank Co. Inc. n........_,. I (i�•y Nr.. 11 — 19 A2 SIVWA'lkce. Wto. - •saanleuals alagl motaq paiulad ao pad.q ail pinogs Altaedea hue ut ButuZI9 suosaad ;o sowvR, ....... •---- -- - ............................. ... ........ : algp ( -- ----- 6i Aayssaaau ou 0.1 m uotlsatdxa a }s }s 'low ;I) 1uau73waad m uotss[wwo0 AN 4}og pa9pajmouxoo ao palm3iluaglnv aq Auut statiliouli S) ct6s ' Alunop . .................... - - 0 jlgnd Aar}o11 .......................................... j ............ - 9T0�5 IM `uospnH - 'qS puooeS ZZ5 ........... ............................................................. AB 0314VU0 SVM 1N3wn1i1SNl SIH.L awss gill a2palmou3jav pug luawnalsut 2uto2aa0; aql paln0axa oqm -- --- '•' - g uosaad agl aq of umouj am o1 �_. ---- _sty '90'90L § A-- paztao4lnv -• -----•-----•------------------------------------- ---- •-- ---- --- --- -- -•- -- -• - -- ......................... -- •-•-- -- --- •--- - - -- -- 'loo 3I) .......•---•• ........................................•------••......_......-•- NIISNIOoSm 30 2jVg aSvSS 2iagl4dj4 : a'IZIS ---- - - - - -- deg � --- - fig -- SSLIOj'' ''g��pav- .............................. * ............... .......................... uot ,... ..- Pa q ql 8 "'6i ' n`d o A73 st aw ago a aroma A euosaa - - --- - - --- o Am st a got ua nv I P- -- - -�T .ill 3 q II d 6i � P-- - - - - -- .ill P 1 .l ill A ono -•- -• - - - -- XTO-ro — 4s --------------•-•------------ •ss (s)aangvu2lS NIISNIOOSIA ao aZds5 yi�i�L1Io a a q m o N x0K NI0I.LV0IZNIaHZIIf7 .. ........................... ................... ........;Duo ............................ r S . PIV - - - -- ..._•- • - -• -- -- ••••- ••••- ......- • - - -••. uosut�; . zr , sauor • y Xy4sa'I . t ....... ;o Avp -- •- -- ••- -- -- -- -••- -•- - --- -- i - -- sgl palmQ 61 i (• ;oataq luawllgln; ut opvw eq of paap aq ;o uoilnoaxe ell ut ui asnods aql &Iaadoad gill of of saga2g Al pus aadoad loa[gns gill ul sl42ta psalsawoq esmalaa of utaaaq auto[ uotls.t ejgvnjse s ao; aopuaA ;o ;o aatimo uv loo ;l) 'aasutloand pus aopuaA ;o su2lsss pus saossaaans ' 'saetivluasaadaa Taal 'sataq aql ;o slgauaq gill of aanut pus uodn 2utpulq ail llmgs l3maluo,7 still ;o swag} lld aassgaand ;o llnvjap aotad ao luanbasgns aaglo Sur 2utntum lnogltm llnv ;ap Aug antvm Avw aopuaA •}osaluoo still uo apmw sluawAvd paaaptsuoa aq 11mgs aassgaand Aq apuw os sluatudvd Ilv pus os op o} sl!uJ aopuaA ;t aa2g2}aoyQ gill of A143aa►p s}uatuBmd qans Aug aslgw Asw aassgaand •lavalu oo stgl aapun anp uagl slunowv aq1 ;o quatuAud Alatug s93jvw aassgaand paptnoad 'Agaaagl paanoas Glou Aug aapun to (aassgaand Aq pa4uva2 a2r21aow Aug ao; ldaaxa) lamaluoo still ;o 94up aqq uo A}aadoad aql lsute2v 2utpuv4s }no a2s2laow nuu aapun anp uagm s}uatuAvd lle a31t,w ll-egs aopuaA / •aatlou lnogltm notldo s,aopuaA lm 'lln; ut algvArd pus anp Aja l rtpawwt awo3aq ljrys lasaluop still aapun elgsAvd oauvlvq alms 'aa ;suval yaps Aug ;o J uana ayq ul aassgaand 2utput,4s }no aatlua egl'quasuoa uagliam s,aopuaA gnogltm a3urAanuo3 ao ;o ssaupalgapu us ao; Altanaas su Slalos 4zvajuoO still aapun lsaaalut s,aasvgaand ;o luawu2tsse to a2pald v st paAanuoa lsaaalut aqq ao lln; ut ptrd lsat; st 40valuoD 9t41 aapun olgvAud aauvlrq 2utpum4slno gill aaglta ssalun aopuaA ;o luasuoa ual }ta aotad all lnogltm (Avm aaglo Aug ui ao aseal ivaal -2uol 'uolldo Aq ao 13ra1uoo s141 aapun slg2ta s,aassgoand ;o m Aug ;o luaiuu2tssv Aq) Alaadoad gill ut zsaaaqut olgm}tnba ao 173201 Atli A 8AUO3 a 1109 'aa ;mural loo llrgs aasE43and .: •gaaatp 11vgs gano3 ay} su patjddt, pus plaq aq llvgs pal3allo3 os uagm slt}oad pug 'sansst 'sluaa Hans pus �uotlam gone ;o A3uapuad gill 2uta ti A oddu dell ;o slgoad pug 'sansst 'sluaa gill 4001103 01 'lsaaalut psa }sawoil 2utpnlaut Alaadoad 044 ;o aanlaaaa m ;o luaulutddg sill 01 sluasuoo aast,goand 'gavaquOD still ;o sansoloaao; ;o uoj43m A ug ;o A3uapuad aq} 2ut ao wou taauaww o3 gill uodn •luaut5pnf Aug ut papnjaut aq llegs pus 'paaana -ut sr 'aassgaand Aq pled pug lmdt3u[ad o1 pappt, ail llrgs aauaP!Aa o11t} ;o sasuadxa pur mrl Aq pa }tgtgoad IOU lualxa Dill 04 (loo ao palvgm aaglailm) aapunaaaq Apamaa Aum a3ao;ua of paaan3ut aopuaA 30 sag; sAauaollm olgruosmaa 2ulPnlaut sasuadxa pug 94900 ljm Pug uotlg2lptl ut pansand uagm pur ;t aopuaA uodn Swputq aq Aluo llrgs satpawaa 2uto2aao; aq1 ;o Aug ;o uotlaala 1113 'aopuaA ;o suotlag ao s uel }tam ao lrao Aug 2uipurlsgltmloNl•anogr (At) ao (i1) '(t) aapun uotlag Aug ;o Aauapuad all 2utanp slt3oad ao sansst 'sluaa Aum 13alloa of palutoddu aaAtaaaa v anvil pug A3aadoad gill 3 uoissassod wog; palaafa iaslogaxnd anvq Auw aopuaA (A) pur !lurat;tu2isut s aassgaand ;o lsaaalut algrltnba gill ;t uotlar al�tl�atnb v ut alltl uo pnoj3 m sm lavaluo� 9144 anowaa pur pug u ' 1t, 43t:aluoO still aarl3ap A73w aopuaA (Al ao ! ;oaaagl uotlaod Aug so aatad ast,goand ptgdun aa1lua 01.11 ao; Aval It ans AM aopuaA (M) ao :Aauatat ;ap Aug ao; ajgvtl ail ljt,ys aassgaand pug alms lmtatpnf l m pauopo aq Ilrgs Alaadoad atjl Juana 43tgm ut 'aapunaaaq anp slunowv aaglo pus 11nm;ap ;o glvp ayl uo 13aj ut aqua aql lie uoaaagl lsaialut 4lim 'aaurlrq 2uipurlslno aa1lua gill ;o quatuAvd jln; pug a4viPawwl ladwo3 01 gamalvoo s141 ;o a3ut,wao;aad 3t ;!zeds aoj ans A 13111 aopuaA 01) ao ! (utaapaa o} slte; aassgaand ;t Alaadoad gill ao; jt,luaa su pug joualuoD still 111j1nj o1 eanitr; ao; sa2rwrp palvPlnbtl sr pol!ajaao; aq jjvgs aast,goand Aq ptt,d Alsnoteaad squnowe jlu Juana gatgm ut) aapunaaaq anp slunowt, aaggo pun alrp gans uo 13a33a ut alga gill 1g ljnujap ;o alvp gill utoa ;uoaaagllsaaalul gltm 'a3umlmq 2uipumislno aatlua gil l 30 luatu.ird jln; s,aasrg3and uodn pauotltpuo3 ail o1 votldwapaa ;o Altnba Auv gltm aansol 401als g2noag4 3lo1eq Alaadoad ay} aano3aa pus Alaadoad aqq ut gsaaalut put 91414 '1344 s,aasmga,nd pug gat,aluoO still alvututaal 'uoildo sty 1v 'Arw aopuaA (t) :Altnba ui ao mml Aq paptnoad asogl o} uotltppm ut (mvj Aq paptnoad suotgsgtwtl Aug o} gaafgns) satpawaa pug sig2ta 2utmollo; gill anmq osly 11vgs aopuaA puv'(santvm Agaaaq aas73g0and gatgm) aatlou lnoglim P1113 uotldo s, aopuaA ju 'lln; ut olgvAvd pug anp Ala;utpawwt awoaaq 1113gs lava still aapun oauelvq 2utpuvlslno aatlua gill uayl I (ltmui pa131laaa Aq paltrw a o Allvuosaad paaaAliap) aopuaA Aq;oaaagl aatlou uaggtam 2utenollo; sA73p ----09-• ;o potaad v ao; sanutluo3 ilatgm aasmijaznd ;o uotlr2tlgo aa4lo Aug ;o aauvwaojaed ul glnu ;ap v ;o luaea gill ut (q) ao a4up anp pat;taads gill 2utmollo; sAvp -- ;o potaod v ao; sanutluoa g3tgm lsaaa4ut ,o lvdiamid Aug ;o luautAvd gill ut 11ne;ap m ;o Juana gill ut (v) pug eauassa gill ;o st awtl quill saaa2v ,ast,gaand -- ---------------- - -------------------------- '9��Z��� �iiaur�i�oQ s� "0£9 abEa �Z85 'ToA irr papzo�az s�upuano anr- F�o�d_ �� 8L£S�£� ��� se 86T abEd 995 Ton ut pap�o�az - - - - -- 21iT .►Sa tSx$ :ldaoxa pus 'aasutinnd ;o llnm ;ap ao 13v aql Aq palvaaa muvagwnaua ao suatl Aug gda3xa 'seausaquinoua pug suatl 11 ;o ,gala pug gaaj 'Agaado Gq ;o 'ajduns aa; ut 'paaCj Alu731avb s 'aantlaand oql OZ ,aeLlap pus egnaaxa 'puvutap uo TIP& ,opuaA 1 pagt3ads gnogv Iauuuta gill ut pum sawil aql lm patuao;aad Alln; aq llugs o Pug sag ut tm aatad asv Sand a asva ut a saaa2v so ua A s auow as l l . quill P a s A 4 � 1 q y P 4 spot }ipuo3 jjm pug ptgd 6 jjn3 q tjmq 4 . Alaadoad all; 2umort; suoijuln2aa pug saauvutpao 'smml nv ggtm 3 0 Aldiuol pus '}avalaoD still ;o wall Gill o4 aotaadns suatl wog; aaaj Alaadoad gill daa31 0l 'atmdaa pus uotlipuoa ajgvquvual pool ut daa o 'A aadoa 041 uo pa}ltwwo3 ail o1 alsvm molls aou a }gam gtwwo3 Ol gou slu 73 uanoa aassgaand A aadoa ail � q q d 4 d g "s't'l'!�j• �.��}- ,ttetiva 1 tl°�- G°Pe°1�°tir Pep! trr�- j�-�t3ed°3d'�gl-o-ateded o4 pa44dv---q -.-.�l r- aleeGee� easiitstiaat- kimgl3e�- m- eea�8e -• rmaet e- e d taR-- selrue�- paa-s1Fravdmvs-aOU112rsnt vq'saM' 3o- e�?;orot -°n?8 -fe - tte�tg_ �esecerI--' iofaah - q# - #t�P'�i-It�tg - ft. s aaoa satat- tt'r-3o .tem9rso- ell ` 2> rrltsns" ttrsoez2v- escxtaet{ 10- z° F'° e1i�' 01'` f,- t�* P." r�fi3� 'trr'estteis-irsePeec�se+t3tiA3 ' Tpw -g itrataa -�a-"Y s 'J'�Ig3- Pem'�eme'eoeel»q- eky-rit�gl MOT= csttebo-a- >•ejs sure etq ..... �.............. ...... ................. fie -c�ccs et �t- +ae� -�q tradd�- saarnsat' �2ttor4l" uesets 'tr!'oa�rivt{1c'asttrberm- to -xe-se �p:e»stt-aetR9a �{af►s l ad etisa03v ajT aj �snrvYr�iTStrr Rena etlq-•ne-tr,ewrna;FClt gel; dae>t'tt1a - �Ia - - xa � - d 4 - � u . •za 'luawAvd flans Autmotls sldtoaaa purwap u0 aopuaA of aantlap oil tiur It ut jEwalut s,aopuaA uodn ao Alaadoad gill uo patnal sluawssossv pug saxvl t1v anp uagm Ard oil sastwo.id lassgoand i scar£ r 9p,x 68 1 00 0 50 100 15 59 5 rn 9Sjill . r Z s 4.3 7 i� C O S 4 & ° 39 q p W PJINT_ o f BEGINNING - � O �o 6 Il8 X 1 �',�t� 2.6 ACRES f o o t I °II' 04" 73 c,, Z S 4 8 0 39' 5 7 ± l v 6,c 393.29' W 616.57 \' r W — OUTLOT I 1 8j, ACRE S THE ERECTION OF TO P OF BLUFF BUILDINGS ON OUTLOT 1 5 z IS PRCHIS-TED AND T14E O A 2 16 ACRES m INSTALLATION OF SOIL G 9SORP TION SE A SYSTEMS ON SAID CQTLOT Q n 1 IS PROHIB,TED. O 1 Q , ' 0• — ! &3 87� 35g5�4�3g'gO W I S q8° 4 w �° -r_7S 5 4 25 ' 1009, 0 M w Q, S & 4 l, u Op ry �' 4 58/ 6 g p W ! X5223. i° �0 c• 0. 1 N 44 27"W W d T C — - - -- �E R LORN I..1=.GltiTI 1 �.r - - -" S�CYIOt� �5 T 30N, R 20W y C o 1" X 24" l RON' PIPE VJEI G1 l NG 1.68 /LIN��AL F 00T. _r son R. R. 2, 1i Ijson, Wisconsin 54016 Ole , I•a]cel o land 10 -aced in (`I61 Lot 3 of Section 35, T30N, R2011i', Tot \T1 of St. Joseph St. Croix Coulity, H'i•cc;,�in, described as follo�- :S: Cwn-encing at the SE corner of said +. Section 3S; thence N44`13'27 (true tearing) 228S.97'; thence N51 ° 20'20 "W 355.40' to the poin of beginning; thence S51 0 20 1 20 "E 355.40'; thence S48 °39'40 "W 581.69'; thence S53 ° 20'20 'E . �h3.57'; thence 548. 0 39'40 "h 116', more or less, to the shore line of Lake St. Croix; thence Northwesterly along said s },ore line to a point 548 ° 39'40 "Iti 684.4 more or less, of the Point of beginning; thence N48` 39'40 "E 684.4', more or less, to the point of beginning. .,.i 1 certify that the above description and map are correct and that I have fully complied wi th tl,e provisions of Sec. 236.34 of the Wisconsin Statutes. I:: I"E: April 14, 1915 cX;I,�� s RZ - PPRC�V -mil. o, 7 �' S C -O Ns S1, CROIX COU ►�� ` ( j d,CmtPE�irNSNE PAPrS 3 � ��+D 70NCONtM11T D 3 1975 • �� nF Rye �, +..+ `_ +- - • � �fi, ` ++ . ' W 8 T C - 185 r` �- SCPTIC TANK MAINTENANCE AGREEMENT ~+ o Sc' Croix County tu � � OWNER -9c� '� ~�� ROUTE/BOX NUMBER �~�� �e Yice Number________ CITY/ STATE I______% LY___________________ � P&09EkTy LOCATION: ��� ��u� �4 , C 1 '4 , Sect iou_�_ �, T _H , R_ __W , Town of , St ' Croix County, Subdivision , Lot number . Improper use and maintenance of your septic system could result in ` its premature failure to handle wastes. Proper maintenance con- sists of pumping out the septic tuub every three years or sooner, it needed, by a licensed septic cauu 1ILIvMOI. Wbuc you put into | the system can af[ecc the function of the soyLic cuok as u creuc- meuc stage in the waste disposal ayeccm. St, Croix County residents be eligible to receive a gcuuc for a maximum of bU% of the cost of replacement of a failing system, which was in operation prior to July l, i978. St, Croix County accepted this program in August of 1980, with the requirement that owners of all new systems agree to keel) their systems properly maintained. The property owner agrees to submit to St, Croix County Zoning a cerciiicaciou focm, ai&ued by cke owuer uud by a musccc ylomber, journeyman plumber, restricted plumber or a licensed pumper veri- fying that (l) the on-site wastewater disposal System is in proper operating condition and (2) after inspection and pumping (if nec- essary), the septic 'tank is less than 1/3 full of sludge and scum. Certification form will be aeuc approximately 30 days prior to . ~* � three year eopiruciou^ o uz � I/WE, the undersigned, have read the above requirements and agree vo � � to maintain the private sewage disposal system in accordance with the-standards sec forth, herein, as sec by the Wisconsin Depart- went of Natural Resources. Certification form must be completed and returned to the St' Croix County % i of the three year expiration date. SIC0ED ' DATE , Sc' Ciloiu C»uucy %ouiu& Office P.O. Uuo 98 Barumur ^d , WI 54815 � 715-7�6-2239 or 715-425-8362 Sign, date and return to above address. y 1 """ ""S`°""" SANITARY PERMIT ILHR County --- -� GROUNDWATER SURCHARGE .rrr�wrr r7ou ~T `""�" T ' Ofi Sanitary Permit No. On May 4, 1984, 1983, Wisconsin Act 410 was signed into law. This legislation is more com- monly known as the groundwater protection law. This change in statutes was the result of over 2 years of steady negotiation and public debate. The groundwater bill included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The surcharge took effect on July 1, 1984. All of the water that is used in your building is returned to the groundwater through your soil absorption system or the disposal site used by your holding tank pumper. The monies collected through these surcharges are credited to the groundwater fund adminis- tered by the Department of Natural Resources. These funds are used for monitoring ground- water, groundwater contamination investigations and establishment of standards. Groundwater, it's worth protecting. Ground1°,» agnature of Issuing Agent: Groundwater Fee: Date: Wisco buried ; #0 .LHR SOD -7289 (N. 05/84) f:. 'r , IN DUS T TR Y, OF REPORT ON SOIL BORINGS AND SAFETY &BUILDINGS I NDUSY, � DIVISION LABOR HUMAN REDLATIONS PERCOLATION TESTS (115) MADISON W 53707 (H63.090) & Chapter 145.045) LOCATION: SECTION: TOWNSHIP LOT NO.: BLK. NO.: SUBDIVISION NAME: A '/4 '/ 3.5 IT 3o H/R 2 °E (or sf E,� -= ,P:v v.E w ,�¢ es CO OWNER'S NAME: MAILING ADDRESS St 4,of 17�2r/.� D SEA✓ .70 (o S� • ��1�So.J C,J i Sc c��S /� USE DATES OBSERVATIONS MADE NO. BEDRMS.: 1 COMMERCIAL DESCRIPTION: ILE D IPT NS: PERCOLATION TESTS: Residence 2 New ❑Replace RATING: S= Site suitable for system U= Site unsuitable for system CONVENTIONAL: MOUND: IN- GROUND - PRESSURE: SYSTEM- IN- FILLHOLDING TANK: RECOMMENDED SYSTEM:(o tional) ©S oU M ❑� �S ❑� ❑S ❑S ©� raw vtoTioJ�1l — If Percolation Tests are NOT required DESIGN RATE: }•O $ •�r If any portion of the tested area is in the under s. H63.09(5) (b), indicate: 94RA4 • fOR Floodplain, indicate Floodplain elevation: D a ICL PROFILE DESCRIPTIONS - /AN 1 'fl- BORING TOTAL DEPTH TO GROUNDWATER _ CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH . ELEVATION OBSERVED EST. IGHEST TO BEDROCK IF OB ERVED (SEE ABBRV. ON BACK.) sib, 3' N ' . ZS R fj • B- 0 e S A B -3 �5 � ��•yy ?�— > �s � � s • �� Ali . s ; i, . 67 N• / , . a� . ve� C!; eu ;eZ. .5 /�• I3a. Si /, •/7 N• / . , O da. r , > �.'J / ?1 • �,('. f3o . C S1 / X A,v• Si , 3 /•3.� • Og ' �N B- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL - INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL -MIN. PERIOD 1 PERIOD2 P R PER INCH P- i 7 N ' d /P M G Cco s5 ' s r yl P- P -_ Fko.N G st / E'S7I�i TFD So/ E 5 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. /3677 OF 114 tf ,ee yjifW - %1V d�JIG � 7a . O - 7 — . N _ r3 SYSTEM ELEVATION ' r �. T es TF O a _ o �e _ 7 j3 _._ _ _ i 3� C 7� { _ _..._�_ �. �_._. ._.m _ g..�... AA A�h l��s � 5 l 30 , �, __ _ I �_._ n , ___ tH 3 tosfisj 1 4- WAP hvenoonal ! ? - _ �? c t 5�`E p51 ; 1 10 m 1004 0 3. 13 U 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 (print) - TESTS WERE COMPLETED O HOMESITE TESTING CO. �- /? P N: RTATE ADD CERTIFICATION NUMBER: PHONE NUMBER (optional): MINNESOTA LICENSE NO. 00663 5 -t'- 0 L y? 3 CST SIGNATUR R 3, 0NE,IL RD., HUDSON, WI 54016 DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR -SBD -6395 (R. 02/82) OVER — f INSTRUCTIONS FOR COMPLETING FORM 115 - SBD - 6395 To be a complete and accurate soil test, your report must include: 1. Complete legal description; 2� The use section most clearly indicate whether this is a residence or commercial project; - 3. MAXIMUM number of bedrooms or commercial use planned; 4. Is this a new or replacement system; 5. Complete the suitability rating boxes. A SITE IS SUITABLE FOR A HOLDING TANK ONLY IF ALL OTHER SYSTEM ARE RULED OUT BASED ON SOIL CONDITIONS; 6. PLEASE use the abbreviations shown here for writing 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; S. Make sure your benchmark and vertical elevation reference point are clearly shown, and are permanent; 9. 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 box; 11. Sign the form and place your current address and your certification number; 12. Make legible copies and distribute as required. ALL SOIL TESTS MUST BE FILED WITH THE LOCAL AUTHORITY WITHIN 30 DAYS OF COMPLETION. ABBREVIATIONS FOR CERTIFIED SOIL TESTERS Soil Separates and Textures Clther Symbols st - Stone (over 10 ") BR - Bedrock cob Cobble (3 - 10 ") SS -- Sandstone gr - -- Gravel (under 3 ") LS Limestone * s - Sand HGtN - High Gior nd 1 cs - Coarse Sand Perc - Pe,rcolation f ytte rued s - Medium Sand W - Well fs Fine Sand Bldg - Building Is - Loarny Sand > - Greater Than sl - Sandy Loam - Less Than *I -- Loam Bn - Brown sil - Silt Loam Bi - Black si - Silt Gy - Gray *cl - Clay Loarn Y . _ Yellow scl - Sandy Clay Loam R - Reti sic[ - Silty Clay Loarn not - Mottles sc; Sandy Clay v" - wi[h sir - Silty Clay fff - few, fine, fr int c Clay cc - common, coa >'se r pt: t Peat mm - Many, m'Pd' r?a l - rn - Mu4:[< d -- distinct p -.., prominem H4^tL -_ High waist It -el, Six general soil t:extur�s surfaCe V,1<;'rar fo liquid waste disposal BM - Bench Mai VRP - Vertical Evtf Point i TO THE OWNER: This soil test report is the first stop in secm ing a sanitary permit, The county o `,,e Depaoment may request verification of this soil nest in the field p' inr to permit. issuance, A complut, .et of O ans for the private sevvaCle systern and a perrnii applicafion fr-ist he subrnified to ih3€ c #pf?!opl(m? , :)cal aUtllprity in order to obtain a pcimit. The sanitary permit must Eye obtained and lxOsted 111 icir to try � of eny e0r1structi011. PL 13 7 � C� SMTJoN PLOT an CR 0 PIANS 3 pep Sd;L lee F , .- � P- PT • � s NO � � � � c� P0S7 - - ' N r✓ lo T � Fr- /00. 3 I`R ' P3 r ked,, L O fl r � e < 6S c r��l1 P; VtA. 0 EW r 5 ^� i f,�o�r % SC .5-7s T3 e j iC 2 0 a� . (ANA - sY 7 �a -61ft st#ft ROMOI G ea, �,4 Tom-- - 6 � 03'bt dd. 0jigN. wit 5 016 i t o. tE§ pt9M9� Lic: N9: 3307 MAR.1 MIA.dfUALi: WA 6019NER UC. NO, 00663 Fresh Air Inlets And Observation Pipe SOIL TE5TtA513 By R0MES1TS TESINNG 0'0. - �4 Approved Vent Cap RT. O'WEiL ddti l3UDSON, Wis. 514016 Minimum 12 Above Final Grade 4" Cast Iron c/z, " Above Pipe Vent Pipe io F inal Grade Marsh Hay Or Synthetic Covering Spy 1 'j . Min. 2" Aggregate L ( ,t Over Pipe Distribution Tee ' ° pi —'' 0 0 0 0 0 .J � Aggregate F v Perforated Pipe Below Beneath Pipe e o Coupling Terminating At Bottom Of System I ' t