The URL can be used to link to this page

Home My WebLink About006-1054-20-001Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s 15 04 (1)(m)I Permit Holder's Name I City Village Township Brandon Perry TANK INFORMATION TYPE MANUFACTU R p I CAPACITY Septic I Ikr Zia V Uv /Z.N 50 Mir J `Ir 7'llt,rd Aeration Holding TANK SETBACK INFORMATION 1,nr L-s / - (" tit TANK TO f WELL BLDG. Vent to Air Intake ROAD Septic Dosing Aeration Holding PUMP/SIPHON INFORMATION Manufacturer Demand GPM Model N mbar TDH ift Fri to oss ysle sad TDH Ft Forcemain Length Dia. Dist to Well SOIL ABSORPTION SYSTEM TOWN OF CYLON ELEVATION DATA STATION BS HI FS ELEV. Benchmark Att. BM fi) J.er Cover i1.1!5( /on, 05 Bld/ g TS,ew , ro, O 1 `/ L 7 G St/Ht Inlet Jr'7, o St/Ht Outlet 6. 35 fV . G S DI Inlet Dt Bottom Header/Man List Pipe Bet System �, 3 93. 8 Final Grade �- Z 9 7r S SIC f LO .yG ! J /1 06 6 -i-! 6 r,1r3 BEDFrRENCH DIMENSIONS Width 7 J Length r 13 No Of Trenches z- PIT DIMENSIONS No Of Pits Inside Dia Liquid Depth SETBACK INFORMATION SYSTEM TO PIL Ij BLDG WELL LAKE/STREAM LEACHING CHAMBER OR UNIT Manufacturer n� / �"tT'7 /1PIY0� Ty a Of System pOn ra / not r ✓ t >1OO Model Nurrbar DISTRIBUTION SYSTEM - \-V r7i„16 Header7Mapifold tf (/0 r Length Dia Distribution Pipets x Hole Srze x Hole Spacing Ven to Air Intake rLMf. W � r Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over / Bedrrrench Center _ 1 r Depth Over Bed?rench Edges / �t xx Depth of Tapsotl xx Seeded/Sodded v Mulched LNo Yes COMMENTS: (Include code discrepancies, persons present, etc.) ' qq II Inspection 41. Location: 2037250TH ST ' 7y!/aG(/ Q L) 1.) Alt BM Description = F l err Co ltier 2 S �.{� q�''!} 7p 2.) Bldg sewer length = 2-8„ /�ttq 15➢'CR v _r - amount of cover = > 18 Plan revision Requiredo E] Yes kJ No 1 Use other side for additional information 8 Date SBD-6710 (R.3/97) /'UCH Olaf �lan ,is Inspection q2. r ►1sP-Pc�1 vti �o e% Ai-epl( A -es � 1,5 y Z /� Insepcloes Signature f i V,'cyed `�aii Can. No County I I S ety and Buildings Division DEC 3 0 �QZ�OI W: ashington Ave., P.O. Bex 7162 adison, WI 53707-716622' 1 St C-GIX Cd,,., i.p Number (m be filled in 1 631 ZZ S In accordance with SPS 383 21(2), Wis Adm. Ccdc, suboussion of this form to the approliriaie governmental unit is required prior m obtaining a sanitary permit Nom:.4pphcaboo fonds for Stmowr A POWIS are sabmmed m Pmdea Address (if dfHacm Wad mailiug address) the Depmuneot of Safety and Professional Servies. Personal information you provide may be used for secondary oses m accordance with the Privacy Law. s :i 04(1)rm ti Stets. 2 L A Gcation Information - Please Print All Information O"U ✓ Property s Name I Parcel M'Al �lln✓ :.vy ! f" /�l'c2 I �i% (-I "/!).S7-' I Ury Zip Code Phone Number I II. Type of Building (check all that apply) Lot W or 2 Family Dwelhag - Numberof Bccrooms 6 —r lion 1 {6..�G%� 7mE+lT/s Sectionr� "/ yi�i T N; L� PubliclCommercial - Describe Use -� ❑ Ciry of _ [1 Suite Owvcd - Describe Use CSM Number ❑ Village— Z oNE YLt Lf GS a l�oo. ! <T.wn of I vt•� v s- w.r.. t•.en•. •r••q -0- uax on line a. 1-011 ewe me a u applmaptt) I Sys[em ElTrra[ment/Holdmg Talc Replacement Only ' Other ModrLcauoo to Existing System (explain) B. Permit Renewal Permit Revlsmn D Change of Plumber Pamrt Tznsfc m New Lis[ Previous Permit Numba and Dais IssuM Before Erpirlmon Danner I '. Tym of POWTS S stcm/Com onenr/Devitt: Check >U that apply) w - ssmi2ed ln-Ground ❑ Pressunud In -Ground ,�] At -Grade ❑ Mound > 24 in. of suitable soil n Mound <24 in" of Holding Tank - Olba Drspers sl Co ( lam)_ ❑ Pretreatment Device (ccrpiam) • .S / l V. Dmi rsai?rea eat Area Infora Flow Desrw Soil Application Ra ajW Dispersal Atea R ubed s Dispersal Area Pro (sf) Systen 1 VL Tank info Capac try in Total a of Gallons Gallons Unns yy �� Maonfacnner L %" 1 e r C New Turks ymna 7aalz 1`i�Cf'V Ybvt. - e� u = o 4 — .� Sepgc a HolmnB Tavk �� I n saiiC3am6er VM Responsibility Statement- 1, the it ..igoed, aAme rspo..ibiliry for installation of the PONM sbowc am the attached puns. PIumb7r's Namei (Pr int) Pt Signature I I INIPRS .N Business PhoneN L P ber's Address (Strew• C „ . Zi Code) VEIL Countv/De artment Use Only (%Approved Disapproved mn Fee Da`00 Dare lssu d Issuing Agent S J - 4 ) � � 2� ' 1-1Owner GwenReason for Denial$ SX97i5ddi&W PaldipprovaMeasous for Disapproval —OO 1 l 3 !'1\ Lnna t}-ioyt S 1 h l7 �Z02 Q(K I N e. 1 SeptiC tank, effluent filter and wt 4.kjs •—! dcpO must he serviced ! maintained ferrt.,. I Mu5}- a, i -•Ina •,.�ceri tit plan provided by plumber. L�oStS� ec, ,4 � D�$�Krc� �' µ,�oy�q_,ySi' 2 A,i sdi',a�. l< emants must be maintained f�ov+ 0 �W Nl Pj- ,,fa� � � ( ,Q N: ri+l„" rn ,h,rAo ances: Tl/�E Wt `DW oziVy- r,o roT to complex pulls or the syseem anAd submir m the Caaory only, oa papa got less tbai, 8 ] . x 11 iaelo m sin f 1 i l o af'f' D �/ w S Car. �� R�-cQiseK Sy -a u(,i-.1t c... .; d7t,d�•k- '1 j-, tnlitl-6, CW$D�6 / Qe M-leis r o� 0-eolS `Fee 2 �6l JT$ `xn •v, Z 398 (Rel l/l,l)µ) .� W21 11 W C { (a lLh_�lOAUjI -^''('_''_�_ / } ° S 4 MustJ Si trr�and ��cU G� El, Is Acccss� 1 ls�rat�+res ✓l�� 1 v3crJ a5 PNa Yo S�S in5lcel�� Q Sttoj cl-u,11(tf Cover Page Shaun Bird Bird Plumbing Inc. 1432 120th St. New Richmond Wi 54017 715-246-4516 Date: 12/28/20 Owner:Brandon Perry Location: SW1A NW 1/4 S 24 T31 N,R 16W 2037 250th st. Cylon Manuals Used: In -ground absorbtion system (version 2.0) Page# 1. Cover Page 2. Plot Plan 3. Chamber Cross Set n 4-6. Maintance and C agency Plan 7. Filter Cross Sectio Signature License number 26900 System PLOT PLAN PROJECT Brandon Perry ADDRESS 763 2nd St. Hammond Wi 54015 SW 1/4 NW 1145 24 /T 31 NIB 16 W TOWN Cylon COUNTY ST. CROIX SYSTEM F.LEA'ATION 94.9/94.5/94.1 4.5' below grade 12/28/20 BEDROOM6 DATE CONVENTIONAL. XXX CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1250/750 LIFT TANK SIZE DOSE: TANK SIZE HOLDING TANK SIZE LOAD RAPE .7 ABSORPTION AREA 1336 # of chambers 66 kk BENCHMARK V.R.P. Bottom of garage siding ,ASSUME ELEVATION 100' Filter Lifetime Filter ❑ BOREHOLE O WELL. +II,R,P, same as benchmark Property Line .94 anm 110. 75' well Pro 6 Bedroom House B-4 ❑ 10' Huffcutt Combo ST Scale = 1 /4" = 10' All piping shall be ASTM SDR 30/34, within 10' of tank, piping shall be ASTM F891 ied/Accessory {Zevi�d (Ip �1a(A uildmg nVent With septic system >6" of Cover 4' Lon idl2 2-2' x 134' cells with >3' spacing 25, 5% Slope > 10' Garage M . 8 M. 80, Quick4 Standard Leaching Chamber with 20.0 ft2 of Area 5.6ftA2/pair of end caps , —Grade at System Elevation Willow River �ns,ll<d �oc1�G,f— �^a,�c �o 250th St System PLOT PLAN PROJECT Brandon Perry ADDRESS 763 2nd St. Hammond Wi 54015 SW 1/4 NW 1/4s 24 /T 31 NIB 16 W TOWN Cylon COUNTY ST.CROIX SYSTEM ELEVATION 94.9/94.5/94.1 4.5' below grade 12/28/20 BEDROOM 6 DATE CONVENTIONAL XXX CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1250/750 LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 1336 # of chambers 66 BENCHMARK V.R.P. Bottom of garage siding ASSUME ELEVATION 100' Filter Lifetime Filter ❑ BOREHOLE O WELL *H.R.P. Same as benchmark Property Line Scale = 1 /4" = 10' 75' All piping shall be ASTM SDR 30/34, within ' e10' of tank, piping shal e ASTM F891 d/Accessory 80' Sh uilding �, � Vent septic system Quick4 lord >6 of Cover Leac b Chamber Pro 6 15' Bedroom House 25' .'uffcutt Combo ST be >5' from garage 45 B-1 w _0.0 ft2 of Area 6ft^2/pair of end caps 4' Long 12., Grade at System Elevation 99' B-3 3 Vents 5% Slope �r) 98, 3-3' x 90' cells with >3' spacing 97' 80 I ' Willow River 250th St. Cross Section of Quick 4 Standard Leaching Chamber Typical cross section for 2 of 3 cells Quick 4 Standard Leaching Chamber with 20.0 ft2 of Area per Chamber 5=Oft^2 pair of end plates To be A' above grade G ,% Finish grade elevation Typical Installation 99.4' Vent Grade QVent f�30/34 Septic Tank 4' LonR 5' Spacing 5' System elevations: A 94.9' C 94.1' Grade at System Elevation 4' Lone t at System Elevation 3-3' X 90' Cells Observation tubeNent Same on other end To be located on end of Cells 22 chambers per cell A O� ST- CROIX (,MJNT{ SNYrl(" I'ANK MAMITNANCT ,IGREEMENT ANII OWN 1 tit ' III Ct�dt t rl•1(..41 b-1\ )•(}IZM C)wnerll3uyur F N,)(Jcc- r Mailin} Address 6� — 5 Prope.rl y Address 3 a S () }-y��t l � (Velrlicalion )cquued liom 1'lannmg A• !mu"`' I I�n)Uin tw nshnaiau) �p>a� 6� (, w/ (,Ity/Sffitclt zr�WL) W1 I':urel ldentific;dionyhnlbet C)CDO 0 ✓L u000 LEGAL DESCRIPTION Properly l.ocauopf`la� , rfi—vb; , Scr, �'� I \ R `✓ W,'fown of Sub(imsion Certified Sulwey dlap I'; Warranty Deed # ` (7 Volume Stun house yc' 1 uI Ifni Identifiable CS SYSTEM MAINTENANIITF AND OWNER CERTI11(C A'I-ION Lot # Page 7, � , Page P � no ltnproper Use and mamicnanrt of your sepuc skstenl coul,f ❑) n% In •mature Path,,,. to handle wastes. 1'ruper In ilitenaul wnsists of Pill nut ate sepuc tank eve,), alter year] nrsonne,, 41 necxlert, by it huvsed punipel whal yell put ntfo the system can alle(it the, fnnclwn of the sepuc tank as a trt:ahne-r1l atagc nI the waste ,.disposal sysl,m OwIlur mamtenall" fesponsibilities are speclhcd in §Conn g l ',?M mal nr Chaplc, 17 St ("llix Coolly fianndry I t Ixhumwc TIR! properly nwna`r agrees to submit to Sc ( lntx Collup' Plauume k, Zon ]if; Department a cetlificaliull long signed by illc owner and by a ola9er plumber, ioumoyutau ptunllnn. Icstuc9-d plunlhe, n' a livel•sed Penciller vcl d)'illf', fiat (1) the oil- we wastewater disposal system is in fnopa nperalolg condition wuLia (2) adet onpu: ion and pulnputl; (if nera;ssary), the Septic gunk Is less than 1/4 fill] of'sludge 111Ve, the undmsp,wd hnrr ,cuel the nbov. rcyum-n s'i o, and apIct to marnmm file Pnwvate "kee disposal sysleal with the statitWtds set foldl, hureloh ns set Dv the Dcl n ana:nt n1'c nun..chit .uul [Ill Dcpanmetn of Nahnal Rcanlnens> State Of Will 1111111 Certification stating that your septic system bas been uulinemlcd nntsl IV conlplePA and rehuiwd to the St. (loll ('nonl-V 1'I:unliulj & Zonmg Dcpallment within III dev::,f the Ihlec vein r,en:,im, dnn 1lwe reruty thm:dl "" du., rtn I all uln: III tlu' nest Of ol)Cuol Itllowktlikv. hwe allifale the ❑Wnel(\J trflhe property (described above, by viol,,,. Ord wvrranly dead Im(nded nI Rr•g,lsicl of UCe,is (If r1GC Num er of bedrooms SIGNA:17 ', AITL�j lJ' uATf; '"Any ud'orrtiauon flat is inisiepu,amncd nl:Iy iesull nI (Ile salutary penal bring o-voked try the M:nlooy; , Conntl; Delwrnnrin Include with [Ids appLcation a rec:nided warlalny [teed limn the Registvl Ill heed, :three and it cupy ortID cerflliM I survey nap if Ieterence Is nlafk in the wairanly dkred (REV. 118/05) POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page! of_ -ILE INFORMATION Owner /r Permit # DESIGN PARAMETERS Number of Bedrooms ❑ NA Number of Public Facility Units yq Estimated flow (average) G' aUda Design flow (peak), (Estimated x 1-5) aUda Sal Application Rate v aUda /fe Standard InfluentlEffluent Quality Monthly average" Fats, Oil & Grease (FOG) 530 mg/L Biochemical Oxygen Demand (BOD5) 2 20 mg/L Cl NA Total Suspended Solids (TSS) 5150 mg/L 'Pretreated Effluent Quality Monthly average Biochemical Oxygen Demand (BODs) 530 mg+L Total Suspended Solids (TSS) G30 mg/L �NA Fecal CONfiirm (geometric mean) <104 cfL/100mi Maximum Effluent Particle Size Ya in dia. ❑ NA Other. 'Values typical for domestic wastewater and septic tank effluent MAINTENANCE SCHEDULE SYSTEM SPECIFICATIONS Septic Tank Capacity �,tS - 0 a ❑ NA Septic Tank Manufacturer C NA Effluent Fitter Manufacturer ,)L ❑ NA Effluent Filter Model �� C NA Pump Tank Capacity al NA Pump Tank Manufacturer ❑ NA Pump Manufacturer 0 NA Pump Model NA Pretreatment Unit NA ❑ Sand/Gravel Fitter ❑ Peat Filter ❑ Mechanical Aeration ❑ Welland Disinfection ❑ Other. Dispersal Cell(s) C NA in -Ground (gravity) O In -Ground (pressurized) ❑ At -Grade ❑ Mound ❑ Drip -Line ❑ Other Other. VA Other: O NA Other. ❑ NA Service Event Service Frequency Ilnspect condition of tank(s) At least once every: m ents(s) (Maximum 3 years) ❑ NA (Pump out contents of tank(s) When combined sludge and scum equals one-third of tank volume ❑ NA inspect dispersal ceN(s) I At least once every: ?'El YeaKs)s) (Maximum 3 years) ❑ NA Mean effluent filter At least once every: /1 ! ❑ ear(smonth) (s) / C NA nspect pump, pump controls & alarm At least once every: 0 NH yman�s�s) -lush laterals and pressure test At least once every: ❑ month(s) ❑ year(s) I�tfrer: At least once every: C month(s) year(s) NA Other NA MAINTENANCE INSTRUCTIONS / 'Inspections of tanks and dispersal cells shall be made by an individual carping one of the following licenses or certifications: Master !Plumber, Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer; Septage Servicing Operator. Tank inspections must !include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of :;ombined sludge and scum and to check for any back up or ponding of efflueni on the ground surface. The dispersal cell(s) shall be !visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing oondifoai and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equa!s one-third (X) or more of the tank volume, the entire contents of !'he tank shall be removed by a Septage Servicing Operator and disposes of in accordance with chapter NR 113, Wisconsin Administrative Code. AJI other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, ;and any servicing at intervals of <12 months, shalt be performed by a certified POWTS Maintainer. A service report shoal be provided to the local regulatory authodt •Within 10 Gays Df completion of any service event. pop _ot—, START UP AND OPERATION For new construction, prior to use of the POWTS died treatment tank(s) for the presence of painting products or other c hernicals thef t may impede the basinant process and/or damage ftre dispersal cell(s). If high concentrations are erected have the contents of the tank(e) removed by a septage servicing opemW prior to use. System start up strap not occur when sot conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal high grater levels. When power is restored the excess wastewater will be discharged to the dispersal cell(s) in one large dose, overloading the cells) and may resu t in the badwp or surface discharge of ertluendt. To avoid this situation have the contents of the pump tank removed by a Septsge Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintalner to assist In manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park VW*** over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compel, the area within 15 feet down slope of any mound or at -grade soil absorption area. Reduction or elimination of the following from the wastavrater stream may improve the performance anti prolong the We of the POWr$: antibiotics; baby wipes; cigarette buts; condoms; cotton swabs; degreasers; denial flows diapers; disinfectants; fat foundation drain (sump pump) water; fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; msdlcetons oil; painting Products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to insure that the system is propetly and safely abandoned in Compliance with chapter Comm 83.33, Wisconsin Administrative Code:. • All piping to tanks and pits shall be disconnected and the abandoned pipe openings steed. • The contents of as tanks and pits shall be removed and property disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shad be excavated and removed or their Covers removed and the void apace filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and Carrot be repaired the followng measures have been, or must be taken, to provide a code compli rt replacement system; bls replacement area has been evaluated and may be utilized for the location of a replacement sod absorption systelm. The replacement area should be protected from disturbance and compaction and should not be infringed upon by requi0ed setbacks from wdatkg and proposed structure, lot Dins and wells. Failure to protect the replacement area wad result in the reeled for a new soli and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rularl in effect at that time. ❑ A suitable replacerned area is not available due to setback and/or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the faded POWTS. ❑ The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaki4on must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed as a last resat to replace the failed POWTS. ❑ Mound and at -grade sold absorption systems may be reconstructed in piece following removal of the biomat at the infilrative surface. RecanstluCdo ns of such systems must comply with the rules in effect at that time. <cWARNING>> SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES ANDIOR INSUFFICIENT OXYGEN. DO NOT ENTER ASEPTIC, PUMP OR OTHER TREATMENT TANI� UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE O� A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE ADDITIONAL COMMENTS POWTS INSTALLER Name Phone POWTS MAINTAINER /I Name I -s Phone 7/J 4�-/ S 1� SEPTAGE SERVICING OPERATOR i6UNIPFRI LOCAL REGULATORY AUTHORITY Name (,^'iJ Name Phone ? Phone 7jJz� -2z LL This doamert was drafted in carr omce with chapter SPS 383.22(2)(b)(t)(d)8,(1) and W.W1), (2) 8 (3), Wisconsin Admimistrhaive Code. 4 0 0 4 8 A 1921 St. Croix County Accessory Structure Affidavit Pt'r 4r, W� 11i51Y ,,('fv} Name — (Owner) Typed or priutedv being duly srmm, states, under oath, that He/she is the legal owner of the following parcel of land located in St. Croix Co t , Wisconsin, recorded m Volume _ Page _ Document Number 0 St. Croix County Register of Deeds Office, being duly described as follows (include lot no. and subdivision/CSM or detailed legal description): Sec'Exr+A- u8i7i45�riu 1121298 BETH PABST REGISTER OF DEEDS ST. CROIX CO., WI RECEIVED FOR RECORD 01/19/2022 12:44 PM EXEMPT #: REC FEE 30.00 COPY FEE 3.00 Ca MA As owner of the above described properly, I acknowledge that there are two Private Onsitn Wastewater Treatment System (POWTS). One serves the existing principal dwelling and one will serve an accessory building on this lot. This accessory building may not be used as a second residence on this parcel. I also acknowledge that I will disclose this information and stipulation to any future parties interested to purchasing this property �-rP:aSi�►7C� i. suthenticmed du day or ACKNOWLEDGMENT STATEOFwtSCONSM ) b, r Yk per.oilYrule bore nk IN, I dry ordau..uu% �Ih<eboro,wiN,� _ -J I7III��TT TM.H NTMER STATE BAR OF WISCONSM prnot. vine wbwiorl by i W.M. we. San) -- THIS INMUMkM WAS DRAFTED BY (Si,.[. , be aW ootioakd w NkI owkdgoo. Both. not oor0000y ) 'THIS PAGE 19 PART OR 7EH19 LEGAL DOCUMENT —DO NOT REMOVE' ]1W l�urnwar,mx>hmapined bymdn,llle� ob,w.emmk. NMI[Artnm _., sawlrlN(l/regnlM/Olhrh6nidbn nrF a, IhegrturcNg <faim+.legr,l derrlpMu. arc. mryde ylamd wl tl,IrJlrn p+ge Ilbc dwvnexl wawy bepbwd al nddlromlpnger a/Ili Aavmrnl. ryyyG Ux atilt, mrorraxe wfds wre page rorarvdoceoru mvl J1 ro Iv Ae rerr,Nlnr he. Wvcm<n ,Noma, J9 JJ A. * St. Croix County 1121298 Page 1 of 2 LT Flie No. 623639 EXHIBIT A A parcel of land located in the Northwest Quarter of the Southwest Quarter (NW X of SW X) of Section 24, Township 31 North, Range 16 West, Town of Cylon, St. Croix County, Wisconsin, described as follows: Commencing at the West Quarter (W 34) corner of said Section 24; thence South 86" 53' 12" East (true bearing) 33.01 feet along the North line of said NW X of the SW Y. of Section 24 to the point of beginning; thence South 86' 53' 12" East 1272.94 feet along said North line; thence South 2" O1Y West 641.40 feet along the East line of said NW X of the SW 74; thence North 89' 51' 45" West 1271.22 feet; thence North 1" 50' East 707.44 feet along the Easterly right-of-way line of an existing town road to the point of beginning. AND A parcel of land located in the Northwest Quarter of the Southwest Quarter (NW X of SW X) of Section 24, Township 31 North, Range 16 West, Town of Cylon, St. Croix County, Wisconsin, described as follows: Commencing at the West Quarter (W X) corner of said Section 24; thence South 86' 53' 12" East (true bearing) 33.01 feet along the North Pine of said NW 34 of the SW 34 of Section 24 to the point of beginning; thence South 86' 53' 12" East 1250.34 feet along said South line; thence N 2" 29' 70" West 49-09 feet along an existing fence line; thence North 88" 20,1o" West 310.66 feet along an existing fence line; thence North 89" 23' 3W West 937.89 feet along an existing fence line to the point of beginning. AND Part of the NW X of the SW X of Section 24, T31N, R16W, Town of Cylon, St. Croix County, Wisconsin, described as follows: Beginning at the West' corner of said Section 24; thence S 86' 53' 12" E (true bearing) a distance of 33.01 feet along the north line of said NW X of the SW X to the easterly right of way line of the existing town road; thence along said right of way line, 5 01' 50' W a distance of 707.44 feet; thence N 89' 51' 45" W 33.01 feet to the west line of said NW X of the SW X; thence along last said west line, N 01" 50' E a distance of 709.15 feet to the point of beginning. St. Croix County 1118902 Page 2 of 2 St Croix County 1121298 Page 2 of 2 Willow River Front Elevation Front Elevation Front Elevation -PFORTRESS ROJECT Willow River Basement Level Floor Plan LMLLhr _Y L� 1 www Fu Errn�p� YSEMEM 1 TC.Wry - Ca•V^• a Lr3 Fbw Jdsb li on CwMr � S • le . ri" � tPm Yt'FF x to r4 .'.:•....I• •.. _—_� = `� -- — _w �- � r Y ri L -r i I F— . 1 ell ;� F,r.n r..._ _I _ .r. Clonr L ,.• 1 ar r� r � 1 .. x 1 i • rwlun B4Mwm y I • �� LoverH WwM Frml CFtbPw - — 4 `w • YGnWwer Mow •� _�ar�_ r �• i �F 17�x `FouM.Yon 1>iF` xe� m Lxr� �tr� �xr lJ Lt�� Lr�� I--J L.r .v R 9cW lml B>f W R rr.—. _ e >N iM.M 4yu.n f.A I..y FORTRESS PROJECT Willow River Main Level Floor Plan S C.mlkw aY�Fmr/.1n • R WeIle6CNllnp f ns� YGntlYw . t 7. � LFIT-W � Vautl 4 �.v tl u Y.bEraom 0� 7-7 m I!;4> it . ES LmareE WaE Fmnl Oe -POM I�� __ ill -WIIB - OM Fln4tl I]Mp LMI•nB.rimfl le , RR Sken nCl�... pli . ed :opp fl FORTRESS PPROy£µ Willow River Second Level Floor Plan x• L.�nHr.. .» a aO no l..•n.. 915wuTv.e J iurvn emw � f � lwlwy I- q„ �p•. •—�- JAI nl m- L 1 e _ _ co.. vml Dea P� S Lm11Mr.. Tw.l nwnw w•.�. v.n xw•.a n. FORTRESS PROJECT M CSC ��a� yo9 DEC 3 0 2020 Wisconsin Departrnerlt of r.,oerce SOIL ;EVALUATION REPORT Page _ of Division of Safely ono Buildings I SL a i ; - . - - 135, Wis. Adm. Code C:; m niCl Fti4S?t{,Srgrnn' Cl Attach complete a" plan on paper not less than B 12 x ? 1 inches in size. Plan must r include, but not limited to: ver4cal and honzontal reference point (BM), direction and Parcel I.D �s / _ � percent slope, swig or dimensions, north arrow, and location and distance tc nearest road �/ v (] .a s — -2 Please print all information. Reviewed by Date PR "l IMOm1lLOn you PrOviGC may be u"d im tICOIfd87' purp0 {Pmacy L2 W, E 15 04 (1) (m)) &„ 1 l •% y Property Owner Property L n S l� fra Q l-I Govt Lot 1/ r4 S'�-T N R � E (10 W Property Owners Mailing AddLot # Block # Subd. Name or M# 7,.� 4. - - Oily State ZIA Code Phone Number ❑ City OyMage Nearest Rl ■ New Construction Use7a@,vdenfiai I Number of bedrooms Codel design flow rate GPD l' ■ Public or corrimercial - Deal Parerltmal S)4rif<'A,— I-e1'1-C�C'--Q Rood Plain elevation if applicable System i. i� , System Elevationf n- Depth MIWIFAM .:115 ��nc�r�--r•�q�r�nre��n Effluent #t = SOD. > 30 < 220 n+91- and TSS >30 < 150 ' Effluent 92 = BOO, < 30 ml and T55 < 30 mi CST Name (Please Print) CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation Conducted Telephone Number 1432 120th St, New Richmond, Wf 54 `715-246-4516 Property Owner Parcel ID # Page _of `0 c..J Boring Boring # pit Ground surface elev. ad-ft. Depth to li niting factor.dLlZ in Saul Agiplication Rate Horizon Depth in. Dominant Color I Munsell Redoz Description Ou. Sz. Cott Color Texture Struchxe Gr Sz Sh. Consistence Boundary Rom GPDAT •Eff#1 •Eff#2 t , E sa ng Boringw pit Ground surface elev ft, Depth to IGnifing factor in I Sal' Aodiration Rate ■ _ Ef hent #1 = BOD, > 30 1220 nVL and TSS >30 < 150 rrtglt . Effluent #2 = BODr 130 mg)L and TSS < 30 mg4 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 TfY 608-264-8777. sa"33.Oa ) Property Owner Parcel ID # Page —of rM WA IFMV a10 FIMIM M�■1 M, arm i • : ' - EffiLwd #1 = B006 > 30 1220 mg4 and TSS >30 < 150 mg& . EfBuara #2 = BOD• 130 uGL and TSS 130 mg& 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. sang 0(._N00) r Soil Test Plot Plan Project Name Brandon Perry Address 763 2nd St. Hammond Wi 54015 Lot ---- Subdivision ------- S W 1/4 N W 1/4S 24 T 31 N/R16 W ❑ Boring Q Well PL Property Line `, BM or VRP Assume Elevation 100 ft. g9TM #226900 Date 12/28/20 Township Cylon County ST. CROIX Bottom of shed siding System Elevation 94.9/94.5/94.1 *HRPSame as Benchmark