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HomeMy WebLinkAbout032-2125-90-000 Wisconsin Department of Comm* rce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division Is INSPECTION REPORT Sanitary Permit No: 405092 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)]. Permit Holder's Name: City Village X Township Parcel Tax No: Grand Properties L.P. I Somerset Township 032 - 2125 -90 -000 CST BM Elev: Insp. BM Elev: BM Description: C)' I �0 ` �V� - 6, tea, 1 117.7 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic , 00 Bencll�lhi -33 t oi .3 f Ob Dosing t< Alt. BM '� � r jj S f, Cove% /1X�. 6 Aeration 1.4 Bldg. Sewer Holding St/Ht Inlet ff 3� TANK SETBACK INFORMATION SVHt Outlet q TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet f 3l 93•`/3 Septic �/ > I(�/ + � Dt Bottom `v ti Dosing ! \ / r / r / Header /M 7 r Aeration Dist. Pipe U �7 0b • - 7 Holding Bot. S Q •1 � 0 - .Z h J � v PUMP /SIPHON INFORMATION Final Grade�� _qoa Manufacturer Demand St COv GPM ' I Model Number -- ' l D ias .77 l TDH Lift Friction Loss System Hea TD Ft fl2 Forcerr Le Dia. '> �� Dist. Well 1 SOIL ABSORPTION SYSTEM BED /TRENCH Width Length ! No. Of T�tnche� PIT DI ENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS t 8ETBA K SYSTEM TO P/ BLDG WELL LAKE /STREAM L CH Manufacturer: INFORMA ON CHA Ate R OR Type Of S stem: �(/ �� � � 1 !`71 Model Number: Dl RIBUTION SYSTE r Q 6 , Heade Manifold I I D istri x Hole Size x Hole Spacing Lt � to A� - In�take e(s) / S '> ! ' / 4�l/ W � °2 Length Dia /v Length Dia I ' Spacing !/ SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only _Q�. Depth Over Depth Over xx Depth of xx Seeded /Sodded 1xx Mulched Bed/Trench Center > ! Bed/Trench Edges Topsoil No Yes No Yes _I 1 COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: 7 / 2 d 2 Inspection #2: 7 / / / 0 , - Z-- -- Location: 1709 41st Street Somerset, WI 54025 (SW 1/4 SW 1/4 5 T30N R19W) Chabr Lot 19 Kul Parcel No: 05.3. 1127 1.) Alt BM Description 2.) Bldg sewer length = - amount of cover = > 13 41 3.) Contour - ! - Plan revision Required? Yes Use other side for additional information. /_ 1 31_.__ r - ____ -- - - -��i3 ►n `� -- -.t - / i SBD -6710 (R.3/97) Date Insepcto's ignature Cert. No. r � Safety and Buildings Division County a 201 W. Washington Ave., P.O. Box 7162 5l • ca N visc o n sin Madison, WI 53707 - 7162 Site Address Department of Commerce s e / /5 7 (� 5? S So /n e, Sanitary Permit Ap lication Sanitary Permit Num 9 Z In accord with Comm 83.21, Wis. Adm. Code, personal informati n you heck if Aevis may be used for secondary purposes Privacy Law, s15. 1)(m) C EI I. Application Information - Please Print All Information State Plan I.D. Numbe k -432-5' Property Owner's Name P 1 Number S ; 30 . ( , 11 R A A) 7 2 k'T DES </11 //r�= r.bq�t1 3 2 - 2 - a - c vo Property Owner's Mailing Address ING OFFICE P perty Location 71,2, )J/}�'/� S%. _5U /Te �00 3f SVSi:S S T30 N.RA t4 City, State Zip Code Phone Number Lot Ntylrber Block Number Subdivision Name CSM Number �J Woc O /vs 1"o s` / II. Type of Building (check all that apply) V c�wbw'� �yuptt_ Qst, ❑City N I or 2 Family Dwelling - Number of Bedrooms ❑Village ❑ Public /Comore ial - Describe Use ®'Township 50/11 C S e T ❑ State Owned 0 t Ict O Nearest Road _ ' x - 4S ' Me+�.k GU) " D 4 ^ .83 O sa 1 4 //57 - 51 III. Type of Permit: (Check only one box on line A (numbering scheme for internal use). Complete line B if applicable) A For County use 1 I@ New 2 ❑Replacement System 3 El Replacement of 6 ❑ Addition to System I Tank Only Existing stem B. ❑ Check if Sanitary Permit Previously Issued Permit Number Date Issued IV. Type of Permit: (Check all that apply)(numbering scheme is for internal use) - X A ---lao . 44 ❑ Non - Pressurized In- Ground 2 I Mound 47 ❑ Sand Filter 50 ❑ Constructed Wetland 22 ❑ Pressurized In- Ground 41 ❑ Holding Tank 48 ❑ Single Pass 51 ❑ Drip Line 45 ❑ At -Grade 46 ❑ Aerobic Treatment Unit 49 ❑ Recirculating 30 ❑ Other V. Disp ersaLfTreat ment Area Information: Design Flow (gpd) Dispersal \ Dispersal Soil Application Percolation Rate System Elevation Final Grade Required i�� J Proposed 4S Rate(Gals ./Days /Sq.Ft.) (Min./Inch) Elevation q yo y� o , 7s3 , e 9� 8 X 0 /. 3 '-/ VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Tanks Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank !O /00 C) )v E KS Dosing Chamber �Op 8 Q c ie CS X VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plum is ignature MP/MPRS Number Business Phone Number J OµPJ ScHm 1 715 - SY? 6651 Plumber's Address (Street, City, State, Z' ode) C1( /S©rH A)e Som6 5e % VIII. Count /De artment Use Onl Sanitary Permit Fee (includes Groundwater Date Issued Issuing Agent Signature (No Stamps) Approved C1 Disapproved Surcharge Fee) ❑ Owner Given Initial Adverse Determination 32!: EK. Conditions of A proyal/Reasons for Disapproval , J4-E,l s td Ww 6.(_ w�ut�% o. P ,-, `C j,& camlalkmd -� u `C a��tS 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. 05101) r - � -5i}( %DRvEwHY t Gaeac� 3g�vecr' ► ` N au» t ICC'C CNL kk' Z4gcL SCC GAL. P.C. Yj IYCALE 4� f Bl►'1 TC P p r / srr_ =FL co T cceAk 7 y7 r fl u'. 13 ill - 2 '' lc% g� SEE CORRESPONDENCE Ez WID ti c c 65 )(,7- Gri07 Et. %`/. Qi �. 33 93.6,L/ x as.ir V i ea 9j 9s y3 Ak ALT. 8A% Pn�teEe C. JCHIC Sc: 14 nlI/T 1 6' e 5 9 57 W L sVo I) � - 5 >ET 1l(;'C S `/0 2 3 7 6 Safety and Buildings y 4003 N KINNEY COULEE RD LA CROSSE WI 54601 -1831 TDD #: (608) 264 -8777 *isconsin www commerce.s i www.wiscon isconsin.g n.gov Department of Commerce Scott McCallum, Governor Philip Edw. Albert, Secretary May 08, 2002 CUST ID No.223760 ATTN: POWTS Inspector JOHN F SCHMITT ZONING OFFICE SCHMITT & SONS EXCAVATING ST CROIX COUNTY SPIA 616 150TH AVE 1 101 CARMICHAEL RD SOMERSET WI 54025 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 05/08/2004 Identification Numbers Transaction ID No. 732555 SITE: Site ID No. 644387 Grand Properties / Mike Germain Please refer to both identification numbers, 1709 41 ST above, in all correspondence with the agency. Town of Somerset, 55082 St Croix County SW1 /4, SWl /4, S5, T30N, R19W Lot: 19, Subdivision: Chabre FOR: Description: Three Bedroom Mound System Object Type: POWT System Regulated Object ID No.: 850640 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: General Approval Requirements: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Private Onsite Wastewater Systems VERSION 2.0" SBD- 10691 -P (N.01 /01) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems VERSION 2.0" SB D- 10706 -P (N.0 l /0 1). • Per manual cited above, limited activities are allowed in the area 15 feet down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. The force main is to be installed in the down slope area, The trench for the force main may not be wider than 12 inches. Track type tractors or other equipment that will not compact the mound area are required. • Through calculation from the plot plan contours, the slope in the system area is 10.5 %. The design utilized 16 %, which provides adequate sizing dimensions to the rest of the component. Contours and slope are to be verified at time of construction. Conc�ti��n • Access to the filter for cleaning must be provided per Canon 84.25 (7) and (8),Wis. Adm. Code product AS P���� approval conditions. pnOFC • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption gel area. chs. NR 811 & 812c • A Sanitary Permit must be obtained from the county where this project is located in accordance with the $EE Cp�tESP requirements of Sec. 145.135 and 145.19, Wis. Slats. JOHN F SCHMITT Page 2 5/8/02 • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stat • Comm 83.22(7) A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. Owner Responsibilities: • Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • Comm 83.55 The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /instal lation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, stricture, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 175.00 Fee Received $ 175.00 C ��` '"u � ✓ �� ������,..� Balance Due $ 0.00 Charles L Bratz POWTS Reviewer 11 , Integrated Services WiSMART code: 7633 (608)789 -7893 , 7:45 am - 4:30 pm Monday - Friday cbratz @commerce. state. wi. us cc: Leroy G Jansky , Wastewater Specialist, (715) 726 -2544 SCRMITT & SONS EXCAVATING 586 V alley View Trail Somerset, "54025 715 -549 -6651 M gI�D SYSTEM For. (? 0 ,+ ND Pe 0 P G R- F1 t S LIAACE Lug l Address 7o - 1&1,1 4�U Si . .5 01 r ' J Legal: s lA) / /Y S Gy ��L( sE'G S / 3 O,AJ R f C j L J Township 11 m e �eSt T County: S T, C ED 1 )( �E�EwE� Contents MAY - 7 2VI Page I Plot Plan Page 2 System Cross Section E� & BLDGS D IV . Page 3 Pipe Lateral Layout SAF Page 4 Dosing Chamber Page S Pump Curve Page 6 Management Plan Attachment I Soil Evaluation Report Attachment 2 Mound Component Manual (Version 2.0) SBD- 10691 -P(N. 01/01) Pressure Distribution Component Manual (Version 2.0) SBD -10706 P(N 01/01) By: Z MPRSW 3 76 f Date: LI - Z 7 - CZ Illy JED OMMERCE ND ILDIN EN Facer C WL -fjg -spa -c 3 B �yEccrI Ll4e l��� >ccr cgL s.7. 93CC GAL. P.C. -AA LE �c 9 7 CC . r /C'C'. C r SEE CORRESPOND .N"'F r . = Q, , a n », sce e/-r t 6 F s )0o SLOPE &I'Vc- EL. 93. i'}'ICuaJ D y ea Ccr✓; Luavc' �C1 q ) 91 9S /3 At 8M ALT. 8M P+2tPEe 7CH SC14M Ir ��j� s -. 3 7L� p PagegZ 6 1 Straw, Marsh Nay, Or Synthetic Covering ASTMC33 Distribution Pipe Medlum Sand f H G _. H / 6 Topsoil - -- - -� = =- F SYS.1L' ELEV. `' __, i I E „ 0 3 Y h y. Slope Bed Of 2 %2 Force Main Plowed SEE CORRESPONDENCE Aggregate L ayer ( Below Pipe) D 0, Ft. Cross Section Of A Mound System Using F � Ft A Bed For The Absorption Area G Ft. Signed: t B - 75 - Ft. License mber: .2 3 76 o K g.3 3 Ft. L Ft. Date: �/_��1 Ft. Alternate Position I 17- Ft. of W1� Ft . Force Main Obaervetion Pipe 118 To 1110 8 From End of Bed K B (�.-- - - - - - - -- _.... A F I*-- #+- -__ __. _.._____ -____ ___ -- .�� Farce Main -'� Distribution 8ed Of Pipe Aggregate . I Observation Pipe Permanent Markers 115 To 1/10 B From End of Bed Plan View Of Mound Using A Bed For The Absorption Area FpG£ Of Pump CmAt'1P..t CROSS SECT':0tJ Ah1O SPCCIFICA7"1DL VCWT CAP H'C.Z, VENN PIPE WCAT34EK PILOOf APPROVED t.00KtAib I ,iuuGTIOM 801 �/+iANHOL.E CGVRR • r ^' � M 11 l4 n��r.� , � ' � /i° Midi• I filmu Uit 144&bit Alit wTAKC i �I" M►AI. Il , out cowourr L 19 " NIIAJ. PROVIDE ..�......r. IIJLCT �� ^AT1444T SCAL APPKDVLD J0 *rxavco .loitr't f A I I I w /c.=. Ptrt W/ C.Z. f i ►t 1 I ALARM ON IM(p 3' CKTCNOINrr 3' 1 ON souo i0u. ONTO 6041p Sol L 1 1 ow C ► I PUMP OFF O CONCKETC OLOCK . --- ---- I 3" ApiIAMfMp KISCiI fGXll' PCRMI'iTEG QiJt.� IF TAWK MAIJUFACTURC.R H^S SUCH APMO'VAi. 'j gEppl SEPTIC 5PCC,IFICATIONJS 0051 N►A�uFwcruar I�: �S UWA69R OF DOSES: ± Pfrll TAWK WI::.�._ GA►.t.O1.IS OOSf VOLUME MAUUIPACTUX&R: stPTi2otVl(, lf}N�_4Yl i�ics.uoius. IiACKr4aw: 97 . 6AUON� MODCi. 1JtaMeCR S Tm - I CAPACITIES: A a rL.L_ INCHES OR 4 ... 3"�. e SWITCH TDPC:.._ t k'C , , is �. ._..IlJC11ES Olt . /3— a - 4 N.Lou3 MP M1AmulrAt'ttiRCll: Zoe 1 6 G o IfJ4NCti OR 7 t� N WALLOWS �+oac1 uuMSClt� / / y d �r 1 ,NrHFt oR a6 /.la aALLouc SW1TC?I TlIPC:. �jl(E,eCUpYl SQjj:: PUMP ALSO ALARM ARE To OG • Mlulmum DISCI�A►RCIE RAT= %!> C GPI► INSI'ALLEG OW SEPNRATC CIRCWTO / VERTICAL DifF[R.E"Lg arTWCEtJ FUTAP OFF A1JD.WaTKibUTIOW PIPti.. - FEES' t M11WIM1UM NETWORK $UPPLtl PKE6rU% ... ... 3 °? FLET + �' rcET OF FORCE I-W" Y- '. �. . IF o ►tFRicYlou FAtYoot. 1 FEET � 'DOTA Dld)3AMIL HeAD = IFLET IIJTGRIJA6 OIMfrWblgWp Of TAWK: LLtJisl' H ...........�.. ;WIDTH ......L_._.....L i l -'QUIO OEPT M sire C D: t_ICEUSE WUMeER', aa376 0_ GhYE: ° 1 POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page 6 of K0 FILE INFORMATION SYSTEM SPECIFICATIONS Owner �14/!j C�PceT /r5 Septic Tank Capacity l ��� al ❑ NA Permit #. Septic Tank Manufacturer — tF IC5 ❑ NA DESIGN PARAMETERS Effluent Filter Manufacturer 8c Z- ❑ NA Number of Bedrooms � ❑ NA Effluent Filter Model A-/00 ❑ NA Number of Commercial Units U S NA Pump Tank Capacity 96) gal ❑ NA Estimated flow (average) ©� gal/day Pump Tank Manufacturer f E ICS ❑ NA (Estimated x 1.5) aVd Pump Manufacturer zc9 ELC E� ❑ NA Design Dow (peak), _ . Soil Application Rate n aU /ftz Pump Model I �/ ❑ NA Influent/Eftiuent Quality Monthly average' Pretreatment Unit f73 NA ❑ Sand/GrBvel Filter ❑Peat Filter Fats, Oil & Grease (FOG) S30 mg/L ❑ Mechanical Aeration ❑ Wetland Biochemical Oxygen Demand (BOD 5220 mg/L ❑ Disinfection ❑ Other. Total Suspended Solids (TSS) 5150 mg/L Manufacturer Pretreated Effluent Quality 1!9 NA Monthly average" Dispersal Cell(s) Biochemical Oxygen Demand (80D g 530 mg/L ❑ In -ground (gravity) ❑ In -ground (pressurized) Total Suspended Solids (TSS) 5 ❑ At- grade in Mound 30 mg /L ❑ Other. Fecal Coliform (geometric mean) 510' cfu/100ml ❑ Dri ine Maximum Effluent Particle Size Y Inch diameter Values typical for domestic (non-commercial) wastewater and septic tank effluent " Values typical for pre treated wastewater. MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every ❑months ®year(s) (Maximum 3 yrs.) Pump out contents of tanks) When combined sludge and scum equals one -third (Y of tank volume At least once every 3 ❑ months 03 year(s) (Maximum 3 yrs.) Inspect dispersal cell(s) At least once every ❑ months year(s) Clean effluent filter Ins pect pump, pump controls & alarm At least once every ❑ months ® year(s) ❑ NA ea s ❑ NA Flush laterals and pressure test At least once every I ❑ months Y r( ) Other At least once every ❑ months ❑ year(s) ❑ NA At least once every ❑months ❑ year(s) ❑ NA r EEE MAINTENANCE INSTRUCTIONS n one of the following licenses or Inspections of tanks and dispersal cells shall be made by an In ual gnyi g certifications: Master Plumber, Master Plumber Restricted Sewer POWTS Inspector, POWTS Maintainer, Septage , Servicing Operator. Tank inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, Identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any back up or ponding of effluent on the ground surfa Y Po ndin ce. The dispersal l t the round surface The po ding of effl effluent on the in the observation pipes and t o check for an 9 of effl ground th en on . g l authori round surface may indicate a failing and requires the immediate notification e local regulatory lu on th Y ng c e th e When the combined accumulation of sludge and scum in any tank equals one -third (Y or more of th e tank volume, entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with NR 113, Wisconsin Administrative Code. mponents, and any The servicing of effluent fitters, me chanical t intervals of 12 months or less shall be performed by a certified POWTS Maintainer. other maintenance or monitoring A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or oth chemicals that the contents of Chet tank(s) removed a n d /or e dam the s e rvi cing operator ilpnoritohuse�ncentrations are detected ha r Page of System start up shall not occur when soil'conditions are frozen at the infiltrative surface. During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal oell(s) in one large dose, overloading the cell(s) and may result In the backup or surface discharge of effluent To avoid this situation have the contents of the pump tank removed by a j Septage Servicing Operator prior.Wrestoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal calls. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at -grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; babywlpes;- cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation dialn'(sump pump) water, fruit and vegetable peelings; gasoline; grease, herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMMENT When the POWTS falls and/or Is permanently. taken out of service the following steps shall ta taken to insure that the system is properly and safely abandoned in compliance with ch. Comm 83.33, W mconsin Administrative Code: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and property disposed of by a Septage Servicing Operator. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS falls and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system: • A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon b required setbacks from existing and proposed structure lot lines and wells. Failure to Po 9 P Po 9 Y � protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. • A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. ® The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed as a last resort to replace the failed POWTS. ❑ Mound and at -grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. <<WARNING>> SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND /OR INSUFFICIENT OXYGEN. DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER POWTS MAINTAINER Name �D H N 5C /{ Yh I T T Name C) U} N L 6e.S C ff-0 I E Phone 1 715-- L q - �o (p 5 Phone SEPTAGE SERVICING OPERATOR PUMPER LOCAL REGULATORY AUTHORITY Name Q W (J L 0- S C 1-16 f C 1 Agency 57, C 1 Co tjlV ry Z' Ai f fU 6 Phone Phone 7 1S- 3 Y6 - V 4� 0 This document was drafted by the staffs of the Green. L aka. Marquette and Waushara County Zoning and Sanitation agencies. This document meets the minimum requirements of ch. Comm 83.22(2)(b)(1)(d )&(f) and 83.54(l).(2) & (3), Wisconsin Administrathro Code. use of this document does not guarantee the performance of the POWTS. GMW (2/01) 1102 SOIL EVALUATION REPORT Page 1 of 3 Wisconsin Department of Commerce Tom Schmitt Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code ' County Attach complete site plan on paper not less than 8' /z x 11 inches in size. Plan must St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all information. Reviewed By Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (t) (m)). Property Owner Property Location Govt. Lot SW 1/4 SW 1/4 S 5 T 30 N R 19 W Grand Properties, LP Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 19 Chabre 712 Rivard Streeet, Suite 300 City State Zip Code Phone Number City Village ✓ Town Nearest Road Somerset WI 1 54025 1 715 - 247 -5900 1 Somerset 172Nd Ave. ✓ New Construction Use: ✓ Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD Replacement Public or commercial - Describe: Parent material Pitted glacial drift Flood plain elevation, if applicable na General comments and recommendations: Area is suitable for a mound system. System elevation is based off of contour line established at elevation 99.01'. System elevation is 99.84' on a 16% slope. ❑ Boring # Boring ✓ Pit Ground Surface elev. 99.74 ft. Depth to limiting factor 27 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture St uc t Sh. Consistence Boundary Roots *Eff#1 PD /tt=E in. Munsell Qu. Sz. Cont. Color 1 0 -9 10yr3/2 none 1s 1 fsbk mvfr gw 2f .7 1.2 2 9 -27 10yr4/3 none Is 1msbk mvfr gw 1f .7 1.2 _ _ m2d 5yr5/6 Is O ml gvv - - -- .7 1.2 3 27 -34 10yr5/6 10yr6 /1 m2d Syr5 /6 Is 1 msbk mvfr - - -- - - - -- .7 1.2 4 34 -60 10yr5/4 I p /2 Boring # Boring ✓ Pit Ground Surface elev. 99.66 ft. Depth to limiting factor 26 in. Soil Application Rate GPDIft' Horizon Depth Dominant Color Redox Description Texture Gr. 8z Sh. Consistence Boundary Roots *Eff#1 *Eff#2 in Munsell Qu. Sz. Cont. Color 1 0 -6 10yr3/2 none 1 2fsbk mvfr cw 2f .5 • none Is lmsbk mvfr gw 1f .7 1.2 2 6 -14 10yr4/3 _ none Is 3 14-26 10yr5/3 1 msbk mvfr gw .7 1.2 - - -- m3p 5 r5/6 I 1msbk mvfr gw - - - -" .7 1.2 4 26 -64 7.5yr5 /6 1 /1 m3p 10yr6 /8 sI 1 msbk mfr - -- ---- - .4 .6 5 64 -96 5yr4/4 I Oyr6/ I * Effluent #2 = BOD < 30 mg /L and TSS <30 mg/L * Effluent #1 = BOD? 30 < 220 mg /L and TSS >30 150 mg /L CST Number CST Name (Please Print) Signature: ) f �. 227429 Thomas J. Schmitt Address Tom Schmitt Date Evaluation Conducted Te lephone - 9 - 651 loan 586 Valle View Trail, Somerset, WI 54025 4/23/02 ' Ptoperty Owner Grand Pro perties, LP Parcel ID # Page 2 of 3 F Boring # Boring ✓ Pit Ground Surface elev. 95.01 ft. Depth to limiting factor 34 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -9 10yr3/2 none I 2mgr mvfr cw 2f .5 .8 2 9 -24 10yr5/3 none sl 2msbk mfr gw 1f .5 .9 3 24 -34 10yr4/4 none sl 2msbk mfr gw ---- -- .5 .9 4 34 -71 7.5yr4/4 m2p 5yr5 /6 sl 2msbk mfr - - -- - - - -- - .5 .9 IO r6/2 F-1 Boring # Boring Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 `Eff#2 F-1 Boring # Boring Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD& in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 `Eff#2 F i * Effluent #1 = BOD 5 > 30 < 220 mg /L and TSS >30 < 150 mg /L ` Effluent #2 = BOD .5_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 T" AAR- 7AA_9777 a r - If Ell- 16D 1 ko If I b • � �� � 4 � `CAS' � , s/. 1 C S7 ` Vo? 7 yrlf 0 a i- L S s S- .<►e•S -Q.;/ 1...�Z fo.a,)- S 4 ,SGJ J SS-- T MWIZ 19L 1, 1102 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Tom Schmitt Attach complete site plan on paper not less than 8'% x 11 inches in size. Plan must County St. Croix include, but not limited to: vertical and horfzonta► reference point (BM), direction and percent slope, scale or dimemsions, north arrow, and location and distance to nearest road. Parcel I.D. Please print all information. R viewed By Date Personal information you provide may be s. 15. (1) (m)). (b Properly Owner Pitiperty Location Grand Properties, LP 2 Go4 Lot SW 1/4 SW 1/4 S 5 T 30 N R 19 W Property Owner's Mailing Address Lot Block # Subd. Name or CSM# 712 Rivard Streeet, Suite 300 GCUNTY Chabre City State Zip C e P a lFl City Village ✓ Town Nearest Road Somerset WI I 540 247 - 5900 Somerset 172Nd Ave. ✓ New Construction Use: ✓ Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD Replacement Public or commercial - Describe: Parent material Pitted glacial drift Flood plain elevation, if applicable na General comments and recommendations: Area is suitable for a mound system. System elevation is based off of contour line established at elevation 99.01'. System elevation is 99.84' on a 16% slope. ❑ Boring # Boring ✓ Pit Ground Surface elev. 99.74 ft. Depth to limiting factor 27 , in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *E 1 0 - 10yr3/2 none Is lfsbk mvfr gw 2f .7 1.2 2 9-27 10yr4/3 none Is 1msbk mvfr gw 1f .7 1.2 3 27 -34 10yr5/6 m 56 5/6 Is Osg mi gw - - - -- .7 1.2 — 4 34-60 1 Oyr5 /4 100�j2 Is 1 msbk mvfr - .7 1.2 — F il Boring # Boring ✓ Pit Ground Surface elev. 99.66 ft. limitin f 26 in. Soil A ' ' n Depth to l imiting ct pplx�tio Rat e Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots PD/ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 "Eff#2 1 0-6 10yr3/2 none I 2fsbk mvfr cw 2f .5 .8 2 6-14 10yr4/3 none Is 1msbk mvfr gw 1f .7 1.2 3 14 -26 1 Oyr5 /3 none Is 1 msbk mvfr gw --- .7 1.2 4 2 7.5yr5/6 mlt)yr6 /i/6 64 Is 1msbk mvfr gw -- ---- .7 1.2 5 6496 5yr4/4 m3p /1 /8 sl 1msbk mfr - -- --- -- 4 6 * Effluent #1 = BOD S> 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD S30 mg/L and TSS S30 mg/L CST Name (Please Print) Signature: CST Number Thomas J. Schmitt �� 227429 Address Tom Schmitt Date Evaluation Conducted Telephone Number 586 Valley View Trail, Somerset, WI 54025 4/23102 715- 549-6651 Property Owner Grand Properties, LP Parcel ID # Page 2 of 3 • ] Boring # Boring ✓ Pit Ground Surface elev. 95.01 ft. Depth to limiting factor 34 Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -9 10yr3/2 none I 2mgr mvfr cw 2f .5 .8 2 9 -24 10yr5/3 none sl 2msbk mfr gw 1f .5 .9 3 24 -34 10yr4/4 none sl 2msbk mfr gw - - - -- .5 .9 4 34 -71 7.5yr4/4 m2p 5yr5/6 sI 2msbk mfr - - -- - - - - -- 5 .9 10 r6/2 F-1 Boring # Boring Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 F-1 Borin Boring # Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots D in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 * Effluent #1 = BOD 5 > 30 < 220 mg/L and TSS >30 < 150 mg /L * Effluent #2 = BOD < 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 —A —t—;.1 ;,, — -1 ... A ,.,.,,tom+ +hP rlano t--+ t rAQ- 79f -21 1 ,1 — TTV Al1R_79A -8777 u� ate ✓� P a f' u L qo bi 114h � � 1 � g R� F+/�u- ,,,, -,.! e � s V' �L3.. -s� / Y�.Qt 'T� E' I �C4�w 1 b yf mo � 7rAr yf- ST CROIX COUNTY r ` SEPTIC "TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer r ` 1pr< Mailing Address K V Pr >v> 6m- lot �1 Property Address 11 (Verification required from Planning Department for new construction) City /State f lmqg Parccl Identification Number ()3-1 LE GAL DESCRIPTION Properly Location ! /�, ' /�, Sec. � , T 30 & R W� Town of S u bd i vtsi an C - -- -- -- L ot - (�__ a� Certified Survey Map # , Volume , Page # Warranty Deed # 2693,E Volume do ,Page Ir 3L� Spec housed yes El no Lot lines identifiable yes O no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the syster can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix 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 wastewaterdisposal 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 Zoning Office within 30 days of the three year expiration date. 0 " 3. % - -9 , , - q _ /.Z / OZ SIGs ATURE OF APPLICANT DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) ant (are) the owner(s) of the pro rty described above, by virtue of,a warranty deed recorded in Register of Deeds Office. G /2 / U Z, SIG ATURE P APPLICANT DATE * * * *** Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. " Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed .... WJ VUL V / �Q tP ��77 pp� pp �- STATE .BA1 CW V6I '3OINSIN ?O1M% - 19t S f-_ 7 6 S� 3 2 WARRANTY DEED KATHLEEN 1J. WALSH ;i REGISTER OF a ESDS Document Number ST. CROIX Co VI u I __... _... _....... _. RECEIVED FOR REC(,, ?D !� This Deed, made between I' R'tf!FiARD 0 .... SrnnttT anA - 04-22-2002 2:00 PA _,TADI P . GTQT1T h usband and __w ~ _ NARRRM DEED Grantor. EXEKPT 0 { � _.. ....__ ...._— _......... {i 1i and ... GRAND PRQ. P F'RTTF S T,p — __ ..,- -.... — - ii REC FEE: 31.00 TRANS FEE: 165.30 Grante i COPY cIwRT COP FEE PAGES: 1 Grantor, for a valuable consideration, con%gs and warrants to 0mntee the followi,,g jl described real estate in St. Croi County, Stare or Wisconsin Plat of Chabre, Town of Somerset, an n dres _... fame end . eturn Address -•'_ - -_ -^ it St. Croix County, Wisconsin. ! rn It K•a G -e I w 1 N J . 5. -rn e,rse'C w � 't 1, 03::- 21 -90 -000 i P3rcel Ic'4n4fication Number (PIN) I � T nls._ is not hornestead property. 1 (i�q (is not) f �I 1 j� Il , I ,I I , 1 I; ;I Exceptions to warranties: eas ements, restrictions, rights -of -way and covenants ;i of record. if I� Dated this.._- 22nd day of April l i I'. I t (SEAL) 4�7_ � SEAL) i Richard stout Jane P , stout (SEAL) (SEAL} ... .. — , AUTHENTICATION ACKNOWLEDGMENT jl Signa[1rC(5) • " ' ` - State of Wisconsin, i , i St Cr _ Gounty authenticated this ..._ day of Personally came before me this _. 7_ grid day of gn r i 1 .20 Qom-•• the above named Richard Q. �Stout an P. _ g t- n»t R N ..o I! TITLE: M STATE BAR OF W ISCONSI N known to be the person 5�.. who executed the foregoing f (If not,t Ij authorized by §706.06, Wis. Stats.) instrr{Lirent and acknowledge the same. JACO ls,1 =N ii THIS INSTAUMLNT WAS DRAFTED BY # Notary C " „ �; Sty *,ke of bdrsooct3in, Janet P. Stout 1 A,w atukee Tr. _ �_..... -:_ •:...- .., • (sktaryTublic, Hudson, WI 5401 to of sconsin 1, I�y'comnU3slon is Permanent. (!f it staw expiration date.: ! i (Signatures may be ettrhenticated ar acknowledged. Both are not ... 'j ,i necessary.) .. - - -- - -- -_ Namts of P*r3onN a.Bning in any capacity ynktjt be typed or printed tnetow tl signat STATE BAR OF WISCONSIN wi- tomaln Laav Rank co•. Inc. WARRANTY DEED FORM No. 2 - 1998 mmiukes. WI& ,' Wisconsin Department of Commerce SOIL AND SITE EVALUATION Division of Safety and Buildings in accordance with Co Wis. Adm. Code Page � of Bureau of Integrated Services t Attach complete site plan on paper not less than 8 1/2 x 11 inches in si Plaa must Co unty include, but not limited to: vertical and horizontal reference point (BM) direction ar r�l, I X percent slope, scale or dimensions, north arrow, and location and distance to nearest 4o�d, - " Parcel I.D. # 8 ., r.- • ,,. M APPLICANT INFORMATION - Please print all information. Reviewod b Date Personal information you provide may be used for secondary purposes (Privac�_ Law s. 15.04 Property Owner P f U ocation �L U Govt. Lot 1l4 r �1/4,S ,� T ? ,R Ce E (or)@ Property Owner's Mailing Address IJW or CSM# ee O _ 7 � City State Zip Code Phone Number City age Town Nearest Road d n L01 or ( ?5y�1 -1� I �atdr Cj New Construction Use: Number of bedrooms Addition to existing building Replacement El Public or commercial - Describe: C D e-a Code derived daily flow Q C gpd Recommended design loading rate ' )ed, gpd/ft trench, gpdfft Absorption area required bed, ft ° '5-t± trench, ft Maximum design loading rate bed, gpd/fi `� trench, gpd/ft Recommended infiltration surface elevation(s) C 16o - �� ft (as referred to site plan benchmark) Additional design /site considerations 0c) A4 tj Y - 5-0 Parent material "� ( Flood plain elevation, if applicable ft S = Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank U = Unsuitable for system ❑ S Ei U 1�t S ❑ U EIS O� U I ❑ S 0�'U I ❑ S [R ❑ S Wu SOIL DESCRIPTION REPORT Bof1r1 # Dominant Color Mottles Structure GPD/ft Boring Texture Consistence Boundary Roots in. Ou. Sz. Cont. Color Gr. Sz. Sh. Be t Ground r, elev. Depth to limiting IAI; 2k factor _ oD in. Remarks: ;hl ou (Ic�, rte,' � 1 W -rE Boring # �� _ - LS � rrl " m-�r c Z 2 9- 3S 10 L S C_ S - .7 5 -1Z 10 , X13 c i,s -11(p L-s Ground elev. y ro ft. I Depth to limiting factor Remarks: CST Name (Please Print) ignature Telephone No. Address Date CST Number �`" S o / 0 Z.S /S OCR Z'533D a SOIL DESCRIPTION REPORT PROPERTY OWNER x Page _Z_ of a PARCEL I.D.# Borin g # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots 2 �= in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed ,Trench rE 3 ;M i C -lc 40 3 q L S I m �7' l � , I'0 CP L5 , k m r C — - 7 $ Ground 'J 25 - r`i 3 UP 1 •J (`1 to L S rn �' C'S — - 7 �( elev. J 's-� ft• , 2 , Depth to limiting factor 2�_in. Remarks: Boring # LN Ground elev. Depth to limiting factor Remarks: Ivia ob _ L l - eSr4 Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench Boring # Ground elev. ft. Depth to limiting factor in. Remarks: Boring # Ground elev. ft. Qepth to limiting factor in. Remarks: SBD -8330 (R.9l98) PROPERTY OWNER SOIL DESCRIPTION REPORT " � � of I � Pa PARCEL I.Q.# C C� Boring # Horizon Depth Dominant Color Mottles Structure 2 in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed , Trern 3 L S I m m� V� 7 E Z ID ZS • I 0 Cn L5 mfr C - - 7 3 Ground 3 25 I r y a UP .5 `) to L S rn C'S — 1 . elev. � ft• J Z Depth to limiting factor 2- Remarks: Boring # 13 1 0 - Z v/ — 5 G- ZM -,rb Mf r^ z z -y /y — G- /ms v - C - S 3 a s M i i Ground elev. Depth to limiting factor / 1 Remarks: Gl/vt v �K via r S✓S4 / a Horizon Depth Dominant Color Mottles Structure GPD /ft` Texture Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trer Boring # Ground ; elev. ft. ' Depth to limiting ; factor ' Remarks: Boring # 13 Ground elev. ft. Qepth to limiting factor ' Remarks: SBD -8330 (R.9/98) PAGE_ NAME LOT# 1 * k LEGAL DESCRIPTION,SW ' /45w` /<,S 5 T-T,7 ,N,R 1q. E (or)(0 SCALE: 1 "= �QCS BM 1 ELEVATION /00 • U BM 1 DESCRIPTION yam; (; ,. � •' � BM 2 ELEVATION GOO 4 S BM 2 DESCRIPTIO I SYSTEM ELEVATION ALTERNATE ELEVATION CONTOUR ELEVATION qS 5 C 0 t -s- SIGNATURE DATE ., [ PREPARED FOR RIC CHABRE FIARD O. 87+OUT j UM E 1316 3 AW A 1RAIL LOCATED IN PART OF THE SW1 /4 OF THE SWIM AND PART -" HUDSON, W1 6" OF SECTION 3, T30N, III 9W, TOWN OF SOMERSET, ST. CRC s A - e�A �s� 7 A - 1A AC / =�yl, ' [ A - " AC 1 - tU AC �f/I \ A - [2 AC 10 A - Le Ac GSAL IN VOL 8, PC — Mn ------ - - - -- 1 A -0.7 AC t - 0.9 AC 4t _ - - - -- `\ 2 A- AC U NOITN lJ11[ OFTI[•1AIOFTQ•1M M '7 A - 1A AC / V A -UAC x • �o • i W MAD / •3y�' / � /�6 i � � � � � 3 fierce % , S A , iitaJ�s 1[WOl ao 1atT+a.•.. Aq „1►� ly' A ��„ /,� �i. .: s s aBrOCaItE w LOFTHE sa . �j h LOTS. t 007'1040'[10.0' _� - • ... .. ... [ 0 000 • • 0 0T10N• W 1N.N` 1 .... .. ... - . ::. 7L. A JCH ( \ H. W.L 91114.00 �,. ................. . ........................... \ _ : K .,Ax 3: �: <: \ �! i r! 1077.00 R • \ •�, \ ' K W1 . f110l.00 b• — — . - - -- — tERSIC::: POND / AT �•� .t � NA.TA• Me- ........... O _ ... `k� ¢ •/��\ TOV ROAD I p U < y 1x[0 ,000 147. 1► Z e� A SEV .............. r4 I = m ias �I r 1 j 4 H.W.L. v. xh'r :-:i ::..r C �• }:5i. }F.ci::...... Yf4.00 W I ::::::_: ,� 18 H. . 960 • ........ ........... .::::::.�.�:::: N �:.1007ri 0O FT R19W ; A I y', ':� +rA A _ . .. ._i ..... ' l .,a.[fwrr mw v. -. .. . . > �s oo:cs 96AlO S0• HIGHWAY SETBACK PER TRANS 233 1130-10010M al0010M k e M[9' NO ACCESS _ IM of ON . 0IENr 06%3161 S'E 1616.88' solrrN tM 0FTW Juw/ aE,wnON � OM 9a x USAA PATH OF toes SW OO Nan NON - NAMABLE GWn0N 5 MIEMAND D.O.T. NOTES PER TRANS 233. J No Improvements or slnlchmes we allowed baboon Slate Think Mphvay •35 884 D.O.T. NOTES PER TRANS 233• dGMabway ire and the Nphwry se beds Nm knprovamenls and Muchxm Include, MA 131A are not irYted to. signs, pad ring Gran, dtveways, wells, septic As owner I hereby nmrlcl al Cols and Bloch 90 # Was, m ow Possessor, *stems, drainage tacilitles, bulldogs and retaining walls. it Is impessy IKer, toerneee a other Person may have any right of area vehbNlsr rterded tlal dYS rmtrlo0en ls far the berm%of the "Ic as i ngrms from or Open to airy 1 10Immay OV within to rlpht -o"W of Provided In section 238203. VAseorarn StarAes. and shell be erdorceehle State tnttc HWWMY W & W, as shown on the hard dMaim nap; it is epresey by the Wboonarh Deperrnent of Transportsilen a Its anlgrm Contact the Intended Met this nsetrlcllorl constitute a restriction for the bernaR of the Wisoorsin Deperrnert of Transportation for more ridmWion. The phone Public as Provided In 0278293, Stab., and shat be mdoraesde by the mMW may be obtained by contacting do CotxtY Highway Deper6nent. dent or its assigns. The lots of Oft tend division may impedance noise at W lb seceering MOFa0s6tlER VISION CORNER NOTE: the levels in a. Trans 405.04, Tdta 1. Them levels we based on bdxN atarnderds. Owners of tam too we respo abb for abYkng NO amuck" a nVMvWrAM of any kind a permitted within the vision comer . notes suf dennt to probcl tam kite. No vegetation w1Mrh the vision eanar may exceed 30 rnclaa n height SNO MW DATE 4023M0 SRBET 1 OF a Simi=