Loading...
HomeMy WebLinkAbout032-2144-20-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 420673 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: Bird, Renee I Somerset Township 032 - 2144 -20 -000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range/Map No: / /T»• D & 07.30.19.1257 TANK INFORMATION ELEVATION DAT TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic 1 Benchmark /di. / / bd `c> Dosing Alt. BM Aeration Bldg. Sewe Holding St/Ht Inlet , 9ai. DS TANK SETBACK INFORMATION St/Ht Outlet 7.3 SOU• TANK TO P/ WE� BLDG. Vent to Air Intake ROAD Dt I t Septic ffyy�� / / G1 / 1 el� Dt Bottom tiv 1 5 Dosing Header /Man. Sb S Y ti ,- ia7a • 33 Aeration Dist. Pipe 7 4. /U go 5 , Holding Bot. Sys m y qq , Final Grad PUMP /SIPHON INFORMATION M, _ Manufacturer Demand St Cover 2 ` lO(p- Model Number TDH Lift tion Loss System Head TDH Ft Forcemain Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM r 3 = 3 2 ' BED /TRENCH Width Leng!p No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 3 1 t SETBACK SYSTEM TO P /LS BLDG WE L LAKE /STREA LEACHING Man ct rer: , INFORMATION CHAMBER 1 Typ Of System: - / / y am- '� Model Number: DISTRIBUTION SYSTEM Q � {��j y to y4Kk J r (OV Header/Manifold t Distribution ; x Hole x Hole Spacing Vent t Air Intake Pipe(s) -7 I 6i ✓� \ 7 1 � Length .� –f Dia Length ' pa g SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only CEepth Over -i Depth Over xx Depth of ded /Sodded xx Mulched D O enter Bed/Trench Edges Topsoil xx See ` J Yes ] No Yes CJ No COM NT : (Include code discrepencies, persons present, etc.) Inspection #1: 11Y / 3 Inspection #2: Location: 1636 40th St Somerset, WI 54025 (NE 1/4 SE 1/4 7 T30N R19W) St Croix Nat'l Estates N Lot 2 Parcel No: 07.30.19.1257 1.) Alt BM Description = WA4 """ ) �e � , / a�+�2 72^ A'LlL /Unr - 2.) Bldg sewer length = ♦ L4� k4-pj �n,e -Kf / Cfiyt 1G amount of cover => 131 J S ! v�. �yyr 1 • ySr Plan revision Required? J Yes r- No 3 rte✓ U Use other side for additional information. SBD -6710 (R.3/97) Date Insepctor' Signature Se�rtyN Safety and Buildings Division County r-. _ 2ol W. Washington Ave., P.O. Box 7162 C, . (/ ;X S��S�S Madison, WI 53707 - 7162 Site Address `• Department of Commerce S ani t y Permit Number Sanitary Permit Ap c 42,073 In accord with Comm 83.21. Wis. Adm. Code. information you provide 0 Check if Revision may be ----A for Pri Law, sl5. 1 m I. Application Information - Please P"d All Informant 2003 State Plan I.D. Number property owner's Name i U U ^; i Y" parcel Number m �; r i c a 3 Z - 21114 Zo - ate Property Location Property Owner's Mailing ,5' -A < 5c S T. N. L U Zip Code Phone Number 1-- Number Block Number City, State '-� Subdivision Name CSM Number II. Type ding (check an that apply) o� I'� S w i Deity or 2 Family Dwelling - Number of Bedrooms OPillage 0 - Describe Use *ownshiP 0 State Owned I Nearest Road 37 3 x III. Type of Permit. (Check only one boa on line A (numbering scheme for internal use). Complete line B if applicable) — Pol -- -- T A. 2 0 Rephw ent System 3 0 Replacemem of 6 0 Addition to For County use Tank Only Permit Number Date Issued B. 0 Check if Sanitary pe Previously Issued . IV. of Permit: (Check all Oat apply)(numbering scheme is for internal use # t - vD on Pressurized h Ground 210 Mound 47 0 Sand Filtrs 50 0 Consavcted Wedand 22 0 Pressurized In -Ground 410 Holding Tank 48 0 Single Pass 510 Drip I J 45 0 At -Grade 46 0 Aerobic Treatment Unit 490 Recirctilating 30 ❑ "cz V. Area Information: Design Flow (gpd) Dispersal Area Dispersal Area Soul Application Percolation Race System Elevation Final Grade Proposed Rate (Min•/inch) O Elevation Total Number Prefab Site Steel Fiber Plastic VI. Tank Info C apacity C m Gallons of Tanks manufacturer Concrete Constructed Glass New F Taub Talcs Septic or Hokiuug Tank - j Z. o F- D osing VII, Responsibility Statement I, flee , ass<mme responsufltit7' for TS of the POW shown on the attached plans. Signature MP/MPRS Number Business Phone Number Plumber's Nam (Print) S � 6 6b Phmtbec Address (Strrxt, City. State. ) VM- Me ent Use Only Sanitary Permit Fee (includes Groundwater Dace Issued Agent Agent Signanue (No Stamps) JR Approved 0 DL-Approved Surcharge Fee) 0 Owner Given initial Adverse Z2- 9 04 . 2 12 3 Determination Co ndift of f Disapprova>i may UC. VHU.a� b¢ v� S c�S . Attach exfmplete 10 (ffi �J ady) faer the my 011 peeper out las than S1/S x 11 lorLea in size can -A';4R (R _ 05/01) I , P PLAN - PROJECT Renee Bird DRESS 04 Griffen St. Amery Wi 54001 NE 1/4 SE 1 /4S 7 /T 30 / 1 W TOWN Somerset COUNTY ST. CROIX MFRS Shaun Bird 226900 DATE 1125/03 BEDROOM 4 CONVENTIONAL XXX IN- GROUND ESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1260 gallon LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 1212 # of chambers 39 BENCHMARK V.R.P. Top of 2° Pipe ^ &V%k* I ASSUME ELEVATION 100' Filter Zabel A -100 ❑ BOREHOLE O WELL #H. R. P. Same as Benchmark SYSTEM ELEVATION 104.0/103.0/102.0 Vent >6 .� Standard Biodiffuser Plans Designed Using of Cover Leaching Chamber Conventional Powts with 31.1 ft2 of Area Manual Version 2.0 6' Long 11 3 Grade at System Elevation Alt. BM Top of 2" Pipe @ 99.0' 483' Property Line 40th St. Pro 4 Bedroom House -908 0 e V T 30' r B -1 $ 45' N g B-2 ro ents 14% 25 ) 14 3 -3' X 82' Cells with >3' Spacing B.M. 180' 0' 552 Property Line P PLAN PROJECT Renee Bird DRESS 04 Griffen St. Amery Wi 54001 NE 1/4 SE 1 /4S 7 /T 30 / 1 W TOWN Somerset COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 1/25/03 BEDROOM 4 CONVENTIONAL )00C IN- GROUND ESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1260 gallon LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 1212 # of chambers 39 BENCHMARK V.R.P. Top of 2" Pipe - gA& I ASSUME ELEVATION 100' Filter Zabel A -100 ❑ BOREHOLE O WELL *H.R.P. Same as Benchmark SYSTEM ELEVATION 104.0/103.0/102.0 jL Standard Biodiffuser Plans Designed Using Leaching Chamber Conventional Powts with 31.1 ft2 of Area Manual Version 2.0 Grade at System Elevation Alt. BM Top of 2" Pipe @ 99.0' 483' Property Line 40th St. Pro 4 Bedroom House a� 30' T 30' 0 30' B -1 45' 45' ^, N B-2 Vents B-3 - 14% 3 -3' X 82' Cells with >3' Spacing 25' Slope Al t. * B M. 180' 0' 552' Property Line • Y ' Wisconsin Department of Commerce SOIL EVALUATION REPORT Page of Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code Attach complete site plan on paper not less than 8 1/2 x 11 in es it E GEIME D Include, but not limited to: vertical and horizontal reference pc nt (BM), direction and arcel I.D. percent slope, scale or dimensions, north arrow, and location 3nd distance to nearest road. Please print all information JAN 0 2 2003 1 [ evi wed by Date Personal Information you provide maybe used for secondary purpos (Privet law s. 15.04 1) m YCK 0 1 ZM3 Property Owner ZO I R ®pMptyr0ation ' - Y Govt. Lot 114 L. 1/4 S 7 T3() N R E( W Property Owner's Mailing Address � f Lot # Block # Subd. Name or CSM# c U ` I 6f , 4 - e,, s ., t? city State Zip Code Phone Number ❑ City ❑ Village {kown Nearest oad i s �l 661 New d6nstruction User Residential / Number of bedrooms Code derived design flow rate 6 DO GPD ❑ Replacement ❑ Public commercial - Describe: /J Parent material L� 7 Flood Plain elevation If applicable Al 4 ft. and recommendations: S� yJ►y`^ �� . rti uh 3 " r ��`, 1 cf-� }�Q / �e "" 4, f f �3? d S 1'e'k 0 kao /LD Do 0] Boring # Boring /�� Pit Ground surface elevA� ft. Depth to limiting factor _1L _Q 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 1 0 - A Z , .; s� o�ins iz -! s S +• !b .( Bo&S # Boring ,QG 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/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •E -, 1 2 , at lo�(.0 Effluent #1 = BOD > 30 220 mg& and TSS >30 < 1 50jngf Effluent #2 = BOD 1 30 mg/- and TSS 30 mg/L CST (Please Print) rg re CST Number 2 u Adder / Evaluation Conducted Telephone Number Property Owner Parcel ID # Page of Boring # ❑ Boring �it Ground surface ele� ft. Depth to limiting factor in. Soft Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDffF In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Etf #1 'Etf#2 �-- 2 --------- - A-),e AIZA , ng # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Sal Appfication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 'Eff#2 � ❑ n9 Boring # Boring Ground surface elev. ft. Depth to limiting factor in. a ❑ Pit Soil Application Rate Horizon Depth Dominant Color Redox Description • Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 I Effluent #1 - BOD > 30 _< 220 rrxytL and TSS >30 < 150 mglL Effluent #2 = BOD < 30 rrxyL 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. ssO4330 (8.6M) Soil Test F. Project Name Renee Card Mommy �laun Bird Address 204 G, Amer; "'31 "" TM #226900 Lot 2 Su:,.:::.: i St. Croix 11/8/02 NE 1/4 SE 1/4S % 3 N /R19 W To . o Somerset F1 Boring O Well 1'i, Property Line ! G :: • . ST. CROIX Ac t ,�;s i rev tion 00 ft. IL BM or VRP ( � � System Elevation 10?.0 *H^ chmark L AU.B Top o,... 0' 'r opert y Line 40th St a a� a 5' 45' —._ 105'—, 30' — 103' B -3 11`;' 25' Alt. I >1' B.M. 1 �`� :' 552' Property Line Maintenance and Contingency Plan for a Septic System Maintenance Plan 1. Septic Tank is to be pumped once every 3 years. 2. Effluent filter is to be cleaned once a year. Please note: a larger filter is being installed in order to extend the maintenance interval of the filter. 3. Once every 3 years, cells are to be inspected via the inspections pipes at the ends of the cells. 4. Owner agrees to limit greases, garbage, and water conditioner discharge into the system. 5. The owner agrees to save this plan. 6. Do not plant trees nor park nor drive over system. 7. Watershed is to be diverted away from system. 8. Discharge into system is not exceed those required as per Comm. 83 Contingency Plan 1. If system fails, determine cause of failure, use altemate area and install new system or install system at a lower elevation. 2. Replace any other failing components as needed. Plumber: Shaun Bird 715- 246 -4516 St. Croix County Zoning 715 -386 -4680 Pumper Tom Mondor 715- 246 -5148 Shaun Bird #226900\ ST CROIX COUNTY - SEPTIC TANK MATBINANCR ACiRELMBN'T OWNMSHIP CERTIFICATION FORM J owner/Buyer 6 - __ C7 Mailing Address property Address - (Verification required from Planning Department for new construction) _ City /State Parcel Identification Number 0 - Zlgq - ZD o — v ( . � LEGAL DESCRIPTION property j,pO m /,, ,, Sec- -7 - T_`L R W, Town of �, Lot # Subdivision Certified Survey Map # _ . Volume � Page # Warranty Deed � Volume 2 ((7 . Page # �{$3 Spec house ❑ yo Lot lines identifiabge� ❑ no SYSTEM MAII�TTENANCE ooddr�attinitspromatiefarfine _.tobxmdvewasamProperm ahAmmme Impmper�e andmai�eaaaceof your septic system if needed by a licensed pu�c What Yon put �O the system comsu of pum out *e septic tank every dsee years Or s 00004 can affect the function of the septic tank as a treatment stage in due waste disposal systm JU to sabmit to St- Croix Zoning Department a m, on for signed by the owner and by a t ow�r agrees plumber or a hceasedp= 4MvenfYmSthat (1)the sitewastewaterd %Mwlsystem man prop operat ditionnnbet; and (i f necessary), &t septic tank is less man 1/3 IhR of studge- is i n proper co and/ar niter p um ping Uwe, dw wed hake read am above requirements and agree to maintain the private sewage dispool system with the s tendar& as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin- Certification set forth, herein, has been � be wed and manned to the St--Cmac County Zoning Office w� 30 slating that Your septet c system days of due 6M Year motion date- � e 3 DATE 4SIV OWNER CERTIFICATIO I (we} CaW that all scat nests on this form a il r bad o°m O I ( am (�) ft ownet(s) of Deeds ribed desc above, by virtue of a warranty fi c 1 C�1 DATE y - t A APPLICANT Any infntmation that is mis_rgncsceted may t in rite sanitary permit being revoked by the Zoning Depart- swmpc warranty deed from the Register of Deeds office ** Include wlth this application: a the ce survey map if reference is made in the warranty deed r W;sconsin Department of Commerce SOIL EVALUATION REPORT 3 . ' Division of Safety and Buildings Page of in accordance with Comm 85, Wis. Adm. Code Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County ST - C�:_o Lx include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. Pt�lv�jt G Please print all information,_ Reviewed by Date Personal information you provide may be used for secondaryp}rrrppses priydcy Law, s. 75.04 (1) (m)). Property Owner erty Lo ti yet- $r� SE 1/4 S ] T 3D N R 1 q E (or W Property Owners Mailing Address Lot # Block # Subd. Name or CSM# 60 T:LV L c.L�'LZL ;D t it EState Zip Code hon Number •� „ ❑ City ❑ Village ® Town Nearest Road �. Nt:�rv�.L._>rq my ss3� 3 (� �� %�i � ;�o s o� �Z. s �--•7- '4 ® New Construction Use: ® Residential / Numbe'r'*bedr• Code derived design flow rate 6 0 0 GPD —� ? ❑ Replacement ❑ Public or commercial - D Parent raiterial L d O U \�L 'R t-I_ Flood Plain elevation if applicable General comments and recommendations: r,� pv (,� 9' 6 ' p ZS )3 U 1) 0►1J 0 - LTLL , OF S A1 P) LL El Boring # Boring . - .. ® pit Ground surface elev. �R- D ft. Depth to limiting factor 3 8 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 I 'Eff#2 T b -4... lob tz3l z Si l z�sb)2 1n'�1 �� S .. • 8 . lt`21Z3L6 _ sir Z`�'Sbk 112`f1 � - a Boring # ❑ Boring ® pit Ground surface elev. �) �- ft. Depth to limiting factor 3 s in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 d -to al Z`Psbi2 rh`f'h ea w vo -z? l M Z `Psb h aw l� s • z.m s bh i fi- ew ' Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L • Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Sjgnatu CST Number Arthur L. 'Wegerer ,� ��- z�y'Z 220254 Addr W e g e r e r Soil Testing & Design Service Date Evaluation Conducted Telephone Number 421 N. Main St'. River Falls, WI 54022 )1_'2(_.00 715 -425 -0165 • N Property Owner S- P• � L � " �' f "E1VT Parcel ID # i ->&AN -1G Page Z of © Boring # E] Boring ® Pit Ground surface elev. P0 6 S ft. Depth to limiting factor 3 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft= In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 C) - 9 lb-t V- 31 Z - s i I L k wj ct,3 Z • s . $ QM li 3L 6 - g i► z'F VY[7?V- C-w 1 -1 � s - B 3 1b -36 - )- 3ViZ31 2 3b- - 7.3 `1 31 V Tl. "?.S `tt2 s10 L Caw, . VVI VS ?1T' IMPvEl EVN L(JWFLb OJ 5 -11 -0 o D Boring # ❑ Boring ❑ pit Ground surface elev. ft. Depth to limiting factor In. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft In. Munseli Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 ❑ Boring # ❑ Boring ❑ pit Ground surface elev. ft. Depth to limiting factor In. Soil Application Rate - Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft In. Munseli Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 • Effluent #1 = BOD, > 30 < 220 mg /L and TSS >30 < 150 mg/L • Effluent #2 = BOD, < 30 mg /L and TSS < 30 mg/L •' The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608- 266 -3151 or TTY 608 - 264 -8777. SBD -9170 (R.6(00) I -- PLOT PLAIT Page 3 of 3 Scale 1' DISIvCzy3 Tt�lS PAR -�TA- ' �• 1 8 6 u O .fl h LbW7 -S S- '- -f �1zc3XI Du t+ SCE' - k V) �3N11 - E- ONE !{ S T -- - - -OQ 715 - 425 -0165 220254 .00 -Z - It L i 2 CST Signature Date Telephone No. CST No. Job NO. U 2 117 P 9 8 3 -7 '2' 6 1 KATHLEEN H. WALSH STATE BAR OF WISCONSIN FORM 3.1999 REGISTER OF DEEDS Document Number QUIT CLAIM DEED ST. CROIX CO., WI RECEIVED FOR RECORD This Deed, made between Lawrence P. Paradise, 01/22/2003 12:36PH EXEMPT # REC FEE: 11.00 Grantor, and Renee M. Bird, TRANS FEE: 360.00 COPY FEE: CERT COPY FEE: PAGES: 1 Grantee. Grantor quit claims to Grantee the following described real estate in St. Croix County, State of Wisconsin (if more space is needed, please attach addendum): Recording Area Lot 2, lat of Saint Croix National Estates North in the Town of Somerset, St. Croix Name and Return Address ty, Wisconsin. Renee Bird 204 West Griffin Street Amery, WI 54001 032 - 2061 -60- 000,032- 2029 -10 -000 032 - 2029 -50 -000 Parcel identification Number (PIN) This is not homestead property. (M) (is not) Together with all appurtenant rights, title and interests. Dated this day of '— rr r _ 2003 00 s * Lawrence P. Paradise * AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN } ) ss. A " , � County } authenticated this day of ' Personally came before me thZyt�' f 'i++'J, daf �yyLG�.L 12 ,> C.a, �� ed L rence P. Par dise, ' 7. -- —s TITLE: MEMBER STATE BAR OF WISCONSIN " c t � to me know n to be the person()) who xecuted "Zf. regiring (If not, instrument and acknowledged the sale v I 0 authorized by § 706.06, Wis. Stats.) C THIS INSTRUMENT WAS DRAFTED BY * y - �`'�•� T .� °�'! Attorney Kristina Ogland Notary Public, State of Wisconsin Hudson, WI 54016 My Commission is perman nt. (If not, state expiration date: (Signatures may be authenticated or acknowledged. Both are not necessary.) �f 7 ` a ' , ) * Names of persons signing in any capacity must be typed or printed below their signature. Informarwn Professio company, Fond du Lac, WI STATE BAR OF WISCONSIN 800- 655-2021 QUIT CLAIM DEED FORM No. 3 - 1999 N J N N15- 1 9'27 - N UNPLATTED LANDS 261 .86' 334 . 8 2' W N 7 2.9 6 , J � 0 ' OD 6 ti. N 3 01 N , 4 ° n 1 N w. 130,594 Sq. Ft. 130,641 Sq. Ft Y ` 3.00 Acres 3.00 Acres � N24 ° 1424 "E •C.B.A. 3.00 Acres 6 7 C.B.A. 2.99 Acres _ 4 .0 ' r `. 97• 7777 77 OD to � N a - Z OD 0 \. Q - — — - — 251.68' — -- l ` 446.14' — — m - - -- N DEDICATED TO PUBUC o 2.06'-- LO 2 C.S Volume 6, Page 1620 C MELCHERT WAUCI{Y landscape architecture civil engineering INAL ESTATES NORTH bWNSHIP 30 NORTH, RANGE 19 WEST, TOWN OF SOMERSET, ST. CROIX COUNTY, WISCONSIN Found Wt Quart- C— Sr 7 Numkwm Monument MIN I �I LEGEND C 2' X 30" IRON PIPE (165 LBSAIN. FT.), SET Z Banrinq RafwanaM t0 SECTION CORNER, FOUND Wd Norm, St County Coord1rata Sy tam ROADWAY SETBACK LINE I I 17 UTILITY EASEMENT GRAPHIC SCALE ALL OTHER LOT CORNERS - l 400 1 "X24' IRON PIPE (1.68 LBS/LIN. FT.), SET 100 200 I it I WISCONSIN DEPT. OF TRANSPORTATION APPROVAL ( IN FEET) DOCUMENT NUMBER 55-35- 3164 -2000 1 Ind' 200 N. ' I I PROPOSED CSM X11 I hall NE 1 /4 OF l III s lo §1 THE SE 1 /4 IN PROPOSED CSM I �I I - p1o29'20 w N15-1 f UNPLATTED LANDS zer.66 � � �_ 3 2 n I 170,888 Sq. Ft 130,584 5% Ft. 3' 170.641 Sq. Ft. JB 3100 Aaarl 3.00 Aar- 3.00 Aoru , N24'14'24 "E C.N.A. 3.00 Aare GB.A 3.00 Aar« C.B.A. 2.88 A.. fie? is" 64.07 I 1 w _ rti —_ N00'42'00 "W 381.46' f - -- __ - - -- —_ --- 251.BC - - - -- ---- -_ - - -- 416.14'_ - - - -- - - 244.78' DEDICATED TO PUBLIC -- --- 2552.06'--- _ - - - -- — ------ - - - - -- -- - - - - -- � LOT 3 i %l I dl LOT 2 -- I 1 C.S_M. E 2613.21' -- - Volume 6, Page 1620 C.S.M. — — — — — Volume 6, Page 1620 MFLCHERT TNALHI{Y 126 Second Street landscape architecture Hudaoa. xtacomin 64016 civil engineering Phone (715) 386 -7736 land surveying Fax (715) 386 -7889 SHEET 2 OF 2 Inibum4nt Drafted by d VoBN Draw- 11/29/00 Wisconsin Department of Commerce SOIL EVALUATION REPORT 1 3 fivision of Safety and Buildings Page of in accordance with Comm 85, Wis. Adm. Code • Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. PI County ST. Ci0 LX include, but not limited to: vertical and horizontal reference point (BM), d' T . percent slope, scale or dimensions, north arrow, and location and d' nearest road. Parcel I.D. st 03 2 20 Mme(. 12S- Please print all informatio liev'Pewed by Date Personal information you provide may be used for secondary pu s vary Law, s. 15.04 (1) (m)). \ P rty '-69. Pro a Owner l Property Locau J • �� 6o L� t�1R�1�G�N 1i' qtr S�- SE 1/4 S 7 T 3D N R ) Property Owner's Mailing Address E (or W Lot # Block # Subd. Name or CSM# 6 O 1 � L. V CL��� -c� Lt D lZ. Z. — -- r. cv tjtX City State Zip Code Phone Number ❑ City ❑ Village ® Town Nearest Road NN) I SS3St 3 (6LZ -) q-IS y'') IaNL S E '4 �3 - ft+ - S T'- ®- New Construction Use: ® Residential /Number of bedrooms _ Code derived design flow rate _ 60 GPD ❑ Replacement ❑ Public or commercial - Describe: Parent m terial L o p--,s O U 3 1Z -n- Flood Plain elevation if applicable General comments �Q� ft. and recommendations; N� �vy�h W t�'Y- b> plS -ZI au)) Oki t FL L(_- °"""` eat OF S tt7ub P) LL 0. 1 Boring # ❑ Boring ® Pit Ground surface elev. 9 ID fL Depth to limiting factor 3 0 Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft in. Munseil Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 Z q -3a 1 o�c�z3t� 3 3S S� 10YtZ3 `�l`F �.S�2SlS Si 1 1 CS�k 1�2`fj,. _ . i . 3 a Boring # ❑ Boring ® pit Ground surface elev. 0 ) 4 • ft. Depth to limiting factor 215 in. —� Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft= in. Munseli Qu. Sz. Cont Color Gr. Sz. Sh. •Eff #1 •Eff#2 y � LD`irL31z _ sl Z h m`- Z° w `�s n. z� •� ,�,. . 3 - 1 �Y�z316 sil zmsbh 4 - IS-SL�•S�R3� �L� lSy2�l8. :� m�F, _ 3 S l • Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L • Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Si CST Number Arthur L; 'We* gerer o , ��- � 220254 Address We ge r e r Soil Testing & Design Service Date Evaluation conducted Telephone Number 421 �1. Main St'. River Falls, 4lI 54022 ) 1 - 21 -00 715 -425 -0165 { J\ Property Owner _ S• P • � L� • l^'1 1� 1 Par p• A./ G Page Z of 3 6 ❑ Boring d Boring # I 0 S ®pit Ground surface elev. 6. ft. a to IUng factor 3 Soil Application Rate Horizon ' Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /1`1 In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 I 'Eff#2 31 2 tv Z • S . $ 1 0 , 12 3/ (6 - S i I ZT 1 0k 3 16 -36 7•S`�R31y - 1L L L , -sb �c yn -ft,,. as — L( 1 16 - )-S` CZ I ' ")•SLtrZSlO LU l i ❑ Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft (n. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 'Eff#2 F Borin g Boring # ❑ ❑pit Ground surface elev. ft. Depth to limiting factor In. Soil Application Rate. Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 ' Effluent #1 = BOD, > 30 < 220 mg/L and TSS >30 < 150 mg/L Effluent #2 = BOD, < 30 mg/L and TSS < 30 mg/L •' , The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608- 266 -3151 or TTY 608 - 264 -8777. SDD -8330 (R.6100) l r PLOT PLAN Page 3 of 3 Scale 1' = So' - �� Z D Ohs oT' e0h'1.P'Pt 02 *\ Des Mms )ATme»- c q ` ✓' tS V tb 1� 1 035 /DS • — 'o► 1. ► oS 4, OD J -q �. 4 10 T* S • �' /1 - 2( - pp 715 - 425 -0165 220254 - 5 4 .00 Z3 - ? CST Signature Date Telephone No. CST AIo. • • Job NO.