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032-2129-80-000 (2)
Wisconsin Dgpartment of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safetyknd Building Division INSPECTION REPORT Sanitary Permit No: (ATTACH TO PERMIT) 538737 0 GENERAL INFORMATION State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: Ha dens Ridge Tree Service LLC I Somerset, Town of 032- 2129 -80 -000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: q�� y 0 Z C5T 13.30.19.1159 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER S CAPACITY STATION B HI FS ELEV. Septic 2 Benchmark Dean c.✓ �'�..�.... ; t 1... /dOO �, 05 �i � 98`61 Alt. BM 00 o k Sz S d w Q,I- el,P . 4 z. ' Aeration j Bldg. Sew r Lp WEti '73, 7 7 Holding St/Ht Inlet Ir 4g / uP TANK SETBACK INFORMATION St/Ht outlet TANK TO P!L WELL BLDG. Vent to Air Intake ROAD Dt Inlet A- i I � 5 Septic �l / g / to 7r Dt Bottom Ica* _ � BL � Dosing Header /Man. x,85 7Z � Aeration Dist. Pipe W34 Z Cf. Holding Bot. System Final Grade PUMP /SIPHON INFORMATION 1.�5 c ) 9' Manufacturer Demand St Cover GPM 6 , CoJ 2. 97 • L Model Numb TDH Lift Friction Loss System H TDH Ft ok T,_ Forcemain Length Dia. Dist. to Well 7 8.8Y y . s 7 SOIL ABSORPTION SYSTEM BED /TRENCH Width 3 / Length r No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. \ Liquid D\ DIMENSIONS 1 J \ SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR rt Type Of System:; 14b � e f ^— UNIT /v /T Model Number (� !' �✓ DISTRIBUTION SYSTEM /}1( / / + - / , / / Header /ManiId Distribution x Hole x Hole Spacing Vent to Air Intak Length 2 Dia Length " " ' I Spacing 4 Q,Q_ 4,, 'y a � SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded/ dded xx Mulched Bed/Trench Center N / Bed/Trench Edges Topsoil \ Yes ❑ No Yes No 1 4, COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: ! / Inspection #2: Location: 1562 89th Stre�et - New Richmond, WI 54017 (SE 1/4 NE 1/4 13 T30N R19W) Boardman Estates Lot 12 Parcel No: 13.30.19.1159 1.) Alt BM Description = ff ,` 4, L 2.) Bldg sewer length = - amount of cover = Al Plan revision Required? Yes No Q �I Use other side for additional information. SBD -6710 (R.3/97) Date Inse tor's Sign re Cert. No. commerce.wi.gov Safety and Buildings Division Coun 201 W. Washington Ave., P,O. B A , 60-_ � t i Departmenit Madison, WI 5370 tary Permit Number (to be filled in by Co.) sco n s i n of Commerce ' 5 319 - 7 3 77 Sanitary Permit Application State Transact' nNumber In accordance with s. Comm. 83.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit is required prior to obtaining a sanitary permit. Note: Application forms for state -owned POWTS are Project Address (if different than mailing address) submitted to the Department of Commerce. Personal information ou s condary ur oses in accordance with the Privacy Law, s. 15.04 1 (m), Stats. I. Application Information - PleaV Pri t All I or ati o 1 , 7 9 5 , ? . Property Owner's Name Jr 9 1, F( a, - F. l # 2 0 ^ 60 c:) Property Ow r s Mailing Address rty L CK ocation 141 4 ST. & C • 7 City, Lot tY, Zip Code er L F_ / <, /V ,6C / < , Section D � ircle one TN; R Eo(D II. Type of Building (check all that apply) Lot # !� or 2 Family Dwelling - Number of Bedrooms / � Subdivision Name t�k 4A pct• P a B ►oc ❑ Public /Commercial - Describe Use l 11 City of El State Owned - Describe Use CSM Number El Tow n of Town of III. Type of Permit: (Check only one ox on line A. Complete line B if applicable) A. New System y ❑Replacement System ❑ Treatment/Holding Tank Replacement Only E) Other Modification to Existing System (explain) B. ❑ Permit Renewal ❑ Permit Revision ❑ e of Plumber El Transfer to New Chan g List Previous Permit Number and Date Issued Before Expiration Owner IV. Type of POWTS System /Component/Device: Check all that appl Z Non- Pressurized In- Ground ❑ Pressurized In- Ground ❑ At -Grade ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ Holding Tank ❑ Other Dispersal Component ain) ❑ Pretreatment Device (explain) V. Dispersal/Treat nt Area Informatio . 3 Design Flow (gpd) Design Soil Application te(gpdsf) ersal Area Re uned (sf) Dispersal Area Proposed (s S stem E�vation o ` © q 7 VI. Tank Info Capacity in Total # of Manufacturer Gallons Gallons Units o g New Tanks Existing Tanks y y 0 a U n h v 0 a Septic or Holding Tank D _ 1 Q Dosing Chamber VII. Responsibility Statement- I, the undersigned, assuLne responsibility for inst llation of the POWTS own on the attached plans. Plu r' Name (Print) Plumbe ' ignatur P PRS Number I Business Phone Number ZVO y t534 ; Xeb -b9 Plu er's Address Street, City, State, Zip Code) P O, 4 e- /3 VIII. County/Department Use Onl pproved ved Per�miit FFeee Date lss d Issuing Ag ignature ❑ ner v Reaso for Denial $ (/ ✓ ' Z � / IX. Condit' s o a as for D' approval ep ti't v , e uen4�ter an 3 dispersal cell must all be ser,lces rra rtaine t/� A A iI0 malnepement plan provided by p a ed 2: A / � Q ` A � : q 'fir�df�r�lt�le�ts mast be Maint as* appNtte Cdr / OrdlfNfs: / Attach to complete plans for the system and submit to the County only on paper not less than 8 112 x 11 inches in size SBD -6398 (R. 02/09) Valid thru 02/11 1 � X B -1 = cJ 7,7 X ya� (�P 13 7 SZ O 1� lqq I Q` i a � ' CONVENTIONAL COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: N f 1 � Owner's Name: Je Owner's Address: L WT s!`r� Legal Description: SF - N/' Township: 5 c�yy County: Subdivision Name: Lot Number: Parcel ID Number: �� _ la r`' _ C2� _0 Page 1 --�= Index and title Page 2 Plot Plan Page 3 System Sizing & Cross - Section Page 4 Filter Specs Page 5 Maintenance Information Page 6 Management Plan Page 7 St. Croix Cty Septic Tank Maintenanc Form Page 8 Warranty Deed Page 9 CSM or Plat Attachments: Soil Test & House Plans Designer /Plumber: 7 40 License Number: �U`0357 Date: 1p�- (� - 26 Phone Number Jj5 _ 76 p . d c Signature Designed pursuant to the - Ground Soil Abs rption Component Manual for POWTS Version 2.0 SBD- 10705 -P (N.01/01). Page 1 A6"t i,g),, x 5- x8 -y= (3a S' V 7V :5&j N O n� 3' O bod X 1 f l9q Q� a � Soil Absorption System Cross Section ` ysa ft 97,7 , aft 4' Schedule 40 , Final Grade PVC Vent Pipe With Vent Cap ft x'3 ,7 Leaching Sr Chamber ft ` -- V —�' System Elevation _3 ft ft ft Solt Absorption System Plan View ft 3 ft .{ __-__ft Leaching Trenc 1 Chambers low 4" Dia. Vent Or Observation Pipe Trench 2 Header Trench 3 Leaching Chamber Specifications ^ Manufacturer And Model <���` EISA Rating 2 D sq ft per chamber Soil Application Rate . 7 gpd /sq ft �© d Design Flow . 6 9P 9 ____Z_ Soil Application Rate - v7 EISA = 3 ,;? 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NA Estimated flow (average) 300 gal/day Pump Tank Manufacturer Ji$ NA Design flow (peak), (Estimated x 1.5) ' g al/day Pump Manufacturer ,f NA Soil Application Rate .47 al /aa M2 Pump Model Standard Influent/Effluent Quality Monthly average* Pretreatment Unit NA Fats, Oil & Grease (FOG) 530 mg/L ❑ Sand /Gravel Filter 0 Peat Filter Biochemical Oxygen Demand (BOD 5220 mg/L 10 NA ❑ Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) 5150 mg /L ❑ Disinfection O Other: Pretreated Effluent Quality Monthly average Dispersal Collis) ❑ NA Biochemical Oxygen Demand (BOD 530 mg/L Kin- Grround (gravity) O In- Ground (pressurized) Total Suspended Solids (TSS) 530 mg /L j9 NA ❑ At -Grade ❑ Mound Fecal Coliform (geometric mean) 510 cfu/100ml ❑ Drip -Line ❑ Other: Maximum Effluent Particle Size Y in dia. ❑ NA Other: 11 NA Other: ❑ NA Other: ❑ NA "Values typical for domestic wastewater and septic tank effluent. Other: 13 NA MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tankis) At least owe every: ❑ month(s) B mortal (Maximum 3 years) ❑ NA Pump out contents of tank(s) When combined sludge and scrum equals one -third (Y of tank volume ❑ NA Inspect dispersal cell(s) At least once every: ❑ month(s) (Maximum 3 years) ❑ NA Jli3 y ear(s) Clean effluent filter At least once every: ❑ month(s) E3 NA J9 ears) Inspect pump, pump controls & alarm At least once every: 0 Ej, m ea ) ) NA 'D month(s) Flush laterals and pressure test At least once every: ❑ year(s) J NA Other: At least once every: 0 month(s) E3 NA Other: ❑ NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; P01 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 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 condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any tank equals one -third IY or more of the tank volume, the entire contents of the'tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of 512 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 clays of completion of any service event. W 47 — START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that may impede the treatment process and /or damage the dispersal cell(s). If high concentrations are detected have the contents of the tank removed by a septage servicing operator prior to use. 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 cell(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 Septage Servicing Operator prior to restoring 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 cells. ,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 we ket+ratec stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; oQCtts; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) water; fruit and vegiet ls pe fmgs; gasoline; grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tamp"* - . *W water softener brine. ABANDONMENT When the POWTS fails and /or is permanently taken oit of service the following steps shall be taken to insure that the system is properly 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 sealed. • The contents of all tanks and pits shall be removed and properly 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 fails 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 by required setbacks from existing and proposed structure, lot lines and wells. Failure to 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. W If 11%0 slue ' mg tank b e ai ?9044115 TilrlN 1 N L'O6J3TX0C- '0rj ❑ 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 PO INSTALLER PO WTS MAINTAINER Name Name G �f, Phone 7 0 _ 7 — 6 f SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name Name S G ( 0 ZQI�(1 f Phone Phone '"] f �— 38'(P q &40 This document was drafted in compliance with chapter Comm 83.22(2)(b)0)(d)&(f) and 83.540). (2) & (3), Wisconsin Administrative Code. ST. CROIX COUNTY � . SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM � ()v/» / Mailing Address rnoperk' Address � (Verification required from Planning & Zoning Department for new construction.) City/State Parcel Identification Number LEGAL DESCRIPTION � Property Locohon 5F '/,, W . Sec. 13 ` T 30 N R/9 Town of Subdivision P|u1 LVt# _____ � Certified Survey Map # Volume Paee# Warranty Deed # '^]�� (bnfhrc2O07)\/o}uu�c ,Pxve# - � Spec house yoaKio Lot lines /drnhDoNWyxy' no Improper use and maintenance oyyouruopho�st�mcouW��ukioi�promu8��fuik��to6aud|c*us�o Proper � � maintenance consists of pumping out the septic tank every three years or sooner, if needed byu licensed pumper. What you put into the system can affect the function of the septic tank uxu treatment stage io the v,ua< disposal system. Owner maintenance responsibilities are specified in §Cnmm. 83.52(\) and ioChapter i2' St. Croix County Sanitary Ordinance, l'hcp,oponyo,vuo, agrees tnsubmit to St. Croix County Planning & Zoning Department uoc� ` iOnx�innK/rm signed 6ythe � o"voorun�byu master Plumber, journeyman plumber, restricted plumber nrx licensed pumper verifying that (|) the oil-s won�r�o/uJ�^po/u! ^yptrm is in p,oper operating condition and/or (2) after inspection and pompinil,(i[neocxx:ry}, the septic tank- is }nxs than 1/3 k'U oyolud80. |/we. the undersigned have read the above requ and agree to maintain the private sewage disposal system with the � standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 3O days of the three year expira date, yv/xcurtiyy that all statements on this form are true N the best of my/our knowledge. l/vvc am/are the o"vncr(x)ofthe � property described above, by virtue of a warranty deed recorded in Register of Deeds Office, � N b k bedrooms S -� � o/um��/u rarr�/�aN/(S) DATE ***Any information that is misrepresented may result in t sanitary permit being revoked by the Planning & Zoning Department. Include with this application u recorded warranty deed from the Register of Deeds Office and u copy oy the certified survey map if � reference ismade in the warranty deed (0EN/.00/O5) . l 111111 lull IIIiI 11111 Illli lilii Illl 111111 1111 llli * 9 0 7 0 5 4 1 007054 STATE BAR OF WISCONSIN FORM 2- 2000 BETH PABST REGISTER OF OEEOS WARRANTY DEED Document Number ST. CROIX CO., WI THIS DEED, made between Steven J. Guckenberger, A Married Person, RECEIVED FOR RECORD Grantor, and Hayden's Ridge Tree Service, LLC, Grantee. 11/13/2009 02:40PH Grantor, for a valuable consideration, conveys and warrants to Grantee the WARRANTY DEED following described real estate in St. Croix County, State of Wisconsin: EXEMPT REC FEE: 11.00 TRANS FEE: 239.70 PAGES: 1 Lot 12, Plat of Boardman Estates in the Town of Somerset, St. Croix County, Wisconsin. Recording Area Name and Return Address: i Edina Realty Title, Inc. 400 South 2nd Street, Suite 115 Exceptions to warranties: ;Hudson, WI 54016 Easements, restrictions and rights -of -way of record, if any. 354899 032 - 2129 - 80-000 Parcel Identification Number (PIN) This is aot homestead property. Dated this November 11, 2009 ven J. GQckenberger AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ) authenticated this 11 day of November, 2009 St. Croix COUNTY. ) ss. * * TITLE: MEMBER STATE BAR OF WISCONSIN (If not, Personally carne before me this 11 to day of November, 2009 the above Steven J. Guckenberaer. a Married Person. authorized by § 706.06, Wis. Stats.) to me known to be the person(s) who executed the foregoing instrtune .t ac o le ged th same THIS INSTRUMENT WAS DRAFTED BY \' *Holly r Martin D. Henschel Notary PLi lie, St. o Wisconsin 50 East Fifth Street, St. Paul, MN 55101 My commission is permanent. (If not, state expiration date: (Signatures may be authenticated or acknowledged. Both are not necessary.) 2/26/12 ) *Names of persons signing in any capacity must be typed or printed below their signature Holly M. Peltier Notary Public WARRANTY DEED STATE BAR OF WISCONSIN FORM No.2-2000 C� 1 of 1 Nov -29 -2010 12:52 PM St. Croix County Plan /Zoning 715 - 386 -4686 212 i S -f ii aw 43' @14.47' al'bra _ SZa OZ pt'F StxPJb'4'S'E 96S'JO'17 - E - - -• _ , UNPLATTED_ LANDS WEST LINE OF THE NE 1/4 OF THE NE {/ - - -- W_ - N00'04 WrK 1807.07«»..------- - ----- - - - - -- - -- Yw•w - -- - r 7 .79 •. - - -- 111.11' - ' -- .. - -- � .� -.- ... -- ._.. «. -� -. 10 80 RADIUS TEMPORARY OUL• - DE -SAO EASENBNT I TR TO BE REMOVED UPON I t Kw-c 5110, r '�. , xw.G Ieau• ZxTQN51ON OF THE ROADWAY. c eia �. N. t � m MA-052 sa Fr. 1 o A 13 ACRES ,1 ` +�' \ V `� ► rre, r,' v31a• a cs • 'oR�wwr a►�wolr t'. a 33 45 .w '�.� ry lee .... .. � ��`•� �' � � I � /� 40'1.49 m � 7514 xwe 3 • .Tw3.97'r. I 1 3 x J 4 mJi ' f y ova v� U C • 0.l • 3 a W y. CJQ a� c 1 I i I a( X C X -- CO — — CD — LO I I N Q I X N EE I 1� 3 O I t►1 I � _ __ x J � 7 p X I O I . Wisconsin Department of Commerce 2 Division of Safety and Buildings SOIL AND SITE EVALUATION Page I of 'Bureau of integrated Services in accordance with s. ILHR 83.09, Wis. Adm. Code sT Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County include, but not limited to: vertical and horizontal reference point (BM), direction and S/, &-o", percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I. D. # APPLICANT INFORMATION - Please r3rrCz-ff information. Re ' wed by Date Personal information you provide may be used for ssfyogdrq purpos ri Law, s. 15.04 (1) (m)). Property Ow r G Pr Location ' / / V ,•, Gdvt. Lot S 1/4 /�/r 114,S TY6 ,N,R / / 11(or Vo Property Owner's Mailing A dress to # Block# Subd. Name o CSM# 8 79 1 60 d ,�Oar�inen ,ESt�tl1 City State Zip Code' . Pho V Town Nearest Road n ��• , �� Gh�� ,/ �7 r�/ `'❑ City ❑ Village 0 / s7 t / � Z 7 A -: Y . �Sol f /.i f f Cj AN ® New Construction Use: ® Residential / Number of bedrooms Addition to existing building ❑ Replacement ❑ Public or commercial - Describe: Code derived daily flow 00 g Recommended design loading rate bed, gpd /fi o 7 trench, gpd /ft Absorption area required .-7Z bed, ft 7 -5-0 -trench ft2 Q -- Maximum design loading rate o bed, gpd /fi • U trench, gpd/ft Recommended infiltration surface elevation(s) _ _� ft (as referred to site plan / benchmark) Additional design /site considerations /� L 3� �� ue2 0i, Parent material CO 1 9 2 I & 1� 7 #t� 6r`r �' <i h �u •'1 Flood plain elevation, if applicable - kk ft S = Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank U = Unsuitable for system S❑ U ©S ❑ U ZS ❑ U 1 2 S ❑ U ❑ g U ❑ S 2 U SOIL DESCRIPTION REPORT Boris # Horizon Depth Dominant Color Mottles Structure GPD /ft g Texture Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench I o-Y I VA 3 c 2 y Zy D YJP i f R/ l msd't m 1,,. ve , aJ 3C s Ground 3 y2 7� Y>P r � *1 �f /�► L C w n 7 • IJ e y M-5 Depth to limiting factor 7 I(2 in. Remarks: Boring # -s oYx i a,4 /J�'r r iyi cc� ,g 2 2 - -13 /YR 5 SL Igbt mve al 3 c , Y .,.s � 7-rYJC 6 &,4 in I 0S IV L C Gv 2 .18 Ground y Vy 1 C, 7 sy R 4/y n7 S 0 Iv. I . 7 .8 elev. 9X - 7 ft. 1 ' Depth to limiting factor J YV in. Remarks: CST e (Please Print) natu Telephone No. 8 111 1 a /► /Gt f/1 P�� Si ir /�. w '/.� ZW- _7 Address Y ?45� Date CST Number /�2cz�'p 10 ✓he Guy 7- 2 K 00 Z3/,?/Y PROPERTY OWNER � (Jd SOIL DESCRIPTION REPORT Page _ , of PARCEL I.D.# L O /Z Boris # Horizon Depth Dominant Color Mottles Structure 2 Boring Texture Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 3 1 a oY j 1 /n r In L e S L 11n j,< rn j'. 4f 3 c y S I�/� Ground 2 1-`3 75 , 111,4 C t'" 2m . 7 elev. q �A —y Q Depth to limiting f or ��in. Remarks: Boring # Y z �/ /a� , SL /A► A, A- 3 c Ground 7 7�'��! _7'` elev. Depth to limiting factor in. Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench Boring # 0_7 3C Z . 7-7 0 1 % Fi a l 3c o o 30- y� � Ground '1 4 7-S /n IVS D �-nG Depth to limiting factor 7 /0 in. Remarks: Boring # Ground elev. ft. Depth to limiting factor in. Remarks: SBD -8330 (R. 07/96) I _ i ,-r p�in.6�, ? PROPERTY OWNER � a y SOIL DESCRIPTION REPORT � J Page ; of PARCEL I.D.# G Q t 12 Boring # Horizon Depth Dominant Color Mottles Structure 2 in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed ,Trench 3 0- Or 2 Z 2 `7s_g /V/T Ground 2 7 -y3 7, 5 'y AI j �f m L 1-- 1-- 2 Yh �, elev. C 7 B ff. y 3- a -I S74' 5�1 1VA M S os m . - 7 8 Depth to limiting f or _7in. Remarks: Boring # L -71 1Z �SD I- c (,L" Ground y yis 77f✓ef ,,elev. ft. Depth to limiting .factor in. ' Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed ,Trench Boring # i 0-7 3c m s 2 7 30 /C)X % / fjk rcr of 3c o Y o s -- Ground 7 J 10 o7 I Depth to limiting 1 factor "O ' Remarks: Boring # Ground elev. ft. Depth to limiting factor in. Remarks: SBD -8330 (R. 07/96) OWNER, Page 3 of 3 Name &.f � 90"e^ Brian Parnell Address e? /f— A6a CST 2J3314 Date 26-00 A Benchmark I /W. ��� A Benchmark 2 ❑ Soil Boring _j Suitable Area 1" = 40' Scale q I ReOl--O iot lilt v 0 — 7 - � Lo� _ I� h I i I ; � � i i i��� �' j T 0 Ae I-T Tj 4, 1r LC ;1- 11 00,E v Y�4 r �r� � e t !' 64�tu• �((�l� B� l �' 'c u,�i. � ,,, , r'� ' �, �`�— / I � 1 -�• — r, , RE'S .. ,2 2344'0 SQ,ET, �o6 ' % �'; ;'% _ ,� (40 ✓ ACfjE S N : _ Efi�Pq` RY �ur, �' %' � r X16068 Q FT •z ✓ •� "�� ,� tb .69 �5:({S_ -!� 59 - ' ,� 12243 SQ,F T, C . ,87iANES • ��' TO BE.. R�,- BY 0 V NE RV I � • 05/23/2005 04:14 PM ' Parcel #: 032 - 2129 -80 -000 PAGE 1 OF 1 Alt. Parcel #: 13.30.19.1159 032 - TOWN OF SOMERSET Current X'' ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): * = Current Owner STEVEN J GUCKENBERGER *GUCKENBERGER, STEVEN J 424 BROOKHAVEN DR HAMMOND WI 54015 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 1562 89TH ST SC 3962 NEW RICHMOND SP 1700 WITC Legal Description: Acres: 8.130 Plat: 0115 - BOARDMAN ESTATES LOTS 5/15'00 SEC 13 T30N R19W E1/2 NE1 /4 LOT 12 Block/Condo Bldg: LOT 12 BOARDMAN ESTATES Tract(s): (Sec- Twn -Rng 401/4 1601/4) 13- 30N -19W NE Notes: Parcel History: Date Doc # Vol /Page Type 10/19/2000 632097 1552/251 WD 2005 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations Last Changed: 07/24/2003 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 8.130 76,600 0 76,600 NO Totals for 2005: General Property 8.130 76,600 0 76,600 Woodland 0.000 0 0 Totals for 2004: General Property 8.130 76,600 0 76,600 Woodland 0.000 0 0 Lottery Credit Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 ' M8112 6 Wisconsin Department of Com erce SOI EVALUATION REPORT Page of Division of Safety and Buildings TY with Com 85, Wis. Adm. Code County Attach complete site plan on p r 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel LD. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. O a f a / 9- So 00 ' � ) Please print all information. R 1 D }( / Personal information you provide may be used for secondary purposes (Privacy Law, a. 15.04 (1) (m)). G��' v ✓ V` �/ V b Properly Oyner P % ocation Govt1/4 - 114 S T N R (or} W Property Owner's maffigAaffigr Lot # BI # Subd. Name City Sta e Zip Code Phone Number ❑ Village J4 Town Nearest Road New Construction Use: Residential / Number of bedrooms Code derived design flow rate 6� - GPD ❑ Replacement , ❑ Public or commercial - Describe: [ � Parent material o 'I,,t Flood Plain elevation if applicable ft. General comments and recommendations: F/I Boring # [Z El Boring WI Pit Ground surface elev. ff ,2 ft. Depth to limiting factor : :-ZZ6' — in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fi? in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 I *Eff#2 --3 4 r S n Boring # E] Boring L I Yl i pit Ground surface elev. Ae9,o,L) ft. Depth to limiting factor > //S in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fti in. Munsell Qu. Sz. Copt. Color Gr. Sz. Sh. *Eff#1 *01 - d * Effluent #1 = BOD > 30 220 mg/L and TSS >30 < 150 mg/L * EyWent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Nam e nnt Signature CST Number Address Date valuation Conducted Telephone Number fTn If.1.1I /Tfn NI1 I 1 - . 1 _, Property Owner 1 " 2 uc c'eJBtIG Parcel ID # Page _ r of Boring # ❑ Boring ^� Q Pit Ground surface elev. /� � ft. Depth to limiting factor ?67D in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/f ? in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. *Eff #1 I *Eff#2 -1 A Ad 8 1 6 1/5 21 a � 9 F Boring # E] Boring El Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDffF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 ❑ Boring # Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Efr#1 *Eff#2 * Effluent #1 = BOD, > 30 < 220 mg/L and TSS >30 < 150 mgA- * Effluent #2 = BOD < 30 mg/L and TSS 5 30 mg/L The Department of Commerce is an equal opportunity service provider and you need assistance to access services or PPo P employer. er. P Y If Y need material in an alternate format, please contact the department at 608 - 266 -3151 or TTY 608 -264 -8777. SBD -8330 (R07 /00) I �s 0 02/21./?006 TIJE 3:37 FAX 2001/002 " 02- 2 -'06 02:55 FBOM- T - 5J7 P002f003 F -013 s Y I ' CERTIFIED SURVEY MAP I( Loautsd Ar port of this Narthvaut quailvr• and pur•k of thw Doutheast quarter of the Northwaiut Quo, of section 13, North Range 19 Wtet, Town of SWrrlrueL, St. Quix Cuun Ey Wi:cmuin- b. Wt 12 ur Elie plut of SOARt7MAN ESTATES, recomimil in the Rey„ cker of Ogods off e; of St- Quiz County. Nw fheoa! 4brne Secths� 13- 9k7^^J9 1tRnrnh /Me of (Found o/umMrvn o c (found oAuminum the NE r/4 don County MwrunreJtrJ +t1 Mcrrrumwlt) NO-q ua'47 E7 7.327 ui' R, 6r A m m ae 1 S �• 0i� ram j � °'� Al 3 � 'v" � „� y I � � C�S_M, VOL, 1 2 ., P0. 3285 / Sr a� g a s Ki c N f39 04 02:E 28 , 42 _......... _ m a IF m n � �R a �� °� 214.887 as 2 a u 1 8s Berea f s y w, ao vx Le70rAB0.1 ' : t s=0:c ` rt+- A�Arew dra+! �•� I x ° re (K� I� � r+f Ew.vr.7e J 3 � 6 04r' N Iv lu + I llc.asra � ,� ,£-W o J .2 rd4 r� 1Y h�drueni�n S► .A i7, iw ro fie ,. Ed laeeflen'y •lrY'�, c bL' ;, I $ ys� A E i' E W (�o arc ?trht+ t � g olve h•W' • , '9 �`'�j��P� f r - ril rlfhAr 7009 K! NO TH � �' �Kj� In+ Cast I/W Comor 11 Fi r4 47 Rivid) S� 4?� '� 1 Sectloa 13�SO ^f9 Ntfs�075 F`. I / ¢p',lRJD' _� NB9�p tS, iQ31' — Watt F/4 Tc—i —1 o 4 S , 1 FCF NQ Ouartar Lore .otiorl rr ra t� .709 # WI057SU207 Section Corner Monuritent prapatee aK of Record E Or * Oct 1" x td" Iron P1ps wak�hing - Prepared for and at the request of., 1.13 pounds per linear fwf Phone No, (719) 246 -4319 Stevo Cuokenbaraer 0 round 1" Irurr Pip. 237'1 53rd Skeet North Fox No. (71S) 248 -3630 yomeraet, VA 5402 r- -Duna ifs' Iran Reber Now R Son o,.,re d e • • • • • • . • • • gulfdlh4 Satbook Line Nets Richmond, WI 64017 r 4lvlrwl M. twrehsr • 100 f — Hight of We Shret 7 of 2 ( Y 12.5' S1Ae, 23' Rear? r v" ; 5 2� y7 _ 203 z.