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HomeMy WebLinkAbout032-2141-30-000 County: St. Croix Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building D'rision INSPECTION REPORT Sanitary Permit No: 395200 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: P.C. Collova Builders, Inc. Somerset Townshi 032 - 2141 -30 -000 CST BM Elev: Insp. BM Elev: BM Description: (0 ,/j TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark 0,C) a Dosing Alt. BM Aeration Bldg. Sewer j Q S Ht Inlet ( ZO (� Po' Holding , S t/Ht Outlet ANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic Dt Bottom , � y � .— Dosing >� ZZ , u I Header /Man. Dist. Pipe Aee� 3 -.f4 Holding Bot. System O (?2 Q Final Grade k s 9y w PUMP /SIPHON INFORMATION 12 Manufacturer Demand St Cover L GPM Model Number TDH Lift Friction Loss System Head TDH Ft Forcemain Length Dia. Dist. to Well L S SOIL ABSORPTION SYSTEM H BEDITRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth 3 lob' �� DIMENSIONS Z SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM G Manuf ct r HAMBE OR INFORMATION Mod Number: Type Of System: ' � / DISTRIBUTION SYSTEM Header /Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake /r n Pipe(s) / 't I Length -/ Dia Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth of FxxSeeded /Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil ❑ Yes ❑ No ❑Yes ❑ No COMMENTS (Include code discrepencies, persons present, etc.) Inspection #1��/ r Inspection Location: 2356 53rd Street Somerset, WI 54025 (S 1/4 NW 114 3 31N R1 9W) DeertraiFEstates o Parcel No: 03.31.19.1233 a� ��. K�� � y;) " w elt a,� / 1.) Alt BM Description = J � a- 0' (�o SC ��✓'� 2.) Bldg sewer length = //� ' S !' yS � .t IM�° � �a( •� W l7 tit fJ a P " Carve -amount of cover= z y � sa; / fps f T.) oAert -4%i.— /n/ ;�, Z Greer 4,,, Plan revision Required? Yes ❑ No Use other side for additional information. — — Cert. No. Date Insepctor's Signature SBD -6710 (R.3/97) CD 3 S� Safety &Ad Bui.cings D ""Sicn Cry 24: W. Washington Ave., P.0 . Sox 71U �X Vis" nsin Madlson, WI $37677 - '1162 715 Acfdre:s Mary Permit App�i ___� _��,, Pmt Nandw 39 �� 14 aoeotd WO COW 1141. Wis. Alm. Codti pat you providi ` Q Chock if' Ravtatan j SM Phi I r A pito�tlat " �IYM fit; , ✓� �� x _ LO, NuabaT . FraperW Uwsa 4 ama _- Nmttba Propoctlr _ r ,76 6'4 Co�� '� �V.S3 TSI N If C4. Sew ZO Ck& LA Not5i Nlutaoar M & W O Mule CSM Nwabar U. TYP of $tdJdlty (+molt W fiat ap*) �t p Z Aia�Y Dwoliias - xurtdtrt of tiadrooans ` � ✓ �'L �rC"_ � � e 1 ❑ PuWWCOMMo w - i Ua ` ❑ -SPA S NUNK ZIL T o! Pauttes (C O o IY oa bas on lM' (aatm �3— � barttu atihame for totat7tttl usa). Cota>jrUt, lino $ it spplUabla} i A ' 13Naw 2 © � ftam 3 0 er► Covelty vu RapiJlcamaal of 6 ❑Addition w 0 $ $• ❑ aWk if bAlaq Pon* Pruvloudy iaeued fsdt Nuns or taro Issued Type ft aft to ( �►Ppiy)*Mbn* item+ is o= iftmal 44 . Nou -Pea WOWgd ImOmuW 1:0 i► WW 47 ❑ Sand Nor So a Coasaasp d Wsdand 22 G N#WA b4mum 41 ❑ Koubs Too 41 ❑ swgis Pau $10 Drip Line ' V Wr ' 43 ❑ At 46 0 'l'teaanant 't 49 Reero 'uia 3t} 0 OtAer - 5 � vw D , V . DNIPPWWWQ MOM Am ft Area Soft A ppifeaaon hNotadon 10 y atam Rlavatfon 1 ?IW ondo Reta(Gala.It7aydSq.Fl. } (Mice. hxv ;'Elevation wk cIWiW in Toad ran r Moruftwor fto silo Gael 'Fiber Pltadc ' Gdiaat of Took: ' CoaaratD CouaauCad ' aims N ow Twits ? nape 1 ! Va. tltswgs tt- !r fee of "WT8 tltowtt M tie etltKAW r a PW~ 90WANS 77 NUROW litsairwi PkM be ter 1 PWMW ttaK f MINY } S C v L4 �G/ �i✓ r r � / �! � � - Win Few IQ (INSI" Apptpvad Q Dhoppom"d a Rae> uodwor p Iaa Ay+ot p7sofute (No tampaj Oww Ohm Vidal Admu • a a � � (pb 0 (� � � �!� !Y. Cog ON Mi afApPOWA2MM 1. ptwwl ►IIo lt� �, ad r 1 � a f l� i,-t N.�e Wa,im J i a � i �x g s o ti V c 3 � � Ar 3 c VSAUJ T 5 ' O r 7 Ld E .o x Lo N IS x O _o C m � L 2 . is LL tm 3 LL N az g . c� b „ l 1t A N b b F M '• lEdl� a - I � o. I13 CUD - \ ;, Ila= I •' ' � o ;3 • a _ .os 1 •1 L � VUardonsin Department of commerce SOIL EVALUATION REPORT Page f of Division of Safety and Buildings in accordance with Comm 85, tlllis. Adm. Code Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, northarrowmWoptieRand distance to nearest road. Please prii Nil ri. Reviewed by D Personal information You provide may b4 `uNr6r sacondaapurposas (Frlvacyt Law, s. 15.04 (1) (m)). l v l S Property Owner Property Location O OW 1 - - Govt Lot 1 /4&IV 114 S 3 T N R� E(or Property OWWs Mailing Address Lot # I Block # Subd. Name or CSM# City State Zip w 4, ❑ City ❑ Village [?Town Nearest Road ,. ,�. ` o mars �#-- - ,f"3 r d S-�• 1,8 New Coretrudion Use: Residential I N Code derived design flow rate GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material QC, -W 0 S k Flood Plain elevation if applicable General comrraft S )(57 V\ e - I e_V'• cJ0, 3 and recommendations: �,�,,�,, G� G V • �Q• ,3 d n Boring F I ® Pit Ground surface elev. 9� r10 it Depth to limiting factor (ZC) in. SW Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDNF in. Munsefl Qu. Sz. Cont Color Gr. Sz. Sh. *EfW1 - Eff#2 l p -g Z -- F CS Ivy , Z .3 5o qjq 3 - ►2o y - w, - — . � 1.2 __ Fil Boring # ° Boring ® Pit Groundsudaceelay. ? ft Depth to limiting factor l �2- in. Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. *Eff#1 *Ef #2 32. y 0; ID y b " 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 ( _Print) nature CST Number 30 �S 3 Address Date Evaluation Conduafed Telephone Number 2-11 3 '�so Property Owner & a r k cstA c Parcel ID # _ Page e—� of F Boring # ❑ Boring -3 1 ® Pit Ground surface elev. D ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texh(re Structure Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 "Eff#2 aBoring # ❑Boring ❑ Pit Ground surface elev. 8. Depth to limiting factor in. Sal Application Rabe Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Boring # Ground surface elev. ft. Depth loo limiting factor in. ❑ Pit Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDW in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 TM ` Effluent #1 = BOD > 30 5 220 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- 2648777. SBD4330 (8.07/00) r - PAGE_?�,_OF_Z: NAME tjr wSk- ; LOT# LEGAL DESCRIPTION SE ' /<NW' / <,S'% T:3 1,N,R I1E (orIy SCALE: 1 BM 1 ELEVATION 160 y BM 1 DESCRIPTION rla: J ; n ( 2 p p� (� — + BM 2 ELEVATION 0. t )c, BM 2 DESCRIPTION ct : (s n /y I a(ov(ot ev�on tvor�c( SYSTEM ELEVATION 9o' 3 y ALTERNATE ELEVATION 10-3 CONTOUR ELEVATION /v/`4 3t • F SIGNATURE ,�� / /cG� / DATE Private Onsite Wastewater Treatment System Management Plan Septic Tank And Gravity In- Ground Soil Absorption Component Pursuant to Comm 83.54 Wis. Adm. Code each Private Onsite Wastewater Treatment System (POWTS) shall include information and procedures for maintaining the system within the parameters of Comm 83 and 84, and the conditions of approval by the department, agent, or governmental unit. The approved plans and permits for system are on file at the county zoning or health department. This management plan complies with Comm 83.54, Wis. Adm. Code, and the In- Ground Soil Absorption Component Manual for Private Onsite Wastewater Treatment Systems SBD- 10567-P (R.6/99). Table 1: System Des i n Specifications Sanitary Permit Number WOO Number of Bedrooms Design Flow - Peak ( pd) L/5 Estimated Flow - Average (gpd) Septic Tank Capacity (gal) b Soil Absorption Component Size (ft ) Tye of Wastewater Domestic Table 2: Soil Absor tion Component - Limits of Reliable operation Septic Tank Component Soil Absorption omponent Design Flow - Peak ( pd) 6 ? Maximum Influent Particle Size (in) 1 / 8 Maximum BOD (m /L) 220 Maximum TSS (mg/L) 150 Table 3: Maintenance Schedule Septic Tank Inspect and/or service once every 3 years Outlet Filter Inspect once a year and clean at least once every 3 years Soil Absorption Component Inspect once every 3 years Semitic. Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code (Servicing Septic or Holding Tanks, Pumping Chambers, Grease Interceptors, Seepage Beds, Seepage Pits, Seepage Trenches, Privies, or Portable Restrooms). Theo operating condition of the septic tank and outlet filter shall be assessed at least p 9 P once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the Management Plan for a Septic Tank and Soil Absorption Component filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of scum and sludge in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of an assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. Manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8- inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into the tank. No one should enter a septic or other treatment or holding tank for any reason without being in full compliance with OSHA standards for entering a confined space. The atmosphere within the septic or other treatment of holding tank may contain lethal gases, and rescue of a person from the interior of the tank may be difficult or impossible. Tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tank is no longer used as a POWTS component. Soil Absorption Component The soil absorption component serving this structure is designed to accept domestic wastewater from a residential facility. The limits of operation of this component are shown in Table 2. The longevity of a soil absorption component depends greatly on proper and timely maintenance, and system use within or below the limits of reliable operation. Good water conservation practices by all occupants and the installation of water conserving plumbing fixtures are key factors in extending the useful life of this component. The soil absorption component's operation must be assessed by inspection at least once every three years. The inspection shall include recording the levels of ponding, if any, in the observation pipes, and a visual inspection for any evidence of surface seepage or discharge from the component. On steeply sloping sites, areas of erosion should be identified and reported to the owner for repair. The surface discharge of domestic wastewater or sewage from the system is prohibited and considered a human health hazard. Traffic around or over the soil absorption component should be avoided particularly during winter months. The compaction or removal of snow cover over the component may lead to hydraulic failure by freezing. This type of failure is usually temporary, but is difficult or impossible to repair until weather conditions improve. In general, soil compaction over this component will reduce diffusion of oxygen into the soil and dispersal cell, which may lead to more intense, and earlier, organic clogging of the soil. 2 Management Plan for a Septic Tank and Soil Absorption Component Plantings of deep-rooted trees and shrubs directly over of within ten feet of the component should be avoided since root intrusion into the component may obstruct wastewater flow. Contingency Plan In the event of system failure, a new system could be Installed in an alternate area, With the Installation of a diverter vaive, the existing system could also be reused Mar a period of three to four years. It is the property owners responsibility to maintain the alternate area free from any planting of trees, shrubs, etc. In case of failure of the orlglnal system, the alternate area will be needed. If any trees, shrubs, etc, have been planted on the alternate are &, they will have to be removed at property owners expense. if alternate area is destroyed, there are other alternative systems that an be used, in which, could result in added expense to the property owner. Any tank abandonment shatl be done in accordance with Wisc. Code 83,33. Any questions regarding this code, please contact your local Zoning Office or contact the installing plumber. Za N N 'p % to 5��,.� -. ak... �1. v�+nr, b ti,� (Z t S� 3 � b • 3 � � 1 Ta4 k W ��� J ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSIiIP CERTIFICATION FORM Owner /Buyer I I oV 6 1 A n S - 3�,AJ c` Mailing Address - 70 , Ov - /Xm5 v L S -v 1( Property Address (Verification required from Planning Department for new construction) City /State n- Parcel Identification Number LEGAL DESCRIPTION Property Location %,, y., Sec. TN -R q, W, Town of Subdivision Lot if Certified Survey Map It Volume , Page It Warranty Deed # Volume 1 Page it Spec house ❑ yesx�10 Lot lines idcntifiable� ycs ❑ no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to bandle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Ile 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 lbat (1) the on -site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days three year expiration date. j z /Z3/ o io 4 S11NA 2 A 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) am (are) the ownct(s) of th ope described abov by virtue of a warranty deed recorded in Register of Deeds Office. Az lz-31 SIGNAIU Or APPLICANT DATE * * * * ** Any information that is ntis- represented may result in the sanitary permit being revoked by the Zoning Department." ** Include with this application: a stamped warranty decd from the Register of Deeds office a co of the certi Pied survey ma if reference is made i PY Y p n the warranty decd 06/14/01 THU 11:19 FAX 715 586 4687 REGISTER OF DEEDS RIO02 d! WARRANTY DEED II 69 _39 JI]. ' 'rATZ W'2� 1 KATHLEEH H. WALSH DcSCUM6Nr N0. vOl fAl; 3 9 ( I REUISTER OF DEED= 67. CROU AEC VEll FOR ft I: This indantnrc, a'iada d* lath dtyof MaY A.D.al9-,20Q1.'i 45°E1 -2001 9:30 AM betttstrt Xcaski Faxlds. Iric. Car tfoa duly f WARRAifTY DUD atganited aad aeialing taoder and by vik ut of the laws of the Srute of fteaxtufn, !; �EERT COPY FEES v pY FEES -- , RfC Pte, Dart utd C. Cp v i- In a RipaopaEtt Cxrooretion 1 0.00 4 - � - f1Ri� ?NO FEE; IQ.00 i pa6E5: f .., pan lea of the secone poet. Witnew t Ilia the aaLi patty of the nrsl pen, rot and to emlsidmiaion of the sum of ��96,100.00 to , piui by tTr said fxrr see of the ICOOTld part, the maipt Whnx is htsviry Lmranod IM13 SPACE P1UEPYEO f= AEWI`DINC DATA V4 aekaawlc d, ha; nen d� ed, lit uKJ, old, remised B , grant rte . released, aliened, test'eyed , MAUa a --nwu Aowtraey end eanit md, and by these pmena does gh% . her m. sa l, tetilise, alias rtmv >F P ryand t :anlirm unto the said pan Ian or tine -stood pan. -_ their _he O4itEY f OAKEY TIY'_t End assigns forever, the following dePrnbed real est'uoe, nitumed m the rsum.y of v Box 126, Oscacla, wI $4020 St. Croix Suit of Wireartain, to-wIt ii L,oto 9, L0. 11 12. 11, 18, 19. 20, and 21 of rho i Plat of Dear Trail Estates, according to [hit recorded Plat on file and of record In the office of the 032 - 2141 -40 -00 Registe- of DatSds. St. Croix County. Gisteoncin. 032- 7141 -60 -00 0322141- 70 -00 it C32- 2142 -20-00 032er 2142 -30 -00 !� 032..2142-40 -00 !: 032- 2142 -3C -0 trNEC tAAY, tONrirt�DtyCaanoxoNkvtase5lt✓tt 032 - 2142 -60 -00 lbgethcr asth all and sagular Ike hvmdksmeras acrd appurluciltmii thmunic beloogtng Or ty any wine spperanning and an the saute. rig'% tha, irtete m, claim or demand wholsoever, of the said party of the firm put, dtluu fn law or equity, oithar to poak"lah or expec'anty of, in and to the above barlrpined pmmto . and thdr hardLam m and appatm ants. To have and tp hvW ukc said prannal its above dr„cdbod with the hemdaaments and appurtenances, utuo ate stid dart t em of the xmnd pmrt, acrd to _, ehcir hrim and assign YORPVER And the said Kownki yar?ft;. Tnr_ pang al the firs pan, for twrand its su=msms. dots covenant. brunt, bargain and Egret to aid with she acid w - -a of the stuortd Put c their bdrs acid 9044 s. that at the Hma of the ensealing and dtltvery of these presents it Is i c11 wizarl of the prtmirts above dombed, is of a jrxd. gist'. Perrca, absolute sad tndefeasiNe ester ortnherkann in the law, in fen aatela, wtd J:at the awae are free and t7rar frtxa air ixumbrancca wit;�evcr, _ . _.. inc tlatt J,. uLmvc barpirted premise, m the quiet and paecciuk pommian of dw said p;Imipe. of the uceand part, their hei: anal a•..igns, agairw tli and a rry;kmoA or ptriwnt awfully vas ninA the whole or any pert Lhetwf, it will fomvtr WARRANT And DEFEND. Ire WitraSS Whereat thesald Kevski Formic. Irr. _ ;mer1' of the r.rn paR• has t,sad their provosts to ba nR++ad by „ Kukowski •�� .. to "idiot, and txsuetetayptcd by „_ , No=rm Ktateovwte; it: Secretor. /. 4 at .. W,.... WLttronsm, and tit coepomw seas in be than ce aMW INS y prl da of SMA A,L+,. ann 1. SIGNED AND 5 AUD LN PUSSNCC OP • fow gki Farms. Ind. P�.r. Resgvi Rogan Xukow cnUNTeR5it.1NC•D: Sn Normnn auknwe :ci ..._ State of YViSCOMS.n , ss Talk iat„r,,y. MrmlollycantcireArtcImt his .._. It4th dopaI may _ ._ p.D „ tAU?nnt , RoCer X:kbarn x K"kawaki :,n�ttsry �... , ['resident. and Ntyrtnan of Iha abm'a rIAmg4 Corlaatton. to nu known ! O be :'yc prtxrro wto ezaeutad the (megttlrt= insirumenf, vita rtl lenkn wn in 1>c ,•ath Pmpkknt and .secracary of said Corfrtnmon, and acknuwkdgt,l slut they Iv dw loregutn ment s ks t11e,i1ked ar miss Gn?a. - mien, by nt Authonty, + : ?htg ''T tiVAS Dar.°TED 6v Ron L. Or NOTARY 92=4 MOORS eAE 'D 0' Si kyLE SILER, S.C. NW _ 9 ,T to (aU It Post Office Box 1$ uy Public. �: Y• Wis. Sew III cb ,n {,, SS . yOLl My commilson'".piiiL) UST, - ...._�..... a ., r ,t.c ai 5.: tiiL. a;.F.Wrwnt- r.u.p,...,.i..,h -.t ua.v. -.n..a 4.h.wkJ.Md has a.J ar uw. iA�. .ar V rM •. .... _.... ... . SY.511 sritny-- yu;u+,!a.J -,.irks J.lu.t,•,..,.L.r tr.•,nne+,rl r f"a 1 R ° r,...,°n: ,r•,- �., ua .terey IW.JatrJ wd„aeuiunk Jr9lr p,i�,CJ.q�p.. ewm JwxWA wwee ,tunas n, kpMr m%r' N'ARPANtr D31:D - Di' c:arinssin,n STAIE Oi' Y /B - NEIN Furs � IhiatrtYn Lava! ayu' Co_ rte. uesauWa.'Ak. STATE BAR OF WISUNSIN :. ORM I - 1982 WARRANTY " DUD 11 DOCUMPNT,NO. 18L.L jo -jqj-z A erd GQr.11d St.anahan, Patricia Morris, Th ,:r-aLovvA '* Dwayne 1 0iefelbein, 1 1 *=Q V 9-c-i - 1- fQlbQ i APR t I � Knws ki Farms aticn poor I !: 3D A. A j Inc, — WJ-- -® hie cLTL%xlvIajork o o n e dol lar and other good and valuab a constderatlans--- r)01A St. Croix- .. ;6qVLr ­A F4jQ o)r%q.; ti Lrantct tile toll-AvWg dr' real �cltl IC in NA;AE ,NO nir%,114 Co"w'1y. `•uteof 'L— JL % � The East One-half of the Northwest Quarter (El' Of NWV i 44AA- �5 �- the Southwest Quarter Of the Northwest Quarter (SWI 5 of NU-L), and the Northwest Quartet of the Southwest P tart (q Wi o f SWj%, a ll i Section 3, T3 1tl9W- 3.31.19-39 TRANPFER $SSEM is not 110 -nd aplatincran:CS Piar the t 1ij, aw ittlr i rood, inJ6t-aAjhtt- in Jet Sg7rpla and free itria. :jcar VI CtaClSbr3l1JC'. �c pt easements, restricticn3 and reservations Of record; there is a boundary line dispute and there is no warranty Of title as to the portion of land shown by t survey Stakes that are placed on t1le prqpQtt7', and ;;ilul defer'd tht i1mc. — 4arch 97 C alto I NS E- Q .SEAL) chief be�ip Y _ yre Gerald Shanahan SEAL) 7F , -jb- 0,44 Dc-;Ldle Patricia Morris A. jW - - C r7 -aCRrj,;rttDG*t'fNt- AvrHENTICA ION State Of VftWeq"*n) ASH1?jGT0N Benton 4 . Personally came bervrc me trI13 ow 'i is di;y of March 1 97 u Schlefelbein. 1 1 1 ,11 MCMUR 4 rA 3AR Or ISC! M STATF OF WASHINGTCI pATTI G01A1 — of ill nm I. . I.-Ld I-y 9706 �X Xi. You) F4 JULY 17 0 L�oi zo be Jhe person —S who c.- 'be fkw "'I " S out �wllul My pairimunt t and aeknowlvdw the same. ) HIS tN5 11juroWWAS L)AAMU BY LLTVtGS0N & GALZW`MCK,S-C-,AttOrn At ':aw rz-L— Wash. Osceola Wisconsin 54070 N,Kar� Fulatic, -LQ--ntOn-- I-- — My comrnib4i0t'l is nermanent 0� not. -nw cxptamlvi da- Are or cknowledged. siih A nut -7 (Srinattrrra nut' be aut:,rcnlamt! A ,,j K' r' I-U ` z �` l� DJRA/NACE EAS£Mt E S89 "E 381.21' = 100 feet 207.6. ED TO THE NORTH LINE OF THE , y °.: - 31N, R19W, WHICH IS vHl it WE 974.7 1 7'16 "E. S mop is subject to State, County, and Township s (i.e. wetlands, minimum lot size, access to s� y ����1 ? losing or developing any parcel contact the E . Zoning and Parks Committee and the appropriate _ • 4 ,fl6 ?' HAVE BEEN MADE TO THE NEAREST ONE (1) L O T 9 CO LL ANGULAR MEASUREMENTS WERE MADE TO rn 130,707 SO. Fr I h CONDS AND COMPUTED TO THE VALUES SHOWN. N J.00 ACRES o . R RESIDENT SHALL DO ANYTHING WHICH WOULD INTERFERE MIN. F.f.£.: 978.7 y�`� Z I• 1E OPERATION OF THE APPROVED COMPREHENSIVE WATER. w EROSION PLAN FOR THIS PLAT. THIS INCLUDES ti I •.� I TO BUILDING UPON, OBSTRUCTING, ALTERING, �:•' TING OR PLANTING IN ANY POND EASEMENTS, • A I w TCHES, WATER RUNWAYS, WATER CULVERTS, o GS. .479.44) I /h iG ©��!„��•,, -•�- S89'1 5'42 " 1857.47' N 9 �o��.�. :• 11 NALD • -.4-- -- 1825.42' - - - -- 351.09' 85 - ^ - -" . // 9 �NALD F. �} . 0�• 6 . ,t DHNSON z •� /N6y H.WLc. � 4 o w' j �� S -1 1 �'S • "� / H. WE 965 / � Wis. a �.' Z i • o 1 -� R• .!8 r O J co ( S65:39' B . FT. E i , S U R � 130, 805 S -(4Q 0 . ,� 92.15, / , �e1c>ttESO 3.00 ACRES �t0 / ,yh 6 M /N. FF..E•: 969.3 . y' OR . • p1 6 S OD , �,1 x N N I , ,� ° 10 rnW �• ©• 0)0 St r- 000 W� �,I I .�N� ye / p 181.06' 1 191.43" ' 452.30' R =N 887675 R= 1326.17' MA TCH LINE 633.36 N89'1 5'42 "W 1 33• -1 1326. AL hb r i L 0 T 5 S I VV D - O �, M Wisconsin Department of Commerce SOIL EVALUATION REPORT Page I of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County 1 ' Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must 'T 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 (1) (m)). Property Owner Property Location P 64 OY� Iova Govt. Lot N� 1/4 Sk Y4 S T N R E (or)( Property Owner's Mailing Addrg� Lo Block # Subd. Name or CSM# / '7QS 7 eTr r. -2 �/ CRY Zip Code Phone umber ❑City ❑ Village Town Nearest Road 14v O( Soe\ .S 7 w New Construction Use: Q Residential ! Number of bedrooms 3 Code derived design flow rate 0 d GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material o V4 S Flood Plain elevation if applicable General comments S YS �-`'wt e✓ + k/ • q Z- 0 0 and recommendations: F-11 Boring # ❑Boring �. Pit Ground surface elev. �•�y ft. Depth to limiting factor tn. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /fF in. Munsell Qu. Sz. ConL Color Gr. Sz. Sh. `Eff#1 'Eff#2 t -$ to ^ 511 2 c 1 Vf S B 2 - �n y m5 s I _ -� 1. a Boring # ❑ Boring 8 pit Ground surface elev. 5 Gd 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 - Eff#2 1 0 -(�P 10 14C 51 Z. S i( Zmahk r° c 1 V ' 5 • S' 2 1p_1 — 5 2rn m GS – 5 3 12 -IOp yllp -- m m I / . Z 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) lure CST Number Address Date Evaluation Conducted Telephone Number Property Owner Ca low Parcel ID # Page Z of 3 FN Boring # ❑ Boring [, pit Ground surface elev. `l' • y ft. Depth to limiting factor / 46 49 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. "Eff#1 "Eff#2 lU Iz 51/ 2 -Cr 2 tp_1 I t p M 5L Zr-n5 s S 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. `Eff#1 `Eff#2 Boring # ❑ 'g E] pit Ground surface elev. ft. Depth to Igniting factor in. 5E 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 I `Eff#2 Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L " Effluent #2 = BOD < 30 mg1L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608 -266 -3151 or TTY 608 - 264 -8777. SBD -8330 (&07/00) PAGE_ OF NAME Col to U c, LOT# LEGAL r,�c�u r►Yrm N� x.114 S T3 N R �`� E(or) SCALE: I "= BM 1 ELEVATION BM 1 DESCRIPTION 8 BM 2 ELEVATION BM 2 DESCRIPTION Jc e __ _-- - - - - -- - - -- — SYSTEM ELEVATION g Z OO ALTERNATE ELEVATION L7 Z °UU _ CONTOUR ELEVATION �h 9 a A.%.w W.-( � a � 0 o� SIGNATURE r�%� � �-- DATE