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HomeMy WebLinkAbout034-1007-70-200 % g e w ® 0 ƒ I � ) � � 7 � 2 � I ! / 7 \ § � � .. / \ j � - ] � $ 7 { o m _ \ k % c § 0 J z k £ ) � o c 2 Cl) k 2 k ~ £ G CL \ #� �R & 0 2 E k \ \ Z a � k ] a a 2 f ° CL 2 / '� 2 j v / § ) 2 0 / _ / /_ _ \ ° E je . I= @ g ■ % �� 4 A J j , a k 7 E 1 i \ G u a o �LH c = c =\ k10 C�� © _ 2 $ - = f 2 § . k k E $@ 3 2 g o o m = n o z_ y ■ e � ° I E$ r B 1 i J) a 2 o 3 6 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Coun Safety and Buildings Division INSPECTION REPORT St. Croix GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No.: Personal Information you provice may be used for seddndary purposes [Privacy Law, x.15.04 (1)(m)). �� l Permit Holder's Name: City Village . wn o : S to P an ID No.: ANfe 6P><Ir� F �� s 16A = yZ 8(o81 ST BM E ev. tso Insp. B BM Description: arce lax o.: L Nv lie = Cs" " ,f . o rn� • fl e it TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI I FS ELEV. Septic (J Benc mark &.9 9w or.-93 10D.0 .4 Dosing l..> 2 S e_✓ S �So Alt. Oaf Aeration Bldg. Sewer )0. CYO •S Holding St/ Ht Inlet [2.SZ S TANK SETBACK INFORMATION St/ Ht Outlet t2, o *14.c>+ TANKTO P/L WELL BLDG. Ventto ROAD Dt Inlet 3,(e� 3,?jZ Air Intake Septic > 570D y /tm' 3(, --- NA Dt Bottom *,o' $ 9 Dosing )moo' .Ian' 73 " '73 NA , f o eade i r /Man. .O OS•Z� r+ I rr ' Aeration NA ist. Ppe p . I r Holding t. System S. $g p ..(o PUMP/ SIPHON INFORMATION Final Grade Manufacturer Demand wcdGt- 3� Model Number ( GPM r t S. I' f '0 '�' g �er car Io .2S t 0.2 I cA . o TDH Lift tq-3 Friction 53 5 temz TDH Z`0Ft yk D S� rr 110.E CJO r Forcemain Length ' Dia. 2" Dist. To Well >lab' SOIL ABSORPTION SYSTEM p IVr Width r Length o aft PIT I N Of Pits Inside Dia igwd Dep SYSTEM TO P / L BLDG WELL LAKE / STREAM LEAC Manufacturer: SETBACK CHA R INFORMATION ype nn e Num er: System: AnJ ?SOD y�, >'ZCA NIT DISTRIBUTION SYSTEM U au $ Header / Manifold Distribution Pipe( �� u x Hoe Size x Hole Spacing Vent T o Air Intake Length ! Dia. 2 Length Dia. 2 Spacing 3 16 SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded/ Sodded xx Mulched Bed /Trench Center Bed /Trench Edges I Topsoil ❑ Yes ❑ No 0 0 Y ❑ No n COMMENTS: (Include code discrepancies, persons present, etc.) G,^' -{ % Ilot �H� gyv a�' T I) r7 / a RO T tl ST', WOOO1101lf S 0 NW Inspection I / t� /o l Inspection #2: O 1 /2sl Location: = r 3�L = �4A9t - W /4 1/4 5 T28N R16W) - ( $ b -�3 LbT 1.) Alt BM Decription ='T s� �'Q'Ot� "' y.d9,1S. •.SS C 2.) Bldg sewer length= 36.0' - amount of cover = �'g �' t ( o, 2S t# 3. contouf ..� = 1 � 0 3 •°��, �� I1 w �ot > 12 U f o o�' ( 9 a S to °t�"r C,w s _ c..rujwss P[an rrequiltld ?' Yes No M ■ ` l !VI ide for additio nfor ate ` j 1_ O o f l oll �� I� 1 Da te Inspector's Signature Cert. No. . 7) `� ` (v) S Z emir N s • , 5� � o ` 0 o � A, d �ZD i A 3� M Y 6' � z 7,/ Safety & Buildings Division Sanitary Permit A 201 W. Washington Ave. PO Box 7302 In accord with Comm 83.;R' r i.��l Madison, WI 53707-7302 N Department of Commerce Personal information you provide iffi Zed f r secon oses 4 6 (Subrrtit complet�d form to county if not [Priv; r04�1 ) 4 (I state owned.) Attach compl te plans (to the county copy onlyAXQ sysWUVaNer not I h -1/2 x I I inches in size. County r � State Sanitary Permit Number eck if revision to pre . RpplV State Plan 1. D. Number V 17-A . I % (,- 1 � 1 . � AM 1 1 2:zuqu_� 1,0 - 1. Application Information - Please Print all Information rq0k)� Location: Property Owner Name 0OUN Property Location f I " /VIJI A, S E (orie Da s Zp-,�4 rocs co� _1� Property Owner's Mailing Address ir, I . . I \ Y Lot I - nber q - - � 7- - �QT]n 4_1 City, State Zip Code Phone Number Subdikision Name or CSM Number & e /0 gAl) &j 7 /,5- 2 3 A S 3 4 ka 7 C1,5 p 1 4, II Type of Building: (check one) []city eU I or 2 Family Dwelling - No. of Bedrooms:,3 A-- 0 Village E3 Public/Commercial (describe use): - Z) PTown of r El State-owned III Type of Permit: (Check only one box on line A. Check box on line B if applicable) New ...... 12 7' A) 1. SNew System 1 2. 0 Replacement 3. 0 Replacement of 4.. 11 Addition to Parcel Tax Number(s) System Tank Only Existing System I B) Permit Number 0 A Sanitary Permit was previously issued 41 1 � _ ? IV. Type of POWT System: (Check all that apply) • Non-pressurized In-ground ETMound 0 Sand Filter 0 Constructed Wetland • Pressurized In-ground 0 Holding Tank 0 Single Pass 0 Drip Line • At-grade 0 Aerobic Treatment Unit 0 Recirculating 0 Other: • Dispersal/Treatment Area Information: "e-1 149!5f 01776We- /q-;-A� 1. Design Flow (gpd) 2. DispersalArea 3. Dispeisal Area' 4. Soil Application 5. Percolation Rate 6. System Elevation 7. Final Grade Required Proposed Rate (Gals./day/ ft.) (Min./inch) Elevation q-5-4:> /.0 0 t0J,f v VI tank Capacity in Total # of MAufacturer - Prefab Site Steel Fiber- Plastic Information Gallons Gallons Tanks Con- Con- glass New Existing crete structed Tanks Tanks 0 / 40.4 - !�_, -e- I V 0 0 0 0 It-) -e-, r e VII ftesponsibility Statement 1, the undersigned, assume respon ibility for installation of the POWTS sh )Em the attached plans. Plumber's Name (print) Plumber's Signa re (no anips!; Business Phone Number 0 c > Plumber's Address (Street, City, State, Zip Code) VIII County/Department Use Only 0 Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Issuing Agent Signature (No stamps) Approved 0 Owner Given Initial Adverse Surcharge Fee) Determination IX. Conditions of Approval /Reasons for Disapproval: 6._j, S AfA-� 3 XA� t 73 V\� �b r.,_ZAeAj* - *P. S �eo Safety and Buildings PO BOX 7162 MADISON WI 53707 -7162 TDD #: (608) 264 -8777 N visconsin www.commerce.state.wi.us Department of Commerce Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary August 24, 2000 CUST ID No.220254 ATTN.• POWTS INSPECTOR 1 2 ; 7 t r ' ON OFFICE ARTHUR L WEGERER r J � CROIX COUNTY SPIA 709 S PIETY ST /� FCcIt n `, 1-1 CARMICHAEL RD ELLSWORTH WI 54011 "` SON WI 54016 t �iti0 RE: CONDITIONAL APPROV ST CBJtx ; 1 Idetitificatton PLAN APPROVAL EXPIRES: 08/ 4f02 COUNTY r ,, ZONING OFFICE \,f Transaction ID No. 428681 �o Site ID No. 197313 SITE: L 1 Please refer tai both numbers, Site ID: 197313, DAN DOPKINS above, in all correspondence with,the agency ST CROIX County, Town of SPRINGFIELD; 290 ST SW1/4, NW1 /4, S4, T29N, R15W Lot: 4, FOR: Description: MOUND DWELLING GPD 450 Object Type: POWT System Regulated Object ID No.: 756610 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: • 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. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation /operation. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. Sin rely, DATE RECEIVED 08/09/2000 FEE REQUIRED $ 175.00 FEE RECEIVED $ 175.00 B QUINLAN , POWTS PLAN REVIEWER BALANCE DUE $ 0.00 Integrated Services (608)266-3937, 7:00 AM 3:30 PM MON / FRI JQUINLAN @COMMERCE.STATE.WI.US cc: DAN DOPKINS TITLE SHEET Page of v� o �' V & ��dGS• � MOUND SYSTEM F SFE� A 3 BEDROOM RESIDENCE This plan has been prepared in accordance with the Mound Component Manual SBD- 10572 -P and the Pressure Distribution Manual SBD- 10573 -P LOCATED IN THE S1k 1/4 OF THE NW 1 /4 OF SECTION �, T Zq N, R S W, TOWN OF (5 F-1 LLB ST. _M U COUNTY, WISCONSIN. LoT � 0}= e�ty ll`1 VO4. 13 , �8E 3 S8 O INDEX PAGE i of 7 TITLE SHEET PAGE 2 Of 7 SYSTEM MANAGEMENT PLAN PAGE 3 of 7 PLOT PLAN PAGE 4 of 7 PLAN VIEW -CROSS SECTION PAGE 5 of 7 DISTRIBUTION PIPE LAYOUT PAGE 6 of 7 PUMPING CHAMBER CROSS SECTION PAGE 7 of 7 PUMP PERFORMANCE CURVE PREPARED FOR 9 k_vz Cow >J ( 1ZD ' 1 ►, PREPARED BY WEGEF:ZEF2 SO I L .TEST I NG AND. DES I GN S1 S CE p P.O. Box 74 421 N.Main St. River Falls, WI 54022�CA.�1,f, Phone 715- 425 -0165 Fax 715- 425 -6864 ARTIA J wEOEREN 6�lSwURTH, t w rs _1,.. � d► / =iVjS1kjjq „ p n JOB NO. 00 -Z0 Mound System Management Plan Page of �1 Pursuant to Comm 83.54, Wis. Adm. Code Septic 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. The operating condition of the septic tank and outlet filter shall be assessed at least 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 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 sludge and scum 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 a triennial 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. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce, Safety and Buildings Division. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October- February) dictate that the mound be heavily mulched for frost protection. Influent quality into the mound system may not exceed 220 mg /L BOD5, 150 mg /L TSS, and 30 mg /L FOG. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 4 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. General This system shall be operated in accordance with Comm 82 -84 Wis. Adm. Code, and shall maintained in accordance with its' component manual [SBD- 10572 -P (R. 6/99)] and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump 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 a tank or component. Continclency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged adsorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. Questions on the operation or maintenance of this system should be directed to the County Zoning office at - JfiS_3 " _k46 8C) or to the licensed plumber who installed the system. PLOT PLAN • Page 3 of 1 Scale 3 � I 4'(pUC t+ 1 - j_R.Lua.a'Oly -7 jj1614 3) 4 plq + G ►JAL /' , �yl TL _IOG. � 3� j pUC I 't C Q i o _ a vl V1 rl v �lsiv��t3 `" a -1 9s- it NOTES: 1. Elevations shown are existing ground elevations unless otherwise noted. 2. Install 4" observation pipes with approved caps. ( Z required). 3. Septic tank to be NZok gallon capacity manufactured by Wt',S� CD J C_ zL W /Z,r$EL �_I LTff'R �7J 1U !3G_ _)S0 Gin. ► )le% TPA' 4. Bench mark 5 SZ, ftta\jV_- 5. Divert surface water around system to prevent ponding at the uphill side. I _ Pace Or - 1 Approved Synthetic Covering ASTH C33 Distribution Pipe Medium. Sand H G Topsoil = - ==`- F Elev I�3 S 3 E " ' b t Z % Slope Distribution Cell of Force Main Plowed z" to 2 Aggregate From Pump Layer D \.o Ft. E Ft. CROSS SECTION OF A MOUND SYSTEM F b.$ Ft. G o- S Ft. A Ft. H \•b Ft. Linear Loading Rate= L .p GPD /LN FT B - 2 S Ft. Design Loading Rate = o .Z SGPD /SQ FT I Ft. J S Ft. K l0 Ft. A+ te-i•, ete-Pa -rt L of S Ft. -ef- -• W Ft. i L I j - Observation Pipe B K a- f - --------------- - - - - -- --------- - - - - -- - - - - - -- 'Sox ! - - -- - -- ---------------- - - - - Force Main W ' T - -- - - - - -- - --- --- - -1 C Dist rib utio Cell of z" to 2 Pipe aggregate Observation Pipe (Anchor securely) PLAN VIEW OF A MOUND SYSTEM Distribution Pipe Layout Page S of - 1 Place the holes at the bottom of the distribution pipes at equal spacing. Remove all burrs from the pipe and holes. Extend the end of each lateral up with the use of long tumor 45 fitting to a point within six inches of the final grade. Terminate the ends of the laterals with a valve,threaded cap or . threaded plug. Provide access from final grade for the valve, threaded cap or threaded plug. — 7-1 -1 L �ZOSS _ S�CTIg )y FV C F\5C PV C Lateral Manifold Lateral x x x x V2 x!1 x x x I x Lateral Lenath — Lateral Length — P Distribution Line Mrru�t -ate S F-10 ?Z: r•+�� F P �'7 t. Hole Diameter 3 /I It Inch - S 3 Ft. Lateral I ) 1y .Inch(es) X ? Inches Manifold Inches Force Main " Z Indies # of holes /pip Invert Elevation of- LateraTs Ft. Y PUMP CHAMBER CROSS SECTIOW ARID SPECIFICATIOLIS ' PAGE OF - 7 VCWT CAP -(C.T VENT PIPE WEATHER PROOF APPROVED LOCKING MANHOLE 10 ' FROM DOOR. JULICTION BOX COVER WITH WARNING LABEL WINDOW OR FRCSH 12�MIU. AIR INTAKE GRADE cl 5 !- , 4'MIM. COIJDUIT 18�MIA1. WLET PROVIDE -- . �] AIRTIGHT SEAL I I I v APPROVED JOIIJT/ A Tank construction shall comply I ICI A PPROVED JoluTS with COMM 83.15 and COMM 83.20 ( III I I I ALARM - e I I C I I ON LLE1L FT. PUMPS ` OFF 0 eLL'\J CL .Op' COLICKETE 5LOCK 3" AVPl2ovED RISER EXIT PERMlTfEO OIJLy IF TANK MAIJUFACTURER HAS SUCH APPROVAL "DO 5PCCIFICATIOKIS DOS W\ R�� CtlU e-�-�E L1. S TANK MAIJUFACTURCR: IJUMCER OF DOSES: PER OAy TANK SIZE: S GALLONS DOSE VOLUME 1 S.S. `(�0 S`1S 5 INCLUUINro DACKFLOW l�'\'� GALLONS ALARM .._MAyUFACTURGR: MODEL WUMBER: L ` W CAPACITIES: A= \`� INCHES OR '�' GALL0143 SWITCH TyPC: 5 - Z-- INCHES OR Ll G{ LLOL15 PUMP MANUFACTURER: Z D L� LL2 C = 6 ILICHES OR 11 " GALLONS MODEL NUMBER: IUD D - 1 I`NCCHHESSOR I I I GALLONS SWITCH TYPE: — 7'1�RCt�Z4' MOTE: PUMP AND ALARt'1 ARE TO ED, S MINIMUM DISCHARGE RATE S�' �b GPM INSTALLED ON 5EPARATE CIRCUITS VERTICAL DIFFERENCE OETWECIJ PUMP OFF A1,10_0ISTRIBUTIOU PIPE.. �3'�O FEET , + MINIMUM ' NETWORK SUPPLY PRESSURE + FEET OF FORCE MAIN X L F Y oFL FRICTIOIJ FACTOR. 1 FEET TOTAL OtIIJAMIC. HEAD = FEET As per manufacturer • 2.u_ as gal /in. Liquid depth N w PEEIR-MP CE - 7 0 TOTAL DYNAMIC HEAD/CAPACITY W HEAD CAPACITY CURVE } ,/g g ,/, SingleSeal 4 4 PER MINUTE Weight 53 lbs- MODELS "140/4140" EFFLUENT AND DEWATERING 45 /e 1 Ft. Meters Gal. Ltrs. 14 45 5 1.52 91 3a4 o p 3 7/8 10 3.05 a4 318 12 40 15 4.57 76 288 0 p 140,4140 20 6.10 68 257 1 1/2 - 11 1/2 NPT 35 ( 25 7.62 59 223 10 30 9.14 49 185 35 10.67 38 144 8 30 40 12.19 21 179 25 45 13.72 5 19 Z2. 1 O 2 5/8 Q Lock V°IVa: 46' x 6 2 U a 4 5/16 15 J 4 I _ SK1524A 10 2 3 7/8 6 t/a Double Seal Design Weight 73 lbs. 4 0 U.S. GALLONS 1 10 201 30 40 50 60 70 e0 90 100 110 p } ,/ LITERS o 80 160 240 320 400 0 FLOW PER MINUTE p 010940 p 1 1/2 - 11 1/2 NPT CONSULT FACTORY FOR SPECIAL APPLICATIONS • Electrical alternators, for duplex systems, are available and supplied 1613/32 with an alarm. • Mechanical alternators, for duplex systems, are available with or without alarms. —� • Control alarm systems are available for 1 phase pumps used in simplex 4 5/16 system. See FM0732. �_ SK1624B Variable level control switches are available for controlling single phase systems. • Double piggyback variable level float switches are available for variable SELECTION GUIDE level long cycle controls. 1. Single piggyback variable level float switch or double piggyback variable level • Sealed Qwik -Box available for outdoor installations. See FM1420. float switch. Refer to FM0447. • Over 130 °F. (54 °C.) special quotation required. 2. Mechanical alternator M -Pak 10.0072 or 10.0075. • Refer to FM0806 for 200° F. applications. 3. See FM0712 for correct model of Electrical Alternator E -Pak. 4. Variable level control switch 10.0225 used as acontrol activator, specify duplex (3) or (4) float system. 5. Four (4) hole J -Pak, junction box, for water tight connection or wired -in simplex 140 Series - 53 tbs. 4140 Series - 73 lbs. or 2 pump operation, 10 -0002. 14014140"' MODELS Control Selection Model Model I Volts -Ph Mode Amps Simplex Duplex N140 N4140 1 115 1 Non 15.0 1 or 1 & 5 2 br 3 & 4 CAUTION 7.5 1 or 1 & 5 2 or 3 & 4 E140 E4140 230 1 Non BN140 BN4140 115 1 Non 7.5 1 or 1 & 5 2 or 3 & 4 All installation of controls, protection devices and wiring should be done by BE140 BEa140 230 1 Nan 7.5 1 or 1 & 5 2 or 3 & 4 a qualified licensed electrician. All electrical and safety codes should be followed including the most recent National Electric Code (NEC) and the Double seal poops are available wAh optional moisture sensors. Seal Fail wldicator right aval Occupatio Saf eantml panels � lablein NEMA 1 or Occupatto and Health Act (OSHA). RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAa ro: P.o. BOX 16347 �� Louisville, KY 40256-0347 Manufacturersof.. i .�� i �� SHIP To. 3649 Cane Run Road p Louisville, KY 40211-1961 rZW,77 /"UMF9 S AZE 19,7 PUMP l0. ( 502) 778.2731.1(800) 928 -PUMP FAX 502 774 -3624 Safety and Buildings PO BOX 7162 MADISON WI 53707 -7162 TDD #: (608) 264 -8777 isconsI www.commerce.state.wi.us Department of Commerce Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary August 24, 2000 CUST ID No.220254 AT77V: POWTS INSPECTOR -.� ZONING OFFICE ARTHUR L WEGERER ' ��1_ r / ST CROIX COUNTY SPIA 709 S PIETY ST �' '_/ \1101 CARMICHAEL RD ELLSWORTH WI 54011 SON WI 54016 RE: CONDITIONAL APPROV 411r• - ' c . , �QQ Identification Numbers PLAN APPROVAL EXPIRES: 0!$ k /2002' CAax Transaction ID No. 428681 COUn1ry `�� Site ID No. 197313 ZONING SITE: �r; CE Please refer to both identification numbers, Site ID: 197313, DAN DOPKINS % ^?- - above, in all correspondence with the agency. ST CROIX County, Town of SPRINGF SWIA, NW1 /4, S4, T29N, R15W Lot: 4, FOR: Description: MOUND DWELLING GPD 450 Object Type: POWT System Regulated Object ID No.: 756610 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: • 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. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /installation/operation. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. 2ES ely, DATE RECEIVED 08/09/2000 FEE REQUIRED $ 175.00 FEE RECEIVED $ 175.00 B QUINLAN , POWTS PLAN REVIEWER BALANCE DUE $ 0.00 Integrated Services (608)266-3937, 7:00 AM 3:30 PM MON / FRI JQUINLAN @COMMERCE.STATE.WLUS }S co" a ri33 cc: DAN DOPKINS Wi- „onsin Department of Commerce SOIL EVALUATION REPORT Page of 3 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 inches in size. Plan must County S�• GNU l�( include, but not limited to: vertical and horizontal reference int (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, a � i n ce to nearest road. 0 — �uu� — — Zoo Please print all ' f ion. r! Reviewed by Date Personal information you provide may be used f dary pu �fivacy La`w;:sr .04(l) (m)). Property Owner ,. Prd rty Location �U S -.. 'Q I E',' _ S w 1/4 K)W 1/4 S y T Z 9' N R Property Owner's Mailing Address c S Block # Subd. Name or CSM# °► �1Z C.c1vN1 P1'D Mn �:, - e s U o 3 3 5 8 0 City State Zip Code e u RCE City ❑ Village ® Town Nearest Road I�PsMw�ot�� w1 S� c (S ��trt,o Z4p 1 sr. New Construction Use: ® Residential / Number of bedrooms 3 Code derived design flow rate L) S U GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material �-0 !? S S 0 U � e `�S 'D MU kZZ) F 6YI Sk► AS'1WQ Flood Plain elevation if applicable General comments / „ (((% d� / and recommendations: /10 � - /,/ r� OV>Aj w� ��5� ��311�L8U�1�1� �°—� L_ FI LL F Boring # ❑ Boring pit Ground surface elev. 1 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#2 •`� .b ,,- 3 S 3L3 �S tam YY1 - •� . (� F1 Boring # ❑ Boring Pit Ground surface elev. ft. Depth to limiting factor 3 Z in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots D/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ff#1 'Eff#2 z-f-S b�Z M'6- as 3 1q -1 10`t / >z wit- cS - - 14 •� 3i -y3 !�� -11Z 616 l s `LtZ 313 S 0"- rx ' 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) ISJnature CST Number Arthur L. Wegerer a o0 -2-03 220254 Address W e g e r e r Soil Testing & Design Service Date Evaluation Conducted Telephone Number 421 N. Bain St. River Falls, WI 54022 Utz 715 -425 -0165 Property Owner Parcel ID # -Z QtJ P age �' Of a Boring Boring # ❑ ® Pit Ground surface eiev. W3- t)_ ft. Depth to limiting factor Z 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 o- 9 1p`1 R 31 Z Sl Z`�s b k 1�'�1^ e S Z . S . 8 Z Q 2 1 �`t 2 y/�( M'f� eS 1 v f • S . 43 3 zq -U lv`1(Z b 7 17 SLiQ 313 �s ow, mud. • 9 ❑ Boring # ❑ Boring ❑ Pit Ground surface eiev. 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#2 717 F-1 Boring # ❑ Boring ❑ Pit Ground surface eiev. ft. Depth to limiting factor In. Soil Appllption 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. SOD -8330 (R.6/00) PLOT PLAN Page 3 of 3 Scale 3 i tuo, 0' olU a 262.2, 3) ,� k pt q pUC PtiPL tJILA-n1 L - T L _ 1p,) ' M j — ) w tftGW Y D I DIA, pvC \�tPL w!r_� I I i VI O DoT ��tPf�vc-T OR CZLL 3Sof ' li � Zo o _Z�_00 715 - 425 -0165 220254 p Zp 3 CST Signature Date Telephone No. CST No. Job N0. ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM 4 Owner/Buyer Mailing Address ? L/a CA T Property Address (Verification required from Planning Department for new construction) L / City /State 0® Ll i L L Parcel Identification Number r y — / ®© 7 — 7 0 LEGAL DESCRIPTION Property Location ,54) %4, 4/ '/4, Sec. �, TN -R /� W, Town of Sp -�-� Subdivision Lot # Certified Survey Map # �i �< g , Volume _ 43 , Page # Warranty Deed # / /.Z, �.� , Volume / , La , Page # 7 Spec house ❑ yes 19 no Lot lines identifiable 0 yes ❑ 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 system 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 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 of the three year expiration date. SIGNATURE 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 owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. S /z8 /00 SIGNATTAEbF APPLIC 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 I VO! 1460PAGE 4 611235 LAND CONTRACT KATHLEEN H. WALSH Document Number Form 11 REGISTER OF DEEDS ST. CROIX CO., WI RECEIVED FOR RECORD CONTRACT, by and between LeRoy Storley a/k/a LeRoy A. Storley 09-29-IM 4:30 Ph ( "Vendor ", whether one or more) and Daniel G. Dopkins and Amy A. Daak ("Purchaser ", whether one or more). Vendor sells and agrees to convey to LAND CONTRACT Purchaser, upon the prompt and full performance of this contract by EXEMPT It Purchaser, the following property, together with the rents, profits, fixtures COPY �Y FEEr and other appurtenant interests (all called the "Property'), in St. Croix TRANSFER FEE: 164.00 County, State of Wisconsin: RECORDING FEE: 12.00 PAGES: 2 Reowdlna Area Name and Return Address Thomas A. McCormack 740 Main Street Baldwin, WI 54002 034- 1007-70-20 VV 034- 1007 -70 (Parcel Identification Number) 1. PART OF THE FRACTIONAL NORTHWEST QUARTER OF THE NORTHWEST QUARTER (NW' /. OF NW 'V.) AND THE SOUTHWEST QUARTER OF THE NORTHWEST QUARTER (SW % OF NW %) OF SECTION FOUR (4), TOWNSHIP TWENTY -NINE (29) NORTH, RANGE FIFTEEN (15) WEST, TOWN OF SPRINGFIELD, ST. CROIX COUNTY, WISCONSIN, MORE PARTICULARLY DESCRIBED AS LOT FOUR (4) OF CERTIFIED SURVEY MAPS, FILED DECEMBER 23, 1998, IN VOLUME 13 OF CERTIFIED SURVEY MAPS, PAGE 3580, AS DOCUMENT NO. 594359, OFFICE OF THE REGISTER OF DEEDS FOR ST. CROIX COUNTY, WISCONSIN. 2. THE SOUTHWEST QUARTER OF THE NORTHWEST QUARTER (SW Y. OF NW Y..) OF SECTION 4, TOWNSHIP TWENTY NINE (29) NORTH, RANGE FIFTEEN (15) WEST, EXCEPT LOT FOUR (4) OF CERTIFIED SURVEY MAPS, IN VOLUME 13, PAGE 3580, AS DOCUMENT NO. 594359, AND EXCEPT LOT TWO (2) OF CERTIFIED SURVEY MAPS, FILED SEPTEMBER 8, 1998, IN VOLUME 13, PAGE 3518, AS DOCUMENT NO. 586691. THE PARCEL DESCRIBED IN PARAGRAPH 2 ABOVE IS BEING ADDED TO THE PARCEL DESCRIBED IN PARAGRAPH 1 ABOVE TO CREATE ONE PARCEL, AND THIS TRANSACTION IS HEREBY EXEMPT FROM CHAPTER 18 OF THE ST. CROIX COUNTY LAND USE REGULATIONS PURSUANT TO SECTION 18.05(A)(3). This is not homestead property. Purchaser agrees to purchase the Property and to pay to Vendor at a place designated by Vendor, the sum of x~58,000.00 in the following manner: (a) $20,000.00 at the execution of this Contract; and (b) the balance of $36,000.00, together with Interest from date hereof on the balance outstanding from time to time at the rate of 8.5% percent per annum until pail in full, as follows: monthly payments of $500.00, commencing one month from date hereof, and on the same date of each month thereafter. Provided, however, the entire outstanding belance shall be paid in full on or before the 11 th day of November, 2004 (the maturity date). Following any default in payment, interest shall accrue at the rate of 9.5% per annum on the entire amount in default (which shah include, without limitation, delinquent Interest and, upon acceleration or maturity, the entire principal balance). Purchaser, unless excused by Vendor, agrees to pay monthly to Verdict amounts sufficient to pay reasonably anticipated annual tares, special assessments, fire and required Insurance premiums when due. To the extent received by Vandor, Vendor agrees to apply payments to these obligations when due. Such amounts received by the Vendor for payment of taxes, assessments and insurance VAN be deposited into an escrow fund or trustee account, but shall not bear interest unless otherwise required by law. Payments shall be applied first to interest on the unpaid balance at the rate specified and than to principal. Any amount may be prepaid without premium or fee upon principal at any time M the event of any prepayment, this contract shall not be trued as in default with respell to payment so long as the unpaid balance of Principal, and interest (and in such case accruing Interest from month to month sh an be treated as unpaid principal) Is less than the amount that said indebtedness would have been had the monthly payments been made as first specified above; provided that monthly payments shall be continued in the event of credit of any proceeds of Insurance or condemnation, the condemned premises being thereafter excluded herefrom. Purchaser states that Purchaser Is satisfied with the tits as shown by the title evidence submitted to Purchaser for examination except: og re" reel to PeY the cost of future title evidence. If title evidence is in the forth of an abstract, it shall be retained by Vendor until i the full purchase price Is pail. Purchaser shall be entitled to take possession of the Property on dale of closing. i i • VOL 1460FAGE 15 • Purchaser promises to pay when due all taxes and assessments levied on the Property or upon Vendor's Interest in a and to deliver to Vendor on demand receipts showing such payment. Purchaser shall keep the improvements on fie Property Insured against loss or damage occasioned by fire, extended coverage pants and such otter hazards a s Vendor may require, without co-insurance, through Insurers approved by Vend in the sum of full Insurable value, but Vendor shall not require coverage in an amount more than the balance owed under this Contract. Purchaser shall pay the Insurance premiums when due. The policies shall contain the standard clause In favor of the Vendor's interest and, unless Vendor otherwise agrees in writing, the original of all policies oovedrg the Property shall be deposited with Vendor. Purchaser shall promptly give notice of loss to insurance companies and Vendor. Unless Purchaser and Vendor otherwise agree in writing, insurance proceeds shall be applied to restoration or repair of the Property damaged, provided the Vendor deems the restoration or repair to be economically feasible. Purchaser covenants not to comma waste nor allow waste to be committed on the Property, to keep the Property in good tenantable condition and repair, to keep the Properly free from liens superior to the iron of this Contrect, and to comply with all laws, ordinances and regulations affecting the Properly. Vendor agree purchase P s that in case the rchase with Interest and other moneys shag be fully paid and all conditions shall be fully performed at the times and in the manner above specified, Vendor will on demand, execute and deliver to the Ptuchaesr, a Warranty Deed. In f ee simple. of the Property. free and Gear of all liens and encumbrances. except any liens or encumbrances created by the act or default of Purchaser, and except: Purchaser agrees to keep the premises in the Conservation Reserve Program ( CRP), and to hold harmless and indemnify Vendor for any loss, coo or expenses for Purchaser's failure to do so. Vendor reserves the right to mortgage or remongage this property and purchaser agrees to subordinate Purchaser's interest if required by Lender. The agregate outstanding balance of such bans, including accred interest, shall not at any time exceed the outstanding balance of this land contract and the Vendor's payments on such loans shall not be in excess of the payments on this land contract. Purchaser agrees that tlme is of the essence and (a) In the evens of s default In the payment of any principal or interest which continues for a period of 30 days following the specified due date or (b) in the event of a default In performance of any other obligation of Purchaser which continues for a period ofA days following written notion thereof by Vendor (delivered personally or mailed by arllfied mail), then the antire outstanding balance under this contract shall become immediately due and payable In full, at Vendor's option and without notice (which Purchaser hereby walves), and Vendor stall also have the following rights and remedies (atj*d to any limihaWns provided by law) in addition to those provided by law or In equity: (i) Vendor may, at his option, terminate this Contract and Purchasers rights, tale and Interco in the Properly and recover the Property tack through strict foreclosure with any equity of redemption to be conditioned upon Purchaser's full payment of the entire outstanding p �� ry with thereon from the date of default at the rate in effect on such date and other amounts due hereunder (In which event all amounts s aid Purchaser shall be forfeited a liquidated damages for failure to fulfill this Contract and as rental for the Property if purchaser falls to redeem); or (if) Vendor may sue for specific performance of this Contract to compel immediate and full payment of the entire outstanding balance, with interest thereon at the rate in @Had on the date of default and other amounts due hereunder, in which event the Property stall be auctioned at Judicial sale and Purchaser shall be gable for any deficiency, or (M) Vendor may or an n thereof or (iv) endor m deciara this Contract at an and and remove this Contract as a sue law for the entire unpaid purchase price Y t of (> and cloud on title to a quiet-219 action If the equitable interest of Purchaser Is insigni ficant; and (v) W rider may have Purchaser ejected from possession of the Property and have a receiver appointed to collect any rents, issues or profits during the pendency of any action under (q, 1(11) or (iv) above. Notwithstanding any oral or written statements or actions of Vendor. an election of any of the foregoing remedies shell only be binding upon Vendor H and when pursued in litigation and all cats and expenses Including reasonable attorneys fees of Vendor Incurred to enforce any remedy hereunder (whether abated or not) to the extent not prohibited by law and expenses of title evidence shall be added to principal and paid by Purchaser, as Incurred, and shall be included in any Judgment. Upon the commencement or during the pendency of any action of foreclosure of this Contract. Purchaser consents to the appointment of a receiver of the Property, including homestead Interest, to coked the rents, issues, and profits of the Properly during the pendency of such action, and such rents, issues. and profits when so collected shag be held and applied as the court stall direct. Purchaser shall not transfer, sell or convey any legal or equitable interest in the Property (by assignment of any of Purchaser's rights under this Contract or by option, longterm lease or in any otter way) without the prior written consent of Vendor unless either the outstanding balance payable under this Contract is first paid In full or the Interest conveyed Is a pledge or assignment of Purchaser's Interest under this Contract solely as security for an indebtedness of Purchaser. In the sent of any such transfer, sale or conveyance without Vendor's written consent, the entire outstanding balance payable under this Contract shall biome Immediately due and payable in fug, at Vendors option without notice. Vendor slag make all payments when due under any mortgage outstanding against the Properly on the date of this Contract (except for any tl t of the amounts then due under this mortgage granted by Purchaser) y under any each payments direeeoure t thereby, provided Mortgagee a Vendor Purchaser as to d so and oil payments so made by Purchaser shall be Contras. Purchaser may melee any directly considered payments made an this Contract. Vendor may waive any default without waiving any other subsequent or prior default of Purchaser. All terns of this Contract shall be binding upon and inure to the benefits of the heirs, legal representatives, successore and assigns of Vendor and Purchaser. (If not an owner of the Property the sparse of Vendor for a valuable consideration jdrm herein to release homestead rights in the subject property end agrees to join In the exwAon of the deed to be made In fulfillment hareof.) Dated this 27th day of September, 1999. A'LeR oft Vend or 2.y I G. Do dns Purchaser eY � • Vendor . ak Purchaser AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ST. CROIX COUNTY ��� Personally came before me this af.L__ day of � authenticated this day of the »hove named LeRoy A Stod Danie(G Alt ns and Am, A Daak , to me known to b e rscq(�) *uted thr foregoing instrument and a n dg signature e the �;'' ; t signature type or print name type or print nsme 32f i A , .Kea Lap X4 tb : H TITLE: MEMBER STATE BAR OF WISCONSIN Notary Public County, . (If not, My commission is permanent. (H not, state expiration date authorized by' 7013.06, Win. Stars.) -) THIS INSTRUMENT WAS DRAFTED BY 'Names of persons signing in any capacity should be typed or prints- Thomas A. McCormack below their signatures. Baldwin, WI 54002 I Il Wisconsin Department of Industry SOIL AND SITE EVALUATION REPORT Page of 3 Labor and Human Relations . Division of Safety & Buildrgs in accord with ILHR 83.05, Wis. Adm. Code COUNTY 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 (BIVI), direction and % of slope, scale or. PARCEL I.D. # pUpL� G dimensioned, north arrow, and location and distance to s 2EA T16N' APPLICANT INF ORMATION- PLEASE PRIN ALA 1 REVI DBY DATE a PROPERTY OWNER: j t� , fin PROPERTY LOCATION L(! 136 SW 1 /0 1/4,S y T 2 9 ,N,R 1 S E (o® PROPERTY OWNERS MAILING ADDRESS i 4 LOT# # SUBD. NAME OR CSM # . 1' 3l �c}�`r�1p P�ro�lvt; c.SM / : �Soo CITY, STATE ZIP CODE PHONE NU 1'k ILLAGE ®TOWN NEAREST ROAD Woob\AL,l.e,Aji S \t115) -11 ;ti' ' -D Zcl� ` - Sr New Construction Use Residential / Nu hW otbadreoms­-� s [ ] Addition to wdsting building [ ] Replacement [ ] Public or commercial Code derived daily flow b V0 gpd Recommended design loading rate _ bed, glxW 2 trench, gpolft Absorption area required S 0-6 bed, ft S ll0 trench, ft Ma)dmum design batting rate • `A bed, gpd/ft , S trench, gpdM Recommended infiltration surface elevation(s) O O - (3 It (as referred to site plan benchmark) Additional design / site considerations MuU NA-_- >Q/B' fc �� AVhb - M t h i . VZ" oF sPt� FY t_ t_ Parent material y P(T \R;s _ Flood plain elevation, I applicable 'N 'A, ft r s u = S uitable for System CONVENTIONAL MOUND IN- GR0UND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING TANK = Unsuitable for stem 11 S 9U as ❑ U ❑ S oU [IS O U ❑ S LZU ❑ S ffU SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consist Barry Roots F D /ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Tench ' 0 -9 �v`�R 3c — �sl Z sbk wives a.s lv� Z q -38 1 t a-- 6 f 3 WS e-Sbk A S e w tr Ground 3 3%A l0 `� ti s /$ � s e sbk � v�h �I.�, — , �1 •� elev. q i L l ft uLb l p �? IZ 813 Sit tZ s l `Fseu�,� Depth to li miting factor uz� Remarks: Boring # , S m V F _ q Z c. .L 3 11-41 Lo42 s/Y - s1 1 cSb \A_ t_k Ground elev. y of -S - ), S' R Sj ?l �w�tcz �� rvlv'Fy. — �� - Depth to limiting `' factor Remarks: CST Name — Please Print Arthur L. We erer Phone. 715- 425 -0165 eg�rer Soil- Testing & Design Service' P.O. Box °74 River Fa11s,WI 54022' Signature: _ - Date: CST Number: z g M00576 PROPERTY OWNER SOIL DESCRIPTION REPORT Page ,Z of PARCELIA# Depth Dominant Color Mottles Structure ..GPD /ft Boring # Horizon Texture Consistence Bax>vary Roots In. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. .Bed Trench 3 0 - °1 t o' cz � c 3 — �s l-�sbk, .w�.u'�1 -., �5 .. 1 v -F •.,,, s Z a .Z 1 1 O c R— 3 I (. 1 s l Ground 3 z l y 1 r3 t 1Z s t y i s t C S�1z w► U'�- C° S - L elev. 1 a � �1 a s ft. y 34 -�1 1oti� s!Y �z - bR. S Depth to Z_SVRIVA. limiting fact ot . e Remarks: Boring # f Ground elev. ft. Depth to limiting factor j Remarks: Boring # z 3 i Ground elev. ft. Depth to limiting _ factor Remarks: . Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD- 8330(8.05/92) PLOT PLAN Pa 3 of 3 SCALE 1 "= qQj rJ 0 � awe LOT" UAA 1 •. 1 � O 3 ' 8o'i"TOwI Ot $ lA0 l 0 ( C31�'r Lam- 100.0 Olv 11`�t�1G1�,3ty PUC PtPe w/L�'7� . 1 l �Z- LL, QUO ` S • ti 3' l( K 4 4 4 4 h _ 1�OVSE `n % O1" L N�ST ZS' � M OU r�. W\ L. k- r 1 S z: v L'Lti �72��YVtyn LC ._ I � ( 715 42A -0 - 169 _ 14 00576 CST Signature Date Signed Telephone No. CST # WY wnsin Department of Industry SOIL AND SITE EVALUATION REPORT Page of 3 Labor and Human RelaWns . Division of safety & Buildngs in accord with ILHR 63.05, Wis. Adm. Code COUNTY 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 (BNB, direction and % of slope, scale or. PARCEL I.D. i EU011V G dimensioned, north arrow, and location and distance to nearest road. APPLICANT INFORMATION- PLEASE PRINT ALL INFORMATION REVI DBY DATE T t PROPERTY OWNER: PROPERTY LOCATION L E - TZ4 S - M itA i� G%q, LX SW 1 /41JW 1/4,S Ll T 2 9 ,N.R \ S E(o® PROPERTY OWNER'S MAILING ADDRESS LOT t I BLOCK # . SUBD. NAME OR CSM t 3l �1`rhO Z P �W� 'SM CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE ®TOWN NEAREST ROAD W00 b\A k_ejui sgoz,6 ( 698 -i-n' P21N6F1e -D Za0 `vi sr (� New Construction Use Residential / Number of bedrooms L/ [ J Adcftn to existing btikfing j J Replacement [ ] Public or commercial describe Code derived daily flow b WO gpd Recommended design loading rate bed, 9PcW " 9Pd/ft Absorption area required S O LI bed, 9 S 00 trench, ft Maidmum design loading rate • y bed, 91XW • S trencl , gpolfl Re=nmended infiltration surface elevation(s) \1 O o - (3 It (as referred to site plan benchmark) Additional design / site considerations 'Mk)U t./O WEB `Y- �' la . M t iy . 12. o F Std ti L t_ Parent material y t<z-\ eS . Rood plain elevation, N applicable N A. R S = Suitable for system CONVENTIONAL I MOUND IN-GROIAJD PRESSURE AT.GRADE SYSTEM IN FILL I HOLDING TANK U= Unsuitable for system 1 ❑ S RU 0S 0 U 0 S O U ❑ S O U D s OU ❑ S ®U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bm.d3y Roots GPD /ft D in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed iench 1 ) 0 -9 3 — �s Z� sbk wt U �1� S v� • S b Ground 3 3aA W, auj — � - 1 •� qI. Hft Ulu ID [L $ I N il) Depth to (as eR1 limiting lactoc Remarks: Boring # , y 0 - ti0`ttZ 13 _ I esbk wh ��� a.s 1 v'F Z Z ci - ZS 1 0kR 31L — _ L s•l Z`�s �.s� es •s 3 Z4at1 104 t Sl - S �esblr, Y,\J�- C — •�� - S Ground `� , - elev. L4 �(I - - )•S 4 `f 2 S1� . �w� -tlz -6 t3 �`M rv�v _ �fL _. Depth to li miting bdDr Ll Remarks: T Name. -- Please Print Phone: Arthur L. We erer 715- 425 -0165 eg�rer Soil Testing & Design Service -P.O. , Box 74 River Fa11s,WI 54022' Date: L y- g t`�5 CST Number 0 0 5 7 6 �' `- PROPERTY OWNER SOIL DESCRIPTION REPORT Page _Z of 3 PARCEL I.D. # hb1 N C, Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Botx day Roots GPD /ft In. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Tiranch 3 0 -9 t t34 tZ- , l Z q - l 1 w-c (_ 3 1 L s 1 I Z'Fsbk vn as Ground 3 zl-3y �o�stz Sly - l S L cS�b `N► U'�- C�kj. �. S ,. J L Oil ft. y w4 f3 1b ti.tz s!Y � i-S 'i Sl Depth to '1 S Y Y l limiting fact Remarks: Boring # Ground , ";, . ;: , •.j elev. ft Depth to , limiting factor - - r Remarks: Boring # Ground elev. ft. Depth to limiting factor _ .. Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD- 8330(8.05/92) • PLOT PLAN Pa 3 of 3 SCALE ri - I � l�tc. -oPos® LAT 0 � ISLQgy S��� . awlt�l • g.l �-E LOT' UMh , � p0 Y`10T • CAIN (�-•��" � cX�. o�s�v�z �'ti'lS f'rS�1A -► °lo s.� 1 l tEv- LOT Z `35 1 85' 1 (A , ar'1iF Z �O B 3 6 Co�rnv �sl.. �l4.0' '@oTTOwI v� S 0 tU0 U 0►v 11 GV1, 3 Iq A, C p Pe T 031"1 2 - 8L , 100 S M 3' " , K ti • � g8 -z6s - 2 . (715 425 -0765 14 00576 CST Signature V Date Signed Telephone No. CST # 9 5 yzj 357 ro CERTIFIED SURVEY MAP Leroy A. Storley Part of the ractional Northwest 114 of the Northwest 114 apd the Southwest 114 of the Northwest 114 of ection 4, T. 29 N., R. 15 W., Town of Sprineidld, St. Croix County, Wisconsin OWNER'S ADDRESS- SCALE IN FEET I "= 300' 990 HILLCREST STREET BAL DW /N, WISCONSIN 546 O 50 /00 300 600 BEARINGS ARE REFERENCED TO THE wor LINE OF THE FRACTIONAL NW1 14 NORTHWEST CORNER SO - T /ON 4, T. 29 N., R. 15 W., ASSUMED / SECT /ON 4, T 29 N., R. 15 W. AS NOO °54'30 'W. ! ; m (COUNTY SURVEYOR MON.) � I Ap rii / ,C /�,� „' ! O J� 1/'C- J'J r,r �.c. /r , et_�c, _.ir ►L f , iM r l � t/� rL, ,J �1 6i61 - 9W CORNER N I ` CsAt LOT ! / tt / - - - SE CORNER I -- N89 °59 33 E 1319.74 SO. L /NE csAf. Lor/ CS Lor! 33.001, -- 1286.74'-- l �� I 33� I /oo' LOT 3 CONTAINS 871,621 S0. FT. OR 20.010 AC. I I M f849,836 SO. FT. OR 19.510 AC. EXCLUDING ' b 1 ROAD RIGHT OF WAY) .,I b 1288.33' - -- - a - 537. 86' - - 750.47' -- N B9 °59'33"£ 1321.33'-- - -- - -- - f00' A PPROX S. LINE FR_ACr NW 11_4 -NWl 14 r APP OX. N L /N£ SW l/4 -NW //4 C)l ' LOT W �J� CONTAINS 835, 195 SO. FT. OR 19.173 AC. - j 1% (814,346 SO. FT. OR 18.695 AC. EXCLUDING o�i bhp I °o ROAD RIGHT OF WAY) 2 I a h 3 /00 I `' 33.00' ---- 1289.85'- - -- --536.12'-- - -- 753.73'— -- S 89 ° 59 / 33 "W 1322.85' - \,%tS 1161111811 y, k = NP� /, T , E LEGEND � . V N _ .. �i� • INDICATES 1 "V 24 " ."� • 0 IRON PIPE SET Z • LAU CE \�2 i (MIN. WT. 1. /3LB /L. F.) Z m W M RPHY ? c Q INDICATES FOUND :. a) S 713 t WEST 114 CORNER • SECTION 4,T. 29 N., R. 15 W. 1 IRON PIPS � N * RI FALLS,.,' J 4 (COUNTY SURVEYOR MOM) INDICATES COUNTY •• • WISc. . •' 4 SURVEYOR MONUMENT �i� (`O • SJ ,��� (SURVEY NAIL) L I NO /C TES FENCE L /N ��I NA N O ,, Revised December 7, 1998 THIS INSTRUMENT DRAFTED BY JERALD L. LARSON SHEET / OF 2 Dated: October 22, 1998 7 Vol. 13 Page 3580 Wisconsin Department of Industry SOIL AND SITE EVALUATION REPORT Page of an 3 • Labor d Human Relations . Division of Safety & Buildngs in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site an on x.11 pl plan paper not less than 81/2 inches- irt„size. Plan must include, but not limited to vertical and horizontal reference poi Cfuq; direction and %,of slope, scale or. P CEL I.D. # > (Tr)lj dimensioned, north arrow, and location and distal i"arest road. tad APPLICANT INFORMATION- PLEASE I T ALL F 1 TION: ' R IEWEDBY to/ D AT E o/ A 0 5 PROPERTY OWNER: PRO TY LOCATION LLTI�A` -1 S�TO�Z -1, f r T t t S W 1/4 IJ W 1 /4,S �/ T 2 9 .N,R 1 S E (o© PROPERTY OWNER':S MAILING ADDRESS ST C �OtX BLOCK I SUED. NAME OR CSM / COONTY CITY, sTATE ZIP CODE P FICE ❑VILLAGE DOWN NEAREST ROAD WOOnVIII�,Iv( S�10 Z� I�IS1 X98 -2.-1 `I �21N6 Zq O TA - S'T' (� New Construction Use pCj Residential / Number� L/ [ ] Addition to existing building j ] Replacement (] Public or commerdal describe Code derived daily flow b h D gpd Recommended design loading rate _ bed, gpd/ft __ :_ trench, gpd/ft Absorption area required Soo bed, ft S M trench, ft Maximum design loading rate • S bed, gpd/ft ' 6 try. gPd/4 Recommended infiltration surface elevation(s) \ O Z • S ft (as referred to site plan benchmark) Additional design / s i t e considerations 1 W / $ r Y _ l3Qb • M i to . tZ of Std H L t_ Parent material Lriess owm Get t f - Flood plain elevation, I applicable N 'A, ft S = Suitable for System CONVENTIONAL MOUND "ROUND PRESSURE AT GRADE SYSTBN IN 1U HOLDING TANK U = Unsuitable for stem ❑ S �(U OS ❑ U ❑ S OU EIS OU [IS oU ❑ S I$U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Y Roots GPD /ft [3 D in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. I Bed rfhnch 1 0 - 9 siI Z q 0 R 3! (, Gt� I Z Sbk `1 LS — -S Ground 3 Z7 -S2 '1 -S KlL �j � �5�1(L q / 1 't S o `� ►'t v'FI� . 5 elev. 1O S fL I Depth to limiting factor I Remarks: Boring # o -10 w -m- 31Z as "i • s . � Z Z �o zi 0\ l2_ 31 b — st Z�sb>z d� cs 3 z4�So �- S `� R YI L 0_' %z_ V 1 y s c l 0\ '"� t r > I Z Ground elev. 99.1 ft. Depth to limiting factor y z 0 1 Remarks: CS T Name.—Please Print Arthur L. We erer 715- 425 -0165 eg�rer Soil Testing & Design Service - P.O. Box 74 River Falls,WI 54022 Signature: �/ °1�' -3 Date: `C � CST Number 00576 I PROPERTY OWNER SOIL DESCRIPTION REPORT Page of 3 PARCEL I.D.! Color Gr. Sz. Sh. Depth Dominant Color Mottles Structure : GPD /ft Boring # Horizon Qu. Sz. Cont xture Consistence Baxxiery Roots Bed ranch In. Munsell t. 3 sit Z�Q -sbit v�vii 6 S Z of -- t o�-12 3/� - 6r 5' a+cub1T A Ground 3 Z$ -SD . S Y R 61 1. S V 2 VI ( I i's elev. 99. Li ft. Depth to limiting facto „ Remarks: Boring # Ground elev. ft. Depth to limiting factor ;A Remarks: Boring # 13 Ground elev. It. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBO- 8330(R.05/92) PLOT PLAN Page 3 of 3 SCALE 1 "= X10 M 0 v l U NOT azmlp R-T o z .uvN - ZO a� Afi_ � N o�Slti1 \t� `Ri'lg L.`CPceT 5' P1u►Y�'1 wlovv� _ _ _-1��� 1 �1: 99 .3i ,•� cat�1 k - L. Br�1 1 z S mss. • 300' � - r 31 � 15 e O °lo 1oz - s' 'P'R-0 \-U S QL L o T ' PVC Pt► �,� /�. ayv�Z _ ON Pv T• INST IS F1--OH w► ovII� . Vj Zi�L k t �. k SQ h w ( 715 ) 4 23-0765 14 00576 CST Signature Date Signed Telephone No. CST # Wi eansin Department of Industry SOIL AND SITE EVALUATION REPORT Page of 3 Labor and Human Relations . Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 812 x 11 inches in size. Plan must include, but ST C 1MG. `X not limited to vertical and horizontal reference point (B". direction and % of slope, scale or. PARCEL I.D. # pUO11V G dimensioned, north arrow, and location and distance to nearest road. APPLICANT INFORMATION- PLEASE PRINT ALL INFORMATION R Y DATE /�aa 5b PROPERTY OWNER: PROPERTY LOCATION L kT';Zp\ -{ Wai-le= S lv\3 114 M W 1/4,S �/ T 2 9 ,NR 1 S E (c® PROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK# SUED. NAME OR CSM # 31 `c1l`f'10 3 - P�1rv� c-Sw1 CITY, STATE ZIP CODE PHONE NUMBER ❑CITY []VILLAGE DOWN NEAREST ROAD W0ob \)1U ,k,l 2lN6F►0 -b Za0 `rw S1 New Construction Use Residential / Number of bedrooms Addikn loo existing building [ J Replacement [ J Public or commerdal describe Code derived daily flow b WO gpd Recommended design loading rate _ bed, gpolft — trench, gpdift Absorption area required S of bed, 11 S M trench, 11 Maximum design loading rate S bed, gpo1ft , b trench, gpolft Recommended infiltration sufte elevation(s) 1 Q Z. S ft (as referred to site plan bendnmark) Additional design site =Mleiatials `r'1uyn� vy f 8' �' �eZ� - MW ru . 1Z Of S ftl-,6 R t_ t_ Parent material Loess ov\M GL -AtA NA- 'T1 Flood plain elevation, I applicable N 'A, ft S = Suitable for system CONVENT MAL I MOUND W-GROUND PRESSURE I AT -GRADE SYST N W FILL. HOLDING TANK U = Unsuitable for system I ❑ S RU 0S ❑ U ❑ S ®U ❑ S 21.1 ❑ S In ❑ S "Ll SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Structure GPD /1t Boring # Horizon in. Munsell Cu, Sz, Cont Color Texture Gr. Sz. Sh. Roots Bed renrfi .13 I 0 -9 10`- i(Z312. SLI Z,`�5d1t S �-S lv'� • S .b Ground 3 z - )- S\-az- (.A 0 SHR'1! �f -`l =5 elev. \O S ft Depth 10 limiting factor Remarks: Boring # . 0 -1 O 1�K as 31Z - g Yr► V'�1 i • S 1 �:- t 1 Z`�s Z Z 1% - log 316 - sc Z'Fsbh d� es - . 5 A l Z Ground dev. 49.1 ft Depth to . z 0 1 Grrlr'b'nq • factor y . Remarks: CST Name: — Please Print Arthur L. We erer 715- 425 -0165 ege3rer Soil Testing & Design Service -P.O. Box 74 River Falls,WI 54022- Signature Date: CST N ° 16 = `65 - !O - 1Y� M00576 PROPERTY OWNER SOIL DESCRIPTION REPORT Page ,Z of 3 PARCELI.D. # Depth Dominant Color Mottles Structure GPD /ft Boring # Horizon In. Munsell' Qu. Sz. Cont Color Texture Gr. Sz. Sh. Consistence Boundary Roots .Bed Twich 3 1 0 - � o�I IZ- 3 ! Z - s i l Z`g -sb►� � � v � . e�s � ,� v� ...., s .. ^ b Z —Z8 1O`t2 3A. - - q Gr s I 3 a,V1 ot. Ground 6/L E I _ t elev. Depth to limiting taoto� „ Remarks: Boring # 13 Ground elev. it. Depth to + limiting factor Remarks: Boring # 13 Ground elev. , ft. Depth to limiting factor Remarks:° B oring # Ground elev. , ft. Depth to limiting factor Remarks: SBD- 8330(8.05/92) - I PLOT PLAN Pa 3 of 3 SCALE 1 "= yp ' i �Tz -u�os� cvr Z Fv7v� UT LW;2 - VO N 6T ezmv rvc-T 0% o�Slv�ta `his P11l. t Ek'L 300' O o C, *l - tl. \,)C),0' ON - 1 't FFIbH, 31V" 1))A PVC Pt ►�-- I.J/ LA . EL 0 1 ON PvT UZ(VA T 2 F =1--OM M\1 UK D , �8 -265 -3 � aC7iL> lj�m 1 c -t -� ( 715 ) 42 14 00576 CST Signature Date Signed Telephone No. CST # I 9 /,59f 5 Z o �o ING CERTIFIED SURVEY MAP Leroy A. Storley Part of the ractional Northwest 114 of the Northwest 114 a� the Southwest 114 of the Northwest 114 o ection 4, T. 29 N., R. 15 W., Town of Springfield, St. Croix County, Wisconsin OWNER'S ADDRESS- SCALE IN FEET I "= 300' 990 H/LLCREST STREET BAL DW /N, WISCONSIN -544102 O 50/00 300 600 BEARINGS ARE REFERENCED TO THE WF,�T LINE OF THE FRACTIONAL NW 114 NORTHWEST CORNER SECT /ON 4, T. 29 N., R. 15 W., ASSUMED SECTION 4, T.29N.,R.15W. AS N00 *54'30 "W. (COUNTY SURVEYOR MON.) p h� O SL; ?IVEY ,t;4P � tILLh'hE `, /34G£ 355 4i I O ! 6 i 6 SW CORNER C-SAL LOT SE CORNER / , a + _ NI ( N89 °59 33 E /3/9.74 50. 41AIE CsAf. LOT/ - CAN. LOT/ / I .Ii DOI' -- 1286.74'- - v 33 U ,I /oo , I I D U I � I LOT 3 i CONTAINS 87/, 62/ S0. FT. OR 20.010 AC. C ' ) I J f849, SO. FT. OR 19.510 AC. EXCLUDING I ; I ROAD RIGHT OF WAY) ..I ' Z t N e N I '33.0& ---- m , •�' 537 86'-- - 750.47'-- - N I r N 89.59'33 "E 1321.33'-- Q W f� /00' _ _ _ - - _ A PPR_OX S. L/N R_ACT NW / /4_ NW //4 ` ., AP N17t` /4 -NW //4 C I 0 0 �3 1 = LOT � �J �' i o F . i ►. I � CONTA /NS 835 195 19.173 AC. (814,346 $O. FT. OR /B. 695 AC. EXCLUDING � N o� ? �� cMO°� to ROAD RIGHT OF WAY) .I O 3I '00 , 33.O1�' W ` - -- 536.12'-- _ -- 753.73'- I ._ u _ g11t1111t !h S 8959 1322.85 /'� hyy irA LEGEND 4 : ♦ ♦♦ / 0 o ' h INDICATES 1 "X24" l 0 IRON P/PESET � ;' CE': 2. (M /N. WT.1. /3L8 /L.F./ M = W M RPHY • cc INDICATES FOUND S 713 a 40 EST 114 CORNET? I "IRON PIPE -.R1 FALLS SECT /ON 4, T. 29 N., R. /SW. + � �i • (COUNTY SURVEYOR MON.) /ND /GATES COUNTY WISC. � •••••••. J Q. ,, ♦ SURVEYOR MONUMENT (SURVEY NAIL) . LA N O S,`��♦ INDICATES FENCE L!N Revised December 7, 1998 THIS INSTRUMENT DRAFTED BY ✓ERALD L. L ARSON SHEET / of 2 Dated: October 22, 1998 Vol. 13 Page 3580