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034-1010-40-000
(D 0 N p ° ° N ~ N ~ o I I 0. 0o I CCo I ti L G I~ I O) y p C ' O rF N a) c co a a ~ ~ o m I c o ca 0 CL ~ ~ l o I 3 ~ ~ I N I ~ O N L o Z 'D 3 C C Z o C Z 7 D 0 7 m O LL O C C LL O a) C O N c.= O ( -O N `t Q a c c 3 U Cl) M O O x z l~0 W w O : G Fe U) P o m w a m LO IN- Z.',.. c 0 o z jai Z d c z F- r o z a) 2 M 2 O • IV O C .C C = 0 Z Z O Z Z O Z y ~c C N l0 cn O yOj' N J C O O O _N w Cpl -J N i N v ~ N s. O O O O It Q O d c N N LO Q Q CL a) ~ N N N a~ Z X 3 3 ° o v v 3 3 3 d Z ° O ' •►V m v a a a a a a a g o 0 O O y N 0) co y tll J U c o o } c 0) 0) N N N N co co N N y In 00 _-0 0 O f~ `7 0 0 'C7 m Q a31 a) O L 'p m y r} 0 3 Ci CA7 w O , ~j O O C I ° N C O N C 3: , Lo E ° O C c c LL O 00 0 O C N r \ r- -O O N - N N N O 07 C: m L6 -ai 42 V Ca) t ' 7 of c' d a`) -o U) oo a`) 0 a v w ^)1 0 O p U O O O U3 O O • O O U1 CL :3 H N y z N M O Z N Z x ~ ~ I I w EL ` a .2t L: a T `IV a v 'c c c c c o m 0 3 'o `~1 A 0 a 2 o y 0 o ro 00 Parcel 034-1010-40-100 10118/2007 02:15 PM PAGE 1 OF 1 Alt. Parcel 05.29.15.77A-10 034 - TOWN OF SPRINGFIELD Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): 0 = Current Owner, C = Current Co-Owner O - DIETTRICH, ALEXANDER E & LINDA E ALEXANDER E & LINDA E DIETTRICH 1150 290TH ST GLENWOOD CITY WI 54013 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description " 1150 290TH ST SC 2198 GLENWOOD CITY SP 1700 WITC Legal Description: Acres: 23.470 Plat: N/A-NOT AVAILABLE SEC 5 T29N R15W NE SE EXC P 7713-10 EXC Block/Condo Bldg: AS DESC 1584/315 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 05-29N-15W NE SE Notes: Parcel History: Date Doc # Vol/Page Type 06/22/2004 766659 2601/342 WD 02/07/2001 638172 1584/315 WD 04/13/1999 601190 14181323 QC 07/23/1997 1248/631 WD more... 2007 SUMMARY Bill Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 07/20/2007 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.000 25,400 187,650 213,050 NO AGRICULTURAL G4 21.470 1,100 0 1,100 NO Totals for 2007: General Property 23.470 26,500 187,650 214,150 Woodland 0.000 0 0 Totals for 2006: General Property 23.470 30,650 158,800 189,450 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 I Parcel 034-1009-50-000 10/18/2007 02:22 PM PAGE 1 OF 1 Alt. Parcel 05.29.15.68 034 - TOWN OF SPRINGFIELD Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner O - DIETTRICH, ALEXANDER E & LINDA E ALEXANDER E & LINDA E DIETTRICH 1150 290TH ST GLENWOOD CITY WI 54013 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description SC 2198 GLENWOOD CITY SP 1700 WITC Legal Description: Acres: 40.000 Plat: N/A-NOT AVAILABLE SEC 5 T29N R15W SE NE 40A Block/Condo Bldg: Tract(s): (Sec-Twn-Rng 401/4 1601/4) 05-29N-15W Notes: Parcel History: Date Doc # Vol/Page Type 06/22/2004 766661 2601/362 WD 04/13/1999 601190 1418/323 QC 1248/631 WD 1244/605 WD more... 2007 SUMMARY Bill Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 06/15/2007 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 30.000 5,300 0 5,300 NO PRODUCTIVE FORST LANDS G6 10.000 8,050 0 8,050 NO Totals for 2007: General Property 40.000 13,350 0 13,350 Woodland 0.000 0 0 Totals for 2006: General Property 40.000 9,950 0 9,950 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 113 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 C obi o D on O o O o n-V a m n< 0 Q a - 6 m rD m a' yr cn m o~ c > > Z v T w 3 Ln{ CD ' a o~ ° (I f T o i on f (D m m ' ~ a I CD A A , oo Ij A N is a i a3 _ (n ._0 . ~ m v~ III pr 0 A v r = cn -n z Ln -0 ° z r 1 lD rD Ort m v o < a 0- 1 W N (h C) M w N A C J Cn O p T ° A O rt d ~ I I z ~ rt v I n I i -n 0 d _ (D I.. I`jco l`I a a cc r 08/20/01 MON 12:01 FAX 715 386 4686 ST CRX CO ZONING 4 001 County »Anltary Permit p acs on !9T. CROIX ctwNW WOCON31N In accord with 15.04 St. CMIX County SaNlary Ordinance ZONING OFFICE Personal information You M A44 may be used for secondary Purposes ST. CROD( COUNTY GOVERNMENT CENTER (Privacy Law, 5.16 04f1)(m)~ 1101 Cana kraal Road HudaOn, YVt SIp16-7710 is Fax 15}988.4898 Attach complete ens far the s >s•112 x 11 Irrdres in size, County Sanitary Permit N revision to Prey saplil(catlon i \ 6 r) Z T-IX A, I. AppilaWan Informatlon - Please Print all Information ton, roPsrty r Name A) t 114 S4~f 114, Sac S cXr ST ' ~i N, R W roperty Owner's Manny Address, Number aleck Number Subdiviawn Name or C&M Number Code ty, 161-3 17M at Bu IdIny: c one y ❑Vitlaye own ;d 1 or 2 Family Dwelling . No- of Bedrooms: 3 S p,t, &6'-7q ❑ Public/Commercial (describe use): Nearest C3 State.oMrtrod N heck o A. Cbox on ine B 5 applioable)S. 2 I aax Number(*) 7 L Typo of Pa'MK (C Rapeir Recorwx tin . . E3 Rojugenation A) sanitation Permit N tuber 3 n 7 7 1 S lsouod $we Sanitary Permit was previously issued q IV. VM of POWT System: (Check all that apply) Constructed Wetland ❑ Non-prrosssurized In-ground 10 Mound Sand Fitter ❑ ❑ Pressurized l"round ❑ Holding Tank ❑ Single Past ❑ Dt1P Una p raft ❑ AercWo Treatment Unit ❑ Reoirculat rig O Other . Db raa1R'mstment Area Information: 1. Daspn Flow gpd) 2. Diapersal Area 3. Dispersal Area 4. 1 Appticativn Rate 5. Perko Rate U S/ystem/twnfion 7. Final G ulmd rade Ra~ Proposed (riatsldaylsq.ft (Minfnch) / 6 C~ q-S-O 37- 7 / retab 81ta Con eel . dfactuW . Tank 116n Gepa my In Gallon Total #C( an Now ring Tanks Corraats strutted glass Gallons Tanks Tanks C3 - ❑ e ❑ ❑ 1. ResponsiblIVY Statement the undersigned, assume raspor>a xtity tar repatrfreccinr ndJoNtejuvenatlonrsrstasation of npr►-piu nbing for the POWTS strewn an the attached plans, A !tense is not required for terralR re r or the Installation of nonoumbi sanitadon system. P PRS No. Buskress Phone N mben>b s o (Prim) Plu re (no mps)' Plu s Addrets (Street, ty, State, zip L Cou Use Only Signature (rte stamps) Disapproved Sanitary Permit Fos to Issued Issas Apertt Approved Owrw Given Initial Adverse ~r S7 Determination T D C, A 7 . GondlUona of ApprovaURaasonafor Disapproval: O I Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and )BiRlding Division INSPECTION REPORT Sanitary Permit No: 25 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: Turner, Ted Springfield Township 034-1010-40-000 CST BM Elev: Insp. BM Elev: BM Description: TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing Alt. BM Aeration dg. ewer Io2 ID' he Holding t Inlet 13.0 ll S. ON--.,C Outlet TANK SETBACK INFORMATI tom/ St/ ht TANK TO P/L WELL BL G. Vent to Air Intake ROAD Dt Inlet Septic > 1/ 7 Dt Bottom Dosing Header/Man. Aeration Dist. Pipe Holding Bot. Sy?p J% al G PUMP/SIPHON INFORMATION Manufacturer De St Cover Model Number TDH Lift Fricti L to a TDH t Forcemain Length ist. to Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS C SETBACK SYSTEM TO P/L LDG WELL LAKE/STREAM LEACHING Manufacturer. INFORMATION Type Of System: CHAMBER OR pro / UNIT Model Number: DISTRIBUTION SYSTEM Header/Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) Length Dia Length Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over TT Depth of xx Seeded/Sodded jxx Mulched Bed/Trench Center Bed/Trench Edges psoil Yes A No Fal Yes 0 No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection Inspection #2: ! ! Location: 1150 290th Street Glenwood City, WI 54013 (NE 1/4 SE 1/4 5 T29N R15W) NA Lot ( t Parcel No: 05.29.15.77A 1.) Alt BM Description =4P a -P W C I~ Y) See 6'pa-w "7 Ov" ba C~rc rr 2.) Bldg sewer length = 4 U & S ct d~.~ io(+~ 10 Gr N. }pr a0'G~;+~ n ( - amount of cover = > y2 of 3.) Contour = ( v~ - re, a*; O V~ Plan revision Required? ❑ Yes No Use other side for additional informati n. 4 L SBD-6710 (R.3/97) Date Insepctors ture Cert. No. w r ` _ . ~ ; 3~ , . , , ~ # r. y fr t' M- ~l i~ y~y I* _ , ~ o. ~ y -Y r 08/20/01 MON 12:01 FA% 715 586 4686 ST CR% CO ZONING 25-j jut 001 County Santry Permit p iCatlon ST. CROIX COUNTY W15CCINSIN In accord with 15.04 SL Croix County SWn Mq Ordinance ZONING OFFICE Personal information you provide may be used for e400"dary Purposes 87. MIX COUNTY GOVERNMENT CENTER (Privacy Law. S.11104(1)(n1)J t101 Carmichael Road Hudson, VA W16-77i0 15Feu 15)986+1688 Attach complete glans for the s 112 x 11 IrlChes In ME& county Sanitary Permit all revn to pm s on 1. Ap Ilcation Informatfo - Please Print an Information on roperty Owner Name 1/4 Z ` 114 Sfl 114, Sec S Rytf ' Sj li N, R ft)W raparty own ses Mailing \c~ Number Block Nunrbar 9,0 tyMp Code Subdivierar Name or CSM Number LA S Y01-3 Type v ding: c one ty ❑NNage 0~► X i or Z Family Dwelling • No. of Bedrooms: „ 3 S Pit) At 6 _ / D Pubic/Commercial (describe use): State-awrred Nearest R-hd S~ C3 L Type of Permit: (T2-X A. Check box on Ind C K applimbte) S. argl ax umrer s A) 1.0 Rgpalr f prraellon 3. Non-plumbing . D Reju0snation sanitation - /Di d 3 ,/dc>4 - Perrnit N mbar 3cp 7 -7 '7:5'- Date Issued State Sardta Permft was previously issued TM of pow System: (Check all that apply) ❑ Ngrl-pressurized (n-ground ~ Mound C] Sand Filter ❑ Constructed Wetland ❑ Pressurized hnrground D Holding Tank O Single Pass E3 Drip une ❑ ❑ Aerobic Treatment Unit ❑ Redreulati O Other Dls M*Irrmatrnont Area Information: 1. Design Flow gpd) Z. Dispersal Area 3. aspersai Area 4. Application Rate 3. Porno Rate Systemffiivi n T. Flnell vationGrode '3""7"- Proposed (GaisJdaylsq.ft (Minfnch) f't~ (Q D~ 3 ` S-o 7 ' y-a . Tank Informillon -tepaloty In Gallon$ Total # of en ran refab 81te Con Steel Fiber- pliia New exis Unp Gallons Tanks Corrcrete abucted glass Tanks Tanks N ❑ El ❑ E3 It. Rsponsibully statement the undersigned, amme reapOnslbiuty for repair/reoorxiarrdloNrejuvenBUanlmstaYaUon of non•plurnbing for the P01NTS shown on ft attached plans, A icen8a is not required for termliiR repair or the installation Of no"umbi saNtaUon m. e (Print) Flu larra re (no rope): P PRS No. BusYr"ss Phone ZS Plu mtWs Address (suaet, ty, state, Z+P godf) 'f 0 am L County Use Only Disapproved Sanitary Pemut as Dots Issued Issui Age. Signature (No stamp") Approved Owner Given 1niUal Adverse VZM",- ~ k2&2 /IV DatermhWon 2 0 iX. Condhlons of Approval/Reasons for Disapproval: 'J'L 2Kt`S,~`~ G~v.~,odNPr s vwt,kS +~roper(y ' s Scale 1 A41W r g~ (4, -7,,,., Bh - Pv (~UVb 'M LInTt} l (52> rya h, S c5 R.ptgg C s~vF- Da ~uoT 'bkm-utte) ot,L'nvrt~ 4s C), a- - / ez.LOs~ / et iS ~C ^ s .r / F e-0 Lr 1A 4 O h 3 B D~Z~y ► 4. uis 4t -j5V-'4,tPV4 3' ~lz c ram„") 0 c5 EL 1V V L oW -CRl~h/C~ r a p ~j 1 ' AA'' g Iv ZOb' d ~ l(4 PV C _ `rp g~ r 4 ~F eohi~iucnp~, 1 u~ S Tt~ t L Cl ti"K1~Jp lTt- f ~ Fswar s r~~G ~ ~ - ~Ttl.1a ~E RT LAST So RUM R°UM \ 1ao' ~M'nV % LS , ~fC1W~ flM~ ~Y Lt r ZS, POVI TWIIA wt tX) B W ~~L TEMC-~ot2N~73 BDSt:1rf- ~iS~TL~c-` 'NOTES: '•1. Elevations shown are existing ground elevations unless otherwise noted. 2. install permanent markers at end of each lateral. ( Z required} 3. Install 4" observation pipes with approved caps. ( Z required 4. -Septic tank to be 10oo I_ SO gallon capacity manufactured by `~'1 ~bti3 f?- , )iv e . 5. Bench Mark 5 9~ii Pr$o U C n;vT v-+ rir~~r•G s.~a1 a7^ R11-nil"ri Rv'r,tPin to »Y•PVPnt- nnnrilntr M- the iinh'111 sidp. J ~97 4i- ST CROIX COUNT"' SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSI P CERTIFICA'MON FORM Owner/Buyer c, Mailing Address S T Property Address (Verification required from Planning Department for new construction) z LtJe Parcel Identification Number - 3Y le9l City/State f-2Z~j'~2 LOCAL DESCRIPTION . ~ property Location '/4, L:_ Y4, Sec. S . TZN_IZL 'yv, Town of .Lot Subdivision .Page Certified Survey Map # Volume # / g 3 2 3 /%U Page # Volume Warranty Deed # Spec house [3 yes no Lot lines idekitifiable ❑ yes ❑ no Proper o the systnce SYSTEM MsrN'rFNANCE maintena Improper use and mamtenanceof your septic system could result in ita premature failure to handle wastes consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. 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 vc that {1) the on site wastewater system masterplumber, journeyamplumber, restricted plumber or a licensed pumper rify* septic tank is loss than er full disposal sludge. is in proper operating condition and/or (2) after inspection and pumping (if necessary), the 1/3 of Uwe, the undersigned bave 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. ffiCertification e Ming that your septic system has been maintained must be completed and vaturned to the St. Croix County Zoning 30 days of a three year expiration date. 0, DATE A O APPLICANT OWNER CERTIFICATION knowledge. I (we} am (arc} the owner(s) of I (we) certify that all statements on this form are true to the best of my (our) YNA;}j ry described abov , by virtue of a warranty deed recorded in Register of Deeds Office. V ~OOFFAAPPLICANT DATE Any information that is mis-represented may result in the sanitary permit being revoked by the Zoning Department- this application: a stamped warranty deed from the Register of Deeds office with thi include a copy of the certified survey map if rj:ference is made in the warranty deed 6p1 ,ptc wi• 1418PAGE323 ST, CROI# p~ pFOH X CO' , WI Document Number I CLAIM E Rf~t~ FOR RED 04 -1a_lsyy 2- JSS ar Doreen E. Turner quit-claims to Theodore N. Turner the ~tK DQ-0 following described real estate in St. Croix County, State of art cor FrE= eN Er UP e Wisconsin: RICK it Fa: mss: F&t: io.00 1 Recordin Area Name and Return Address P4/z /t/ -/V ",A l X90 iz 5; n.3 • / hoy - 5a- oo0 (Parcel Identification Number) Northeast Quarter of Southeast Quarter (NE% of SEY4) EXCEPT North 285 feet of South 540 feet of East 277 feet thereof; Southeast Quarter of Northeast Quarter (SE% of NE%); ALL in Section Five (5), Township Twenty-nine (29) North, Range Fifteen (15) West. This is not homestead property. Dated this 13 day of 0&Z,,,'( 1999. D n E. Turner /J AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ST. CROIX COUNTY 7Qi Personally came before me this ZL day ofnrrr 1999, the above named Doreen E. Turner ii R. known to authenticated this _ day of 19^ be the person(s) who executed the fp~rt~idfn ad,*ument and acknowledge the same. signature !t/ J signature d, { • S type or print name type or print name & !r. eo I rl TITLE: MEMBER STATE BAR OF WISCONSIN 3 w If not, Notary Public St. Croix County, ep'8r~;• ( M commi Sion 's permanent. (If nt3le~ation date: authorized by 706.06, Wis. Stats.) y p~ p THIS INSTRUMENT WAS DRAFTED BY 'Names of persons signing in any capacity should be typed or Thomas A. McCormack printed below their signatures. Baldwin, WI 54002 Mom aiion Prdeii-i,ls Carorrv Fond du Leo. Wnoon.h eooass tr { +~1 v A* j 4,L 4p ._Ir \v`1H n l ~ dl 1{IL, l Ifi~ rC1 { L i1 t II t rrt i I1 1t I I` _ {1 , ~ y, u,., ~t\t\\ 411141\l\lhiUllu`~`1~{Ili~ii[1~;tu~ t,r I`I not t , ti~~~5t ` t ~fi IF ~lUvttltu•.: _c..1t LL ~ flAwkpNl~u ltlti,Ut~1 , ~ r td .._~1l ~\tu~~~,.~~~ll1t 1~\U4~115.1~,1 1 {111{4AL' U1r 1ltu~U)N11 (A ( S , i uh LL ~tlu\ l(IauitlLb~W..~~.. etc rte\1 ~~~111'.il ~Li ILL 11u It l~~'t~t t tul~ut.tl{trlllli~lfi 1~[i1t141'1\l\i tllll I fr `LL~~'(~~1.All1VVA.tlUS~wll,t',udlltllt~tlUVIIVUI!(111L(1rIUf111~11u11111 /Rk -.~a.NNH11'INtU\kl,A ALULA. s r I , C] 00 I !#t tt ar KtY~N# i t^ BED -Y t~ ROOM #t St DINING ROOM al -t x ,r Artist rendering features ,~"TMx# # options listed below „•-r tud ■ Nine-lite front door ■ Entry door surround ■ Additional endwall windows ■ Mulled window ' u{nNC Roots 1r-6 x 3'-J BEDROOM #2 ■ Colonial window grids d s'-rf x ,a'-I r BEDROOM }~3 : x'' ■ Shutters ; I ■ Trim accent below sl windows k ' ■ Additional exterior light at front door ~j> ■ Attached garage A'Vk w~ F f PA(-, F 9 a ST. CROIX COUNTY ZONING DEPARTMEN AS BUILT SANITARY REPORT Owner, Address 9 4.4 I - Alir City/State ,A ST CRC )l 19,98 x ,1 Legal Description: ' ~zCYV,N o FcE Lot Block Subdivision/CSM t& SE Sec. , T,?IN-RZ:!~:'W, Town of PIN # b SEPTIC TANK DOSE CHAMBER HOLDING TANK INFORMATION: /1C- V9s r ,Oc / Tank manufacturer size ST/tC/G Setback from: Housca~ We1L r/L 1 Pump manufacturer s Model Alarm location 7-4 e5e '44usc (HOLDING TANKS ONLY) Setbacks: Service road Vent to fresh air intake Water Line Meter location Alarm location SOIL ABSORPTION SYSTEM: Type of system: -A ~1,) _ Width S Length 1 Number of Trenches Setback from: House 45'' Well ZZ4 P/I o Q -t- " ,a Vent to fresh air intake (o . ~ ELEVATIONS: Description of benchmark Elevation Z y l8 Description of alternate benchmark rv / .6 Elevation Building Sewer 1s ST/HT Inlet //2 ST Outlet e //L, PC Inlet PC Bottom Header/Manifold 1W, S- Top of ST/PC Manhole Cover 4?, S-z, Distribution Lines ,76 O ( ) Bottom of System 7 ( ) ( ) Final Grade / 4 `~r~ ( ) Date of installation " / Permit number36 7,7 7Sr State plan number jy::,-2e)6 Plumber's sign ture License number hf#*6/Z Date Inspector Complete plot plan NOTICE: Please provide the following: • A plan view sketch showing everything within 100 feet of the system. • Two horizontal reference points to center of septic tank manhole cover. Show alternate benchmark, if applicable. PLAN VIEW -3 lle- Pj 0 ~d 10✓ -44- e ~N ~o ~u qeo 4- #10 40" v INDICATE NORTH ARROW Wisco sin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Buildings Division County ST. CROIX INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary 5107,71" Personal information you provice may be used for secondary purposes [Privacy LavX s.15.04 (1)(m)]. PecmiY.Halde,'s fft~ ❑ `.~t'tc~lyipjfflbwn of: State Plan ID No.: CSS'TUUBKKMI1VVElleiftv..: Insp. BM Elev.: BM Description: Parcel T,@ 1591_1010-40-000 loo 00 it V, 33141 JL- pipe TANK INFORMATION ELE ATION DATA A9800164 TYPE MANUFACTUR CAPACITY STATION BS HI FS ELEV. Septic Bench ral 5/f15,/I IQC Dosing //(o -71 Aeration Bldg. Sewer Holding t Ht inlet TANK SETBACK INFORMATION St/ Ht Outlet Ventto TANK TO P/ L WELL BLDG. Air Intake ROAD Dt Inlet Septic NA Dt Bottom ~a, tf aA- .6 Dosing t+ NA Header/Man. /p~-~ Aeration NA Dist. Pipe /0(0 Holding Bot. System 196 , 6 PUMP/ SIPHON INFORMATION Final Grade Manufacturer G O Ll emand pG Model Number p PD C/- Y.(SGPM L I _S~k l/,5 . TDH Liff4 Friction o Systema- TDFC Ft Forcemai n Length ~Sl Dia. Dist. To Well SOIL ABSORPTION SYSTEM ?.(,of E TRENCH Width Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Dep h ME I N /J DIMENSIONS SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACHINR Manufacturer: SETBACK NFORMATION Type o CHAM Mo el Num er: INFORMATION System: IqV OR UN DISTRIBUTION SYSTEM Header / M ni old Distribution Pi (s) x Hole Size x Hole Spacing Vent To Air Intake Length Dia._ Length J Dia. Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over 1 y xx Depth Of xx Seeded/ Sodded xx Mulched Bed !Trench Center Bed J Trench Edges Y Topsoil ❑ Yes ❑ No ❑ Yes E] No COMMENTS: (Include code discrepancies, persons present, etc.) t~~'p IO.o~! (o•/f !~~rJ'7 LOCATION: SPRINGFIELD 05.29.15.77A,NE,SE 1150 290TH STREET 1 " Alf. ;~K- ~m v a;y,~ 1 5 I P Plan r6vision required? Yes ❑ c Use other side for additional inforrrfation. IK12 cl / SBD-6710 (R.3/97) lU'e 1~ 'Y,1Fl M ? Date Inspector's Si ature rt. No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: i Safety and Buildings Division ryri" SANITARY PERMIT APPLICATION Bur eau ofBuildingWater Systems t~ 201 E. Washington Ave. In accord with ILHR 83.05, Wis. Adm. Code P.O. Box 7969 Madison, WI 53707-7969 • Attach complete plans (to the county copy only) for the system, on paper not less County 21 than 8112 x 11 inches in size. ..Jt 'OM x • See reverse side for instructions for completing this application State Sanitary Permit Number The information you provide may be used by other government agency programs ❑ Check if revision ~evous app-Tcaiion [Privacy Law, s. 15.04 (1) (m)]. //(570 C State Plan I D. Number 1. APPLICATION INFORMATION - PLEASE PRINT ALL INFORMATION Property Owner Name Propert L cation u2 /~E1/4 1/4, S , N, R l:5E (or Property Owner's Mailing Address /k Lot Number Block Number f' i C c2 -9 e.4 /ff 6 Zip Code Phone Number Subdivision Name or CSM Number Ci ,Sate 0 T7-- P II. TYPE F BUILDING: (check one) ❑ State Owned City Nearest Road Public 1 or 2 Family Dwelling - No. of bedrooms -3 Iowan 1P,?1A),1 " A _T - III. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s) 5. . '13 ZIA 1 ❑ Apartment/ Condo t IZ'le 2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/ Repairs 11 ❑ Restaurant/Bar/Dining 4 ❑ Church / School 8 ❑ Mobile Home Park 12 ❑ Service Station / Car Wash 5 ❑ Hotel / Motel 9 E] Office/Factory 13 E] Other: specify IV. TYPE OF PERMIT: (Check only one box on line A. Check box on line B, if applicable) A) 1. New 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5. ❑ Repair of an -----System System -Tank Only Existing System ___--___-Ex(st)ng System B) ❑ A Sanitary Permit was previously issued. Permit Number Date Issued V. TYPE OF SYSTEM: (Check only one) Non-Pressurized Distribution Pressurized Distribution. Experimental Other 11 ❑ Seepage Bed 21 Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22 ❑ In-Ground Pressure 42 ❑ Pit Privy 13 ❑ Seepage Pit 43 ❑ Vault Privy 14 ❑ System-In-Fill VI. ABSORPTION SYSTEM IN~ORMATION: 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc- Rate 6. System Elev. 7. Final Grade Required (sq. ft.) Proposed (sq. ft.) (Gals/day/s,. ft.) (Min./inch) / Eleva 'on 7 S d Co Feet , Feet VII. TANK Capacity gallonTotal # of Prefab. Site Fiber- Ex per, INFORMATION Gallons Tanks Manufacturers Name Concrete con- steel glass Plastic App New Exist in strutted Tanks Tanks Ic an nk ❑ ❑ ❑ ❑ ❑ Lift umpTan r, G ❑ ❑ . ❑ ❑ ❑ ❑ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plu ber's Name: (Print) Plumber's Signature: (No Stamps) Fr/ PRSW No.: Business Phone Number: Ae4a Plumb r s Address (Street, City, S te, Zip Code) r r ; r IX. COUNTY /DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Inducies Groundwater Date Issue uin ent Signature (No Stamps) ` 0 Approved ❑ Owner Given Initial Surcharge tee) e txs It (AJ Adverse Determination /tom X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: AiII64 e. (naWe, 4t4;-;+ ,Iy,- *'e_Mc>VcA upcWl C,ov4 f(e,+t 1 #t- AM 11 V VM4 ©ADYNIn 01, r ~ SOD-6398 (R. 05/94) DISTRIBUTION: Original to Co nty, One copy To: Safety s Ruildings Div,.ion, Owner, Plumber INSTRUCTIONS ` 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at a time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4_ Changes in ownership or plumber requires a Sanitary Permit Transfer/ Renewal Form (SBD-6399) to be submitted to the county prior to installation 5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety and Buildings Division, 608-266-3815. To be complete and accurate this sanitary permit application must include: 1. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed- 11. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling. 111. Building use. If building type is public, check all appropriate boxes that apply. IV. Type of permit. Check only one on line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested for numbers 1 through 7. VII. Tank information. Fill in the capacity of every new/or existing tank, list the total gallons, number of tanks and manufacturer's name, indicate prefab or site constructed and tank material. Complete for all septic, pump/siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. VIII. Responsibility statement. Installing plumber isto fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County/ Department Use Only. X. County/ Department Use Only. Complete plans and specifications not smaller than 8 112 x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s); septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if required by the county; E) soil test data on a 115 form; and F) all sizing information. GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges-(fees) for a number of regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater contamination investigations and establishment of standards. SAFETY AND BUILDINGS DIVISION 2226 Rose Street LaCrosse, WI 54603 *Irsconsin Department of Commerce r Tommy G. Thompson, Governor William J. McCoshen, Secretary January 14, 1998 rye J ` 10 WEGERER SOIL TESTING & DESIGN \ GOB F1GE ;r`+ 421 N. MAIN ST. P.O. BOX 74 RIVER FALLS WI 54022 X' It <v~ ~i RE: PLAN 9820054 FEE RECEIVED: 405.00 TURNER, TED NE,SE,5,29,15W TOWN OF SPRINGFIELD COUNTY OF ST. CROIX MOUND SYSTEM PETITION FOR VARIANCE TO CODE SECTION(S): Comm 83.23(1)(e)l. The Department has reviewed the above-referenced submittal. Conditional approval is hereby granted for the system plan submittal. All noted items must be corrected. The review and approval of the system is based on chapter 145, Wisconsin Statutes, and chapters Comm 83 and 84, Wisconsin Administrative Code, and is contingent upon compliance with any stipulations shown on the plans. This system has not been reviewed for the code requirements set forth in chapter Comm 82 or in chapters ILHR 50-64, Wisconsin Administrative Code. This plan submittal approval will expire two years from the approval date, or if a sanitary permit is obtained, plan approval will expire on the day the initial sanitary permit expires. The licensed plumber responsible for this installation shall keep one set of plans with the Department's stamp of approval at the construction site. The installer shall notify the appropriate inspector when inspections can be made. All of the statements and supporting documentation included with the petition were considered. Since your request is similar to other petitions approved by the Department (e.g.S93-00901), the petition is approved. The variance requested was to allow the installation of a new mound on a slope of 15 percent. This petition approval is granted conditionally with the understanding that all of the petitioner's statements included on the variance application form and any other documents submitted to the Department will be carried out. This variance is specific to the subject petition and cannot be used for any additional modifications. All permits required by the city, village, township or county shall be obtained prior to installation. SBD-5524-E (R.07/96) File Ref: • SAFETY AND BUILDINGS DIVISION 2226 Rose Street LaCrosse, WI 54603 ►scons►n Tommy G. Thompson, Governor Department of Commerce William J. McCoshen, Secretary WEGERER SOIL TESTING & DESIGN Page 2 January 14, 1998 PLAN 9820054 Inquiries should be directed to me at the number listed below. Please refer to the plan number shown above. Sincerely, i rard M. Swim Plan Reviewer Section of Private Sewage (608) 785-9348 1164L/ 2 cc: ST. CROIX • 98-200,54 Page 1 of 6 • MOUND SYSTEM RECEIVED A 3 BEDROOMRRESIDENWAN 12 1998 SAFETY & BLDGS. DIV i LOCATED IN THE NE 1/4 OF THE 5 EF 1/4 OF SECTION 5 , T Zq N, R I S W, TOWN OF Sh ~c C~ G Ft LLD . ST C Cta IX COUNTY, WISCONSIN. INDEX PAGE 1'of 6 TITLE SHEET PAGE 2 of 6 PLOT PLAN .PAGE 3 of 6 PLAN VIEW-CROSS SECTION PAGE 4 of 6 DISTRIBUTION PIPE LAYOUT . PAGE 5 of 6 PUMPING CHAMBER ' PAGE 6 of 6 PUMP PERFORMANCE CURVE PREPARED FOR TES T~ ~ E1~ Z 9 8 6 l30 `T~F NtUE G t_ ~11.v00~ ~-~'f t!, ~v ( S ~l 013 PREPARED BY WF=GF=F~EFR SOIL TES-r m "cB Otto@" 31)E=-E3 2 GlVIMSF=F:ZV I CE Lo\s®pl%00, P.C. B01 74 421 M. KAIN ST. RIM. FALLS. NI 54022 wFGE EA • U-9SP 715-425-0I65 t, ,fJ ELLSWORTH. p.O.W.T.S. .l Wis. h~ Conditionally` l 4kee I GNP ROVED p 41 - APP GNP 00,181601 DEPARTMENT OF COMMERCE GS 1 ` 9.- - 7 V{SION of SAFETY AND BUIL SPO NCE RE EE COR JOB NO. 1 ` l g q PLOT PLAN Page Zof Scale 1 L1 O' r 6 ~ I ~ e P LPE Wl'~ Ong L►~TT} C s~svE-~o nor ~islvRS~ ON L~l U ~ l., S ~ f / o / I /a s i L m oV l I S O / - / 7 I y, lb. O ' Q r 61, z f,, X/ s h ( 3 BDCt~1 i co. , ~J ~E a-L )as a- s" zo, J 4oaF4y C r-~nv~j4 e•Z c~'v1vv~Z ka. LL to Z. ~o't~pM p~ `C~Cl1 ~ 4" LL, jt(,.o O s ZOO dF=- (4 4~uC - to gE f A0P~%~0tvNlJ 1 Tta RL VV", "1 c ~S1~2 u cy 7 t)YU _~'JFtL 10 !3F PrT Lt'(\ST 50' 1-jUM Mix awlvM . MUW~ i~M~ ~T l~T 2S I0 ` TN►A s. 1 ~ I i "T'EM ~ n2Hx.7 3 8DR1r1 _ ►~oeT~--- - ~ 1~h'►~ - To 8E REMOVED h1F1~. t-~ow1t= c0+~S`(\u►U70~U NOTES: -1. Elevations shown are existing ground elevations unless otherwise noted. 2. Install permanent markers at end of each lateral. ( Z required) 3. Install 4" observation pipes with approved caps. ( Z required) 4.-Septic tank to be lDOOj6SO gallon capacity manufactured by ~t-y~,bvy~~`I~.~l Pte. ~►v e. 5. Bench Mark 5 EI~7 Pr$p u r4~ 6. Divert surface water. around system to. prevent-.ponding at the uphill side. Page 3 Of Approved Synthetic Covering t~3TM C 33 Distribution Pipe Medium Sand H Topsoil F G Eled. 10 6.0 -J D - 3 E e 1S % Slope Force Main Plowed Trench of 2 z" From Pump Layer ~ Aggregate D 1-O Ft. Undisturbed Soil E \•-15 Ft. Cross Section Of A Mound System Using F 8 Ft. I Trench For The Absorption Area G Ft. A S Ft. H I- S Ft. B -IS Ft. I ZO Ft. a 1975-' Linear Loading Rate= 6.0 GPD/LN FT 6 Ft. Design Loading Rate= o•ZyGPD/SQ FT V~Q~-GL~ ~(fU (o =7Sb K Ft. L Ft. ^ Position of Force Main W 3 Ft. L B tC - Mein W \ ' ~ , r Distribution Trench Of 2 - 2'2 Pipe Aggregate i s Observation Permanent Markers Pipes (Anchor securely) Mound Using I Trench For Absorption Area Page .q.. Of f Perforated Pipe Detail 0 i End View Perforated End Cap.) PVC Pipe 1 _ ~o~~e ice Install permanent'marker at end of each lateral Holes Located On Bottom, Are Equally Spaced Q End Cap P ~'2 PVC Force Main Distribution Pipe Last Hole Should Be Next To End Cap Distribution Pipe_ Layout P 3N.5 Ft. X 3 Inches y Inches Hole Diameter ~~5( Inch Lateral lL/ Inch(es) Manifold Inches Force Main Inches # of holes/pipe k Z Invert Elevation of Laterals 1136,-SFt. 12xI• k, z 11-4. (Nq X Z= ZF.O$ GPM Place lst hole kj3" from tee with succeeding holes at 36y intervals. Last hole to be next to the end cap. Combination Septic:.Tank and PUMP CHAMBER CR05S SECTION. AND SPECIFICATIONS PAGE $ OF • -VE1JT CAP WEATHEK PF-00F JuUCTIOIJ bOX y°C.I. VENT PIPC APPROVED LOCKI?JG 10' f ROM DOOR MA►JHOLE COYER >N11A ,i[MDOW OR FRESN wARrJ1f.1G La6EC.. ALP, IUTAKE S cor.~pu>tr i !j I z l0 b"MR-X. `f'xlAl. t ~ !6""1 K GR /S I i 1 e• MI u. y~►tJS~c'Cnon~ PIPC PROVIDE I - INLET _ AIRTIGHT SEAL I III ~ A I III APPROVED J01►JT: APPROVED I III / W1 C.I. P IPE F JOIWT ( III W/C.I. PIPE~poc OR Tank construction I II ALARM shall comply with ) 11 ILHD (83.15 and 33.20 a I I I I ow C I I 1Db • 83 L LE V. FT. JtOFF COMCRELSZ_ 1 0 0. 0 0 BLOCK L . - - 1 3" APPRae'. RISER EXIT PERMITTED OIJLy IF TAUK MANUFACTLRER HAS SUCH APPROVAL gEDpIN4 111..... SEPTIC 5PEC.IFICATI0KJS f DOSE TAWK MAIJUFACTUILER: Htt)w ~ PAST IJUMffER OF DOSES: 1*2' PER DAB TAWK tIZIL: GALLOWS DOSE VOLUME r 5.S•'-eCM0 SYsTLZ"s IWCLUDIMG 6ACKFLOW: GALLDUS ALARM MANUFACT URCR: MODEL NUMBER: lD 1 kA W CAPACITIES: A= 1$ IWCHES OR 30 (0 GALLOIJS SWITCH TtJPF: 1" 1 ~ZC~-AZ-Lf' B= Z IWCHES'OK -1 V_ G( LLOUS FRUMP MANUFACTURER: :Le 60u (eA 5 C- $ 11KHES OR CALLOUS MODEL NUMBER: 3~ I E PO D- _ M INCHES OR GALLONS L SWITCH TYPE: V-,\ ZC°_URY MOTE: PUMP AMD ALARM ARC To 5 b MIMIMUM DISCKARGE RATE GPM INSTALLED ON SEPARATE CIRCUITS VERTICAL DIFFERENCE OETWEEU PUMP OFF AU0.13I5TRIBUTION PIPE.. 5' 67 FEET t MIIJIMUM mETWORK SUPPLY PRESSURE , 2-50 FEET -1- S FEET OF FORCE MAIN X \`b\ FYO fCFKICTIOW FACTOR— 0-2-Y FEET TOTAL OtIUAMIC HEAD = 8 FEET Pump chamber DIAMETER 3S ti IWTERLIAL DIMEIJ5101J~ OF TAUK: LEAIGTH ;WIDTH -~~LIQUID DEPTH BOTTOM AREA 231= GAL/INCH AS PER MANUFACTURER = Y-)-C)- -GAL/INCH ':iy 11kYA':u'41J.l:.li7i%~ri6+lu.:':(". ~.:.:!?.iuM:l r.. :FNf+F. NMi - G )ulds Submersible Effluent Pump • EP04 EP05 APPUCATION • Fastenersf 300 series •r Fully submerged in high ■ Motor Housing; Castiiron ned for the • stainless steel. ' • 0 grade turbine oil for for efficient heat transfer, Specifically. desig pf• ng lubric tan f efficient strength, and durabN k ~°followMg~fses.. • Homes ' without dangetto-heat tran$fe[. ■ Motor Cover: Thermoplas • Effluerltsystems dry components' tic cover with integralbandle atic ark ; Motor: , and float switch attachment *Farms I opts «putprnatic • Heavy duty sump • EP04.Sirrttpp~ ass 0.4 kP, haiKludeM4da0 ical Points. • Water transfer 115 or 230 ",•6p 11iizz~_ 1519 4' p it gw h assembled and ■ Power Cable: Severe duty • Dewatedng RPM, built in overload W h 4 rated oil and water resWant. automatic resei« P! at #0,' 'Wry. • EP05 Single phase: 0.5 HP,' ` ■ Bearinps: Upper and lower SPECIRCAT10NS TARES heavy duty ball bearing 115 V►;z►hi5~0 Rp_M Punp►: EPd4 built it1! x construction. r r'r~~het/no-r °i • Solids handling capability: 3n" n 'l: maximum. • PoF i « AGENCY, UST1116s~ • Capecitleivp to 55 GPM. • Total heads: up to 24 feet. with th ndl 1g T n • Disc size: l'/i NPT. Plug. 0pti4t1814 footn (CSA listed model numbers • Mescal seal: carbon- length13,SJ1A(:with n for end in "F" or "AC".) rotary/t gamic-stationary, three Pr~On proundi~g p! tg i r BUNA-N'eiastomers. (standard on E 5 MaCesinp aMd E ass: flirgged • Temperature ti>BrmopJat tic d jO provides orstrertp h arrd 104•F (40°C) continuous super' 140•F (600Cj intermittent. corrosion resistance.' • Fasteners: 300 series METERS FEET ' stainless steel. 10- o Capabie'of running - dry without damage to s 30 components. Pump: EPOS e • Solidshandiing capability: c 25 V ma)(imum. - - - - • Capacities: up to 60 GPM. = e 20j- • Total heads: up to 31 feet. • Discharge size: 11h* NPT. 5 • Mechanical seal: carbon- 0 15 _ rotary/ceramic-stationary, ` 4 BUNA-N elastomers. • Temperature: ic • - _ - - s 10 104•F (4M) continuous 140°F (600C) Intermittent. 2 -5 1 r$ , 0 " 0 a 10 4 ; 1 1 ~ 40 40 30 ' GPM 0 2 4 8 8 10 1 Z mNri 01993 (30" Pumps, inc. E ,1993 Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page of 3 Libor and Human Relations ` K*kn of Safety & Buikbngs 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 ST. C~`X not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. 03'4- :1 OI` 0 - 40 APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: FPrR-! i elt T E F~DIa uJ 1 s + 7tuv PROPERTY LOCATION qENc . '*T~~ -Tu~w 4WT. ~ W-4 1/4 SE 1/4,S S T 201 N,R V S E ( W PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # S 013D. NAME OR CSM # Z 9 `a 6 X30 `Tt+ 1 vi ' - CITY, STATE ZIP CODE PHONE NUMBER []CITY []VILLAGE DOWN NEAREST ROAD Gt_tzr\3woop Cry L jl sv ot~ (-)13) Z6s 7So 1 SPNZIN G t=t p Z.90 `m ST. D4 New Construction Use [>l Residential /Number of bedrooms 3 [ I Adelkn to existing building [ I Replacement [ ] Public or commercial describe Code derived daily flow q SO gpd Recommended design loading rate bed, gpd/0• ZV trench, gpd/ft2 Absorption area required 3-I S bed, ft2 3_l S trench, ft2 Maximum design loading rate • y bed, gpd/ft2 •5 trench, gpd/ft2 Recommended infiltration surface elevation(s) i u U • D ° It (as referred to site plan benchmark) Additional design /site considerations M uv►,A') w/ S X S' T1 h.et~ - S' LM)-)W Foil V f1'21 M~x~ p CS ~n>> Parent material t o Ls s ovk1Z GL ftC,lLf ru -T-ILL- Flood plain elevation, if appfcable ru A , ft S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U = Unsuitable fors stem ❑ S ®U ®S ❑ U ❑ S O U ❑ S ®U ❑ S ®U ❑ S Lou ,Lt7o>J q~Z uK~ t SOIL DESCRIPTION REPORT ~a~o vnti. R~'D . Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed rendx n-1 O ~O`t lZ- 13 S 1 r~ S~~ m Z lbw \0'1 1Z- 316 _ s 1 1 Yv, s V 'Ft- 0-S - , 4 • s w, ~v- es NP . Z Ground 3 2~639 I.SyR• V/y ~).s 4? _S/8 so- Z>1* 1 elev. 12 y /y C t c, C>'N rv, i - Up . 2 100.3 ft 39 -L1 S 10, Depth to limiting facto Z Remarks: Boring # o - l 0 ~o~ 3) 3 Z Z lb Z S 10`1 R- 316 s W~ Slt;1't In V'~1 4_S 3 ZS-Y6 -)•S`1R- y/5! C'l.s~ I~slL3 Sc1 Ground elev. 1oZ.b (t Depth to limiting factor 25` Remarks: CST Name:-Please Print Phone: Arthur L. We erer 715-425-016 egerer Soil Testing & Design Service-P.O. Box 74 River Falls,WI 54022 Sgnature: Date: CST Number: -t!~l~ 2' M00576 PROPERTY ~v ~t QWW~ -70 ~t" IE? SOIL DESCRIPTION REPORT Page '_of 3 PARCEL I.D. # 03 - l Ol 0 - 4 ~J Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 3 n-~1 ~0~2. ~t3 1 s lwsb +Y,v'F~ a,s .y .:s 7- 11-Z~ V34 3/~ Sbht M \)i1 G_S `l .S i Ground 3 D3S '•S4t7- yl y ytz Slta S QA Ott, tin`f 1-- - fop .:2. elev. 1o8•oft. i i Depth to limiting factor 2.1" i Remarks: Boring # i i Ground i elev. ft. i i f Depth to i limiting factor j i Remarks: Boring # I Ground ' elev. I ft. Depth to limiting i factor I i Remarks: `Boring # i i x,;•,,,f Ground elev. I ft. Depth to limiting factor Remarks:, SBD-8330(R.05/92) PLOT PLAN Page 3 of 3 SCALE` 1"= Br9 _ ~..10u.0 ore) 1o~1~lsM, 3/y`p~0, ►,~lu oo L►t'TN G Z.0'e's Pv P LPL- SPSvE-~o NoT ~t3TuRB~ s O' A- / et tos3 /N 6.1 3! / o / I ! m ISO/ 70 !/2 ~ d` b D r ZS 3!, 1os.o' Et. 1o V°- b` - r 1 • 11 ov3~ lv NT Lev~sT 2 V FIZO 1 MOJK,1~) ~ Z. w ~.L. i k 4 4 S~ N k I E-- 3, ov~'tiv swipes Exc~~G 12°I~; ~a pTc~►v V MZ-tfrKJ C 1N1 1.L 8E ~ i V1 t?~Zb P?r- `nm 77 i GF ~ovYV~> YL~ S~~~C'fl'i'tt i~12 STKTB R'CUt~v, (715 ) 49.5-01159 1:400576 CST Signature Date Signed Telephone No. CST # r ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer ,/u2.rJ Mailing Address L Property Address Z C n, c (Verification required from Planning Department for new construction) City/State Parcel Identification Number 6 3 SZ, LEGAL DESCRIPTION Property Location ,QA!!~ SL' Sec. TT,;? I N-R~W, Town of oe x e L=~ Subdivision Lot # Certified Survey Map # , Volume , Page # Warranty Deed # - (S Volume 12 q,$ _,Page # P _ Spec house ❑ yes JW no Lot lines identifiable ❑ 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) f the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. SIGNATURE OF APPLICANT DATE *****s *****s 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 PP_ i7- • ood ,l • STATE BAR OF WISCONSIN FORM 2 - 1'82 30' WARRANTY DEED , 561732 DOCUMENT NO. VOL ~24 S PACE 6• J1 f 1 si CRUX CTY, Wl Paul R. Wagner and Debra A. Wagner, husband and wife, holding as survivorship marital 1'• z Proper-~_ "JUL f 199f A 9:50 A M conveys and Warrants to Theodore N. Tuner and Doreen E. Turner, husband and wife Ru¢IS>tM ~i Des_9 n -1 THIS SPACE RESe?vED FOR RECORDING DATA NAME AND RETURN ADDRESS q; the following described real estate in qt. Crni X 'i• MIESTconSiq C,,,,r. U State of Wiscomin: P O BOX 160 nion Menomonie, M 54757 PARCEL IDENTIRCATION 'MBFR Nort cast Quarter of Southeast Quarter (NEk of SE's) EXCEPT North 285 , feet of South 540 feet of East 277 feet, and all of Southeast t`. Quarter of Northeast Quarter (SEk of NE%), Section Five (5), a Township Twenty-nine (29) North, Range Fifteen (15) West. 4 $ NN 0,§ R homestead properly. This is not XXX (is not) ' Exception to warranties: Easements and restrictions of record. Dated this day of Sv 64- --.A.D. 19 97 (SEAL) (SEAL) Paul R. Wagner ` (SEAL) t (SEAL) Debra A. Wagne AUTHENTICATION ACKNOWLEDGMENT , • 7, Y Signature(s) State of Wisconsin, 9 St. Croix County --mall came before me this day of authenticated this day of 19 Y J.- 0-4:, 19 97 , the above named Paul R. Wagner and Debra A. f1tk. Magner TITLE MEMBER STATE BAR OF WISCONSIN (1f not. - - - r-- Tv authorized by §706.06, Wis. Scats) to-me Tx.wzt zt+ the person S _7o who executed the foregoing { ^::*-:rr~n• rid ac~:nowled~,t~y~sa~. ~ t to / - 1 t 1 1. THIS INSTRUMENT WAS DRAFTED BY _ ~--1_ ~_t~rL b+-_ • r Thomas A. McCormack Baldwin, _WT_54002 - \tian Public. County, Wis (Signarures may be authenticated or acknowledged Both are n x My :ommtssion is rermanenir NT Wit. state e- Piration date: , 4 = hamrs of p: r>x> s. ymnd ;n am ,,p* a? sho JJ'y typed er prmred Vow Ihrr sl~n~r n. ScAIE BAR Of Nlei ASCa'sn Leqa B'ar'n. CO. Inc WARRANTY DFFD Furm W 2 -Imo; M..ai-ee. Ws. .