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034-1010-50-000
n n■ � o l ■ -� @ � c ! E f � S § � K ; ■ � on } J V i c E, � (D fu � � ■ � - I / ƒ ƒ (A 0 } 0 ƒ E 2 0) f / / �- § i g m \■ 2\ C &� 2 2 \/ K / k § ° 2 \ ° \ k § \ § 8 2; % n ƒ o o�° ■ 3 E E\ CL E E § § ■ g 0 k '0 7 //ƒ § / §£ � § CL CL co co co e CD 3 0 § 2 0 © 2 m o � a � o C ® $ , g ® b CD co k§ o \@ n r■ 00 « ) CA) 2 %. \ i 7 f o 0 o f o o o ni § 7 5 \ CA 2) \ ƒ 7 2 2 § § �/ƒ / 7 777\ C D 7 � � g % ; g 'Kw; § ; ; a { / § o § ƒ b k @ 0 k � / k / k m ƒ I a 3 \ % a : z CO) _ a � ■ a § R 0 ■ ■ m § Ln CD A A i z � o © !T q 7 9 7 2 ; ^ w E w o ; ; CL C CL K t \ CD k } :3 0 0 ƒ 0 ƒ � � \ � � a kj 2 � � t o o C 0 CD 0n \ƒ �\ Wisconsin Department of Commerce Wins ITE EVALUATION Page 1 of 3 Division of Safety and Buildings in m 83.05, Wis. Adm. Code Attach complete site plan on paper not less than 8% x ian must County include, but not limited to: vertical and horizontal reference point (BM), direction and St. Croix percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D.# "� 034 - 1010 -50 -000 (05.29.15.778) APPLICANT INFORMATION 1� . 'P�ft1„tfa ormation. Date Personal information you provide may second ry purPost;s (P, cY Law, s. 15.04 (1) (m)). Property Owner - Property Location Schultz Eric t .1 Govt Lot NE 14 SE 1/4 S 5 T 29 N,R 15 W Property Owner's Mailing Addr Lot # Block # Subd. Name or CSM# 1132 290th St. — City � Zip C*e neNumbtr City [] Village ®Town Nearest Road Glenwood City WI 5404&G ak&6 Springfield 290Th St. New Construction Use: s clerttia1 / ttthi of bedrooms 3 ❑Addition to existing building ® Replacement ercial describe Code Derived daily flow 450 gpd Recommended design loading rate .5 bed, gpd/ft' .6 trench, gpd/ff Absorption area required 900 bed, fF 750 trench, fF Maximum design loading rate .5 bed, gpd/ft' .6 trench, gpd/fts Recommended infiltration surface elevation(s) 99.75 ft (as referred to site plan benchmark) Additional design / site consideration s insta115 ' x 75' rock led mound on 98.0 - 97.7 w/ 1.75 - 2.05' sand fill Parent material loess over till Flood plai n elevation, if applicable NA ft S= Suitable for system Conventional Mound In- Ground Pressure AT - Grade System in Fill Holding Tank U= Unsuitable for system EIS ® U ® S ❑ U El ®U E) S ® U E] S ® U ❑ S ® U f SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPDR Boring# Horizon in Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trench ......1...> 1 0 -4 10YR 3/2 - sil 2 m cr mvfr cs lf/m 5 6 2 4 -9 10YR 3/2 - sil 2 f sbk mvfr cs Im 5 6 Ground 3 9 -14 IOYR 4/4 - sil 2 m sbk mvfr cs if .5 6 elev 98.0 It 4 14 -18 10YR 4/4 f2d 7.5YR 4/6 sil 2 m sbk mvfr cs - .5 .6 Depth to 5 18 -32 5YR 4/6 c2p 7.5YR 5/3 scl 0 m mfi - - NP .2 limiting factor 14 "/ Remarks: 2 ' ` 1 0 -4 10YR 4/3 - sil 2 m cr ds cs 2fim .5 .6 2 4 -9 l OYR 4/3 - sil 2 f sbk ds cs lm• 5 6 Ground 3 9 -15 10YR 4/6 �UYR 513 sil 3 m sbk mvfr cs if .5 .6 elev 98.0 It 4 15 -33 5YR 4/6 m2p 7.5YR 5/8,5/3 scl 0 m mfi - - NP .2 Depth to limiting factor 9" Remarks: lacks A +4" CST Name (Please Print) Signature: Telephone No. Henry F. Grote 715 -665 -2681 Address P.O. Box 57, Knapp, WI 54749 Date CST Number Ref# 5/28/98 222774 293 l PROPERTY OWNER: Schultz, Eric SOIL DESCRIPTION REPORT zap Page 2 of ._ PARCEL I.D.p 034 - 1010 - 50-000 (05.29.15.77B) Horizon Depth Dominant Color Mottles Consistence Roots Structure GPDIff in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Boundary Bed Trench 1 0 -4 10YR 3/2 - sl 2 m cr ds cs 2f/m .5 .6 2 4 -9 10YR 3/2 - sl 2 f sbk mvfr cs lm 5 6 Ground elev 3 9 -22 10YR 4/4 - sl 2 m sbk mvfr cs if .5 .6 98.2 ft fld SYR /3 scl 0 m mfi - - NP .2 4 22 -36 Sit 4/4 7.5YR 5/3 Depth to limiting factor 22" Remarks: 4... 1 ! 0 -6 _ 10YR 3/2 - sl 2 m cr ds cs lf/m .5 .6 2 6 -1 10YR 4/4 - sil 3 m sbk mvfr cs lm .5 .6 Ground f2p SYR 5/8 elev 3 15 -35 SYR 4/4 7.SYR 5/3 scl 0 m mfi - - NP 2 98.0 ft Depth to limiting factor 15" Remarks: 1 0 -7 10YR 4/3 - sil 2 m cr ds cs 2fl m .5 .6 - 2 7 -16 10YR 4/4 - sil 3 f sbk mvfr cs lm .5 .6 Ground f2d 7.5YR 4/6 elev 3 16 -21 10YR 4/4 IOYR 6/2 sl 2 m sbk mvfr cs lm .5 .6 97.7 ft 4 21 -35 7.5YR 4/6 c2d 10YR 6/2 sl 0 m mfi - - 3 4 Depth to limiting factor Remarks: ................. Ground elev Depth to limiting factor Remarks: 14 - , a! ; " Mt. vc. Vv %I Il k r J-D.47. tV � - � - S - 2-9 • �S w u., N cl S1. �, ��t`S•v5 O CO 4d OV► .� w ��%fco-a . c o - b � -� g. i l _ Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building;ivision INSPECTION REPORT Sanitary Permit No: 67 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: Hanestad, Ron I Springfield Townshi 034 - 1010 -50 -000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: 05.29.15.77B TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing Alt. BM Aeration Bldg. Sewer Holding St/Ht Inlet St/Ht Outlet TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic Dt Bottom Dosing Header /Man. Aeration Dist. Pipe Holding Bot. System Final Grade PUMP /SIPHON INFORMATION Manufacturer Demand St Cover GPM Model Number TDH Lift Friction Loss System Head TDH Ft Forcemain Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS i I SETBACK SYSTEM TO P/L JBLDG IWELL LAKE /STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type Of System: 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 xx Depth of xx Seeded /Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil Yes [] No ] Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: ! / Inspection #2: I Location: 1132 290th Street Glenwood City, WI 54013 (NE 1/4 SE 1/4 5 T29N R15W) NA Lot Parcel No: 05.29.15.770 1.) Alt BM Description = 2.) Bldg sewer length = - amount of cover = 3.) Contour = Plan revision Required? Yes [ No Use other side for additional information. SBD -6710 (R.3/97) Date Insepctor's Signature Cart. No. 09103/03 WED 15:24 FAX 715 386 4686 ST CRX CO ZONING 11001 County Sanitary Permit Application 8T. c ftWx *VW OF F ll�carf N ZOfl i to amid with 1 S.04 St. Croix County SwAwy thdinan� h Personal inl xmatlon you provide may be used W secowai Y Purposes 5T. giQ1X COUNTY GOY s" NT CENTER (PdvaW Low. S. 15.04(I)(m)l Iud cn L 771 15}388 g mo Fax 15p864M Attach Plans for 1M x ii inCklet; lo size. swatwy permit # ❑ Qw* 0 -our Itlan information -plea" Pilaf a6 MMrmatl4m °' � Owner Name 414 Sw AA 'A-j�:"J ST. CROIX COUNTI 21 N. R E (or Owner's MoMM Address Lot Number Block Number 1 111- ST, tY. stagy Zip cads j PhoneNu i rw Z& 3— i 3 3 3 ubd;vision Name or CSM Number In 6 ( Cr -ut, ei3 71s Z�s -7 f� 28 �- / • P Type of Su6ding: (check ) tY ❑ VUiage 1 ow+r of fg i or 2 FBmNy owe" - No_ of Bedrourw 3 '� f J � � V Inc .D E3 (describe Lw-x ❑ State -owned Nearest ('`"�/ Type of pwM: (Check o* aria box on Ikre A. Cheek box an litre $ it appt�16) l Tact N>unberis / ,o liepair ❑ Reluver+ation 07 3 7 /0/ SaNtatfon permit Number Mwft* issued --71 Type of po1Mr syswm: (Check all apply) h s Z ( L- 4 ❑ NWHIMessuft "rourw 1 0 1, AUM ❑ sand Filter ❑ a Presstxized ❑ Hdft Tank ❑ Single Pass ❑ Drip fire D Atgade 0 Aerobic Treatment unit D RecireuNdit ❑ ouw Area h fonnsdton_ 7. Final Gsrad&e i! Design Flow (gpd) 2_ ois wsW Area 3.Oi ers� Area 4. Sal Apooadon Rate s Perrdalion tzete s. Systettt Etevatian Ehriadon Re** Proposed (GalsJday1sq -fL) (Mmllrrctr) . Tic kdbrmatlon CapaiCty in Gallons TOW of Manufacturer Prefab Site Con- Steel Fiber- PIS New E Gallons anks cvrwrete strud d Tames Tanks 0 ❑ ❑ ❑ ❑ ❑ ❑ (3 1 0 R,rapatsibintY Statement ttre rmder.Wwd, =MOM miry for repairlrwonnenrAion/MIWeraU iiabon of =, pkmbirr9 (Or the p0mrrs shm" on to altarhed pbm A i n o regt**d for terra8ft mesh or ttw w4tafton of non - Plumbing s8nitation S Name ( S re stamps): MPIMPRS No_ Burliness Phone Number E z G A °22 s (Street. City, Ste. 0 CGUMAse CW ) Dwappruvw S Fem Fee ate I �o Owner Giusti initial Adverse f r o — ur ...— � Detenakof on / v UL � of aUltea for Disapproval: APprR►v ��� y �'�''- '`.r✓ d-�' ��1.e� eYL- ���► -�` 1 Septic tank, effluent filter and C y .S�Z , ✓'� as per management plan provided by plumber. 2. All setback requirements must be main rue,,d / as per applicable code /ordinances. A / o ° CO y z 0 Z Z m y v O mm X r m O m � cn m LJ) *S (z p � o w r m D O C" X D O r I �0 m , 0 C O �-- z Cl) — n _ C _ m z 0 it O O m C m (n Z Z m °- C O o oo �R � T c c C0 Z 1 n lZ j m O Cn Z Z m n Z -� ° vim m a m 3 5 :2 A m� ay o„ Cl 0 ' mm of —0' ? O �\ O m Si w• 3 3 3 a =r 3. v v o c I V Q EF Er Z m ao VR Vl N N � C�� O N a a s � X X H j y j 2 A p W y o (A N o Q a ^+ 3 g � D O 3» �� m• 3m N =v v m 3 m m D & g m v� vd °: N clod w� o �3 a m 0 C D� Z z o y _ y a m y f c Z g o a y' -1 -1 W --1 'U m � H 9. O O O D z z Q z X - c m a 2 a, D o \ k o 09/03/03 WED 15:25 FAX 715 386 4686 ST CRX CO ZONING 0 002 ST. CROIX COUNTY ZONING OFFICE CERTIFICATION STATEMENT FOR UTILIZATION OF AN EXISTING SEPTIC TANK This is to certify that I have inspected the septic tank presently serving �� residence located at; J11- l U.�'�• the cs 'Z_N j�W, St . Croix Sec. Town of County, Wisconsin. Upon inspection, I certify that I have found the tank and tioning baffles to be in good condition, and it pears to b- �- `(P�c�' lSl� p.S e � � Last time serviced 2 -� ' -� �, d y -711s712 0 nid flaw back occur from absorption system? Yes No (if no, skip next line. of tame: gallons minutes im a volume or lengt Capacity: / D� m Steel Other ruction: Prefab Concrete Manufacturer (if known): Age of Tank ( if known) : 1 / f ,✓� Ile a4 tu (Name) Please Print ( (Title) (License Number) 9_ Z _ (DD (Date) Form to be completed by Licensed plumber (s. 145.05, Wisconsin Statutes) or licerised disposer (NR 113 Wisconsin Administrative Code) Plumber (applying for Sanitary permit) Certification: in accepting the above statement regarding existin d eptic ta con ditio to certify that the tank, to the best of my g the requirements of ILHR 83, Wis. Adm. Code :io n opening over outlet baffle). J" Name / ��✓� kC Sign ure MP /MPRS O CO) O 3 C c o A 5i c T 0 A .. �n I � O 0 3 0 � 0 ° � chi o � ° `� �• = �• 0. N FD o c_ j N Nr a m <° (D m Cn o O N a p1 m G 14 ' °o � p W ° O o 3 N tl N � � O C N A lr fD CO y N a =r c co C W CD 0 O 4 cz c°�o O Co W CD CD n r CO) co co CA 0 c I 3 � Z O O O 0 Or o N w N 3 N y y D a CL ID C D W N T CL I z 0 ='+ D o o 0 a CL I � � \ , m 1 � w 3 z m 1 N ° A z 0 01 A z -I v+ CD mz 'o l o 3 m Ln N CD N CD a 3 CD 1 0'> c o a ^� y z a I b I q R W I ti I A o b CD ` 1 ° , +a a SEP -25 -2003 08:27 FROM:KNAPP 17156652018 TO:17153864686 P:2/2 o e r. f rrr rrrrr rrrr r ' rr r -rrrrr- rrr �. r rr- rrr . rrr - rrrr r -rrr -� r r °r rrr r� rrrrr F rrri -rrr rrr rrrr rr r r `r r 'r r r rrr e '4 r rr^r^rrF I 'P r r rr rrrr p�r r r r - �rr c rrr-r' r �e rr rrr r rrr � , r ¢ r e r. rr r r r 'r�'rrr r 'rr r r ' i� - f I r r 9 r rrrrr-�r err r r ^ rrrrrr rrrrr T rr ,� r rr r - rrrrr rrr r r f rr - .rrrrr r � p e 0 0 _ 86ed 51 uc 3uild 4307: J4J'J�lJolSIJI� lea - 83Wow ZS - VII (ST V ^ 6"VA IM 'PIQIJ+4SJOW - 0£5 io; - O'd •au; 'swe"As Bulpro 1 1 5 1M Js 4D „ Pw d v 94dQi 'd eT02S99Sti�.�O.L 2T2T 66£ STS. d 1V lbu, w ADrm SBMJWG1 U bb=ST £Ifid2 -S» -9114 I _ AMERICAN HOME SALES N6600 C -Rd CONFMENTIiALITY NOTICE: Knapp, WI 54749 The information in the facsimile message, and in any accompanying documents, constitutes confidential information which belongs to American Home. This information is intended only for the use of the individual or entity named below, If you are not the intended recipient of this information, you are hereby notified that any disclosure, copying, distribution, or the taking of any action in reliance on this information is strictly prohibited. If you have received this facsimile message in error, pleases notify us by telephone immediately at (715) 665 -2155 to arrange for its return to us. Thank you. DATE: q- Z- o 3 TIME: 3 o A� PM TO T' DESI F FROM THE DESK OF FAX - E Jerry Retzloff I:AXEE COMPANY: COMPANY: AMERICAN HOMES TELEPHONE: TELEPHONE: 715 655 -2155 FAX: FAX: ( -2018 MESSAGE PAGES TO FOLLOW PHONE: (715) 665 -2155 2�ti �d 9B9ti98i =SZ�Z �Ol 8T02S99SUT dddNA:W083 92:80 €002- S2 -d3S 08/26103 TIM 06 :24 FAX 715 386 4686 ST CRX CO ZONING I�j003 �:1101e1gaw Bu"s [[Xvision PRIVATE SEWAGE SYSTEM Coun GENERAL, INFORMATION INSPECTION REPORT Personal information TO PERMIT) Sanit Permit tion you provide mdy bs used for se oandary purposes (Privacy Law. s_t5.pq (tHm)) Permit Holder s Nome: S C HULTZ , ERIC [I city Q v. /age Town a SP : State ItTNGFIELQ CST BM Elev.� Insp. RM E ev.: BM Description: '2 50 -000 TANK INFORMATION ELEVATION DATA A9 800269 TYPE MANUFACTURER CAPACITY STATION 85 HI Septic F5 ELEV- VI Wt,dK,� I l 07X3 Bench bZ Dosing ,� b 1 �hlz J Aeration t � h2 �61D Bldg. Sewer )D�, _G5 57.5 �G Holding =±==1— —J— Inlet /oz �I -4� TANK SETBACK INFORMATION S lit Outlet TANKTO P/L WELL BLDG. Ventto ROAD Air Intak Dt inlet NA Dt Bottom h. rrtt 1 "Z' fi r' ��•� 9s ! NA Header if Man- Aeration NA Dist. Pipe Holding Sot. System PUMP/ S I NFO MAT- 7-Z Final Grade Manufacturer Demand Model Number /8 GPM T6H ,lift,/ L oss Systerr>r,• TdH Ft or Fcemain Length 7.^.% Dia Ff .! Dist. TO wen Z � SOIL ABSORPTION SYSTEM M TRENCH Width {) Length Na. Of�hes PfT o. Of Pits fMO) side Liquid Depth DI NI N SETBACK SYSTEM To P/L BLDG WELL LAKE /STREAM ACHING I ctur INFORMATION Type } C BER System: 1� �� �r OR U a Number: DISTRIBUTION SYSTEM Flea er Ma ifo d Distribution pipe(sJ + Hole Size x Hole 5 Length Dia r x Ho Spacing Vent To Air Into e 9 I / Pa 4 Length � Dia. � � Spacing ..� ' ` / r 'em SOIL; COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only 111 Depth Over � �. ff Deptp Over Bed / Trench Center xx Depth Of xx Seeded Soddad xx Mulched Bed r Trench Edges I �j Topsoil iff Y es 0 COMMENTS. (Include code discrepancies, persons present, etc.) d No G • - z �OCATIQN: SPRINGFIELD 05.29.15.77B,NE,SE 1132.290TH STREET WO -�k4 Plan reels on r iredl Yes Use other side for additional informati n. EMN SBD -6710 (R.W7) Date {nspsctor'SSig a ure ert. o. �. �� ��� A �� 1 �``�.._....- :,cyaeyra:�� ,.. �� i � b��__. 08/28/03 THU 08 :25 FAX 715 386 4686 ST CRI CO ZONING 1@004 �R SANITARY PERMrT APPLICATION Bur off B ilding water Syystc- In accord with ILHR 83.45, Wis. Adm. Code 201 E. Washington Ave. P.O. Box 7969 f Attach complete plans (to the count co Madison, wl 53707 - 7969 than 8 1!2 x T 1 inches in size. y c only} for the system, on paper not less County 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 3f �8 7 [ IPrivacy.Law, s. 15.OA(1) (m)j. ❑Check it rwwm ro previous applicaiion I. APPLICATION INFORMATION -PLEAS R {T ALL IMFQRMATI N state P►an I. Number Property O �rNa X 14 � L �iJ4, 5 � T �q , N, R ! Prope rs Mailin A dr f 5—E (or� L'ot Number Block N umber ^� City State • Z' Code Ph a Number Subdiv N ame or CSM Number V . IL TYPE Of B LLA G: (check one ❑ State Owned a y e Nearest Ro ad_ Public 1 or 2 Family Dwelling - No. of bedrooms •� Town OF Sr- Town I II. BUILDING USE: (if building type is public, check all that apply) Parcel Tax Number(s) 1 ❑ Apartment/ Condo - . 15 7'7 {j 0 34 1 - 101 0 --- 5p - Coo 2 0 Assembly Hall 6 (:]Medical Facility/ Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 [] Merchandise: Sales/ Repairs 11 Church Q Church /School D Restaurant/ Hart Dining 8 ❑ Mobile Home Park 12 ❑ Service Station /.Car Wash 5 ❑ Hotel 1 Motel 9 ❑ Office/ Factory 13 ❑ Other_ specify IV, TYPE OF PERMIT: (Check only one box on IineA- Check box on line 0, if applicable) A) 1. ❑ New 2..rti Replacement ,3_ ❑ Replacement of 4- Q Reconnection of 5 Repa of an ------ System - - -,- System Tank Only Existing System Q --------------------- - - - - -- _ --- ..---- ..---- ____ -- _Y� Existing System _____ -- 8) Cl A Sanitary Permit was previously issued_ Permit Number Date Issued V. TYPE OF SYSTEM: (Check only one) Non- PressurizedDistribution Pressurized oistribution Experimental Other 11 Seepage Bed 21 Z Mound 12 Q Seepage Trench 22 C1 ❑Pit 42 In - Ground Pressure 30 0 Specify Type 41 ❑ Pit ding Tank 13 El Pit - Privy 14 ❑ System -In -Fill 43 ❑ Vault Privy VI_ ABSORPTION SYSTEM INFORMATION: 1 • Gal Ions Per lay 2. Alasorp. Area 3•. Absorp- Area 4, Loading Rate S. Perc- Rate 6. System Elev. 7- Fin R al Grade rl /f equired (sq- ft.) Proposed (sq- ft.) (Gals/day /sq, ft.) (Min./inch) of VII. TANK Capacity r ` 7 . -7.5'-Fe 03 A Feet INFORMATION in gallons Total # of M Prefab. Site ; New Existin Gallons Tanks Manufacturer's Name Prefab. . Con steel F ber Plastic Exper. Tank Tanks strutted glass App. Septic Tank of f Q ❑ ❑ ❑ Lift Pump Tan * ❑ ❑ ❑ Vill. RESPONSIBILITY STATEMENT 1, the undersigned, assume responsibilit For instal ti of the onsite sewage system shown on the attached plans. Plumber' ame: {Prin) Plu a 's 5' re: stamps) MPtMPRSW No.: Business Phone Number: Plumb S Address (Street, City, St�Zip d IN. CO NTY / DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee r nc m"C',ro, ate slue ISSuirig A tsi N Approved (� Owner Given Initial %Ued r Adverse Determination/ X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVA . 08/28/03 THU 08;24 FAI 715 386 4686 ST CR% CO ZONING 0 002 NOTICr: Pleaxe provide the following: ' A plan view sketch show v g OrYthing within 100 feet of the system. Two horizontal reference points to center of septic tank manhole cover. Show alternate benchma if applicable. P ` -- PLAN VIEW � � r g � a zs►4.cf y r .-. ' .. ok 0 Li s+� r 'Au �7 1� /rte► � ��'- � lj nMD1C.&M, aRTH AltRaw 08/28/03 THU 06:24 FAX 715 386 4686 ST CRX CO ZONING 0 001 ST CROIX COUNTY ZONING DEPARTMENT AS BUILT SANITARY REPORT V Owner •� r- - 'Y Address Ct[y /State `` { _ r. ? • I'll Legal Desc ription: Lo[ Bl ocic Su - .�._, bdtv>!stonJCSM see" T L9 N -kj 230 Town of PIN 111! i3�1 -117�p ;f r� SEPTIC TANIK DOSE CHAMBE HOr.n T NJK rNF(�ATI4N: T=k manufacturer. 3�',� -��, � ` Size STIPC lrao !as Pump manufacturer -�-- Setback from: House Well p�, Alarm location Model �w z. u-t t ---- (HOLDING TANK, ONL`V) Setbac M: Sallee mad Meter I0cation —�- Vent to fi sit intake Water Lute Alarm location sow � c��a� s�Sx»nar: Type of system. t4 d il �+ A Width S Setback fi�ar: House jrj, Well /vim P& 3 Number of Trenches 1 fresh air intake g EXJEVA pN . Description of benchmark Des of alternate bench 1 0 0 Elevation Elevation ---- Building er ST/HT blet Outlet ST ``- PC Inlet '— PC Bottom - 2-; Ileader/Manifald 1 Top of STIPC Manhole Cover's Distribution Lines () /DV � S '� Bottom of System �r0 Final Grade ( } bate of ietstalta0011 / f S Permit number ✓�� State plea number Z � � Plumber's sigteature License numnber A e 13 �.. pate / " I 8 Respecter I gy p o (� ��" r <bmpkW pke plan .r SI- CROIX COUNTY ZONING DEPARTMENT t r y AS BUILT SANITARY REPORT r _.•'" Owner rr SGT.. l) r Address /f 2 J,;. prn.3 City /State t J L sT , 21DONING0 i(,.t Legal Description: Lot Block Subdivision/CSM # 'V+ A�L '�• -S_L, Sec. S_ , T L4 N -R _L2-0 Town of SL'!'t r " r-�.__ PIN # 03�/ SEPTIC TANK DOSE CHAMBER HOLDING TANK INFORMATION: Tank manufacturer _ A4 Vta.a T' Size ST/PC Setback from: House Well 8, 5 *,0 `P/L Pump manufacturer _ I��rd ro w ,a.r ; 4_ Model S w z we Alarm location (HOLDING TANKS ONLY) Setbacks: Service road Vent to fresh air intake Meter location Water Line Alarm location SOIL ABSORPTION SYSTEM: Type of system: d o IU Setback from: House , ly Well W idth / � — ' Number of Trenches 1___ Vent to fresh air intake 3 ELEVATIONS Description of benchmark rlc_f ,_.. / o a Description of alternate benchmark Elevation Elevation Buildin Sewer l/ STST/HT Inlet �r �d, ST Outlet• PC Inlet PC Bottom Header/Manifold / 0 9 , 37 Top of ST/PC Manhole Cover ' - Distribution Lines () 10d 1 7 () �n0 , � '7 ( ) Bottom of System ( ) 99,X - 44 , Final Grade O O ( ) Date of installation 7 Permit number SgS7 State plan number Z Z 7 Plumber's signature License number W 0 1 _W k %. Date IL / Inspector ro 0 C-5 l i ex— _j Complac plot plan 1 , NOTICIJ 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. PL PLAN VIEW S � a� r 0 � w 1 AN N i l P �• INDICA E NORTH ARROW - V CROIX COUNTY ZONING DEPARTMENT AS BUILT SANITARY REPORT r :~ Owner { -S , L < Address City /State Legal Description: < , Lot '--� Block Subdivision/ CSM # T L1 N-R _LZO Town of u PIN # SEPTIC TANK -- DOSE CHAMBER - HOLDING TANK INFORMATION: Tank manufacturer _ A !'(,? x fi — Size ST/PC / /k s'0 Setback from: House Well 8 1 ,3' P/L, Pump manufacturer Model Sw zr� Alarm location L &� , . ,, 3 ,- V (HOLDING ING T ( ANKS ONLY) Setbacks: Service road Vent to fresh air intake Water Line Meter location Alarm location SOIL ABSORPTION SYSTEM: Type of system: M d 0 0 0 Width Length 10 a Number of Trenches 1 Setback from: House ! 1 Well /a� P/L, �" Vent to fresh air intake 3 5� ELEVATIONS: Description of benchmark Description of alternate benchmark NUw Elevation Elevation Building Sewer (/ ST/HT Wet 9Q, ST Outlet — PC Wet T PC Bottom Header/Manifold / 00 Top of ST/PC Manhole Cover Distribution Lines ( ) /0 6 1 , 5 ( ) lob 37 ( ) Bottom of System ( ) �9 0 ( ) C f` �, ( ) Final Grade ( ) ( ) ( ) Date of installation 7 / /yuy Permit number ��� State plan number 2 Z' Plumber's signature License numbe Date 7//-// Inspector Fo D C i e,- Complctc plot plan or Wisc'bnsiy, Department of Commerce PRIVATE SEWAGE SYSTEM county: ''Safetq�and Buildings Division INSPECTION REPORT ST. CROIX GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No.: Personal information you provice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. 315857 Permit Holder's Name: ❑ City ❑ Village Rj Town of: State Plan ID No.: SCHULTZ, ERIC SPRINGFIELD CST BM Elev.:. Insp. BM Elev.: BM Description: Parcel Tax No.: t - �c S - b ��� 034 1010 -50 -000 TANK INFORMATION ELEVATION DATA A9800269 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic (/� w e S�{,yvt � t 1 ()7.87 Bench m r rw te , 4 62 1016 1 o c7 Dosing _ t 2.05 162 too Aeration Bldg. Sewer In .&T 5.7s Holding 5 P Inlet 10 .015, P -q& o, TANK SETBACK INFORMATION St bit Outlet TANKTO P/L WELL BLDG. Ventto ROAD Dt Inlet Air Intake eptic (,� NA Dt Bottom ld_. ly a7.Z3 osin '� t ( ys NA Header / Man. aV y Z 100.3 Aeration NA Dist. Pipe .Gj Z� 37 Holding Bot. System , 7 !� PUMP / SIPHON INFO MATION Final Grade �qz, p .q� G Manufacturer Demand Model Number' �$ GPM TDH Lift )t� Friction Z System S TDH b�Ft Head Forcemain Length 7 ' Di �" Dist. To Well ZJ/ SOIL ABSORPTION SYSTEM TRENCH Width j Length No. Of.Tr Aches PIT o. Of Pits Inside Liquid Depth DIMENSIONS 5 75 DIMENSION SETBACK SYSTEM TO P/ L BLDG WELL LAKE / STREAM ACHING Manufactur INFORMATION Type Of C BER Mo el Number: System: ) 5 1 � "� OR U T DISTRIBUTION SYSTEM Header/ M�ifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake r' M / f I I f Length �_ Dia Z Length _f� Dia. Spacing 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 Ce nter I Bed /Trench Edges IZ Topsoil t Yes ❑ No *; -Yes ❑ No COMMENTS (Include code discrepancies, persons present, etc.)' LOCATION: SPRINGFIELD 05.29.15.77B, NE, SE 1132 290TH STREET ���� a6 Plan revisior d? I Yes •�N0 Use other side for additional information. SBD -6710 (R.3/97) Date Inspector's Sig a ure ert. o. 1 Safety and Buildings Division SANITARY PERMIT APPLICATION Bureau of Building Water Systems 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 than 8112 x 11 inches in size. • See reverse side for instructions for completing this application State Sanitary Permit Number 3 r D6 The information you provide may be used by other government agency programs ❑ Check it revision to previous application (Privacy Law, s. 15.04 (1) (m)]. �a LT n , State Plan I.D. Number I. APPLICATION INFORMATION - PLEASE PRINT ALL INFORMATION Property O n rNa D, •' Property Location t rys V �Z LiM Sf 1/4, 5 5 T aq r Nr R IrE (°f)dD Property Q`y Mailin A drys, 57— Lot Number Block N City State ZS Code Phone Number Subdivision Name or CSM Number f.Jft�O u d (l �> -7556 II. TYPE OF BUILD( G: (check one) ❑ State Owned ❑ Lit yy Nearest Road ❑ Village 5�f E] Public 1 or 2 Family Dwe lling - No . of bedrooms 3 Town OF l 0 Sr III BUILDING USE (If building type is public, check ali that apply) Parcel Tax Number(s) 1 ❑ Apartment/ Condo � ' � 0 3q - 10 1 0 ~ 5 O _ 0 00 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 ❑ Office/ Factory 13 ❑ Other: specify IV. TYPE OF PERMIT (Check only one box on line A. Check box on line B, if applicable) A) 1. ❑ New 2 i & Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5_ ❑ Repair of an System System Tank Only______________ Existing System ________ Existing 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 e Bed 21 Mound 30 ❑ Specify Type 41 [] Holding Tank P 12 ❑ Seepage Trench 22 ❑ In- Ground Pressure - 42 ❑ Pit Privy 13 ❑ Seepage Pit 43 ❑ Vault Privy 14 ❑ System -In -Fill VI. ABSORPTION SYSTEM INFORMATION: 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System Elev. '- Final Grade Required (sq. ft.) Proposed (sq. ft.) (Gals/da /sq. ft.) (Min. /inch) Elevation ' ] 99 0 -- X 9. 75 Feet 0 3 f Feet r Cap acit y VII. TANK in Ca allo s Total # of Prefab. Site Fiber- Exper. INFORMATION g Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App New Existin strutted Tanks Tanks Septic Tank a#Fle+rh v +errk C60 ❑ ❑ ❑ ❑ ❑ Lift Pump Tan 4�5_ r I ❑ ❑ ❑ ❑ ❑ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibilit for insta!lotil9of the onsite sewage system shown on the attached plans. Plumbe ame: (Print) Plu a 's Si re: o Stamps) MP /MPRSW No.: Business Phone Number: r/® L 5 z- /�Ol��' z- �l - z�= 4-5 Plumb s Address (Street, City, Ship , I , Cf IX. COJJN TY / DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater ate Issued Issuing Ag nt Si r Approved F1 Owner Fee) Owner Given Initial Adverse Determination o1CGV �/ X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: L SRD -6398 (R. 05/94) DISTRIBUTION: original to County, One copy To: Safety 8 Buildings Divi ion, Owner, Plumber Safety and Buildings 2226 ROSE ST LA CROSSE WI 54603 -1905 '8*hsconsin Tommy G. Thompson, Governor D epartment of Commerce William J. McCoshen, Secretary June 08, 1998 CUST ID No.139462 AM. POWTS INSPECTOR TODD L SINZ E5612 708 AVE MENOMONIE WI 54751 -5520 RE: CONDITIONAL APPROVAL Transaction ID No. 82127 APPROVAL EXPIRES: 06/08/2000 SITE: Site ID: 8774 St. Croix County, Town of Springfield NE1/4, SE1/4, S5, T29N, R15W ERIC SCHULTZ FOR: Description: Mound Object Type: POWT System Regulated Object ID No.: 22012 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED The following conditions shall be met during construction or installation and prior to occupancy or use: • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Adm. Code. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(d), Wis. Stats. The system cross - section on page 4 shows a sand fill depth of 1.75 and 2.05 feet. The approved design uses 2.05 feet of ASTM C33 mound sand fill. 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. When making an inquiry or submitting additional information, please refer to Transaction ID No. in the regarding line. Sincerely, , DATE RECEIVED 06/03/1998 ,: t;_A_ FEE REQUIRED $ 180.00 dRD M SWIM , POWTS PLAN REVIEWER FEE RECEIVED $ 180.00 Integrated Services BALANCE DUE S 0.00 (608)785-9348, MON - FRI, 7:15 AM - 4:00 PM JS WIM @COMMERCE. STATE. WI.US Eric Schultz — Mound R�C Transaction # 82127 qF FTy �B � X99 oiy Location: NE 1/4, SE 1/4, Sec. 5, T 29 N, R 15 W Town: Springfield County: St. Croix Date: June 8, 1998 Owner: Eric Schultz Address: 1132 290JC', Glenwood WI 54 13 Plumber: Todd Sin Signature: License # MP 139462 Attachments: 6748 -Plan Review Application SBD 8330 page 1: cover 2: calculations 3: plot plan 4: system cross section, 5: plan view, lateral detail 6: pump tank exit detail 7: pump curve p,p. Onplly page 1 of 7 G :D CUMMER ; Of WAGS AF pEPPRT Tl �� CORE NpE1VCE i S System Calculations one family residence bedrooms Loading rate �'� gallons /sg ft per day i Depth to ground water �� in Depth to bedrock 3 in Cross slope c9 `� % Force main length y° ft of in Manifold /header length kA 4 ft of in Drainback 3 �` �- gallons i Lateral length , @ °'� ft of in Lateral elevation � ° " -ts/ ft (bottom of pipe) Lateral hole size \� in @ (' °' ° in ( ° ft) spacing holes /lateral, holes total Lateral volume G AAA gallons Total lateral discharge rate , "� S' gpm @ �• ft head Elevation difference ft Friction loss ft @ g gpm Total dynamic head .ft - 1 Pum P/ si m ft of head � on 2 b 9P Manufacturer � " '"' O "" � °" , Model # % Dose volurge gallons Lift /silhon tank ~`""� �Qd" "W�'�' ,°"�1'° �v-0 gallons Septic tank � gallons Measurement pump on & off �'� in Height alarm from tank bottom I � O '� in Reserve capacity 35-8 gallons talcs page Z 0 f �, ^ M� ` S��'� 1�� ��w.� n'S�• \ono- S - c�� Vv %a lV t - � - S - 2-9 • �S `-.� xg Q Sl. S c •.c L �• a �. D lira ci 1 7 X10' 2" Y�vc •'�(�. t ► . / "Q tee. I ` ti - � ](� �_ 31 (� e ( r U V ► o O -I L i > S -4 J `�! o W` . l O I C • • J 5�1.+M ��04 L � �L.t �=ov� 'S �J �L•� 'vMa� 3 4 �e 3�•� S o'. q;. g ' 3. n C A pk �p 0. V AA. �-4L.� S'• c7 � t / Zg•3 t e k.4 l t ( 1 t (� (� 1 ` f (� Jl I M yr ` K 9 +K �.:., a.�. to 1 t :. Jl zs CL Lt% -I i r t ( I • I � qr h..1..•� o.. 1 .:t awJC 4a�.�ar �01��0�.. �:�e � (go-a' 0 • , WE�TIIERPQOaF LOCKI/JG *COVER j.UNCTION I .4"O'w M+'� 1..4&- . 01NeK W�corvACT ---, 4" C.I. IN��gltrlaM+�i ` ,.I. PIPG 3' rT0 NOIbTuam sDaL. 24 VD. I a ~c.t za Yf�1JT aLLOW MIA"" X- MIN. �tACSr - Zl.l �M�ovtQ A c.z. Plrr wZT AIM'S N_ BAFF1,.ES 3' ono L. PM's► F1N6CTtOMi -�- t GAP Lev, PIMIP D bM tOWGt�r qO SEPTIC °� � f I I Dose TAWKS IAAUUFACTURCK' ~ �' ° "S IJUABER OF DOSES: PER DAy T^WK SIZE: `*o ' IV Is O GALLONS POSE VOLUME �� 1 A LARM MAIIIUrACTuA k `O INCLUDING OAGKFLOW: GALLOWS MODEL IJU RS el H w GA LLOy5 M1�e CAPACITIES: A= WCHCS OR �_ sWITCH Turt: �^^"`a^''""' d e 1 1 IWCHES Olt � GA LLO WS PUMP MAIJU FACTURE R: C e ILICH OR \5' GALLOWS MODEL WUMOER: S w t D e INCHES OR ka Z GALLOWS SWITCH TUPE: �"�"'' MOTE: PUMP AND ALARM ARE TO DE MINIMUM DISCKARGC KA C g GPM INSTALLED OW SEPARATE CIRCUITS VERTICAL DIFFEREQU OETWE[N PUMP OFF AMD OISTRIOUTIOW PIPE.. 9• � FEET + MIAIIMUM NETWORK SUMS PKtG6URE � � 2. FLET •. 1 g ♦ zoo MAI FEET OF roRC[ W X �_./portFRICTIOU FACT01t.. Qc - FEET 1 5 . 6 TOTAL D%UAMIC NEAO I FEET 1 M 1 g � IIJTERWAL DIMEW6101Jt OF TANK: LEM&TH= _.;WIDTH �' M O ;LIQUID DEPTH 016 --} Performance Data Pump Characteristics 32 P=P/Motor Unit Submersible Manual Models SW25M1 SW33M1 d 24 Automalk Models SW25A1 SW33A1 a 1/3 HP Horsepower 1/4 1/3 2 1s Full load Amps 8.0 1 10.0 1/4 HP Motor Type Shaded Pole (4 pole) a R.P.M. 1550 e Pbase 0 1 Voltage 115 Hertz 60 0 0 10 20 30 40 50 60 CAPACITY-U.S. G.P.M. Operation Intermittent Temperature 1201 Ambient Total Hood (foot) 4 6 8 10 12 14 16 18 20 22 24 NEMA Design A 1/4 NP 44 41 36 33 29 26 23 18 12 6 0 Insulation Class 6PM 1/3 NP 47 45 43 40 37 34 30 26 22 16 10 Disdtargo Size 1 - 1/2" NPT � — solids Handling 1/2" Dimensional Data unit Weight 30 lbs. 1. su 101e in irAx Power Card 18/3, SJTW, I W std. 3-1/2 1100 5.7J8 2. 00wi dicmom p y (2W optional) 4 -1n —�{ ray t 1/8 inch 3. Not fa mmtrorion PapaW 1-1/2 NPT WOW" DISCHARGE Uwns w and w4h we Materials of Construction appraximoN S. 00/ON 64 al SI" Handle Steel 3.1/2 6. Nk resaw do riot w A3-1n make triu s N oa Lubricating Oil Dielectric Oil products oed dreir Motor Hou Cast ken S* irodons WWWA BWU Pump cuslad cost ken Shaft S1441 Medaaical Sod Faces: Corben /Ceramic Shaft Sod Semi Body: AmedizW Steel Spring: Stainless Stan! PUMP 11 -1 /e ws: WWN 1o•1/e ON 9-1/2 Ber tit Upper Bearing Bronze S6*Ve DISCHARGE HEIGHT Lower Row edl _ 3 3 - Strainer /Bose Plastic UM3 ln Fasteners Stainless Steel AURORA /HYDROMATIC Pumps, Inc. w o �- 1840 Bandy Road, Ashland, Ohio 44805 (419) 289.3042 INisco Department ofCommerce SOIL AND SITE EVALUATION Page 1 of 3 G'ivisiortof Safety and Buildings r " '" `' g 7" �(► cb with Comm 83.05, Wis. Adm. Code Attach complete site olan on paper not less Mill a"i+l ' i fh,size. Plan must County include, but not lire ;1 to: vertical and horizontal reference point (BM), direction and St. Croix percent slope, scale or dimemsions, north qr�d _ .and distance to nearest road. Parcel LD.# 034- 1010 -50 -000 (05.29.15.77B) APPLICANT INFORMATIO - se print all information. Reviewed By Date Personal information you provide may for rp*rposes (Pri Law, s. 15.04 (1) (m)). Property Owner Property Location Schultz Eric Juliy/ ,.0 °' Govt Lot NE 14 SE 1/4 S 5 T 29 N,R 15 W Properly Own's Mailing Addr a` ` Lot # Block # Subd. Name or CSM# 1132 10 0th St. � �R4i City 2 ,j � honeNu City [] Village ®Town Nearest Road Glenwood City W1 Sp ringfi eld , 290Th St. New Construction Use: I I n • r of bedrooms 3 ❑Addition to existing building ® Replacement Public or commercial describe Code Derived daily flow 450 ____ gpd Recommended design loading rate •5 bed, gpd/ff 6 trench, gpd/ff Absorption area required 900 ._ bed, if 750 trench, if Maximum design loading rate .5 bed, gp d/ff .6 trench, gpd/ff Recommended infiltration surface elevation(s) 99.75 ft (as referred to site plan benchmark) Additional design / site oonsiderations'nstall 5' x 75' rock bed mound on 98.0 - 97.7 w/ 1.75 - 2.05' sand fill Parent material loess over till Flood plai n elevation, if applicable NA ft S= Suitable for system Conventional Mound In Ground Pressure AT - Grade System in Fill Holding Tank U= Unsuitable for system ❑ S N U ®S ❑ U ❑ S Z U ❑ S N U ❑ S® U ❑ S N U SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Structure GPD/ff Boring# Horizon in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed Trench 0 -4 10YR 3/2 - sil 2 m cr mvfr cs lf/m .5 .6 2 4 -9 10YR 3/2 - sil 2 f sbk mvfr cs lm 5 6 Ground 3 9 -14 10YR 4/4 - sil 2 m sbk mvfr cs if .5 .6 elev 98.0 ft 4 14 -18 10YR 4/4 f2d 7.5YR 4/6 sil 2 m sbk mvfr cs - .5 .6 Depth to 5 18 -32 5YR 4/6 c2p 7.5YR 5/3 scl 0 m mfi - - NP .2 limiting factor 14" Remarks: ......2',.`` 1 0 -4 10 YR 4/3 - sil 2 m cr ds cs 2flm .5 .6 2 4 -9 10YR 4/3 - sil 2 f sbk ds cs lm• 5 6 WWI Ground 3 9 -15 IOYR 4/6 c2 7.5YR 5/3 sil 3 m sbk mvfr cs if .5 .6 elev 98.0 it 4 15 -33 5YR 4/6 m2p 7.5YR 5/8,5/3 scl 0 m mfi - - NP .2 Depth to limiting factor 9 " Remarks: lacks A +4" CST Name (Please Print) Signature: Telephone No. Henry F. Grote 715 -665 -2681 Address ; P.O. Box 57, Knapp, W1 54749 Date CST Number Ref# 5/28/98 222774 293 PROPERTY OWNER: Schuhz Eric SOIL DESCRIPTION REPORT 2sa Page 2 of 3 PARCEL I.D.# 034 - 1010 - 50-000 (05.29.15.77B) Horizon Depth Dominant Co GPDff lor Mottles Texture Structure nsistence Boundary Roots in. Munsell Qu. Sz. Conk Color Gr. Sz. Sh. Bed Trench 3 1 0 -4 10YR 3/2 - Si 2 m cr ds cs 2f/m .5 .6 2 4 -9 10YR 3/2 - A 2 f sbk mvfr cs lm 5 6 Ground elev 3 9 -22 1 OYR 4/4 - sl 2 m sbk mvfr cs if .5 .6 98.2 ft @d SYR /3 Sri 0 m mfi - - NP .2 4 22 -36 SYR 4/4 7.5YR 5/3 Depth to limiting factor 22" Remarks: 4 1 0 -6 10YR 3/2 - sl 2 m cr ds cs If/m .5 .6 2 6 -15 I OYR 4/4 - sil 3 m sbk mvfr cS l m 5 6 Ground @P 5YR 5/8 elev 3 15 -35 5YR 4/4 7.5YR 5/3 scl 0 m mfi - - NP .2 98.0 fl Depth to limiting factor 15" Remarks: 1 0 -7 l OYR 4/3 - A 2 m cr ds cs 2fl m .5 .6 2 7 -16 10YR 4/4 - sil 3 f sbk mvfr cs IM .5 .6 Ground @d 7.5YR 4/6 elev 3 16 -21 10YR 4/4 10YR 6/2 sl 2 m sbk mvfr cs 1 m .5 .6 97.7 tt 4 21 -35 7.5YR 4/6 c2d l OYR 6/2 sl 0 m mfi - - 3 4 Depth to limiting factor 21" Remarks: Ground elev Depth to limiting factor Remarks: tog, 2.9. \ S. Vv l3 lV� -S � - S � Zq• la w Q- 3 • 2Lg o LMr Q Ss. 4-O' R! i 1 VveAk �'K Ltti.�•� — ' - 1 Z ., 9,• mow` Ct v. 4L X ..o t4 Z ( �N" tt.w ♦1�L. ol U 06/23/98 TUE 07:59 FAX 715 386 4686 ST CRY CO ZONING 002 ' ST CROIX COUNTY SUPTIC TANK MARTMNANCL A(3RI+P-ML -NT AND OWNERSHIP C ER77FICATION POR M Ov� :i - Mu ycr !c v /-/ z . Ma a& Address A:5Z 5 Pna r. Cy Address 4 rr. P �Dcm��tor ucw consttvctioa) Cat ,Cato K ADO (� 7L Gt/r Panye( Idm0cadon Number /D /O S o - Gbo •� �L DESCRIr9['I'ON 6106,-21 ,/S7,770) Pro; :1y Lomatioa r ✓;' f < < Sac. Town of 'SPr'A)J .v Sub rldon — Lot # Cer ued SQxvey 1lkiiaP # Yoltunc Page # Wa LItEty Dead # voltrmo page # SPa M=c 0 yes O no Lot lines ideatif able El Yes ❑, no AMM AN -M cc= *rpMMPfvg ataaacafyverrreccrdaztmits to�aadie.a.t'rocrazmocaarxe t�cc oc if=odcd - cams s;t� �adlaa of �e er�c� rtoptto�t � : Whit �ntct girt sere tbp syst:m _ sl�gGaatbcarGc�yMocliL 'L F pa�t�oveaee aswu to - to St. t� 7 � i . maul Tom, oafmm. signed byd=4mmxaadby: � vtxifymg tficoa�itc� is �� fer'Dooflditi��eadlar(� 'sad ��j ccptic-tanic le fi= Im am cf swr m aced t1 :bavc sad the ved , ac Standards is t of Oaaamcnx aad t6c bgmcmmt pf t Rm� Sate of Wisoousin� has ate (b= yt ex & � be o uid mod to �c St�t�nix.tlocraty Ionics Offca 30 SM i= OF DATE O.�WI 7 ECP�:R7 CATION (we) c=ti y tint an thacmfs on wFs farm tae to Stu best of m o ka4 of :a, desled above, by Wxow of a wamtuty dead imaor dod io iz(cr of Doody O • I ��) � (�) the aeKaa[s) ti SIGN AAY� s « # *� Oar WotioQ tivtt iais =y ruit is &c sanitary Perron WQ8 M -Yoked by the 7oaiug Depv tfi " • • •+ Ins de vrilh tbk a.PPUMUoa: a stampW wurRm deed from tlyc Rcgistu of Dcods oilicc a COPY of file acWT10d mvcy map if mfmncc is made in dke wrarznaty dcod .07/06/98 02:39 FAX 17152352592 TL SINZ PLUMBING Imol 06/23/ 8 TUE OT.-59 F_1X 715 386 4686 ST CRa CO ZONING la 002 c ST CROIX COUNTY SEPTIC TANK MAINMANCC AGR.BBM13NT AND "NIjt HIP CERTIFICATION FORM oV :I 'A3u y cr A6 l c z Ma ng Add,= 1132 jo290 ' .ST Am rty Address _AW4�f 99~_ (vccdfi"Goa [w 1, fi m Dep uluag for aew coosuw{ioQ) I at PAmd Id= &ca loa K mbw _,6 /o% So – La L cRn oM - 1.1- 05, -is 770) Pra yy Location A �_ 1. Y. Scc - , T — Oy_R /� Town oC "'typr tJ �0 w Sub daft Lot # Cm 'red;mwT BEV a — Vot®+e _ _ PAP # wg kuty Dmd f vow Pap 0 - see C3 Ym nO I Lot ram Wmdfiabl, am6i aEpaa�g oQt 1tic ' �� m -�ga�o m J�e�ay1'dc �'a+pe�aa:s�mms come t4ffm pcdm � YfiCOd�it� sLee�P� - Vwymp.=.m3o filpo c� �4o�ssss��tlic �edsspa�.systrsrL .. - - aa� b pmpzWounw qpm go cAmw�lo St 4ocsT� as�caSr�afa�„ s�vl by�eaamrtamd�j► � . isms er P Tra =i�ea�i((I'�Q�aQSi�ex�or amaa�odlac (y.d��poe�na.Qdp��f �,� c �t f/3ba1i oriae. _�• I � Ersre fa In'. Cad do bc ��a�N�tBesaa�s�ttcafWrsa�a�. a '. i � - O0 ° d°' d�Od to ttic5tt�v QGbamq�Zo�aga6sac�riQim30 sm lm OF DATE Owl ; �:C�i`Qric�itllpl�f I � -ty (�) � tZat � as tads rss$ aae mro to the first o[aar (Dad Iw�, i (�) ant (ate) tGe osee�e.(s) of dmm by v"_ %, vattmaty dad ==9W is &nWw of De& OCE sm Iy.B DAtE I ••••• �� i+a�•taa k �aa aadc to dtio asaisgrP� �obod 6y � �s Depaca�t. 0,6 c.dth UAk 9 ppUCp lQW a go ad uvmmy decd lima t6c RagiLur of Dcods oWiee IL =P� of We =tMad amlvey mV it mfCttnm is Mdc In ebc ,..y daod I 1A . STATE BAR OF WISCONSIN FORM 1 - 1982 WARRANTY DEED DOCUMENT "°. _ VOL PACI 11 ,. RMSTER'S OFFICE ` This Deed, madebetween Betty J. Booth ST. CROIX CO., WI Recd for Record Grantor, AUG 18 1997 , and Eric L. Schultz, a single person 9:35 A M it Reg af.r of Domk Grantee, Wi tnesseth, That the sud Grantor, for a valuable cmisiderarjorL conveys to Grantee the f described real estate in St. C r oix THIS SF RESERVED FOR RECORDING DATA County, State of Wisconsin: NAME AND RETURN ADDRESS fiJ t ec�CN7yt d.t�.. L' 11 l Po Q76 160 _ The North 285 feet of the South 540 feet of East 277 feet of Northeast Quarter (NEB) of Southeast Quarter (SE}) of Section Five (5), Township Q Twenty -nine (29) North, Range Fifteen (15) West, ` 7 ` TOWN OF SPRINCFIELD, St. Croix County, Wisconsin. 34- 1010 -50 -000 PARCEL IDENTIFICATION NUMBER , C j t i. 1 - K TR A 'VSF' � So E� .. This is homestead property. , > ' (ts) dnaad a Together with all and singular the hereditaments and appurtenances thereunto belonging; a!A And Grantor warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except Easements; Township ` and Zoning Ordinances; Recorded Building and Use Restrictions; Covenants; Real• ►, Estate Taxes levied i year ' t n � of - and will warrant and defend the same. v . Dated this 12th day of August 19 97 (SEAL) (SEAL) • Betty J ooth (SEAL) (SEAL) x AUTHENTICATION ACKNOWLEDGMENT +. Signature(s) State of Wisconsin, .. ss. Dunn County r i authenticated this _ _ _ day of 19� Personally came before me this 12th day of august 19 97 named { Betty J. Booth �I• : TITLE: MEMBER STATE aAR OF WISCONSIN (if not, authorized by 9706.06, Wis. Slats.) to me known to be die lei _ who executed the foregoigg instru d acknowledse.the save' t, THIS INSTRUMENT WAS DRAFTED BY : _� -� / ? MUZA S MUZA < 541 Broadway, - F:II: ox � Jot rrs lee 'e, e Men s2g�o mie WI 54751 Notary Public, _ Dunn — County, Wis. ( Signauutes may be authenticated or acknowledged. Both are not My commission is permanent (if not, static expiration date: necessary) G '7 1 ' Nanws of �xroa; signing in any - ipAc:Ay should by typed or printed below their signatures. STATE BAR OF %1SCONSIN Wme m e L" Nar Co inc �( WAR'Z!NTY DEED Form No. 1 — 1482 Mawa.AS•,