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HomeMy WebLinkAbout034-1065-30-000 Q o ° 0 O © n CD a Q " 0 C I N I h C C 3 O O @ V C N N ' p t1 0 Li gip C L @ N 3 C_ ~ @ N 3 N O O O N O Z" 0-- L Cam. y � s h o33� O 3 a - 0 @ 3 ° o� Z 0 > =7 L 0) Y o 3 -8 I c Z >. ° M �� 3 @ N "0 = 0 lL CO NL�Y CL ca 0 M Z N 0 0 6 U p @ d N C m 04 3 a m oy N F- U) y 0 O Z 15 O 2 d a 0) F-- e= N N O N Z N `p N �_ C a O 0 c n U • N w ��_ O �y cE _ Z U @ o Fi c o o @ �i c O a -0 @ Q Z Z N _ p Z N l0 N w @ U N C N N d N U O 00 @ O D o a p LO a = A LO 0 0 0 0 Z •�i ;� a a a �i m 0 y ,, 0 0 0 N J U 0 O O Z > N N 04 p N 't r �J C O E O �s 3 a O d CO .. d m Q z 10 ca (0 U) w y O 3 N w C E O O O -T - C O .0 M C 10 O l M N L (D u'i N O C CO @ ri4 BUJ 7 ) Y O N C C 'a LO �V N O (Y) O > > @ L • y am ,' O N (n U M O Z N Y Y Cn O � V *� E d d N I', �• d O G d �+ I L rte. a ) y 'v i' y r 0 c c o ' O ca � ;',, ; i6 O A 0 a 0 m 0 0 N 0 g 'D 0 d _1 CD oc.< -0 O m -03fD N ^1 piitt r • .1 I ( D- (D < 0c,r p O W p N. 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N OZ C co O N co- = .7. ti a. ooQ_ a a 0 c v �. f ° '< N• --it, 7 5 N I A-0) .JQ"•m_ p 0 0 0 3 _00 7-Z - cD 3 o o ID 0 0 3 m �^ 5 o- f nm m -I(.0 i "o iii 0 < 0 0 7 Iv Op `< O_(D O 0 N• (D Et CD N Cis7 Q N ti D)• 0-N O at7 as p O 7 b co rr R • o o a o a Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM coup Safety and Buildings Division t. Croix INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary �,r/n,jtNo.: Personal information you provice may be used for secondary purposes[Privacy Law,s.15.04(1)(m)). JOO t�SS111144 Permit Holder's Name: I ❑ City ❑ Village gvyp of: State Plan ID No.: Cook, Rodney Spring ie d township a3SD32 T#24.1,5 rD 16.) CST BM Elev.:- Insp.BM Elev.: BM Description: Parcel Tax 034-Nit65-20-000 TANK INFORMATION ELEVATION DATA o24.,rri /5; c/c/78 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing Alt. BM Aeration Bldg.Sewer 6,0 p ' R6. 8o Holding St/Ht Inlet 6-/8 c16•GZ' TANK SETBACK INFORMATION St/Ht Outlet (.o Ho ' TANK TO P/L WELL .. BLDG. Vent Intake ROAD Dt Inlet `,' (00 73.2pr Septic 6 NA Dt Bottom _ l. z� 8 9. 52 Dosing NA Header/Man. Aeration NA Dist. Pipe Holding Bot.System PUMP/SIPHON INFORMATION Final Grade Manufacturer Demand St cover ___ 3•ciS 7q. 35 ' Model Number GPM 0r s.r2 q1. 6, 8 TDH Lift Friction System TDH Ft osForcemain Length Dia. FFii Dist.To Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No.Of Trenches PIT No.Of Pits Inside Dia. Liquid Depth DIMENSIONS DIMENSIONS SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION Type Of CHAMBER Model Number: System: OR UNIT DISTRIBUTION SYSTEM Header/Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake 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 El No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, !persons resent,etc.) Inspection#1: we-,+4 /moo Inspection#2: / / Location: 2868 Highway 12,Woodville, WI. 54028 (SW 1/4 SE 1/4 29 T29N RI5W�-29.29.1`5.447B 1.) Alt BM Description= 3 Z 311 2.) Bldg sewer ten th-- 9.Si( ' �� _ , _ _ �g - _5 tuf Ctn.:le r, --}-a-{5l,r� ,n(e.1 -amount of cover= ? r8 5eil c-°ve-r- ) 1 A _ A I) 3.) contour= q s.'-I$ ( ` 1°2.Op 51,04-u* 7-3 2-) -(- /V 0 -CX i ,,v�SP2 re Plan revision required?_,._.la_Yes ❑ No QC:se other siteelor additional information`.. _..--/SBD-6710(R.3/97) Date Inspector's Signature Cert No. Parcel #: 034-1065-30-000 11/05/2012 03:59 PM PAGE 1 OF 1 Alt. Parcel#: 29.29.15.448A 034-TOWN OF SPRINGFIELD Current 'XI ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map# Sales Area Application # Permit# Permit Type #of Units 00 0 Tax Address: Owner(s): 0= Current Owner, C=Current Co-Owner ALLEN R&JOAN K VOBEJDA O 1 VOBEJDA, ALLEN R & JOAN K 2829 HWY 12 \i WILSON WI 54027 Districts: SC = School SP = Special Property Address(es): *= Primary Type Dist# Description *2868 HWY 12 SC 2198 SCH DIST GLENWOOD CITY SP 1700 WITC Legal Description: Acres: 39.000 Plat: N/A-NOT AVAILABLE SEC 29 T29N R15W SW SE EXC THE W 4 RODS Block/Condo Bldg: Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 29-29N-15W SW SE /1j j--, cv4A., Notes: _ � 0 W_. j2 e Parcel History: Date Doc# Vol/Page Type f_ 09/07/2011 941169 RLSE S� r 06/16/2011 937624 SD 01/21/2002 668845 1819/293 CWD /� `ram L� 04/12/2000 621120 1502/153 WD more... 2012 SUM ARY Bill#: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 08/07/2012 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.000 14,000 118,100 132,100 NO 10 UNDEVELOPED G5 37.000 40,700 0 40,700 NO 10 Totals for 2012: General Property 39.000 54,700 118,100 172,800 Woodland 0.000 0 0 Totals for 2011: General Property 39.000 66,100 136,800 202,900 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: 12/04/1998 Batch#: PRGRM Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 1' -6 0 y o CD CD '. 3 0 h y O a) 'f 4 O C N 1 O N .... 2O Y N y 'di co ,vy c O Y c C co y U y n o O W N Z N a) T D)d) c Z o c 7 TO co O LL c - p N N < D O M -a- a) U 5 > Z N N co > E c CC co = O a) v E o C) Z c rn ca w a m c a) a)N F- Z C (9 i0 E O Z a c c U 7 ItE �L]n -p O E 7 2 a) O L CC •� NO N Co f0 O O 00 �j d Co -c To. N 1� O N c. w= :.. (NIOQ ZcZ pN _ C Z Z o o -' .. a)r°Oi' .o m E y a _ a }o w CD (13 �rl n,..`� O O a cii - J Z. o _E E < > 7 .� d 1- • - O O O is a 0- a ate) El-- ti U r'3 00 o aa)i v)) 0 0 CD N Cr) N O } CO _ 0 0 O OO Z a) o COLO r' CN O 0 E N a N p 0 c . M @ v a) N ° v °' Q n co @ i ►i G O xs y N O O C c 0C Iv O O O c O co rn O G p° N F- N U D O Q7 O O e- U 1- V - Q Q) _0 c Q 0 0 0 L. V N N E a 'a) N N N tl 0 `- 'O co U° CI w 7 CS N M •N o CV CO in o co 0 Z L' Y Y E co y t \ ct •* . v O - y Xk O. y a • cl Q y V y d T. /Mai r.. E ` •E c +d.' 7 ( A U a E O N U g as w ! 2 � Safety and Buildings Division ``/�' SANITARY PERMIT APPLICATION f Washington ing Avenue �wisconsin P O Box 7302 In accord with ILHR 83.0 ;' Vis,.�Aonl Cod Madison,WI 53707-7302 Department of Commerce • Attach complete plans(to the county copy only)for the stem,on paper not less* \ounty than 8 1/2 x 11 inches in size. / • 'j/ C Ye)J A • See reverse side for instructions for completing this ap lication , ,,, State Sanitary Permit Num er .3CO3� may secondary S +�iiaxhec if revision to prey s application Personal information you provide be used for seconds purposes Cl.. [Privacy Law,s. 15.04(1)(m)]. sP €0liNTY State Ian D.Number / «'tVs l40 = I. APPLICATION INFORMATION - PLEASE PRINT AL �INF II IATIM •�' s'"tg5-D 3Z Pro ertAOwner Name Property Locat n 1 1 CInER�� Coo P j C K .', sj 1 % /4,S a q T ,N, R J Ss E(or)0 Property Owner'lMailing Address LoL"TCt7rT5e�r Block Number 12o 430K 659 SOQew3 WOq- City,State Zip Code Phone Number Subdivision Name or CSM Number Cver Fjc Lou' ' 34o 7. (7iS ).4„7Z,-5-078 CSrlw V 0 I i48f os 46-4 pow `t-6/ hvi 3 II. TYPE OF BUILDING: (check one) ❑ State Owned ❑ City ^ j Road) ❑ Village y-� �(t/ 1Nearest J7—u�t /rlx )' 2 ❑ Public _� 1 or 2 Family Dwelling No.of bedrooms 3 Town OF Sp r n9 r III. BUILDING USE: (If building type is public,check all that apply) Parcel Tax Number(s) (2/.24.(S -44(7-10 034_)of.S-a0 -Izti--g /'0 39- tuts- 30 -o o o —31 a el C �-1,21,( 1 ❑ Apartment/Condo 2 0 Assembly Hall 6 0 Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facllh-ty 3 ❑ Campground 7 ❑ Merchandise: Sales/Repairs 11 0 Restaurant/Bar/Dining 4 ❑ Church/School 8 ❑ Mobile Home Park 12 0 Service Station/Car Wash 5 0 Hotel/Motel 9 ❑ Office/Factory 13 0 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. 0 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 Bed 21 Z Mound 0❑Specify Type 41 ❑Holding Tank 12❑Seepage Trench 22❑In-Ground Pressure �/ J/ 42 0 Pit Privy 13['Seepage Pit if / X y "'`�" ' 43❑Vault Privy 14❑System-In-Fill ��rklosur C1 ! C VI. ABSORPTION TEM INFORMATION: 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/sq.ft.) (Min./inch) Elevation 450 375" 3 7 5 I , 2 96. 99 Feet `'5 84 Feet VII. TANK Capacity SiteEx in gallons Total #of Manufacturer's Name Prefab. Con- Steel Fiber- Plastic Aper. INFORMATION New Existing Gallons Tanks Concrete strutted glass PP Tanks Tanks vet �J Septic Tank or+FeIt4rrg-Fank l d 0 0 '— / b 0 C2 I m,e(a of I rtr's A-Lift Pump Tank p - Ter 73 '2 fG S0 / i4/(it.drt Pcc_01A - VIII. RESPONSIBILITY STATEMENT I,the undersigned,assume responsibility for installation of the onsite sewage s stem shown on the attached plans. Plumber's Name:(Print) Plumber'sSignatur (No Stamps) M• '4•�Sr• ''o.: Business Phone Number: _ Oar ( 2 d e ►S e add ✓ .7.r.>,+ G7t2D 5s `f 7is 425- at7 s Plumber's Address(Street,City,State,Zip de): Fat JG4a . llto�t• CT • ever l'at Lit OaiZ IX. COUNTY/ DEPARTMENT USE ONLY D Disapproved anitary Permit Fee (Includes Groundwater Date Issued Issuing Agent Signature(No Stamps) Surcharge Fee) Approved ❑Owner Given Initial / :Zt Adverse Determination �5 4-1 ) 4.A3AAN, X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: (rt.066 hJ = C-,) I) s ektio-tie pvtu A-6 e.-i ms---ao o c �_ . / SBD-6398(R.11/97) DISTRIBUTION: Original to County,One copy To: Safety&Buildings Division,Owner,Plumber Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601-1831 isconsin TDD#: (rce. 2 to wi.us www.commerce.state.wi.us Department of Commerce Tommy G.Thompson,Governor Brenda J.Blanchard,Secretary December 17, 1999 CUST ID No.220554 ATTN: POWTS INSPECTOR ZONING OFFICE CARL P HEISE ST CROIX COUNTY SPIA 1042 S MAIN ST 1101 CARMICHAEL RD RIVER FALLS WI 54022 HUDSON WI 54016 RE: CONDITIONAL APPROVAL APPROVAL EXPIRES: 12/17/2001 Identifica ' rs Transaction ID i _....7 o.285032 Site 1D No. 18531 SITE: Please refer to both identification numbers, Site ID: 185313 above, in all correspondence with the agency. St. Croix County, Town of Springfield SW1/4, SE1/4, S29,T29N, R15W Facility: Rodney Cook Proposed Residence FOR: Description: Three Bedroom Mound System Object Type: POWT System Regulated Object ID No.: 641440 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. Stats. • 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(2)(d), Wis. Stats. 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/instal lation/operation. Inquiries concerning this correspondence may be made to me at the telephone number listed below,or at the address on this letterhead. Sincerely, DATE RECEIVED 12/15/1999 , ..ifa - FEE REQUIRED$ 180.00 ili 1 FEE RECEIVED$ 180.00 erard M. Swim BALANCE DUE $ 0.00 POWTS Plan Reviewer-Integrated Services (608)-785-9348, Mon. -Fri. 7:15 AM to 4:00 PM jswim@commerce.state.wi.us WiSMART code: 7633 I MOVE THE EARTH -. .. CARL HEISE EXCAVATING ?"'"� ` 1042 South Main j i s bi RIVER FALLS, WI 54022 A11,444miri CARL P. HEISE ()wrist. (71 Sj 425-2175 MOUND SYSTEM . FOR 3 BEDROOM RESIDENCE LOCATED IN THE 5�,)% OF THE _SO4 OF SECTION 2 g T ?9N, Rt =, W, TOWN OF f 1 .�_ COUNTY,WI CONSIN. INDEX PAGE 1 of 6 TITLE SHEET PAGE 2 of 6 PLOT PLAN PAGE 3 of 6 PLAN VIEW-CROSS SECTION T,S. PAGE 4 of 6 DISTRIBUTION PIPE LAY-OUT P'0. . PAGE 5 of 6 PUMPING CHAMBER CO�zd;<ttonully PAGE 6 of 6 PUMP PERFORMANCE CURVE pppRQVED F COMMERCE DEPARTMENT TY BUILDINGS IV PREPARED FOR R O p N EY COOK SEE CORK NDENCE p0 BOX 65$ RIVTR FALLS 'mil( 5-I42Z CAE , DEC 13 7999 eary,iy SAFES''& L®Gs Ca P. Heise DIV CST 331 4 MPRS 3378_.: 22„0 5 59 . 1042 South Main Street River Fails,WY 54022 r� .j • . Page 3 Of Cross Section Of A Mound Using A Trench For The Absorption Area ASTM C 33 r 11-1 Medium Sand Fill _ o r •" Topsoil EL, 96 44 D Trench Of 2" - 2 2" Aggregate, a ci° Sic"... Plowed Layer' „ir 61544' 6" Below Pipe, Covered With D 1 . 0 Ft. Straw, Marsh Hay Or Synthetic Fabric E 1 .4 Ft. G 1 , 0 Ft. F .75 Ft. H 1 . ; Ft. Plan View Of Mound Using A Trench For The Absorption Area Force Main J Distribution Pipe 1 Permanent Markers Observation Pipe A o W. i 1 } B I K --I I Trench Of 1" - 22" Aggregate • I L A . Ft. I r 2 c Ft. K 1 0, ; Ft. W 24,5 Ft. B 7 5 Ft, J 7 Ft. L 96 Ft. 6a„A"azat ( 3(2- 1 License Signed: Number: Date: Page q Of Distribution Pipe Detail For Two Lateral Network Holes Located On Bottom Are Equally Spaced PVC Force Main End Cap/2 Y'1 6-X'f 1-X 'I PVC Distribution Pipe X * Last Hole Should Be Next To End Cap p '37. Ft. Hole Diameter '/4 Inch X Inches Lateral Diameter 19 Inch(es) Y 36 Inches Force Main Diameter 2 Inches # Of Holes/Pipe 1 `; Invert Elevation Of Laterals 9/ .f4 Ft. 1 s+ hole I g'` 4rn red. w ,tl, S4ccr4&01 I x 1 5,2.1 , 2 - 1 6. 42 11-2 Signed: License Number: Date: I t 4. , 0 , LF: PUMP CHAMBER CROSS. SECTION. AND SPECIFICATIONS e 4" Vent Pipe vent cap approved locking 10' from door , weather proof manhole cover & ndow or fresh junction box 1 warninQ_ label r intake 12 " min I i \ J grade y I _ 4" min / `" conduit u `\ 18 " min %. 18 " min l' ---____1 I Nk • inlet I� provide i l ►i 1 airtight seal _ 1 II - roved join A . i II hole r\i/7 . endin 1 9 3 ' 1 )1 . approved o solid soil B , 11 D'ALARM joints . ' I D. extending 3 ' C t ► ON onto solid�0.5 - P soil • pump-`-E -- t, OFF • D • / y' l' • 900 ' concrete blocl 3" Approved Bedding Under Tank SPECIFICATIONS 112.S1-3.4 : 115.78 )tic and ;e Tanks Manufacturer: r,a wt„T Qrtc-pst._____.. . Number of Doses:' 4 __per_ day. Tank Size:' 7 S p Gallons Min Dose Volume: l l5,-Q gallons Alarm Manufacturer'.' Capacities : V ry'oY A= 29,E i nches g77,aliallor.s • Model Number :' i�'LV pR inches: 3 gallons Switch .Type:' M evckv7/ Ca 4, ',inches I I'1 gallons D= G inches' 117 gallons Pump Manufacturer: Q(504 Model Number : 307 1 . NOTE- . Switch Type: YV1evcuw PUMP AND ALARM ARE TO BE Pump Discharge Rate INSTALLED ON SEPARATE CIRCUITS 0,42, GPM 9D.5 gL.4`1 •tical Difference Between Pump Off and Distribution Pipe. 6O.44 'feet capacity -iinimum Network Supply Pressure ' ?.5 fie 20. . F.e.e.t. .O f. Fo r.c d. Main X ,q f tf.e e t. . 0 , 5 gal/in � . . ,/10.0• .ft Friction F.a,c.tos: , /q . . Total Dynamic Head = C4,13 feet l q. 5 jA( / :ernal Dimensions of Tank: Length ' Width ' Liquid Depth' 38 I I Signed No. Date i hilTili L 0 I 6) !-' t., 4�,..:. � : „?„rrryta"ri, F rl�ODEL ,�i .t.•,. ,!<.l'�,3�r1 hl.e`. .y r .r ` J1 .l‘t :.v. I,P:•••;•;,:Soid.,07..;Ati:;:f1;i': 3871 ...., ..,,,,,,„.„-,,,,,,, --cas- 4.. ....„ „.,• ,,, ,.•. ,.,..,,,,4.,,,,c,4 AU If APPLICATIONS Motor: FEATURES Specifically aesigned for the ' Single phase: 0.4 HP, 115 impeller:Thermoplastic _ following uses: or 230 V,GO Hz, 1550 RPM, Semi-Vortex design with •Effluents stems built in overload with Y pump out vanes for nlechani- •Homes automatic reset. cal seal protection. •Farms • Power cord: 10 toot standard length, 16/3 SJTO Casing and Base: Rugged •Heavy duty sump with three prong grounding thermoplastic design provides •Water transfer ping, Optional 20 foot superior strength and • Dewatering length, 16/3 SJTW with corrosion resistance. SPECIFICATIONS three prong grounding plug. Motor Housing:Cast iron • Fully submerged in high for efficient heat transfer, Pump: grade turbine oil for strength,and durability. • Solids handling capability lubrication and efficient Motor Cover:Thermoplastic '/C maximum. heat transfer. cover with integral handle and • Capacities: up to 55 GPM. float switch attachment points. • Total heads: up to 24 feet. Available for automatic and Paver Cable:Severe duty • Discharge size: 11/2"NPT. manual operation. Automatic rated oil and water resistant. • Mechanical seal: carbon- models include Mercury rotary/ceramic-stationary, Float Switch assembled and 0-ring:Provides positive BUNA-N elastomers, preset at the factory. sealing. No gaskets to replace • Temperature: during maintenance. 104°F(40°C) continuous Stainless steel fasteners. 140°F (60°C) intermittent. • Fasteners: 300 series stainless steel. METERS FEET........ .. .......... .. _._ . • Capable of running ` dry without damage to 8- I ! ; components. 25----f—---1 ---} ..... j ->'- lr—SGPM i 0 j Q 25F-r Q 5" o ei - jI 2 • 10 20 '31 40 50 GPM _. _,_ I/ I 1'. 6 ( 810 12 r.1/h CAPACITY re,1994 GaLld::P.,rnas,InC Elrcclive May 1994 9 BJLf7t Wisconsin Department of Commerce SOIL AND SITE EVALUATION Page 1 of 3 Division of Safety and Buildings in accord with Comm 83::05,Wis.Adm.Code A.C.E.Soil&Site Evaluations Attach complete site plan on paper not less than 8%x 11 inches in size. Plan must County include,but not limited to:vertical and horizontal reference point(BM),direction and .t,F f St.Croix percent slope,scale or dimensions,north arrow,and location and distance to nearest road: Parcel I.D.# APPLICANT INFORMATION- Please print all information. �. i 2q. 2 9-I `i'V/4 Personal information you provide may be used for secondary purposes(Privacy Law,s.15.04(1)(r{ CI9O/,r a" 9 R' �� Date UMa, .th- I //G Property Owner Property L ieFri,.; "`-) Leon Ringstad-Buyer:Rodney Cook Gbvt.Lot ' SW 1/4 SE 1/4 S 29 T 29 N,R 15 W Property Owner's Mailing Address Lot# f Block# ` .Name or CSM# P.O. Box 658 1 _,--- p City State Zi Code PhoneNumber 1 1 City L L Village ZTown Nearest Road River Falls WI 54022 715-426-5228 Springfield It U.S.Hwy 12 p�� New Construction Use: l' Residential/Number of bedrooms 3 Addition to existing building Replacement r Public or commercial describe Code Derived daily flow 450 ✓gpd Recommended design loading rate .5 bed,gpd/ft2 .6 trench,gpd/ft2 Absorption area required 900 mod,ft2 750 trench,ft2 Maximum design loading rate .5 •-ed,gpd/ft2 .6 ..tr6nch,gpd/ft2 Recommended infiltration surface elevation(s) 96.5'+_ ft(as referred to site plan benchmark) Additional design/site considerations Unable to estalbish specific contour at time of evaluation due to standing corn. -r'-'l Parent material Glacial Till Flood plain elevation,if applicable NA ft S Suitable for syor stem stem I Conventional Mound ; In-Ground Pressure AT-Grade System in Fill ! Holding Tank UY _ y S '`iu H S 1 1 u I IiSi '. 0 ❑ SEIU ❑ S ® U j ❑ SNU SOIL DESCRIPTION REPORT g Horizon Depth Dominant Color Mottles Gr.Structure Sh. Consistence'iRoots Boring# p TextureBoundary' GPD/ft2 In. Munsell 1 Qu.Sz.Cont.ColorBed Trench 1 1 0-9• 10yr3/2 None sil 2 cr) mvfr �! as 2f,lm 0.5 0.6 V 2 9-22- 10yr4/4 None sil 2msbk mfr cs 2f,lm 0.5 0.6 elev Ground 3 22-34• 7.5yr4/4 None heavy sl 2msbk dsh aw If 0.5 0.6 V 97.17'ft 4 34-42- 7.5yr4/4 f2d7.5yr5/8 heavy sl 2msbk dsh cw - 0.5 0.6 Depth to 5 42-61• 10yr5/6 m3p5yr5/8 scl Om dh - - N.P. 0.2 ✓ Imiting factor 34" /_ Remarks: 2 1 0-7 • 10yr3/2 None sil 2fcr mvfr as 2f,lm 0.5 0.6 2 7-16. 10yr4/4 None sil 2msbk mfr cs 2f,lm 0.5 0.6 Ground 3 16-29• 10yr4/4 None sl 2msbk dsh aw If 0.5 0.6 •-' elev 96.01'ft 4 29-35 • 10yr4/4 f2d7.5yr5/6 sl 2msbk dsh cw - 0.5 0.6 Depth to 5 35-58- 7.5yr4/4 m2d5yr5/8 scl Om dh - - N.F. 0.2 .V limiting factor 29" Remarks: CST Name(Please Print) Signat re: Telephone No. James K.Thompson E------"= 715-248-7767 Address A.C.E.Soil&Site Evaluations Date CST Number Ref# 340 Paulson Lake Lane,Osceola, 54020 9/22/99 3602 1113 Cook SOIL DESCRIPTION REPORT 11131 I Page 2 of 3 ERTY PARCEL LD.# PRO OYVNER Leon Rinpstad Rodney A.C.E.Soil&Site Evaluations GPDlft2 Depth Dominant Color Mottles Structure Consistence Boundary Roots Horizon Texture Bed : Trench in, Munseil Qu.Sz.Cont.Color Gr.Sz.Sh. 1 0-7 10yr3/2 None sil 20r mvfr as 2f,lm 0.5 0.6 7 / 3 2 7-14 - 10yr4/4 None sil 2msbk mfr cs 2f,lm 0.5 0.6 ./ Ground sl 2msbk dsh aw If 0.5 0.6 elev 3 14-26• 7.5yr4/4 None 95.11 ft 4 26-39 • 7.5yr4/4 f2d7.5yr5/8 heavy sl 2msbk dsh cw _ 0.5 0.6 Depth to dh - - N.P. 0.2 ,/ limiting 5 39-54. 10yr5/6 m3p5yr5/8 scl Om factor 26" Remarks: Ground _ elev Depth to limiting factor Remarks: Ground elev Depth to limiting factor Remarks: _ 1 Ground elev Depth to limiting factor Remarks: . \\ /320 ` \\ P. 3 0r3 Leon iC r i17 S&LC" �/ .CocQ�.?rr1 SCOLe / 4,/D 6LrAr: 5e-evs4JYy ,see. 2 z9/t;,Q./54? ■ Soy/O'4,serva_ea►, ° ,�v,T�58 V y •o. A E/Pda- rn-) 4);derFa CLs,(.„.)/, ezz u.S. ,1/4,1. 72 I d� 1 w" 332 • rZ 5 < S.X/..e ,,,,E _sigio° 'Pit G A I ad ` J ♦ 81 i6-o (�� LSD { `'' _tor- i tot lily oe, �t3enchr►b �e(I ��� 6 co �°� Drew 70 oc4s/"y6c I �,r A Ass � u.hcd eCea-= y , I gruve . L /6°•6 ' vas I'y` In AK% s,1( bta on inn; ,. ,Z 83 boulder.gev`_- 2k /a7 69: ,d c o� i i„, . o-v 9/z z/99 \\ V �3.2o�f \\ STC- 105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER c N.-1 &v MAILING ADDRESS PROPERTY ADDRESS eq$Cp Q Ll S (Iocation of septic system) Please obtain from the Planning Dept. CITY/STATE PROPERTY LOCATION 5 (A) 1/4, 5 E 1/4, Section 2____, 1" 9' N.R 1 S W TOWN OF Ci n < l et 0 , ST. CROIX COUNTY, WI SUBDIVISION , LOT NUMBER_--- CERTIFIED SU R n Y MAP ,VOLUME ,PAGE ,LOT NUMBER (�.1 r p 3,21120 P , Imp per 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 licensed septic tank pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. St. Croix County residents may be eligible to receive a grant for a maximum of 60%.of the cost. of replacement of a failing system, which was in operation prior to July 1, 1978. St. Croix County accepted this program in August of 1980, with the requirement that owners of all new systems agree to keep their system properly maintained. The property owner agrees to submit to St. Croix Zoning a certification form, signed by the owner and by a mater plumber,journeyman plumber, restricted plumber or a licensed pumper verifying that(1) the on-site wastewater disposal system is in proper operating condition and (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge and scum. I/We, the undersigned have read the above requirements and agree to maintain the private sewage disposal system in accordance with the standards set forth, herein, as set by the Wisconsin DNR. Certification stating that your septic has been maintained must be col etc and returned t the St. Croix County Zoning Officer within 30 days of the three year expi 'on SIGNED; DATE; St. Croix County Zoning Office Government Center 1101 Carmichael Road Hudson, WI 54016 11/93 1502PAGE 153 STATE BAR OF WISCONSIN FORM 2- 1998 1 1 20 WARRANTY DEED KATHLEEN H. WALSH Document Number REGISTER OF DEEDS ST. CROIX CO. , WI This Deed,made between Leon Ringstad and June Ringstad,his RECEIVED FOR RECORD wife 04-12-2000 4:15 PM WARRANTY DEED Grantor,and Rodney Cook and Rosanne Cook,husband and wife,holding EXEMPT II 3 as survivorship marital property CERT COPY FEE: COPY FEE: TRANSFER FEE: RECORDING FEE: 14.00 Grantee. PAGES: 3 Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate in St.Croix County, State of Wisconsin: Recording Area Name and Return Address Attorney David J.Estreen 304 Locust Street Hudson,WI 54016 57/5 034-1065-20-000;034-1065-30-000 Parcel Identification Number(PIN) This is not homestead property. (is)(is not) That part of Northwest Quarter of Southeast Quarter(NW'/4SEY)lying South of Railroad right-of-way except the W.2 rods thereof, Southwest Quarter of Southeast Quarter(SW'/4SE'/4)except the W.2 rods thereof. All in Section Twenty-nine(29),Township Twenty-nine(29)North,Range Fifteen(15)West. This deed is given to correct the legal description of a deed dated February 9,2000 and recorded February 11,2000 in Vol. 1489,page 454 as Doc.No.618213. This deed supersedes the aforementioned deed. DOT 55-12-3039-2000 Exceptions to warranties: all easement and restrictions of record. Also see attached. Dated this 24th day of March 2000 ‘-W-.,e(j7A) * n Ringstad * * June Ringstad AUTHENTICATION ACKNOWLEDGMENT STATE OF WISCONSIN ss. Signature(s) St.Croix County.) Personally came before me this 24th day of authenticated this day of March ,2000 the above named Leon Ringstad and June Ringstad,his wife VOL 1502PAGE 154 NOISE LEVELS "This property may experience noise at levels exceeding the levels in S.Trans 405.04, Table 1. These levels are based on federal standards. Owners of these lots are responsible for abating noise sufficient to protect these lots." NO IMPROVEMENT RESTRICTION "No improvements or structures are allowed between the right-of-way line and the highway setback line. Improvements and structures include, but are not limited to, signs, parking areas, driveways, wells, septic systems, drainage facilities, buildings and retaining walls. It is expressly intended that this restriction is for the benefit of the public as provided in section 236.293, Wisconsin Statutes, and shall be enforceable by the Wisconsin Department of Transportation or its assigns. Contact the Wisconsin Department of Transportation for more information. The phone number may be obtained by contacting the County Highway Department" (see Exhibit A) (The Highway Setback Line shall be 50 feet from the highway right-of-way line, or 110 feet from the center line of the highway, which ever is greater) ACCESS RESTRICTION "As owner I hereby restrict all lots and blocks, in that no owner, possessor, user, nor licensee, nor other person shall have any right of direct vehicular ingress or egress with U.S.H 12 as shown on the plat; it being expressly intended that this restriction shall constitute a restriction for the benefit of the public according to s. 236.293, stats., and shall be enforceable by the State Highway Commission." 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