HomeMy WebLinkAbout038-1204-00-000 I
/*
WWcono t Dopadment of Commerce PRIVATE SEWAGE SYSTEM C ounty:
. $aW alnd euungs division
INSPECTION REPORT St. Croix
GENERAL INFORMATION (ATTACH TO PERMIT) sanitary Permit No"
PoaOnall information you provide may be used for secondary purposes (Pdvaoy Lew. 8.15.04 (1 )(m)l.
m ""r "s Name: 0 City 0 Village Town of: State Plan 10 No.:
rtens Cli Star Prairie Townshi
CST M Elev.; Insp. 8M Elev.: BM Description: �� - Parcel Tax No
I UO • I ST PjM 1 - 4 e_ At �y�a A 038-1 1
TANK INFORMATION ELEVAT ON DATA 99 Z
TYPE MANUFACTURER CAPACITY STATION BS I FS ELEV.
Septic F- ate Benchmark
Dosin
g Alt. BM
Aeration Bldg. Sewer 1
Holding St / Ht Inlet
TANK SETBACK INFORMATION St /Ht Outlet y'2"
TANKTO P/L WELL BLDG. ventto ROAD Ot Inlet
Air Intake
Septic > S NA Dt Bottom
Dosing NA Header /Man. 6��/�` (.40 g
Aeration NA Dist. Pipe
Holding Bot. System
PUMP / SIPHON INFORMATION Final Grade
Man4f and" Co. (7 r
Model N ber PM
TOH Lift riction S tem TD Ft
Forcemain Length DIa. 0ist.Towell
SOIL ABSORPTION SYSTEM
N Width i Le 5 r No of ranches PIT No. Of Pits Inside Dia. Liquid Depth
SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING Manufacturer:
SETBACK CHAMBER
INFORMATION Type M e N um r:
System: tJ, 12 i ORUNlT
DISTRIBUTION SYSTEM
Header/Manifold u Distribution Pipe(s) \ „ , x Hole Size x Hole Spacing V � o Air Intake
Length a Dia. Length iii 41. 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 discrepancies, persons present, etc.)
Inspection fl: 1: 03 / pq/ 01 Inspection #2: -4- —
Location: 1250 202nd Avenue, New Richmond, WI 54017 (SE 1/4 SE 1/4 23 T31N R18W) - 2331181092 Wohlers Estat s:
Lot 25 TGv� v. s 5 c*
1.) Alt BM Description= ST•v.�. �t.�e ' Gks� 6 - 6 918 ,
2.) Bldg sewer length = ('LE� C' �� L g1,gz q2, 1 1-97-
�) �`r�ount��of��cover --e(�� C �,�. � ,V3 -94" Plan revs on?"equire ❑ Yes 0 No R E X
other side oral inIf r b ipn. 3 p 01
(7�) `f (R g,g 1 ^r Alst k V, &.'X_ Date Inspector's Signature Cert. No.
Wi sconsin Department of Commerce PRIVATE SEWAGE SYSTEM county:
,.Safety and Buildings Division St. CTO1X
INSPECTION REPORT
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)]. 383827
Permit Holder's Name: C1 City [] Village [] wn of: State Plan ID No.:
M ertens, Cheryl Star Prairie Township
CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.:
038 - 1204 -00 -000
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic Benchmark q�.�y (2 - U `
Dosing Alt. BM
Aeration Bldg. Sewer
Holding St /Ht Inlet 8g 1/06
TANK TANK SETBACK INFORMATION St/ Ht Outlet
Veno
TANKTO P/L WELL BLDG. Aiirintake ROAD Dt Inlet
Septic >s� l NA Dt Bottom —
Dosing - NA Header/ Man.
Aeration NA Dist. Pipe
Holding Bot_ System
PUMP/ SIPHON INFORMATION Final Grade
Manu urer Demand St cover ?jr<<
Model Nu er ! GPM
T I Friction System TDH Ft
Forcemain Length la. Fi Dist. To Well
SOIL A RPTION SYSTEM
Big EN Width ,t Lengt � f I No. renches PIT
No. Of Pits Inside Dia. Liquid Depth
DIME NSIONS DIMENSION
SETBACK SYSTEM TO P / L BLDG WELL LAKE /STREAM
LEACHING Manu acturer:
INFORMATION Type Of 1 Z t CHAMBER mod Numb
System: V , l -- OR UNIT
DISTRIBUTION SYSTEM
Header/ nifold Distribution Pipe(s) r u x Hole Size x Hole Spacing Vent To Air Intake
Length Dia. -�— Length !O `'s Dia. Spacing
SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only
Depth Over �7p� r l Depth Over xx Depth Of xx Seeded / Sodded xx Mulched
Bed /Trench Center Bed /Trench Edges Topsoil ❑ Yes ❑ No [I Yes ❑ No
COMMENTS: (Include code discrepancies, persons present, etc.)
Inspection #1: 03 /6QA Inspection #2:
Location: 1250 202nd Avenue, New Richmond, WI 54017 (SE 1/4 SE 1/4 23 T3 1N R1 8W) - 233118109 Wohlers Estates -
Lot 25 r
l
1.) Alt BM Description= J.. 3
2.) Bldg sewer length= �jl� _ . 7
- amount of cover = G
2 � � � 3�� � r � rr } ` /
3) e q0W k mj� WZA"- 72-
Plan revision required? ❑ Yes ❑ No
Use other side for additional information.
7 Cert. N o. SBD -6710 (R.3/97) Date Inspector's Signature
1 01,TJ 2 " S attiinty Perlllll Applicatiott Sntety t4. Buildings Division
In necotd will, Comm 113.2 1. Wis. Adm. t'ode 201 W. Washington Ave.
l aeons/n See reverse side fill' instnlctitms hir completinp this npplicnti(rrl PO Box 7302
Department of r:nmmlrree Personni hrfirnnntion yon provide 11111) he Itself fin seco11dnry purpnse4 Madison. WI 53707 -7107
II'►ivne), I,ni1, s 15.111 (S11hmil completed form to eounh it not
state owned.
Attach complete plaits to file count cu only) I' t e , oil paper Mess than 8 -1/2 x I I inches in size.
Cormt 1
state itary Permit Number ► if revisio9 to previous application State Plan 1. D. Number
L A Iketion Information - Please Print all Informatiot c , u� ,+ Locatio
Property Owner Name - _- -
- �l I'roperly Location
P7 Ter S - -- - -- — __ ' ZC_E10_ 1 / 4 S� va,s a3T I N f�(
y Owner's ailing Address ' Lot Numher Block Number
>( I GOUN?-y
- �
to a S
City. Slat _ ._.__, _
n• f 7,ip C'odc I'iwi a Numher ri Subdivision Name or CSM Numb r
/ / wta� il�.t' J U l � ° ,�_ -_. -4� _SS � � L/� f er5 �S •!-� 5
it Type of Building: (check one) ❑ city
& i or 2 Family Dwelling -No. of Bedrooms: 3 O Village
O Public/Commercial (describe use):_ Q1'nwn.of
O State -owned - -- -
4l'
Ili Type of Permit: Check only one box on line A. Check box (n► line n if npplicnble) Nenresl Rond
A) I. K New System 2. ❑ Repincentent 1. ❑ Itepinccntent of I A U Addition to I'mccl 7 nr Nuurherls►
S stern i ank Onl Ex isting S stem
- --�—__ -- - - -- g y _ 03
B) Permit Numher _ 1 own O A Sanitary Permit was previously issued
IV. Type of POWT System: (Check all that apply) _&L
iiENon pressurized In- ground O Mound ❑ Sand Filter ❑ Consln►cted Wetland
E3 Pressurized In- ground ❑ i folding] ank Cl Single Pass ❑ Drip Line
0 At - grade r r r ❑ Aerohic Trentment I lnh El Recirculating 11 Other:
3 S l� 0
V Db rsal/Treatment Area Information:
I. Des 611 Flow (gpd) 2. DispersalArea 3. Dispersal Area 4. Soil Application 5. Percolation Rate 6. System Elevatio a n 7. Fin Grade
Required Proposed Rate (Onls /daykq n) (Min. /inch) Elevation
/ 1170
gl. 9 9s - 91.
V1 Tank Capacity in 'Total N of Manufncnrrer Prefnb Site Steel Fiber- Plastic
Information Gallons Gallons Tanks - _ Con- Con- glass
New Existing crete structed
Tanks Tanks •
;� la ❑ ❑ ❑ ❑
V11 Responsibility Statement
We undersigned, assume res onsibilfi for installation of the POW7'S shown on the attached lens.
Plumber's Name (print) Plum .$ Signature (no st ps). MP/MPRS No, Business Phone Number
Pl umber's Address (Street, Ot , State, Zip ode)
ea J-
D>
VI11 County/Department Use Only
❑ Disapproved Sanitary Permit Fee (Includes Orotrndwater Date Issued Issuing Agent Signature (No stamps)
Of Approved O Owner Given Initial Adverse Surchle Fee)
Determination a 5 • IX Conditions Conditions of Approval /Reasons for Disapprqv 1:
62 reS ;ela.� - Et�Q
AU �ti3QsQ2 CL l �-ov—
i
VV
SBD -6398 (R. 07/00)
INDEX SHEET Page 1 of 7
OWNER(S) Cheryl Mertens
ADDRESS: P.O. Box 1
New Richmond, WI 54017
(715) 581 -5521
TAX KEY # 038 - 1096 -80
LEGAL DESCRIPTION SE 1/4 SE1 /4 Sec. 23 T.31N., R.18
Town of Star Prairie St. Croix County
Pagel INDEX SHEET
Page 2 PLOT PLAN
Page 3 SYSTEM CROSS SECTION, PLAN VIEW & OWNERS MANUAL AND MAINTENANCE
Page 4 OWNERS MANUAL AND MAINTENANCE PLAN
Page 5 SOIL AND SITE EVALUATION REPORT
Page 6 SOIL AND SITE EVALUATION REPORT
Page 7 SOIL TEST PLOT PLAN
Note: This design is based on "Conventional Soil Absorption Component Manual for Private Onsite Wastewater
Systems" SBD - 10567 -P
Soil Tester / Designer William D. Kolodziej
401 Dewey Drive
Stevens Point, WI 54481
715 345 -1903
CST 227901 ,
D1560
Wll
1560 d
STEVENS POINT
WIS ��
,4
„GN,
j;.
Property Owner Cheryl Mertens Parcel ID # 038 - 1096 -80 Page 2 of 7
PLOT PLAN
WILLIAM D. KOLODZIEJ CST 227901 D1560 401 DEWEY DRIVE STEVENS POINT, WI 54481 (715) 345 -1903
• SOIL BORING O PROPOSED/ EXISTING WELL NORTH Sys. Elev. 91.90 ft.
BENCH MARK M BACKHOE PIT 97.2 inches below BM
1" =40'
North PL 298'
in 95'
96' 5 0 o Slope p 4B= op of steel pipe.
A = 98.3 top of survey iron in NW l
3 cells 6'x 65' er o ot
1 1
1 1 1
1 1 1 63 Bench mark, boring location, elevations and
1 1 1 lot lines per CST Soil Report
1 1 1
1050 ST w/ 1/8" O
Zabel A -100 filter
Proposed 3
bedroom home O
West PL 270'
Driveway
Proposed
South PL 250'
Town Road
F.
Page 3 of 7
ABSORPTION CELL CROSS SECTION - TYPICAL
12" min. soil cover
Final Grade Elevation 95 -96 ft.
O System Elevation 91.90 ft.
R Depth of Excavation 36-48 in.
4" perf. pipe SCH 2729 10 Depth of Dist. Pipe From Original Grade 28 -38 in.
Cell of 1/2" to 2 1/2" agg.
Two SCH 3034 or SCH 40 observation pipes to 6" below and 2" above pipe.
terminate at grade located 1/6 of the cell length from ends
10.8333 ft.
ABSORPTION CELL PLAN VIEW
65 ft. Cell Width 6 ft.
6 Ti. Cell Length 65 ft.
j Total Absorption Area 1170 ft.
3 ft.
t 65 ft.
6 4
3 ft.
t 65 ft.
6 ft.
i
I
OWNERS MANUAL & SYSTEM MAINTENANCE Page a of 7 1. Pur §want to Comm 83.54 Wis. Adm. Code each Private Onsite Wastewater Treatment System ( POWTS) shall include information
and procedures for maintaining the system within the parameters of Comm 83 and 84 , and the conditions of approval by the
department, agent, or government unit. The approved plans and permits for the system are on file at the county zoning or health
department.
This management plan complies with Comm 83.54, Wis. Adm. Code, and the In- Ground Soil Absorption Component Manual for
Private Onsite Wastewater Treatment Systems SBD- 10567 -P
Table 1: System Design Specific Ions Table 2: Soil Absorption Component - Limit of Reliable Operation
Number of Bedrooms 3 Maximum Influent Particle Size (in.) 1/8
Design Flow - Peak (gpd) 450 Maximum BOD (mg /L) 220
Estimated Flow - Average d 300 Maximum TSS (mg/L 150
Septic Tank Capacity al 1000 Maximum FOG (mg/L 30
Absr to Unit Size W 1170
l Type of Wastewater Domestic
Table 3: Maintenance Schedule
Septic Tank I Inspect and /or service once every 3 years
✓ Outlet Filter Zabel A100 Clean at least once every 3 years
SoilAbsorption Unit I Inspect once every 3 years
Septic Tank:
The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the
septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code (Servicing Septic or Holding Tanks, Pumping Chambers,
Grease Interceptors, Seepage Beds, Seepage Pits, Seepage Trenches, Privies, or Portable Restrooms).
The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet
shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to
retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter
shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous
alarm. The septic tank shall have its contents removed when the volume of scum and sludge in the tank exceeds 1/3 the liquid volume
of the tank. If the contents of the tank are not removed at the time of an assessment, maintenance personnel shall advise the owner of
when the next service needs to be performed to maintain less than the maximum scum and sludge accumulation in the tank.
Manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for
service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject
to failure must be replaced. Exposed access openings greater than 8 inches in diameter shall be secured by an effective locking device
to prevent accidental or unauthorized entry into the tank.
No one should enter a septic or other treatment or holding tank for any reason without being in full compliance with OSHA
standards for entering a confined space. The atmosphere within the septic or other treatment or holding tank may contain
lethal gases, and rescue of a person from the Interior of the tank may be difficult or impossible.
Tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tank is no longer used as a POWTS
component.
Soil Absorption Component:
The soil absorption component serving this structure is designed to accept domestic wastewater from a residential facility. The
limits of operation of this component are shown in Table 2.
The longevity of a soil absorption component depends greatly on proper and timely maintenance, and system use within or below
the limits of reasonable operation. Good water conservation practices by all occupants and the installation of water conserving
plumbing fixtures are key factors in extending the useful life of this component.
The soil absorption component's operation must be assessed by inspection at least once every three years. The inspection shall
include recording the levels of ponding, if any, in the observation pipes, and a visual inspection for any evidence of surface seepage or
discharge from the component. On steeply sloping sites, areas of erosion should be indented and reported to the owner for repair. The
surface discharge of domestic wastewater or sewage from the system is prohibited and considered a human health hazard.
Traffic around or over the soil absorption component should be avoided particularly during winter months. The compaction or
removal of snow cover over the component may lead to hydraulic failure by freezing. This type of failure is usually temporary, but is
difficult to repair until weather conditions improve. In general, soil compaction over this component will reduce diffusion of oxygen into
the soil and absorption cell, which may lead to more intense, and earlier organic clogging of the soil. Plantings of deep- rooted trees and
shrubs directly over or within ten feet of this component should be avoided since root intrusion into the component may obstruct
wastewater flow.
Nit I n the case of absorption unit failure the replacement area if provided, or the ea beneath/ between t e absorption cells may be
used for replacement.
in case o q estions you may contact your St. Croix County Zoning at (715) 386 -4180 or Ron Gollon at (715) 341 -3277.
Dec 03 00 07:45p Dennis Jarchow 7153423790 p,2
iL /UL /,VV rnt N0.00 rtf4 f10 000 goon at vnn vv
t
d SOIL'EVALU 4� NRT P —Of _
kft h.mare�na wla+c,�mm es. rl�icl�Op��'
I1iMd� 00RNIM� N11 p1111 M� ra lm om e' Ill In qfo, rbn mlgl �"^
+rim., b O MMO Ne w�lodina lw�la�elwt l w.�lrca t 7.Ga�
o«amtNo w..wOaru�iwwr..waww�a.,.ntlwo uainciea�l.�+a -- t lO
1MYN�so pbf .R 1nlbr1r111 s0 5�peatt`t bN or b�
hwwl Mw�MINnYw !fir nor be MMg fp� um
tfv 1!4 T N R 6
I,iol � N el' CSNM/
r ply U mbp own MNraN Rom
Don�Nlrlen I lrr,�orof bdroo■. Cede dwMd din ftw wM CPO
131 0 pw.ntna+� p � rrryp.� c,.el�. Plod PtWn iw.un+n.aakmW wiaf n.
n -yv- e m e. / t ,, )
ED Borilo N so"
Wpft O mmd s , We dw. S .5 R DI W b MnWnO relor . IIPV k►.
lobo Mph Omor o- FiwtaaDWKr"on TMCrse St , o - Cun Wnm Gmindwy Ram
N. ftow OI.13i. COM cow Or. at 0% •ilwl 'am
-�
St M Ed PM - 9
soft# ❑
�►p,t claalW Wfta nw. ?5, I. D.pn to O" ft *W
Nubw Omb Or *Wd lirdmc QmWrl dml T� Sevepri CpIMarN+ea owNWuy IlO-b
h mwr l Ou. Ox Goal. COW Or. SL ft 'm
`y 7
10km* fm WuCqbWj TSS!3 Must 02 - Wk n 21 L end TSS 80
car .�
MOW T T NrrrAw
l?A .r �!d
Dee 03 00 07t45p Dennis Jarchow 7153423790 p.3
Ii�VYVU I'M U6;4V rAA 111 J80 0000 sl 1.m W wi.anj w,jVVJ
Pnipstty Owner PIN of papa CO
M O
felt OrotMW eulpq Wv. � • it Daph fo IMiNYq Aastor k 'A im.
Ink= Depth Oomirrr! CCAM Andes Oradplan TIM NS, Mudwo Cm*%Wnw 6aunMy P"% tipD11R
M+
M ft Cont. Cebr Or. ft OL •i1ss9
s nor. S P5 a
19 1 4 f-l� s
s
WF
El pit QrerMd wefiee Nov. M. Da th b sia" M Ov _ in.
tMAtm ampR Datrdrafrd cow RvWx DMW4Pdom Tedlsa S►ucUro oonelaltnce 80446y goelt
Vx AUNIAAI Ou. 8a: (7Drt Color Cr. ft ft. .1m
Daft
i
Pit Dap9t b SnINO traaar in.
Rata
1106ant Oaplt DINdR110000141 fbdDn DNMWO M Teat+Me St UVAM OOMISIN too YaMdwy Awls
NMn�1 _
or, OIL 'EAM 'E W
t:1lMwtr fr+ ft SOD,.- 3O Z 210 mi+L Sod M -IV. t6o mat. • Celwnt 02 • MD,!! 90 woo and Tl'a S 90 mprL
The Depatlmw of Coanaeroe is an ual ormni service ovider And la u- If y need amittaaca to ocean Services or
W oPP tY Pt info Y Yo
Seed toatedel in an ANemate format, please contact the deportment at 609-2W3151 or TTY 009-100.9777.
MOQetAyM1
i
Dec 03 00 09:46p Dennis Jarchow 7153423790 P.1
aciut <vu rill vo.oa rna .io 000 %000 Jl ann w LMIIA..V WV.%
t d
Soil Test Plot Plan
Project Name Ronald Wuhlers Sha
AtWreve 12412 200th Ave
N taw Richmond WI 54017 C 0226900
Lot 25 Subdhrision Wohlem Estates Date WlW00
SW /SE - 1/4 SE 1/48 23 T 31 NIP 1,8 W Township SWPrairie
0 Boring Q Weil PL Property Line County ST. CROIX
` BM or vRP Assume Elevation 100 h. Top of Steel Pipe
System Elevation 9 HRPSarne a B
Alt» SM T of Swvey iron Q 98.3'
H t 298' Nveny Line
-1
30 . -3
596 `
1
.9 J:
96. -t 95' 94. V
N
J
e rao3 .z
Pro Town Road
230' Line
Wisconsin Department of Commerce SOIL/ 6VALUATIO RT Page of
Division of Safety and Buildings A'
in accordance with r f�m 85, V�bEde C
Attach complete site plan on paper not less than 81/2 x 11 in size. Plan must '
include, but not limited M: vertical and horizontal reference ' 'nt(BM), dire nfi 2Q I.D.
percent slope, scale or dimensions, north arrow, and locatio d dista n0a�r
°'1' ..
Pt"se 51 Date
print all informatlo t . - ", �Out F �' by
Pommel Information you provide may be used for secondary purposeo� I k Law, �0✓QrT�m}). 2 - _
Ply Over►
� �1 /q/ 1/4 T_ /N R E(
Property OWWs MallEng Add r Lot # Block # SubdL Name or CSM#
-Me Zip
``s� Phone Number ❑ City ❑ Village Town Nearest Road
1 5 7 Ql ' -
Construction Usel ntlal / Number of bedrooms Code derived design flow rate GPD
❑ Replacement ❑ Publ / iq / pr comet Describe:
Parent material .r. .mod u "� Flood Plain elevation if applicable /y/Jf fL
General comments
and recommmendatimsr,,5 y .s
Boring # g Boring
RC{
Pit Ground surface elev. _ r ft. Depth to limiting factor Id 0 1n.
Sal kation Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPM
In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. I 'Eff#1 •Eff#2
--� r v r 31 rL& sr OM ,9
�a to s no i<- LI I If
y i 7.s F
FOZI eodrlg # O Boring q
Z`Pit Ground surface elev. (sr ft. Depth to limiting factor - �--- in.
Sal Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM
In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
l o - D 1r 3 51 MF2 a S
ay- 7• `� r FT Cb WR
Effluent #1 = BOD a 30:5 220 mg1L and TSS >30 io mg/L ` Effluent #2 = BOD < 30 mg& and TS 5 30 mgk
CST Name�Plsase Print} Si tore . X / � v to GLG[ r✓ i �
Address Date Evaluation Conducteo Telephone Number
Lod of 5
Property Owner Parcel ID # __ __ Page - -of
❑ Boring
Bori
Bon # pit Ground surface elev. / s� ft. Depth to limiting factor y r g in, Soi! ication Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDff
In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 4 0#1 "Eff #2
Orrigr 07 �2- 9m
VY
s
7, S zp, 9 r
1 w
�z
Boring # ❑ Boring
❑ Pit Ground surface elev. -
— ft. Depth to limiting factor _ in, Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD1fF
In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh, "Eff#1 "Eff#2
F-1 Boring # ❑ Boring
Ground
❑ Pit Gd surface elev. ft. Depth to limiting factor in.
Soil ication Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP
In. Munsell Qu. Sz. Cont. Color Gr, Sz. Sh. "Eff#1 "Eff#2
"
Effluent #1 = BOD > 30 220 mg/L and TSS >30 < 150 mg/L " Effluent #2 = BOD <_ 30 mg/L and TSS < 30 mg/L
The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or
need material in an alternate format, please contact the department at 608- 266 -3151 or TTY 608 -264 -8777.
SOD -8330 (R.Bl00)
i
Soil Test Plot Plan
Project Name Ronald Wohlers Shaun
Address 1282 200th Ave
N ew Richmond WI 54017
C #226900
Lot 25 Subdivision Wohlers Estates Date 8/16/00
SWISE 1/4 SE 1/4S 2 3 T 31 N/R 18 W Township Star Prairie
Boring Q Well PL Property Line County ST. CROIX
IL BM or VRP Assume Elevation 100 ft. Top of Steel Pipe
System Elevation 91.9 *HRPSame as Benchmark
Alt. BM Top of Survey Iron @ 98.3'
298' Prop Line
t
A 5,
-1
40'
30' -
5%
4 Slo e
B-
a�
96' 95' 94'
a�
a
0
0
N
Pro Town Road
250' Property Line
14/V! /UU I VV :Iw r AA 110 000 9000 31 LKA 4U LVINIAU W.4 UUd
• ST CROIX COUNTY
SEPTIC TANK MAINTENANCE AGPJMdE IT
AND
OWNEILSMP CERTIFICATION FORM
Ownerahwer . ' he. u Jq L �.-
Mailing Address 6 A
Property Ada
(V'erificadon required from Pla mung Department for now cossdtuction) LQLp
City/State /u2-Lo gi� nnbcL �21 Parcel Identification Number C`�. � — 10 9�n =s�o
LEGAL DESCRIPTION
Property Location ;S-L y +, S V4, Sec. a 3, TT N.�t. _W, Town of ,�'' e�� i r p_
Subdivision ) A S C Trot #
Certified Survey Map # Volume _ . Page #
Warranty Deed # (0 3 `� 13 . volume 1 SL I . Page # . � _
Spec house ❑ yes 0 no Lot lbws identifiable yes 0 no
sYST�I►� n��r�,,
Iaupegaeara n and of yaw septic systewcodd rattle in supremsturehiWa to ba de wastes. Proper ruaintenance
of po oak tlhe septic t every throe y= n at soaaer, if needed by a licensed pumqw. What YOU pat into 09 system
sun affect tlhe ftum*m of the septic tact as a tnestmag atop in the muff disposal system.
T k psopeaay oww :Creams to submit to St Cna Zwong Departaaest a catifimum fan. sighed by the owner and by a
W, 1��Y�F�P�' ocali�oenpedpamop�tLtEt (t)timoa- st�xastewat�dtsposal cyan
is is paper opesratiaf eonditiou aad/or (2) after jxpxtion and I g im g (if saoessay), the septic task is less d= 113 full of sludge,
fte. the veftdVacd have lead the above z *quirmoft and agree to malm aita dw private sewage disposal system with the stasdaub
set horn. bacip, as set by the DcpaftmeW of Commme and the Deput %* of Nmwd Rte. State of Winoads. Cfttff"tion
$"dog drat ym scpti c system has be= mabsained mart be not wlftd and ceturod to the 5t. Ctaix County Ztaaisg Ot1ke within 30
days or do three year ea�i mloa date.
/a i RL o-o
SjGMTUREZF7aTUCANT DATE
OWNE
I (we) certify that aU. ctatetna lu on this form ace true to the best of my (our) knout*. I (we) am (are) the owtucr(c) of
the panpsrty described above, by virtue of a warranty deed recorded in Register of Deeds Office.
�� � �APPLIQWF AR/8
SIGNATURE OP DA TE
00 Any infor matim that is mis- representedtray rmuit in the saaitary permit being revokedby tt►c Zoning Department. +` + +•r
•• Include witb this application: a stamped warranty dcod from the Register of Deeds o@ice
a copy of the certified sncvey map if mferoa w is made in tits wunuty deed
1561p��t 482
ydt 634135
STATE BAR OF WISCONSIN FORM 2-1999 KATHLFEN H. WALSH
DocumcniNumbcr WARRANTY DEED REGISTER OF DEEDS
ST. CROIX CO., WI
This Deed, made between R onald W a/k/a Ronald A . RECEIVED FOR RECORD
W &Wa Ron Wohlers _ _ — __— 11 -22 -2000 9:30 AM
— - - - -� -- — - - -- WARRANTY DEED
- -- —.. _ ^ -- - -. —.— EXEMPT II
Grantor, and Cheryl A. Merten -- — _ CERT COPY FEE:
COPY FEE:
— — -- -- — — — — - TRANSFER FEE: 203.40
_- —_ - -- -- RECORDING FEE: 10.00
_ —. -- ...-- - - --.- PAGES: 1
Grantee.
Grantor, for a valuable consideration, conveys to Grantee the
following described real estate in _S C — _ _ _ County,
State of Wisconsin (if more space is needed, please attach addendum):
Recording Area
Lots U an 25, lat of W ohlers Estates in the Town of Star Prairie, St. Name and Return Address
Croix Coun isconsin. KRISTINA OGLAND
ATTORNEY AT LAW
P.O. BOX 359
HUDSON, WI 54016
038. 1096 -80 ;038 - 1096-80. 120;03 1097 _
Parcel Identification Number (PIN)
This is not homestead property.
DO (is not)
Exceptions to warranties: Easements, restrictions and rights -of- -way of record, if any.
Dated this -f' day of Nov ember _ _ 2000
— — • Ro ald W ohlers, a /k/a Ronald A. Wohlers, a/k/a Ron Wohlers
AUTHENTICATION ACKNOWLEDGMENT
Si$na. re(s) Ronald NA!c!j:ar;, a," a- :onald A. Wohlers, a /k/a STATE OF WISCONSIN )
Ron Wohlers ) ss.
-- _ -- County )
authenticated this day of November _ 200 Personally came before me this _ day of
the above named
.Krtsti . —, - - -, - - - -- — _. —. —._
TITLE: MEMBER STATE BAR OF WISCONSIN to n —c known to be the persons) who executed the foregoing
(If not, __. - -. —.- instrument and acknowledged the same.
authorized by 0 706.06, Wis. Stats.)
THIS INSTRUMENT WAS DRAFTED BY • __ -_ - -- _. —
Attorney Kristin& Ogland -- _ — _ —_ -_ Notary Public, State of Wisconsin
Hudson, WI 54016 _ _ - My Commission is permanent. (If not, state expiration date:
(Signatures may be authenticated or acknowledged. Both are not necessary.) — -- — — )
Names of persons signing in any capacity must be typed or printed below their signature. trtorma w Prate$$; r 1e company. Fora au tae, m
eooaesao21
WARRANTY DEED STATE BAR OF WISCONSIN
FORM No. 2 - 1999
.�7
0 �3 r'
.old
W. �
x
C
tD 0 g -�
Ll IV
0
1
}
�• y
ti
NW -13 -2000 09:08 P.07i08
I 9-amw
Al
IrT
I I �
.I
c 1 _
I kit
$ i ' ei::iai: o
I t
jot- e
i
l� la f q • ` J ° T
I iii �� 1 = z�tt ti / P 111.
.
Mr
R
i s
r7 7wel*
�a
IE t ( Nis I 1 /
IV it
293.72' 27 &00' 248.00' 2
FOUND 1 1/4` IRON ; "t•�, 0 I
N 68'16'35" E 111
FROM COMPUTED POSITION " ' , (EAST LINE OF
`~.. `y Sj.\ a,• ,�9/ F THE SE 1/4 OF
THE SE 1/4
ce\ a � LOT 24 LOTi23 t I 51 LiOT 22 M LOT
- 4
LOT 25 84 SO FT.
7 �e / 1.94 ACRES .� .85,686 50. FT.: I i 78,382 S0. FT. W 76,270 S0. FT.
90,25J S0. FT. h ( n 1.97 ACRES 1 1.75 ACRES n 1.75 ACRES
° 2.07 ACRES 1 I ^
X20' WIDE DRFJNAGE EASEMENT ° n
N -�\ ................ �
.........: I I I :....... ..... ............... NGfSETBACK
I
\ • �. .......
L - -- -
N w23 °:4B' t O ^ ats 14.1 n- PROPO TOWN ROAD S89'28'15�wen.t7-
S 89'28 W 434.82' - - - _ - - - - - _ - - N 89'28'15" E 811.07'
- - -- - -- I
- - �12' it Utliy Eosement I 2' Utility Easement (Typical) I ........ ......... o .................. ....... .... 26 ai o ._ WEST
LINE OF
,�, B7, 172 S0. FT. THE sw 1 a n r 200 ACRES rv N�I I I - THE SE 1/4
LOT 27 3�I Z ° LOT 28 I L:OT /0 I ' t 84, 988 50. FT. 3 LOT l/ 1.95 ACRES 1n 85 . 070 50. FT. ; n o" I Q
- 76, 306 50. FT. "' 78, 487 S0. E f FOUND 1 1 /4" IRON PIPE T. 1.95 ACRES °w I h I ; 1.75 ACRES n 1. 75 A CR W '1 S 57'38'06`
E 0.66' H I rn I ° --- �}901)0'0OM CO0.1PUTED POSITION 'I W I 3/ II 176.28 191.57 376.10• 304.00' ma // OHO I 36'51.
871.67 ''244.00' _ W o Q I Z. N 89'}6'51" E 485.54' f4 4. � UNPUITED UNDO Q oME_8 A(i£ 2270 `o °+ I P m LOT 9 � %I CURVE DATA
77,687 50. FT. N88'075'E
1.78 ACRES
ARC CHORD CHORD CENTRAL TANGENT gz
V CURVE RADIUS LENGT LEN GTH B EARING AN BEARINGS L 0 T 1 oN
A -B 2 ? 3.0C' !82.99' 178.33' ^.2 }'C6'39 "N a5'00' v00'3fi'39'W N45'36'39'W C�RIIFIED SURVEY MAP
r
C `31.16' '27.32' `123'C6'39 "W 45'00' •145'36'39 rv00'36'39 "W VOLUME 8 PAGE 2270_ Q I S 87'32'20" w 485.79'
E -F '.6,.00 131 6 127,82' 123 6 }9 .v 45 JO" ^100'36 39 "W N45 "W 1 II
G -H 233.00' 1a 99 8',3 '2 C6 }9'W x5'00'00' N45'36'39'W NOO'36'39'W LOT 8
I -J 233 00 9 J . 0..3'27 " 3 }•p N00'36' 39'W N32' 3'21"W
3 K -H 4 67900' 96.19' 94. V1 "E 33' 00'00" N72'23'2 "W N00'36'39'W OUTLOT 1 r@ ` 3;0 80,444 SO FT. t
L -M 30.00' 62.93' 61.32' S67'S9'49"E 45'C4'; 0" 1892 "E 545 '27'35 "E 0.04 ACRES
ro' �i` 1.85 ACRES
h
Ne M- N(TOTAL)80.00' 377.18' 173.00' .V00'31'45W
' • ' '
270'08'20" 545'27 "35 "E 54424'05 "W
LOT 13 80.00 20.87 20.81 552'55'56.5E 14 Q
$ 36'40 5452735'E 56024'18`E N70
47. I
3 '�,• 20' WIDE DRAINAGE EASEMENT
o`
�I LOT 14 80.00' 34.02' 33.76' S7235'9.5'E 2421'43' S6024'18 'E 584'46'O1'E i `11 G J• \" . -- - - - - - J
LOT 15 80.00' 34.02' 33.76' NBS'03'07.5 2421'43' S84'46'Ol'E N7032'18'E ;n - � � � - -
I 48 \ K 89'36'51' E 396.4
LOT 16 80.00
/1v d5/ is \ _
' .16' µ' N537729.5`E 7429'31' 32'18'E N3622'44 I 1 \ J@. � I
1 LOT 17 80.00' 64.05' 62.35' NI }'26'32.5'E 4 532'23" N3622'4CE NO929'39'W
- ' 47Z 3" :09'29 39'4
/
LOT 19 8000' 9538 89.87' 5787329 "W 68}8'48' 16770'07 "W So^'2�405 W '..L -O T . 6_ \ \.0 \9 \ L.O T _
N - 80900' 60.93 61 37' 6fi S6 in'W 45n ', S44 c C WI