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HomeMy WebLinkAbout040-1002-30-100 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 463148 0 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: Lewis, Charles I Troy Township 040 - 1002 -30 -100 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: 0 f I� 1 r 01.28.19.13010 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. /07. j46 Septic ? Benchmark 4 4 /� i/. wH,eq / Dosing Alt BM A ? Bldg. Sewer Holding St/Ht Inlet • I q 57 St/Ht Outlet TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic i i - 3 � i -- Dt Bottom -z 7z� .3 33 iz. - r s Dosing 1 E . , l / y Header /Man. �. �• z Aeration Dist. Pipe Holding Bot. System Z laz . 2.4 � !O � PUMP /SIPHON INFORMATION Final Grade 3: ct Manufacturer Demand St Cover L -, Z. e. ��, GPM Model Number Ol q rr"4 a q 9, . TDH Lift Friction Loss System Head TDH Ft Forcemain Length Dia. , 7- I Dist.toWell 7 Z SOIL ABSORPTION SYSTEM BEDITRENCH Width / Length No. Of T enche PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 1 I C ) — (—) SETBACK SYSTEM TO P/L BLDG IWELL LAKE /STREAM LEACHING Manufacturer. INFORMATION CHAMBER OR Type Of stem: / I UNIT Model Number: DISTRIBUTION SYSTEM Header /Manifold I Distribution / x Hole Size x Hole Spacing V R', o Air Intake Pipe(s) 4 ' 1-2 L Dia Length r Dia 1 �Z Spacing , 1 %� -J Z 61' 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 ' es No . es No COMMENTS: (Include code discrepencies persons present, etc.) Inspection #1: 1 f / 3 / Gq Inspection #2: / / Location: 548 Boundary Rd. Hudson, WI 54016 (NE 1/4 SE 1/4 1 T28N R19W) NA Lot 1 Parcel No: 01.28.19.13C10 1.) Alt BM Description = � + '" 1 ery� 3� °� ``� �o �L — d`e �S r:� ra t� e G E1lef►va v t wc..o 7 i cx i L� ors 1 C C_ IC_ v w � }avr. Ik- Y w � 00 l L 2.) Bldg sewer length = �`� �F �� Rs�n +�d.lL (�1u.e^►s.,,r -6 t4uw 40 - ^V-4 0,4'WA - amount of cover = s Plan revision Required? F; _I Yes �N Use other side for additional information. 6710 (R.3197) Date Insepcto Signatur Cert. No. • � ��Wl Buildings Division County gton Ave., P.O. Box 7162 ST. CROIX i sconsin WI 53707 —7162 Permit Number (to be filled in by Co.) Department of Commerce {608)26 - � 3 I Sanitary Permit Applicati n S tate Plan I.D. Number In accord with Comm 83.21, Wis. Adm. Code, personal informati you pr v�d 0 �oo TR NS ID # 1060086 may be used for secondary purposes Privacy Law, s15.04 Xm) 1, Projec Address (if different than mailing address) I. Application Information - Please Print All Information ST. CROIX ` , ✓ „ ` �" ONING OFFIC Property Owner's Name Parcel # Lot # Block # CHARLES LEWIS a ti A Property Owner's Mailing Address Property Location 548 BOUNDARY ROAD 1 City, State Zip Code Phone Number NE '/4, SE 1/4, Section HUDSON,WI 54016 715/425 -9766 28 19[circleone) II. Type of Building (check all that apply) T N; R r d 1 or 2 Family Dwelling - Number of Bedrooms 3 V . I L , CCSM Number Public /Commercial - Describe Use }P T� -* TT� ❑ State Owned - Describe Use QCity Qvinage Township of TROY III. Type of Permit: (Check only one box on line A. Complete line B if applicable) - I LT07 - 3 0 - (0'O • 1 - 10 A. ❑ New System El Replacement System ❑ Treatment/Holding Tank Replacement Only 13 Other Modification to Existing System B. ❑Permit Renewal 13 Permit Revision [3 Change of 11 Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner IV. Type of POWTS System: Check all that appl ❑ Non - Pressurized In- Ground ❑ Mound> 24 in. of suitable soil 13 Mound <24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter Constructed Wetland ❑ Pressurized In- Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter ❑ Leaching Ch er I] Dri Line Grave -less Pipe ❑ Other (explain) V. Dis ersal/Treatment Area Information: X = Z 2. 3 3 Design Flow (gpd) Design Soil Application Rate(gp f) Dispersal Area Required (sf) Dispersal Area Proposed (sf) System Elevation 450 1 450 450 162.3 ; i - �3 VI. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank 1000 1000 1 WIESER CONCRETE X Aerobic Treatment Unit Dosing Chamber 650 1 650 1 WIESER CONCRETE X VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Flumber's Name (Print) Plumb 'a Signature MP/MPRS Number Business Phone Number BENNIE HELGESON 0292 715/772 -3278 Plumber's Address (Street, City, State, Zip Code) W1229 770TH AVENUE, SPRING VALLEY, WI 547 7 VIII. Count /De artment Use Onl Approved ❑Disapproved Sanitary Permit Fee (includes Groundwater Date Issued sui Agent Signatu (No Stamps) Surcharge Fee) ❑ Owner Given Reason for Denial 350 Z� IX. Conditions of Approvat/Reasons for Disapproval 1 SYSTEM OWNER: 3) 1 Septic tank, effluent filter and dispersal cell must all be serviced / maintained X1""""1 Stu 2 as per management plan provided by plumber. i � QP 2. All setback requirements must be maintained as per applicable code /ordinances. Attach complete plans (to the County only) for the system on paper not less than Sin x 11 inches in size SBD -6398 R.01 /03 CT -15 -04 08:27 AM P.03 1....IA eIQQy lam. b�e r.' e v% vi + a el l esokt � v ro ae- s.r. j c) (off 0 �� ----�' 3 2C4 Sept / Dme D k I C1 15 �rk�K I /p/ 4. $I co * L f l & - A, � Q c O c� v- N! ar ��� r' 99 9 � r • Safety and Buildings 4003 N KINNEY COULEE RD commerce.wi.gov LACROSSE WI 54601 -1831 i TDD #: (608) 264 -8777 i sco n s n www.commerce.wi.gov /sb/ Department of Commerce www.wisconsin.gov Jim Doyle, Governor Cory L. Nettles, Secretary October 15, 2004 CUST ID No.220292 ATTN: POWTS Inspector ZONING OFFICE BENNIE W HELGESON ST CROIX COUNTY SPIA W 1229 770TH AVE 1101 CARMICHAEL RD SPRING VALLEY WI 54767 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 10/15/2006 Identification Numbers Transaction ID No. 1060086 SITE: Site ID No. 689622 Charles Lewis Please refer to both identification numbers, 548 Boundary Road above, in all correspondence with the agency. Town of Troy St Croix County NE 114, SE 1/4, S1, T2 8N, R19W FOR: Description: Three Bedroom Mound System Object Type: POWTS Component Manual Regulated Object ID No.: 980898 Maintenance required; Replacement system; 450 GPD Flow rate; 12 in Soil minimum depth to limiting factor from original grade; System: Mound Component Manual - Version 2.0, SBD- 10691 -P (N.01 101), Pressure Distribution Component Manual -Version 2.0, SBD- 10706 -P (N.01 /01); Biofilter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s. 145.06, C�nd stats. A RP'l The following conditions shall be met during construction or installation and prior to occupancy or use: D PF.PTMD General Approval Requirements: 014 u v • This system is to be constructed and located in accordance with the enclosed a SEE CORF Y approved plans and with the "Mound Component Manual for Private Onsite Wastewater Systems VERSION 2.0" SBD - 10691 -P (N.01 /O1) and the SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST SAS (01 /81) • The mound area must be deep chisel plowed to help break up the platy soil structure that was reported at the site. The county may, at their discretion, request verification of the plowing prior to continuation of system construction. An additional 2 -4 inches of C -33 sand maybe plowed into the soil to assist in vertical movement of the effluent. • Per manual cited above limited activities are allowed in the area 15 feet down slope of component r i o the area. P Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. • The well must be a minimum of 25 feet from an POWTS tank and a minimum of 50 feet from the absorption Y � � area. chs. NR 811 & 812c , Il i BENNIE W HELGESON Page 2 10/15/2004 • 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. Stat • Comm 83.22(7) 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. Owner Responsibilities: • Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • Comm 83.55 The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. I The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 Charles L Bratz POWTS Reviewer 11 , Integrated Services WiSMART code:7633. (608)789 -7893 , 7:45 am - 4:30 pm Monday - Friday cbratz@conimerce.state.wi.us cc: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544 MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN Residential Application !� INDEX AND TITLE PAGE �q V Project Name: Charles Lewis Owner's Name: Charles Lewis Owner's Address: 548 Boundary Road Hudson WI, 54016 Legal Description: NE1 /4, SE1 /4, Section 1, T28N -R19W Township: Troy County: St. Croix Subdivision Name: None Lot Number: 0 Block Number: Parcel I.D. Number: Plan Transaction No.: Page 1 Index and title Page 2 Data entry Page 3 Mound drawings Page 4 Lateral and dose tank Page 5 System maintenance specifications Page 6 Management and contingency plan Page 7 Pump curve and specifications PL �J 31 lrV Page 8 Site plan for mound design Page 9 Soils description page 1 Page 10 Soils description page 2 r OF COMMERCE Page 11 Soils description site plan NU c Page 12 Tank Information ON.D�,`VC Designer: BENNIE HELGESON License Number: 220292 Date: 06/03/04 Phone Number: 715/772-3278 Signature: Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SDB- 10691 -P (N. 01/01), and SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01/81) Version 3.11 (R. 06/01) Page 1 of 12 OWNER: CHARLES LEWIS Mound and Pressure Distribution Component Design 300.00 Estimated Wastewater Flow (gpd) 450.00 Design Flow (gpd) 2.00 Site Slope ( %) 99.50 Contour Line Elevation (ft) 8.00 Depth to Limiting Factor (in) 0.80 In -situ Soil Application Rate (gpd/ft2) Distribution Cell Information 50.00 Dispersal Cell Length Along Contour (ft) _ 1.00 Dispersal Cell Design Loading Rate (gpd/ft2) Influent Wastewater Quality 1 Pressure Disribution Information End Manifold 3 Spacing Between Distribution Cells (ft) 3 Number of Laterals 0.188 Orifice Diameter (in) 3.23 Orifice Spacing (ft) 2.00 Forcemain Diameter (in) I 110.00 Forcemain Length (ft) 88.50 Pump Tank Elevation (ft) 3.25 System Head (ft) x 1.3 10.60 Forcemain Drainback (gal) 13.17 Vertical Lift (ft) 66.68 5x Void Volume (gal) 1.38 Friction Loss (ft) 77.28 Minimum Dose Volume (gal) 17.79 Total Dynamic Head (ft) 31.46 System Demand (gpm) Lateral Diameter Selection 1.5" Manifold Diameter Selection 2 Treatment Tank Information 1000.00 Septic Tank Capacity (gal) Wieser Manufacturer Dose Tank Information 650.00 Dose Tank Capacity (gal) 17.00 Dose Tank Volume (gal/in) Wieser Manufacturer Effluent Filter Information Zabel Filter Manufacturer A100 Filter Model Number Page 2 of 12 OWNER: CHARLES LEWIS Mound Plan View t 1/10 L B . . Observation Pipe 0 . '•.,,•tip,•° A ........ ... ............... . .. { . I L� l L = Mound Component Dimensions A 9.00 ft E 30.16 in H A10.26 ft K 12.65 ft B 50.00 ft F 9.50 in z ft L 75.29 ft D 28.00 in G 0.50 ft J ft W 31.40 ft 450.00 (ft) Dispersal Cell Area 1057.18 (ft) Basal Area Available 9.00 (gpd/ft) Linear Loading Rate. 5.00 (ft)1/10 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 103.63 (ft) H G rrrrrrrr 2 rrrrrrrrr.. .rrrirrr rrirr I F Dispersal cell — .102.33 (ft) Lateral 101.83 (ft) - — - Invert Dispersal Cell p r3� f Elevation E -r 99.50 (ft) Contour Elevation 2.0 % Site Slope G Fabric Cover Shading Key a T — Dispersal Cell See lateral details on a 1.5 ft _ Page 4 for number, size, 1❑ Topsoil Cap o • r:.:� rrrir � 5 •- • '• "' s' �••ti;: • : and spacing of laterals. © Subsoil Cap �' ° :?��(;•.�: f ASTM C33 Sand `-° _ti_?:rr;', F Laterals are equally r spaced from the 0.5 ft Typical Lateral Tilled Layer c a;•ti ° "s ~• °•`':e.7.'°' distribution cell's ❑ Aggregate o : f •• °••••j•'°••' °• ° °• • centerline in the A distribution cell (AxB). race 3 or 12 OWNER: CHARLES LEWIS End Connection Lateral Layout Diagram Center the laterals over the A & B dimension 0- Turn -up vWball valve or aleanout plug pForcernain P cal IE- x —�I Holes drilled on the bottom of the lateral equally spaced Laterals & force main of PVC Sch40 (per COMM Table 54.30.6) ction via tee or cross to manifold at any point, Number of Laterals 3 Orifice Diameter 0.188 in Lateral Diameter 1.50 in Orifice Spacing (X) 33 ft Lateral Length (P) 48.45 ft Orifices per Lateral 16 Lateral Spacing (S) 3.00 ft Orifice Density 9.38 W /orifice Lateral Flow Rate 10.49 gpm Manifold Length 6.00 ft System Flow Rate 31.46 gpm Manifold Diameter 2.00 in Total Dynamic Head 17.79 ft Forcemain Velocity 3.21 ft/sec Dose Tank Information Locking cover with warning label and locking device and sealed watertight Electrical as per NEC 300 and —� Comm 16.28 WAC 4 In. min. Disconnect --ii -- y Tank component is properly vented E--- Alternate outlet location Forcemain diameter Wieser Manufacturer 2 in. Capacityl 650.00 Gallons Volume 17.00 gaVinch A Weep hole or anti - Dimension Inches Gallons B siphon device A 23.69 402.72 B 2.00 34.00 C P ump off elevation (ft C 4.55 77.28 89.17 _t __ D 8.00 136.00 D Total 1 38.241 650.00 11 Dose tank elevation ft 3" Bedding uncler tank. 88.50 Alarm Manuafacturer JSJ Electro Alarm Model Number I HW 101 Pump Manufacturer jZoeller Pump Model Number 152 Pump Must Deliver 31.46 gpm at 17.79 ft TDH Page 4 of 12 Mound System Maintenance and Operation Specifications Service Provider's Name 1 y C ( t c h �. v. fi,c :, L �r �� Phon 1 7, POWTS Regulators Name J St. Croix County Zoning Phone ,�y /3 YGB� System Flow and Load Parameters Design Flow - Peak 450 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 300 gpd Maximum BOD5 220 mg/L Septic Tank Capacity 1000 gal Maximum TSS 150 mg/L Soil Absorption Component Size 450 ft' Maximum FOG 30 mg/L Type of Wastewaterl Domestic Maximum Fecal Coliform I >10E4 cfu/100 mL Service Frequency Septic and Pump Tank Inspect and /or service once every 3 years Effluent Filter Should inspect and clean at least once every 3 years Pump and Controls Test once every 3 years Alarm Should test month) Pressure System Laterals should be flushed and p ressu re tested every 1.5 years Mound Inspect for ponding and seepage once eve 3 years Other Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table Comm 84.30 -1, have a watertight cap, and are secured in as shown in the mound component manual. 2.. Dispersal cell aggregate conforms to Comm 84.30 (6)(i), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in Comm 84, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn -up Detail Finished i • .... • .... • • • • �--�� 00006000000000 Grade 6 -8" Diameter Lawn Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Distribution Lateral Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Charles Lewis Page 5 of 12 z� Mound System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code General This system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals [SBD- 10691 -P (N.01/01) and SSWMP Publication 9.6 (01/81)] and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8- inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or component. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet fitter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The fitter 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 finer is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution System No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October - February) dictate that the mound be heavily mulched as protection from freezing. Influent quality into the mound system may not exceed 220 mg/L BOD 150 mg/L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg /L BOD 30 mg/L TSS, 10 mg/L FOG, and 10 cfu /100 ml- for highly treated effluent. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure test is performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Contingency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. If the dosing tank, pump, pump controls, alarm or related wiring becomes defective the defective component(s) shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component fails to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 5 of this plan for the name and telephone number of your local POWTS regulator and service provider. Project: Charles Lewis Page 6 of 12 UW \Er,; CHARLES LEWIS 101At DYNAMIC HEAD /CAPACITY HEAD CAPACITY CURVE PER MINUTE f I Ut NT AND DEWATERING V) MODEL 152/155 W MODEL 152 153 50 Feet Meters Gal. Liters Gal. Liters 153 5 1.5 69 261 77 291 12 40 10 3.1 61 231 70 265 15 15 4.6 53 201 61 231 LS 20 6.1 44 167 52 197 x 9 30 25 7.6 34 129 42 159 z 8 3 0 9.1 2 87 33 125 r - o - 20 35 - 10.7 -- -- 22. 85 0 4 12.2 -- -- 11 42 ~ 4 Lock Valve: 38.0 Ft. (11.6m) 44.0 Ft. (13.4m) 10 01 � 0 20 40 60 80 100 GALLONS s t/a LITERS 0 80 160 240 320 3 27/32 4 5/8 FLOW PER MINUTE g \ 3 27/32 CONSULT FACTORY FOR SPECIAL APPLICATIONS • Timed dosing panels available. ® ti 3 27132 • Electrical alternators, for duplex systems, are available and supplied with e an alarm. • Variable level control switches are available for controlling single phase l systems. • Double piggyback variable level float switches are available for variable level long and short cycle controls. • Sealed Qwik -Box available for outdoor installations. See FM1420. • Over 130 ° F. (54 °C.) special quotation required. 1521153 Series 2 1/8 1521153 MODELS Control Selection Model Volts -Ph Mode Amps Sim lex Duplex 5 1/8 N152 115 1 Non 8.5 1 2or3 BN152 115 1 Auto 8.5 Included 200 3 SK2064 E152 230 1 Non 4.3 1 2 or 3 _ SE152 230 1 Auto 4.3 1 Included 2or3 N153 115 1 Non 10.5 1 2or3 8NI531 115 1 Auto 10.5 Included 2or3 SELECTION GUIDE E153 230 1 Non 5.3 1 2or3 1. Single piggyback variable level float switch or double piggyback variable level float BE 1531 230 1 Auto 53 Included 2or3 switch. Refer toFMO477. D CAUTION 2. See FM0712 for correct model of Electrical Alternator E -Pak. All installation of controls, protection devices and wiring should be done by a qualified 3. Variable level control switch 10 - 0225 used as a control activator, specify duplex (3) licensed electrician. Alt electrical and safety codes should be followed including the most 4 recent National Electric Code (NEC) and the Occupational safety and Health Act (OSHA). or () float system. RESERVE POWERED DESIGN Page 7 of 12 For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAIL TO: P.O. BOX 16347 Louisville, KY 40256-0347 Manufacfurersof.. SHIP TO; 3649 Cane Run Road 1961 �Lt�77 a Louisville, KY 40211 - ® � . QuaurrPutiPS SNCE I9�3� (502) htip: / /www.zoeller. com f ` Az ' T 778-2731 2) 7740 8 -PUMP 3 624 0 Copyright 2001 Zoeller Co. All rights reserved. I OC7 -15 -04 08:27.AM P.03 l e L -vim 6'e, r c' r< v1 1 '4,1 _ � e lso kt T Be- I R� C. L Del « 'n't . Q G OL cw `o l �p f , LU � i ,qr 7'0 o f- l" &CL P• � Q QB,CI Y I Wisconsin Department of commerce SOIL EVALUATION REPORT Page — ! — of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County St. Croix Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all information. Reviewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location • Charles Lewis Govt Lot NE 1/4 SE 1/4 S 1 T 28 N R 19 E( Property Owner's Mailing Address Lot # Block # Subd. Nam or CSM# 548 Boundary Road City State Zip Code Phone Number ity Village • own Nearest Road Hudson Wl 1 54016 ( 1 T roy Boundary Road E] New Construction UseE] Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD El Replacement Public or commercial - Describe: Parent material Loess Flood Plain elevation if applicable AA ff• General comments This site has been reviewed by Kevin from the St. Croix County Zoning Office and is suitable for an A +4 site on and recommendations: platy soils Recommend designing for 8" a Boring # Boring 1 Q pit Ground surface elev. 99.65 ft. Depth to limiting factor 3 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 `Eff#2 1 0 -9 10yr3 /3 - sil 2msbk mfr cw 2f .6 .8 2 9 -13 1 5/4 - sil 1 fpl mfr cam if .4 .6 3 13 -18 I Oyr5 /4 fl f5yr5 /8 sil 1 fpl mfr cw if .4 • 4 18 -22 1Oyr5 /4 c2d5yr5 /8 sil Imsbk mfr cw - .4 .6 5 22 -30 10yr5 /4 m2d5yr5 /8 scl Imsbk mfr - - .2 3 F 2 Boring # Boring 99.90 12 El pit Ground surface elev. ft Depth to limiting factor in. Soil 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 1 0 -8 10yr3 /3 sil 2msbk mfr cw 2f .6 .8 2 8-12 l 5/4 sil Ifpl mfr cw If •4 .6 3 12 -17 10y r5 /4 fif5yr5 /8 sil l fpl mfr cw if .4 .6 4 17 -20 10yr5 /4 c2d5yr5 /8 sil Imsbk mfr cw - .4 .6 r ` Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 150 mg/L ` Effluent #2 = B9 < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) – Signature �` J CST Number Thomas C N lson 227387 Address /�� / � S ��� iL 6' `� Date Evaluation Conducted Telephone Number Page 9 of 12 Property Owner Lewis Parcel ID # Pag 2 of 3 3 Boring # Boring 99.35 15 Q Pit Ground surface elev. ff. Depth to limiting factor in• Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0 -11 10yr3 /3 - sil 2msbk mfr cw 2f .6 .8 2 11 -15 1 5/4 - sil 1 fPI mfr cw if .4 /6 3 15 -24 10yr5 /4 ff5yr5 /8 sil Ifpl mfr cw if .4 .6 4 24 -30 10yr5 /4 c2d5yr5 /8 sicl lmsbk mfi - - . .6 F-1 Boring # F Boring Pit Ground surface elev. ff. Depth to limiting factor in. Sal ication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Boring F Boring # Ground surface elev. ft Depth to limiting factor in. Pit Sal Appi ication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots PD in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. 'Eff#1 - 01#2 Effluent #1 = BOD > 30 <_ 220 mg/L and TSS >30:5 150 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. RRF).R720T -#(R 070)1 Page 10 of 12 I c ILES IdEwls W:IEI /4 SEI /4 XE C I, W28 W- TOww OF TROY 3 BEDBOOM HE9IDEWCE @C 1" = 30' , BML TOB OE IB.OW pIBB 100' 3BM2 TOP OF I$.OW plpB 100.45 N o Bi 99.65' w 0 BI 99.90' B3 99,35 w 100' 8 O 2% D SLOE B2 si4 POLE SHED BVILDIF6 ■ 107' 96' 36" B 7 W 3 '�— 8 ■ 84" E 3I' B I �I 9' L O ■ T C O S B I E B o B M 2 'rsOMA0 WEILOOW 227387 Page 11 of 12 r CL h [�- •rl••L D W h Cl. W a \ 10 Z X [L 'n U � z 3 25 O z >O � � OZ a LLIQ x ix 00 U0. W a J h> W � W CL �y O y 0 W j w Z U o d O V 0 O O D O �o� CO a Q ern r o 1=N Cr CN U 00 p �Q Z Z D �`� Z Q l_JU = 00 a W O Q Q J U J\-1 Q °> U F n n 3 VI W < (n C am - I Q `V O O m O� LLaVI N° > No ED n O z = \po�l)o =� mww c6r� Z> I- N I tD O}" _j 6 1 ~ Q 1- VI Q N 00 O = O U¢ J> J U J Z N } Z > uj J U _ °2: ..��= OOY OOw ¢ w YZ W Jh >ZC 1 9 ZmQ OZN Q O Y�Z q g aooaww Wo 1' Q. a3° o z3 a r Q?i m UM =J �mJ Z Q (A h D J J Z N Q z Z J J I- O F- N U J W ZOO Z O 2 W h W O�Q J Z F - ------r - I 1 I' I I I • I � W � W Li I ct W I _ 1• W 1 I � LD 1 J Q Q U) •I t , h I I Z I I I „9b D. LLL j I I 1 a I 0 � + C/] - - - - --- /1 h w N•� U x 7 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County St. Croix Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all Information. ev by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location Charles Lewis Govt. Lot NE 1/4 SE 1/4 S 1 T 28 N R 19 ®)® Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 548 Boundary Road City State Zip Code Phone Number []City Village ■ Town Nearest Road Hudson WI 54016 ( ) + 2 �' Q 6 Boundary Road Troy New Construction UseE3 Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD Replacement 13 Public or commercial - Describe: Parent material Loess Food Plain elevation if applicable NA R. General comments This site has been reviewed b(I: vre ' from the St. Croix County Zoning Office and is suitable for an A+4 site on a recommendations' platy, soils Recommend designing for 8" —)a n-, 0 7 �j ov.- s � �e. o,._ .DEC • il, Z.�3 . 5 � � QL vM� FE t " cbja`�(;e.�t 1 Boring # Boring ID Pit Ground surface elev. 99.65 ft. Depth to limiting r 1 3 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftr in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -9 10yr3 /3 - sil 2msbk mfr cw 2f .6 .8 2 9 -13 l 5/4 - sil 1 mfr cw 1f WA .6 3 13 -18 10yr5/4 flf5yr5 /8 sil lfpl - mfr cw if .4 • 4 18 -22 10yr5 /4 c2d5yr5 /8 sil 1 msbk mfr cw - .4 .6 5 22 -30 10yr5 /4 m2d5yr5 /8 scl lmsbk mfr - - .2 .3 ❑ 2 Boring # Boring 99.90 12 Q Pit Ground surface elev. ft. Depth to limiting factor in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDW in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0 -8 10yr3 /3 - sil 2msbk mfr cw 2f .6 .8 2 8 -12 1 /4 - sil 1 ki mfr Cw if .4 .6 3 12-17 10yrS /4 fif5yrs /8 sil Ifpl mfr cW if .4 .6 4 17 -20 10yr5 /4 c2d5yr5 /8 sil lmsbk mfr cw - .4 .6 * Effluent #1 = BOD > 30 220 mg& and TSS >30 150 mg/L ' Efll = BOD < 30 mg& and TSS < 30 mglL CST Name (Please Print) — — Signature CST Number Thomas C Nelson 227387 Address Date Evaluation Conducted Telephone Number 1432 120th Street, New Richmond, WI 12/9/03 715 -246 -2454 Property Owner Lewis 2 Parcel ID # Page of 3 1-71 Boring # l Boring 15 99.35 Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDAF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Etr#1 'EfW 1 0 -11 10yr3 /3 - A 2msbk mfr cw 2f .6 .8 2 11 -15 1 5/4 - sil 1 tpi mfr cw If 4 /6 3 15 -24 10yr5 /4 ROW5 /8 sil Ifpl mfr cam' If .4 .6 4 24 -30 10yr5 /4 c2d5yr5 /8 sicl Imsbk mfi - - .4 .6 ❑ Boring # Boring Pit Ground surface elev. ft. Depth to limiting factor in. Sal ication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ F in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Efr#1 •Efr#2 F-1 Boring # Boring B Pit Ground surface elev, ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Efr#1 `Eff#2 ' Effluent #1 = BOD. > 30:5 220 mg/L and TSS >30:< 1 SO 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. SBD- 8330Tea (8.07/00) i c ILES ]LEWIS WEI /4 NEI /4, SE C I, T28 N -KI9'V TOWN OF TROY 3 BEDROOM BEOIDEWCE OCALB I" = 30' BMI TOP OB IBLOB 3PI3PB 100' T 3BM2 TOB OF IBLOB 1PI3PB 100.45 0 O B� 9 9.6 9.90' w B3 99.35 w 100' O 98 A 2% D OLORE POLE SHED '�- BUILD I196� - 107* 96 ? • 36 B 3 ~— S 84" Ole e 31' 161 19' o � T � � c O R B I B . TSOM ral►.O WMIL00W BM2 2.273 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buy L 142 ,1 C �r- Mailing Address Property Address J�5 x � c�r` (Verification required from Planning Department for new construction) City /State C• 13C ~ /o) A Soyt/ (,Q); Parcel Identification Number LEGAL DESCRIPTION Property Location NL '/,, �> t- `` /d, Sec. I T a _N -RAW, Town of Subdivision ,Lot # t Certified Survey Map # Volume , Page # t-(0 20 Warranty Deed # _,old 1-7 , Volume '� 8 `� . Page # 37 Spec house O yes A no Lot lines identifiably yes O no SYSTEM MAINTENANCE • Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. - The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewaterdisposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary) , the septic tank is less than 1/3 full of sludge. . - I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certificatloa stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 . - days of the three year expirati n date. � ek �D :a , C U,� �I0 SIGNATURE OF APPLICANT DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(l) Of the property described above, irtue of a warranty deed recorded in Register of Deeds Office. SIGNATURE OF APPLICANT DATE * * * * ** Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. i '• Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is trade in the warranty deed a • r LEGAL ST. CROIX COUNTY, WISCONSIN OLD TXSCR02 REAL ESTATE TOWN OF TROY COMPUTER NUMBER 040 - 1002 -30 -100 Parcel Number 01.28.19.13C -10 OWNER NAME: First CHARLES O JR & RUTH Last LEWIS PROPERTY ADDRESS: Hse # 1/2 PD -- Street Name -- Type SD Apartme 548 BOUNDARY Rn '� � n SECTION 1 TOWN 28N RANGE 19W 1 /4160 SE 1 /446 Line Description Line Description TOTAL ACREAGE 1.360 PLAT CSM 17 -4620 040/03 LOT01 BILK 01 SEC 1 T28N R19W PT NE SE 15 02 CSM 17 -4620 LOT 1 16 03 (1.360AC) 17 04 18 05 19 06 20 07 21 08 22 09 23 10 24 11 25 12 26 13 27 14 28 F1- General, F4 -Prev. Parcel, F5 -Next Parcel, F7- Valuations, F8- History, F10 -Exit � YJ :1) 22-y3 i g -- ?(o7(y Safety >y Builuings Division Wisconsin Department of Industry SOIL DES�t<IPTION REPORT P.O. Box 7969 Labor and Human Relations (Attach Soil Pr file Location Map -To Scale - On A Separate, Signed Sheet) Madison, WI 53707 tUK - (f/ � _(f f'(? ^ 'r /o j' S C S S>/Gw S �h S �a 6 17re 8 page of - c ustomer Name i va uation Date urrent Lan use or vegetative over Pa(Tn_% s 136) yee % RoI IM4A/-s`ifI'Gt� OG J , o p/ �O/YEST 7 jr£; Si cY/ S60 /'MEAT S strmate Shallow roun water f P am evatron ustomer reu S/ of / i ZG� CUiS�tiS /%� v o-v 4�i. SY0/ G y ax arcs No. y. tem Loading ate in Gallons Per q. ft. Per ay Door 5 ,, Glee 7 A10 T Lot Legal Description FCons ometry an Dept pe an Aspen ,lr� , •, �, Sec , / �' z�� , � l p c.J Fog Horizon Depth DominantColar Mottles Structure Remarks: clayskins Loading In. Munsell u. Sz. Cont. Color Texture Gr. Sz. Sh. istence Roots Boundary ores H and other GPD / t. 1 /0 yIe 3/3 S /'/ 2,i S /1v, ,2 2 f c w . 3 A 3 /D rk 9/f S./ L f 5 ,,j k Lf c5 ---- -- - 3 13 12-2-0 10,rX f //f s// 3f Ek n Mf 2 1,4�. c 3 /p y S�CP c'� . s R 5/� S�' 1 2 -��shk �r'F,' l f C S Ha rt c. H r., ,+7- 3 0 r! _3(Q �py/2 s/4 's s G v �,e /w,,efl' HIt sS /v1: 2 r ) / e vm 7 "e'0 Horizon Depth Dominant Color Mottles Structure Remarks: clayskins Loading In. Munsell u. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Roots Bounda ores H and other GPO /h. / 0 _q /D V 3 S/ 2-,f SbK ,, � -e 2- Co -f, shK lJI /D 5 s Sr 2 ,V� S t+ orrat p / 7— 40 / (P 7, R /� 6/ n�, 2 _' W 3 7 M C x - 3(0 /bye s/ "1. P 51 g F 0f je M, e Mh sS, uc 51e 11A T/ o„J A,on Dominant Color Mottles Structure Remarks: clayskins Loading Munsell u. S z. Cont. Color Texture Gr. Sz. Sh. Consistence Roots Boundary ores pH and other GPD% �0 313 S ./ 2 - f, s6K� 2,�0 S �S =2U / X S & � /0y� 5 /`f S�'l 1,�� 5 ,uerr '}'_ '3 ' 13L - �.S R s /�' V' - 3Y / 5 17 /W 3 R `�/4 51 1 , V fX /In -/ �� S •*�07 T�� � l /D !�� 5 ^� s P si l c L v� ,e �,� `F 1 --� —.. Mgt S' s.'v� Z - /Z /l1 ', s -- -- ' - - 13 1,6 VA _ _ _ _ _ Horizon Depth Dominant Color Mottles Structure Remarks: clayskins Loading In. Munsell u. Sz. Cont. Color Texture Gr. Sz. Sh, Consistence Roots Boundary ores pH and other GPO /ft. y�e 3/3 z-F c eo , 3 �- / Oyc 6 / 3 — S�'l 3,c, K V te 2-.f cw ' `13 12 /0 V S/¢ sr / �, of s 6K F -2 , 4o 'l ,L2 0 co,tTS . 3 o ;J-if 10YX 513 " .7 "j, yR s /6' 50 "A sbir 24 w .oa rs r zU'� 3 �� M s /Cr ""^, 3, � �) � s G L o, 0-t; z F �' _ ,t�,f ss /'v�` .� Horizon Depth Dominant Color Mottles Structure Remarks: clayskins Loading In. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistenc Roots Bounda ores H and other GPD /ft.2 �., e' 4 4 a e �w it�rt n a, - :Ll 4 HOMESITE SEPTIC PLUMBING CO. 86.1 O'NEIL RD., HUDSON, WIS.5c016 ROBERT ULBRIGHT ,11S. MASTER PLUMBER LIC. NO. 3307 M.P.R.S. fP}STALLE I & DESIGNER LIC. 140. Additional Remarks: A L� , w i do sol'o 57o°yc7vk - Co 741.rZ reY Tev /tee - ,15 4t e- VO7' 'j Other Other Site Features: Limiting Factors/Depth: CST Signature Date Signed Telephone No. CST SOD-6130IN 011901 Tie t��v ftPP R.a1� . 30 r � Q d /DO 7d I I ' f i • — ��Kfi�� �i'TS 35 � I • T3 g2 B G i i I I i ` 13� f �v v J4 , fl jaRA'O Go g2s p( Safet 6 Buhutngs Division Wisconsin Department of Industry SOIL DESCrcIPTION REPORT p.0. ir ox 7969 Labor and Hyman Relotigns p _ p 9 Madison, WI 53707 Attach Soil Pr Location Ma To Scale - On A Se Si gned Sheet) � .2)-2 13 page of u wtomer H ama S oi l E valuation Date urrent Lan Use or vegetative Cover patent matersa 1 / O L , / / FD/t' T/t°z`�S Si al y S60 /'ME V T S /Wee , /?0 IU4tis�4w T � ^ T � sumate a ow e�( — Groundwater P ,n�evalWn ustomer sets 2l,� CviS�d�uJi:r� v o-v 4Ji. SYo, G c ounty Tax paccell W. ystem Loading hate in n q a o Per . t. Per Day s T �/�O X TOE✓.✓ O/= T , eD y NO T 4 U il G / Lot Legal UescnpWri /stem eomeuy an Dept a Aspect fO,Q 7lb" 5 V15, .S fec . / T' 2�,v , l w N oT ffpe- ic , ]- 12- Dominant Color Mottles Structure Remarks: and Loading Horizon M nsell u. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence rRt Boundary ores Hand other GPOIft? to y,Q 3/3 -2 sh .2 cw ---- -- '3 d to YR y/f s^ J/� L f SE7/C /h�4 /e CS 3 �, /0tX fey �'s 5 / f shk �F (� CS He n`Lto +tr 3 /oyif s/Cr s Y9 -- _ Structure Remarks: clayskins Loading nttolor Mottles In. Munsell u. Sz. Cont. Color Texture Gr. Sz. Bounda ores H and other Sh. Consistence Roots GPD /h.= Horizon Depth Domina q o - y /a �,� �/3 z eo Y'4 µ/ Si' 2 , f, shK w v P2 Z, 40 C 5 � 3 shy �� Z -)c 3 o r Hor7-c.to � I !3 if`- /o 5 14 �:'' x s/ M C - 3(n /d s/� °q 3' � s/ G l ,u f /w► e � � -- HA- U 6 ' V �/C //,q Ti o,J ' Horizon Depth Dtm, Color Mottles Structure Remarks: clayskins Loading In. u. Sz. Cont.Color Texture Gr. Sx. Sh. Consistence Roots Bounda ores Hand other GPD /ham G.� � 3/3 S// f, sbK "-p- 2,`o S i ��L /o ye 5/ 11 ", s/� .5" 1, vf, /2 N v f I-f S ,�oTT ry 1 ' 3 o - 3Y toYR s/y n" r R 3 'P 414 y / �, �� f AL 71 - s z /0 YiC 51 s/ G L , 19 9� �,+� r �/' — Mgt s S - -� Horizon AD Dominant Color Mottles Structure Remarks: clayskirts Loading Munsell u. Sz. Cont. Color Texture Gr. Sz. Sh Consistence Roots Bounda ores H and other _ GPDA ? /1 Y� 6 / 3 S�'l 3 k vf� zf /0 S/4 SC ,v . ldYe 5 13 G '�'s R S /6 5,') sb� 2 w f�otS A r Zp" - 3 y 3, P O u� •� a„ �) - 36 / YR S�C� r 5 i Horizon Depth Dominant Cola Mottles Structure Remarks: clayskins Loading In. Munsell Ou. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Roots Bounda res H and other GPD/h. ' o �L. R�!s �. •.i ,'N ' HOMESITE SEPTIC PLUMBING CO. Eb O'NEIL RD., HUDSON, WIS. W116. W -1 ROBERT ULBRIGHT r4S. MASTER PLUMBER LIC. NO. 3307 M.P.ft X44 I1kl'3TALLE3 & DESIGNER LIC. IJO. 000 Additional Remarks. V tiol Soy S ?Ry �E — ' oRt /3ay�` "4 , C 61l v - 4.04 M f/v R i Zo ti ff',e E S�,f So vvt c. S�F 7 e A7 - 6zZ- - F/ZO I fU t� y k 7`�S T> U /1it S 4,e &- NOT S e lV14"' / LID 4AVP , ee �p�iM f %V z � ?7 9 N r' �v�° f SST /'� G- / r4,ut) Other Site Features: 3A Limiting factots/Depth: CST Signature Date Signed Telephone No. CST SOD -0330 IN OIAO) - Tu,,� A0,+10 r 'o e -. C, t S, ` Con VO eAlo l00 A i ' /bN . _ A4cA OD/ T$ 3 5 I 82 �3 B� I y I i _ SvvJ1ti `oT 4- •1,a- vtPdt;y J �avN� r V� rt Me. 226 Warnnt7 Deed —To Husband and Wife as Joint Tenant►. Punk. hen by Rau slat» Boot A stations Oe. 310777 000K �A�170 This Indenture, Made this 1r;.�} day of June 19 72 between Richard D Triebold and Alice J Triebold, husband and wife, parties of the first part, and • Charles 0. Lewis, Jr. and Ruth A. Lewis husband and wife, as joint tenants, parties of the second part. I Wttnt£fottb, That the said part i.es of the first part, for and in consideration of the sum of Ii • Five Hundred $500.00 -- - - - - -- - - -- - - - Dollars, to them in hand paid by the said parties of the second part, the receipt whereof is hereby confessed and acknowledged, ha ve given, granted, bargained, sold remised, released, aliened, conveyed and confirmed, and by these presents do give, grant, bargain, sell, remise, release, alien, convey and confirm unto the said parties of the second part, as joint tenants, the following described real estate situated in the County of S t . C roi : ' Wisconsin, to -wit: A parcel of land located in the Northeast Quarter of the Southeast Quarter (NE4 of SE4) of Section One (1), To,nship T -eight (28), North (N), Range Nineteen (19) West (W), Town o T oy, St. Croi;: { County, Wisconsin described as follows: Beginning at the East (E) Quarter ('�) Corner of said Section One (1); thence S0 West (W) (true bearing) 109.00' along the East lin of said Southeast Quarter (SE4) of Section One (1); theme S89 West (W) 209.00 ''; thence N0 East (E) 209.00'; thence N89 East (E) 209.00' along the North (N) line of said Southeast Quarter (SE4) of Section One (1) to thr point of beginning; e- -cept the North 33' for e :;isting town road easement and e, cept the East 33' more or less for town road easement. i i i i { ..�_ _ I Cogetorr, with all and singular the hereditaments and appurtenances thereunto belonging or in anywise , � appertaining; and all the estate, right, title, interest, claim or demand whatsoever, of the said part of the first part, either in law or equity, either in possession or expectancy of, in and to the above bargained premises, and their hereditaments and appurtenances. II Zo t)abr anti to 1?o1b, the said premises as above described with the hereditaments and appurtenances unto the said parties of the second part, as joint tenants. Znb the %afb, Richard D Triebold and Alice J. Triebold part ie s of the first part, for thems e lve s , the i r heirs, executors and administrators, ;I do covenant, grant, bargain and agree to and with the said parties of the second part, and to and with the survivor of them, his or her heirs and assigns, that at the time of the ensealing and delivery of j these presents were well seized of the premises above described, l I rs of a good, sure, perfect, absolute and indefeasible estate of inheritance in the law, in fee simple, and that the same are free and clear from all incumbrances whatever. and that the above bargained premises, in the quiet and peaceable possession of the said parties of the second part, as joint tenants, against all and every person or persons lawfully claiming the whole or any part thereof they will forever WARRANT AND DEFEND. Jn WitntOO Wbeaot, the said part ies of the first part have hereunto set their hands and sea] s this 1r, th day of June . ,1972 Signed, Sealed and Delivered in Presence of `� �`:1 �� ' : J_ _�e (Seal) Ri , hard er D. Triebold Qd L a L' � 't l _ e " — (Seal) _ Alice J. Trieb John W Davison _ _.(Seal) Watt of Wtoronoin, ss. PIERCE County. On this the 1 c th day of June. , 19 72 , before me, John W. Davison , the undersigned officer, personally appeared Richard D T iebold and Alice J. Triebold, known (or satisfactorily proven) to be the person s whose names subscribed to the within instrument and acknowledged that thej executed the same for the purposes therein contained. In witness whereof 1 hereunto et m hand and offi seal. � ........... _ ..... �_... ._ .................._......._.. _._.._.._�.`._._._...__.y ' _JQhn_Ji_, D avi ;on •� r Notary Public, P i rce County, Wisconsin. My Commission XlEi W is permanent %3AXXXXX ,.• iTo be filled in it signed by a Notary Public.) 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IL 2 ! 00 *c :33A Adoo t?/L3S 3H130 WON 3HI:� 00 'ET *33A 0321 3R1 =10 ZAM 3HI =10 3NII ISV3 dVH A3AHns G31AZIN33 cc mvov:ol C00Z/6Z/60 0803311 HOS a3AI3332I 114 '00 XIONO I .LS sa33G AD H31SI03H HSIVA 'H 1=7]H.LVX 3E)Vd T/ /' 96 9 I D T Pam Quinn Subject: Helgeson, 463148 (plow) Location: Troy Start: Wed 11/3/2004 9:00 AM End: Wed 11/3/2004 10:00 AM Recurrence: (none) V` 1