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040-1265-20-100
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division Q INSPECTION REPORT Sanitary Permit No: 430212 0 GENERAL INFORMATION (ATTACH TO PERMIT) tate Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)J. 2 3 = 7 rillas • /jb Permit Holder's Name: City Village X Township Parcel Tax No: Dietz, Calvin I Troy Township 040 - 1265 -20 -100 CST BM Elev: Insp. BM Elev: BM Descri ion: ' / Section/Town/Range/Map No: L /�L� N'� - Y /! r/ , 16.28.19.1434 TANK INFORMATION EL ION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Y. � • 8 ao� o Dosing t ( tl Alt. BM Aeration Bldg. Sewer !�, I�• `3o f Holding St/Ht Inlet (a\ r� 40 2.0 / ..JJ I T St/Ht Outlet TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic 40 4— � Dt Bottom (� � + 1b • a 2.0 .10 Dosing lr t I Header /Man. 1,39 1 Aeration - Dist. Pipe A /\ 3, �p 47- • 3 2-0 t l l . � Holding Bot. System d ,/0 r jq.y -sm Final Grad ¢ w �l 4 ( Z 9 1 � PUMP /SIPHON INFORMATION \, ` { —� Manufacturer 1A^ L s A�� GPM Demand St Cover A> 13, S 3 1 odel Number � _ L � 0 119 �r "1 O Lift �•�� Friction Loss System Head TDH F, : - . so as. 7o N� �. (Q n CS3 ,IoD 8D • C7 rForcemain Len h 1 Dia. tl Dist. to well SOIL ABSORPTION SYSTEM � 1161hM+ Width t Length No. Of'irrr olme PIT DIMENSIONS No. Of Pits Inside Dia. Liquid De th MENSIONS lo O Q SETBACK Y LEAC G acturer: S STEM T aw /L BLDG WELL LAKE /STREAM SR+Mew7�- INFORMATION Type Of System: r r.� 2-1 CHAMBE Model Number: �L DISTRIB TION SYSTEM vu [ e ; S ,�,- -- Ffl1108 anifol U Distribution 1 R Ix Hole Size q x Hole Spacing Vent to Air Intake Z Pipe(s) •� I' O r�g 11 Length Dia _ L n g Q is Spacing /� N 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 Bedrrrench Center Bed/Trench Edges Topsoil Yes No Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / /� Inspection #2: d Z Location: 322 Gandy Dancer Circle Hu son, WI 54016 (NE 1/4 SW 1/4 16 T28N R19W) Glo tation cad . V Lot 73 Parcel No: 16.28. .14 0 f % w►sn e- CL 1.) Alt BM Description = 5 CA06 r • � �� awy - 2.) Bldg sewer length = 1 �C`J / W OG�CQ - amount of cover = 1 $ - A* Plan - -- - - Use other l side for additional ! No additional information SBD -6710 (R.3/97) Date Insep tor's Si re Cert. No. r Safety and Buildings Division County _ 201 W. Washington Ave., P.O. Box 7162 6 K al s��n� f Madison, WI 53707 - 7162 Sanitary Permit Number (to b' filled in by Co Department of Commerce (608) 266-3151 Z Z Sanitary Permit Application State Plan I.D. Number . . In accord with Comm 83.21, Wis. Adm. Code, personal information you provide Z � may be used for secondary purposes Privacy Law, s15.04(1)(m) oleo Ad re. tf s I. Application Information - Please Print All Information Property Owner's Na me Parcel # — Lot N 73 Block C L Ul — AJ _,� d Property Owner's M ailing Address - - T Property Location / City, State 'Lip Code jV (5" 1/4 � •Section V/ ag N; R E (Circle o� u •�` f II. Type of Building (check all that apply) ate g w.; 1 or 2 Family Dwelling - Number of Bedro uts Qn,l Subdivision Name CSNI Number ❑ Public /Commercial - Describe Use - 4 4 W 0 Ig � t (��_ J�i �(p'`/ s ❑ State Owned - Describe Use x �o — �= d 12- ❑Cit ❑village Township of - 0 fJ III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A' New System T y ❑ Replacement System ❑ Treaunent/Holding Tank Replacement Only . ❑ Other Modification to Existing System -- - - - - - -- -- - - — I B. ❑ Permit Renewal ❑ List Previous Permit Number and Dare Issued Permit Revision Change of ❑ Permit Transfer to New Before Expiration Plumber Owner - �_ —I - - - - -- - - - - -- -- - -- - - - -- N. Type of POWTS Syste — (Check , all t hat apply) ❑ Non - Pressurized In- Ground A Mound > 24 in. of suitable soil El Mound < 24 in. of suitable soil ❑ At Grade 1_1 SmOe Pass Sand Kilter ❑ Constructed Wetland ❑ Pressurized In- Ground Ij Holding Tank ❑ Peat Pilter L' Aerobic Treatment Unit I -1 Recirculating Sand Filter El Recirculatin Synthetic Media Filter ❑ Leaching Chamber rip Line ❑ Gravel -less Pipe �.� then (e xplain) V. Dispersal/Treatment Area Information: C Dgn F ow (gpd) Design Soil Application Rate(gpdsf) Disp I Area Required (st) Dispersal Area Pr posed o System Elevation VI. Ttunk Into Capacity in Total Number - - -_ �� Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Existing I rat ks Tacks Septic or Itolding'Cattl / p, /�/,� - -- - -- -- - --- - -- ` -. Aerobic Treaunent Unit - -- - -- - - During VII. Responsibility Statement I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plats. Plu er's Na me (Print) Plumber's Si guature MP /N l'" Number Business Plnone Number Plumber's Addre ss (Street, City, State, Zip , de) VIII. County /Department Use Onl Approved ❑ Disapproved Sanitary Permit Fee includes Groundwater Date Issued Issuin Agent Signatur No Stamps) Surcharge Fee) ❑ Owner Given Reason for Denial 11 � Il. Conditions of Approval /Reasons for Disapproval ` bL � t 1 Attach complete plans (to ilra� z County onl)}]fm the system bu paper not less than 8112 x 11 i ches in size SBD -6398 (R. 01/03) `1/2003 15:14 17154255864 WEGERER SOIL TESTING PAGE 06 YLU'1' Y LAN '— SO 'page of Scale 1 "- PA �� r .° o `�� 5'iy y\ 3 U 1u0T �'-0HP�T aR D \ S1 -TM.� S fr'tt�l 98 y all ` to �.a�• ��R � v I y�cv ROB <I bo , '' G $ -7 1 co,.��vvCc �cl 9f1.� � �6 y �`rrv►� o� C ,� o o . y kh," 2' b-1 It-1 c u 1ZuN 1 p) Pe. �.v� -l.. lD 8.7.50'. P��►� ..h�:wr.:!lZ -_- .tiGv, FAA ? • - c � t0 NOTES: 1• Elevatlons shown are existing ground elevations unless otherwise noted. 2. Install 4" observation pipes with approved caps. ( Z required). 3. Septic tank to be gallon capacity manufactured by R- WOO z fcslz: 4. bench mark S 0 `5. Divert surface water around system to prevent ponding at the uphill aside_ Safety and Buildings ' 4003 N KINNEY COULEE RD LA CROSSE WI 54601 -1831 TDD #: (608) 264 -8777 N viscons�n www•commerce.state.wi.us /sb �}Pp VED www.wisconsin.gov Department of Commerce i C�uNTY , t C ©l � 4 r Jim Doyle, Governor Planni g z>ining Cory L. Nettles, Secretary U Ert CD``� July 11, 2003 1 of r ecorded �?in'3h days of V a oval date app r�l sba� be �, i CUST ID No.220254 �� nul! andd ATTIC• PO WTS Inspector 1 20i1.i ARTHUR L WEGERER ZONING OFFICE uFFIC'r WEGERER SOIL TESTING & DESIGN SERVICE ST CROIX COUNTY SPIA _� • --._' PO BOX 74 1101 CARMICHAEL RD RIVER FALLS WI 54022 HUDSON WI 54016 CONDITIONAL APPROVAL Identification Numbers PLAN APPROVAL EXPIRES: 07/11/2005 Transaction ID No. 886236 SITE: Site ID No. 661868 Calvin & Karyn Dietz Residence Please refer to both identification numbers, Gandy Dancer Circle above, in all correspondence with the agency. 07 diii'a Town of Troy, 54022 �P St Croix County D FARTMENTCIFC NE1 /4, SW1 /4, S16, T28N, R19W F Lot: 73, Subdivision: Glover Station 5TH Addition FOR: SEE CORRESPC Description: Four Bedroom Mound System Object Type: POWT System Regulated Object ID No.: 911594 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes L' 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. The following conditions shall be met during construction or installation and prior to occupancy or use: DEPARTMENT OF General Approval Requirements: SEE CORRE • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Private Onsite Wastewater Systems VERSION 2.0" SBD- 10691 -P (N.01 101) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems VERSION 2.0" SBD- 10706 -P (N.01 /O1). • Per manual cited above, limited activities are allowed in the area 15 feet down slope of the component area. 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 any POWTS tank, and a minimum of 50 feet from the absorption area. chs. NR 811 & 812c • 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. ARTHUR L WEGERER Page 2 7/11/03 a . 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. 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 II , Integrated Services WiSMART code: 7633 (608)789-7893, 7:45 am - 4:30 pm Monday - Friday cbratz@commerce.state.wi.us cc: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544 TITLE SHEET E/' V 1 of — 1 FOUND SYSTEM ` 0 X003 FOR D A LI BEDROOM RESIDENCE This plan has been prepared in accordance with the Mound Co mponent Manual SBD- 10691 -P and the Pressure Distribution Manual SBD- 10706 -P (N.01 101) (N.01 101) LOCATED IN THE N� 1/4 OF THE S w 1/4 OF SECTION J� , T Z8 N, R � W, TO did OF _�Uj l x COUNTY, WISCONSIN. U3 - 1 3 F G LU V EZ STM)0h1 5 'r'rF INDEX PAGE 1 of 7 TITLE SHEET PAGE 2 Of 7 SYSTEM MANAGEMENT PLAN PAGE 3 of 7 PLOT PLAN PAGE 4 of 7 PLAN VIEW -CROSS SECTION PAGE 5 of 7 DISTRIBUTION PIPE LAYOUT PAGE 6 of 7 PUMPING CHAIiBER CROSS SECTION PAGE 7 of 7 PUMP PERFORMANCE CURVE PREPARED FOR U &CI U CRLV N 'i N DEN� 1�- �v�S�►, I.v s �n�� 'Wally CoAfkft PREPARED BY �D NGa WEGEREF-R SC? I L . TEST 2 NC _ OND CE AND. IDES Z Gj\! SERV S CE P.O. Box '74 421 N.Main St. River Falls, WI 54022 Phone 715 - 425 -0165 Fax 715 -425 -6864 •. ,,.,....... h` H..LSvYQHP+. a L r ✓ a►��� i1 s Cr 1 1� JOB NO. 03 -�8 Mound System Management Plan Page Z of 7 Pursuant to Comm 83.54, Wis. Adm. Code Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Slats. 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 filter shall be assessed at least once every 3 years by inspection. The outlet filter 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 enc;osure. 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 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, Safety and Buildings Division. Puma 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 for frost protection. Influent quality into the mound system may not exceed 220 mg /L 8005, 150 mg/L TSS, and 30 mg /L FOG. 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 4 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. General This system shall be operated in accordance with Comm 82 -84 Wis. Adm. Code, and shall maintained in accordance with its' component manual nd local or state rules pertaining to system maintenance and maintenance reporting. SBD - 10 691 P 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. 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 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 adsorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. Questions about the operation or maintenance of ��this system should be directed to: The County Zoning Office at --� Lf 68(3 ST - The system installer at Is -z- - L3 /UE f The tank manufacturer at �R 0 — 3zs -- $1S(, wIQ 19 ks-IZ The effluent filter manufacturer at &O0 , 2.Z,[ — S7(Iz Zw-eEL The pump manufacturer at L4 i.q —ls.9 ll (4 V ' PLOT F LP"N _ Scale 1 SO ' Page 3 of i �' �'• � D � S t'Vb? � 7�'1 � , tr1Z.�Fl 98 Y a , 6 8yl Ile A E 4 g J' L-07 7 LuT bi Z Z . v, NOTES: 1. Elevations shown are existing ground elevations unless otherwise noted. 2. Install 4" observation pipes with approved caps. ( Z required) . 3. Septic tank to be \- Jgop gallon capacity manufactured by 4. Bench mark : S t3UU �. Divert surface water around system to prevent ponding at the uphill side. rage c�. Or Approved S thetic Cc e=inc AST! C33 Distributicn Pipe Medium Sand Topsail — ___J i 0 � b Slope Distribution Cell of Force Main Plowed 1 to 2 Z" Agarecate From Pump Le /er E S r. r�. CROSS SECTION Or A MOUND SYSTEM F Ft. G a- 5 Ft. A. Ft. 1✓ Ft. Linear Loading Rate = /ICY FT E 0 Ft. F Design Loading Rate =D.' /SQ FT I Z Ft. J Ft. K 10 Ft. Al t:; ► BD Ft. Ft. - Observation Pipe - -- ---- -- E --- K I .__ 6 Force Main -- w �_ - - -- - - - - - -- ------------- - - - - -- �Oistributian Pipe Cell of Z to 2 aggregate Observation. Pipe (Anchor se=ely) - PLAN VIEW OF A MOUND SYSTEM Distribution Pipe Layout Page S of Place the holes at the bottom of the distribution pipes at equal spacing. Remove all burrs from the pipe and holes. Extend the end of each lateral up with the use of long turn or 45' fitting to a point within six inches of the final Bade. Terminate the ends of the laterals with a valve,-' threaded cap or . threaded plug. Provide access from find grade for the valve, threaded cap or threaded plus. � == •��' -' =S 8010:_ T' P 1 C 17� L . CKZzs s -, j C. P\1C Lateral — Manifold PV C Lateral X x x x xT V2 x x x x Lateral Length - Lateral Length - P Distribution Line • P — � R rrc -c bAx hr, S cs— -- o— P fig• S Ft. Hole Diameter 'N Inch S L O jj-. I t3 . Lateral 1 Inches) X 316 Inches Manifold Z Inches Force Main " Inches # of holes /pipe 1 Invert Elevation of- Laterals •.q Ft. 10 Y- - Combination Sepr*c�Tank and PUMP CHAMBER 0,055 SECTION ANO SP ECIFICATIONS ' PAGE L OF VEWT CAP � WEATHER PI(00f ,IUUCTIOU BOX . ti C.Z. VELIT PIPE s APPROVED LOCKIMG 1O' FROM OOOR., M"NHOLE COVER WI•M :/INOOW OR FRESH wAR.IQIQ<1 LNTSI ,L �''s? 'i1o►J PtPEr A!_R IMTA S cora�ulr +�..� 16 AI ---- - - - - -- 18'MI ---- - - - - -- + -� PROVIDE - - - -- UJLET AIRTIGHT SEAL • • ^ I I 8 AFPLs Approved zP�� �� A I ill Approved joint Ta/ F}_1&5O I IC I joint w/ PVC pipe AL&KA PVC pipe "I II 6 I I C I I �S q l LLEY. FT. r. OFF 0 COUCRETE BLOCK RISER EXIT PERMITrEO OWL IF TANK MA)JUFACTURLIt HAS SUCH APPROVAL 3~Appko* N4 SEPTIC E SPECIFICATIOMS DOSE TAWKS MAi1UFACTURCR: w% liES�tZ C01\J C iJ115ER OF OASES: S ' I PER DA TA ,WK SIZC : IJLP 11 W /8 ► "1R GALLOAIS DOSE VOLUME r ALARM MAWLIFACTURLIZ: S Z,1� J % TZZ SLl S `Tel 3 IWCI-UD11JG 5ACKfLDW: GALLONS MODEL IJUMBER: IoI tW CAPACITIES: A_ !8 I D SWITCH TtIPE: _ m(eVLc.yZLI 8 = / Z IIJCHES'OR Uu "5 G�LLOAlS PUMP M MUFACTURCK: `-11-- CL:1R-S C = 6 �� IIJCHES OR IUU� GA LLOLlS MODEL 1JUMBER: E �'O D- CIJ /Z 2 11 ; 3 3 L TZ INCHES OR GALLOWS SWITCH TYPE: MOTE: PUMP AUD A TO 6C ,7 MIWIMUM DISCHARGE RATE GPM INSTALLED OW SEPARATE CIRCUITS VERTICAL DIFFERENCE DETWEEU PUMP OFF AI,10..0I5TRIBUTIOtJ PIPE.. FEET + KiIJIMUM METWORK SUPPLY PRESSURE , , 6'SV FEET C&D'X 1 -3� -I- << O� FEET OF FORCE MAIN X , oaFLFRICTIOU FALTOQ., 1g FEET TOTAL OtMAMIL HEAD = Z 1' P FEET As per manufacturer Z ' Z gal /in. Liquid depth 3 b II ME40 Series 4/10 HP Effluent and Drain Water Pumps Performance Curve MODEL ME40 EFFLUENT PUMP CAPACITY LITERS PER MINUTE 0 50 100 150 200 250 300 350 40 12 35 10 30 it W W L 2S. g W H Z 20 6 D J 15 Z�l, b � H f. 4 O 10 5 2 0 0 0 10 20 30 40 50 60 70 80 90 100 CAPACITY GALLONS PER 'MINUTE - 1101 Myers Parkway, Ashland, Ohio 44805 -1923 419/289 -1144 FAX 419/289 -6658 Telex 98 -7443 K3326 7/91 Printed in U.S.A. Wisconsin Department of Commerce SOIL EVALUATION REPORT Page I of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County S� -`.w Attach complete site plan on paper not less than 8 1/2 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. O Y D - � Z- 6 S _ uj - 1 00 Please print all information R viewed by Date J E Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Property Owner Property Location Qavt:+,* J 1 /4 'S'IIJ 1/4 S J (D T 2 -8 N R )I E (o W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 3 3 S ' Ll1v jj� '' -Of�'p - 1 3 i -- GL_.()U ka2 S`I*'(XYi Ste 14D D , City State Zip Code Phone Number ❑ City ❑ Village RTown Nearest Road w1 SV o1 ( ) TRd Gn- b - OJ Q� New Construction Use: [g Residential / Number of bedrooms �_ Code derived design fl ow rate 6 0 GPD ❑ Replacement ❑ Public or commercial - Describer Parent material `Qgm's oQz - '� y \-„p m j Flood Plain elevation if applic 3ble General comments / and recommendations: 1j 'Y�) � � �-�. v r-t lZ" cat=- S� >✓� �L 'z.N. 1;8. ❑ tJ Boring Boring # ® Pit Ground surface elev. 3 ft. Depth to limiting factor Z in. "— Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Etf#2 cS 8- X23 to�fz 316 - sl l z bar m cs - s - 3 18 z.(:, - 1.S Fq Boring # - ❑ Boring Q ® Pit Ground surface elev. C Q - S ft. Depth to limiting factor S Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color i Gr. Sz. Sh. 'Eff#1 •Eff#2 1 C) [6 Z-: L 1- 61'C S Z %4 Lo'-m . Si I 3 sb� ►� �Fr �g -5 - Y, 3 l�zS �.S�1R3ly� — s i�l 1 �s b� ►� tom, . Z . 3 a 10 RGl3 - sa2 _ : - , o -o C < S 0o / Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L • Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Signa CST Number Arthur L Wegerer 220254 Address E� e g e r e r Soil Testing & Design Service Date Evaluation Conducted Telephone Number 421 N. Main St. River Falls, (7I 54022 5� -0C)Z )�Z 4 3 715- 425 -0165 1 Property Owner Parcel ID # W-1 D —1Z� c J — Z — u 0 Page of 3 a Boring # ❑ Boring ® Pit Ground surface elev. S' 0 ft. Depth to limiting factor ?.S in. So11 Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots I GPD /ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 lo`iR -- - 3 1z Z` bk mf► - CS l- •S .$. Z -lg lb Ll k -/6 -- S 1 1 Z`F s b k 1ti-1 f; 3 Lg ZS �.s�23ly Sic) ZY" sbk h�'Pl •mil LS wz r L41 Boring # Boring ( �� ❑ Pit Ground surface elev. C / • ft. Depth to limiting factor T Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 0_$ to- R 1�r1.'Ft- Z $ -lY, 1� '223 1t - sil Z Sb 1n C� - 75 -$ a 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 GPD /ftz 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. SBD -8330 (R.W00) PLOT PLAN Page 3 of J Scale 1' = SO' q6 3 � g•3 OR t}�z�tl 98Y 4 \ e. B Z 0- a7ru'NLAz IR S-oO m -A or - eL . q4 q i �'! PE, -- -- G G C �"u'►wvi. - 6 -03 715-425-0165 2202 3-- 0 6 a CST Signature Date Telephone No. CST No. Job NO. 01/11/1995 19:53 7152737753 NELSON PLU4IBING PAGE 01 ST CROIX COUNTY SEPTIC TANK MAINTEIIANCE AGREEMENT AND OW C EERTIFICATION FOIUM 3 Owner/Buyer , a v 1 U /t c� i�4 �U `� i e.4 z- Mailing Address 335 Property Address ,3 a a o f - L�t rtC e,,- '' II (Verification required rom Planning Department for new construction), City /State PV J S Sh . W J Parcel Identification Number Q g 0- I a to 10 D LEGAL DESCRIPTION Property Location %, � Sec. !L - , T 2 8 N -R� W, Town of �✓ Subdivision G-lu r S4t1i irr1 F: X11„ A a X11 hyn , Lot # `7 3 Certified Survey Map # , Volume , Page # Warranty Dad # U a o a.l P 9,H 3 Volume . Z I I Page # Z Spec house ❑ yes 0, no Lot lines identifiable 14 yes O no SY�M MAINTENANCE Improperuse and maintenanceof 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 wastewa disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein. as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Cerffication stating that your septic syst been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days of the 'tree yea xpi ti n date. 0 3 . SIGNATI}RE &V P DATE It CZRT IFICATIQDI 1 (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) tltc owner(s) of thr rope y describe abov , virtue of a warranty deed recorded in Registei of Deeds Office. -7 /A ll n 3 SI NATURB 6f APOLICANT D 666000 Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. ••••'• •' Include with this application: a stamped wart" deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty decd U 2021 P 243 ���4�4 STATE BAR OF WISCONSIN FORM 1 - 1998 KATHLEEN H. WALSH WARRANTY DEED REGISTER OF DEEDS Document Number ST. CROIX Co., WI This Deed made between C. M. Bye, individually, and Dennis R. RECEIVED FOR RECORD and Sandra C. Schultz Revocable Trust, Dennis R. Schultz and Sandra C. 10 - 24 -2002 10 :00 AN Schultz, Trustees, both with full power of sale or encumbrancing, WARRANTY DEED Grantor, and Karyn L. Bye Dietz and Calvin C. Dietz III, as marital EXEMPT # 3 survivorship EC FEE: 11. p p ro er p �' TRANS FEE: COPY FEE: CERT COPY FEE: Grantee. PAGES: 1 Grantor, for a valuable consideration, conveys to Grantee the following described real estate in St. Croix County, State of Wisconsin (The "Property "): Recordia Area - -� Name and Return Address : :Lot Seventy Three C. M. Bye �+ )Glover Station Fifth Addition, Town of Troy, St. Croix P.O. Box 167 ount n. Except that part of Lot 73, as originally platted, described River Falls, WI 54022 as follows: Beginning at the Northwest corner of said Lot 73; thence S79 ° 10'20 "E (Bearings referenced to the Plat of Glover Station Fifth Addition) 96.47' along the North line of said Lot 73; thence S 10 °49'40 "W 212.54'; thence N13 0 35'10 "W 233.41' along the West line of said Lot 73, also being the East 040- 1265 -20 -000 line of Lot 74 of said Plat to the point of beginning. This excepted parcel Parcel Identification Number (PIN) contains .235 acres, more or less, being 10,252 square feet, more or less. This is not homestead property. (is) (is not) This deed is given to correct Warranty Deeds recorded in the Office of the Register of Deeds for St. Croix County, Wisconsin on August 16, 2002, Volume 1951, on page 25 as Document #687272 and on page 26 as Document #687273. Together` with all appurtenant rights, title and interests. Grantor warrants that the title to the Property is. good, indefeasible in fee simple and free and clear of encumbrances except easements and restrictions of record and will warrant and defend the same. Dated this day of a - fajey" 2002 C * C. M. Bye Dennis R. Schultz i C , r Diane Bye Sa dra C. Schultz AUTHENTICATION ACKNOWLEDGMENT STATE OF WISCONSIN ) Signature(s) . ) ss. -- —•— St. f`..-oix County. ) Personally came before me this day of authenticated this day of t7& , 2002 the above named C. M. Bye, T ape Rye Dennis R. Schultz. and Sandi IL'. Schultz TITLE: MEMBER STATE BAR OF WISCONSIN to me known to be the person(s�" '�exgggle r'9 faregoing (If not, instrument and acknowledge theIe••• ••d '•.�� «. authorized by § 706.06, Wis. Stats.) THIS INSTRUMENT WAS DRAFTED BY - P . Steven B. Goff, Attorney at Law River Falls, Wisconsin Notary Public, State of W isconsln' " .� i l My Commission is permane nt. l e t, s - ale e*iratioh tote: (Signatures may be authenticated or acknowledged. Both are note 3 necessary.) ✓? + �. a te') *Names of persons signing in any capacity should be typed or printed below their signatures WARRANTY DEED STATE BAR OF WISCONSIN FORM No.1 .1998 INFORIV.A TION PROFESSIONALS COMPANY FOND DU LAC, WI 800. 655 -2021 1552 FAa 400 • 6 3 2 1 50 AFFIDAVIT KATHLEEN H. WALSH REGISTER OF DEEDS Document Number Document We ST. C R O I X CO., WI RECEIVED FOR RECORD 10 -20 -2000 9:30 AM AFFIDAVIT EXEMPT D CERT COPY FEE: COPY FEE: TRANSFER FEE: RECORDING FEE: 16.00 PAGES: 4 Recording Area Name and Return Address C. M. Bye P.O. Box 167 River Falls, WI 54022 040 - 1265 -20 -000 040 - 1265 -30 -000 Parcel Identification Nmnber (PDO T Ws information must be completed by submitter. docionerir ride, iimne & return address, and PIN (}f required). Other irtforntadon such as the g-n&g dauus, legal description, ea. may be placed on ddr first page of die docwnent or may be placed on addidonal gaga of die docwnenr ore: Use of this cover page adds one page ro your document and $2 to die reconfinr tee. Wisconsin Sraarra, S9.517. WRDA 2196 Von 1552PAGE 401 • AFFIDAVIT STATE OF WISCONSIN ) SS. COUNTY OF ST. CROIX ) C. M. Bye and Dennis R. Schultz, being first duly sworn, on oath deposes and says that: 1. They are the owners of lot 73, I.D. # 040 - 1265 -20 -000 and lot 74, I.D. # 040 - 1265 -30 -000 being part of Glciver Station, fifth addition, located in St. Croix County, Wisconsin recorded in volume 7, page 94 of plats as document # 624447 in the St. Croix County Register of Deeds office. 2. Lot 74 has added to it a parcel described in attached Exhibit A and shown on the map attached Exhibit B and lot 73 has deleted from it the same described parcel as shown in Exhibits A and B. After transfer of said described parcel, lot 74 now contains 2.751 acres and lot 73 contains 2.527 acres. 3. Henceforth, the above described parcel shall be included with and be part of lot 74 and be excluded from lot 73. 4. The addition is a transfer exempt from Chapter 18 of the St. Croix County Land Use Regulations, pursuant to section 18.05 (A)(3). 5. The purpose of this affidavit is to notify the public of the addition and deletion of the resulting parcels. C. M. Bye Dennis R. Schultz Su scribed and sworn to before me t day of O a P c✓ , 2000 + ' - Document Drafted By in C. M. Bye 00 % ; :. t, Notary Public aC ti ••., �ounty, Wisconsin y ommission expires 08/03/03 • Y 1552 PAGi 402 OGDEN ENGINEERING CO. Civil Engineering and Lund Surveying 113 WEST WALNUT STREET RIVER FALLS, WISCONSIN 54022 FRANCIS H. OGDEN, P.E. . TELEPHONE & FAX: (715) 425 -7631 JAMES D. FILKINS, P.E. JOB NO. 99 -2380 Client: C. M. Bye and Dennis Schultz P.O. Box 167 River Falls, Wisconsin 54022 DESCRIPTION OF PART OF LOT 73 TO BE ADDED TO LOT 74, PLAT OF GLOVER STATION FIFTH ADDITION, TOWN OF TROY, ST. CROIX COUNTY, WISCONSIN Part of Lot 73, Plat of Glover Station Fifth Addition, Town of Troy, St. Croix County, Wisconsin described as follows: Beginning at the Northwest corner of said Lot 73; thence S79'1 0'20"E (Bearings referenced to the Plat of Glover Station Fifth Addition) 96.47' along the North line of said Lot 73, thence S 10 °49'=10 "W 212.54'; thence N1395' 10 "W 233.41' along the West line of said Lot 73, also being the Cast line of Lot 74 of said Plat to the point of beginning. This parcel contains 0.235 acres, snore or less, being 10,252 square feet, more or less. Subject to easements of record. This description and map are intended to add one parcel to another resulting in a single parcel, and is exempt from local subdivision regulations per Section 236.45(2)(x)3 Wisconsin Statutes. 1 certify that this description and accompar,vin�LT ;rap are correct to the best of my knowledge and belief. Date: August 22, 2000 a les D. Filkins S -2246 `,` ��� a �r,�z��mrrnu rr Av 0 _= JAMES D. � :- FILKINS _ S -2246 RIVER FALLS, , '9 ,� F IBIT Sheet i of 2 ERNATIONAL Von 1552PAGf 403 LAND TRANSFER FROM LOT 73 TO LOT 74 PLAT OF GLOVER STATION FIFTH ADDITION TOWN OF TROY, ST. CROIX COUNTY, WISCONSIN. NW CORNER 72 OF LOT 73 POINT OF S 79° 10' 20" BEGINNING 9 6.47 , � H Z N U4 e j Q h . 74 N 73 p 2.751 ACRES $ 2.527 ACRES / 110,073 S.F. 119,854 S.F. REMAINING AFTER TRANSFER AFTER TRANSFER q �G �P 75 6, GP I R =80' or z o w w E= U ] E5 Z O O (J9 Q LEGEND W ow 0 1" x 24" IRON PIPE WEIGHING 0 < Z 1.68# /LINEAR FOOT, SET. z a o r • 1' ' IRON PIPE, FOUND. w =1- - mr(n SCALE IN FEET Go EXHIBIT 0 50 100 200 JAMES D. FILKINS S•2246 = ALLSTATE °INTERNATIONAL FIVER FALLS. V OGDEN ENGINEERING CO. DATE: 8 -22 -00 Civil Engineers & Land Surveyors ,• � 113 W. Walnut St., River Falls, WI 54022 99 -2380 /7 Q (715) 425 -7631 SHEET 2 OF 2 V 2257 P 178 KATHLEEN H. WALSH MOUND/ DRAIN FIELD EASEMENT REGISTER OF DEEDS Document Number Docimneat 1%9 ST. CROIX Co., WI RECEIVED FOR RECORD 05/29/2003 02:00PM C. M. Bye hereby grants to Calvin C. Dietz III EASEMENT and Karyn L. Bye Dietz, their heirs and assigns a EXEMPT# perpetual easement for the constrdction, maintenance REC FEE: 11.00 and repair of a mound drain field over the following TRANS FEE: described parcel. COPY FEE: CC FEE: PAGES: I Commencing at the NE corner of Lot 74,.Plat of Glover Fifth Addition, Town of Troy, St. Croix County, Wisconsin. Thence SE 13° 35' 10" W 244.86 feet to the ROCOidt° point of beginning. Thence S 79 10' E 57.36 feet; thence Name and Return Address S 10 49' W 106.54 feet; thence N 20 0' W 80 feet; thence NE 50' more or less to the point of beginning. C. M. Bye P.O. Box 167 •River Falls, WI 54022 040- 1265 -30 -000 Parcel Identification Number (PIN) Th Dated this 2�� day of May, 2003. Dennis R. Schultz C. M. Bye ACKNOWLEDC24M State of Wisconsin ) ss. St. Croix County ) Personally came before me this day of May, 2003 the above named Dennis R. Schultz and °C. M. Bye to me known to be the persons-rVr o .executed the foregoing instrument This: instrument was drafted by and aci&x! d e - the. C. M. Bye, attorney at law >,•. �` River Falls, Wisconsin �,• "ana 7, n6d ct P Notary ,Public St. Cro, Cft%jRisionsin My corm i s on expires 473/03 , nul�� ki@ This infotnution must be completed by submitter. document drle, nano do return address, and PIN (f required). other it fom -don such as the gtmuing clauses, legal description, etc. may be placed on this first page of the document or may be placed on addtdonol pages of the document. Note: Use of dds cover page adds one page to your document and $2.00 to the recording tee. Wisconsin Stattaes, S9.S17. WRDA 2196 R19W, TOWN OF TROY, ST, CR I , 69 y 0 o O i 70 / ---- - -___� �, 66 71 Hudsor ' \ School Di I 79 °g5' 5 a ll E 5 335 72 \� ' 0-50 2.652 ACRES \ _ S.F. p' `O 5 7g° 10 ' 20 �I ? 387, o w `� 1S , /�.` •�\ \ 74 73 Z 2.762 ACRES 2.516 ACRES % 120,325 S.F. ? 4\,109.602 S.F. r��-kr V y e v SC AREA D R/ • , 0� . D£TAIC �£Wq rs y `�� Gti s- I 0 .0 0. N �% ,, �G 79 Av. �� 3.065 ACRES `` ®ry Q 133,498 S.F. - - ----_ 8_ ��� ��,60- NORTH LINE OF I ML a C 6 THE Z)t 1 OF,, a 75 SW c °I 2.574 ACRES 15 ' clyt R=80' ` � 112,126 S.F. v r- T" A6 o:' VOL 1552M 403 LAND TRANSFER FROM LOT 73 TO LOT 74 PLAT OF GLOVER STATION FIFTH ADDITION TOWN OF TROY, ST. CROIX COUNTY, WISCONSIN. Of rvj NW CORNER 72 OF LOT 73 POINT OF S-7 BEGINNING 9 •4 12p„ �L W A Q y ul ,�� N 3 N V, v" 74 w ; 73 La 2.751 ACRES ° h 2.527 ACRES ! 1 S.F. 110,073 S.F. / AFTER TRANSFER REMAINING AFTER TRANSFER CJ �G 75 Q � GP R =80' / o o w w l= U > — ��< Q LEGEND = wo 0 1" x 24" IRON PIPE WEIGHING cn I- w 1.68# /LINEAR FOOT, SET. O � z z • 1' ' IRON PIPE, FOUND. a w a W = 1- m H N �� EXHIBIT SCALE IN FEET c JAMES D. � 0 50 100 200 FILKINIS ' c S -2248 = RIVER FALLS, ALLSTATEoINTEANATIONAL `'' % %.,•� ` _ ► '..: ' OGDEN ENGINEERING CO. Civil Engineers & Land Surveyors DATE: 8 -22 -00 113 W. Walnut St., River Fags, WI 54022 gg -2380 �. _ (715) 425- 7631 - SHEET 2 OF 2 nivv I I 1C Jt R19W, TOWN OF TROY, ST. CR 68 I I 69 I � I ' r__ - -- - -- - - -__.� I 66 I Huds School M., I 525.99 � I N yg035' S6, E 33 ��\ \ I • 90. 72 \ 5p 2.652 ACRES s \ 115,513 S.F. co' S0, 7 9 ° 10' • 20 o ss �3 343.87 W h is Op. •�j\ LA ."�• 1 tT �0' tDo N O / O 0 e� O ti 1`73 UP 74 1 aw ti \ 2.762 ACRES a' ti 2.516 ACRES % �► 120,325 S.F. 109.602 S.F. EN �s c� SEE �E ORIVE�, ��� `��. c,��� • D SO, "�' o Tq X0 0. • � N h Gv � . 79 O �` 3.065 ACRES , 133,498 S.F. NORTH LINE OF HE SE - l/4 OF , -�•' ® G � y9 Q THE SW 75 C ' , ,/ R =80' .� 2.574 ACRES I ,� 7 1 j Hudson • • \ School District t I \ \ I I � I 52 9.9 P \\ I I N 79 °35' 56" E 33� 64 Cn I - - \ �� � I / \ _ \ \ z 190.0` w 7 2 \ / Q I �" N 50 2.652 ACRES 513 S.F. . o , y) O \ 1 1 \ o ` o _ 65 5 N 7. -- I 9 ip, F \ I`°`I 2 3 20" W In 66 \ \ I � N 7' 0 i Lit - I S O cr 4 � \ r 1 ,- Z ti s 1 0 2.762 Ac S 2.516 ACRES % °= I_ w 120,325 F. ,\109,602 S.F. 0 w 1 c .k !v w C3\ I C2 3 � spy ' C4 if , ( RT POI? WA G J ° a w M In r' (vim / / z 75' $ �+ 50' �I I i F . 1* r, (� .O $ N ♦h p CJ / 79 $0 w e - m 3.065 ACRES 133,498 S.F N ? 150.00' I 2.501 ACRES I ° o ,r n °ry li Q . I 108,943 S.F. z n N E 0 NORTH LINE OF I o )T 1 i 6 P��� TFIE s 6F -, -- -- -- -- - - - -- W- �— cad 2.574 A CRES 15� v r R =80 � � 9` y / � � H ?OS N 8 N � ),Ivl N I 112,126 S 0 y 9 e zi to 1 ^h - C_# �5 8790 k °a �; y � /� EASEMENT FOR 41' o DRIVEWAY /� $ N 30 (SEE DETA ` � 7 I 76 / it 162712 S.F. 3.735 ACRES 2.603 ACRES / 7 W 113,373 S.F. S / , 0 6.868 ACRES S O' I I 50' : / N / 299,175 S.F. / N . 8 1 i Sp. Sp. M '$ / 4.104 ACRES ry ° 178,780 S.F. I o N N "x / 2 zW .r � e . _ /S µ. zN I :.N 1 l� w / ' N SO, 1 1 O OI I - - _� Z 50' . L ' ... ... ........ X MZ ........ ........ . .. .....:— �— : . ...... d9a:so� .... ` ....... ....... ............ 9...�sy:s4 /....... ...... J a N 89 09" W 1317.34' N� UNPLATTED LANDS ti 3 eM 0 :2w oc N , 6" 1 2 5 . DETAIL OF DRIVEWAY EASEMENT DETAIL OF DRIVEWAY EASEMENT � FOR LOTS 73 AND 74 FOR LOTS 76 AND 77 ON SCALE: 1 " = 50' 75 SCALE: 1 " = 50' 7.158 66.00' 0 ; , 234.Q r a co GANDY DANCER Go CIRCLE i o N 88 .1a 3s" w a E C ro o _ N 76 501 .00 1 7 / \ • C25 G26 / w S 88° 10' 36" E N 7.12 SEE RI i , N $ Q en '! V. 10 V'N 77 Z ql .. o� f 76 Lo0 2 I 2 .511 09,3981 o�lf�G;10 C19 C18 N ?`� 'p0J 00? 50' __ �• !tee.. _�� 0 River Falls � '� ti ° S���� '�• \ a g 0 �b School Distract / �/' �6�� ° ^� 2 ,514 09523 SFS \ 9p rn 60 pp ?3 J 01 G I a o i „ Ic 1 � • 96„ Yl c Lu U B t c5 vwN CO Z V) p O w � m \so \ 63 2.655 ACRES s. s I p uj i 16 0 115,661 S.F. Sp u: to w ° 1 ACRES Nom` w ¢ N N Y e0 p �Y ?° 108,979 S.F. tT o; I N m w O s�s� 8 7 " 6' A , �5 0 , 7 6.52' o w g0 N 88 10 109,182 S.F ' 36" W ( m o SCALE 2.506 ACRES O. I•-• .n . \ � T 18.12' _ 3 / 34 , 204.69' ° z 0 75 150 �t,9 SB, 111 O, 169• - 1 _ 110.03' ; o w \ io 370.50' 2X0.50' E 53 ' �_ r2 z2 1' 1 . n N 1 811° 10' 36" W ° 00 1 500' 77 °56' 2l , I w ;0 0 0 0. 86 a � � 93 'N _ I slo H 1 3h V) ? LEGEN 2.596 ACRES 1 ->♦ 6 2.510 ACRES n o I cv a N :'go 113 S.F. I 33' 33' a 150 I - 109,341 S.F. N N N ° o o o w a -_I LL__ _ : w • 200.00' 150.00' I ^ a NORTH LINE OF THE tJ n J 8° 10' 36" W 500. ' SW 1/4 OF THE SE 1/4 in I • Al N 88 0 10138- W 524,15' �; j'O N 8 0 03'61, W (- - - - 150.00' _ - 150.0 k- - - 224.15' w o 85 --� --col I A °1 �h�ti 2.525 ACRES ' 150' N j $ rn , c 40' °i� 0 i 10.000 S.F 94 a , 5 9 5 � I p o $ 2.515 ACRES of in 3 I I - 109,547 S.F. c 4.379 ACRES i N 1: .r f0 t° _ _ zJ o `� 190,737 S.F. 4 -� a w c'•a 3 °10' 36" W 500. 0' o N 26 °03' 44" E 50.45 1.94 "a, o IM c 200.00'' 149.91' °i ao - 172.30' N 88 0' 36" W 52 .15' o .t C14 o x N 88 ° 10' 36 W 50 1O 84 _aa N 88 °10'36" W 564.14' 0 .� 2.508 ACRES 150' 3 w 249.49'0 220.58 Nl 1 94. 109,237 S.F. I N N ;� • S i u 0 50' 1 ' ` - _ a d, I o 20' WIDE I °i 3 N 88 W 390.00' l° N 1 1 i DRAWAGE ° _ w •••••••• c EASEMENT 283.03' z _ 190.00' 2 0.00' to I 1 501 l 50' N 88° 10' 36" W - I M W MM , I t7 I C 83 °' .� 196 w 5 0' 197 a I 2.501 ACRES ' 150' "" a 501 N - 0 2.840 ACRES) a 108,946 S.F. n D 2.511 ACRES J,. w I 1 w 123,732 S.F. 9 C4 m 1 n 109,395 S.F. t N 50' 2.501 ACRES : L____J _ _ 1 �W e _ I o - 108,933 S.F. I M OD c Q o ._1 40.00' i0 150.00' W l c Z o Z SEE NOTE #4. 3 N 88'10'36" W 390.00' ° o _ u g 9 7.14' . °D Z 40 -'. 33 33' I 0 282.86 , C`1 Q c I 150' - 2 2 20.58 89.57 42 . 1 6.1 5' �: J 82 / �_ N 88'10'36" W 752.93' 734 ACRES CHATTANOOGA DRIVE - - ° " � / / n S 88 °10' 36" E 757.65' - 9,071 S.F. / 315.67 220.00' 0 _ 1 0' o h 0 28.72 221.98' C40 J G / o uy v> LO 7.11' in 300.00' , �� G� SO• - .- . 5° ' 300.00' �GS� !s � °O. 101 -1 1 50' 6 z ASe \2 535 ACRES r" 1 I re o x� 110,405 S.F. ^ W I � t. I w 199 I ° -� y� ?e., � 100 OTE 4. N \ t 2.503 A.RESi N 2.503 ACRES 10938 S ,0 F. a _ 109,011 S.F. 102 s ls � I o I a o S S. FS 1 50' 50' 2.687 ACRES sS9 !. Z I n c I c'j N 50' t 117,053 S.F. \ !' hp t 50' Z t - ♦1' N I ! `� ° I n I 50,1 fl Wisconsin Department of Industry, Labor and Human Relations SOIL ANb SITE EVALUATION REPORT Page I of 3 Division of Safety & Buildings in accord with ILHR 83, !is Adm. C R COUNTY complete site Ian on paper not legs than 8 1/2 x 11 inches it •ze'Plan m ��,, S`� Attach com P P P P fit ixicTus_9 but not limited to vertical and horizontal reference point (6M), direction aod,% of slope scaiea�tr +' ' PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest ro APPLICANT INFORMATION- PLEASE PRINT ALL INFO ATION F BY D T PROPERTY OWNER: L ATION Eft ZL� A� - UEQti \S 13 C>r-[UL.t s .0 1 /4,S ]�pT Zi:5 ,N,R Lq E(oi W PROPERTY OWNER':S MAILING ADDRESS. LOT,# - -, -BLOC' 11 D. NAME OR CSM # ZS8 �ivE1�.S IDE �21.UE GL !EMoy, S CITY, STATE ZIP CODE PHONE NUMBER [)CITY ❑VILLAGE MOWN ' NEAREST ROAD 1�tU�2. �YR,�S w1 Sy,oZZ('1LS) �LZS- $•l6t �ZD� -( G CtReuE New Construction Use %J Residential / Number of bedrooms q [ J Addition to existing building j J Replacement [ ] Public or commercial describe Code derived daily flow bop gpd Recommended design loading pd$ - trench, gpd/ft 9 rate � bed, — Absorption area required SO"-5 bed, ft So D trench, ft Maximum design loading rate - 5 bed, gpd 111 - 6 trench, gpd /ft Recommended infiltration surface elevation(s) qq..b' ft (as referred to site plan benchmark) Additional design / site considerations "0UD W /23'Y-6a ' B%� . W1 t/v . Z,4 r OF SpA_b Parent material Lpti53 o�, E piz- RCZUytL Um es)z ve Flood plain elevation, if applicable tV It S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE AT GRADE SYSTEM IN FU HOLDING TANK U= Unsuitable fors stem 0S R U ®S ❑ U [Is O U I❑ S nu ❑ S RU I❑ S � U SOIL DESCRIPTION REPORT Depth Dominant Color Mottles ottles Structure GPDIft Boring # Horizon De � (Texture I Consistence lBoux�ry Roots in. Munsell Ou. Sz. Cont Color Gr. Sz. Sh. g d rerxh g o �v l0 2 31 Z. s' 1 z. sbFc ►� cS Z % -Q - ,ti- 316 - sy Z -S Ground 3 I% SY23 L y — s l c 1 � cS bk r►1 �7- c� — • Z 3 elev. C 6_ ft Depth to limiting factor Z6`� Remarks: Boring # 1 0 2iSbk wt F4- e -5 {` • S J Z Z k -1 g. t u k cZ 3 L L. — S t 3 `Fsb wt•fir S 3 �g-2 -S �•S'-LIZ 3Ly Sl0-j L -Sh(z b1. Ground elev. y ZS -1B L O IZ 6 L 3 B tZ _ - lvp ' tip 9 1.1s It Depth to 3 S L wt�5hl h C< C limiting Wor Remarks: T Name: - Please Print Phone: Arthur L. We erer 715- 425 -0165 ' egerer Soil Testing & Design Service -P.O. Box 74 River.Falls,WI.54022 " Signature: Date: CST Number. S_ 220254 1 PROPERTY OWNER 'B�-tF l SCN•UL'rZ SOIL DESCRIPTION REPORT , Page Z•ot 3 PARCEL I.D. >I ti C, Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence BwXby Roots GPD /ft �„ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. >• >> Bed rends ..3.. to�R 31 z z`�s bk CS , Ground 3 - - 1 •S 4 12- 3LV — S elev. 1Gd YnSbk �'►� ►- cS — ` y -5 as,o it. U i s -q o loo v L 1 1 Depth to limiting factor 'L S " Remarks: Boring # ..: Ground elev. It. Depth to — limiting factor Remarks: Boring # Ground elev. It. Depth to . limiting factor Remarks: 3oring # •.� - r 'round ,Iev. ft. )eplh to imiling actor Remarks: •h no•.nrt� •.r . PLOT PLAN Pa 3 of 3 SCALE 1 "= So ' 1rtoJ PIPc I v CUl•'t � P L7 0 �Z i I i r � �• °t b � $ • I r�jk - 1 F, -Z v g��- - t�.tuo.o' o►� h o� � 2? 0' I 1 i i I A Q v` 00 - -3 _(715 ) 425 - 0169 CST Signature Date Signed Telephone No. CST # t Wisconsin Department of Industry, Labor and Human Relations SOIL AND SITE EVALUATION REPORT Page I of 3 Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but S - 7 . 0'V? 1X not limited to vertical and horizontal reference point (Slut}, direction and % of slope, scale or PARCEL I.D. # W G dimensioned, north arrow, and location and distance to nearest road. ' APPLICANT INFORMATION PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION PA - 'DEQQ \.S S CCU C- Z GGkg. 6 ti E 1/4 5 W va,S t J T N,R l E I« w PROPERTY OWNER':S MAILING ADDRESS. LOT # BLOCK NAME OR CSM # Z � 1v E12S lDE -- DCztUE - 7 \) SMO)U 5 CITY, STATE ZIP CODE PHONE NUMBER ❑CrrY ❑VILLAGE CarOWN ' NEAREST ROAD 1Z.QEE(2 C1�S wl syoZZhtSI �1ZS- 8lbt T�o`-1 Gfj�jq -I Z CLt2el.E p(J New Construction Use Residential / Number of bedrooms q [ J AddibQn to existing building Replacement [ J P [ J Public or commercial describe Code derived daily flow bo gpd Recommended design loading rate _ • 4 bed 2 2 , 9P�ft - trench, 9P� Absorption area required S0Q� bed, ft2 So 0 trench, 11 Ma)dmum design loading rate • 5 bed, gpd$ - 6 trench, gpd/ft Recommended infiltration surface elevation(s) CLq., 0' ft (as referred to site plan benchmark) Additional design / site considerations MOUKb W �� K63 B� . m L /v . Z�{ OF SP,� FrU-. Parent material LotzSS c�tZ FZt f�C1LRL'D L1w1e5toive Flood plain elevation, if applicable _ N�, ft S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE AT GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable for stem ❑ S ®U I ®S ❑ U ❑ S O U I IDS O U ❑ S I [IS F] U SOIL DESCRIPTION REPORT Bonin # Horizon Depth I DominaritColor Mottles Structure GPD /ft 9 I (Texture I (Consistence Bctticlay Roots B in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. I I r r b -� l0 1ZjlZ r •A � : -. S! � Z 5bI'L r✓L� CS l� • S .b 31b s ► Z�'sbk mfr 02 _ -S _L Ground 3 le Z� �. L _ S`�Q --� Y s t c.1 cz bk c • z. elev. 3 a 4,-3 ft Z-�r3$ 10 7 2 6 L3 - LS B Z — - l`►P N� Depth to limiting factor z6<< Remarks: Boring # to L n- E l si 1 3 'Fsbk y ,, L •�, (L S . s Ground 3 1$ -ZS --) •S `tIZ 3L y _ S t 0-j 1 C - 3 �z ►yLit- elev. 9 fL Depth to 3 S 'k1 L t l+�t�STu - N < C limiting factor ZS I Remarks: CST Name.-Please Print Phone: Arthur L. We erer 715 - 425 -0165 ' egerer Soil Testing & Design Service -P.O. Box 74 River.Falls,WI 54022 Signature: . . 0 0 o[ , O 0 ... - I C) 3 -� 3 Date: S CST Number 220254 I r PROPERTY OWNER 'B�--t. SCW Z- SOIL DESCRIPTION REPORT Page Z01 PARCEL I.D. # l 1 )j C, Boring # Horizon Depth Dominant Color Mottles Structure CIP in. Munsell Gr. Sz. Sh. Consistence Roots Texture Qu. Sz. Cont. Color Y Bed Trench Z Is Ground 3 —ZS - I •S 2 S s ic,j Z lm sbk vh �. cS u .5 elev. — q5.o it. y ZS - o jr 4v Depth to limiting factor -Ls" Remarks: Boring # Ground elev. It. Depth to — limiting factor Remarks: Boring # Ground elev. it. Depth to limiting �• factor Remarks: 3oring # around Aev. It. )eplh to imiting actor remarks: _ PLOT PLAN Pa 3 of 3 SCALE 1"= So ' i • CrL,°l5 - I i a I 0j-- .01 I 4 i i i I S , 1 � - Q� V � ' 00.03— - 2 3 Zz0154 .(715 ) 425 -ni�5 CST Signature Date Signed Telephone No. CS7 # -