HomeMy WebLinkAbout042-1012-80-400 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM y:
• Safety and Buildings Division Count
INSPECTION REPORT St. Croix
GENERAL INFORMATION (ATTACH TO PERMIT) Sanitar Permit No.:
Personal information you provice may be used for secondary purposes [Privacy Law, s.1 (1)( m)]. 363881
Permit Holder's Name: ❑ City ❑ Village ❑ jown of: State Plan ID No.:
�I hivlev, Thomas R I Warren Township
CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.:
doll` v 0O, f" " ` 042 - 1012 -80 -400
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic Benchmark 3.35 103 .3 O , V
Dosing �e� -Alt. BM 1 tr 2 � q'•{(ozr r
Aeration jt' ji ? g. Sew ( , r
Holding St/ Ht Inlet W
TANK SETBACK INFORMATION St/ Ht Outlet C4 (O.00
to
TANK TO P/ L WELL BLDG. Ai Intake ROAD Dt Inlet
Septic 5 4 q r NA Dt Bottom �`� 3• V' 3'
Dosing y Z —' -a-. NA Header/Man.
Aeration NA Dist. Pipe S• S p .�
Holdin Bot. System / O '� �( . O
5
PUMP/ SIPHON INFORMATION Final Grade
Manufacturer ?/ Demand St cover, y „?. `
Model Nu 3 — GPM (Si �”
TDH Lift rictioni System TDH Ft Head —
COSS Forcemain Length 56 . Dist. To Well
SOIL ABSORPTION SYSTE \ S c�% 2•�`I- .mac -!'�` • 3. 31 "
hl-
BED/TRENCH Width Len g th No,Qf Trenches PIT No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS C t 5 • } S � DIMENSIONS
SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING Manufacturer:
SETBACK CHAMBER ('�''' °� —
INFORMATION Type O r f Model Number:
System: ' a/ — T 1 1
DISTRIBUTION SYSTEM �,h,, �, a /
Header/Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake
Length Dia- Length Dia. Spacing
SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only
Depth Over Depth Over xx Depth Of xx Seeded/ Sodded xx Mulched
Bed /Trench Center Bed /Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No
COMMENTS: (Include code discrepancies, persons present, etc.) Inspection #1: *6/.IS /00 Inspection #2:
Location: 1095 115th Avenue, Rob rts, Wl 54023 (NE 1/4 SE 1/4 5 T29N 18W).- 05.29.18.77 - t 6 •
1.) Alt BM Description = 5yhr Rob
— 33 ' n"; , i
�n
2.) Bldg sewer length=
10
� / �f ,
- amount of cover = (� ` ��� 1 4 l� � �/
�j � Wl'►'s 4
Plan revision required? ❑ Yes o Use other side for additional information. V
SBD -6710 (R.3/97) Date spector's Signature Cert. No.
ADDITIONAL COMMENTS AND SKETCH
SANITARY PERMIT NUMBER:
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Safety and Buildings Division
SANITARY PERMIT APPLI ON 201 W. Washington Avenue
14sconsin
P 0 Box 7302
Department of Commerce In accord with Comm 83.05, w]wji d. Coij� ! ' Madison, WI 53707 -7302
• Attach complete plans (to the county copy only) for the systoix on pap* less SA ty
than 8 112 x 11 inches in sizes*
• See reverse side for instructions for completing this application ,_ S anitary Permit Number
36 �41 1 i
Personal information you provide may be used for secondary purposes c: a . ❑ Check it revision to previous application
[Privacy Law, s. 15.04 (1) (m)].
Statei Ian I.D. Number
I. APPLICATION INFORMATION -PLEASE PRINT ALL F M
Pro wner Nam Property L
c' �'v4 St 1 / 4 , T N, R /� E (or) W
ily
er's Mailing Ac ress _ j , I //S. / Lo Block Number
City, St to I , Zip Code Phone Number S bdivision Name or CSM ber
"..Z ( '7 ,, Y ) l 1 • t3
11. TYPE OF BUILDING: (check one) ❑ State Owned [3 City 1 I NearestRoad
❑ village
Public 10 1 or 2 Family Dwelling - No. of bedrooms 3 sa Town OF "/'LAJ //T
111 BUILDING USE (If building type is public, check all that apply) Parcel Tax l,' � I -1-7 -D
1 ❑ Apartment / Condo
2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 10 ❑ Outdoor Recreational Facility
3 ❑ Campground 7 ❑ Merchandise: Sales/ Repairs 11 ❑ Restaurant/ Bar/ Dining
4 ❑ Church/School 8 ❑ Mobile Home Park 12 ❑ Service Station/ Car Wash
5 ❑ Hotel/ Motel 9 ❑ Office/Factory 13 ❑ Other: specify
IV. TYPE OF PERMIT (Check only one box on line A. Check box on line B, if applicable)
A) 1.,)K New 2 ❑ Replacement 3. ❑ Replacement of 4, ❑ Reconnection of 5. ❑ Repair of an
------ System System Tank Only System Existing System
B) ❑ A Sanitary Permit was previously issued. Permit Number Date Issued
V: TYPE OF SYSTEM: (Check only one)
Non - Pressurized Distribution Pressurized Distribution Experimental Other
11 ❑ Seepage Bed 21 ❑ Mound ❑ Specify Type 41 ❑ Holding Tank
12 ❑ Seepage Trench 22 ❑ In- Ground Pressure I 42 E] Pit Privy
13 aSeepage Pit [!a� 3 X q3 `- � 43 [] Vault Privy
14 ❑ System -In -Fill a
VI. ABSORPTION SYSTEM
1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System Elev. 7. Final Grade
Required (sq. ft.) Proposed (sq. ft.) (Gals/da /sq. ft.) (Min.14ch) levation
Y 5 C) 9 ,06 = 9 1 4 , yo Feet 1 00. $U Feet
VII. TANK Capacit gallons Total # of Prefab. Site Fiber- Exper.
INFORMATION New Existin Gallons Tanks M Name Concrete struded Steel glass Plastic App
Tanks Tanksl Tanks
Septic Tank or Holding Tank f -- IOUp / v ❑ ❑ ❑ ❑ ❑
Lift Pump Tank /Siphon Chamber Aw I ' • Q ® ❑ I ❑ I ❑ 1 ❑ ❑
Vlll. RESPONSIBILITY STATEMENT
I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans.
Plu Narroe.:EWirjt) Plumber's Si nature: tamps) MP /MPRSW No.: Business Phone Number:
Plumb is Address (Stre t, City, State, Zip Code):
IX. COUNTY/ DEPARTMENT USE ONLY
❑ Disapproved Sanitary Permit Fee (Includes Groundwater ate ssue Issuing Agent Signatur (No Stamps)
�Qpproved E] Owner Given Initial Surcharge Fee) I j "
Adverse Determination's C1V — `l s
X. CONDITIONS OF APPROVAL / REASONS FOR DIS PPROVAL
�J
SBD -6398 (R. 4/99) DISTRIBUTION: Original to County, One copy To: Safety & Buildings Division, Owner, Plumber
INSTRUCTIONS {
1. A sanitary permit is valid for two (2) years.
2. Your sanitary permit may be renewed before the expiration date, and at a time of renewal any new criteria in the
Wisconsin Administrative Code will be applicable.
3. All revisions to this permit must be approved by the permit issuing authority.
4. Changes in ownership or plumber requires a Sanitary Permit Transfer/ Renewal Form (SBD -6399) to be submitted to the
county prior to installation
S. Onsite sewage systems must be properly maintained. The septic tank(s) m'ustbe pumped by a licensed pumper Whenever
necessary, usually every 2 to 3 years.
6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of
Wisconsin, Safety and Buildings Division, , 608 -266 -315Y. - - - -- - - -
To be complete and accurate this sanitary permit application must include:
. 1 `
I. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the
system is to be installed.
II. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling_
III. Building use. If building type is public, check all appropriate boxes that apply.
IV. Type of permit. Check only one on line A. Complete line B if permit is for tank replacement, reconnection, or repair.
V. Type of system. Check appropriate box depending on system type.
VI. Absorption system information. Provide all information requested for numbers 1 through 7.
VII. Tank information. Fill in the capacity of every new /or existing tank, list the total gallons, number of tanks and
manufacturer's name, indicate prefab or site constructed and tank material. Complete for all septic, pump /siphon and
holding tanks for this system. Check experimental approval only if tanks received experimental product approval from
DILHR.
VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.),
address and phone number. Plumber must sign application form.
IX. County/ Department Use Only.
X. County/ Department Use Only.
Complete plans and specifications not smaller than 8 112 x 11 inches must be submitted to the county. The plans must
include the following: A) plot pTan, drawn to scale or with complete dimensions, location of holding tank(s), septic
tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; pump or siphon
tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served;
B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume;
elevation differences; friction loss; pump performance curve pump model and pump manufacturer; D) cross section
of the soil absorption system if required by the county; E) soil test data on a 115 form; and all sizing information_
----------------------------------------------------------------------------------------------------
GROUNDWATER SURCHARGE
1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can
effect groundwater.
The monies collected through these surcharges are used for monitoring groundwater contamination investigations
and establishment of standards.
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Wisconsin Department of Commerce SOIL AND SITE EVALUATION Page 1 of 3
Division of Safety and Buildings in accord with Comm 83.05, W is. Adm. Code
A.C.E. Soil &Site Evaluations
Attach complete site plan on paper not less than 8%s x 11 inches in size. Plan must County
include, but not limited to: vertical and horizontal rer pd "ction and St. Croix
percent slope, scale or dimemsions, north ama
Parcel I.D.# n / , os c istande to nearest road.
n 0421012- 80-400
APPLICANT INFORMATION - P/ se' pdnt,�all #formation. - -- - - - -- - __- -__ -- - --
Personal information you provide may be used sdndary purp$f6s Law, s. 15,04 (1) (m)). � eviewed B Date - Zovo
Property Owner ? Property Location
Tom Ship ley I Y R G Lot NE 1/4 SE 1/4 S 5 T 29 N,R 18 W
Property Owner's Mailing Address lot Block # Subd. Name or CSM#
1616 Pinewood Lane - Apt. #5 ouN 6 CSM Vol. 13, P .3768
City State Zip Code Pon Q F] City E] Village ZTown Nearest Road
Hudson WI 54016" 715 -3 86-,29$1 Warren 1095110Th Ave.
New Construction Use: Residentia171�famberafliedrooms 3 [ Addition to existing building
❑ Replacement [] Public or commercial describe
Code Derived daily flow 450 gpd Recommended design loading rate - gpd/ft .5 trench, gpd/ft
Absorption area required 1125 bed, ft 900 trench, ft Maximum design loading rate .4 bed, gpd/ft .5 trench, 9pdff
Recommended infiltration surface elevation(s) 96.40' ft (as referred to site plan benchmark)
Additional design / site considerations Install trenches using high capacity infiltrators. Pressurization required to reach system area.
Parent material Glacial Till Flood plain elevation, ff applicable NA ft
S - - Suitable for system Conventional Mound In Ground Pressure AT - Grade System in Fill Holding Tank
U= Unsuitable for system ®S ❑ U ® S❑ U ® S❑ U ®S ❑ U ❑ S® U ❑ S M U
SOIL DESCRIPTION REPORT
Bi Horizon Depth Depth Dominant Color Mottles Structure GPD/ft
in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz Boundary Roots Bed Trench
1 1 0 -13 10YR4 /2 None sl 2msbk mvfr cW 2f,lm 0.5 0.6
2 13 -35 1Oyr4/3 None sl 2msbk mfr gW If,m 0.5 0.6
Ground 3 35 -90 7.5yr4/4 None sl lcsbk mfr - If,m 0.4 0.5
elev
102.98 ft
Depth to
limiting
factor
>90
Remarks:
2 1 0 -6 10YR4 /2 None A 2msbk mvfr cW 20m 0.5 0.6
2 6 -21 l Oyr6 /4 None is Osg ml gw l fm 0.7 0.8
Ground 3 21 -32 7.5 r4/4 None sl 2msbk mfr cW lf,m 0.5 0.6
elev y
103.58 ft 4 32 -91 10yr4 /4 None Us lcsbk mfr - - 0.5 0.6
Depth to
limiting
factor
>91•
Remarks:
CST Name (Please Print) Sig ature: Telephone No.
James K. Thompson 715- 248 -7767
Address A.C.E. Soil & Site Evaluations Date CST Number Ref #
340 Paulson Lake Lane, Osceola, WI 54020 3/23/00 3602 1189
r
PROPERTY OWNER. Tom Shipley SOIL DESCRIPTION REPORT page 2 of 3
PARCEL 1 .1011 042 -1012- 80-400 A.C.E. Soil & Site Evaluations
Horizon Depth Dominant Color Mottles Texture Structure � �tence Boundary Roots C"'
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench
3 1 0 -12 10YR4/2 None A 2msbk mvfr cw 20m 0.5 0.6
2 12 -42 IOyr4 /3 None A 2msbk mfr gw Ifm 0.5 0.6
Ground
elev 3 42 -92 7.5yr4/4 None A Icsbk mfr - Ifm 0.4 0.5
101.06 ft r
Depth to
limiting
factor
>92" k� • Yo
9L
Remarks:
4 1 0 -12 10YR4/2 None A 2msbk mvfr cw 2f im 0.5 0.6
2 12 -34 1Oyr4/3 None sl 2msbk mfr gw Ifm 0.5 0.6
Ground
elev 3 34 -88 7.5yr4/4 None IS I csbk mfr - I f M 0.5 0.6
98.90 ft
Depth to
limiting
factor �� 6 i -fl
>88" c � tYU%l`a��
Remarks:
5 1 0 -10 10YR4/2 None sl 2msbk mvfr cw 20m 0.5 0.6
2 10 -23 10yr6/4 None is Osg ml gw 1 fm 0.7 0.8
Ground
elev 3 23 -35 7.5yr4/4 None scl 2msbk mfr cw Ifm 0.4 0.5
99.89 ft 4 35 -90 10yr4/4 None ifs Icsbk mfr - - 0.5 0.6
Depth to
limiting
factor
>90"
Remarks:
Ground
elev
Depth to
limiting
factor
Remarks:
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82 PRIVATE SEWAGE SYSTEMS - II
PAGE OF
PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS
VENT CAP
4"C.I. VENT PIPE WEATHER PROOF APPROVED LOCKING
JUNCTION BOX MAWHOLE COVER
1 2! FROM DOOR, IP�MIU.
'�/INCC`f/ OR FRESH
AIR ;K;TAKE
GRADE I Y HIM.
I IB'Aim.
CONDUIT -- - - - -- -
18 "MIN.
PROVIDE I - - -�-
INLE T � AIRTIGHT SEAL I I
I III
APPROVED „DINTS
APPROVED JOINT A I II W /C.=. PIPE
k/ C.I. PIPE I II I EXTENDING 3'
EXTENDING 3' ALARM ONTO SOLID SOIL
OWTO SOLID SOIL B I I I
I I
I I ON
C
I
ELEV. FT. PUMP--- - -�
OFF
0
CONCRETE CLOCK
RISER EXIT PERMITTED G1JL`! IF TANK MAWLIFACTURE.R HAS SUCH APPROVAL
SEPTIC E SPECIFICATIONS
DOSE 1
ANKS MANUFACTURER: WuIt NUMBER OF DOSES: - PER DA.4
TALK '-•IZE: $OU GALLONS OOSE VOLUME
ALARM MA NUFACTURER: Tpl aira<i INCLUDING BACKFLOW: I I a GALLONS
MODEL NUMBER: NA CAPACITIES: A= JJ�- IAICHES OR GALLONS
SWITCH TYPE: 1 8= INCHES OR 3 GALLONS
PUMP MANUFACTURER: OZI 2 K C= INCHES OR S V 5A_LOU5
MODEL NUMBER: 137 D INCHES :R L GALLONS
SWITCH TYPE: R NOTE: PUMP AND ALARM ARE TO BE
MINIMUM DISCHARGE RATE. �`� GPIA
INSTALLED ON SEPARATE CIRCUITS
VERTICAL DIFFERENCE CETWEEN PUMP OFF AAJO OISTRIBUTION PIPE.. FEET 1
+ Mi�AJ NETWORK SUPPLY P]RE�SSSL RE . . . . . . . . . . . W F FEET + )y FEET Of FORCE MAIN X FACTOR.. EET TOTAL Oy1JAMIC HLAD = EET
I.
INTERNAL. DIMENSIONS OF TANK: LENGTH 9' ;WIDTH ( ;LIQUID DEPTH
LICEAJSE NUMBER: "`� y I �� DATE: (( ou
ST CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
Owner/Buyer
Mailing Address ��
Property Address 00 o
...
(Verification equired from Planning Department for new construction)
City/State Parcel Identification Number eO y,�g- /6/a( c
Vo - Add
LEGAL DESCRIPTION
Property Location %,, y,, Sec. , TAN -RAW, Town of
Subdivision , Lot #
Certified Survey Map # Volume 13 , Page #
Warranty Deed # Volume Page # ,70 9
Spec house ❑ yes d(no Lot lines identifiable ❑ yes ❑ 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. Certification
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 year piration &te.
SIGNATURE OF APPLICAdIft J 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(s) of
the property described above, by virtue of a warranty deed recorded in Register of Deeds Office.
-- s - IGNATURE OF APPLICANT DATE
* * * * ** Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. *• * « ««
«* Include with this application: a stamped warranty deed from the Register of Deeds office
a copy of the certified survey map if reference is made in the warranty deed
1478PAc 509 � z $
STATE BAR OF WISCONSIN FORM 2. 1998
KATHLEEN H. WALSH
REGISTER OF DEEDS
This Deed, made between Jeannine Murohv 11 s interest• and ST. CROIX Co., WI
Lotus T. Rolf and jenny Lee Rolf, husband and wife t /2 interest RECEIVED FOR RECORD
12 -17 -1999 9:30 AN
le Grantor, conveys and warrants to WARRANTY DEED
Th m R. Shi
EXEMPT I
CERT COPY FEE:
COPY FEE:
TRANSFER FEE: 90.00
RECORDING FEE: 10.00
Grantee.
PAGES: I
Grantor, for a valuable consideration, conveys and warrants to Grantee
the following described real estate in State of Wisconsin (The
"Property "):
R Area
Name and Return Address
x.l" " ""A OGLAND
ZIIZ, Estreen & 081and
I Eox 359
Ito W1 540J6
Pt of 042- 1012 - 80-300
Parcel Identification Number (PiN)
This is not homestead property.
That part of NEl /4 SEl /4, Sec. 5- T29N -R18W being a division of Lot 4 of Certified Survey Map recorded in Vol. 10, page
2869, described as follows: Lo of Certified Survev Mao recorded in Vol 13 of Certified S urvey Maps, page 3768 as Doc.
No. 614731, St. Croix County, Wisconsin.
Exceptions to warranties: Easements, restrictions and rights -of -way of record, if any.
Dated this day of December, 1999.
* nine Murphy
T. Rolf
any Lee R
AUTHENTICATION C�
Signatures) Jeannine Murphy, Lotus T Rolf and
J enny Lee Rolf ACKNOWLEDGMENT
authenticated this �
day of December, 1999. STATE OF WISCONSIN )
) ss.
��• County )
* Krishna Oglan�
Personally came before me this i day of
TITLE: MEMBER STATE BAR OF WISCONSIN 1999, the above named
(If trot,
authorized by § 706.06, %,, Stars.) to me known to be the person(s) who executed
[he foregoing instrument and acknowledge the same.
THIS INSTRUMENT WAS DRAFTED BY
Attorney Kristin Ogland
Hudson, WI 54016
Notary Public, State of Wisconsin
(Signatures may be authenticated or acknowledged. Both are not MY Commission is permanent. (If not, state expiration date:
necessary.)
. Names of persons signing in any capacity should be typed or printed below their signatures
wARRAM DEED STATE BAR OF WISCONSIN
FORM No. 2 -1998
INFORMATION PROFESSIONALS COMPANY FOND DO LAC, WI 800855.2021
KAA -
t0 <b
CV 14731
An
CWiW& SUR VEY MAP
Located in the NE 1 /4 of the SE 1 /4 of Section 5, T29N,
R18W, Town of Warren, St. Croix County, Wisconsin,
being a division of Lot 4 of that Certified Survey Map filed '61
in Volume 10, Page 2869 in the St. Croix County Register Ir,:
N of Deeds. ( to I IXIM � 1-4 119 =
E1 /4 CORNER, SECTION 5, i 1 Ia
I
Scale 1 ° = 250' YNPLATTED LANDS T29N, R18W 10 Imp R
( 1" IRON PIPE) I ( ��
116TH AVE ( R EAST 585.48' ) 1
_ _ N 9 00�� E 585,54' �rr#8.2 `I°p EAST- WEST 1/4 SECTION LINE R EAST 4630.78') 14798' 207.46 N 90' o0' 00" E 4,8 S 8 47_E 509.35 :. --OUT
LOT
W1 14 CORNER, SECTION 5, 148.35 207.47 R 153.47)
'q 153.53
^ (
(FROM TIES) ��' ... �1 ��gg :Mfr SEE DEtA1L ON
O t; ' SHEET 3 OF 3
�JI z �n
3 a
_LOT 2 LOT 3 tO b 207.44 a LOT 6
CERTIFIED SURVEY MAP 8 (R EAST)
�1
VOLUME 10 2869. _ Of 8 C in a) I 4 w
I _ - "Z � �IN as 9 N r
o ( awl z W < �
(R WEST) %ql D� rj S
-� 2
Z20.8
N 89 48" E 720.00 Q 220.6P A' I
I W W N 89 4 E o
k p � � D C) I
a� WEST LINE OF LOT 4 OF CERTIFIED SURVEY MAP D W O w C ' m
IN VOLUME 10, PAGE 2869. UI,I w °'
� y
' W LOT 5
g �
1,082,937 SQUARE FEET ( 24.861 ACRES) 1m
l INCLUDING RIGHT -OF -WAY I�
z 1,078,006 SQUARE FEET ( 24.748 ACRES)
I�
z EXCLUDING RIGHT -0f WAY
l
SOUTH LINE OF LOT 4 OF CERTIFIED SURVEY MAP
IN VOLUME 10, PAGE 2889.
(R NW'66'12"W 1300.4(Y)
— — N 89' 55' 21" W 1.299.59'
I NEL9.TWQ LAID$_ I I Z
I THIS INSTRUMENT DRAFTED BY: JOSEPH W. GRANBERG I 1
LEGEND NOTE: LOT 6 CONTAINS 134,706 SQUARE I
-! Indicates Section comer FI-1s ( 3.092 ACRL -S INCLUDING R. -O. -W.
as noted) 127,697 SQUARI: FFF:T (2.932 ACRES )
EXCLUDING R.-O.-W.
• Indicates I" iron pipe found. i
' O Indicates I" X 24" iron pipe SCALE IN FEET 1 ' = 250 SURVEYED FOR:
.LOUIS R
weighing 1.68 lbs. / lin. R. set.' 10 AVE
(R) Indicates previously recorded ` o'' 125' 250 500' 750' 99 01 W RICHMOND,
information. W1.54017
o Indicates soil boring Bearings referenced to the East - West '/. Section
Indicates 100' roadway line of Section 5, previously recorded as and
setback tine. assumed to be NWOO'00 "E ( R EAST).
k
SHEET 1 OF 3
Vol. 13 Page 3768
r
(
��• 99 ,.,, � I
F� 01 10 4 417-31
C� va p0 !! ST. CROIX COUNTY
SURVEYOR`S RECORD
D SURVEY MAP
Located in the NE 1 /4 of the SE 1 /4 of Section 5, T29N,
R18W, Town of Warren, St. Croix County, Wisconsin,
being a division of Lot 4 of that Certified Survey Map filed 1� Im
in Volume 10, Page 2869 in the St. Croix County Register ic
N of Deeds. I = I Imlm h—
l y I ��I�
Scale 1" 25�� E1/4 CORNER, SECTION 5, I i I IN lj Iv
VNPLATTED LANDS T29N R18W ( I
- i Imim
(V IRON PIPE) I •
(FOUND)
115TH AVE
' I Iw��
EAST- WEST 1/4 SECTION LINE (R EAST 585.48')
_ N 9 00' 0" E 0 585.54' �g 2 I j
(R EAST 4630.78') m 147.98' 207.46 — 'E 3Z'� IC7'
N 90° 00' 00" E ) ,63 0.72' S 89 2 47" E 5 . 35' _ OUTLOT 1
W114 COR ER, SECTION 5, ^ 148.35 07 1 47' e 1 .53 0
T29 , R18W 1 $ o N 8 $ =1,. ( 153.4T)
( F M TIES) ct 1 c �?.. i� f- ►- O CO .. *SEE DETAIL ON
� SHEET 30F3
I` �i
LOT 2 LOT 3
`L 7., N LOT 6
CERTI SU MAP 9 M N $ I ° (R EAST) �
VOLUME 10
AGE 2869 _ N g N 8 o.I ° w
_ 0) $ N r
— — — Z N 0 v { o
OBI I I 0) WIWI z co .. z
(R WEST) v cool 4
N 89° 59'48" E 720.00 I ooI 220.6 A m
FWD W W N89°59'4T'E w o
~� p l m Im
Z� WEST LINE OF LOT 4 OF CERTIFIED SURVEY MAP WI OI m IO
J J 0 N
IN VOLUME 10, PAGE 2869. VI,I A ° o $� p &
.. co co Ip
p C Cn
cli
1 u W LOT 5 to
1,082,937 SQUARE FEET ( 24.861 ACRES) \ o Ito
M o INCLUDING RIGHT -OF -WAY I '<
$ z 1,078,006 SQUARE FEET ( 24.748 ACRES) I�
EXCLUDING RIGHT -OF -WAY �1
Im
SOUTH LINE OF LOT 4 OF CERTIFIED SURVEY MAP I�
IN VOLUME 10, PAGE 2869.
(R N8W55'IZW 1300.40')
N 89° 55' 21" W 1,299.59' — —
VAIPLATTED LANDS I Ic
THIS INSTRUMENT DRAFTED BY: JOSEPH W. GRANBERG r
� Io ID
c')
LEGEND NOTE, LOT 6 CONTAINS 134,706 SQUARE � 10
- Indicates Section comer. FEET ( 3.092 ACRES INCLUDING R. -O. -W.
127,697 SQUARE FEET ( 2.932 ACRES)
( as noted) EXCLUDING R. -O. -W. °
• Indicates 1" iron pipe found.
O Indicates 1" X 24" iron pipe SCALE I N FEET 1 =250
SURVEYED FOR:
weighing 1.68 lbs. / lin, ft. set. LOUIS ROLF
(R) Indicates previously recorded 0 125' 250` ,500` 750` 1099 115 AVE
information. r NEW RICHMOND,
o Indicates soil boring Bearings referenced to the East -West %4 Section W1. 54017 N
Indicates 100' roadway line of Section 5, previously recorded as and
setback line. assumed to be N91Y00'00 "E ( R EAST ). ,
' 1
00
Vol. 13 Page 3768 SHEET 1 OF 3
ws;rnsin Department Human Relations. onIndustry SOIL AND SITE EVALUATION REPORT Page 1 of 3
L.a.`,. ° °: acid tis
Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code
� COUNTY
St. Croix
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 % of slope, scale or PARCEL I.D. #
dimensioned, north arrow, and location and distance to nearest road.
APPLICANT INFORMATION PLEASE PRINT ALL INFORMATION REVIEWED BY DATE
PROPERTY OWNER: PROPERTY LOCATION
Louis Rolf GOVT. LOT NE 1/4 SE 1/4,S5 T 29 N,R 18 x)€ (or) W
PROPERTY OWNERS MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM � --3 � ��.
1099 115th., Ave. na csm
CITY, STATE ZIP CODE PHONE NUMBER CITY OVILLAGE ®TOWN NEAREST ROAD
New Richmond, WI. 54017 (71� 246 -5459 Warren 115th. Ave.
[ flew Construction Use's Residential / Number of bedrooms 3 [ ] Addition to existing building
J Replacement [ J Public or commercial describe
Code derived daily flow 450 gp d , _ Recommended design loading rate • 4 bed, gpd/ft • trench, gpolft
Absorption area required 1125 bed, ft2 900 trench, ft Maximum design loading rate • 4 bed, gpd/ft trench, gpd/ft
Recommended infiltration surface elevation(s) 96.80 It (as referred to site plan benchmark)
Additional design / site considerations na
Parent material glacal drift Flood plain elevation, if applicable na ft
S = Suitable for system CONVENTIONAL I MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL I HOLDING TANK
U = Unsuitable for stem ®S ❑ U ®S ❑ U ®S ❑ U ® S ❑ U ❑ S IS] U ❑ S 10 U
SOIL DESCRIPTION REPORT ".
t� Zoo
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence BoQJW Roots GPD /ft
in. Munsell Ou. Sz. Cont Color Gr. Sz. Sh. Bed T
' t '•h)0:•:L
1 0 -5 10 r2/2 none 1 2msbk mfr 9w if .5 .6 .(<
gpft 2 5 -20 7.5yr4/4 none scl lfsbk mfr gw if .2 .3 Z
Ground 3 20 -88 7.5yr4/4 none sl lmsbk mfr na na .4 .5 .�
1 80' . 6
Depth to
limiting
+r
Remarks:
Boring # 1 0 -12 10yr3 /3 none 1 2msbk mfr gw if .5 t:.6 2 2 12 -2 7.5yr4/4 none scl 2msbk mfr gw if .4
3 22-84 7.5yr4/4 none sl lmsbk mfr a .4 s.5
Ground
1
lo ge,. 5 ft.
Depth to
limiting
faCIDr .,. ,.
11 �7/ i ✓
Remarks:
CST Name: — Please Print Gary L. Steel Phone: 715 2
Address: 1554 2 0th. Ave., New Richmond, WI. 54017
Signature: Date: CST Number.
l 11 -17 -94 cstm 02298
PROPERTY OWNER Louis Rolf SOIL DESCRIPTION REPORT PagG_ 2 of._, 3_
PARCEL I.D. #
Depth Dominant Color Mottles Texture Structure Consistence Roots GPD /ft
Boring # Horizon in. Munsell Ou. Sz. Cont Color Gr. Sz. Sh. Bed ITrench
3
ti 1 0 -11 10 r3/3 none 1 2msbk mfr gw if .5 i.6 (o
{ 2 11 -25 7.5yr4/6 none sl 2msbk mfr gw if .5 1.6
Ground 3 25 -88 7.5yr4/4 none sl lmsbk mfr na na .4 i.5
elev. i
99. ft.
Depth to
limiting -'
+8 ti 1 � r
Remarks:
Boring #
1 0 -13 10yr3 /3 none 1 2msbk mfr gw if .5 .6 1�
2 13 -25 7.5yr4/4 none scl lmsbk mfr gw na .4 .5
3 25 -65 7.5yr4/4 none sl lcsbk mvfr gw na .4 .5
Ground
elev. 4 65 -88 7.5yr4/4 none s Osg mvfr na na .7 .8
96 ft.
Depth to
Iimibng
factor
+88"
Remarks:
Boring #
4
1 0 -10 10yr3 /3 none 1 2msbk mfr gw if .5 .6 (�
'k` 2 10 -24 7.5yr4/4 none sicl lmsbk mfr gw if .2 .3 •L
. <
3 24 -72 7.5yr4/6 none sl lmsbk mfr gw na .4 .5
Ground
9 g lev. 4 72 -88 7.5yr4/6 none sl 2msbk mvfr na na .5 .6
. 85 ft.
Depth to
limiting
factor
+ 88"
Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
SBD- 8330(R.05/92)
PROPEM, OWNER Louis Rolf SOIL DESCRIPTION REPORT PagE_2 of. 3 _
"PARCEL I.D.
Boring # Horizon Depth I Dominant Color Mottles I Texture Structure Consistence Baxid3y I Roots GPD /ft
in. Munsell Cu. Sz. Cont Color Gr. Sz. Sh. Bed ITmrxfi
1 0 -11 10 r3/3 none 1 2msbk mfr gw if .5 ?.6 4
3
2 11 -25 7.5yr4/6 none sl 2msbk mfr gw if .5 1.6 4
Ground 3 25 -88 7.5yr4/4 none sl lmsbk mfr na na .4 1.5
elev.
99. ft.
Depth to
limiting
+t
Remarks:
Boring #
1 0 -13 10yr3 /3 none 1 2msbk mfr gw if .5 : ; .6
x 4 << 2 13 -25 7.5yr4/4 none scl lmsbk mfr gw na .4 .5
3 25 -65 7.5yr4/4 none sl lcsbk mvfr gw na .4 .5 ?,
Ground
elev. 4 65 - 88 7.5yr4/4 none s Osg mvfr na na .7 .8
96 ft.
Depth to
limiting
fam
+88"
Remarks:
Boring #
1 0 -10 10yr3 /3 none 1 2msbk mfr gw if .5 .6
5 `" 2 10 -24 7.5yr4/4 none sicl lmsbk mfr gw if .2 .3
� Z$
3 24 -72 7.5yr4/6 none sl lmsbk mfr gw na .4 .5
Ground
9 e1ev 85 4 72 -88 7.5yr4/6 none sl 2msbk mvfr na na .5 .6
6 ft.
Depth to
limiting
factor
+ 88"
Remarks:
Boring #
�
Ground
elev.
ft.
Depth to
limiting
facer
Remarks:
SBD- 8330(R.05/92)
R
STEEL'S SOIL SERVICE
Gary L. Steel Louis Rolf 1554 200t Ave.
CSTM2298 NE4 SE4 S5 T29N - R18W New Richmond, VW54017
MPRSW 3254 town of Warren (715Y 46 -6200
t
N
1 =40'
BM. =top of 1" pipe at el. 100' w /marker Z'.
Alt. BM.= top of 1 pipe at el. 98.50 w/ marker
0,11 (4�
a
S
�k �._
r
� _� � �� p-If t3 l✓1
toa' t
i
Gary L. Steel
11 -17 -94
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