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042-1045-20-120
/ � 0 « T , E 2 T■%ƒ / {{ 0 E/ 3 7\ F& 2 \ O ` j \ { Cl) CD } § @ E / 2 90 ® 2 / / \ \ [ ) ° £ \ / Q / / S@ 2 G M G 4 ® a- E 5 \ \ \ g!\\ ? y E j \ cx E c \ 3 / $ \ \ � / ( / § / M I » § ., / E E ;a (n o ƒ ° ° / ~ k / \ "a T T J a �, 2{ « g 2 2 2 2 Z m \ / ° § § 0 / 7 E 7§\ G E Z : m z \� { z / g § I ƒ � / 7 \ "W. 2 ° : � w / a / k k CO) / \ ¥ z $ ( ( C m \ a } / ( § § 3 7 z \ $ 2 � < ± \ 0 § \ { C ! z % CD z � \ � \ � ( \ § � \ \ � \ 2 . Cl ) % $ 7 f o § ! \ > . � S L \ � « Parcel #: 042 - 1045 -20 -120 01128/2005 04:55 PM P A G E 1 OF 1 Alt. Parcel #: 17.29.18.257B -20 042 - TOWN OF WARREN Current ! X i ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): " = Current Owner * BLOOM, MARY C MARY C BLOOM 1077 96TH AVE ROBERTS WI 54023 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description " 1077 96TH AVE SC 2422 ST CROIX CENTRAL SP 1700 WITC Legal Description: Acres: 2.314 Plat: 0800 -CSM 13/3587 SEC 17 T29N R1 8W PT NE NE BEING LOT 5 Block/Condo Bldg: LOT 5 CSM 13/3587 2.314AC EZ -U- 1450/198 Tract(s): (Sec- Twn -Rng 401/4 1601/4) 17- 29N -18W Notes: Parcel History Date Doc # Vol /Page Type 10/23/2000 632277 1553/79 WD 07/23/1997 865/353 2004 SUMMARY Bill M Fair Market Value: Assessed with: 38163 372,500 Valuations: Last Changed: 10/23/2001 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.314 39,000 288,800 327,800 NO Totals for 2004: General Property 2.314 39,000 288,800 327,800 Woodland 0.000 0 0 Totals for 2003: General Property 2.314 39,000 288,800 327,800 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: 12/04/1998 Batch #: 545 Specials: User Special Code Category Amount 018 - RECYCLING SPECIAL ASSESSMENT 15.00 Special Assessments Special Charges Delinquent Charges Total 15.00 0.00 0.00 Wisconsin Department of bommerce Safety and Buildings Division PRIVATE SEWAGE SYSTEM Coun' Croix INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Sanita{18y1if No.: Personal information you provice may be used for secondary purposes (Privacy Law .15.04 (1)(m)]. Permit Holder's Name: ❑ City ❑ a own tate Plan ID No.: Brink, Ken Wa�r eiNoQsl CST BM Elev.; Insp. BM Elev.: BM Description`. , b 1�45 -20 -120 rce T 1 Uo . i M. a � 3/,f P vL = CST TANK INFORMATION ELEVATION DATA ?� 211 IP' C9 6 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic v r l t- e �� Benchmark Dosing Alt. B19 Aeration Bldg. Sewer Holding St/ Ht Inlet p qg - (o TANK SETRAOCK INFORMATION St/ Ht Outlet TANK TO P/ L WELL BLDG. Ventto ROAD Dt Inlet Air Intake Septic N 0 > b p` 0 ' NA Dt Bottom Dosing > r L �D ` NA Header/ Man. Aeration NA Dist. Pipe Holdin m `� r g Bat System � o S. S� PU HON INFORMATION Final Grade S t cover Manufacturer Demand ti 2 Z ,S Model Number �(Z GPM 9O \ 0' TDH Lift Friction S� ystem TDH ��• Los, .`{� H Z. �� 33 Ft Forcemain Length 00 Dia. Z " Dist. To Well ?(QO SOIL ABSORPTION SYSTEM' ED �R&jQ Width r Len o O �ceai iws PIT No. O Inside Dia. Depth EN I N S 12 z DIMENSION SETBACK SYSTEM TO P/L BLDG WELL LAKE /STREAM LEACHING M acturer: INFORMATION Type Of I C Mo I Number: System: d1/� SO — I �e0 OR UNIT DISTRIBUTION SYSTEM Header/Manifold i k Distribution Pipe(s)� (+ t e( a x ho Size x Hole Spacing Vent To Air Intake Length `F� Dia Z Length Dia. _ I & Spacing X 4 3 0 � �— 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 E3 Yes E] No C I I de code d' c e n s ,p, r ns ec ion AT7VO Trisuection #2. ==F Location: 1U 4 619 Avenue, oTLP4 ,W R1ff l� e l� WWI 17 T29N R18W) - 17.29.18.257B20 -Lot 5 1.) Alt BM Description = �) z �� Ce,.°•�. , Y 2.) Bldg sewer length= 3o - amount of cover = > sad c 3.) contour = f D 4, D o, 4 . f3� Cog �f1 Plan revi ion required? ❑ Yes jff No Use other side for additional information. �`� •�y�. J'� FR 1__T SBD -6710 (R.3/97) Date Inspector's Signature Cert. No. 1 } ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: , t E s , �. .. .e ? 3 f I i S a t i e k s i r a x v S I ° P 3 ° a i t c � i . a 3 .�._ -� a e , a s ° �w r s ' I ._` -`° s ( C t G � � a Q', e p 4 r 9 ,,. _ .. .... -_ ..�.... _ .... ...e. .,. _. : _ .., ....n._.. �.. .. �,� ... ... .......... ... .e.. .�_._ ....m...... .. a...a_.. w ....._ ..w >,. .__.e. ...... e.,..... ,...,... .w .. s.. ,�. W .. - ....,, ,....--- .n.... .....,e.»....s g Safety and Buildings Division SANITARY PERMIT APP 2 01 W. Washington Avenue Vsconsin -, P O Box 7302 Department of Commerce In accord with Comm 83.05, s: Arun- Code - Madison, WI 53707 -7302 • Attach complete plans (to the county copy only) for the sy n less s` 0'u9ty t C 2 6 r than 8 112 x 11 inches in size. • See reverse side for instructions for this appli n jj®® St _ anitary Permit Number you provide may Personal information s " rI Y p Y be used for second ; purposes aT y k if revision to previous application IPrivacy Law, s. 15.04 (1) (m)). t /�i(� , •� 1� �Q 9c7iJP. Plan I.D. Number I. APPLICATION INFORMATION - PLEASE PRINT ALL N W `l `f 3 Property Owner Na a o K 1 1 ' ( , t ft 9 u Z _ m L r S 17 T 2� , N, R( VF(or) W Property Owner' � il S ngA Address Lot B lock Number v City, tat Zip Code Phone Number ub ion Name or SM Number ! s - g 4 1 2 3 ( ) nm 3 3 S 3'I q v II. TYPE F B ILDING: (check one) . ❑ State Owned OT !t Nearest Road Public 1 or 2 Family Dwelling - No. of bedrooms 3'� o Tow OF LAA "P t 4` 14w 111. BUILDING USE (If building type is public, check all that apply) Parcel Tax Number(s) 1 E] Apartment/ r4&, PI0—S 1 ® - ?,— j0 1 — ID fe1 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. U New 2. ❑ Replacement 3, ❑ Replacement of 4, ❑ Reconnection of 5. ❑ Repair of an ______System ____ ___System ______ _____ __ Tank Only________ - _____ ExistingSystem ___ -____ Existln Sir -- 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`0 Mound 30 ❑ Specify Type 41 [:]Holding Tank 12 ❑ Seepage Trench 22 ❑ In- Ground Pressure � 42 C] Pit Privy 13 E] Seepage Pit I r 43 ❑ Vault Privy 14 ❑ System -In -Fill U C7 �.-S / o VI. ABSORPTION S YSTEM INFORMATION: 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate S. Perc. Rate 6. System Elev. 7. Final Grade Required (sq. ft.) Proposed (sq. ft.) (Gals/day /sq. ft.) (Min. /inch) ( Elevation ��5 ✓ 37C. •376 I vSrJ , ( eet /G 9• � Feet Cap VII. TANK in Ca allons g Total # of Prefab. Site Fiber- Exper. INFORMATION Gallons Tanks Manufacturers Name Concrete con- Steel glass Plastic App New Ex* strutted Tanks Tanks 5 tic T or Neldi"g4erik 1 U G G I/� t C(r , e s e e , !� ❑ ❑ ❑ ❑ ❑ L u m a n LUambar lv 5 U ( I I ❑ 1 ❑ 1 ❑ ❑ 1 ❑ VII . PONSIBILITY STATEMENT I, the undersigned, assume responsibility or installation of the onsite sewage system shown on the attached plans. Plumber's Name: (Print) Plumb rs Signatur no Stamps) r RSW No.: Business Phone Number: Plumber's Address (Street, City, tate, Zip Code): 6 41; e(b w 0,e L,'G -Cl „ '(/�_ I <- - , S —,/ IX. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (includes Groundwater D ate Issue Issuing Agent Signature (No Stamps) ®"Approved ❑ Owner Given Initial Surcharge Fee) Adverse Determination #3 z S, 00 1 (V 00 X. CONDITIONS OF APPROVAL/ REASONS FOR DISAPPROVAL. be- ;..SFa.�(c'a�,vc,- s 1'+�c.xc /0( / ay. S . SBD -6398 R. 4199 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. h permit issuing AI vii n i rmit must e approved y b t o e t u 3. Ire s o s to th s e u b P Y P 9 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) must be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years. i 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 - 3151.. To be complete and accurate this sanitary permit application must include: I. Property„owner's'n4ne arjd mailing*addfegs. Provide the legal description and parcel tax number(s) of where the system is to be installed. F 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 hone number. Plumber must sign application form. P 9 PP IX. County/ Department Use Only. X. County/ Department Use Only. Complete plans and specifications not smaller than 8 1/2 x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale & 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 F) 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. Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601 -1831 - - TDD #: (608) 264 -8777 isconsirn www.commerce.state.wi.us Department of Commerce Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary June 01, 2000 CUST ID No.691727 ATTIC• POWTS INSPECTOR ARTHUR L. WEGERER ,:. ZONING OFFICE 421 N MAIN ST 5 CROIX COUNTY SPIA PO BOX 74 110` CARMICHAEL RD RIVER FALLS WI 54022 HUDSON WI 54016 i RE: CONDITIONAL APPROVAL I PLAN APPROVAL EXPIRES: 06/0112002 4 - ? Identificat hers Transaction ID N . 319434 { >JN art G GP9 1 r't Site ID No. 19318 SITE: Please refer to both identification numbers, fy < Site ID: 193182, Kenneth Herink Propose '3tesidpnce above, in all correspondence with the agency. St. Croix County, Town of Warren S1/2, NE1 /4, S17, T29N, R18W FOR: Description: Three Bedroom Mound System Object Type: POWT System Regulated Object ID No.: 666174 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The following conditions shall be met during construction or installation and prior to occupancy or use: • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Slats. CAUTION: Wis.stats 145.135(2)(b) indicates that the approval of a sanitary permit is based on regulations in force on the date of approval. The effective date of COMM 83 revisions is expected to be July 1, 2000. Thus depending on the type of system and your design, this plan approval may not be eligible for sanitary permit approval if submitted to the issuing agency on or after July 1, 2000. Note: There is a otp ential for a law suit that may delay the effective date of the code so this status may or may not change. A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. ARTHUR L. WEGERER Page 2 6/1/00 Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. Sincerely, DATE RECEIVED 05/25/2000 FEE REQUIRED $ 180.00 FEE RECEIVED $ 180.00 Gerard M. Swim BALANCE DUE $ 0.00 POWTS Plan Reviewer - Integrated Services (608)- 785 -9348, Mon. - Fri. 7:15 AM to 4:00 PM jswim @commerce.state.wi.us WiSMART code: 7633 Page of 6 r MOUND SYSTEM FOR A BEDROOM RESIDENCE LOCATED IN THE 5 2 ]-/4 OF THE 1/4 OF SECTION 17 ,T Z9 N, R I W, TOWN OF W 3r, C�L31,K COUNTY, WISCONSIN. INDEX PA GE 1 'of 6 TITLE SHEET PAGE 2 of 6 PLOT PLAN PAGE 3 of 6 PLAN VIEW -CROSS SECTION. �� �• . PAGE 4 of 6 DISTRIBUTION PIPE LAYOUT .PAGE 5 of 6 PUMPING CHAMBER PAGE 6 of 6 PUMP PERFORMANCE CURVE �92 PREPARED FOR t1t. o-0� s•n�ct -- � pry . `�B STS, w 1 S�I.oZ3 PREPARED BY i WEGEF:ZER Sp = L TEST I p4 (3 "asus AND. +►o SC oIN DES I C-3 p4 S>EF2V I �E � SI', P.O. BOX 74 421 K. RAIN ST. AgTMt1A L RIVED FALLS. YI 54022 WE GE &A g oa,s r 7171"2 = SLL g""D1T1• P.o.w.18. Conditionally A wvq% 'pq'aR 0 V E D DEPARTMENT OF COMMERCE DIVISIO SA ET ID BUILDING i SEE CORRE NDENCE • - JOB N0. g— PLOT PLAN Page 2- of Scale 1 "= r I N M �� oT e oM t� it O ��S�Ut pttZrap i � _— ZB - N �14 I - ( �on•o' one �1 E�'1Gl{ , 3[y` D�,g. � tr-.. quo s �1 PvC �tPE wl�. � N � r� m _ A'J US oF - Z`Pve J i -gi_ �L 11OM bJ i NOTES -- l. shown are existing ground elevations unless otherwise noted. 2. Install permanent markers at end of each lateral. (Y required) 3. Install 4" observation pipes with approved caps. ( Z required) 4. Septic tank to beti o 6SO gallon capacity manufactured by 5. Bench Marks S Prl�oVe 6. Divert surface water around mound to.prevent ponding at the uphill side.,__ Page Approved Synthetic Covering rts C. 33 Distribution Pipe Medium Sand Topsoil F Elev to S. s 3 E D i b � - L % Slope Bed Of 2�— 2 %2 Force Main Plowed Aggregate From Pump Layer D Ft. Cross Section Of A Mound System Using E Z•4J. Ft. A Bed For The Absorption Area F o Ft. G 1• o Ft. A g Ft. H 1• S Ft. Linear Loading Rate =q•S GPD /LN FT B LI Ft. Design Loading Rate= o- /SQ FT j `�.1 Ft. J F . $ t K 13 Ft. Alte L 7 3 Ft. . F- era --F4� i n W 1 Ft. Ij Observation Pipe 8 K -- A W �• - - - -- --------- - - - - -- ------------ - - - - -- -•) Force Main Distribution Bed Of 2 2 Pipe Aggregate Observation Pipe Permanent Markers (Anchor securely) i Plan View Of Mound Using A Bed For The Absorption Area Page Of b Perforated Pipe Detail 0 End View Perforated End Cap °b\E ,{6 PVC Pipe Install permanent marker at end of each lateral Holes Located On Bottom, Are Equally Spaced Q S PVC force Main Q PVC Manifold Pipe Dislri ution Pi e Last Hole Should Be I Next To End Cap / End Cap P Ft. Distribution Pipe_ Layout S Ft. X . Inches Y 3o Inches Hole Diameter kir -Inch Lateral Inches) Manifold ZY Inches Force Main , Inches #of holes /pipe ° l Invert Elevation of Laterals Ft. axL`'V): W .S3 xq= gz.1z CPS Place lst hole `S 'f from center of manifold with succeeding holes at 30` intervals. Last hole be next to the end cap. Combination Sept;ic;Tank and POMP CHAMBER CROSS S_ECTIOtJ ANp SPECIFICATIONS ' PAGE S OF 6 -VEIJT CAP WEATHER PROOF JUIJCTIOIJ 8OX 4'C.Z. VCMT PIPE APPROVED LOCKING 1 10'•FROM DOOR. MA-WHOLE COVER w11'r1 - ilUDOW OR FRESH L.N%1;L, AtR IIJTAKE S coiaDu�r 1rL LD 6 "Mi N, CAA Y� MI1.1, Ai- I _ 11JLET w /y 1ti�Tt6t<r Cqp PROVIDE AIRT1611T SEAL I I I 8ArrFL�S � I I Approved I A I I Approved joint w/• Tank construction I IC I joint w/ PVC pipe shall comply with a - i ALARM PVC pipe ILH� ;3.15 and 33.20 I 1 I I C I I LLEY. FT. PUMP -� --J .�- OFF D COWCRETE Cl tal - O� BLOCK RISER EXIT PERMITTED OIJL!j IF TANK MAIJUFACTURER HAS SUCK APPROVAL 3'•AAPRc,,Ft, BbOD t NG SEPTIC F SPECIFICATIOUS DOSE T W J MAUUFACTURER: iJUMgER OF POSES' 3 - SO PE R DAy TA1JK :,IZC: �Ot7� IbS� GALLOWS DOSE VOLUME r I ALARM MAIJLIFACTURCR: _ S`S � �- ��►'�2.Q INCLUOIAJG 6ACKfLOW; `3�O GALLONS MOOE:L I.JUMBER: 1 u l 1til CAPACIT Ac 30Io UICHCS OR GALLOWS SWITCH TyPC: __ � 1ZC. lr B= Z IWCHES'OR 3 T G� LLOA15 PUMP MAMUFACTURER: - LuL -- -LPL a MODEL NUMBER: C: INCHES OR 1310 GALLOUS D - ti0 INCHES OR \,z GALLOWS SWITCH TYPE: __ �-Y uOTE: PUMP AUD ALARM ARE TO 6[ MIWIMUM DISCKARGE RATE L IZ �Z- GPM INSTALLED ON 5EPARATE CIRCUITS VERTICAL DIFFEKEkICE DETWEEIJ PUMP OFF AQD..D15TIZIBUTIOQ PIPE. —L`�_ FEET f MII.IIMUM NETWORK SUPPLY PRESSURE FEET �� 1 , + -- �� FEET OF FORCE MAIN X S•.q FYflFLFRICTIOU FACTOPL_ FEET TOTAL MJUAMiL HEAP = 1 0'��? FEET As per manufacturer t gal /in. Liquid depth 38 HEAD CAPACITY CURVE 3 7/8 6 1/4 —� MODEL "98" 4 5/8 a 25 I 3 5/8 = 6 0 I v ® + 15 O 4 4 3/16 0 10 3o t o Zo I 2 1 \Z 5 1 112 -11 1/2 NPT • 0 U.S. GALLONS 10 20 30 4-0 50 60 70 BO LITERS 80 160 240 0 FLOW PER MINUTE I TOTAL DYNAMIC MEAD /FLOW PER MINUTE EFFLUENTANDDEWATERING CAPACITY 12 HEAD UNITS /MIN rrr FEET METERS GALS LTRS 5 1.52 72 273 3 ■ l 10 3.05 61 231 15 4.57 45 170 4 3/16 20 6.10 25 95 Lock Valve 23' � .( SK1102 CONSULT FACTORY FOR SPECIAL APPLICATIONS • Electrical alternators, for duplex systems, are available and • Variable level float switches are available for controlling single supplied with an alarm. and three phase systems. • Mechanical alternators, for duplex systems, are available with • Double piggyback variable level float switches are available or without alarm switches. for variable level long cycle controls. SELECTION GUIDE 1. Integral float operated 2 pole mechanical switch, no external control required. Standard all models - Weight 39 lbs. - % H.P. 2. Single piggyback variable level float switch or double piggyback variable level. 98 Series Control Selection float switch. Refer to FM0477. Model Volts -Ph Mode Amps Simplex Duplex 3. Mechanical alternator 10 -0072 or 10 -0075. M98 115 1 Auto 9.4 1 or 1 & 7 — 4. See FM0712, for correct model of Electrical Altemator, E -Pak. N98 115 1 Non 9.4 2 or 2 & 6 3 or 4 & 5 5. Control switch 10 -0225 used as a control activator, specify duplex (3) or (4) D98 230 1 Auto 4.7 1 or 1 & 7 — float system. E98 230 1 Non 4.7 2 or 2 & 6 3 or 4 & 5 6. Four (4) hole J -Pak, junction box, for watertight connection or wired -in simplex or duplex operation„ 10 -0002. 7. Two (2) hole J -Pak, for watertight connection or splice. CAUTION Forinformation on additional Zoellerproducts refertocata4on combination Starter, FMO514; Piggyback All installation of controls, protection devices and wiring should be done by a qualified Variable Level Switches, FM0477; ElectricalAftemator, FM0486; Mechanical Alternator, FM0495;Sump/ licensed electrician. All electrical and safety codes should be followed including the most Sewage Basins, FM0487; and Single Phase Simplex Pump Con tro VAlann Systems, FM0732. recent National Electric Code (NEC) and the Occupational Safety and Health Act (OSHA). RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. M41L TO: P.O. BOX 16347 Louisville, KY 4 0256-034 7 Manufacturers of. . SYIP TO: 3649 Cane Run Road Louiswlle, KY 40211 -1961 Ql1AL/TYaZ1A,1 -9 (502) 778 - 1731.1(800) 928 -PUMP FAX (502) 774 -3614 Wisconsin Department of Industry SOIL AND SITE EVALUATION REPORT Page — ! - of 3 Labor and Human Relations ` Division of Safety & Buildings in accord with ILHR 63.05, Wis. Adm. Code _ COUNTY Cvj�v Attach complete site r not less than 81/2 x 11 inches in size. Plan must include p plan on paper , but PARCEL I.D. # not limited to vertical and horizontal reference point (BIVI), direction and % of slope, scale or dimensioned, north arrow, and location and distance to nearest road. 1'�'5'JwA/ G APPLICANT INFORMATION- PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION kC X113 qT[ A k 6eVF=tff S 1 1 - ? 1/4 — 1/4,S t l T Z9 ,N,R � b E (or) PROPERTY OWNER':S MAILING ADDRESS LOT # . BLOCK # SUBD. NAME OR CSM # tios Rio J-)� Sr- – 1p�-W\—Z (!-"sm CITY, STATE ZIP CODE PHONE NUMBER []CITY []VILLAGE ®TOWN NEAREST ROAD PW��2 WI Sq(NL3 (-)IS)7 - 3S1L I kj►'J�w►c���p [>Q New Construction Use [J9 Residential / Number of bedrooms 3 (J Addit Qn to existing building j ( Replacement (] Public or commercial describe Code derived daily flow uS0 gpd Recommended design loading rate - s bed, gpddt trench, gpd/ft Absorption area required 371 S bed, ft 3-) S trench, ft Ma)dmum design loading rate • S bed, gpdtft - b trench, gpdAt Recommended infiltration surface elevation(s) 1 O b. 0 ft (as referred to site plan benchmark) Additional design / site considerations wt Uy>� W ! x <17' 13qt� . T-' t Q\ Ny')" 2y of S`� R t - L . Parent material L-ov2rn' a Flood plain elevation, if applicable K3. A, ft S = Suitable for system CONVENTIONAL I MOUND IN- GROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING TANK U = Unsuitable fors stem ❑ S ®U IRS ❑ U ❑ S O U ❑ S ® U ❑ S ®U ❑ S tau SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Structure GPD /ft Boring # Horizon Texture Consistence Boundary Roots in. Munsell Gtu. Sz. Cont Color Gr. Sz. Sh. Bed ien:h "o 3 2 (2 -S , 0 l�`-I IZ- 1 — St Z'� sbk ��L^ Z�' • S � �.. Z ►o Z.9 � o � cZ 316 � s i l z. w, s bk tin `�1- cs 1v� • S . 6 Ground a 29 - ) •S `l fZ — sL �5 1 m sb wt fir- cs - •Z . 3 elev. Depth to limiting factor 33 `' Remarks: Boring # ( `FS �k wi'F� CS 10 `-t CZ- 312. Si El Z lD 3b 1 0`t(Z 3�� _ si 1 Z'E�sblz hi es 1\A • S - 3 I A - I I - t V?- 13 _ LS BZ ` Ground elev. ti -S ft Depth to limiting fac 4• .. MUIX co 3b Remarks: f 'y T Name— Please Print Phone: c t y Arthur L. We erer 715- 425 -0165 egerer Soil Testing & Design Service -P.O. Box 74 River Falls,WI 54022' Signature: � � $ -ZA7 ' B Date: _ 3 .J 1 8 CST Num 00 5 7 6 PROPERTY OWNER Ll1V1rt SOIL DESCRIPTION REPORT Page Z of 3 PARCEL I.D. #t ry r_ Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence BoY Roots GPD /ft €n. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed T rench � o — lU I.�`tR. � 1 z — s' Z. s b ►�.'�- �S Z � s . 6 Z lb-z(, .. siI Z'F sbl� �►�, c \vi .s 6 Ground 613 - L,S — t NP elev. VZ -3 ft. Depth to lim €t€ng factor € - I Remarks: Boring # i Ground elev. ft. # Depth to ! llmit€ng € factor I I Remarks: Boring # 13 Ground elev. I ft. Depth to € limiting factor f Remarks: Boring # i Ground elev. ' ft. Depth to limiting factor Remarks: SBD- 8330(8.05/92) . . PL OT P LAN Page I. of 3 SCALE 1 "= yp ' /tom G t?.A vim„ �Z-�►A A I f � ��y M j � `ta t1o`n1 ST• --.� • VeKJ q M I 4j. )-0 1 b0 `r* Pruva- `----- t0 "ftlr- Sly " 'b)A. O� wo< eoM�rt -�T OR ��ShJr X11 PriZS�A rN - r' W I - LL. too c), y w V� irvlcH 3[ " biA , � N I I � 6 r 3 �LlOp'3 0 7 �- (0 �,p "Old b f w�� K s 4 w P,yw\,Zc uy LIivES 1m QE 5` FIWM MuvtiD 9 ( 715 ) 42,5 - ()165 M 00576 CST Signature Date Signed Telephone No. CST # Wisconsin Department of Industry SOIL AND SITE EVALUATION REPORT Page 1 of 3 Labor and Human Relations Di&ion of safety & Buildngs in accord with ILHR 83.05, Wis. Adm. Code COUNTY VZ Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but S� C\4( not limited to vertical and horizontal reference int BM drection and % of slope, scale or. PARCEL I.D. # Po ( ), dmensioned, north arrow, and location and distance to nearest road. ��O`1alAJ 6 APPLICANT INFORMATION- PLEASE PRINT ALL INFORMATION REVIEWEDBY DATE PROPERTY OWNER: PROPERTY LOCATION GGW=W S 1 1Z114 — 114,S I I T 1-9 ,N.R % E (Oro PROPERTY OWNERS MAILING ADDRESS LOT # . BLOCK # SUBD. NAME OR CSM # to S`l t 1 p `Tl} S1' — — F- - Q - w\� 4 - CITY, STATE ZIP CODE PHONE NUMBER OCITY []VILLAGE MOWN NEAREST ROAD R0islim w I S Z3 ( - ) \.Lol - S t Z . IN 1�V UW 1 w1nn-t1Ve'D [>Q New Construction Use 14 Residential / Number of bedrooms 3 [ J Admen to existing buik" [ J Replacement [ I Public or commercial describe Code derived daily flow DSO gpd Recommended design loading rate 1 bed, gpolft trertdt, gpol(t Absorption area required 3`1 S bed, 0 -8-) 5 french, 11 Maiamum design loading rate • S bed, glxW ` 6 trench, gPdtft Recommended infiltration surface elevation(s) l r's 1 6, n It (as referred to site plan benchmark) Additional design / site considerations M Dungy w l g, x U �' 6qa�,, )^ t n.1t M QM Z`(� yj� amz Parent material Lo � Flood plain elevation, if applicable N , A , - ft S = Suitable for system COWOM MOUND "ROUNO PRESSURE AT -GRADE SYSTEM IN FLL HMDM TANK U= Unsuitable for stem 0S O U 0S 0 U ❑ S O U 0 S ®U 0S O U 0S (RU SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bou Roots GP D/ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Twich �:;�;:�.:.� o ..�0 1.�`-t 2 31 z — g� Z'� sbh wt`{'(r c°-S Z�' • S , �, Z IpZ9 I 316 s tl Z.m sb X41 c�S 1of S .6 Ground 3 29 ..33 .S Ly L y _ s� e5 tin S b y,1 �H cS • - 3 elev. _ � - O ft y a3 x(34 2 6!3 Depth to limiting factor 33 `' Remarks: Boring # o`-t (z 312. s t ( Z -�s � k cS - Z �` - 5 • � w Z Z to 3 b to`-c (Z 3 f t; _ si 1 2'{� b1 m-Ft.- es 1 v•f • S - � t(wl LSgQ Ground elev. ti -S It Depth to limiting lo3�y _ Remarks: CS T Name.—Please Pratt Arthur L. We erer Phone 715 -425 -0165 Id dress: egerer Soil Testing & Design Service -P.O. Box 74 River Falls,WI 54022' Signature: Date: CST Number. M00576 PROPERTY OWNER SOIL DESCRIPTION REPORT Page• 2 3 PARCEL I.D. #t C�RKIpI W C. Boring Horizon Depth Dominant Color Mottles Structure GPD /ft g in. Munsell Clu. Sz. Cont Color Texture Gr. Sz. Sh. Consistence Y Roots Bed Trench � o -ld I.o`1,Cz- � 1 Z — s' Z s b �+�.'F►� �S z.� • s . 6 Z I,b-Z6 l0 31� si I Z'Fsbl� bn'�f- c tvi s 6 Ground I,64rz 6!3 - — _ - Ni? ►gyp elev. 11 ft. Depth to limiting fac I_ ' Remarks: Boring # { i I i i Ground elev. ft. • ; Depth to 'factor Remarks: Boring # 13- 1 Ground elev. ft. Depth to . limiting factor f 7F__T_T Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD- 8330(8.05/92) PLOT PLAN Pa 3 of 3 SCALE 1 "= 1 40 ' t d�"'! #Z. ��TL. ���.�'On► L�`1ti'16K 3 jy 4 �lA. oR o�s�te `Harts t�z•E•tq N — ' - - �� � - � ., lou, o arm ��� H tGli , 31y` D[ � . �-�uo S �•2. � y1 N, 6 ` . 7 1 Q O se k Pdtv% Lt)Y U.fvES 1ri 715 49,5-()165 14O O 5 7 6 CST Signature Date Signed Telephone No. CST # ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer J4 k) I Ile Mailing Address l 0 52 � l U� 4 �. �1'v � e � t s L✓ 5 - 6j o 2 3 Property Address 0 77 q b +1 " (Verification required from Planning Department for new construction) [ a City /State Parcel Identification Number LEGAL DESCRIPTION Property Location 0/z- Y�, tl�� ^ ' /,, Sec. t ? , T__�LN -R f � W, Town of L�14 .reA-L Subdivision He-'- e'- 1`r A y�C>�� ���� -� � v Lot # S� Certified Survey Map # `S `l5 ^ l y , Volume l , Page # 3 b 7 Warranty Deed # _ 5 ( - 1 3 , Volume k6 5� , Page # S 5 Spec house ❑ yes 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. 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. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days o the three y r xp' on date. • SI NATURE A ICANT 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 4 the rop e escribe ve, virtue warranty deed recorded in Register of Deeds Office. ATURE OFi.! P ANT 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 i DOCUMENT NQ, I WARIJANTY DEED THIS SIAC:C R';SCRVCD FOR RCCnPDIN0 DATA . ;� STATE BAR 00 WISCONSIN FORM 2 --1982 45G613 R •GI OFFICE I STS Recent j Brian S. Weiss x i ... .......... __...._.. M d fo► _ _..._..._ ._ .. AR 1 JW GO 4:10 P. conveys and warrants to - .. Kenne.th_j. He rink. and..Pataela .F,.. Her ink s - husband - .and � wife a*. 4tl ;vivo. ;ship..agari>ral - property._ . ......... ......... _ ---- - - - - -- .. . .. .. .. ......... .. ............. ...... - the following described real estate in ............ Saint Croix ._ ...Count), State of Wisconsin: Tax Parcel No: .............................. The Northwest Quarter of the Southeast Quarter of Section 1T, Township 29 North, Range 18 West. Part of the Northeast Quarter of Section 17- 29 -18, described as follows: Commencing at the North Quarter Corner of said Section 17; thence S88 0 40'09 "E along the North line of the Northeast Quarter of said Section a distance of 330.03 feet to the POINT OF BEGINNING; thence continuing S88 "E along said line a distance of 730.86 feet to the Northwest corner of the parcel described in Vol. "416 ", page 214; thence S1 0 19'51 "W 600.06 feet; thence S89 0 27'31 "E 176.27 feet; thence S0 0 32'29 "W 393.14 feet; thence S89 0 27 1 31 "E 360.00 feet; thence S37 46'49 "E 338.20 feet to a point of the Westerly line of the parcel described in Vol. "635 ", page 234; thence S18 0 49'53 "W (recorded as S18 0 50'11 "W) along said line a distance of 641.20 feet; thence S77 0 17'49 "E 166.88 feet; thence N83 32'31 "E 248.40 feet; thence N1 0 45'04 "W 190.17 feet; thence N73 ° 03'33 "E 274.14 feet; thence N61 ° 09'32 "E 424.64 feet (recorded as 424.42 feet) to a point on the East line of the Northeast Quarter of said Sec. IT; thence SO ° 34'12 "W (recorded 4�` j ���. (See 'back side) ~1^ S3 •5 ""r This ..- --- -. ---__ ._ _. homestead nref + }•. FM .Fes) (is not) Exception to warranties: Dated this _ 12th day of March 90 19 (SEAL) r �C7(. � (SEALr Brian S. Weiss (.SEAL) (SEAL) AUTHENTICATION ACKNOWLEDGMENT Signature(s) __ A.L A!v_ -__S, tS STATE OF IVISCONSfN - .......................... - - - --- - -- - --•- ---- -- ---- - - - - -- Saint Croix ss. -- -- County. au t t , hi f. --- �L- !- �-- ---. -.. 19.7 � P isonallv came before we this -- 12th .day of j -March _ __ 1 9 90 t he ,hove name,) --- . ...... ... -- - - _.. Brian_S._.Weiss_ -. TITLE: NfEMBER STATE BAR OF WISCONSf:v (If not . ................. authorized by § 706.06, Wis. Stats.) 'n me i)'-%n :n `'c ;,e rear ?nn '.c•�u �•sr�. -itcrl the I� T4,5 INSTRUMENT WAS QRAFTED BY f c --- -- ------ - -- - --- - - !.VLx:�( .. ',..,h;. I'•ri,!:r Saint Croix (Signatures may be authenticated or ackno l ode ,, d, fl 1 ` I n n f' are not necessary.) d 0,.. l •Names of Persona _signing in any aparity f:,• WARRANTY DEF.J "ATE: if A't n I I Q as S0 "W) along said line s • distanoe of 1262.26 feet to the East Quarter Corner of said Section 17; thence N89 0 28 1 28 "W along the south line of the Southeast Quarter of the Northeast Quarter a distance of 1314.45 feet to the thence Northeast corner of the Northwest Quarter of the Southeast Quarter; the 8 0 e 33'14 "W along the East line of said Northeast Quarter of the Southeast Quarter a distance of 1331.77 feet; thence N89 0 43'22 "W along the south line of said Northwest Quarter of the Southeast Quarter a distance of 1313.51 feet; thence NO° 30'47 "E along the West line of said Northwest Quarter of th Southeast Quarter a distance of 1337.41 feet to the center of said Section 17; thence S89 0 28'28 "E along the North line of said Northwest Quarter of the Southeast Quarter a distance of 330.00 feet to a point on the East line of the West 330 feet of the Northeast Quarter of said Section 17; thence NO ° 30'47 "E along said line a distance of 2663.41 feet to the point of beginning. Containing 131.66 acres (being all of the Northwest Quarter of the Southeast Quarter and part of the Northeast Quarter of said Section, Town and Range). Subject to 100th Avenue right -of -way over the Northerly 33 feet thereof. Also subject to 110th Street right -of -way over the Southeasterly corner. FILED 8 JAN 0 6 1999 ® 2 ff ftisiff 01 colm 596 190 �n CERTIFIED SURVEY MAR Located in the Northeast quarter of the Northeast quarter and the Southeast quarter of the Northeast quarter of Section 17, Township 29 North, Range 18 West, Town of Warren, St. Croix County Wisconsin. (part of OL 1, CSM, Owner: Ken Herink _U_NPL_AT_T_EO_ V . 8, p.2304.) Rt. 1 S 89'30'50 "E 273.02' Roberts, Wi. 54023 86.98' � ` ,�NI 1L CAD 7T 7 0 . 0 \0 : 1�r HARVEY G. ° JOHNSON 173,484 square feet (3.983 ac) 0 -1 Z r including right -of -way. � r HUDSON F 170,379 square feet (3.911 ac) 'o, O �, •�� W IS f i r S excluding right -of -way. / r ��i <� •' •••...••• -1 ;D s`,I LINE TABLE Ln ° S 89'07'37 "E 390.59' Z g W Line Bearing Distance 1 S00 03'56 "E 64,52' w I � h% A:�i 2 S33 0 00 1 25 "W 33.00' c Or ty 3 S56 0 59 1 35 "E 55.00' " N / 4 N29 ° 45'47 "E 80.00' ° o °� 168,393 square feet (3.866 ac) o // J 5 N25 °49' 32 "W 121.36' rn including right -of -way. N Q / p�Z w 1 60,711 square feet (3.689 ac) p' • excluding light -of -way. Q� to 3 V' Legend J N 0)h d 1 O (L ®7]" 6 N ' io ��, Section corner mounument � O h s V (aluminum cap found.) "p z ry o Q; a —1 "X24" Iron pipe weighing 1.68 U1 CO m ��� �; pountls per lin. foot set. X u\ 1" Iron pipe found. � L3 Line number in line table . N � NOTE: Det it on page 3. rR' Previously recorded information. V 0 u Bearings referenced to the East - c 'N v — West quarter section line, assumed to bear N89 ° 31'47 "W . J s mall tract Radius- 210.00' o r V . Ljt P g . Z23 Central angle - 17 ° 40'00" v o ��� -- - - - - -- Arc length - 64.75' Chord - S65 °49'35 "E 64.50' W I `�;> Tangents - S74 39'35 "E S56 "E 1- I w ` QJ.� o �- �j W , a o 100,813 sq. ft. (2.314 ac) I m ui m n go , including r -o -w. Z) o a ; __ s � NN�� 87, 148 sq.ft.(2.001 ac) Z _ h 00 �;� excluding r -o -w. C) N 89'31'47 "W 377.01' 1 UNPLATTED LANDS CL4ti 1 Oi W 1/4 Corner 4 40704° �' O V 1 �fB39.5B El /4 Corner Section 17-29-18 Section 17-29-18 (aluminum cap) . N89 °31'47 " Py rr,s9�ae'ze" (aluminum cap) . East -West Quarter Section line Section 17. • Wage 1 of 3. This instrument drafted by: 4982608 Vol.13 Page 3587 r r Description A parcel of land located in the Northeast quarter of the Northeast quarter and the Southeast quarter of the Northeast quarter of Section 17, Township 29 North, Range 18 West, Town of Warren, St. Croix County, Wisconsin, described as follows: Commencing at the East quarter corner of Section 17; thenceforth 89 degrees 31 minutes 47 seconds West 839.58 feet (previously recorded as North 89 degrees 28 minutes 28 seconds West); thence North 08 degrees 51 minutes 57 seconds West 405.37 feet to the Point of Beginning; thence North 89 degrees 31 minutes 47 seconds West 377.01 feet; Quence North 08 degrees 36 minutes 18 seconds East 345.04 feet; thence North 25 degrees 49 minutes 32 seconds West 182.00 feet; thence North 00 degrees 28 min- utes 58 seconds East 755.20 feet; thence South 89 degrees 30 minutes 50 seconds East 273.02 feet; thence South 37 degrees 50 minutes 08 seconds East 338.20 feet; thence South 18 degrees 46 minutes 34 seconds West 641.20 feet; thence South 00 degrees 03 minutes 56 seconds East 64.52 feet; thence South 33 degrees 00 minutes 25 seconds West 33.00 feet; thence South 56 degrees 59 minutes 35 seconds East 5 5. 00 feet; thence Southeasterly 64.75 feet along the arc of a 210.00 foot radius curve concave to the North whose chord bears South 65 degrees 49 minutes 35 seconds East 64.50 feet; thence South 08 de- grees 51 minutes 57 seconds East 241.06 feet to the Point of Beginning, containing 442,690 square feet (10.163 acres) more or less, and being subject to all easements, restrictions and covenants of record. I, Harvey G. Johnson, registered Wisconsin Land Surveyor, hereby certify that under direction of Ken Heriak, owner, I have surveyed and mapped the above described property; that such plat is a true and correct representation of the exterior boundaries of the land surveyed; and the I have fully complied with the provisions of Section 236.34 of the Wisconsin Statutes, the St. Croix County Subdivision Ordinance, and the Town of Warren Subdivision Ordinance to the best of my professional knowledge, understanding and belief. Harvey G. ion S -1899 q qg : � HARVEY G. 17 Johnson Surveying, Inc. 1 ' JOHNSON owl 216 Meadow Drive North '" S-1899 Hudson, Wisconsin 54016 o HUDSON ri ktV / //3 / 9 . W IS f r, S U � /11 /1 IMo�� Each parcel shown on this map is subject to State, County and Township laws, rules and regulations (i.e. wetland, minimum lot size, access to parcel, etc.). Before purchasing or developing any parcel contact the St. Croix County Zoning Office and appropriate town board for advice. 4� NOTE: North 89 degrees •31 minutes 47 seconds West 839.58 feet runs along the East - West quarter Section line. NOTE: Those lands shown East of Lot 6 as "small tracts" (Volume 1335, page 539, and Volume 1391, page 283) are small parcels that have been conveyed to the owner(s) of Lot 1 of that CSM recorded in Volume 8, page 2303, to be added to said Lot I. Vol. 13 Page 3587 Page 2of3. Located in the NE1 /4 of the NE 1/4 and the SE 1/4 of the NE 1/4 of Section 17, T29N, R18W, Town of Warren, St. Croix County, Wisconsin, being part of Outlot 1 of that CSM recorded in Volume 8, page 2304. C R TIFIED SUR VE Y MA R Part of that CSM recorded in Volume 8, page 2304. Z � !L ® 77 6 a HARVEY G• Z JOHNSON .. 9 o HUoso N �. W IS r No • N • O S U o -� •� � o It ;D � 4 0� sErSACK co LINE .\ % •�• `v�. S 0 0. O \ 6 O � • !L ® 7T.. 5 s93s��o w 1 2 9 ...... • ... � �,. � �� � � a T!�/ LINE BEARING DISTANCE F 1 N 08' 36' 18 "E 80.00 DETAIL a 2 N 25'49'32 "W 80.00 a 3 S 56'59'35 "E 55,00 1 80' ui 4 N 29'45'47 "E 80.00 ri Curve Data Table Curve Radius Central Arc , Chord Chord Tange is No. Angle length length 1 -2 343.00' 17 0 40 1 12 " 105.78' N65 ° 49'41 "W 105.36' N56'59'35 "W N74 0 39 1 47 "W 2 -3 80.00' 36 0 46 1 14" 51,34' N56 "W 50.46' N74 ° 39 1 47 "W N37 °53 "W 3 -4 80.00 22 ° 20 1 40" 31,20' N49 °03 "W 31,00' N37 0, 53 1 33 "W N60 0 14 1 13 "W 4 -5 80.00' 55 0 35 1 20" 77.62' N88 0 01 1 53 "W 74.61' N60 0 14 1 13 "W S64 0 10'27 "W 5 -6 80.00' 145 0 34 1 10" 203.25' S08 0 36 1 38 "E 152.83' S64 ° 10 1 27 "W S81 ° 23 1 43 "E 6-7 80.00' 44 0 35' 12" 62.25' N76 ° 18'41 "E 60.70' S81'23 "E N54 0 01 1 05 "E 7-8 80.00 59 83.53' N83 0 55 1 42 "E 79.78' N54 ° 01 1 05 "E S66 ° 09'41 "E 8 -9 277.00' 9 ° 10'06" 44.32' S61 0 34 1 38 "E 44.28' S66 "E 556 "E 10 -11 243.00' 17 ° 40'00" 74.93' S65 0 49 1 35 "E 74.63' S56 0 59 1 35 "E S74 ° 39'35 "E 12-13 210.00' 17 ° 40'00" 64.75' N65 "W 64.50' N74 0 39 1 35 "W N56 "W 14 -15 310.00' 35 ° 40'00" 192.98' N74 ° 49'3 "W 189,87' N56 0 59 1 35 "W S87 ° 20 1 25 "W 3 -7 80.00' 268 ° 05'22" 374.32' S08 0 03 1 46 1 W 115.01' N37 0 53 1 33 "W N54 0 01 "E 3 -5 80.00' 77 0 56 1 00" 108.82', N76 'W 100.62' N37 0 53'33 "W S64 0 10 1 27 "W BROMMAgm Page 3 of 3. This instrument drafted by: Vol.13 Page 3587 4982608 A HEAD/CA up M HEAD CAPACITY CURVE EFFLUENT ����i ®mmm ®maim ®m ®Ea ®mom ®m ®mmm� ® ° ®� ® mt m , m ®mmmmm ®0aa�am�m ®mom ®mmoa�mma� ° ®aa ■ \ ���i�ao mm ®mm ®aao ®maim ®m ®m ®■gym °� ®mm ® ®aa m Zia ®� ®iio� ® ® ®® T- not be subjected to less than 30 feet TDH. NOTE: For Head Capacity on Model 112, Industrial 00 column-explosion proof pump, see FMO219. ONE NO NINE HEAD CAPACITY CURVE SEWAGE ��► ���I��m ■�m�m�m�■mmmmmm ®maam�m�mmma� ®m ., ■ ��\ �I��m ■�m�m�m�m�mmm�■m0�ammmaammmm ®aa ��m�� ■�m�■��mmmmmm■�mmmm ® ® ©omm ®m �\ ��►\ I��m�m■�m�m�m�mmmmmmmmmmommm ��■ \`� 1111\ �� \� \������ M .. I m� ®o ®o ®�000mo ®om�.�o�a m.lzl.Moomomom ©mom ® ®m�,� ®mm�.o o. ®mom MOEN Model 293/429 INC should not be subjected to less than ON 15 feet TDH. r IND AR TI�IENT OF REPORT ON SOIL BORINGS AND SAFETY &BUILDINGS IJVDUSTRY, DIVISION L AND PERCOLATION TESTS (�� ( � � 7 9 6 9 HUM RELATIONS ) I 11LHR 83.0911) &Chapter 145) MADISON WI 5 LOCATION: SECTION: TOWNSHIP MUNICIPALITY: OT O.: K .: SUBDIVISION NAME: s0/ NE V/ \ - ) /T z9N /R ►BE (or w r_ COUNTY: MAILING ADDRESS: 1 Cs S- ll0 IV ST. S7 , Cr %Skyl , ( u z USE DATES OBSERVATIONS MADE f�� NO. BEDRMS.: COMMERCIAL DESCRIPTION: PERCOLATION ESTS: 1xPesidence I 1 � , LKNew ❑Replace RATING: S= Site suitable for system U= Site unsuitable for system CONVENTIONAL: MOUND: IN- GROUND - PRESSURE: SYSTEM -IN -FILL r EJS OLDING TANK: RECOMMENDED SYSTEM: (optional) S 0 ❑ S RIU �S ❑U EIS OU ®U 1z `rR6�1Ct °S— c N S r x l00' Loiv� If Percolation Tests are NOT required DESIGN RATE: I If any portion of the tested area is in the under s. ILHR 83.09(5)(b), indicate: N Floodplain, i n d icate Floodplain elevation: PROFILE DESCRIPTIONS BORING TOTAL DEPTH TO GROU NDWATER- INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN, ELEVATION OBSERVED EST. HIGHMST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- Z -7 I r B- > 72 y ( ( B- PERCOLATION TESTS EST DEPTH . WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL -MIN. PE RIOD 1 PERIOD 2 P R PER INCH P- 1 2 4 Itio Z sl s! a - Sic & q 8 P _ Z Z yu `so 2)J Sl a 1/1 1. yv P- Z 3� 13J1 31 31 P- P- P- PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent of land slope. 0 r3Z- 6 �a3 \2e. 2 S 9 M'Ip�p� $u �hpT_ SYt'�71Z� SYSTEM ELEVATION ` `+ kb PLA EX _ f IL_;I 1 � e / � h , g 1 ►� S IF- 7�S (=izarJ 4— <� tfe� t I _ . o z I 3 s Fe`TR �- P o s7` `moo w S m 0 L 1T 4 - _ d , 3 SC -1�L.� )tl_SOt S�C1 -) I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin Administrative Code_ E that ER data 51C e and dTfFiid of the tests are correct to the best of my knowledge and belief. NAME print V { �� Ti TESTS WERE COMPLETED ON: DESIGN SERVICE _ _ ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER (optional): P.O, BOX 74 421 N, MAIN ST. 0- 3T nrsu S 01 RIVER FALLS. VVI 54022 CST SIGNATURE: 715- 425 -0165 DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. \_:P�Ge 1 F DILHR -SBD -6395 (R. 10/83) - OVER - s r INSTRUCTIONS FOR COMPLETING FORM 115 - SBD - 6395 To be a complete and accurate soil test, your report must include: 1. Complete legal description; 2. The use section must clearly indicate whether this is a residence or commercial project; 3. MAXIMUM number of bedrooms or commercial use planned; 4. Is this a new or replacement system; 5. Complete the suitability rating boxes. A SITE IS SUITABLE FOR A HOLDING TANK ONLY IF ALL OTHER SYSTEMS ARE RULED OUT BASED ON SOIL CONDITIONS; 6. PLEASE use the abbreviations shown here for writing profile descriptions and completing the plot plan; 7. MAKE A LEGIBLE diagram accurately locating your test locations. Drawing scale is prefered. A separate sheet may be used if desired; 8. Make sure your benchmark and vertical elevation reference point are clearly shown, and are permanent; 9. Complete all apropriate boxes as to dates, names, addresses, flood plain data, percolation test exemption, if appropriate; 10. If the information (such as flood plain, elevation) does not apply, place N.A. in the appropriate box; 11. Sign the form and place your current address and yur certification number; 12. Make legible copies and distribute as required. ALL SOIL TESTS MUST BE FILED WITH THE LOCAL AUTHORITY WITHIN 30 DAYS OF COMPLETION. ABBREVIATIONS FOR CERTIFIED SOIL TESTERS Soil Separates and Textures Other Symbols st — Stone (over 10 ") BR — Bedrock cob — Cobble (3 - 10 ") SS — Standstone gr — Gravel (under 3 ") LS — Limestone 's — Sand HGW — High Groundwater cs — Coarse Sand Perc — Precolation Rate mods — Medium Sand W — Well is — Fine Sand Bldg — Building Is— Loamy Sand — Greater Than 'sl — Loamy Sand — Less Than '1 — Loam Bn — Brown 'sil — Silt Loam BI — Black si — Slit Gy — Gray cl — Clay Loam Y — Yellow scl — Sandy Clay Loam R — Red sicl — Silty Clay Loam mot — Mottles sc — Sandy Clay w/ — with sic — Silty Clay fff — few, fine, faint 'c — Clay cc — common, coarse pt — Peat mm — Many, Medium m — Muck d — distinct p — prominent HWL — High water level, surface water Six general soil textures BM — Bench Mark for liquid waste disposal VRP — Vertical Reference Point TO THE OWNER: This soil test report is the first step in securing a sanitary permit. The county or the Department may request verification of this soil test in the field prior to permit issuance. A complete set of plans for the private sewage system and a permit application must be submitted to the appropriate local authority in order to obtain a permit. The sanitary permit must be obtained and posted prior to the start of any construction. r- SOIL DESCRIPTION FORM \ Attach Soil Prof iIc Location Mae On a Su arata Sheet) LTNEAR LOADING ' 0 RATE: Z' Z PURPOSE 1�JP�LU h SaL. SLOPE: 1 lh, Y. DCSCRIPf [ON BY A'2TNv�� t- wEG ��� ASPECT: 5 1 " V DATI f 11 1�9u CURRENT LAND USE: TJRJIU�� COUNTY /STATE S T. C,pv )J'Ty I Gy I SS LOT DESCRIPTTON:' PT (NT SE — K F= // SZC ,1'7, TZ90 i R) 6w DRAINAGE CLASS: W 421(--' -Q)jZA1AJeb LOCATION: wiV Q t— Lv►/'� iL 1Z L1N GALLONS PER S9. FT. PER 'OAY t S PARENT MATERIAL(s) /DEPTH SOIL SERI ES: \ tats �UZ - Irt H"R'r�DT SR 7y72E HDRIZON DEPTH MATRIX COLORS MOTTLES TEXTURE STRUCTURE CONSISTENCE CLAYSKINS/ PORES ROOTS PII BOUNDARY REMARKS in. moist Gr. Sz. Sh . COATINGS �_ p -1 3? Z S l I Z 51^ V'F1 -` a- S Z 10 -3b lb`1. 316 -' s !� ZM S biz �')'► ��- C_S 3 36 - z li:w-t ca V I s," J l� 3'13 z /6 -36 lblrR 31r, 7�,sek ►��Fi cs lo'>R o - ty 2 UsLtR 3! Z 1 S t) ti- �'�- C4- s W 3/6 - S 1� ZriT,S $v) UL1 3 3S -S� 113 2 y! Lj s7- o `i 2 y! / zb > c, S _. 0 -11 113`112 3! - S 2 Z 91r M U N as Z 11 - y2 l u yR3 16 s� l Zms�k� 9w 3 qz _ss VI 14 p Lr 2 L/ — OTHER SITE FEATURES /NOIES: n t7 -af nm Ge Z of Z LIMITING FACTORS /DEPTH: Signature �- Date CST k —'— FIORl20N OEPIII MATRIX COLORS MOTTLES TEXTURE STRUCTURE CONSISTENCE CLAYSKINS/ PORES ROOTS m 80UNDARY REMARKS moist Gr Sa. Sh . COATINGS OTHER TIT E FEATURES /NOTES: WAGE of Signature Gate CST # LIMITING FACTORS /DEPTH: , DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY &BUILDINGS IRDUSTRY, C DIVISION LABOR AND PERCOLATION TESTS (115) MADISON WI 53707 HUMAN RELATIONS (ILHR 83.09(1) &Chapter 145) LOCATION: SECTION: TOWNSHIP MUNICIPALITY: NO.:BLK. NO.: SUBDIVISION NAME: 1 / \� /T Zq N/R 18E (or r OT — L-,z3T COUNTY: MAILING ADDRESS: `� S") l ) ST• USE DATES OBSERVATIONS MADE NO. BEOR [Ij�,sid,rice MS.: COMM IAL DE RI TION: A S: N • New ❑Replace -� _ I , - 90 -� _ -� _ �D — 1 RATING: S= Site suitable for system U= Site unsuitable for system ONVENTI NAL: MOUND: IN- GROUND-PRESSURE: S STEM -IN -FILL OLDING TANK: RECOMMENDED SYSTEM: (optional) "S EJU 11S RA (2�JIS EIU DS Z U 1- ZU 2 srkloo' �-GtiQ `M excjmv Ug SL(122 DESIGN RATE: : If Percolation Tests are NOT required D I If any portion of the tested area is in the un N der s. ILHR 83.09(5)(b), indicate: -k- Floodplain, indicate F elevation: PROFILE DESCRIPTIONS BORING TOTAL P H T R UNDWATER- INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN, ELEVATION OBSERVED TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- z B- Z - 13 V310 " ? - 7 B- L4 �. li B- S --? ( 1 Z . 3 6- PERCOLATION TESTS } TEST DEPTH . WATER IN HOLE TEST TIME D 1 WATER LEVI L -IN HES RATE MINUTES F NUMBER INCHES AFTER SWELLING INTERVAL -MIN. PER t PERIO 2 P PER INCH P- 1 2 4 l3o Z -S s1 s! 4! 8 P. u p - Z lV 30 13 1 L 3/ 3l P- P. P- PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent of land slope. t3Z.6 \Z $.2 N S9 )" hpC �4 $�R- 1zb�'PrRDT S SYSTEM ELEVATION 0 ` °•y _ � 6 dp�� .-_.. t z/ z �) w d r � n r. 0 0 i�t_.t�03T`� -. Lo O7J S fi _ � I S'1 ,,w h a � t i �Lo 1.1 At ( I SCJtLe III =S01 SMCI.1 I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin Administrative Cod aE tha the d�ta�e�prde t and dTffati�t of the tests are correct to the best of my knowledge and belief. NAME �� ��� R G � .` Q T iNC71 TESTS WERE COMPLETED ON: DESIGN SERVICE ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER optional): P.O. BOX 74 421 N• MAIN ST. CST oo(,� S b IS_yzs - -o/ 6S RIVER PALLS, Wl 54022 CST SIGNAT RE: 715425 -0165 DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. �'\ ? DILHR- SBDS395 (R. 10/83) - OVER - SOIL DESCRIPTION FORM Attach Soil Prof i Ic Locat i0n M42 On s Su arate Sheet) LINEAR LOADING T : 2 S CL tt�� 8 . PURPOSE: — V � _ S'O)l � �� S`t S L O PE : 1 0 ° 10 � T�. �\ /�t3S S''Tt�7't E 0 nsrrcT: �RlrTtoN sY• �'1Z -'1?�V E �tZ l9 ?� RENT LAND U • T� S�RIc COUNTY/ AT ' . GiZULx CAQ QTY, VEGETATIVE COVER: G SS I_ V E 1/ S�C 17,'TZ9 U) R 8 ORAINAGE CLASS: LOT DESCRIPTION:' P • OF I W 1 W� �� tu► /� LOCATION: GALLONS PER S . FT.'PER'DAYs PA RENT MATERIAL (s) /DEPTI SOIL SERIES, INS �U�� F1�>rl'2hT — Str Sol L HORIZON DEPTH MATRIX COLORS MOTTLES TEXTURE STRUCTURE CONSISTENCE CLAYSKINS/ PORES ROOTS -Pll •9011NlIARY REMARKS in, mist Gr. St. $b P- COATINGS 1 o - io to�•ttz. — si Zfi �� wlv�'� cts $u 1u 6 Z 4 - 1p�ttZ BIZ — sl) Z� > yn Qi - 3 36 -�3 to yR Yly s i 1 1'� Sb o - y 10L2 W 2- 1b4 R )'►1J An 'FIB Ylv $u R, IuG 0 -9 ltl 3J2 - S 1 Z ►n my ft G - S Z. C)-3s W-1 3/6 �3 3S _S - ) 10 `-t 2 y1 - `�' S �k - W\ L4 S 7_ W L o `1 V- Y YA So x1G S _ S2 I Z ,� 9v Z WI -yZ )OyR316 SW I Zmsb I'►�'Fl^ t 9� _ SS_76 Itw-t2 S// 'ps S M OTHER SITE FEATURES/NOIES: LIMITING FACTORS /DEPTH: Signature Date CST N s DEC i DAMES O'CONNELL 3 R�i,ter GI De Si. Croix �' Q 465-054 c CERTIFIED SURVEY MAP � LOCATED IN THE SE I/4 OF THE NE 1/4 OF SECTION 17, T29N, R18W, TOWN OF WARREN, ST. CROIX CO., Wt. OWNED BY: KEN HERINK RT. I ROBERTS, Wt 54023 6A -Z AZ A• 3 ok W� N y NOTE: BEARINGS ARE REFERENCED o O THE EAST LINE OF THE NE 1/4 of 32 a. w 2 f BASED ON RECORDED BEARINGS). 6k 00 en Z>- - <J 0 0: 1- 0 N OZZ V > > 00 A • w U 1� I l e UNPLATTED V41,50 03 L.. A N D S ° r..:: r.: t�, •., r l.. ! rti,l v�l�;: w: Q. Z' 4 E = LOT 1 S ' Z w " 2 ' 10.99 ACRES o N 'Mro N83 °32 ' 31 E 1 478. 660 $9. FT,) - �• v 10.16 AC. EXC. R.O.W, :' • p W. M c rJ a 1442,549 SO. FT.) 1' •• M l0 . P O In , I \ � 77.28 Z. �` �` ?'S• 4 •� /9 �• J 66' WIDE PRIVATE ROADWAY O O O 1 W i' EASEMENT o y, ~® Z N \ \.•� �8 W LD LOT 2 2.90 ACRES o a z C)' '; " !126,353 SO. Fr.) v v '° �' 2.67 AC. EXC.R.O.W. N w �• �CO (Ito. 130 SO.FT.) r h \ y LOT 3° W z Q• w� . % \. y � J. N � ,°� 3.67 ACRES :1 0 °s� I a : Z ( 159,924 SO.FT.) n o 4 0® / +y Z co 3.46 AC. EXC. R.O. L 1' W • \ `„� / Z Z \ I 150.550 SO. FT.) y I O o �• 2.82 ACRES 122,993 so.FT.) a Z 2.35,4C.EXC.R.O.W. I o ( 102, 190 SO.FT.) 3 - p e 1F• N I C „ S89.2 3.7 N 7.08 , FENCE 0 447.06: 120. 00 ' 2'4 334,68' 33.0 396.00• N89 028'28 "W 839..58 1 I E OUARTER SECTION LINE I 17. 47' GQ.jA U N P LAT T E D LANDS E 1/4 CORNER SECTION 33' 33' <► • • .. . , 17. ( COUNTY MONUMENT I r �/ w FOUND. SET NAIL FROM µ•' 1 Y, •r . 4! JAMES M. T 1 ESl. WEBER Os SET I "X24 "IRON PI PEWEIGNING 1.13 LOS. PER LINEAR FOOT. w SPRING VALLEY 7 A m + � WIS r �•� �q •: !" IRON PIPE FOUND. �. SCALE 1": 1 50 ' ��ootolrN`� SHEET 1 0 P 3 JAMES M.W.EBER S -1804 0 75 150 300 DATED - Nov: 8, l g9o. VOLUME 8 PACE 2303 1 �1 THIS INSTRUMENT DRAFTED BY _ >� s�wc�� w •, \ cb