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HomeMy WebLinkAbout042-1052-90-050 onsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Cr oix .,arety and Building Division INSPECTION REPORT Sanitary Permit No: 420776 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: r Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. N Permit Holder's Name: City Village X Township Parcel Tax No: Dux, Jerry J. I Warren Township 042 - 1052 -90 -050 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: �CIA__� /a) o l WrL _L 6'S �t 19.29.18.298A40 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark, I Z ` � " Dosing Alt. BM O Aeration dg. Sewer a.& g6•Z� Holding SUFt Inlets �N v O � � D 0 TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL BLDG. Vent n it Intake ROAD Dt Inlet Septic / jA ( Dt Bottom Dosing Header /Man. 7 7 - 1 g 2,L+ Aeration Dist. Pipe / 2 .v Holding Bot. System Final Grade D PUMP /SIPHON INFORMATION S - t - U,5'/ 29 Manufacturer Demand St z Cover u l 7 � y P `l Model Nu ber TDH Lift TAdlon Loss System Head T Ft Forcemain 1 Length Dist. to W SOIL ABSORPTION SYSTEM // Ctt av s� BEDITRENCH Width Len th No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO lIISJJ P/L BLDG WELL LAKE /STREAM EACHING Manuf r� / INFORMATION CHAMBER O / Ci/ Typ f System: > t / U Model Number: DISTRIBUTION SYSTEM Header /Manifold Distribution / •_ x Hole Size x Hole Spacing V t to Air Intake Length Dia [[ Length Dia S acin SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded /Sodded xx hed Bed/Trench Center Bed/Trench Edges Topsoil Yes I_ ii No 11 Yes n COMMENTS (Include code discrepencies, persons present, etc.) Inspection #1:/ / Inspection #2: / / Location: 922 80th Ave. Roberts, WI 54023 (NW 1/4 SW 1/4 19 T29N R18W A Lot 3 Parcel No: 19.29.18.298A40 1.) Alt BM Description =! "� � �c . '. S W, (il� c.a/c✓ &� � 2.) Bldg sewer length = !, C.(�'O.,J-t, Nl � 30, �� - amount of cover = '7 � / /t s � , n � _ ✓� G �_ p„ ` Plan revision Required? Yes No q f„ i �� lCi 0 3 ' - Use other side for additional information. __ _ ___ SBD -6710 (R.3/97) Date Insepctor's Signat a Cert. No. Safety and Buildings Division County < 1 201 W. Washington Ave., P.O. Box 7162 tom/ , 41 � Cons in Madison, WI 53707 - 7162 Sanitary Permit Number (to be filled in by Co.) ( Department of Commerce (608) 266 -3151 �{2o 7'7 (� �k Sanitary Permit Application State Plan I Number In accord with Comm 83.21, Wis. Adm. Code, personal information you provide /" A may be used for secondary purposes Privac E D Project Ad ress (if di r ^ nt th mailing address) Gj22 e0 "' I. Application Information - Please Print All Informati n G V -10 -- p37) Property Owner's Na me Parcel # Lot # Block # T 3 Jeri LC ST Property Owner's M ailing ems ZONING OFFICE Property Location a� s , , ti s� City, State r Zip Code Phone Number '�> 'A, Section (circ one zi ype of Building (check all that apply) (/ - .o N; (/ _ E r W , r 2 Family Dwelling -Number of Bedrooms Subdivision Name CSM Number G (� 11 / Public /Commercial — Describe Use 1 7 El S Owned -Describe Use Z W/// e- 111*91 99672d X & ` G OCity_❑Village�Kownship of III. Type of Permit: (Check only one box on line A. Complete line B if applicable) A. _XNew System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System B. ❑Permit Renewal List Previous Permit Number and Date Issued Permit Revision ❑Change of ❑Permit Transfer to New ' / Before Expiration Plumber Owner �J ,;,) 0 7 q 0 3 IV. Type of POWTS System: (Check all that apply) Non - Pressurized In- Ground L1 Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil El At -Grade L1 Single Pass Sand Filter ❑ Constructed Wetland ❑ Pressurized In- Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter Leaching Chamber ❑ Drip Line ❑ Gravel -less 'pe ❑ Other (explain V. Dispersal/Treatment Area Information: W , 1r ,rZ1S6 1. 1 Design Flow (gpd)/ Design Soil Application Rate gpclsf) Dispersal Area Require (sf) Dispersal Area P oposed (sf) System Elev 4 /56 ✓ � 8 q ati 60l VI.. Tank Info Capacity in Total Number Manufacturer Prefab Site Steel Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Existing Tanks Tanks Septic or Holding Tank Aerobic Treatment Unit Dosing Chamber VII. Responsibility Statement- I, the undersi RgA sume responsibility for installation of the POWTS shown on the attached plans. Plumber's Na me (Print) Plum be ' gnature MPlMPRS Number Business Phone Number Plumber's Addre ss (Street, 7City,te, Zi ode) VIII. unt /De artment Use Onl Approved El Disapproved Sanitary Permit Fe includes Groundwater Date ;yo Is ing Ag t Signa o Stamps) Surcharge Fee) �c,� � S 11 Owner Given Reason for Denial 3 G� a IX. Conditions ofpproval/Reasons for isap�pr�� r G�C��t � Attach complete plans (to the County only) for the system on paper not less than 81/2 x 11 inches in size SBD -6398 (R. 01/03) I Wisconsin Department of Commerce SOIL EVALUATION REPORT Page / of Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code p , Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County 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. 0 — l d 5 0 Please print all information. D 1 Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). eview l/` ✓[� [��L ` Property Owner Property Location i Govt. Lot 06 1/4, (, /4 S/ T N R E (or) O?Z Property Owper's Mailing Agwess 3 1 Block # Subd. Name or M# S� City State, Zip ode Phone Number C' ❑ V)Ilage Town Nearest ad UQA-Aj U_ l a-� - a 1 00 ( 1 �21 New Construction Use Residential / Number of bedrooms Code derived design flow rate yJ GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material Flood Plain elevation if applicable o*i 1 /4 ft. General comments and recommendations: I r g N. s" el # ❑ Bod Pit Ground surface elev. O r✓ ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. - Eff#1 •Eff#2 Z - ms Fal B oring # E) Boring / � Pit Ground surface elev �4' ` Z ft. Depth to limiting factor / . Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 r , VI �. Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 ' Effluent #2 = BOD < 30 mg/L and TSS 130 mg/L CST Name (Please Print) I CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation Conducted Telephone Number 1008 192nd Ave, New Richmond, WI 54biW _ 715- 246 -4516 Property Owner _ Parcel ID # Page of 5_1 Boring # ❑ Boring pit Ground surface elev ft. Depth to limiting factor / O in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDfP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Efff#t I 'Eff#2 5A z, e, zv F-1 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 GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 ❑ Boring Boring # Ground surface elev. ft. Depth to limiting factor in. Cl Pit Soil ication Rate Horizon Depth Dominant Color Redox Description. Texture Structure Consistence Boundary Roots GPDtf£ in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Effluent #1 = BOD, > 30 1220 mg1L and TSS >30 1150 mgA_ ' Effluent #2 = BOD < 30 mgll_ and TSS < 30 mglL 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. 580.8330 {R.6/00) Soil Test and System PLOT PLAN PROJECT Jerry Dux ADDRESS 244 So Star Ave New Richmond Wi 54017 NC 1/4 SW 1/4S 19 /T 2 N/R 18 W TOWN Warren COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 5/9/03 BEDROOM 3 CONVENTIONAL X)(X IN-GROUW PRESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 Gallons LIFT TANK SIZE DOSE TANK SI HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 684 # of chambe 22 BENCHMARK V.R.P. Top of Well ASSUME ELEVATIO 100'' Filter Zabel A -100 ❑ BOREHOLE O WELL «H.R.P. Same as Benchmark Property rt Line SYSTEM ELEVATION 81.5/80.0 4.5' Below Grade DNR Well , 0 . � °`i 300' lans Designed Using B.M. onventional Powts 1 11 L 550 anual Version 2.0 DNR Well C AI t B.M. 100. - - 70' 30 B -1 70' B -2 Jo- 5 9 E / Vents 0' 35' 100 18% B -3 I -zo Slope 90 2 -3' X 69' Cells with >3' Spacing Pro 3 Bedroom House o 0 jL andard Biodiffuser aching Chamber th 31.1 ft2 of Area Grade at System Elevation 80th Av e I " Soil Test and System PLOT PLAN PROJECT Jerry Dux ADDRESS 244 So Star Ave New Richmond Wi 54017 NE 1/4 SW 1 /4S 19 /T 29 N/R 18 W TOWN Warren COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 5/9/03 BEDROOM 3 CONVENTIONAL XXX IN-GROU4 PRESSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 Gallons LIFT TANK SIZE DOSE TANK SIZF, HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 684 # of chambe s 22 ,BENCHMARK V.R.P. Top of Well ASSUME ELEVATION 100' Filter Zabel A -100 [ O WELL *H. R. P Same as Benchmark Proper Line SYSTEM ELEVATION 81.5/80.0 4.5 Below Grade ans Designed Using DNR Well B.M 300' o * nventional Powts 15' 550 f 0 Version 2.0 DNR Well Alt B.M. 70' @ 100.0' 70 30' B -1 70' B -2 Vents 5 Vents 100' 90' 35' 18% B - T Slope 90' 2 -3' X 69' Cells with >3' Spacing Pro 3 Bedroom House 0 G� jL Standard Biodiffuser Leaching Chamber with 31.1 ft2 of Area 34" Grade at System Elevation 80th Ave GUY WILBUR DOUGLAS J. ZAHLER 901 8TH AVENUE S do N LAND SURVEYING, INC. ROBERTS. WI 54023 2920 ENLOE STREET HUDSON, WI 54016 a f/ D raw mW 1/4 CORNER ="mg u� — __ —_ E 1/4 CORNER SECTION 19 S89 5'50 'E 5292.80' SECTION 19 EAST -WEST 1/4 LINE _ 589 b'50"E o , 9.15'50%'V 1110.74 N89 1 50 W 660,07 +1 3521.99 i PLOT 3 g 10.812 ACRES T W F I (470,958 SO. FT.) INC. RM wcn 10.758 ACRES p I (468.620 O. F,�'�1 EXC. R(W ►-'$ r ;I �W0000 J LO OT O Z cf) p �Id z o 0 o w WS G � O ~ I o S89 15'50HE 594.07 0 ) ss V V 04 T r O I gIZ �Z �C�ap 48 3� Of w /s� ap�I�q apo� o �$ort, Q —_ DOUGLAS J. ZAHLER S -2145 HU SON IS. LEGEND FOUND ALUMINUM COUNTY q � SECTION CORNER MONUMENT T FOUND 1" OUTSIDE DIAMETER SCALE IN FEET 1" � 300' P SET 1" OUTSIDE DIAMETER 300 0 300 BY 18" LONG IRON PIPE; WEIGHING 1.13 LBS. PER LINEAR FOOT —;�- EXIS NG FENCE UNE THIS INSTRUMENT DRAFTED BY: BRIANA GEISSINGER JOB NO. 6109 -02 DATE: 10/21/2002 REVISED 03/24/2003 SHEET 1 OF 2 SHEE Vol. 17 P4ge 4484 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and P Division INSPECTION REPORT sanitary Permit No: • 420776 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: Dux, Jerry J. I Warren Township 042 - 1052 -90 -050 CST BM Elev: Insp. BM Elev: BM Description: section/Town /Range /Map No: 19.29.18.298A40 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing Alt. BM Aeration Bldg. Sewer 1 71 7 St/Ht Inlet St/Ht Outlet TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic Dt Bottom Dosing Header /Man. Aeration Dist. Pipe Holding Bot. System Final Grade PUMP /SIPHON INFORMATION Manufacturer Demand St Cover GPM Model Number TDH Lift Friction Loss System Head TDH Ft Forcemain Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM BEDITRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/L JBLDG IWELL LAKE /STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type Of System: UNIT Model Number. DISTRIBUTION SYSTEM Header /Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) 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 D N Yes �! No COMMENTS: (Include code discrepencies persons present, etc.) Inspection #1: / / Inspection #2: Location: 922 80th Ave. Roberts, WI 54023 (NW 1/4 SW 1/4 19 T29N R18W) NA Lot 3 Parcel No: 19.29.18.298A40 1.) Alt BM Description = 2.) Bldg sewer length = - amount of cover = Plan revision Required? Yes E] No r � Use other side for additional information. SBD -6710 (R.3/97) Date Insepctor's Signature Cent. No. Safety and Buildings Division Countyt m m 201 W. Washington Ave., P.O. Box 7162 J iscon in Madison, WI 53707 - 7162 Site Address A Department of Commerce 9 Z Z ?0 frVC= Sanitary Permit Application Sanitary Permit Number /- In accord with Comm 83.21, Wis. Adm. Code, personal information you provide ❑ Check d Revision ��� 7 rout be used for purposes Priva Law, sl5. 1 m I. Application Info on - Please Print All Informati , State Plan I.D. N r Probe is Name Parcel Number ,-�- Property Owners Mailing ProDeytio N•� Sf l/VS T N, R City, States Zip Code Phone Number t Number SSSfff ��: Block Number APR 0 4 2 0 0 3 ucton Name esM N r II. 9W oP Building (check all that apply) ZONING OFFICE ❑City or 2 Family Dwelling - Number of Bedrooms 3 — — W07)y 1 X❑Village ❑ Public/Commercial - Describe Use r� ownship ❑ State Owned 7" �/� 7 '�-Q�� 3 k r� �' Nearest Road M. Type of Permit: (Check only one box on line A (numbering scheme for internal use). Co ete ' e B if applicable) A. 1 New 2 ❑ Replacement System 3 ❑ Replacement of 6 Addition to For stem Tank stem /� B. ❑ Check if Sanitary Permit Previously Issued Permit Number Date Issued I 1 4 ) � A � ' V-- '� � IV. of Permit: (Check all that ap p ly) (6 Bering scheme is rr in rnal use) tv D l Frl/S 44 Non - Pressurized In -Groin 2111 Mound Sand Filar 50 ❑ Constructed Wetland - 3 22 ❑ Pressurized In -Ground 410 Holding 48 ❑ Single 51 ❑ Drip Line 45 ❑ Ai -Grade 46 ❑Aerobic Tres unt Unit 49 ❑ Rec' 30 ❑ Odnet V. DispersalfIrreatment Area Information: Design Flow (gpd) / Dispersal Area / Dispersal Area it ApplJoition Percolation Rate System Elevation Final Grade �r , � / Required / Proposed / Days /Sq -FL (Min./Inch) Elevation f 1 1 s� S s. go . Tank Info Capacity in Total Numbe acturer Prefab Site Steel Fiber Plastic Gallons Gallons of T Concrete Constructed Glass New a Tanks Septic or Holding Tank w Dosing Chamber VII. Responsibility Statement- I, the de assume mpoastbility for histallation o Nbe PO shown on the attached plans. Phumbees Name (Print) be MP/MPRS Num Business Phone Number / /J Plumber's Address (Street, City, State, e) County /De artment use O nly 2 Approved ❑ Disapproved Sanitary Permit Fee (includes Groundwater Date Issued Issaim Age Signature (No Stamps) Surcharge Fee) ❑ Owner Given Initial Adverse D Determination q& Conditions of Approval/Reasons for Disapproval • n - tki t� �• - C� 4f Cdr , 7/ d�.�zun � ���� � ,� f �,e.:.�t:d.L O/L�,,•�. �G�%`.c�� �/ a�tea. r 49. Atta cb empkte plans On the County only) or the syN paper na Iess d6n aln : In size S -3• S2 C�.rt SBD -6398 (R. 05/01) S �= �+ 3 MA,,,�, / ' .., Y.3. Y.3 /, 0 P8TOWN PROJECT Jeriv Dux . So Star Ave New Richmond Wi 54017 NE 1/4 SW 1/4S 19 /T 29 Warren COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 4/3/03 BEDROOM 3 CONVENTIONAL XXX IN- GROUND "SURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 Gallons LIFT TANK SIZE DOSE TANK E HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 933 # of chamber 30 IL BENCHMARK V.R.P. Top of 1/4" Steel rod ASSUME ELEVATION 100' Filter Zabel A -100 ❑ BOREHOLE O WELL *H.R.P. Same as Benchmark Id Property Line SYSTEM ELEVATI 95-1/95.0 :: & 0.. 07 V > 6» S io of Cover amber with 3 1.1 f of Area Plans Designed Using Conventional Powts 6' Lon Manual Version 2.0 3419 Grade at System Elevation B.M. #1 20' 20' 280' B - Pro 3 15' Bedroom Vents House 55' � 30' 0 B -2 2 -3' X 94' Cells with >3' Spacing T 30' 20' 60' B -3 Vents 3 _rU4jJW sue, ,a� 4 0 vnlode, ( , a- aVAAk_ a 80th Ave P8TOWN PROACT Jenv Dux 4 So Star Ave New Richmond Wi 54017 NE 1/4 SW 1/4S 19 /T 29 Warren COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 4/3/03 BEDROOM 3 CONVENTIONAL XXX IN- GROUND #SSURE CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 Gallons LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 933 # of chambers 30 BENCHMARK V.R.P. To of 1/4" Steel rod _ P ASSUME ELEVATION 100 Filter Zabel A 100 BOREHOLE O WELL sH.R.P. Same as Benchmark Property Line SYSTEM ELEVATION 95.1/95.0 Vent >6 „ S I of Cover Leaching amber with 31.1 of Area Plans Designed Using Conventional Powts / 6' Long 11 Manual Version 2.0 _T_ 34„ Grade at ystem Elevation nc . B.M. #1 20' 20 ' 0U / 280' B -1 15' Pro 3 l5 SDU7l - Bedroom Vents House 4 55' 30' VU 0'v -her G� j0�• B -2 , 2 -3' X 94' Cells with >3' Spacing 30' 20' CN 60' B -3 !� Vents I� d� O IC. ve PAGE3OF-3— NAME rld {/ # 14 SCALE: 1"= BM 1 ELEVATION J0l• BM 1 DESCRIPTION - to 62 a� �y ��ca� R od BM 2 ELEVATION AM I BM 2 DESCRIPTION �� a� �y SteLI o SYSTEM ELEVATION I ® I ! SYSTEM TYPE ro rl w CONTOUR ELEVATION • g9.o0; /oo i t � y �6" 0 3_z ti q zo QQa v SIGNATURE / DATE Wiscon?in Department of Commerce SOIL EVALUATION REPORT Page _ % of « Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County Attach complete site plan on paper not less than 8 112 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and aroel I.D. 0 .j 0 /0S 2L- ffO percent slope, scale or dimensions, north arrow, and location and distance to nearest road. f` 2 - /OS3 Please prim all iM1VED a 'ewe Date ,{ Personal information you provide may be usc J for secondary purposes (Privacy Law, i. 1504 Property Owner FEB 2 g 2003 ropertyLocation r2i� o N �is $ q 9 " b. ovt. Lot A/C114 (�/4 S( T Z j N R I R E( W Property Owner's Wiling Address T. CROIX COUNTY Lot Block # Subd. Name or CSM# tt-- , / Q Q � ING OFFICE _7/�7D) 1 P. [� City State Zip Code Phone Number ❑ City fir -S IWI I B ?/) `1Q New Construction Use: [7 Residential / Number of bedrooms = Y Code derived design flow rate _— "IS -0 0 0 1 GPD ❑ Replacement ❑ Public or commercial - Describe: — _-- _ - - -_- ----------------------- Parent material _ - -_— ��-- _--- _-- _--- _ - - Flood Plain elevation if a plicable _ —_— ��!�— _- - - - - -- ft. General comments O O U u _rv"rn and recommendations: SYS /0�Q ��'ca-nJ�- Cta��t.UYrrr. Sys><Pin -- FT I ❑Boring Borin # nn V /V 9 g E0 Pit Ground surface elev. ft. Depth to limiting factor _ 9 Sol Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ,,--__ // 'Eff #1 'Eff#2 — Sr N1ab� 7'r"`- r L l U J W4 r YY\. , Sy t ❑ Boring # Boring g Pit Ground surface elev. ft. Depth to limiting factor — -- in. Sol 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 Z m 6/ r — 1 . 16)lr 3/ L � Z Al ,4 w\,f — 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 ame (Please Print ture CST Number o - -- - - -_ 3.3 O Address Date Evaluation Conducted Telephone Number Al/ - mil. ae / - oZ 7� = - ye a Property Owner _________________ Parcel ID # ___________________ Page _ of Boring # ❑Boring pp _ Pit Ground surface elev. l Z• a U -- ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 " 3 - mS o l < S f g4 c S.o ❑ Boring # ❑ Boring ❑ pit Ground surface elev. ft. Depth to limiting factor in. Soil ADDlication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDlft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 F - 1 ❑Boring Boring # Ground surface elev. __ ^_____ ft. Depth to limiting factor ______ in. ❑ Pit Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 Effluent #1 = BOD > 30:5 220 mglL and TSS >30 < 150 mglL ' Effluent #2 = BOD < 30 mglL and TSS < 30 mgfL 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.07/00) j, • . PAGE_OF_,',� NAME /6 {•- Y4 SCALE: I"= y BM I ELEVATION BM I DESCRIPTION fob a-F fy«! �ocs' E BM 2 ELEVATION BM 2 DESCRIPTIO I SYSTEM ELEVATION 5 , 60 � f SYSTEM TYPE �'o n u c ✓� % o c. CONTOUR ELEVATION 99 a 6 , loo _ _ --- - - - - -- - -- V 0 tom' 0 s Goad SIGNATURE DATE / Z Maintenance and Contingency Plan for a Septic System 7 ,, Maintenance Plan 1. Septic Tank is to be pumped once every 3 years. 2. Effluent filter is to be cleaned once a year. Please note: a larger filter is being installed in order to extend the maintenance interval of the filter. 3. Once every 3 years, cells are to be inspected via the inspections pipes at the ends of the cells. 4. Owner agrees to limit greases, garbage, and water conditioner discharge into the system. 5. The owner agrees to save this plan. 6. Do not plant trees nor park nor drive over system. 7. Watershed is to be diverted away from system. 8. Discharge into system is not exceed those required as per Comm. 83 Contingency Plan 1. If system fails, determine cause of failure, use alternate area and install new system or install system at a lower elevation. 2. Replace any other failing components as needed. Plumber: Shaun Bird 715 - 246 -4516 St. Croix County Zoning 715 - 386 -4680 Pumper Tom Mondor 715 - 246 -5148 I Shaun Bird #226900 I ................ ........................................... ............... ..................... ............ --------- .. .......................................... ST CROIN H , rN' I 'I 7 TA7.14K MAINTENLA,NCF, AGPI-T, F N T SEPTIC M M41) 0%VTI CERITIFICATICDN FURNI c 0. V .... ..... ... — ;, 7 L . .... ..... Prop:. Ad, (Venfica•lon required firm Planning Department for new CA t y/ tatc Parcel Identification NurriN:r 0 � .2 /0 .2 FO-OD6 fO 3:7 (1-67 q0-2co (LD Prop,: - 1v 1,0 W, 'Town of `4 S ec- .1 . . ............ .. . ...... Cerililed y Nlm. H W P age age .. .. ....... snee louse 'Its l no Lot Unes ideritifiablemyes U no Iona your ur septic system could result in its premature IM lure to handle wastes. Proper nxa4l tenance consis'..; of puzlpb! out the $a) tank every ftee years of sooner, ifr needed by a iicensed vUMM. Vhat you pui; into tife, system can, at ::Ct the fill 1,,Trtan of the si:!Ptic tank as a treatment stage in the waste disposal system. The p: owner al: to submit to SL Croix Zoning Depaitruent a certification form.• signod by t4e.owner,itr A by a iui. sturictodplumbcr or a l•ccused system vaifying wat (1) the vu -site wastowatec dispos ji. �ystv is in a.; ,)per op to: ig condition and/or (2) after inspection and pumping • if necessary), the septic tank is less than 113 full of., titudge. 1 /we. ►c undei:si ri::I. have rea• the above requirements and agree to maintain the private sewage disposal system with tbr, "49adads lot fol heiib� set by the Department of Commerce and the Department of Nattu7LI kesomces State of 'Wisconsin. Cei. kcation sta*..n*LhAt your• st-.n i system teas been maintained. ust be completed and returned to the St. Crojx,County Zoning, Office.-i khin30 �A I E,' 47 q :TF1CiVVj.0N I (wC):o!,,oify that all Uatements on this form are true to the best of my (our) Icnowled2e. I (we) am (are) die ownor(A) of the pr-. .5erty dvwirii ►:md ab b y virtue ot'a warranty deed recorded in Register of Dee& Office D ATE Any infort that L: rnis�representcd may result in the sanitary poirnit being revoked by 'he Zoning Degamnea Xihw.ude Wi1.h applicsiti.;m: a stamped warranty dead from the Register Of Deeds Office A copy of the certified sw vey neap if reference is made in the weninri deed U 2187P 097 71'25tos7 3 • STATE BAR OF WISCONSIN FORM 11 - 1982 KATHLEEN H. WALSH REGISTER OF DEEDS LAND CONTRACT ST. CROIX Co., Wi Individual and Corporate (TO BE USED FOR ALL TRANSACTIONS WHERE OVER RECEIVED FOR RECORD 525,000 IS FINANCED AND IN OTHER NON - CONSUMER Document Number ACTTRANSACTIONS) 03/28/2003 02115PH LAND CONTRACT CONTRACT, by and between Guy D. Wilbur a/k/a Guy Wilbur, ( " Vendor ", EXOPT i whether one or more) and Jerry J. Dux and Jessica L. Dux, husband and wife, REC FEE: 13.00 as survivorship marital property, ( " Purchaser ", whether one or more). Vendor TRANS FEE: 146.10 sells and agrees to convey to Purchaser, upon the prompt and full performance of COPY FEE t this contract by Purchaser, the following property, together with the rents, profits, CC FEE: fixtures and other appurtenant interests (all called the "Property "), in St. Croix PAGES: 2 County, State of Wisconsin: Part of the NW 1/4 of the SW 1/4 and in part of the NE 1/4 of the SW 1/4 of Recording Area Section 19, T29N, RI 8W, described as follows: Lot 3 of Certified Survey Map Name and Return Address filed March 25, 2003 in Vol. "17 ", page 4484 as Document No. 714504. Ronald L. Slier VAN DYK, O'BOYLE & SILER, S.C. Post Office Box 118 New Richmond, W154017 Part of 042 - 1052 -80 -000 6 Part of 042 - 1052-90 -050 (Parcel Identification Number) The Purchaser shall not remove any trees from the property without the prior written consent of Vendor. The Purchaser may make improvements to the property, including, but not limited to, building a home, outbuildings, fence, pond, planting trees and landscaping. This is not homestead property. Purchaser agrees to purchase the Property and to pay to Vendor at 90180' Avenue, Roberts, WI 54023, the sum of $48,654.00 in the following manner: (a) $0.00 at the execution of this Contract; and (b) the balance of 548,654.00, together with interest from date hereof on the balance outstanding from time to time at the rate of 4.5 % percent per annum until paid in full, as follows: $246.52 per month, commencing on April 27, 2003 and continuing on the 27th day of each month thereafter until paid in full. Provided, however, the entire outstanding balance shall be paid in full on or before the 27th day of March, 2033 (the maturity date). Following any default in payment, interest shall accrue at the rate of 8.0% per annum on the entire amount in default (which shall include, without limitation, delinquent interest and, upon acceleration or maturity, the entire principal balance). Purchaser, unless excused by Vendor, agrees to pay monthly to Vendor amounts sufficient to pay reasonably anticipated annual taxes, special assessments, fire and required insurance premiums when due. To the extent received by Vendor, Vendor agrees to apply payments to these obligations when due. Such amounts received by the Vendor for payment of taxes, assessments and insurance will be deposited into an escrow fund or trustee account, but shall not bear interest unless otherwise required by law. Payments shall be applied first to interest on the unpaid balance at the rate specified and then to principal. Any amount may be prepaid without premium or fee upon principal at any time.- In the event of any prepayment, this contract shall not be treated as in default with respect to payment so long as the unpaid balance of principal, and interest (and in such case accruing interest from month to month shall be treated as unpaid principal) is less than the amount that said indebtedness would have been had the monthly payments been made as first specified above; provided that monthly payments shall be continued in the event of credit of any proceeds of insurance or condemnation, the condemned premises being thereallcr excluded herefrom. Purchaser states that Purchaser is satisfied with the title as shown by the title evidence submitted to Purchaser for examination except: None. Purchaser agrees to pay the cost of future title evidence. If title evidence is in the form of an abstract, it shall be retained by Vendor until the full purchase price is paid. Purchaser shall be entitled to take possession of the Property on closing. -Cross out one. LAND CONTRACT - Individual and State Bar of WI —a.in Corporate Form No. 11 -1982 INFORMATION PROFESSIONALS COMPANY FOND DU LAC, WI 800 -655 -2021 CERTIFIED SURVEY MAP OF THE NW1 4 OF THE LOCATED 1N PART I SW1 /4 AND IN PART OF THE NE1 /4 OF THE SW1 /4 OF SECTION 19, T29N, R18% TOWN OF WARREN, ST. CROIX COUNTY, WISCONSIN. PREPARED. FOR: SURVEYOR: GUY WILBUR DOUGLAS J. ZAHLER 901 8TH AVENUE S & N LAND SURVEYING, INC. ROBERTS, WI 54023 2920 ENLOE STREET APPROVED ST. CROIX COUNTY PfAn"fM 7M1M *rH P*dm f lIM- MAR 2 5 2003 If not radoroeo w trnn 30 days of SURVEYOR'S CERTIFICATE approval date approval shall be ni df and vold the d irection I, Douglas J. Zahler, Registered Wisconsin Land Surveyor, rel land located d by part of the of Guy Wilbur, I have surveyed, divided and mopped p Northeast Quarter of the Southwest Quarter and part of the Northwest Quarter of the Southwest Quarter of Section 19, .Township 29 North, Range 18 West, Town of Warren, St. Croix County, Wisconsin; described as follows: Commencing at the West Quarter corner of sold Section 19; thence along the east —west f 1110.74 feet to the northeast quarter line of said Section 19 S89'15'50 "E a distance o corner of Certified Survey Map Volume 15, Page 4245 and the point of beginning; thence along the east line of said Certified Survey Map S00'06'00 "E a distance of 1183.35 feet to the centerline of 80th Avenue; thence along said centerline S68'53'48 "E a distance of 70.79 feet; thence NOO'06'00 "W o distance of 547.99 feet; thence 589 "E a distance f 594.07 feet; thence NOO'06'00 "W a distance of 660.00 feet to said cos west oint of quarter line; thence along last said line N89'15 50 W a distanc the ° " e of 660.07 feet to p beginning. Containing 10.812 acres (470,956 square feet). Subject to the right— of —woy O 80th Avenue and subject to all other easements, restrictions and covenants of record. I also certify that this Certified Survey Map is a correct representation to scale of the exterior boundary surveyed and described; that I have fully compiled 'with the provisions of Chapter 236.34 of the Wisconsin Statutes and the Subdiivision Ordinance of St. Croix County and the Town of Warren in surveying and mopping sa Doug as J. chi r R 145 OF WfS Date S & N Lan Sur eying .,& y 2920 Enloe St. y DOUGLAS J. y Hudson, WI 54016 * ZAHLER 5 -2145 HUDSON, G WIS. y s uFN Each parcel shown on this s ubj e ct ccass toparc�el,netc.) Befoirelpurchasingcord . rules regulations (i.e., wetlands, mintmum developing any parcel contact the St. Croix County Zoning office and the Town of Warren for advise. THIS INSTRUMENT DRAFTED BY: BRIANA GEISSINGER SHEET 2 OF 2 SHEETS JOB NO. 6109 -02 DATE: 10/21/2002 REVISED: 03/2 t o. age a 44 4484 uq WARREN FLAT T -29 -N • R -18 -W _ I (Landowners) See Page 112 For AA idessd Naes. RICHMOND PAGE 48 E 1000 jinn a 1 .9 Game Units! \ HREE Clatmu $ Gall w HntB Club Inc KES Martln 40 ' sri ` w 65 Connie hac : 8 758 15 6 AVE u Maly Robert N Mueller rwt Derrick p .• w ` 67 158 7 275 oho • B. ! ! Louis 114th z 1 G a C at Judson Yesaon g & Jetmy AVE Thomas `eison s t $� . w Rolf 120 t �Se3m6 Maloney °$ s r r M m• n o ABma Donald rs a g � g tr "sr Greenfield a O 39 09 4o z16 2 39 a 180 154 318 2+0 xraea $ Fraods 110thiAVE 1 " ���... I � Land tr c ^ c 1 Kenneth & Dale & 110th AVE w m so s ss z 107th AVE - ,'T ,� Red 60 Herink Z F- ew Freaerkt -'yn Pamela I RHK - g M ." • Wesley & Farms so QQgaa 67 QD 54 ° • m 160 IJ64y 40 S 370 120 F N Inc I,idlosth 1 _ AVE s Raymond & Thomas • Farms ° t 104th us Selisld SuBwold ` Truesdill Inc AVEh v o •s 3 n, 4 142 9 ° 145 °„ 138 , • 5 200 r•nsm 150 160 160 470 160 f 15 ;°. • s a as avid & R • Walter J 100th AVE Bull , Girl h ST ' DO - °Ta 60 Kenneth Nechvilk VanBeek Scouts 15 a. u man na Frederick • ^r 80 80 5 �. I N Bloons AV \ ••[ tr Hem Tl�ia. m tr z32 x rt 1 s v 168 so V °t & = F & 3 G t 7 ° loan_ David & Land� ru Dea & T � B t Inc Corp rP lenvikr Tent al Holden n _In Leveritt a McKenna iNuetler � t. w Trust M . u Is 6 > m' - 1ac '^ 148 n 80 119 1 78 u s 344 :=C - O a i 24 150 160 1 12 240 316 z r ' ; 8 a r - s m s Tam 11 as 0 ro e — O wa IP r S .�M. � furlong — ; s 2 ar Z; 10 °' Rahi 3 - 2 F Walter a P1add Lando i S 6h 5 RF © a7 C Farms � g S m Company 158Th 148 1 Sj 11 s zs \_t39 160 78 IIC2 -.� 3Ca 79 fur onnenta G C 1 30th AVF y,u"a` r $o n 13z tr Fly G �a & G stye we r ,a3 pg'+ AE Prhnr Graham _ G zace & r .y 122 � _ � 8 � • fn0 7� 8 L w 3 u° n ° as 8 s c &L21 1 TT phiWp & 99th "� ti 2 pV m Orry lames & s Y s p Makr tl M O ' y' W & Muth �r—a 1 34 0 • o r i k 65 Ka min a w z Broome OConneR rust ste'nst are O 1 7 61 E d3 3 u 80 H 40 —s Mark m 239 59 Donald & 44 tr 70 307 H amlin 160 s..r C7 )aAo a Edk tr z r, 2 r IuUe s a RAnderson 4 b C East 98 n 4 $ t 40 164 '°1• TWIN s Smith Pechuman ry & y� P � R& S � LAKES a I! ' An o Paulta a j Reed s h g so ) L tr 39 I j - 85 160 143 W m 70th AVE a 187 so 9 � bs s y 4 r"" il.. •1 ilfeaald 45 Putt 1 � a —ar w• U f 3 & 73 zlq 94 LLC 87 Sonnentag Clara n / Dot Wes ALEX Richard & c t Family Pe o Farms S 40 LN n •�i. tr' a •+ G L Janet td Inc '" t Land 64t Stput. CD[11' SA ° sou, •a 11! •~+ Trans pounis. A Ho v 1a o . !t 99 z 115 160 223 tr 110 last 40 a Land 3z h ttoberta • STAR Andrew& a.a Cattle = Co sa tr • Brenda Strn Be etav EC ER A LN RRox Glenda rn 1 Tl p ri.•. Bray wwrs & � A a ,. LN es Am n Hansen •,s. Leovtr TM•- •_ Anne 1,.1d, tr II 92 ,$ m 9 xx • o c3 > SO r m Sy 176 sem. Butle550s � #� tr 126 a,.s - 194 •- tr 4 60th AVE KINNICRINMC PAGE IS 856A H. P.O. Box 1465 ROBERTS GROCERY Roberts, WI 54023 Phone 715- 749 -1718 MEATS - GROCERY - PRODUCE Fax 715 - 749 -1719 HOURS: Northl Surveying, Inc. Monday - Saturday 7:30 a.m. to 9:00 p.m. Boundary Surveys 4 Certified Survey Maps • Major Subdivisions 0 Topography Surveys Sunday 9'00 a.m. t 6 :00 p. Edwin Flamm Michael Erickson (715) 749 -3840 R.L.S. No. 2487 R.L.S. No. 2592 ROBERTS, WISCONSIN Ott 1 - IQr z_ Qo -abcI a48 _ 6Es9592 p,..' ICKAT LE 19 " x 4245 KATHEN" H. WALSH _ ` 0 - VA REGISTER OF DEEDS ST. CROIX CO. WI RECEIVED FOR RECdRD 01 -28 -2002 1:45 PM (n _ COPY FEE: 3.00 RECORDING FEE: 13.00 2 P AGES: 2 BEARINGS ARE REFERENCED TO THE C n EAST -WEST QUARTER LINE OF SECTION r 19, ASSUMED TO BEAR S89'15'50 "E rn I -' m � m O m / / L1 -- @o&- OLIV 1 I I O p ------------- ----- - ----------------- �/,� M �/� n �/7 n nc,7 - - - - - - - - - - - - - - - - - / -------- -------- ---- ------ ------- ------ ( I gal I 75 WEST LINE OF THE SW1 /4 > C 0 na ' N00 739.44' _ O , N 36.72` I 702.72' ° z IV m ` - �� 0 w w : cn z �� �l ^ All z i ILz r— t0� 0 0� pv Z m cnc� o -------- - - - - -- m o m - O r $ `4 f I ca m M v � O % -.,. r 1� m 42v /� �S9 1q I v _ z 330 2484 r o�� o „ - "I� � m � � O n m MA : 0 0 O m Olo m� v N v c O In I OD � I �, o C 1 7 o C N (A O /? AI 1 I m 0'n : 0 m < - C 344.22 0 IVV 1147.95 (Block Distance) Z / 35.40', - 8,82'f -e-R 839.13' � ? 0 S00 0 06'00 "E 1183.35' Z M[�]P�44CD ��nlD� `^ N C m ----------------------- ------------------------ 99 z 0 o D s s 0 o C \/ m CL m m C— cL c a) C m _ .c m a w D r1 Z r1 Z -1 p n a V1 x x o O m O m m O co C Nz-1 0C m z z - n * -' 00 �/ z Z N N z O N C7 o m c) o v a m� z rn ( CIO, � rn� N > WOO C rn CD --I O-� m o o r m o W N o°o° cn +i N O '''w m m C N r pC Z C) t1N U� N w p v o 0 .l 0 om � �o� r z rn z - v o Ju O ° O w° N O C P � aD Cn > ZrDN N ?� m � Div ZZ w ° : p W 0° ° i� - �C Zc D� 0 2 D ;011 rn, C N a) .5 v N X77 `5 C 10 r W U� N N N I*� p O jD oc� m �+ N D m Cr °r1 0 IV 1 1r oom 2C ZZN_N_ZON °��� 01 m ■■ N m �Z �� pp o o rn u ; rn'� ° °�° v ° N � w "A N D oA 6 6 M M N3 L4+ 4 m z 0 _ _ z OWM -' V WO 0 rT1 M (r p Vol.15 Page 4245 Wisconsin Department of Commerce SOIL EVALUATION REPORT Page _ of Division of Safety and Buiidrgs in accordance with Comm 86, Me. Adm. Cods County 5T. C12D \ Attach complete site plan on paper not lass than 8112 z 11 Inches In size. Plan must include, but not limped to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or di anslons, north arrow, and location and distance to nearest road. /B _� t: - rJZ ` S- Please print all information. D / a � lo Personal tnfoimation you provide may be used for secondary purposes (Privacy Law, a. 15.04 (1) (m)). Prop" Owner Location N� yy p- tt tG 5 W N R N A C, _-�12 1/4 5w 114 S t4 T z 4 N R 8 Property Owner's Meiling Address Lot 0 Block 0 Subd• N # d 7 qdi( $O +c \AV . Er -- -- PgJDtN& 7 6 City State Zip Code Phone Number Q City ❑ M lags Nearest Roa 0 s WZ Oz5 7 ►S ),7 9- 3715 W�iKKE1� �0 ction, New Constru Use: � Resldantlaf 1 Nlxnber of bedrooms � Code derived design flow rate — � __ GPD ❑ Repiscement Q Public or cornmercial - Describe: -- Parent material O LcT wA stj Flood Plain elevatl If apgN�q FD r — 8 General comments � ._ and recommendation: CONQE.MTIpk) Rt, TKef4CtAT -5 7 2002 <��' CGUNTY' a Bartng # n Boring �Oi'diN X. OFFICE Pit Ground surface elev. _ Q4.3� fl. Depth to limiting factor 7 in. Soil lication Rate Horizon Depth pominant Color Redox Description Texture Structure Consistence Boundary Roots GPDlfP in. Munse4 Qu. Sz. Cont. Color Or. Sz. Sh. 'E!f#1 'Eff#2 I D- b o — s l 1 mv�rr ea 3 _ o.� .8 2 -(0 o Y1� s,{ 2 sb 0,5- 0 'f 3 1015 to 412 S`i Zf abK Mkr Cs - .5 ,8 CW 141- 0 5 5 z4 -5s 10 I( IS _ jf-LS bK, my Iv m 0 IrZ 4 10 149 -- S OS m� ? �;'• q s 0 �,� — — o z 7 g4 -503 j 4 A ,5 J zo *s z -30 .� r+o�r 1+� s < taco t'vrp,1 u) s-tD F 2 7 -, Boring Boring # U 10 Pit Ground surface elev, q`�.�� n. Depth to limiting factor _� in. Soil App Ilplion Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /tf in. Munsell Qu. Sz. Cont. Color Gr. Sz, Sh. 'Etf#1 'Eff#2 g t t0 v2 r - e b 7, 3 IL I% joxOlz — std M- - b ;& 0.5 p,$ 4 Xic'�3 ~– t l -mab r C 5 Or 5 q Z - 0 , (K l5 -L-*K r w 50 -qti o Y s 0 _ o r oat, nVE 10q6 6 ji - 0 6 Effluent #i = BOO > 30 < 220 mg/L and TSS >30 < 150 mg(L ' Effluent IQ = BOD < 30 mg& and TSS < 30 mgt. CST Name (Please Print) nature � CST Nurtlber SL& ZZ AQU Z10 HOWsi < AA Address Date Evaluation Conducted Telephone Number W9%75 bolo IN AVE r pa M 'FAL S WT 540,22 10 -01-07— (_ ?t5 L42-6 -1'776 ► _r Property Owner _ 1 (� CakK Parcel ID 9 r - �l uD / N G� - -- Page Z of F Boring Pit Ground surface elev. q� - A� n. Depth to limiting factor __L =� In• t cation Rate Harizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots E GPDltt'E1fff2 in. MunseM Qu. Sz. Cont. Color or. Sz. Sh. t 6-7 0 j s ►1 z - 1Z 10 - 3 1Z.-Is O 1S -L �Io - 7 !.2 6 9e !� �+l (o QO - R10 OV 4 S 0S (•� Z5 0 2 M5 <JOF L /0 ofo Colt •) Boring p ❑ Boring to IIMII F &W yTON�• [] pit Ground satiate elay. —_ —, h. Depth 4 factor fin Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPOM •Eff#1 'Effti2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Boring ❑ Boring a Ground surface eiev. h. Depth to limiting factor in. ❑ pit Shc I1caUon Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDlf4 In. Munsell Qu. Sz. Cont. Color Gr, Sz. Sh. 'Effgt •Efttf2 Effluent #1 = BOD, > 30 _< 220 mp/L and TSS >30 _< ISO mg1L ' Effluent #2 = BOD < 30 mglL and TSS < 30 mgfL 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 -87 seD•r uo to cram) PAa•3ff °S NarEL) CPI 00� tin -Se�ys 1 q - Top of: 5 uct N 7 a" /UT W�S C QNS F- 50L OMNG W/ 8 NO XMM 83 5e1DAGK EM5 /o 'PKaPPo5r--n 20 ACRCS $2 5' 7 s GL 9 ap 4Z.sty 1 r Q6 4g.8ti' d -- a +1 w Z J W CfE1JC�.. �N� SSG •tR�1` � ���; 0� Q 51(.d10 Of A"AA W L�gk,3 PASS: 10 -01 ~02- APPROVED y ST. CROIX COUNTY " r r Planning ZeninO and Parks Committee / MAR 29.1 2003 VOL 17 g PAGE 4484 1 KATHLEEN H. WICS117 — If not recorded within 30 days or REGISTER OF DEEDS approval date app roval shnil ho. ST. CROIX CO. WI NO ran void RECEIVED FOR �tECORD CERTIFIED SU VEY M P 03/25/2003 03:95PM CERTIFIED SURVEY MAP LOCATED IN PART OF THE NW1 REC FEE: 13.00 SW1 4 AND IN PART OF THE 1 COPY FEE: 3.00 SW1 4 OF SECTION 19, T29N, R18W, TOWN OF PAGES: 2 WARREN. ST. CROIX COUNTY, WISCONSIN. PREPARED FOR: SURVEYOR: GUY WILBUR DOUGLAS J. ZAHLER 901 8TH AVENUE S & N LAND SURVEYING, INC. ROBERTS, WI 54023 2920 ENLOE STREET HUDSON, WI 54016 �� f16vJD� W 1/4 CORNER ^ V W wLJ u u v u�— E 1/4 CORNER SECTION 19 S89 5292.80' SECTION 19 EAST -WEST 1/4 LINE- ^ &', I V IiR 9.15'50 "E ^ ►t— 9 s'S0'W 1110.74' I N89 °i f 5'50 "W 660.07' +, 3s21.99' Z I ILOT3 m o �l I 10.812 ACRES w F 3 (470,956 SO. FT.) INC. R/W v • ° I 10.758 ACRES ' N -'� I (468.620 �. EXC. R/W r M - rn Z 120 Z C9 . P � crj o0 O O OI I W I Z O o S89 1 15'50 "E 594.07' , �6- °I.,'cn v b� 3I � !Q, O \ 0 z ss a of wis�oy o p �G'q a0� 0 MM DOUGLAS J. h ZAHLER Z S -2145 HU SON IS. LEGEND FOUND ALUMINUM COUNTY ? � T SECTION CORNER MONUMENT J FOUND 1" OUTSIDE DIAMETER SCALE IN FEET 1" 300' OUTSIDE DIAMETER 300 0 300 LONG IRON PIPE; NG 1.13 LBS. PER FOOT ( !: : ;EXYJS G FENCE LINE THIS INSTRUMENT DRAFTED BY: BRIANA GEISSINGER JOB NO. 6109 -02 DATE: 10/21/2002 REVISED 03/24/2003 SHEET 1 OF 2 SHEETS Vol. 17 Pege 4484 0 k f c ' © co� J % k c § i Q! § 2=0 / \r ƒ$\ w �a - \ { ® 1 q 7 / o c ¥ § § 7 ■ E § J B @ f c 00 ■ @ z > E § >� ; CL . 00 c�I 0 §7 Z ° § . \ Z- 000 \I 2 % § § l uo ■ ■ ■ ( > 2 E v o § _ c co z , & o 0 / ° % � § § . � g / k z } Q 2 � i. 17 z � m 0 rr ® 7 2 GO # 2 2«I 0) CD § �' 3 ! ° 2� �f£ §2 <o % \/ f� K /t g§ 2 E E E {a S §§ io dcu _a § @E \ i ƒE % q § � & 0 @ < t § -k E I: % APPROVED ST. CROIX COUNTY Planning Zoninq and Parks Committee 7 1 454 MAR 29, 2003 VOL 17 PAGE 4484 KATMXN H. WALSA -- If not recorded within 30 days of REGISTER OF DEEDS approval date app roval shall ST. CROIX CO. VI null and void RECEIVED FOR RECORD CERTIFIED SURVEY MAP 03/25/2003 03:45PH LOCATED IN PART OF THE NW1 /4 OF THE REC CER 13 MAP SW1 /4 AND IN PART OF THE NE1 /4 OF THE COPY FEE: 3.00 SW1 /4 OF SECTION 19, T29N, R18W, TOWN OF PAGES 2 WARREN, ST. CROIX COUNTY, WISCONSIN. p PREPARED FOR: SURVEYOR: I! r GUY WILBUR DOUGLAS J. ZAHLER SEP Z — 901 8TH AVENUE S & N LAND SURVEYING, INC. ROBERTS, WI 54023 2920 ENLOE STREET HUDSON, WI 54016 ST. CROIX COUNTY SURVEYOR'S RECORD UM CUXTI--4D dL W 1/4 CORNER l�J_l�l — � — - — — — — E 1/4 CORNER SECTION 19 S89 °1 5'50 "E 5292.80' SECTION 19 EAST -WEST 1/4 LINE S °15 "E 9 °15'50"W� 1110.74 N89 °15'50" W 660.07' +, 3521.99 Z � I LOT 3 °0 o O I 10.812 ACRES r O w F 3 ° I (470,956 S0. FT.) INC. RAN F 0 O 10.758 ACRES C0 V N O (A � a I (468,620,50. FT.) EXC. R/W 3: O r 00 I L0 0i zzi Q G' ` � a- `) 00 W x ° I Qo I °�' WPM �I�I T ° 0:< 0 I LIJ � z W C:) N N ° I o S89 °15'50 "E 594.07' a < N `� o l,�CC ° n W u') m W tj �0 Cl I 0 r r W Z ( Z Z , � I OF �S�o � DOUGLAS J. co ZAHLER S -2145 HU SON IS. LEGEND FOUND ALUMINUM COUNTY 3 . SECTION CORNER MONUMENT FOUND 1" OUTSIDE DIAMETER SCALE IN FEET 1" = 300 IRON PIPE , O SET 1" OUTSIDE DIAMETER 300 0 300 BY 18" LONG IRON PIPE, WEIGHING 1.13 LBS. PER LINEAR FOOT in EXISTING FENCE LINE THIS INSTRUMENT DRAFTED BY: BRIANA GEISSINGER Go JOB NO. 6109 -02 DATE: 10/21/2002 REVISED 03/24/2003 SHEET 1 OF 2 SHEETS Vol. 17 Page 4484