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042-1091-80-000
t� �r � r •� y �, r� k` ,•ir' „ 1 ' • ter ,.{:. r•r Y• �,` rJ ' 4 . + } .� ,� } 7i �"* t J$ y . . , r P. r � •f 7 +. � . .'1 i . #'... 1 . 1 ^ l !! "; .. i : JS . L S SJ .0 /x +/ } ,y ?�•l�a s ir •`rff o. A.;. 3a� 1 y�. r e. / .! �r .•y ' 3 r - 1 r r M ry 1, y �v 1. � z1 : 'i fA I �iJ j, .�kn. 3 ♦T• 1 � ; Y •. t.w` / ,' ;. , y j it .{� :e��'r' r'- ,>; *:. •� r � .'.fi 4.1 .1 -« .. • +.: • { F J3 1 / y � "'R r� rt f 1 i � I '�` 7 r 1 '..� t 7 , rlr � ,rry r�s ,�. ..- • tr r I }, lr r ' 'Ift 7 �� t� t � f tl,+ {� r � t r i • t y ,' r f . ' „ i , Y � " • '' ' "`r ti. + J 7�" / r l'�' 1 �� I. L' l I l t� }� � ; + � t�.i't.' � "! .r �� ��'�^ r (, Z • , ..j l r �i, l r t r t� y r� w` s�,f ' ii j e . z. 4n���, •' "l ;'' �,� ^.:� � � �, ' �.' -•t Y 'd f rr• s �' S 4 r t a r ,., I y fI �'r 1 f !. r !. A e J )f 4 <• .' r ".ta 1{ Y {'� <� r t i.d ri47' A ,�v ! / f rr 4''tr /; 1 r/ rT + w� r. �� l '. � y '� ,� (' � •'�. •. � 4 t ' "f�r r { i � ��: / dt t'}t t.: /tLti f O tt ,r +T'r .,rah, .:.�� rtr` t {' f fA��7 tl "'S �X�`. r iy, { y / �I.y� jvi„ w Y ft r A�I IV.• ��r.I / V�, , i't".�♦ I { �,;..� � ^. ♦ .1: /' �.�f /�!' bb .� •+� rry i . X •�, r �i I , � •� �1 �Ttr>f 32,rti �1, � � "'Sa �� J 4, Y !!'t.'. �,! 1 �. ' fl G. , tr"x J �•A, rd " J t ,,'• ' �., tl � le S t I; f t / ! / t�f�f'L "r� �v y �i I, l,l, io 3 , r.� �,, ,r � / „' { ^' t�� 3l ��rj f .< ~'r !rt f�,i s.'3jd ,' -' " ' i Y` .-i �• ��� � rr +l,,�t fir, Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Cr oix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 430253 0 (ATTACH TO PERMIT) GENERAL INFORMATION t 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: Bray, Brenda — -) f� I r � Warren Township 042 - 1091 -80 -000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: 1 0 0.0 T 32.29.18.505 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septi 1 Yew L. J /000 Be6M -- 106.0 Dosing � Alt. BM ti+ Aeration Bldg. Sewer J1.3 95,s Holding St/Ht Inlet (�.q TANK SETBACK INFORMATION St/Ht Outlet TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic q , 5 D / / �u( 1 h � - DtBottom Dosing t � � O r � Header /Man. i 9" y 9 465 1o3.90 Aeration Dist. Pipe ti (14y'-41 3.10 Holding Bot. System c � 3,W /0 3.0 Final Grade PUMP /SIPHON INFORMATION 4 y }. '15 I CI. - p 5 Manufacturer Demand St Cover GPM �T �I• O Model Number '1 4G 6 �, � «t TDH Lift a.y,� Friction L ss S�ste ead TD' ` Ft A. Forcemain Length , Dia. it D S I ABSORPTION SYSTEM B�BFfR�NB+I Width Length No. Of TfemdMs Ce L PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS I (� ' SETBACK SYSTEM TO Off+ P/L BLDG WELL LAKE /STREAM LEACHING Manufacturer: �v INFORMATION CHAMBER OR System: � 1 Type f S ti - 7 7 0 y'1oT ", .' i UNIT Number: DISTRIBUTION SYSTEM Header /Manifold Distribution x Hole Size �j x Hole Spacing Vent to Air In ta ' / g Pipe(s) � l/ Length Dia Length � V Dia • Sp ��I t� l . ��D '5'e SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded /Sodded T Mulched Bed/Trench Center Bed/Trench Edges Topsoil T_ No , Yeg '� „1 No Yes/r COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:01 /D /�� Inspection #2: `� / / �'; L l--L Location: 1041 65th Avenue Hudson, WI 54016 (NW 1/4 SW 1/4 32 T29N R18W) 40 acres Lot Parcel No: 32.29.18.505 6e ON L � 0 GLUE 1.) Alt BM Description = 2.) Bldg sewer length Y C - amount of cover Plan revision Required? Yes No �� 3G.. � V� �� �� •� __ _� ��� �L�� � _ __ Use other side for additional information. V SBD -6710 (R.3/97) Date Insepctor's Signature Cert. No. r Safety and Buildings Division County 201 W. Washington Ave., P.O. Box 7162 . C" E y- N iscons i n Madison, WI 53707 — 7162 Sanita Permit Number (to be filled in by Co.) Department of Commerce (608) 266 -3151 Sanitary Permit Application State Plan I.D. Number In accord with Comm 83.21, Wis. Adm. Code, personal information you provide g & b%e } = L - r" r. �D may be used for secondary purposes Privacy Law, sl5.04(1)(m) Project Address (if different than mailing address) I. Application Information — Please Print All Information O �' C `� Property Owner's Na me j Parcel # Lot # Block # - f Gverodd G. pr;�c L,/ t Property Owner's M ailing Address Property Location 72 m CitypSta e Zip Code Phone Number ; N �'A' s r 'V , Section (circle II. Type of Building (check all that apply) y o�# T �� N; R E 0& �¢� S wt• �11 or 2 Family Dwelling - Number of Bedrooms Subdivision Name CSM Number ❑ Public /Commercial - Describe e ❑ State Owned - Describe Use ❑City_ ❑Village WTownship of y ^ / III. Type of Permit: (Check only one box on line A. lComplete line 11 if applicable) © 2 .• !iltp "6� New System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System B. El Permit Renewal El Permit Revision ❑Change of ❑ List Previous Permit Number and Date Issued Permit Transfer to New \„ Before Expiration Plumber Owner IV. Type of POWTS System: (Check all that apply) .� ❑ Non - Pressurized In- Ground ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil At-Grade ❑ Single Pass Sand Filter ❑ Constructed Wetland ❑ Pressurized In- Ground ❑ Holding Tank ❑ Peat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter ❑ Leaching Chamber ❑ Drip Line ❑ Gravel -less PiW Pippher explain) v V. Dispersal/Treatment Area Information: too Design Flow (gpd) Design Soil Application Rate(gpdsf) ispersal Area Required (sf) Dispersal Area Proposed (sf) System (. D 504# 906 fez VI. Tank Info Capacity in Total Number Manufacturer Prefab St Fiber Plastic Gallons Gallons of Units Concrete Constructed Glass New Existing Tanks I Tanks Septic or Holding Tank Aerobic Treatment Unit Dosing Chamber , VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Na me (Print) P luJR1 Si gnature M lMPRS umber 7 Business Phone Number TANUIR 4 " A Q � mAa��_ A ",� � '� 0 Plumber's Addre ss (Street, City State, Zip C ) �Y A S ' � VIII. Count /Department Use Onl Approved ❑ Disapproved Sanitary Permit Fee includes Groundwater Date Issued sui Agent Signature g4o Stamps) ❑Owner Given Reason for Denial Surcharge Fee) 35D-- IX. Conditions of Approval /Reasons for Disapproval � C. Atta complete plans (to the County only) for the system on paper not less than 81/2 x 11 inches in size f SBD -6398 (R. 01/03) f - � ' T v • t v 1 • . - � r . a s, �,� _ • 1 ' •A{ .. • � i PLOT PLAN / Scale 1 "_ yD' Page of 7 �` 8►' 1 tH tL . L 00 , m' 0v g j j_ 3 F b1 A. PV e P 1 PF" tv/ 'LM - - -- dw1 If - Ez ,104.3 ' r y 3 , > 1 00' ��►�1 Std > r ti \\ °- 6S'or- � 3 ` \\ .`7 G i� ° 4 p 8-' 1�1 A x v11 4.0_ � 03S � i —r t s)-1-7E: NOTES: 1. Elevations shown are existing 2. Install 4" observation,pipesgwgthuad rovedtcans, unless otherwise noted. 3. Septic tank to be 1U / 6 S Ogallon capacity manufacturedr . 1,v1��L312 C(AJ C y �'ttiiLS' loua /bsa w P- 1500 Z "I RLT M 4. Bench mark S 5. Divert surface water around system to prevent pondin at the g uohi11__s Safety and Buildings .. 4003 N KINNEY COULEE RD LA CROSSE WI 54601 -1831 ' a a x TDD #: (608) 264 -8777 isconsin { - fi I www•commerce.state.wi.us /sb Department of Commerce www•wisconsin.gov r oL y Jim Doyle, Governor Cory L. Nettles, Secretary July 17, 2003 CUST ID No.267341 A7TN. POWTS Inspector ARTHUR L WEGERER ZONING OFFICE WEGERER SOIL TESTING & DESIGN SERVICE ST CROIX COUNTY SPIA PO BOX 74 1101 CARMICHAEL RD RIVER FALLS WI 54022 HUDSON WI 54016 CONDITIONAL APPROVAL Identification Numbers PLAN APPROVAL EXPIRES: 07/17/2005 Transaction ID No. 886807 SITE • Site ID No. 661991 Gerald Driscoll Please refer to both identification numbers,; 65TH Ave above, in all correspondence with the agency. Town of Warren St Croix County NW1 /4, SETA, S32, T29N, R18W FOR: Description: Three Bedroom At -Grade System Object Type: POWT System Regulated Object ID No.: 912047 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in CoIr(fi' chapter 101.01 10 Wisconsin Statutes is responsible for compliance with all code ( ), requirements. P P q The following conditions shall be met during construction or installation and prior to occupancy or use: APPA DE TM; - *NT+ OF General Approval Requirements: SEE CORREl • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Private Onsite Wastewater Systems VERSION 2.0" SBD- 10691 -P (N.01 101) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems VERSION 2.0" SBD - 10706 -P (N.01101). • Per manual cited above, limited activities are allowed in the area 15 feet down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption area. chs. NR 811 & 812c • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stat • Comm 83.22(7) A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. ARTHUR L WEGERER Page 2 7/17/03 • The changes made to this plan on 7/17/03 by this reviewer were acknowledged and approved by the system designer. Owner Responsibilities: • Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS O TS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • Comm 83.55 The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 Charles L Bratz POWTS Reviewer II , Integrated Services WiSMART code: 7633 (608)789 -7893 , 7:45 am - 4:30 pm Monday - Friday cbratz @commerce. state.wi.us cc: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544 RECEIVED TITLE SHEET Page of JUL - 2 43 AT -GRADE SYSTEM NFETY & BLDUS DIU. FOR A 3 BEDROOM RESIDENCE This plan has been prepared in accordance with the At -Grade Component Manual SBD- 10570 -P and the Pressure Distribution Manual SBD- 10573 -P C2. LOCATED IN THE ►Jw 1 /4 OF THE S E 1/4 OF SECTION 3 l T Z9 N, R 1 8 W, TOWN OF L/` 1's , S1'. CVL�J IY, COUNTY, WISCONSIN. INDEX PAGE 1 of 7 TITLE SHEET PAGE 2 Of 7 SYSTEM MANAGEMENT PLAN PAGE 3 of 7 PLOT PLAN PAGE 4 of 7 PLAN VIEW -CROSS SECTION PAGE 5 of 7 DISTRIBUTION PIPE LAYOUT PAGE 6 of 7 PUMPING CHAMBER CROSS SECTION PAGE 7 of 7 PUMP PERFORMANCE CURVE PREPARED FOR 6 . �Z1.S CULL 1 aZ E. 1�LGNwY�t l2 __ OVER C MMERCE S PREPARED BY ' 'PDND�NC WEGEF�,EFZ SC1 I L . TEST S NG AND. DES I GiV S1=F:ZV I CE P.O. Box 74 421 N.?Iain St. River Falls, WI 54022 Phone 715 - 425 -0165 C0)V'q Fax 715- 425 - 6864•' `• r j ?,4j FHER 14 t o, rw, Nt x_30_ ` JOB NO. 03��' At -grade System'Management Plan Z T Pursuant to Comm 83.54, Wis.Adm. Code Page of Septic Tank tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the The septic septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be daared as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the fitter when removed from its enc!csure.. If the filter is equipped with an alarm �_ the alarm is activated c ll be servi d if antinucusiy the filter s ,a. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 113 the liquid volume of the tank. If the contents of the tank are not removed. at the time of a triennial assess the'tank. The when the next service needs ment, maintenance personnel shall advise the tank to be performed to maintain less than maximum scum and sludge accumulation in e addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce, Safety and Buildings Division. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps sh all verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary &d to At- rade Component and Pressure Distribution S stem be .trees around shrubs should be planted or allowed to grow on the component. plantings may be made around the perimeter and the component shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the component is not allowed. Cold weather install- ations require the component to be heavily mulched for frost protection. Influent quality into the at -grade system may not exceed 220mg /L BODS, 150 mg /L TSS and 30 mg /L FOG. Influent flow may not exceed the maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a 8ushin a _ Later! be flushed of 2cc solids at least once every 18�months. When a pressure is performed it should be eech Compared to the initial test when the system was installed to determine if orifice dogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be for effluent ponding. Ponding levels should be reported to the owner and any levels above 4 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring in accordance with 83.52 (2). General This system shall be operated in accordance with Comm '82 -84 Wis.Adm.Code and shall be maintained in accordance with it!s component manual SBD 10510- P /99) local and state rules pertaining to system maintenance and maintenance reporting.. No one should ever enter a septic or pump tank since dangerous gases may be present that Could ruse death. Septic and PU tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as FOWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. - Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8- inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into a tank or Component. Ccntin end Plan' If the septic tank or - - - -- - any of its Components become defective the tank or component shall be repaired or repiac_ad to keep the ' s in proper operating condition. . if the dosing tank, Pump, pump Controls, alarm or related wiring becomes defective the defective component shall be immediately repaired or replaced with a component of the same or equal performance. If the at -grads component fails to accept was[evater oo begins - to discEarge vas tevater to the ground surface, it may be necessary to install an aerobic pre- treatment unit or - replace the component. Additional site and sail may need to be done and additional plans may* need to be prepared and approved by the Department of Commerce, Safety and Buildings Division. . Questions about the operation or maintenance of this system should be directed to: The County Zoning Office at ��� - -680 S1'_ v LI�O�X The system installer at 1 1 S - q ZS - coq $8 Lv G The tank manufacturer at The effluent filter'manufacturer at C�) ZZf - S7 ( 4 Z 6 aO- PLOT PLAN Scale 1 "= H w Page _1 0f 8►^'l l r L)o,(D'(>j 9 �c�L_,31VYNA, PV0 Pr PE rvl Lf - - -- awt tZ - Cat, 100 3 > lOp' r 'iz4►� Sly o � \ O - 6S or tJ h v� T /UO r�o T 1D s �%tt t L �o s ME: � 1 F NOTES: 1. Elevations shown are existing ground elevations unless otherwise noted. 2. Install 4" observation pipes with approved caps. ( Z required). 3. Septic tank to be 11 ) 0 01bS Ogallon capacity manufactured by �l��1 CtAJ C��-�yw�C' lo�a /6SD MQ�y" / 69 1S3vD Z -�3�.- �1L� 4. Bench mark S. V 5. Divert surface water around system to prevent ponding at the uphill side. - -- -.t Page 0f L _ 5' > B > 5' > 5 1 r 2' Al -7 1_ o _•__ _ _ o _ 5 1/68 I I/6 B A= 1 Feet B= 0 \O Feet -- L= lO p Feet Linear Loading Rate = S GPD /LN FT Design Loading Rate = O• S GPD /SQ FT W= ZZ Feet Fabric I /zK "Z %z 11 -- Distribution Lateral • ��2t sr�� ���, . _ 1 � 3 . S Observation Soil Cover Well �� 12 /� i � I >5 A � : >5 , Plan View and Cross Section of Wisconsin At -grade Unit Vith a Single AbsorPtion Area on a Sloping Site . _ - Combination Sep4c: and / - PUMP CHAMBER CROSS SECTIOM ARID SPECIFICATIOMS ' PAGE p OF •VCLIT CAP WEATHER PROOF JUIJCTIOIJ BOX . 'i C.I. VEMT PIPE APPROVED LOCKING 110 - FROM ODOR. AA JHOLE COVER MJIV - hwowOR FRESH wAptJIUG LNV;L.. ti'l'3 � ar AJP IIJTAKE cor.�DutT w �H•tCL1� s ty n.n•p t i O G �tD E ' � — — �E• 1 e• Mlu. INLET i" PROVIDE - -_- •• AtRTiGHT SEAL Approved H�a � A I Approved joint �,T / -1g�0 I�' joi nt w/ ALP,RM PVC PVC pipe Is �I II pi � I C i Ow CLI- Y. 0�'1'r) D FT PUMP -� OFF p C OUCKETE LZL�V , q 6- ID C) CLOCK RIS EXIT PERMITTED O1JLy IF TANK MANUFACTURCR Hq5 SUCH APPROVAL J 3"APPR%>"C t rv4 SEPTIC F SPEC.IFICATIOUS DOSE TANK MA►JUFACTURCR: W �� / Cu�1L 1ZC�T IJUMbER OF DOSES: . PER DA TAMK 5AZC : LP lq�n ! L S� GALLOIJS DOSE VOLUME r ,". ALARM MAIJUFACTURER: S.S iZ�iZ SKI IAICLUDIMG 6ACKFLOW: l� Z GALLONS MODEL ►DUMBER: CAPACITIES: A- 0 6 • � UJCHES OR 3 GALLOws SWITCH TtIPC: e1 Z 8= _ 2 - IIJCHES OR 3 G�LLOUS PUMP MAMUFACTURER: GG � -t S r WCHES OR � GALLONS MODEL QUABER: —�� D = 1 Z INCHES OR ZU� GALLONS SWITCH TYPE: MOTE: PUMP A*1p ALgRM qR TO pE MIMIMUM DISCHARGE RATE 3 p' 3 �O GPM INSTALLED ON SEPARATE CIRCUITS r 1/ERTICAL DIFFEfLEJJCE DETWCEU PUMP OFF AUO.,DISTRIBUTION PIPE.. 6' S0 FEET + MIIJIMUM M ETWORK SUPPLY PKESSSURE , ; , , C. 3..Z.S B EET + FEET OF FORCE MAIN X 1` 9 F � 22:j:�- / 'E goo FtFRiCTIO►1 FACTOR.. FEET 4' TOTAL D!JUAMIC. HEAD I .FEET (fiJ As per Manufacturer �� -O gal /in. Liquid depth 3Fs GouldsE - Submersible Effluent Pump 3871 EPO4 y• EP05 APPLICATIONS • Fasteners: 300 series • Fully submerged in high ■ Motor Housing: Cast iron Specifically designed for the stainless steel. grade turbine oil for for efficient heat transfer, following uses: • Capable of running lubrication and efficient strength, and durability. • Effluent systems dry without damage to heat transfer. ■ Motor Cover. Thermoplas- • Homes components. tic cover with integral handle Motor: Available for automatic and • Farms manual operation. Automatic and float switch attachment • Heavy duty sump • EPO4 Single phase: 0.4 HP, models include Mechanical points. • Water transfer 115 230 V, Hz, 1550 Float Switch assembled and ■ Power Cable: Severe duty • Dewatering RPM, , built in overload with automatic reset. preset at the factory. rated oil and water resistant. • EP05 Single phase: 0.5 HP, ■ Bearings: Upper and lower SPECIFICATIONS 115 V, 60 Hz, 1550 RPM, FEATURES heavy duty ball bearing Pump: EPO4' built in overload with ■ EPO4 Impeller: Thermo- construction. • Solids handling capability: automatic reset. 3 /4' maximum. • Power cord: 10 foot Plastic Semi -open design AGENCY LISTING with pump out vanes for • Capacities: up to 55 GPM. standard length, 16/3 SJTO mechanical seal protection. SP Canadian standardsAssociation l • Total heads: up to 24 feet. with three prong grounding _ • Discharge size: 1 1 12" NPT. plug. Optional 20 foot ■ EP05 Impeller: Thermo - g • Mechanical seal: carbon- length, 16/3 SJTW with plastic enclosed design for (CSA listed model numbers performance. end in F" or AC .) rotary/ceramic - stationary, three prong grounding plug improved p BUNA -N elastomers. (standard on EP05). ■ Casing and Base: Rugged • Temperature: thermoplastic design provides 104 °F (40 °C) continuous superior strength and 140 °F (60 °C) intermittent. corrosion resistance. • Fasteners: 300 series METERS FEET stainless steel. 10 • Capable of running dry without damage to s 30 ! ! ` L = components. I , Pump: EP05 a 25 • Solids handling ' ' 9 capability: 3 /V maximum. W • Capacities: up to 60 GPM. s 20 I • Total heads: up to 31 feet. • Discharge size: 1 NPT. a _ • Mechanical seal: carbon- c s 1s i ' ! rotary/ceramic - stationary, J. BUNA -N elastomers. 4 • Temperature: 3 10 104 °F (40 °C) continuous I _ 140 °F (60 °C) intermittent. 2 5 3 .36 0 00 10 20 30 40 5o GPM 0 2 4 s s 10 12 m-/h CAPACITY ©1995 Goulds Pumps, Inc. CppM:Vp .I2V. !CCG Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 'I of 3 Division of Safety and Buildings ' in accordance with Comm 85, Wis. Adm. Code County Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. y Z - 1 - W _ 0 O O Please print all information Re 'wed by D Personal information you provide may be used ors i LEG�+�E ���� nn TY1tlh� V(EDy Law, . 15.04 (1) (m)). Z Property Owner roperty Location MAY 0 5 2003 K V 1/4 St, 114 S T Z9 N R 18 E(orcw) Property Owner's Mailing Address of # Block # Su A. Name or CSM# Sol ST. CROIX COUNTY _ — City State Zip Code ❑ City []Village [M Town Nearest Road 1�'v�JSc,J wl SLIDI IeL - w 2 6S T* Alie - a New Construction Use: ® Residential / Number of bedrooms Code derived design flow rate L4 S GPD ❑ Replacement Public or commercial - Describe: Parent material LOL'L'S ! 7n LL / 0 y1"' Flood Plain elevation if applicable ly ft General comments _ and recommendations: E S p � jam/ 10'y- D l] lSTlZ1 alr - 0 01J 0- L D lS�zl3��o+v Pl pF � . L a 3.5 51 Boring # ❑ Boring L ® Pit Ground surface elev. 1 S-� ft. Depth to limiting factor s Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. I •Eff#1 •Eff#2 I o -11 %-1tZ313 — Si I Z` 3bkz aV") I 1-4 ,S .'B Z 11 -1 1O1-l(2 -31(0 St 1 Z F rn C w [77 t • S .0 3 Z-) -y - 2 S` t (2 31 Y - s I 3rn lvl v `�- ew - -5 , S LAS -b3 - 1, rL1 it 3 s l - L o ►� n 1 U'�1- - . 3 5 F-2-1 Boring Boring # ® pit Ground surface elev. ` 7 ft. Depth to limiting factor 6 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft In. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. 'Eff#1 'Eff#2 o -9 LO`i fZ 31-L S i l 2 'F b X11 �w z�' S .8 Z 4 -3k( 3L (o — S 1 1 Z S10 Vr) ekl S - 3L y y,9 Sq -51 2jr _ Gr- s 1 es bvz- vn u- Ll , S -$'`f � -J - `23 1 — S�f 6V- v g9 ►v1) c S -, ,� �, z �q ct w -t szY/ — s dw, My Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L . CST Name (Please Print) Signa CST Number Arthur L: 'Wegerer HZ . . C 3 - S �, 220254 Address W e g e r e r Soil Testing & Design Service Date Evaluation Conducted Telephone Number 421 N. Main St. River Falls, WI 54022 Y_ ZZ- 0 3 715 -425 -0165 4 Property Owner )Z� 1 Parcel ID # �l Z U� `�' V On Pa Z of 3 Boring # r ❑Ty Boring Ld7 Pit Ground surface elev. ft. Depth to limiting factor 3 9 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 `Eff#2 D —8 10 ! 2 3 ! z- l b l o t al b S I Z�F sb l - Gov y� 3q -69 to�-cR sl b -P l'� � -S `�2 S�� � o h-t v'�H - •3 , S ' S S` I F] Boring It ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 `Eff#2 .J ❑ Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 `Eff#2 Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg /L ` Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608 -266 -3151 or TTY 608 -264 -8777. SBD -8330 (R.N00) PLOT PLAN Pacye 3 of J CD Scale l 4,1 u0 .m g`�i�'�t�, 3 eve PIPE tvl - - - -- OL, 100 7 100 � t Sly, �0 r I o � •_�-� ��\ �\\ goo' s.3 v � \ �,� 1i �►ti ti �Gr �l 0 0 AV 0 6s -�L, • sue vi s)T-E t r 01 3 ►,� f C am. L4 715 - 425 - 0165 220254 - - -- �3 S� CST Signature Date Telephone Into. CST No. Job NO. ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer �, S C�J ( �f Am Mailing Address / Property Address (V rification required from Planning Department for new construction) o p- /09/ - 3v J 0 - /1)q /- ao City /State �� I Parcel Identification Number a — iU91- 9 S' LEGAL DESCRIPTION Pro Location O V4, S�f%, Sec. T -R ,W, Town Of PAY Subdivision . Lot # �~ Certified Survey Map # Volume q, , Page # Warranty Deed # !f � � C Volume / Page # 3 � Spec house ❑ yes ❑ no Lot lines identifiable ❑ yes ❑ no SYSTEM MAINTENANCE Improper use and maintenanceof your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a li pumper verifying that (1) the on -site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin' Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 ys of the three year expira ' date. J� z - / /(/ ✓ SIGNATURE OF APPLICANT DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of e p descri d above, b virtue of a warranty deed recorded in Register of Deeds Office. AT zAA �� I l lb� L4A SIGNATURE OF APPLICANT DATE * * * * ** Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. * * * * ** ** Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed 12- VOL 1,991. PAG[`3.]n azs'ca KT 5 EN 94`715 STATE BAR OF WISCONSIN FORM 2 — 1982 REGISTER OF DEEDS WARRANTY DEED ST. CROIX CO., WI DOCUMENT No. RECEIVED FOR RECORD - '-- '•-- 12-30 -1996 8:00 AM David C . Olson WARRANTY DEED EXEMPT 1 CERT COPY FEE: COPY FEE: , ys Brenda J. y, a s n g a RECORDING 1200 conve and warrants to person, Bra PAGES: 2 THI SPACE R ESERVED FOR R DATA the following described real estate in NAME AND RETURN ADDRESS St r County, l 0.� �k State of Wisconsin: PC ygb 042- 1��5f5 4rUgT =B�` 0 42- 1091 -95 1 PARCEL IDENTIFICATION NUMBER The NE1 /4 of the SWl /4, Section 32, Township 29 North, Range 18 West; and the NW1 /4 of the SE1 /4, Section 32, Township 29 North, Range 18 West; and also a parcel of land 66 feet in width located in the W1 /2 of the SE1/4 of the NWl /4, Section 32, Township 29 North, Range 18 West, Town of Warren, St. Croix County, Wisconsin, being further described as follows: Commencing at the W1/4 corner of Section 32; thence Northerly at an assumed bearing of due North along the Section line 473.00 feet; thence N81 along the centerline of an existing Town Road 1525.00 feet; thence N84 along said centerline 411.21 feet to the point of beginning; 9 innin g, thence continuing N84 27 , E 66.29 feet; thence S0 740.74 feet to the East -West quarter line of Section 32; thence N89 along said quarter line 66.00 feet; thence N0 734.14 feet to the point of beginning EXCEPT the Northerly 33 feet. which is being used for roadway purposes. This is not homestead property. X%XX (Is not) Excepaontowarranties: Easements, restrictions and rights -of -way of record, if any. Dated this __ —__ day of December , A.D.• 19 9 8 (SEAL) (SEAL) 4d. sWITNESS (SEAL) 'e�' (SEAL) Ait AUTHENTICATION ACKNOWLEDGMENT Signatures) David C. Olson State of Wisconsin, avthe VOL aa 2`391 P ACE�3 4� a l y l came oetare me tnrs y or December , 19 , the above named Da C. Olson • Kristin Oaland TITLE: MEMBER STATE BAR OF WISCONSIN (11 not, authorized by §706.06, Wis. Stats.) to me known to be the person who executed the foregoing instrument and acknowkd the same. in THIS INSTRUMENT WAS DRAFTED BY Atto rneylKrist in a Ogland Hudson, WI 54016' (Signatures may be authenticated or acknowledged. Both are not i necessary.) • Names of persons signing In any capacity should be typed or printed below their sigtutures. WARRANTY DEED STATE BAR OF WISCONSIN vwlaeorsh X4941 ew*Co.. k= Form No. 2 — 1984 , wwr. Parcel #: 042 - 1091 -40 -300 07/31/2007 11:26 AM PAGE 1 OF 1 Alt. Parcel #: 32.29.18.501 D 042 - TOWN OF WARREN Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner O - BRAY, BRENDA J BRENDA J BRAY 1041 65TH AVE ROBERTS WI 54023 Districts: SC = School SP = Special Property Address(es): " = Primary Type Dist # Description SC 2422 ST CROIX CENTRAL SP 1700 WITC Legal Description: Acres: 13.310 Plat: N/A -NOT AVAILABLE SEC 32 T29N R18W PT NW SW BEING LOT 3 Block/Condo Bldg: CSM 11/3191 13.31AC Tract(s): (Sec- Twn -Rng 401/4 1601/4) 32- 29N -18W Notes: Parcel History: Date Doc # Vol /Page Type 03/31 /2003 715311 2189/238 WD 09/15/1998 587115 1357/238 ALC 07/23/1997 1211/559 LC 07/15/1997 1251/403 LC more... 2007 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 10/23/2001 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 13.310 72,700 0 72,700 NO Totals for 2007: General Property 13.310 72,700 0 72,700 Woodland 0.000 0 0 Totals for 2006: General Property 13.310 72,700 0 72,700 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 ' Wisconsin Department of Industry SOIL AND SITE EVALUATION REPORT Page of =[' Labor and Human Relations Division of Safety & Buildings in accord with ILHR 83.05, Wis. P�Cl _ COUNTY Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. PI#tn mclu a , but not limited to vertical and horizontal reference point (BM), direction and % oft$b�9Q�`i' EL I.D. # dimensioned, north arrow, and location and distance to nearest road. - ( } ` 07 APPLICANT INFORMATION- PLEASE RINT ALL INFO$M n TIOi '' D BY DATE a cw� cc �� PROP RTY WNER: / / PROPERTY �pGA18N C? 6 _5a Al $f3VT. LOT " ..!1/4 1 T a9 ,N,R l c� ) W PROPERTY OWNER':S MAILING ADDRE .. L*Oc # S OR CSM # CITY, ST TE ZIP CODE PHONE NUMBER ❑CITY` LA V" WN NEAREST ROAD vc� OI'1 �� S o� ( � DS D m [� New Construction Use Residential / Number of bedrooms °� [ ] Addition to existing building j ] Replacement [ ] Public or commercial describe Code derived daily flow 00 gpd Recommended design loading rate ed, gpd/ft - g trench, gpd/ft Absorption area required P - 2`5 bed, ft 50 trench, ft fvla�dmum desig loading rate . 7 bed, gpd/ft &_ trench, gpd/ft Recommended infiltration surface elevations Oft ttt� (as referred to site plan benchmark) a Additional design /site considerations flu Parent material e 10e ZZ Flood plain elevation, if applicable ft S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE I AT-GRADE SYSTEM IN FILL HOLDING TANK U =Unsuitable fors stem ®S ❑ U .®S ❑ U OS ❑ U aS ❑ U ❑ S n u ❑ S �U SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Structure GPD /ft Boring # Horizon Texture Consistence Boundary Roots in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trench max 1 D- /O 31-R iC m J�'I Fit �S 3 • 5^ . �o Ground 3 2 , e �'�� s I sd� Intl F 2 C vT ? - 8 elev. eft. hl> Depth to limiting factor f�rvt4 ro U er °Slat 7-L-L Remarks: Cl rCLk Boring # S elev. Ground 31- z�' ,� s % f 5Z4 Depth to / X17 - 0 o /? s" S /n s m limiting /U e .S 0 do p factor cCas� ral l°(S' 65 U A 0 i aly Remarks: , . CST Name Print—" Phone: S - A ddress: �� )) ��. Signature: / K.L Date`. CST Nurg b �,� t PROPERTY OWNER SOIL DESCRIPTION REPORT Page of PARCEL I .D.# O Ya - /09/ -VQ Depth Dominant Color Mottles Texture Structure Consistence Boun I Roots GPD /ft - Boring # Horizon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. dary Bed tench o 10,ve 31.2 Ground 3 f/ -3? , 5 S/ elev. 7 (� S 5 5� , s 0 tb IW ft. �- , Depth to J Q SA S O !yJ limiting -. factor i S Remarks: (j 7 M/ Boring # . �i2 m. m Fe �s 3f 8 /o /� s/� �k m X12 �S -3 3 / V k CS a 7. Ground elev. _ /o Q s p S /DD ft. - Depth to 51 L a o a � limiting - factor Remarks: r Boring # 3�a .� m r 1'x'1 #2 37F , S �� a g -.a o 2 �/ Cry s,L r,.. sbk f�► .�i2 -� . s s � Se/ Msbk �F' � i Grou V fL 3 S 7 te - S Y 5 y�� 3 S� O r► r►1 - � S — . 3 Depth to ,�/.3�- limiting � � /D (j /L s :5q , factor Remarks: f � A Boring # Ground 5,6, elev. ft. . Depth to limiting . - factor Z . SB Remarks: SBD- 8330(R.05/92) 3 En f ' Q—; �-- rVI In � ul " O! J- o � SZ: Q)i 4 ca a i 00 0 - Ott 010 Q I 0 YlJ1 � u t i Wisconsin Department of Industry, S AND S I "f - F- F �� "• l_ O AT I ,_ t I H E P (. J t j i Page � Of / Labor and Human Relations - -- Division of Safety & Buildings a co ,i , In 4r'ord v ii iLr; '3.Oi, `�Vis. r�.cir ` •rin C .5 _ G COUNTY 'Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan mu- elude, but not limited to vertical and horizontal reference point (BM), direction and % of slope, scale cr PARCEL I.D. dimensioned, north arrow, and location and distance to nearest road. 6 - APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROP WNER: / / PROPERTY LOCATION i ✓c" O/'�] /J �b / �L,(�lt = GOVT. LOT y1 /4,5 T_�9. N,R I0 )"v PROPERTY OWNER':S MAILING ADDRESS j LOT # BLO T SUBD. NAME OR CSM # 16 1 , 12 .5& . CITY, STATE / ZIP CODE PHONE NUMBER [ []VILLAGE ZTOWN NEAREST ROAD (� New Construction Use ( Residential / Number of bedrooms Addition to existing building j J Replacement (j Public or commercial describe Code derived daily flow 1 gpd . Recommended design loading rate _gi bed, gpd/ft _8 trench, gpd/ft Absorption area required P-25_ bed, ft 7 trench, ft Maximum desig loading rate _ . bed, gpd /ft -8 trench, gpd/ft Recommended infiltration surface elevations o J (as referred to site plan benchmark) Additional design / site considerations '� r1a e Sri <. n Sv "�� 7?di�/ Farent material ��< <' /a A l Or91/40e2 s) Flood plain elevation, if applicable ft S = Suitable for system CONVENTIONAL I MOUND IN- GROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING TAt ;{ U = Unsuitable fors stem ®S ❑ U INS ❑ U [H�S ❑ U CAS ❑ U ❑ S 3U ❑ S ® U SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Structure 1 2curXJay Roots I GPDdt 3oring # Horizon in. Munsell C)u. Sz. Cont. Color Texture Gr. Sz Sh. Consistence tence Bed �T Ar Ground 3 � , Q S�� �-S I s6� 1�'JtJ F/z es t/ 7 - 8 elev. fit. /p 2 z — Depth to limiting l factor LTE _ qLrm . U( * I _ Remarks: t , 1 �0 -- Boring # d' �07 /� a /Yr J Le /7 -S 7 S elev. Ground 3 - f Depth to limiting �/*'� �U Q .S U Co factor co 6 5 - -l o � U,e� n AL /' o � adz Remarks: 07 ,- , CST Name _ Please Pri ` O � L Phone: A ddress: Signature: /, / c A1 17, - Date: CST Number, PROPERTY OWNER r' !�T �lR ___r. SOIL DESCRIP - rioN REPO. Page _1___of_____ PARCEL I.D. Depth Dominant Color Mottles Texture Structure Consistence Barbary Roots G p Boring # Horizon Sz. Cont Color ter. Sz. Sh. Bed ITTf m. Munsell IQU. Ground 3 y —,3? . S S Co S elm-- - Depth to 3 J! � - Q S� � S U /YJ -- limiting , factor q ra S - a a VVI S IXq Remarks: _ - Boring # l �1f Q F P C.S 13� s _ ......... bu- a 8 °a� 10 .5�� � 5, "L. ►N .�k m � 12 � b F � . 3 3 / Q S o co m L CS 2 Ground w0 ft - Depth to limiting factor r Remarks: -- Boring # Ground elev. 1 0t2. 'ft. Depth to // , / . limiting (� 7 '/0 O 2 S s o factor ja t 9�� Remarks: ''� i '� o Boring # 1 �/ ;s Ground 5;B, S elev. - -- s, Depth to limiting -- factor SB Remarks: �. to aT c o tj V, �- w Y - I CQ — m �-� 00 Q 0 a cy- m NcN wa o g PCQ it - t�d�Obt� �co D �o [AFC 19 1996 � FILE D EC 0 3 1996 10, -' ST. CROIX COUNTY ' KATHLEEN H. bVAISH 552833 SURVEYOR'S RECORD Register of Deeds St Croix Co., WI This instrument drafted by Michael Erickson Job No. 96 -88 \ CERTIFIED SURVEY MAP -- Located in part of the SWJ of the NW* and in Part of the NWi of the SWJ, all in Section 32, T29N, R18W, Town of Warren, St. Croix County, Wisconsin. lZC I NW Corner LOT I LOT 2 1r-� Section 32 C.S.M. VCL. 8, PG-2217 N — _ (g81 ° ��0.341 w 3 !� 1 ENE ° nE 1330. 611.90'�MARKPipe I s AV Z '°•, 65 T =� 81 12 �� 611.9 icF Iron _ 5.5' �� El ev . = 'r 1297- 2 97 .00' 997..45. • • M " o At N� L M N 685. o o M BENCHMARK .a _ s Roa ~' 33 mz o - 00 �' o 996 • • . c y +' �n z i•, _ E1ev.° 50 Year High Water Elevation = 993.09 m 4J E °' c N M LOT 2 W N C N � W � 3 0 14.53 Acres Inc. R/W _ M- N N `-^ c 3 633,022 Sq. Ft. m c ( n o o 8 N i ; �; 0 cnI ° g, ,J n, = ; 13.42 Acres Exc. R/W a , m y ' o Z o M 584,678 Sq. Ft. _ _.�- LOT 1 °'t °' o Z� z Z I ( `^. w 16.01 Acres Inc. R/W / JI ° LA \ 697,459 Sq. Ft. ,� m i 6.5' � I -0- ; 15.44 Acres Exc. R/ I--I "—'Wk, Corner * '` SW - NW 00 672,811 Sq. Ft. Section 32 NW - SW>� N _/ JI zi zi 50 Year High Water Line I JI � C , _ Elevation = 993.09 # Assumed Datum _ 00 00 0 N N M wi 33.00' S89 °38'29 "W N WI 30.0 , N45 °56'44 "W �. :PROV D N1 0 0 0 98.60' S89 ° 38'29 11 W 578.89' _..� ' 3 N vi ui 1284.82' LLB `�'� a, r 626.32 - gl M Yr�i'v?;�T1*., S89 ° 38 1 2 7.82' '"W 131 o w 00' nR. ;T ( :'Polx CC)IIN • r+ cn mac* �s LOT 3 . o(np ^henslve Plan 3 _ z M s 1 �. :. Zcning and o W1 � 13.31 Acres Inc. R/W 0 W 1 �' � - ,� ��:. darks Committee \n 1 -1 N _ _ k 579,952 Sq. Ft. _ - �1 0 �e�to 12.98 Acres Exc. R/W If riot recorded 0 • cl z 565,432 Sq. Ft. vtifrhin 30 days ..It ZI N �U approval date 1 �I N M ` y �x �j .: > r tat shall °,r� w ° 3 At ` ^- , N Z N89 0 3,8 1 29 11 E 1318.35' " 194.62' 432,38 1285.35' e C - 33.00' 627.00 (nl S89 658.35' c 660 .00' oI UNPL,�TTCC LANDS zi LOT 4 f Legend °' ° r' 4.65 Acres Inc. R/W .°_' N & Aluminum County Section Monument Found CO r; 202,744 Sq. Ft. C>I " " Pipe Set weighing 1.68 0 0 0° 0 1 x 24 Iron p , 9 9 4.42 Acres Exc. R/W "' N -i 1 bs per linear foot Vj I 192,607 Sq. Ft. 100' Roadway Setback line 8 � - 33A0' n -A`— Existing Fencel i ne N 259.24' 627.00' 367.76' ZI 1 Iron Pipe Found 3 S89 ° 38'29 "W 660.00' � P revious l y Recorded Dimension P y N N O UNPLAT TED LANDS Owner IN Roger ewett Scale in Feet o 341 Herman Terrace Corner Hopkins, MN 55343 0 56 100 200 300 Section 32 4 000M VOL. 11 PAGE 3191 co Parcel #: 042 - 1091 -40 -400 07/31/2007 11:26 AM PAGE 1OF1 Alt. Parcel #: 32.29.18.501 E 042 - TOWN OF WARREN Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner O - BRAY, BRENDA BRENDA BRAY 1041 65TH AVE ROBERTS WI 54023 Districts: SC = School SP = Special Property Address(es): " = Primary Type Dist # Description SC 2422 ST CROIX CENTRAL SP 1700 WITC Legal Description: Acres: 4.650 Plat: N/A -NOT AVAILABLE SEC 32 T29N R18W PT NW SW BEING LOT 4 Block/Condo Bldg: CSM 11/3191 4.65AC Tract(s): (Sec- Twn -Rng 401/4 1601/4) 32- 29N -18W Notes: Parcel History: Date Doc # Vol /Page Type 10/13/2003 743511 2434/603 WD 07/25/2000 626981 1529/183 WD 12/04/1996 552886 1211/561 LC 2007 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 10/23/2001 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 4.650 47,500 0 47,500 NO Totals for 2007: General Property 4.650 47,500 0 47,500 Woodland 0.000 0 0 Totals for 2006: General Property 4.650 47,500 0 47,500 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 ` Wisconsin Department of Industry SOIL AND SITE EVALUATION REPORT Page -L of 3 Labor and Human Relations Division of s a4ety & buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY ` Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan c 3 -5 not limited to vertical and horizontal reference point (BM), direction and % of ale or � 4 RCEL I. dimensioned, north arrow, and location and distance to nearest road. APPLICANT INFORMATION- PLEASE PRINT ALL INFORMATIO REEFIVED �IWED BY DATE PROPER WNER: OPE N 6 _an ro Cg �L°(�e vT. LOTS 143 1 s a T aq N.R J y SW W PROPERTY OWNER ILING ADDR SUBD. E R CSM # 3 9 G OFF CE �� CITY, ST ZIP CODE PHONE NUMBER W NEARE T ROAD 2 New Construction Use U4 Residential / Number of bedrooms F (3 Addition to existing building j ] Replacement [ J Public or commercial describe Code derived daily flow ,SC7 gpd Recommended design loading rate _ bed, gpd/ft s trench, gpd/ft Absorption area required 11.2s bed, ft 9 60 trench, ft Maximum design loading rate bed, gpd /ft .5 trench, gpd/ft Recommended infiltration surface elevation(s) /�% ' ft (as referred to site plan benchmark) Additional design / site considerations S Parent material lq e Flood plain elevation, if applicable It S = Suitable for system CONVENTIONAL I MOUND IN- GROUND PRESSURE AT -GRADE SYSTEM IN FILL I HOLDING TANK U= Unsuitable for s stem ❑ S tau I us ❑ U 1 ❑ S ®U SS ❑ U [IS ® U ❑ S ® U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. Bed Trar 1 1 1 1 . 9- m l - L S 3 U y U 51 L a2 m 56 0 1 Fl= m 5" . b Ground 3 _ 'SI,Z /Z silo S L m Sbk P1 Fg C W Vf ,s (o elev. y� fL � � � 5 ' Z �/� C 3 s;` 1 F k my c s 1 of s Depth to J� r�"S S�lv 5CL , 2 '•. , 3 limiting f JU 0 Remarks: ( 2) a 4 4 4o K t o? - 30 Z hV 1Vly Boring # ` 10- j ow Y 1 2 S> .C, Z m 5bk lh Ffz C S 3 m F 11 Lmii -p?� 7'2 -y�o2 Sc/ aZ m Sb m FR C 5 .Z Ground `3 m 5b V f (►1 F� C . 8 el ev. 6._x,1 s�, �" �� z s [ F 5bk � v Fg ho --- '7 1 . 8 Depth to -/W ), s'e . (�, C lit M m F i — — /V1� 11/P limiting fac „ Remarks: ` CST Name = Please Print-- / Er� f Phone: 7/ � - A ddress: -We ,A S Weed, ye / L Signature c/ ,.�C � Date: 1,23/9ro CST Number: � PROPERTY OWNER SOIL DESCRIPTION REPORT _ Page _of�. PARCEL I.D. # 4 Boring# Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trench I D- > ,3�a s�� L :2 m sbk in Fib 6 S m . . � ;u., ? �? - 9 s• .S /� C L .Z m 1.2 -F 5 Ground 3 -,?�, 7 5 8 /cam S r� m 1 � S Z f 2 , g elev. Depth to Y5 -53 2,111? / S 0 Co I factor9, �, �., g ��lo CS r Scl I m F" /VP NP Remarks. ) Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD- 8330(8.05/92) s �y u �� � f �5 a r! j 3 �t K \\ is, ` - +,/ t Whisoonsin Department of Industry SOIL AND SITE E V ,- U A T I O N P , Page _ of �,aa bor'and Human Relations Drosion of Safety s Buildings in accord with ILHR 83.05, Wis. Adm. Co( C - L ot COUNTY 3 Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan c S { not limited to vertical and horizontal reference point (BM), direction and % of ale or RCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. �� '�► i r� / APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATIO RCfIUEO IT ED GY GATE PROPER�WNER: ---7- � OPENTftb600NY96 6sa VT. LOTS 14 S1�I T o,?9 N,R 8 tW W PROPERTY OWNER':S MAILING AD SS kD ki SUED. �E R CSM # D Ov J -7. G OFF — ! CITY, ST ZIP CODE PHONE NUMBER W NEAREST ROAD [� New Construction Use M Residential / Number of bedrooms'P _ [ J Addition to existing building j J Replacement [ ] Public or commercial describe Code derived daily flow SU gpd Recommended design loading rate l am bed, gpd 1ft - s trench, gpd/ft Absorption area required 11,25 bed, ft2 9 X trench, ft Maximum design loading rate �� bed, gpdm .5 trench, gpd /ft Recommended infiltration surface elevation(s) /6/- ' ft (as referred to site plan benchmark) Additional design / site considerations .S v" j Parent material — C' Flood plain elevation, if applicable It S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE I AT -GRADE SYSTEM IN FILL I HOLDING TANK j U= Unsuitable fors stem ❑ S ER U NE O U EIS ®U ®S ❑ U O S ®U ❑ S ® U SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Texture Structure Consistence Roots GPD /ft Boring # Horizon in. Munsell Du. Sz. Cont Color Gr. Sz. Sh. Bed Trtch K> U St L C S 3 M �2 5 5/ C 1" 3 rn s rQ Fee- C s 2 -F • � Ground 3 -y,� R ��� S ]., m sbk 1Y1 Fr? 0 s ell 16 ft. �1 S ,� S/lo c, 2" Si. 1 F -5� MV Depth to 'y� S S 1�(0 0 sc l- I m 56 k o1 limiting fa _ Remarks: G' 46" &recA t r o? -.30,2o btZ Boring # o-10 jove z SU M Fr- C s 31Yt , 5 y z z 112 v 5 -2 m Sbk T FR C S z F q S C S ;Z m sbk J �) I v 7 � m 1; Ground elev. •7 (o ��' j �O 75 z D )- S I sbk v Fiz /� n ZY 1(11 F I - - AIP NP Depth to limiting tac or„ Remarks: CST Name:— Please Print / / Phone: Signature % _ Date: % i CST Numb er:i , , PROPERTY OWNER SOIL DF-SCm/PTmm Rv:` / Pan ___m._�_ 'PARCELUl Boring # Horizon Depth Dominant Color Motoes Tex"tu S ructure Consistence Bardary Roots GPD/ft2 in. Munsell Qu. Sz. Cont Colo r r ] e Gr Sz. Sh. Bed Tmrch Ground 3 �9-624 ; C > M 2 1. elev. 51-6 Depth to 2 C) co : 51 limiting factor rn /7) F1' IVP N1 Boring # Groun elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. fi Depth to limiting tmkx Remarks Boring # Ground elev. M. Depth to limiting factor Remarks: • -1� Vie!" �_ �ic _. Ol_c . � S r,!_ /'eve. t. �.� S �' � N C � i Oj IN / °i o s�, �o TN 1 '$ N o a � j - N R' �. tA 5 CA 01 Parcel #: 042 - 1091 -40 -000 07/31/2007 11:27 AM PAGE 1 OF 1 Alt. Parcel #: 32.29.18.501A 042 - TOWN OF WARREN Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner O - BRAY, BRENDA J BRENDA J BRAY 1041 65TH AVE ROBERTS WI 54023 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description SC 2422 ST CROIX CENTRAL SP 1700 WITC Legal Description: Acres: 9.280 Plat: N/A -NOT AVAILABLE SEC 32 T29N R18W NW SW EXC PT TO CSM Block/Condo Bldg: 11/3191 NKA PT PARC B Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) 32- 29N -18W Notes: Parcel History: Date Doc # Vol /Page Type 09/08/1997 565074 1263/010 LC 07/23/1997 1016/449 QC 2007 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 10/23/2001 Description Class Acres Land Improve Total State Reason PRODUCTIVE FORST LANDS G6 9.280 62,000 0 62,000 NO Totals for 2007: General Property 9.280 62,000 0 62,000 Woodland 0.000 0 0 Totals for 2006: General Property 9.280 62,000 0 62,000 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Wisconsin Department of Industry SOIL AND SITE E V REPORT Page of Labor and Human Relations Division of Safety & Buildings in accord with I Wis. . de COUNTY L Attach complete site plan on paper not less than 8 1/2 x 11 i in si l st inclu t -SG (L _O /X not limited to vertical and horizontal reference point (BM), di n and o of slop e o PARCEL I.D. # dimensioned, north arrow, and location and distance to ne ad. �i j ! � D y — 10 91 - 40 APPLICANT INFORMATION PLEASE PRINT ALt l MATION -T c k& REVIEWED BY � DATE PROPE OWNER: R z ON GOB. 1143W.. 1/4,S T ,N,R 0 1 0) W PROPERTY ER':S MAIL NG ADDRESS �_ L OCK # SUBD. NAME R CSM # C STATE ZIP CODE PHONE NUMBER ❑ ITY ❑VILLAGE MOWN NEAREST RAAD o S o (7 /51 6 S' [� New Construction Use [ ] Residential / Number of bedrooms [ J Addition to existing building L J Replacement [ ] Public or commercial describe Code derived daily flow yso gpd Recommended design loading rate /V P bed, gpd/ft . L trench, gpd/ft . L' ' . I_ -5.e.rihg Absorption area required AIP bed, 1 11: 2 22,SQ trench, ft Mabmum design loading rate _ _bed, gpd/ft — trench, gpd/ft Recommended infiltration surface elevations) 9 8 .� it (as referred to site plan benchmark) Additional design / site consider #on s���� 4, 1.) prc",A '6 d ow r &Zp /G trio PlQcy Parent material / ,* Flood plain elevation, if applicable =— ft u S = Suitable for system ';CONVENTIONAL MOUND 1N- GROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING TANK U = Unsuitable fors stem [Is WU ®S ❑ U EIS ®U ® S [I U [Is E.0 ❑ S au SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bouiclay Roots GPD /ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed T rench 0- 10 2 313 S l z tM Sb m FE c s 3f , s z w _. 2.f . s Ground 3 NP elev.. Depth to limiting Remarks: Boring # l o - IL JNr 313 O S, sb M Ire C S 3F z M sbk h'1 , . �� z.F � .S _ 3 P P Ground %1 ft , 1 Depth to limiting 6 factor — - Remarks: t CST Name.— Please Print _L Phone: / s — dress: e .3T• / Ae G Signature: Date: , •. .., CST Number 8/ l9 � f PROPERTY OWNER SOIL DESCRIPTION REPORT Page_of PARCEL I.D. # Depth Dominant Color Mottles Texture Structure Consistence Bouxlary Roots GPD /ft Boring # Horizon in Munsell Chu. Sz. Cont Color Gr. Sz. Sh. Bed rend 1 10-10 io t 313 S, Z skh m F 2 C S .S S Q $�(0 1 Se.� z 1+t Sbk M �� L'S IZA Ground, S , S�� 4 ® SCI Z. rA SbL Pal FP- LL) IF •'� , S elev. gift q Zq- - Depth to , limiting ,. fac a Svi X l - Remarks. t U r oe Boring# 0- O Q y 5t 1_ M Fe. PC, � .2 .3 { a \ I/- zo ,s R ,` s � - S1 ' Z ir+� S6k M F`2 L�F £.. O. Zw► sbk to F� .AI s Ground S Q S m - �bk 1�1v elev � .- 12, it Depth to limiting . factor 'Remarks. Sb Sb i Boring #.. , a . 3 1 a -Io Io y lz 51 °l. V4 i bk M F e CS 3 3 i 5 c . �(l O 1.... Z �. sbk 1=� �. 5 l '� :.� �► Ground yf _ S L I ' tr+► S bk Prl J -�Q -= ,'y s ft Depth to limiting factor Remarks: awe Boring # I Z S .L J f S�ik Flt 0 10 C 3 "F •� ,3 a . s o tiiz. - Z '5 ,� 1 I Fen cS �' 1fP 1 3 3 5.1 a m sbk M F R Cs 1 s. Ground ' q l�� 6- 16; 31 Cg. - - / �,� Sik 1nr 1 4S . S XWJR Depth to . .9- limiting factor Remarks: i it I 64S SBD- 8330(R.05/92) � i r11♦ N S op W -v \A 0 it � (� � a x G tR .,rG r - , y y*" f t CAROMA J. FARM �J } 607100th Street WI ` f Roberts 54023 715- 749 -3027 Roger M. Jewett Mgt Co. Oil Roger M. 8 Mary'ory R. Jewett 612- 93&1704 -,_ 341 Herman Terrace 715 - 386 -7314 � Hopkins, MN 55343 i 4 •� O� Hudson, WI • i '1l'• N r ;'� ' I -4 A - �A-c �G _ PA tq `f. c a� q'. <� IN s ,. a . 1 \ •i A � � • d t sid A Z4C Y / 4 ,ol d sCa. C Gv' at_ ICY 12:7496fn�