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HomeMy WebLinkAbout008-1027-95-100 # \ ) \ . ` j & % u k c \ k \ G � k ( « \ � , \ \ z / ) z . 2 ] \ \ � 7 \ t E z� §/ =0 f z/\ 2 })k » § z \ a m ) E . co -0-0 \ z _ f E 7 t_ Qf ® m = z $ 7\ {`G§ z E 2 o } �\ � co � E \ / m 0 Q \ 0 / $ 3 ) / % / ~ z ) \O% k \ . ƒ\] i§ f R 0 0 \ \ ` � � / § « 0 0 0 z 0 0 -� t §oaa § \)__ 2 ) S \ § @ @ ƒ ! \ \ k § ® o k r 8 8 £ \ E S 2 k I % ¥ % c) . "0 §gip o % \ ~ U) 2 \ / \ \ƒ 2 3 # 2 E 04 0_ LO 0 / : 2 r� % 7 0 0 o. [ e a \ \ E \ _ § - \ o % a * < / @ m It � : w e s 5 / 2 e n \ -0 w§ a$< 3 m o$ 0§ 7) ; \ o u< e n o z a zƒ » m a m ( — � a� . � ' k a § k J a 2\ 0$ 0 i Parcel #: 008 - 1027 -95 -100 03/28/2007 04:38 PM PAGE 1 OF 1 Alt. Parcel #: 10.28.16.142A -10 008 - TOWN OF EAU GALLE 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 - SUCKOW, JEFFREY S & KAY A TRUST JEFFREY S & KAY A TRUST SUCKOW 2421 50TH AVE WOODVILLE WI 54028 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 2421 50TH AVE SC 0231 BALDWIN- WOODVILLE AREA SP 1700 WITC Legal Description: Acres: 33.073 Plat: N/A -NOT AVAILABLE SEC 10 T28N R16W PT NW NW BEING LOT 1 Block/Condo Bldg: CSM 11/3197 33.073AC EZ- U- 1437/448 Tract(s): (Sec- Twn -Rng 401/4 160 114) 10- 28N -16W Notes: Parcel History: Date Doc # Vol /Page Type 04/08/2002 675614 1868/139 QC 07/23/1997 1246/319 WD 2007 SUMMARY Bill #: Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 07/15/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.000 22,500 170,600 193,100 NO AGRICULTURAL G4 25.573 2,700 0 2,700 NO UNDEVELOPED G5 5.500 2,100 0 2,100 NO Totals for 2007: General Property 33.073 27,300 170,600 197,900 Woodland 0.000 0 0 Totals for 2006: General Property 33.073 27,300 170,600 197,900 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: 04/17/2001 Batch #: 513 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. Adm. Code COUNTY Attach complete site plan on paper not less than 8 1/2 x 14 inches in size. Plan must include, but C 1 not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. -- A) ! — /ACS APPLICANT INFORMATION- PLEASE PRINT MATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION `f ve GOVT. LOT 1/4 1 /4,S T ,N,R f�rr) W b '7 0 oe rso iyry 10 PROPERTY OWNER':S MAIL NG ADDRESS LOT # BLOCK # SUBD. NAME OR CSM # #' / CITY STATE ZIP CODE PHONE NUMBER (]CITY []VILLAGE ®TOWN NEAREST ROAD 1 I,/-' O 1 � - e �] New Construction Use Residential /Number of bedrooms [ J Addition to existing building j ] Replacement (] Public or commercial describe Code derived daily flow /v O gpd Recommended design loading rate T O gpd/ft a trench, gpd/ft Absorption area required IIU?_ bed, ft2 Qa:5'0 trench, ft Maximum design loading rate _ bed, gpd$ . a trench, gpd/ft Recommended infiltration surface elevation(s) a ft (as referred to site plan benchmark) Additional design/ site consideration �� r1 Z1216"<- Parent material � /a c 1 u1 7�i /` Flood plain elevation, if apprcable ft S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE AT GRADE SYSTEM IN FILL HOLDING N K U= Unsuitable fors stem ❑ S a U E S ❑ U ❑ S ®U 1] S 13 U ❑ S ® U ❑ S KU SOIL DESCRIPTION REPORT Boring# Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trench - g 31a S f .2 m .53'k m P_ C S 3 pi 5 Ground .3 )9 -� 2 -Y1lo % / c s IV F i I¢ S f '= a r d el ?p eve ft roy e 7 S D //J / 9 CJ j VHF o of Depth to - 3 iAe 6 % limiting factor v J �LI Remarks: Z22adl ClS Q /Q,SSIG'� S�rUCUn , Boring # SuR;au3�;5:x? 11 ', c Ground elev. Depth to limiting oo, v factor „ ou ''\ 1 r Remarks: TName:— Please A ddress: Prir�# L� _/ ls Phone:. j � , S_,, ja /' �✓ LO '� .� /_ /i�P/IO/nU/l/ k /Sc. III 75 Signature , Date: /�� / I� CST Number. S PROPERTY OWNER O�J� o °I:� SOIL DESCRIPTION REPORT Page ,of_I__ PARCEL I.D. # Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft . Boring , Horizon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed rerrd� K + Ground elev. iayle Depth to n /v F le C2 3 d 7 limiting factor : , / ckuu 12 d Remarks f 5i Boring # 6 2 Ground elev. _ ft _ Depth to limiting factor Remarks: Boring # 1d 3 /a� / oZ sd� �? S m s I V a In 5bk Ground elev ,n 51bk In �( A -Ae 72ft. o ,�rl s Depth to ' limiting factor , Remarks: Boring # N Ground elev. _ ft. Depth to limiting factor Remarks: kP- OD p � t 15) - f w I7 �- � ���p' f 1 � i +�- On P j (78) I ! T� I ( . �- i > (60 9 � III a2 S' j I ADDITIONAL NOTES The area that the soil borings were taken from was an existing hay field. I noticed a small dead furrow within this field which encompasses the area where the soil borings were taken. Cleo s,$ /Ine N _ ar� � 0 An area surrounding the soil borings shall be mold board plowed on the CONTOUR (following the flags), to feather out the existing dead furrow. This activity shall be done this fall (1997) if the system is to be installed next spring/summer (1998). Because of the platy soil structure in soil borings 1 and 3, I'm recommending that as the system is being installed, the system area be chiseled or plowed very deep to break up that platy structure. 1 6 k CERTIFIED SURVEY MAP ROBERT TORGERSON Part of the Northwest 1/4 of the Northwest 1/4 of Section 10, Township 28 North, Range lb West, Town of Eau Galle, St. Croix County, Wisconsin, NW COR. Sec. /0, rzo N, R 1sw, N //4 COR, Sf C. 10, Ttd N, R /6W, �. COUNrr su Rvr YOR•S NON,) UNPLA rrE L A S IRA LL'R O•AO'SP /XE 10010/ •_ —_ N L /NE NW //4 190 i44.90 • I ro Ao •OO oo w Ires,J7 • f Owner's Addressi ..� I w r 2358 50Th Ave. t gy MI a i Woodville, WI 54028 1 ti . em i s Br•Jt'aJ'•W rJa,tr' m J• ►os.tr' � 4 l f �, ��. e�w . rc•�cr' o � 4 I f � I "o , y o T E0 L LO TI w P H J3.073 ACRES q 1,440, 676 $0. R7. e, tl H lS3 7' ; 6 q • ACRES EN C. AOAD R.O.W. q o 9 � a � N BT•Jr•JS" � � r1 C. w•� 1►1111111110 " o l` h •�'�` G , •/ IRUREN E s , x MU H-Y o r w I �'� n " � � ,'!1 /1111 /Y' ► ►,` I►I DEC 2b 46� Laurence W, Murphy .s 4rl o I Q R gistered Land surveyor ` d - { 1 . CROIX COUNTY J. .• �,,�� 6 os , i�• ^> 1 6• "y Vffl ' /9 "W /Jt 0, 78' S L /NF NW 114 NW 114 p:,rrs Canln�ltt�o e� Ch RFf, CO R. 1OUNi7��S C!•'6J,!40 "f B,SS' O PLA T OCCAUSf OR LARGF ROCK PILE e W!l•e. 37 MAYS OC ALL BEARINGS RFF- VAJW-1* LINE ORrNE 0 Indicates 1" x 24" iron pipe . 2 a o Nw1 /4 o s 1o, t, {RL/��,�.syy� weighing 1.13 lbs. /lin. ft. N A N90'00'00 "r .D A. •.npy Bet, 0 0 • Indicates v iron pipe found. SCALr�r00' "' !Vrlt Indicates feneeline w R 0 J'7 100' J00' 400' $00' fool 0 o ` , o This instrument.'drafted by Laurence W. Murphy 3 SHEET 1 OF 2 Volume .11 Page 3197 008 to 7_ g57�ro6 ST. CROIX COUNTY ZONING DEPARTMENT AS BUILT SANITARY REPORT Owner je c., e. 1 (6 1,J Property Address 2 `/ 2 x ``' ✓�✓G! City /State alp o d v I t L Legal Description: Lot Block Subdivision/CSM # ( t✓ 4 0V t /4, Sec. I , T 2Y N -R J W, Town of E PIN # SEPTIC TANK -- DOSE CHAMBER -- HOLDING TANK INFORMATION: Tank manufacturer "dweSUC' a`t Size ST/PC Setback from: House Well PAL U Pump manufacturer 2 o f /e-.2 Model Alarm location Fk r lfc c m (HOLDING TANKS ONLY) Setbacks: Service road Vent to fresh air intake Water Line Meter location Alarm location SOIL ABSORPTION SYSTEM Type of system: IM-4 -1 d Width 5` Length ? S Number of Trenches Setback from: House Y3 Well N- P/L 9 Vent to fresh air intake ELEVATIONS Description of benchmark m l P c Of C t n e 4 / - c c Elevation Description of alternate benchmark Elevation Building Sewer ' kf*` ST/HT Inlet � _ ST Outlet PC Inlet PC Bottom Header/Manifold Top of ST/PC Manhole Cover 9 l • .3 Distribution Lines Bottom of System () {r U t () ( ) Final Grade Date of installation / / Permit number 3-� �95�.3 State plan number 2 G 2 Plumber's signature l �� License number 2 � 3 `0 S' Date Inspector �$"' `� Complete plot plan NOTICE Please provide the following: • A plan view sketch showing everything within 100 feet of the system. • Two horizontal reference se oints to center of tic tank manhole cover. p p • Show alternate benchmark, if applicable. PLAN VIEW f wG INDICATE NORT '`ARRO I� Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Count Safety a0d Buildings Div +lion INSPECTION REPORT 'GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No.: ST CRO X Personal information you provice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)). 338953 Permit Holder's Name: ❑ City ❑ Village ® Town of: State Plan ID No.: SUKOW, JEFF & KAY EAU GALLE CST BM Elev.:. Insp. BM Elev.: BM Description: Parcel Tax No.: 008 - 1027 -95 -100 TANK INFORMATION ELEVATION DATA A9900211 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic � 65' Benchmark �o� 0 Dosing 6.45 Aerati n Bldg. Sewer' g p' Holdin St/ Ht Inlet ��- TANK SETBACK INFORMATION 3U/ Ht UUtle TANKTO P/L WELL BLDG. Ventto ROAD Air Intake Septic > SO t NA Dt Bottom Dosing $-p a 3S' NA Ma A. Aeration NA Dist. Pipe Holding Bot. System O P UMP/ SIPHON INFORMATION k Final Grade Manufacturer Demand I �owc� 9l 3 Model Number 3 TDH I Lift`gi *Sk Friction ye em, . TDHt�tt oss �,; Forcemain Length Q Dia. 2 u Dist.To Well SOIL AB PTION SYSTEM R H Width f Length. No. f Trenches PIT No. Of Pits Inside Dia. Li uid Depth DIMEN I N DIMENSION SYSTEM TO P/L BLDG WELL LAKE /STREAM L5FR mb er: urer: SETBACK C INFORMATION Type O r 9 t O System: DISTRIBUTION SYSTEM Header / Ma Dia fold U Distribution Pipe , _�____ Spacing ( ( x Hole Size x Hole Spacing Vent To Air Intake Length 2 Dia. /Z. S acin f ~ 3 ;L a - Length V SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only r1 Depth Over Dth Over xx Depth Of xx Seeded/ Sodded xx Mulched 4 Bed /Trench Center /Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes n No COMMENTS: (Include code discrepancies, persons present, etc.) 'f• SS ql x f 16. LOCATION: EAU GALLE 10.28.16,NW NW 2421 50TH AVENUE 3 � � y � C.e1� UE LOT �7Tcec,s� 116.4 O � � `� � r `� = q - 3 `1i 27- �.(�Q {-C 1 Pf Plan revision required? ❑ Yes PQ No ` U 06t7 �ex_side for additio al information. ) ( _ t to gnatu 1 Cert No T _ Safety and Buildings Division Visconsin SANITARY PERMIT APPLICATION 201 B Washington Avenue ,Department of Commerce In accord with ILHR 83.05, Wis. Adm. Code Madison, WI 53707 -7302 • Attach complete plans (to the county copy only) for the system, on paper not less count than 8112 x 11 inches in size. 54 . C 1 • See reverse side for instructions for completing this application state sanitary Permit Number y ou p rovide may be used for second e--`_` 7" Personal information y p y ry purposes eck if revision to previous application [Privacy Law, s. 15.04 (1) (m)]. State Plan I.D. N I. APPLICATION INFORMATION -PLEASE PRINT ALL INFORMATION �(� 7 9 Prop rty w er Name 'l ProperW cation nr�^/1� �e ,1- - LAC_,KC�Lt_; J�, /j{j1/a /G� T w'1 rJ r N , R /6X(or) W Props w ner's Mailing / dress Lot Number / Block Number !/ C% ' I D-. C y, S a e Zip Cod Phone Number Subdivision Name or CSM Number a� DD ( ) W - W 3 , 7 . CSM vol 1 . -31 II. TYPE F IL ING: (check one) ❑ State Owned ❑ it 'N earest Road E] Vil age Public 1 or 2 Family Dwelling - No. of bedrooms _72 Town OF A azi Gtl�G III BUILDING USE (If building type is public, check all that apply) Parcel Tax Number(s) Q , 'yB' . II •(p., - Z 1 ❑ Apartment/ Condo 2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/ Repairs 11 ❑ Restaurant /Bar /Dining 4 ❑ Church/ School 8 ❑ Mobile Home Park 12 ❑ Service Station / Car Wash 5 ❑ Hotel/ Motel 9 ❑ Office/Factory 13 ❑ Other: specify IV. TYPE OF PERMIT: (Check only one box on line A. Check box on line B, if applicable) A) 1. .New 2. ❑ Replacement 3 ❑ Replacement of 4. ❑ Reconnection of 5 ❑ Repair of an ------ System -------- System ------------- Tank Only E_xistingSystem ...... B) ❑ A Sanitary Permit was previously issued. Permit Number 0 ! Date Issued 4Y(o. V. TYPE OF SYSTEM: (Check only one) Non - Pressurized Distribution Pressurized Distribution Experimental Other 11 []Seepage Bed 21 &FMound 30 ❑ Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22 ❑ In- Ground Pressure 42 ❑ Pit Privy 13 ❑ Seepage Pit 43 ❑ Vault Privy 14 ❑ System -In -Fill VI. ABSOR PTION SYSTEM INFORMATION: 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate S. Perc. Rate 6. System Elev. 7. Final Grade 1 Required (sq. ft.) Proposed (sq. ft.) (Gals/day /sq. ft.) (Min. /inch) Elevation 3 / . -- % Feet /06 Feet VII. TANK Capacity g allon s Total # of Prefab. App Site Fiber- INFORMATION g Gallons Tanks Manufacturer's Name Concrete con- steel glass Plastic Exper. New Existin structed Tanks Tanks /��l����t Septic Tank or Holding T ank / 066 ; wf � k ❑ ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber X / C(f rn ❑ El ❑ ❑ ❑ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility f r install Aon of the onsite sewage system shown on the attached plans. Plumber's Name: SS Print) Plumb s Signatu e N tamps) MP/MPRSW No.: Business Phone Number: _3(JZ c — I I a, t 7 -6 r7 15 - &9S- -� 14 Plumber's Address (Stree , ity, State, Code): o L "I I 1 Uw uay V , 0 -e LA_�Q_ >yd IX. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater at ssue IssuinQ (No Stamps) pproved ❑Owner Given Initial Surcharge Fee) � // Adverse Determination X. CONDITIONS OF APPROVAL/ REASONS FOR DISAPPROVAL: SBD- 6398 (R.11/97) DISTRIBUTION: Original to County. One copy To: Safety & Buildings Division, Owner, Plumber , Safety and Buildings Division SANITARY PERMIT APPLICATION 201 W. Washington Avenue Visconsin In accord with ILHR 83.05, Wis. Adm. Code P O Box 7302 Department of Commerce P Madison, WI 53707 -7302 • Attach complete plans (to the county copy only) for the system, on paper not less County than 8112 x 11 inches in size. S� 6e C. • See reverse side for instructions for completing this application State Sanitary Personal information you provide may be used for secondary purposes ❑ Check if revision to previous plication [Privacy Law, s. 15.04 (1) (m)]. State Plan I.D. Number I. APPLICATION INFORMATION - PLEASE PRINT ALL INFORMATION ? Propert y Ow er Name ! Property Location r e. �` , k4 6e >S <,(U G t ✓ 1./114 ( - 1 j 114, S f Li T ,Z fj , N R /& (or) W Property Owner's Mailing Address Lot Number Block Number 7 ev r' c CA , State Zip Code Phone Number Subdivision Name or CSM Number 3C, /dam.. - v, to s yC -6•'z (:,s_) S- - y 7, CS`> • II. TYPE B L ING: (check one) ❑ State Owned z 11 it l / earest Road Public 1 or 2 Family Dwelling - No. of bedrooms c/ M Town OF 4 u �4 / `t— III BUILDING USE (If building type is public, check all that apply) Parcel TaxNumber(s) Io•2S_ I V. 14ZA -to 1 [] Apartment / Condo �' �' - / G� `L ? - % 2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/ Repairs 11 ❑ Restaurant/ Bar/ Dining 4 ❑ Church/ School 8 ❑ Mobile Home Park 12 ❑ Service Station/ Car Wash 5 ❑ Hotel/ Motel 9 ❑ Office/Factory 13 ❑ Other: specify IV. TYPE OF PERMIT: (Check only one box on line A. Check box on line B, if applicable) A) 1. New 2. ❑ Replacement 3, ❑ Replacement of 4_ ❑ Reconnection of 5_ ❑ Repair of an - _____System ________System_____________ Tank _____________ Existing System ________ Existing System B) ❑ A Sanitary Permit was previously issued. Permit Number Date Issued V. TYPE OF SYSTEM: (Check only one) Non - Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 21 Mound 30 Q Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22 ❑ In- Ground Pressure 42 ❑ Pit Privy 13 ❑ Seepage Pit 43 ❑ Vault Privy 14 ❑ System -In -Fill VI. ABSORPTION SYSTEM INFORMATION: 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate S. Perc. Rate 6. System Elev. 7. Final Grade f Required (sq. ft.) Proposed (sq. ft.) (Gals/day /sq. ft.) (Min. /inch) `� Elevation L ` 5 3 5 3 ?1 /' . 2, � ! � Feet IC U Feet VII Cap acity TANK in gallo s Total # of Prefab. Site Fiber- Exper. INFORMATION Gallons Tanks Manufacturers Name Concrete con Steel glass Plastic App New Existin strutted Tanks Tanks eptic Tan L' I (" & o El ❑ ❑ ❑ ❑ ❑ Lift Pump Tank iTRfier 11 !/ 1 1,0 01 9' ❑ 1 ❑ 1 ❑ 1 ❑ 1 ❑ N5IBILITV STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name: (Print) Plum b et's Signature1,1 Stamps) /MPRSW No.: Business Phone Number. Plumber's Address (Street, cApstate, Z Code): IX. COUNTY/ DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwa:Z1 Issued ssuing A n ature (N%8tamps) G � _ _ �,. {� Approved El Surcharge Fee) Owner Given I nitial ! 1 �� / �� (J Adverse Determination X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: i SBD- 6398 (R.11197) DISTRIBUTION: Original to County. One copy To: Safety & Buildings Division, Owner, Plumber - 1 INSTRUCTIONS 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at a time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes.in ownership or plumber requires a Sanitary Permit Transfer/ Renewal Form (SBD -6399) to be submitted to the county prior to installation 5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped 6y a licensed pumper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety and Buildings Division, 608 - 266 -3151. To be complete and accurate this sanitary permit application must include: I. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. II. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is public, check all appropriate boxes that apply. IV. Type of permit. Check only one on line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested for numbers 1 through 7. VII. Tank information. Fill in the capacity of every new /or existing tank, list the total gallons, number of tanks and manufacturer's name, indicate prefab or site constructed and tank material. Complete for all septic, pump /siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. T VIII. Responsibility statement. Installing plumber is to fill in name, license,number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County/ Department Use Only. X. County/ Department Use Only. Complete plans and specifications not smaller than 81/2 x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if required by the county; E) soil test data on a 115 form; and F) all sizing information. ---------------------------------------------------------------------------------------------------- GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater contamination investigations and establishment of'standards. Safety and Buildings 2226 ROSE ST ` A LA CROSSE WI 54603 -1905 - TDD #: (608) 264 -8777 • isconsin www.commerce.state.wi.us Department of Commerce Tommy G. Thompson, Governor Brenda I Blanchard, Secretary May 22, 1999 CUST ID No.223475 ATTN.- POWTS INSPECTOR ZONING OFFICE JOE STANG ST CROIX COUNTY SPIA 506 WILLOW DR 1101 CARMICHAEL RD WOODVILLE WI 54028 HUDSON WI 54016 RE: CONDITIONAL APPROVAL APPROVAL EXPIRES: 05/22/2001 Identification Numbers Transaction ID No. 226279 Site ID No. 172613 SITE: Please refer to both identification numbers, Site ID: 172613 above, in all correspondence with the agency. St. Croix County, Town of Eau Galle NW1 /4, NWIA, S10, T28N, R16W Facility: Jeff & Kay Sukow FOR: Description: Mound System Object Type: POWT System Regulated Object ID No.: 468776 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The following conditions shall be met during construction or installation and prior to occupancy or use: • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /installation/operation. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. Sincerely, �J DATE RECEIVED 05/11/1999 FEE REQUIRED $ 180.00 FEE RECEIVED $ 180.00 Gerard M. swim BALANCE DUE $ 0.00 POWTS Plan reviewer - Integrated Services (608)785-9348, Mon - Fri, 7:15 AM - 4:00 PM jswim @commerce.state.wi.us WiSMART code: 7633 SYSTEM DESIGN MOUND Residential Application , 999 INDEX AND TITLE SHEET Project Jeff & Kay Sukow __ 40/ Owner Same Address 780 Main Street Baldwin, WI 54002 Legal Description NW1 /4NW1 /4, Sec 10 T 28N , R.16W., n (1 NN- 'tioyta Coun St. Croix � Township Eau.Galle tY col'ld Subdivision Name CSM Vol. 11, P . 3197 Lot No. 1 • oF CON' p Subd E p pEPPR p FESY A c Parcel ID Number 008- 1027 -95 -100 p1VtS10N EI.iCE Plan Transaction Number SSE G =KK Sp Index and title sheet Page 1 Mound calculations Page 2 Mound drawings Page 3 Pres. dist. talcs. and laterals Page 4 TDH and pump tank drawing Page 5 Pump performance curve Page 6 Site plan Page 7 Attached soil evaluation report Page 8 Designer _ (OP ?9 License Number Signature L' Phone No. 715- 691-6 Date /01/99 Notice: Tampering with this Tile by unauthorized persons is prohibited. Deliberate modification will result in disciplinary action under s. 145.1o, wis. stats. Personal information you provide may be used for secondary purposes (Privacy Law, s.15.04 (1)(m)]. SSD- 10462 -E (R.05/98) Page 1 of 8 MOUND SYSTEM DESIGN Complete red boxes as necessary. 1000 gpd maximum design flow. Inch - pounds Metric Residential or commercial? W 450 (r or c) (y or n) L�' J Replacement system? Creviced bedrock site? (y or n) Slope % Wastewater flow rate gpd 1703 Lpd Depth to limiting factor 26 in 66.0 cm In situ soil infiltration rate 0.6 gpd /ft 24.4 Lpd /m` Contour line elevation 97.0 ft 29.57 m Use standard fill depths? x OR Design depth? in cm Place X in box to use standard depths (24 and A +4 inclusive) OR specify design fill depth. 0.125, 0.156, 0.186, 0.219, 0.25, Center or end manifold c (c ore) Hole diameter 0.25 in 0 261, or 0.313 inch only. Lateral spacing 0.00 ft Use 0 lateral spacing for trenches. Estimated hole space 2.50 ft Not a final calculation. Number of laterals Pump tank elevation 85 ft Outside bottom of tank. Forcemain length 110.0 ft Forcemain diameter 2.0 in 1.5 2 3 or 4 inch only. 2.067 in Actual I.D. HOLE DIAMETER CONVERSIONS 1/8 =0.125 114=0.250 SYSTEM SOLUTIONS Inch- ounds Metric 5/32=0.156 9132=0.281 =0.188 5/16 =0.313 Estimated daily flow 450 gpd 1703 Lpd 3116 7/32 = 0.219 Absorption cell Design load rate & area 1.2 gpd 375.0 ft` 34.84 rn Linear loading rate (LLR) 6.00 gpd /ft 74.4 Lpd /m Design width (A) 5.00 ft 1.52 m Cell length (B) 75.0 ft 22.86 m Depth of cell (F) 9.5 in 24.1 1 cm Sand filter Upslope fill depth (D) 12.0 in 30.5 cm Downslope fill depth (E) 14.4 in 36.6 cm Basal area required (gpd /infiltration rate) 750.0 ft 69.68 m Supporting components Topsoil depth 6.0 in 15.2 cm Subsoil depth at center 12.0 in 30.5 cm Subsoil depth at cell wall 6.0 in 15.2 cm End slope toe length (K) 10.18 ft 3.10 m Up slope toe length (J) 7.50 ft 2.29 m Down slope toe length (1) 10.20 ft 3.11 m Total mound length (L) 95.36 ft 29.07 m Total mound width (W) 22.70 ft 6.92 m Project: Jeff & Kay Sukow Transaction Number: Page 2 of 8 - MOUND PLAN VIEW observation pipes (typical) J 22.7 ft •:•:•::•:•:-:-:•:•:•:•:•:•:•:.;.;.• .;:.•.•.•::�:':�:� :•:•:•:•:::•. A A = 5.00 ft 1.52 m 6.92 m ': : ': 5:::? ::::::::•:•:•:....:-: B = 75.0 ft 22.86 m B J= 7.50 ft 2.29m W I K I= 10.20 ft 3.11 m K = 10.18 ft 3.10 m _ L _ 95.36 ft 2 m I typ. obs. pipe (anchored securely) I = down slope dimension = absorption cell (AxB) J = up slope dimension = plowed area (LxW) K = end slope dimension 6" (152 mm) T MOUND CROSS SECTION D = 12.0 in 30.5 cm G H subsoil cap E = 14.4 in 36.6 cm lateral topsoil 98.50 ft_____ ___ F = 9.5 in 24.1 cm invert - - - - -- JF G = 12.0 in 30.5 cm elev. 30.02 m T .. ASTM C33 H in r 45.7 cm D Sand Fill y sys. 98.00 ft elev. 29.87 m 97.00 ft contour 29.57 m elev. 4 % ---� slope D = upslope fill depth plowed layer E = downslope fill depth Note: Absorption cell media will consist F = absorption cell depth of aggregate and pipe with laterals G = subsoil + topsoil depth at cell wall centered across AxB media. The cell H = subsoil + topsoil depth at cell center media is covered with geotextile fabric. Designer notes: Project: Jeff & Kay Sukow Project: 3 of 8 Transaction Number: I PRESSURE DISTRIBUTION CALCULATIONS Absorption cell Inch-pounds Metric Width (A) 5 i ft 1 1.52 Im i Length (B) 75.0 ft 22.86 m Lateral specifications laterals Number ate Is 2 a Holes/lateral 14 holes Lateral length (P) 36.00 ft 10.97 m Hole diameter 0.250 in 6.35 mm Lat. dis. rate 16.31 gpm 1.03 Us Sys. dis. rate 32.62 gpm 2.06 Us Hole spacing (X) 32 lin 81.3 cm Lateral diameter PI diameter Design options Design choice Designer must 1 in (25 mm) — Place X in red X' one choice 1 1/4 in (32 mm) x box of chosen from the options 1 1!2 in (40 mm) x X diameter. provided. 2 in (50 mm) x 3 in (75 mm) X Manifold diameter Pipe diameter Design options Design choice Designer must 1 in (25 mm) w X' one choice 1 114 in (32 mm) None required. from the options 1112 in (40 mm) No choice necessary. provided. 2 in (50 mm) 3 in (75 mm) 4 in (100 mm) Distribution system contains: 2 Lateral(s) LATERAL DIAGRAM - CENTER CONNECTION Place correct lateral diagram by clicking in one of the drawings at right and dragging the diagram into this area. Laterals centered over the A & B dimension end cap P Last hole drilled next to end cap k- X —�I Laterals & force main of PVC Sch 40 Holes drilled on the bottom of the lateral (per COMM Table 84.30.5) equally spaced • _permanent end marker Inch- pounds Metric Lateral length (P) 36.00 ft 10.97 m Lateral spacing (S) 0.00 ft 0.00 m Hole spacing (X) 32 in 81.3 cm Manifold length 0 ft 0.00 m Hole diameter 0.250 in 6.4 mm Lateral diameter 1.50 in 40 mm Forcemain diameter 2.00 l in 50 I mm Project: Jeff & Kay Sukow Transaction Number: Page 4 of 8 � 1 �� ,��� �a f ' X/ o k ,� y� ti's O D rn \ Y �� k� ��� �\ �� -� �`� k ' �� � s MOUND SYSTEM DESIGN Residential Application INDEX AND TITLE SHEET Project Jeff & Kay Sukow — Pump chamber revision Owner Same Address 780 Main Street Baldwin, WI 54002 Legal Description NW1 /4NW1 /4, Sec. 10, T.28N., R.16W., Township Eau Galle County St. Croix Subdivision Name CSM Vol. 11, Pg. 3197 Lot No. 1 Parcel ID Number 008-1027-95-100 Plan Transaction Number Sanitary permit #3389 Index and title sheet Page 1 Mound calculations Page 2 Mound drawings Page 3 Pres. dirt. caics. and laterals Page 4 TDH and pump tank drawing Page 5 Pump performance curve Page 6 Site plan Page 7 Attached soil evaluation report Page 8 Designer Joe Stang , License Number 223475 Signature Phone No. 715 - 698 -2266 Date d/02/99 Notice: Tampering with this file by unauthorized persons is prohibited. Deliberate modification will result In disciplinary action under s. 145.10, Wis. Slats. Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. SBD- 10462 -E (8.05M) Pagel of 2 a TDH and Pump Tank Drawing Total Dynamic Head Operational head 2.50 ft 0.76 m Vertical lift 12.40 ft 3.78 m Are laterals the highest pant in the Friction loss 1.99 ft 0.61 m system? Yes "r here. x Total dynamic head 16.89 5.15 m if no, what is the highest elevation Dose Volume downstream of pip? —� Dose is > 10 times lateral volume Forcemain drain Lateral void volume 7.6 gal 28.8 L back to tank? ( ")r one) Minimum dose 112.5 gal 425.9 L x Yes Drain back 19.2 gal 72.7 L No Dose volume 131.7 gal 498.5 1 L Typical Pump Chamber Layout In combination with state approved treatment tank. Tank construction as per Comm 83.20(3) WAC. approved manhole cover with T weather proof warning label and locking device grade levels junction box grade levels disconnect alternate 4" vent pipe electric as per NEC 300 and z E--- outlet I Comm 16.28 WAC location 18"(46 cm) min. T - wall -- of pump Lam` approved chamber or outlet joint combination tank A Prove 1/4" weep hole or anti - alarm on siphon device as necessary pump on B Grade levels pump 86.1 ft C - pump tank manhole = 4" (10 cm) Off elev. 26.2 m minimum above finished grade D - vent =12" (30.5 cm) minimum agave finished grade 85.0 ft Pump tank elevation 3 " (75 mm) of bedding under tank 25.9 m bottom of tank Tank manufacturer Midwestern 1000/654 gal. Combination Pump tank capacity 17 Pump tank volume 650.25 �gal alhn Pump manufacturer lZoeller _ Inches Gallons Pump model number 198 o A 18.5 314.6 yr B 2 34.0 Alarm manufacturer S.J. Electron systems I C 7.7 131.7 Alarm model number 1101 HW I p D 10 170.0 Project: Jeff & Kay Sukow — Pump chamber revision Transaction Number: Sanitary permit #338953 Page 2 of 2 TDH and Pump Tank Drawing Total Dynamic Head Operational head 2.50 ft 0.76 m Vertical lift 12.20 ft 3.72 m Are laterals the highest point in the Friction loss 1.99 f t R �1T 0.61 m system? Yes 'W here. Total dynamic head 16.69 ft 5.09 dm If no, what is the highest elevation Dose Volume downstream of pump? Dose is > 10 times lateral volume Forcemain drain Lateral void volume 7.6 gal 28.8 L back to tank? (' x' one) Minimum dose 112.5 gal 425.9 L x Yes Drain back 19.2 gal 72.7 L No Dose volume 131.7 gal 498.5 L Typical Pump Chamber Layout In combination with state approved treatment tank. Tank construction as per Comm 83.20(3) WAC. approved manhole cover with 7F� weather proof warning label and locking device grade levels) junction box grade levels disconnect alternate 4" vent pipe electric as per NEC 300 and F outlet Comm 16.28 WAC location 18" (46 cm) min. ji wall of pump �- approved chamber or outlet joint combination tank A Provide 1/4" weep hole or anti - alarm on siphon device as necessary pump on B T Grade levels pump 86.3 ft C W - pump tank manhole = 4" (10 cm) off elev. 26.3 m minimum above finished grade D - vent = 12" (30.5 cm) minimum above finished grade 85.0 ft Pump tank elevation 3 " (75 mm) of bedding under tank 25.9 1 m bottom of tank Tank manufacturer Wieser10001600 gallon combination tank Pump tank capacity 11.82 gal /in Pump tank volume 602 gal Pump manufacturer JZoeller Inches Gallons Pump model number 98 o A 25.8 304.9 Cn B 2 23.6 C Alarm manufacturer 19.J. Electro systems E C 11.1 131.7 Alarm model number 101 HW o D 12 141.8 Project: Jeff & Kay Sukow Transaction Number: Page 5 of 8 i HEAD /CAPACITY CURVE EFFLUENT and DEWATERING WARNING: Model 18514185 should not be subjected to less than 30 feet TDH. TOTAL DYNAMIC HEAD /CAPACITY PER MINUTE N (Y 3) 55 UJ �- 1 1 1 SERIES Q_ N S1_51 _tl 1U 179 110NN0 _ 161N161 14 414 t65Hti _tlSfglS 1W_ _ W4 1lt_ 111 rT. M. Gal. lbw Gat. U4. Gal. I" Gal. U4 Gal, lb+ Gal. Us Gal, Us Gal. Lim Ga l, L G al. Llra. Gal. Lbw Gal. Lln, Gal, Ltn. Gal, Lbs 1 40— S 112 16.s 62 21 104 47 1 - 72 2 13 13 352 x 756 1 4 41 11 1 61 21 1 51 210 111 SOY In $47 45 lie 42 10 7,111 U.2 SO 1) 17 x 1 11 1J1 » 300 f0 xi loo 316 4 1 171 N 231 _ 50 no 141 IN 131 612 4l 170 135— �.l VS A _ tl r 4s V 110. u 4 u u n 69 r _w : r sa 226 14: r us 1 as Ito 10 6.10 2.s 1 3 11 23 15 76 134 73 276 12 310 51 127 10 222 s1 220 136 515 140 S30 45 11 1 40 — 130-- 23 Y.6I - - -- -- -- 1 30 17 231 74 260 ST 111 $1 227 54 120 126 444 171 $01 IS - 170 70 1.14 s) 201 6s 146 ss 106 so 226 10 340 54 In 111 4114 127 401 4S .170 40 17.10 - _ 30 114 46 IT3 46 >172 55 206 75 261 $4 220. 195 331 1N 411 4S '110 38 1 25— so 1524 - - — - -- -- 21 60 73 175 51 111 54 211 31 220 10 741 100 Jff 45 170 -- — -- _ io 1613 is 51 U 161 16 U6 $l 220 71 261 IS n 45 111 120 70 H.34 - -� -- -- 70 114 10 76 52 131 51 131 10 269 43 170 36 191 10_ 21.31 -- -. - ,— - 14 s] - 0 S10 1 106 S4 204 45 1T0 11 30 27,13 - _ - -^ - 32 111 2 6 37 1 4 0 45 170 loo 30.44 — - - - - - - — 14 u 21 It 40 .:.111 34 _ _ 110 7200 1 10 1 )0 3 0 114 110 36.56 2 go 1 10 31 32 L«6 V,Na: 21.4' 21' — ills 23' 24• - 46 5v 64' Ir 73 11S" Il' 112 i7T 100_ 30 95— — 28 90 — 186, 26 — 4186 r 80 5 165, 24 4165 4 - 75- 0 22-- 70— — r_ v 20 - -.E 65 — — — r 60— —163, — 0 18 — — 4 16 3 89, a 4189 0 55— 16-- u.w.p I 50 14— 45 12 40 — 188, 35 — 414 — 4188�1�l SetLS` 11 ILA To--- 30 137, 185, 8---- 2 5— 139 _ 4185 i 6— 20 — — — 4 — 10— — 2-- L 5 43 48 3,55 161, 7,59 4161 0 U.S. GALLONS 10 20 _30 401 50 601 70 80 1 90 100 11 1 12 0 140 11 1 6_0__,_ LIIERS 80 160 240 3 400 480 5 640 ' U FLOW PER MINUTE oonnn Note: For Head Capacity on Model 12 incfuttnal column - explosion pr000f pump, see FMO219. i Awy 1 ► fN I r f I r i I�� I � I f � ip rik y C 0 N c' — r " tr w c� to • C - U lb O• � 4 G L4 4 I Wisconsin Department of Industry SOIL AND SITE EVALUATION Page of .3 .Labor and Human Relations Division of Safety and Buildings in accordance with s. ILHR 83.09, Wis. 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 C-0 percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. # OOr - 0.2 ?- 95 -AcV APPLICANT INFORMATION - Please print all information Reviewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location Govt. Lot 1/4 W 1/4,S T Z J ,N,R j(p VW W Property Owner's Mail' g Address Lot # Block# Subd. Name or CSM# city State Zip Code Phone Number earest Road Vf?7 ❑City Village a�u � b" r [ New Construction Use: residential / Number of bedrooms 3 Addition to existing building ❑ Replacement ❑ Public or commercial - Describe: Code derived daily flow ' /TO gpd Recommended design loading rate /. bed, gpd /ft 4. trench, gpd /ft Absorption area required - 3 1 — 5' bed, ft 37 S trench, ft Maximum design loading rate 1_�_bed, gpd /ft L.2 trench, gpolft Recommended infiltration surface elevation(s) e o a6&6r 3? 0f Con&"," ft (as referred to site plan benchmark) Additional design /site consid �erationse� _�_ iSLC7��i/Tcc/L ° P/Y� —� Parent material (ofaeia�{' f i66 Flood plain elevation, if applicable 114 ft S = Suitable for system Conventional Mound In- Ground P_res AT- Grade System,i_n.,Filll Holding Tank U = Unsuitable for system cis LKS ❑ U ❑ S [�l D E] S L7 U ED S L�"U ❑ S SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2 in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. Bed ,Trench 0-8 /o ,P 3/ /'1 G / Z ►+t er rrt 1 Q 5 �itN Q. S' O.G O. Ground 3 O. 3 Q t7 onG �t5 C Mil r C.� J O.6 � I ft. 3 y.(aO 16 Q �Z � s s 1,e C sb"c' M1/& - -- Os ' C) � Depth to limiting ; W f t fa to , in. Remarks: Boring # ( O -8' /o &.31., i7 ene 5 f Z r►+C� as z4a o.S; 0 o2 2 -/3 0 on zFsb m r C5 Ground 2 in S bk />'l/r f' 0 . , 5 , : O• 6 elev. , 9�ft. Depth to limiting factor in. Remarks: CST Name (Please Prjnt ) Si Telephone No. 2-0- 77G7 Address n ate CST Number NO On �r s�►c_ , fie( 1, S�Zo �t� 3GGt2 SOIL DESCRIPTION REPORT PROPERTY OWNER v � �� Page _�22_ of PARCEL I.D.# QW -16z7— ff-/cP Boren # Horizon Depth Dominant Color Mottles Structure 2 9 in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed ,Trench 3 o ,P3�2 ylev S I X�' er, rat ✓ � 0:5 zFo ©, s o d10 /o S/ 2_M5W rn r e—S 1 2 , P I M 0 o.G Ground 3 . S Q -F.5 / C.5 b m Y � � � . s O. (o elev. 9 ft 30 . s ICS46k rd 1 a A) O• s' Depth to s -5Y . S `/ 5 k s . S �. O". a ; O limiting factor aZf�in. Remarks: Boring # C3 Ground elev. ft. Depth to limiting factor in. Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench Boring # ; Ground elev. n. Depth to limiting factor in. Remarks: Boring # Ground elev. ft. Depth to limiting factor � Remarks: SBDW -8330 (R. 08/95) W i � ak R, P-- rp c r �• n o ► o .. d R 64 a W t Wisconsin Department of Industry SOIL AND SITE EVALUATION g of .3 L*bor and Human Relations Pa • Division of Safety and Buildings - in accordance with s. ILHR 83.09, Wis. 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 Cr ` percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. # cor- io 9- 95 -jcd APPLICANT INFORMATION - Please prin �, \ R by . Date Personal information you provide may be used for seconds p s (Privacy w, s. 15:04'(i`� (m)). / Property Owner C;., UEa opb'rty Location f r �' � S OW L U Ggvt. Lot 1/4 1 14,S jb T ,Z ,N,R f( W Property Owner's Mail' g Address ,? 0 1<� Lot #� Block# Subd. Name or CSM# ?D a:n ��?� sr c ry '' f.- GSm City State Zip Code a ( City ❑Village Barest Road CD 2- - x/437. O New Construction Use: [residential 1 Number o ooms 3 Addition to existing building ❑ Replacement ❑ Public or commercial - Describe: Code derived daily flow Y S 7 0 gpd Recommended design loading rate /.e2 bed, gpd/tt ., trench, gpd/ft Absorption area required _ bed, ft 37S trench, ft Maximum design loading rate �� bed, gpd/ft l•e2 trench, gpd /ft Recommended infiltration surface elevation(s — l2 4$ '426O C' 97.0!1 &n&"r ft (as referred to site plan benchmark) Additional design /site considerations 4e" ! W 5d brea?e%9 �reQIY e,?><.O�italy S, LAS �'�u rr�in1b!" -v i O'C'64 Parent material ` &Ciao;(' 4i a Flood plain elevation, if applicable 1�9�r ft S = Suitable for system Conventional �Mou In-Ground Pressure AT-Grade ,/ System in Fill Holding Tank U = Unsuitable for system E3 S LKS El El LKU E3 L� u ❑ S [R' ❑ S SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench 1 / 0 -9 S/ z m ef; mv4- as Irem 0, S -04 O YAO YIV t2 Cne, S / 66K M 4- S O.Sro.G Ground '3 3 c5be rn r C.uo 14 0. O. ft. 41; !O v 5y 'Q7 k lies Depth to limiting fa o �in. ' Remarks: Boring # 3, p3 t? en 2 n. Cr r aS A4 O. S ^ -2 9 D� 5 i( v2PSb�� Mier O.sd• eC 3 30 S hohe AlI q 0 d• 6 Ground 7 S oet� 1 2d SO yk 2 m_j - m>cr f' O . S 0. elev. 9!6 ft. Depth to limiting factor 3_Q—in. Remarks: CST Name (Please Pr' nt Si Telephone No. 1 5j 2yf-- 7767 Address / e ate CST Number NO �� o� �, SOIL DESCRIPTION REPORT �] P ti PROPERTY OWNER �� P - a - o f PARCEL I.D.# W- /01.7" ff Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots 2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench A 3 / 0- 8 0 ,P�a2 n S / z�'er, nt f/ . 0 5 W ©, db /0 51 2-m5w nrn ,C r C-- .S o.G Ground .3 . S Q n ry / CS 10 M 1/ , C/ - ") g • SS 0. (a lev. ��ft• 30 . s S lCsb rrt✓ � C cJ / � O. f 0.6 Depth to s O je ��� S y 5 S . 5 41 d• 3 limiting factor a Z6,_in. Remarks: Boring # .. .; Ground elev. ft. Depth to limiting factor in. Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots PD/fl? in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench Boring # ; Ground elev. ft. Depth to limiting factor in. Remarks: Boring # a�^z� Ground elev. ft. Depth to limiting factor ' Remarks: SBDW -8330 (R. 08/95) • 3af3 sy i Pz •4/3.07' "IN J 1�4� N F � 3 t< f � � T F y •� . L�• c L Ism— �. P—j Wisconsin Department of Industry SOIL AND SITE EVALUATION Labor and Human Relations Page 1 of 2 Division of Safety and Buildings . ILHR 83.09, Wis. Adm. Code Preliminary - Soils Only let i County Attach comp lete e s to plan on paper not less than 8 1/2 x 11 inches in siz .Plan must �. include but lim t vertical not limited to. erttcal and horizontal reference int BM d irectio n po ( ), dt ectw and percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I %* APPLICANT INFORMATION Please print all information. Revi ,qedby Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m tt )). s �/ O V 2 r p i w Property Owner Property Location i GHC7 Robert & Gala Torgerson Govt. Lot NW 1/4 " 4,3l i& NG FFICE Property Owner's Mailing Address Lot # Block# Subd. Na o Z F 65- l y c/o Anadale Real Estate, 1231 N. Broadway Ci a Zip Code Phone Number Nearest Road Menomonie, WI 54�� 715 235 -6145 city Village (y� Town Eau Galle CTHW BB ❑ New Construction Use: ❑ Residential / Number of bedrooms Addition to existing building C-i Replacement ❑ Public or commercial - Describe: Code derived daily flow gpd Recommended design loading rate bed, gpd/ft trench, gpd1ft Absorption area required bed, It trench, It Maximum design loading rate bed, gpd/ft trench, gpd/ft Recommended infiltration surface elevation(s) ft (as referred to site plan benchmark) Additional design/site considerations Parent material Flood plain elevation, if applicable It S = Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank U = Unsuitable for system f ❑ S O U ❑ s 9 u ❑ S ®u 1 EIS E U I ❑ s E 1 0 S❑ u SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench 1 1 0 -10 7.5YR 3/2 - sil. 2 10 -20 10YR 4/6 f2d 7.5YR 4/6 sic mottling becoming c2J 7.5YR 4 6 - 10 R 6/2- Ground b elow 1 elev. ft. 3 20 -24 5YR 4/6 c1d 5YR 5/8 cl Depth to limiting , factor 10 in. Remarks: hand boring - lacks A +4" Boring # 1 0 -12 7.5YR 3/2 - sil 2 12 -19 10YR 4/4 - sicl 2 >... 3 19 -26 IOYR 4/4 c2d 10YR 6!2 sicl Ground elev. ft. , Depth to limiting factor hand borin 19 in. Remarks 9 -possibly useful for a replacement mou system CST Name (Please Print) gnatur Telephone No. Henry F. Grote 715- 665 -2681 Address PO Box 57, Knapp, WI 54749 -0057 Date CST Number 11/25/96 3065 i tVvv.NW- I'D - w V • w: �. CDLJ N Ti re w' !W a � � X 1��Z k •�Q ~~� r ` �- - r►�Zf / �' 4N :gyp - D Z Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page of Labor and Human Relations Division of Safety & Buildings in accord with ILFIR 83.05, Wis. Adm. Code ` .. COUNTY • "Aftach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but -� CRal X not limited to vertical and horizontal reference point (8M), dir.ection and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. - — APPLICANT INFORMATION- PLEASE PRINT ALL INFORMATION REV IEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION b / p GQ J' SO GOVT. LOT N10 1/4 1 /4,S /p. TZ9 N,R mac) W PROPERTY OWNER':S MAIL NG ADDRESS LOT # I BLOCK# [ SU8D.NA1MEORCSM# CITY STATE O ^ ZIP C ODE PHONE NUMBER OCITY OVILLAGE OTOWN NEAREST ROAD i �] New Construction use [ICJ Residential . 1 Number of bedrooms �3) [ l Addition to existing building j J Replacement [ j Public or commercial describe Code derived daily flow -Sf5"O gpd Recommended design loading rate _ bed, gpd/9 L — Q trench, gpd/ft Absorption area required Nom_ bed, ft O trench, ft Maximum design loading rate _ bed, gpd/ft . OL trench, gpd/9 Recommended infiltration surface elevation(s) o?• d ft (as referred to site plan benchmark) Additional design/ site consideration � Parent material e5/a D i z�i /l Flood plain elevation, if applicable ft S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING T U= Unsuitable for system cis ®u S❑ U ❑ S o u ❑ S ®u 0S ®u 0S o uu SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Structure n " Roots GPD /ft Boring # Horizon in. Munsell Cu. Sz. Cont Color Texture Gr. Sz. Sh. `�� ce Bed Me# 1 a .2- m sbk m -Pe- C S 3 >M o f -4i MO N. s / ,;� 1 F,e e s rn z, a - l9 a ;e /� Ground 3 j9 7 4 -IdL elev /o ye 710 Depth to - 3 1 /1e .S�! /o ro Aa Ve % limiting factor j4 �' tvi o? ,6 ne 49 Remarks: -1 C!S Q .SSJUZ° �rucUr� Boring # /D R • . to /8 ko: o- , j Q / �'� .'L/ • oc z _ C1 Ground � , elev. rjo Depth to limiting fact Remarks: CST Name: -- Please Prri !St" Phone 711, - ,vu 339 Ad dress: ' A/-vng Al20 V /SC. Signature / Gtr' c Date: S / �� / 97 CST Number is PROPERTY OWNER Qc Pest o L°r SOIL DESCRIPTION REPORT_ Page�of II PARCELI.D. # Qt' Depth Dominant Color Mottles �7exture Structure Consistence Bmxxby Roots GPD /fit - Boring #, Horizon) in. Munsell Cu. Sz. Cont Colo r Gr. Sz. Sh. Bed mr& Ground 3 i/ U ,P x 1 t 4 I In sa M A 2- F elev. 9 Depth to z n e 1 it - Or WJ 3' o� Z limiting _ factor Gku Remarks Boring # ./V P 4 S ?£- j Ground elev. 1 ft 3 Depth to limiting factor Remarks: Boring # fn s Vii. ��'' '• f k 1 s . Ground _ el ,, s �� l 7�fL _ rn FR Depth to limiting factor, �3_9 Remarks: Boring # SSCM \.vxx -jn}Y Ground elev. ft . Depth to limiting factor Remarks: PROPERTY0WNER for r.�tfl'1 L . SOIL DESCRIPTION REPORT Page�cf; PARCEL jn O 1 . s •' Con Dominant Color Mottles . Texture Structure Conce Y Roots GPDIft•. in. Munseil Ou. S7- Boring #, Horizon Cont Color Gr. Sz. S. Bed terx� z D -/0 0 3/a � 1 ,� S F C S P1 s• l Ground .P /lo C I /r1 S�k Cl� 2-F e1 ft '7' -� 1� R J � y � .S O Depth to _rn 1 o ns 3 0 7� limiting factor ,. Remarks I St • Boring # 1° All? .S .� P ot• •' , 5 i Ground elev. ft. Depth to limiting • factor Remarks: Boring # d !1 1� 31a �r I -IC m s it a d / s l ih�^ :a �- l� / a Pl. Ground elev. 3 ,7 5 40 j °YR �/8 m s� I` �� A • IV el Depth to fac tor 3 Q Remarks:' Boring # Ground elev. -ft.. - Depth to _ i limiting . factor • Qom�:u�- (\� ) �" •' n5 �i f { Vo , ki�l 1p A ll , r � I -Y' 4 Y t �t - 4, I Pi j'..: _ ,� " y i fix• _ 5 ti. t. 4N; ... tk d : � � r .+� �, �, •. x t .�.'� e rr „�. ..7 �: "`$ 4�. ; , � _.. ' a ,. �`:t'� �� � ;?nd •t= 6 »r k �-t .. � "�. x �'�. i�.it a .t4 `�`'c � _ R ' ' ,� t h .' r .. q k ' � >: <.. , � ; 4. 1 �.r 7 ".. , ..... 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'ice. - -� I t r t.<T, 5;. � . n r p ,,. ;f} z, i . 3 �' ''�. �s� r?k�.'spw r _' 14 s .1 ' % . {' ' '�;` .i?g x S s ;� 4+ qx' y t r rp., j q 'r to .v s srr -'-- ..�1' t".w t .L` e °4,{�„[u' tvm L rD r t: i 3 ix v {. � 6 .i v w a s .5 a v S 'dr ty ',�.. �' ^r ' �` � �y i + ` zt W @ s lots 1 r i f m n 8:- �' WHO , g' IAA �'L.. .'• - r z Qq .< '� ,3� r- r� ,` e� i^r kr '"{�. k # y r t i ,r i �.. * .�`F ,:$':' 'e `C r..' .n ' ,�- fr , „ur r - i � . z'.r# y �• ""�•e 4 *�,;_ Y ' 1 _ '<' a •.: r T" A s r �y . -�a + ap <� w ,.,y t ''� a : - �,.J x r « �r j , 7 g ,; ,.rg��v r r .} �.e + ,� yT. ,��r 3sr t ' �„`. �� Y �t ?° ,� r } . *.'Y s'�' ' i �� 'L�' a r j' - ,t ., }, ,,,� r,.p' '''. .F 4 4 t f *, ��y¢.;.#- n 'F x ' s r r�� >` 3y"' .,. . n,ya ,•,y:pry�'^'a' .� .sr t X` . r �` x > .. <^• 4 , WW r � , .: t ' i r jr �5 - - a 'fizu.; "• ' s } s :t�='b ,� C ,,��.�..� • 'c- r , t t :{ 3 t a &- .3. - ri - W T� x �. a. is L i, ,t,,,`a.. -$,s t� +�,1 5 ,C i *7q a . � k:K +i'� o tx r �{ a y � { yy .yr Lt� t ri "vi S �iv $ ^" + �s,�4' �i.j x 7a i ��* ; 'c. k 4 r s _ 7. ,3 i 7 iY' -A._ k t "• *.' 6 - 'ir` ` i p �� 9 rk �; I- tt,c y ., �* a iY *k + "! s r. z'. � y S Fa- y w � -+ fi r , + ; a J. '. Y ¢` q '.y k w • x y , .�`rcw s , •.. a r,� .,�. is ,rtt y' 'y " ^• T,� ", jw'x srF . t: � , S ryt # .: �ry ' !,SE 1-7 w Y 3. . r `: '. #, i r!L `9:r as V ic . -° ' ,5,, i + j"yrr' 'Y. , - '-.w - Y Y } 0,t" ?Fy�iF r ` - x 3 +°, ks .*, 3 t A ti { - r y�i � z �„x .. 1 'ti. ti a y Y e �,r 3 ;,.• �} _ i � ! x a . �•' ?ayy t { � r :o-k te a r 4 .s„''r• 'r` r- ? ti' a y n'� x r , q x Y -c r .� ~:+ { K { 7 -.a e t d"' �"' - r� S V a"� 9, s y k , ,{ tf �#''., ¢ e '�K e .•s fat �I °R ' t Y.t , :: k 't 'a r<.' '3 s ;p ,t�yx - ♦r s a _�'- , •n '}s�. ; Y x44i fit,. z Dr .� s^ ,Z Y iv'. r � - ;•K + 3`"t'.".tm`4s 4 9 i, „p• .: �. a s "` : s fi' f 'r ' e t c etr ti 1 r 'is Pf f as"tr rr .. _ ..as.�_ ,- „_� ...._<...a,.r, ..- .� w ���l:�ks _..,..ts A .__ .. ,� .. kAV ,* ._ ".t d s .. �: ..��,.. ." r...,,_ ,_ ADDITIONAL NOTES The area that the soil borings were taken from was an existing hay field. I noticed a small dead furrow within this field which encompasses the area where the soil borings were taken. 1 S,B hoe • v n 1 An area surrounding the soil borings shall be mold board plowed on the CONTOUR (following the flags), to feather out the existing dead furrow. This activity shall be done this fall (1997) if the system is to be installed next spring/summer (1998). Because of the platy soil structure in soil borings 1 and 3, I'm recommending that as the system is being installed, the system area be chiseled or plowed very deep to break up that platy structure. N co r. 6 553662 CERTIFIED SURVEY MAP ROBERT TORGERSON Part of the Northwest 114 of the Northwest 1/4 of Section 10, Township 28 North, Range 16 West, Town of Eau Galle, St. Croix County, Wisconsin. - NW coR. sec. lo, rtB N, R /6W, N114 COR. Sec. 10, T1BN, R /6W, `f couNrr su RvFYOR'S ma N,/ UNPLA TIED LA fR'A(L•RO'AO'SI /KF /OUNDI N LiNF NW1 14 #90.00'00 -F ZS44.90' ,� - so rig b I 1 p 40.00 oo °W /tss.J� 3 M Owner's Addressi W 2 2358 50Th Ave. Woodville, WI 54028 i " ( s Br•Jt'B7 ^W 7Je,t2• CI' O (• y h ' J. 0. Jos. t!? .. •, J . }.�, moo-► LO * 3 LO TI 3 V-9_ A r— L N ~ I �• 1 ;� » J3. 073 ACRFS ,• h - q 1,440, 676 so.rF. w ISir !' " 6 ^ of ACRFS Fx C ROAD R.O.W. q o /, J6 /. 9 so. rr. h t ��I • T$m� Q 3 I N or* Jt•3d^ Cg �1'�•� .. C�• ��.� � \l1 \���1It� �n O i` LAUREN E W � 4 CL Z Z�t - " n r ♦ N llS,,i 4'41 w WISC m` a r t'� V GtJ �'•. �D LAND DEC Z C9(}1 Laurence W. Murphy I 4 " IN f o R gistered Land•Surveyor i I c Q +i. CNOIX COUNTY 7 . I ,. tt,,,,• ,�,.._/,.� I L on ,,^r 0 snsivq Plan+�G iJ. 7J Ot 6• '`� t '19 ^ W 1320.72' S L1 NF NW 1/4 NW /!4 g Phors CW1]nitt4o - Rep. COR. FOUNO'S tlt`p7: /0 ^f B.JB' UN PLATTL 0 - L - 4# - BFCAUSf Or LAR6f ROCK t /Lf k ACC REAR /NOS RF /. to ,Tw.F,NA8lg1 uxr or 7NF O Indicates 1" x'24" iron pipe i o Nw//4 or sec. 10, rJA14 ot &f^ & 4 s s u m r a weighing 1.13 ltis. /lin. ft. '•,�)4 !"*j - ': set. ¢ • Indicates I— iron pipe found. " scacF too --- `y indicates fenoeline w o r7'7 00• 400' 400' 400 700' pool h V ; a This instrument.'drafted by Laurence W. Murphy V S HEET 3 , 1oFz Volume 11 Page 3197 ti p erc . pt. M6 1� �� 7 553662 CERTIFIED SURVEY MAP ROBERT TORGERSON w, I tt t,e e 1F ycv kc Part of the Northwest 1/4 of the Northwest 1/4 of Section 10, Township 28 North, Range 16 West, Town of Eau Galle, St. Croix County, Wisconsin. NW COR. src. /0, rad N, R /SW, Nl/< CDR. sec. ;o, ltd N, R/aW, l\ COUNTY sURvFYOAN•s MON,I UNPLA r / ED L A NDS IRAIL'RO'AO SP /KF f0UN0/ N (INf NW! /< N90. 00'00�f td.L90' A /J37, b N qrO.00' 00'•W /BOd.Jr' I � C i In I N c 1 3 AI Owner's Address: Z 2358 501, Ave, :5 Woodville, WI 54028 x Cl) lO I k d >•3t'as•'w rse,tt' � a 1. J,po• Tot.Yt! � 1 O K: �M1 ; .UN L DS LD T f / a 1, 010, 676 s0. f T, w IJ3 J h q �(fJ " q tv 311 25P ACRES CXC. ROAD R.O.W. a o o , " O /, 36/, et9 s0, f r. a a 703. 23' �� T 411 N o ` 8 R 87. 3t'Sd"E rid. tt' ````` ,11111111 /t /� f " s f 011 ti �� � O N', W ` ...... `LAUREN E I I 1 k1t MU HN o N ' I I b l LSi kt dW J I= m w h l wise , 4:k4 • DEC 2 b ' g { J rence W. Murphy < RT ered Land�Surveyor os 1s' o Q o— { 0. CROIX COUNTY 3 , C 60l, prshenstve Plarw)4rs.7J' O' /A "W /3 ;0, 79' d L /NE NW //1 NW 111 -f--}+ }� f Can�n�itt$o i REf. CDR. FOUND'S•ON'a3�'<0•'E e,3t' 7 s UNPLAT�Tf D�L 9fCAbtfOf LARGE Rocx r/tf w: :�•�• ".� aeYS of ALL BFAR/NCS RFF. la'{,Tw.�N4*cwLINEOFnve o Indicates V x 24" iron pipe i o NW 1 . < Of stc. /0, r,E4A, f, x90.00'00 "f +y weighing 1.13 llis. /lin• ft. " 1 A ,,.,wr set, 0 0 • Indicates 1" iron pipe found. ' SCALE + :.'t00' "+?9'oiy'� `�- Indicates feneeline 300' 300' 100• $00' 600' O � V • a This instrument.'drafted by Laurence W. Murphy 3 St31�� I OF 2 Volume .11 Page 3197 • ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM OOwner/Buyer Le- , /�A t ,• s S'C.& . w Mailing Address M4 , n �r 4 ! cz' u1 , t ✓ 5"`l''L Property Address 41 a 1 (Verification required from Planning Department for new construction) City/State Vo v v // GJ Parcel Identification Number t V ,Y - LEGAL DESCRIPTION Property Location +✓ '/,, 14/k. ' /,, Sec. 1 , T N -R Town of Subdivision 1.1, / I 1'S y .Lot # / Certified Survey Map # .3 2. . Volume , Page # Warranty Deed # S ^ G t t 5" ? ; Volume 1 �" �G . Page # . �( Spec house ❑ yes * no Lot lines identifiable [P' yes ❑ no SYSTEM MAINTENANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site 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. I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating t your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 day 9f the three year expiration date. SI(jT1 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 the p erty des rib above, by virtue of a warranty deed recorded in Register of Deeds Office. '/�k09 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 N a s 5GU5 F w STATE BAR OF WISCONSIN FORM 2 - 1982 WARRANTY DEED DOCUMENT NO. V 14EGISTER'S Qi FI 9E CROIX CTX. W1 Robert Torgerson, aA/a Robert 0. Torgerson ;' t! JU N 18 1991. 9:30 A M it conveys and warrants to Jeffrey S. 3uckow and IC `�'..•t. �! �•t ;4 Su ck ow, husband and rife � J ; I I{ Tl4S SPACE RESERVED FOR RECORDING DATA — NAAAE.JWD RETURN ADDRESS the following described teat estate in St. Croix County, l •` y , . lowing desc bed C State of Wisconsin: 8aj&. ,; 3ranch ( i I P.O. °rx 126 ` 008- 1027 -95 j f PAFIM IDENTIFICATION NUMBER part of the Northwest Quarter of Northwest. Quarter (NWk of NA) �+ of Section Ten (10), Township Twenty -eight (28) North, Range Sixteen (16) West, Tewn of Eau Galle, St. Croix County, Wisconsin �( A l described as follows: Lot One (1) of Certified Survey Maps filed December 26, 1996 in Volume 11 of Certified Survey Maps, page 3197, an Document No. 553662. = Nf�R I. Ail I I. C ; i s not L _� _ homestead property. 11 lE xMX (is noo (i ERCeptionroWarruuia: Easements and restrictions of record. j II 1 ji Dated this f[1 day of e . A.D., 19 (SEAL) Gt aF / a� (SEAL) it Robert O. Torga son ' (SEAL) (SEAT ' iC AUTHENTICATION ACKNOWLEDGMENT j, State of Wisconsin, SignatureO ss. ', II - S�• �Jg�X County. #4 authentiated this day of _ _. 19_ Personally e 7 ` � iore me this day of t to the above named a � Robert To erson, a /kT Robert 0. Ij Torgerson ` ¢ TITLE: MEMBER STATE BAR OF WISCONSIN !i (If n«, authorized by Wi §706.06, s. Stars.) to me known to be the person who executed the foregoing I ...r,.,,instrum ge I, THIS INSTRUMENT WAS DRAFTED BY - �---- 'tR ; Thomas A. McC ormack Baldwin, WI 54002 ;` �' J� �Bi:e Counry,wls. - �a . blic, (Signatures may be authenticated or acknowledged Both �,x nx-1 1 J Z My, ml on is ;'er tanenr. (If not, stet* expiration dare cot necessary) • Narita or persons star ng in ...v rapacity should by yped c-r printed Belo- i.._ it _pit to r . i STATE BAR L T M, WISCONSIN wxonsn w co" J.l.ee. wa. i WARRANTY DEED form No. 2 — 1982 � s • R s �..t ° - :' 3 { ". • }..' - �. - ^`l q'rF .r *d w pEC 2 61996 CERTIFIED SURVEY MAP ROBERT TORGERSON Part of the Northwest 1/4 of the Northwest 1/4 of Section 10, Township 28 North, Range 16 West, Town of Eau Galle, St. Croix County, Wisconsin. NW COR. SEC. 10, T 28 N, R 1 6 W, N I14 CO R. SEC. /O, r28N, R 16W, (COUNrY SURVEYOR'S MON.) UNPL LANDS !RAIL ROAD SPIKE FOUND) N LINE NW /14 N90 "F 2644.90 /32P.4 'D 0 — �— /322.43 I I N 90'00' 00 "W 1289.37' O N O I 3 M f Owner's Address: 1 Z I�IW 2358 50Th Ave. v M Woodville, WI 54028 C1I i o ~ h � S 87' 32' 33 "W 738.22' Q W Q ' 703.22 ti ku 4 I A c Z o Q , I N \ O J O Q " LO 7 / of 3 N T L 3 " 33.073 ACRES V h h /, 440, 676 SO. Fr. '� W I3 3 • • 31. 239 ACRES EX C. ROAD R. 0. W. 6 q O a •t q O /, 361, 629 SO. FT. I q 2 h � 705.22' 1 N J X I 3 ( N 87 • j2 738.22' NSC O NS 5% h a I , o N ote: LAUREN E' : Q No suitable area for a % • W MU Hal ' . M \ septic system has been found = S 3 I a n o i s time. N E ALLS, ' ku W Z J I I h I t�`,Q' wisc. JQ m` lu � 0 Laurence W. Murphy o R gistered Land Surveyor `4S 43' ; R j q 6 " S d* '-**' "W 1320. 79' S LINE NW 114 N W I14 rtj- �- REF. CO R. FOUND S 02'33'40 "F 8.33' UN T T£D LANDS BECAUSE'OF LARGE ROCK PILE 3 - Q ALL 8EARIN6S REF. r0 rHE'WORW LINE OF THE Indicates 1" x 24" iron pipe 2 NW 114 OF s£c.1o, r28At,,R,161W,.,,,aSSUMED weighing 1.13 lbs. /lin. ft. m N90 Do I F set. •:Indicates 1" iron pipe found. o a. ^~- '�!- '� --•�- Indicates fencel ine SCAL f P'Z= 2 00' y ; 0 23' 30' /00' 200' 300' 400' 300' 600' . h o �+ V � \ o This instrument drafted by Laurence W. Murphy SHEET 1 OF 2 3 . Volume 11 Page 3197