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HomeMy WebLinkAbout012-1076-80-000 O to O 3 T 0 d T. If ol ° o co c •^ rr I !i a o w T !I m w o �• m 7 N < O. C to w O O O) N J � o Q m m 0 4J Z v O +n d V N) N) vO c„� R v m < ° O O m c n - rn N N C O. 0 y O O D O f r I � O O 'r7 w to Z D m co" o co a 3 II o D z p7 _a C CL to m S � ' � tai O O to coo * n r N to 0 3 Q OI O O O m Y �� CL v CA co) v app p C ' ! hh O m O 7 m 0 m m cn y 't CD c. m N 7 w O O Z O D D o ry � OL I � 3 0 � I �• m in m -q cn y �a ? 0 a z 0 00 'O Z w rn CL Z 3" Ico I w Z m � A o I I !I 0) (OSV! 7 ^N n.-. C O O m Q N �. m 0 0 N N ZT Q O y� O N N C N fD p� T 'O M y — 7 I o ' =,CO Zm =o � o >•N T m y 0 �M= O'0 O0 2 CD W cf)�� w cn� my� ,A x io m m 3 a � co m o CD co m = m (D o T ni N Sp om� ° w o- m o I o ' w CD vo o I 69 O °o i _Aiisconsrn Department of Commerce Safl and Buildings Division PRIVATE SEWAGE SYSTEM County: INSPECTION REPORT St. Croix GENERAL INFORMATION (ATTACH TO PERMIT) Sanitar Permit No.: Personal information you provice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. 353147 Permit Holder's Name: ❑ City ❑ Village EkTown of: State Plan ID No.: FTang David Town of Erin Prairie o ; ?a.0go(o CST BM Elev.: f Insp. BM Elev.: BM Description: Parcel Tax No.: C70 .t� LV , O r a,i GS / d3rw 012 - 1077 -00 -000 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION 4 S HI FS ELEV. Septic Benchmark 9. 2�2� i j Dosing L-dq Alt. BM / Aeration Bldg. Sewer 104 " Holding St/ Ht Inlet TANK SETBACK INFORMATION TANK TO P/ L WELL BLDG. Air I to ntake ROAD Air Septic >Z&a NA Dt Bottom �A Dosing « ` '( r NA Header/ Man. -t2. Aeration NA Dist. Pipe f 9, I Tt 16 0, f Holding Bot. System f, 3 ( �• 917 PUMP / SIPHON INFORMATION Final Grade Manufacturer Demand St cover , �D �O �• /� Model Number t^tt t_— I GPM A Jf� 10 TDH Lift S Friction) p TD � j &t Forcemain Length r Dia, oZ et Dist. To S94, ABSORPTION SYSTEM SX' +q, �- Qj K ED Width t Length I s PIT No. Of Pits Inside Dia. Li DtWENS DIMENSION SETBACK SYSTEM TO P / L BLDG WELL LAKE I STREAM LEACH anu acturer: INFORMATION TypeO / CHA Model Num er: System: >>107> ' �'I� O NIT E DISTRIBUTION SYSTEM Header 1 Manifold � Distribution Pip ( u x Hole Size x Hole Spacing Vent To Air Intake Length Dia. a Length ia. AN Spacing 1 4e SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over 7Bd th Over xx Depth Of xx Seeded/ Sodded xx Mulched Bed /Trench Center /Tr ench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No u,, t COMMENTS (Include code discrepancies, persons present, etc.) Inspection #1: / / /1/ ?f Inspection #2: Location: 1R42 Highway 63, Baldwin, WI (NW1 /4, SE1/4, Section 36 T30N -R17W) - 36.30.17.557 .2 / O Aso' w - > qZ " --tom W� " Z oe �! 6 b P $.►L . r an e u e Yes O No - -11- ' s her , � sidd f y Q� r add inf Date Inspe or' Si at�u /e ^ ePk� -QM 1/�R7t- dt yuorQ� ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: i t i € y � p i — E � i t t a t 6 F L fi t k a e� w .d 3 3 � F ` y E e j p 1 E y F i e M F i s..».,. 6 .. �. ° e� ...° .�.. .... .. °..�. _.. . ..... .�.. ° . . ° F i R b 4 s s i e. E � a : 3 3 ( i € e t I i t i E t , a # � i ¢ F i i 5 F i � R I F S — ,........ J-1—.11— .. _. _..;. ....e. w...p.. .. ._ ( . Safety and Buildings Division 201 W. Washington Avenue Vis ico os i n SANITARY PERMIT APPLICATION P O Box 7302 In accord with ILHR 83.05, Wis. Ad Department of Commerce . �- --�- -� �- Madison, WI 53707 -7302 • Attach complete plans (to the county copy only) for the syst . , on paper hotle County � than 81/2 x 11 inches in size. ;;� • See reverse side for instructions for completing this app ion .� ' ate Sanitary Permit Num er Personal information you provide may be used for secondary pi oses a Pheck if revision to pre 3s3IL 7 vious application (Privacy Law, s. 15.04 (1) (m)]. l �� U- Stake Plan I.D. Nu�m I. APPLICATION INF RMATION - &S PRINT 9,NF N °° ° AO JU Property Owner Name Loca n v j G� r ,�rr?f Nlt 1i4 , r, %rA 4 5 S6 T .362 r N, R/7 1(o r Property Owner's Mailin Address Lottttuit(ber Block Number City, State Z Phone Number Subdivision Name or CSM Number ( ) I. TYPE OF B IL I G: (check one) ❑ State Owned o ity Nearest Road Public 1 or 2 Famil Dwellin - No. of bedrooms E] V own of III. BUILDING USE (If building type is public, check all that apply)$Ai►tI 4 Parcel Tax Number(s) 1Z — 7— DO — OOd 1 E] Apartment/ Condo 1/2 — A� / 7 6 — b 0 000 2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/ Repairs 11 ❑ Restaurant /Bar /Dining 4 ❑ Church/ School 8 ❑ Mobile Home Park 12 ❑ Service Station/ Car Wash 5 ❑ Hotel/ Motel 9 ❑ Office/Factory 13 ❑ Other: specify IV. TYPE OF PERMIT: (Check only one box on line A. Check box on line B, if applicable) A) 1. U 'dew 2_ ❑ Replacement 3, ❑ Replacement of 4. ❑ Reconnection of S [] Repair of an ______System ________System -------- I ----- Tank Only______________ Exi ----- ----- -------- ExfstfngSystem 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 B'Mound 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. ABSORPTION SYSTEM INFORMATION: 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System Elev. 7. Final Grade Required (sq. ft.) Proposed (sq. ft.) (Gals/day /sq. ft.) (Min. /inch) Elevation - 5!� �% , �, 1 1 ' Feet /d /. /? Feet Ca acct VII. TANK in allo S Total # Of Prefab. Site Fiber INFORMATION g Gallons Tanks Manufacturer's Name Concrete Con- Steel glass p lastic Exper. App New Existing structed Tanks Tank s Septic T 11,0r �L - 90 0 ❑ ❑ ❑ 1:1 ❑ Lift Pump Tank r d a /',7 ❑ ❑ 1 ❑ ❑ 1 ❑ ❑ Vlll. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name: (Print) Plumber's Signature: (No Stamps) MP /MPRSW No.: Business Phone Number: Plumber's Address (Street, City, State, Zip Code): IX. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater ate Issued Issuing A e t Signature (No Stamps) [Approved ❑Owner Given Initial 2 Surcharge Fee) lo_ S 5 ( Adverse Determination J° l -C /e0v t^� X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: 1 t t� e C_ `' 004 1 tIV, ` vwi - lo � PrGf�.. WW �- bL A ft w 6w 7�t.moll R�1 vvw A�r .%" 4 uvod fin G,. 4l L t✓c p. SBD- 6398 (R.11197) DISTRIBUTION: Original to County, One copy To: Safety & Buildings Division, Owner, Plumber INSTRUCTIONS 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at a time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. II I 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 by a licensed pumper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety 9 and Buildings Division, 608- 266 -3151. I� I To be complete and accurate this sanitary permit application must include: i f I. Property owner's name and mailing.address. Provide the legal description and parcel tax number(s) of where the system is to be installed. II. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling_ III. Building use. If building type is public, check all appropriate boxes that apply. IV. Type of permit. Check only one on line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested for numbers 1 through 7. VII. Tank information. Fill in the capacity of every new /or existing tank, list the total gallons, number of tanks and manufacturer's name, indicate prefab or site constructed and tank material. Complete for all septic, pump /siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County/ Department Use Only. X. , County / Department Use Only. Complete plans and specifications not smaller than 8 1/2 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 • . i` LACROSSE Wl 54603 -1905 TDD #: (608) 264 -8777 *hsconsin www.commerce.statemi.us Department of Commerce Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary April 14, 1999 CUST ID No.267341 ATTN.• POWTS INSPECTOR WEGERER SOIL TESTING & DESIGN ZONING OFFICE 421 N MAIN ST ST CROIX COUNTY SPIA PO BOX 74 1101 CARMICHAEL RD RIVER FALLS WI 54022 HUDSON WI 54016 RE: CONDITIONAL APPROVA " V_ 1--r Id xt is APPROVAL EXPIRES: 04/14/2001.,- Transaction ID o. 220806 SITE: i _. Site ID No. 170577 ` Site ID: 170577 ; _ - Please rte. to both identification ntimb6t$, St. Croix County, Town of ErinVrairie N TY above,; iwgl c�ndence with the agency. NW1 /4, SETA, S36, T30N, R17W, .' r Facility: David Franey ` `'✓ FOR: Description: Mound Object Type: POWT System Regulated Object ID No.: 462841 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. • This approval does not include plans for the general plumbing systems or sewer piping leading to the septic/holding tank that may be required for this project. See section Comm 82.20, Wis. Adm. Code, to determine if plan submittal and approval is required. t o / 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, DATE RECEIVED 04/14/1999 s FEE REQUIRED $ 180.00 FEE RECEIVED $ 180.00 erard 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 ,,.,�_4 440 a Page of 6 MOUND SYSTEM FOR A y BEDROOM RESIDENCE LOCATED IN THE NW 1/4 OF THE SE 1/4 OF SECTION T 3 O N, R W, TOWN OF ECZ.1VV 1�C1CZ1r , sT.C�a�1X COUNTY, WISCONSIN. INDEX PAGE L 'of 6 TITLE SHEET PAGE 2 of 6 PLOT PLAN PAGE 3 of 6 PLAN VIEW -CROSS SECTION PAGE 4 of 6 DISTRIBUTION PIPE LAYOUT .PAGE 5 of 6 PUMPING CHAMBER PA GE 6 of 6 PUMP PERFORMANCE CURVE PREPARED FOR CuZ e�� 7v ry s s 3 �0 P Gondit GOMMER 4p PREPARED BY W FEE GEE Ef:�t SCI JE L TEST I P4 AND. I3 E E3 I c3 V4 SEFzz %1 ICE F.O. BOX 7 4 421 N. KAIK ST. RIVED FALLS. VI 54022 715 -4,25 -0165 2 W TMi ER i ay„ P SS EuswpRnH, wis ••.... ..- q�- JOB NO. Page �3 0f 6 Approved Synthetic Covering IRrs- c.3B Distribution Pipe Medium Sand Topsoil - - -- F Elev. . 9.4 - - 1� - -r - 11 N r, E I L/ E I ` I b S % Slope Bed Of 2�- 2 %2 ( Force Moin Plowed Aggregate From Pump Layer D - Ft. Cross Section Of A Mound System Using E 1 ' 6 I Ft. A Bed For The Absorption Area F o•$ Ft. G 1, cN Ft. A Ft. H t. S Ft. Linear Loading Rate =a -S GPD /LN FT B Ft. Design Loading Rate= o.4.GPD /SQ FT j N 6 Ft. J - 7 Ft. K 11 Ft. (Position L bS Ft. of Force Main W l Ft. L 0 � Observation Pipe --� 8 � K l �-- -- -- ^. -- _ -� A Distribution Bed Of 2 "- 2 2 Pipe Aggregate I Observation Pipe Permanent Markers (Anchor securely) Plan View Of Mound Using A Bed For The Absorption Area Page 4 ) Of Perforated Pipe Detoil 0 End View Perforated End Cap.) . PVC Pipe 1. ° b (� ° ` o ,S� ° ° Install permanent marker at end of each lateral Holes Located On Bottom, Are Equally Spaced S Q PVC Manifold Pipe Oislri ution PVC Force Main ti pipe Lost Hole Should Be I Next To End Cop End Cop P 3o Ft. Distribution Pipe Loyout S q Ft. X LLb - Inches Y u Fj Inches Hole Diameter J ly Inch Lateral 1 1 '5 , Inch(es) Manifold Z Inches Force Main 2 Inches # of holes /pipe 8 Invert Elevation of Laterals -T Ft. $Kkx)= 4 Place 1st hole from center of manifold with succeeding holes at 4 18' intervals. Last hole to be next to the end cap. P Combination Septic-Tank and PUMP CHAMBER CROSS SECTION] AND SPECIFICATIOIJS ` PAGE S OF I r . -VEUT CAP WEATINEK PROOF JUIJGTIOLI BOX . 4'C.I. VEMT PIPC APPROVED LOCKING �:. 10' FROM DOOR. MAIJHOLE COVER wl� I t lo '.iIkIDOW OR FRESH wAtt►JIIJ6 LAtBEI.. ALR IIJTAKE cw�TD�Tr 4 A Alk y "tllSvt'�ba.I PIPC PROVIDE i ----- IMLET AIRTIGHT SEAL APPROVED .IOIAIT A I APPROVED JOWTF I I I W /C.I. PIPE�pJC W /C.I. PIPE Olt Tank construction I I I shall comply with ALARM ILHH ('13.15 and 83.20 o I 1 I I ou C i I I LLCM. FT. PUMP - -� OFF D COWCRETE 1�7- Cis rzQ ' 6LOLK 3" APf'Rrni� RISER EXIT PERMITTED OIQL�f IF TAWK MAIJUFACTURCR HAS SUCH APPROVAL 11E40 ING SEPTIC f SPECIFICATIDKIS DOSE I� \DI,y1�ST��t1�) 1,1UMbF -R OF DOSES: 3 � 4 � T/,WK M AIJUFACTUR CR: PER �� TANK 51ZL : ��� � $�� GALLOWS D05r& VOLUME I ALARM MAIJUFACYUR.CR: S,S. 'C� S' 15 INCI- UDIA1(a 5ACKIFLOW: GALLONS MODEL NUMBER: "pk IAW CAPACITIES: A= 19 _ INCHES OR L{ 00 • OGALLOI,15 SWITCH TtsPfE: :lQ zr B= a Z iwCHCS"OR L r,ILLOUS PUMP MAIJUFAC.TURCK: GcwL- . S C - JUCHES OR " S GAU0U5 MODEL UUMBEK: 3 1 ��b D- S INCHES OR _168 -q -y GALLONS SWITCH TYPE: 'F�1 2C°UR -If MOTE: PUMP AMD ALARM AR TO bE ,O MIAItMUM DISCHARGE RATE 31,� GPM IN5TALLED ON 5EPARATE CIRCUITS VERTICAL DIFFEREMCE DETWEEII PUMP Off AUD- 015TRtBUTIOM PIPE.. Ll'13 FEET + mimimUM MCTWORK SUPPL J PRESSURE Z•S O FEET + �® FEET O F FORCE MAIM X 2 ' 1 y F 00fT.FKtCTIOU FACrOSt.. x' FEET TOTAL DtIWAMIC HEAD = 2 FEET Pump chamber DIAMETER — 8 3 `I IEITERAIAL DVALWSIOW� OF TAWK: LEW&TH — ;WIDTH ;LIQUID DEPTH BOTTOM AREA — 231= GAL /INCH AS PER MANUFACTURER = Z 1.0 S GAL /INCH I - - s Goulds of Submersible �- Effluent Pump - EPO4 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. dry without damage to heat transfer. ■ Motor Cover: Thermoplas • Effluent systems • Homes components. Available for automatic and tic cover with integral handle • Farms Motor: e phase: 0.4 HP manual operation. Automatic and float switch attachment • EPO4 Sin l; points. •Heavy duty sump 115 or 230 V 60 Hz, 1550 models include Mechanical • Water transfer Float Switch assembled and ■ Power Cable: Severe duty • Dewatering RPM, built in overload with preset at the factory. rated oil and water resistant. automatic reset. ■Bearings: Upper and lower SPECIFICATIONS • EP05 Single phase: 0.5 HP, FEATURES heavy duty ball bearing 115 V, 60 Hz, 1550 RPM, construction. Pump: EPO4 built in overload with ■ EPO4 Impeller: Thermo- • Solids handling capability: automatic reset. plastic Semi -open design 3 /a" maximum. • Power cord: 10 foot with pump out vanes for AGENCY LISTING • Capacities: up to 55 GPM. standard length, 16/3 SJTO mechanical seal protection. S• Canadian StandardsAmciation • Total heads: up to 24 feet. with three prong grounding • Discharge size: 1 NPT. plug. Optional 20 foot ■ EP05 Impeller: Thermo- (CSA listed model numbers length, SJTW with plastic enclosed design for end in "F" or "AC ". • Mechanical seal: carbon- g improved performance. ) m rotary/ceramic- stationary, three prong grounding plug 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 ♦ " si,n components. - - - - - - -- - - -- _ " � � ?— - - - - -� Pump: EP05 a • Solids handling capability: o 25 j %" maximum. W . - - — — - r • Capacities: up to 60 GPM. s 20 • Total heads: up to 31 feet. • Discharge size: lYz" NPT. Z 5 -__- - - -_.- ----- - -�_ -- - - - -- — - • Mechanical seal: carbon- 0 15 rotary/ceramic- stationary, a 4 BUNA -N elastomers. o ---- _ -- __ -- _ - -_ - -- _ ..__ __ _ ____ EPOS - • Temperature: 3 10 ' 104 °F (40 °C) continuous �Z 140 °F (60 °C) intermittent. 2 -- - - -- - - - - -- 1 - - -- 5 0 10 20 30 40 50 GPM L -L a L L L 0 2 4 6 8 10 12 math CAPACITY ©1995 Goulds Pumps, Inc. Effective May, 1995 83871 VMIScuI i P Division of Safety and Buildings J �J i.. Iwi i 4.i t S f;L.0 i P age of Bureau o Integrated services in accordance with & {LHR- 83-09, Wis. Adm. Code Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan m'' un include, but not limited to: vertical and horizontal reference point X141), directiO4�ki ,� r t s r di north armw, and �1e 'e i rUetd. percen lope, scale o ime location an�distr�lnce to ar s P I.D. # ' AK, 10'1 '7 - 0 0 APPLICANT INFORMA i intarmation T Re wed by Date Personal infomretion you p de may Ise used for secondary purposes (Fri k s. 15 .(*d9;l;WV Property Owner L �Z -P -J .J rope ocatiorf,., Govt.lot" ` 1!4 1!4 S T ,N,R / �r(o ko er - 0 SL 3& �U 7 & Property OWees Mailing Address # Suub Name or CSM# 10� t f� gag W / .3 f'enQi/t City State Zip Code Phone Number (] City ❑ Village Q Town Nearest Road IJ Win IV:r y (Ifs � y6� r rair ' .3 New Construction Use: SResidential / Number of bedrooms Addition to existing building ❑ Replacement ❑ Public or commercial - Describe: G, Code derived daily flow YY0 gpd Recommended design loading rate 0 A bed, gpd/ft gpdAP Absorption area required bed, ft trench, f / t 2 Maximurp design loading rate k - s bed, gpd/fIF —f _ trench, gpd/it Recommended infiltration surface elevations) / nZDu �1 d a ld n 98.9 -C"f -I' r (as referred to site chmark) Additional design/site considerations Cl1 1 = /C� ` lg Yn 4 o;. = gL r % A r d 3S 4 G r 5 - Parent materiel Al A Flood plain elevation, if applicable Al A ft S a Suitable for system Conventional Mound In-Ground Pressure AT•Grade I System In Fill Holding Tank U unsuitable for S ❑ S M u W S❑ U ❑ S ER U ❑ s P u ❑ S ®u ❑ S O U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/tt2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench i 1 0 , 5' L6 Y " 1 31 , ) - VW s - 1 sbk ryw as 1i 3M s a� to R 5 i ( s3lL m sbk rn& 8AA h m tco 0 S 'O -(P Ground 3 9 - 6 Q Y A) 0'H E' b GW 11 .1 w 6 •S elev. g l 9- O M Z11P /d o w -�i � a M bwC rn Gtr ' ,l Depth to 3 7 .S ytz ra s , sit ( a-m a bk rn S ; a (p limiting t'p Y Q ! U y/t ! V TS factor a {`Lin. Remarks: Boring # 0 Xz 0. mti 6-S a-� 6.6- lJ-4p (- a o Q . >Jr e ( 4r 4 S A (e Ground t f i 1 ,- X Y � S r l a m s roSr J 1 6 .6 , e j il fL C D 1019- 4 ad t O S"Y ;' (M, 5 ins Depth to limiting fa a�ljn. Remarks: CST Name (Please Print) -- §IgAature Telephone No. — rhor n a , S D, 1 7 i S-1PSB= / 3`-1 Address 4 37 ` S t� Date CST Number N 13ySO � �v_c,, cn VJ r 5Li 7S? lv J3-��S 7(018 Safety and Buildings F. 2226 ROSE ST x LACROSSE WI 54603 -1905 N VA, Mir TDD #: (608) 264 -8777 ,sconsi� www.commerce.state.wi.us Department of Commerce Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary April 19, 1999 CUST ID No.267341 ATTN: Plumbing INSPECTOR WEGERER SOIL TESTING & DESIGN MUNICIPAL CLERK 421 N MAIN ST TOWN OF ERIN PRAIRIE PO BOX 74 1530 190TH AVE RIVER FALLS WI 54022, NEW RICHMOND WI 54017 RE: CONDITIONAL APPROVAL Ideitification Numbers APPROVAL EXPIRES: 04/19/2001 - Transaction ID No. 220796 S }t No. 170577 SITE: ` r,pLlp se- refer to. bothidentifc a ionA tubers, � Site ID: 170577 �cJruifgG Of:FJCE e, in all correspondence?vvitli'the agency.' ST CROIX County, Town of ERIN PRAIRII NWl /4, SETA, S36, T30N, R17W DAVID FRANEY FOR: Description: Home/Pole Building PIMS Object Type: Sanitary Drain & Vent System Regulated Object ID No.: 462824 Plan Type: New 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 chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The installation of the Sanitary Private Interceptor Main Sewer(s). This approval does not include the private sewage system. Plans for the private sewage system must be submitted and approved before beginning construction on this project. 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, DATE RECEIVED 04/14/1999 Conti FEE REQUIRED $ 80.00 �I l/ FEE RECEIVED $ 80.00 � HERMAN J DELFOSSE ,PLUMBING PLAN REVIEWER BALANCE DUE $ 0.00 13 VQp,RT0 , Integrated Services Dil�t5loN OF (608)789-5535, MON - FRI, 7:45 AM - 4:30 PM �T4 -t HDELFOSSE @COMMERCE.STATE.WI.US WiSMART code: 7657. Ef= CC cc: THOMAS L BRAUN, PLUMBING CONSULTANT, (715) 634 -3026, MON. 7:45 -4:30 WEGERER SOIL TESTING & DESIGN DAVID FRANEY - T - jn- S �L� Page 1 of 2 PRIVATE INTERCEPTOR MAIN SEWER FOR A 4 BEDROOM RESIDENCE AND A BATHROOM IN A POLE BUILDING FOR THE OWNER'S USE ONLY. LOCATED IN THE NW 1/4 OF THE SE 1/4 OF SECTION T 3 O N, R � W, TOWN OF E"`Z,L�J �C�P� VL�Z- COUNTY, WISCONSIN. INDEX PAGE 1 of 2 TITLE SHEET PAGE 2 of 2 PLOT PLAN PREPARED FOR �Rv )L b - 1.q,3'�v GuCL C c��2 f v "N3, S525\40 PREPARED BY 4JI=GEE =DER !E;C! 11_. . TEST" I V%ICC NO�t AND. , gt p® I7ES = GtV E3�F�V ICE � ®.P,��°� P.O. 801; 7 42! K. MAN ST � ARTHUR RIVES? FALLS. BI 54022 WEGEREq } D-955 P 715 - 4,2.--0165 Euswo " R � Tr�, /j�Ij ��` Ll JOB NO. 019-SS• vvisconwra Department of k;ommerca SOIL AND SITE EVALUATION Division at Safety and Buildings page of e-irea" k"Wed Seftes in accordance with s. I Wis. Adm. Code J- Attach ccmplote site plan an paper not less than 8 112 x 11 Inches C191 Include. but not limited to: vertical and horizontal reference point In X &0 iK percent W". scale or dimensions, north arrow, and location and to R&" I.D. # 1017 • 0 APPLICANT INFORMATION - Please ft 1999 ad b Date Porsorlsl kftwetim you provide may be used for IV t' Property owner kqer Sch oi 4 RECENED 114,5 U T N,R &(O3 Property 0WIses Mailing Addres al Subd. Name or CSM# lei Y& 147 V-46 3 F P 2 - 1 7 1999 f [ C* Slats Zip rQdo S'P406111tumber C ity ❑ Vill Town Nearest Road e Ralj Win W I r ;e, I COQ4V ly Now ConstmOon Uss: Wi;l4ni 3 Addition to existing building 1:1 Rapiscernent ❑ Public'" . rcial Describe: Code derived daily flow ySd gpd Recommended design loading rate — - - S -�bed. gpd?1F-Q---P—trenc;h. gpW Absorption area required —bed, n trench, ft2 Maximurp deogn loadin rate 0 • . qpdfl?-9--�e - trench, Walle n E_-JIbed Recommended Infiltration surface elevation(s) Inds , I 4L d A 9j',qCO3t4Vk r ft (as referred to site an be9chrrmuk) Additional designialte considerations cl�& C ? Arf - J 3,5 Parent material 41.4 1" plain elevation, if applicable A) A ft 6 • Suitable kw system Conventional Mound In-Ground Pressure AT-Grade System in Fill Holding Tank U= Unsuitable for system 0 S M U �s 0 U 0S au 1 08 CRU I 0S 9]u 0S W1 SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Moto" Texture Structure Consistence Boundary Roots GPD/ft2 In. Munson Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trench b-5 -01& & Y"e,31a A) aW sil ensk MV as C� /a r4 513 A)g-Ke -3 i t A m s6k rrt U LA m too 6 '0 Ground /0 Y�e A) aW 9 ft-s b k cvj bn to 0 -S :0 slev. n. q 9 10 ye eku am M4 ✓V-' I ox 0 -6,(-0 1 933 Z-SY1Z tiAl e-,�J ' ° Y bk 0.-tt> -- Depth to ), V limiting 3315 JQLAa I U yR Tz* S t11 K 6.5: 0, to factor . Remarks: Boring # K\ eig I LA) 3 -2 10 V YN 5T( awbK M�r r Ground 1,6 K Y mt ars I aowsbk mvr slev. 3' Depth to Ikniting A in. Remarks: CST Norm (Please Print) signature 9 q Telephone No. 'rho a s 3ql Address Date CST Number N 1 q 3 7 t et, ( rnWr 59757 Ilia 7(018 SOIL DESCRIPTION REPdRT a 3 PROPERTY OWNER e c�Cic1Qrf Page o of PARCEL I.D.# Boring # Horizon Depth Dominant Color Mottles Texture Structure Consi Boundary Roots r In. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. Bed . Trench .3 ! 0 16foed 3 41 4 %e i XphC-f inU a S 2 j� .5 0.(P a a / 1 �i ar+t s l�k m� ,� •S '0•b Ground OS U,lo elev. i in c 4j s 0•l0 �b Depth to Si 3m a wt — 0. ; O•l0 limiting factor c�..Jn• Remarks: Boring # Ground alev. ' ft. Depth to limiting I I T factor ln. Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots In. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench Boring # ' Ground elev. ft. Depth to limiting factor - ---� "' Remarks: Boring # Ground elev. ft. ; �to Uniting factor --- "' Remarks: SBD•8= (R. 07168) R� tr S o h "a f'� Pla4 Pl cs 4Z 7W 63 4 S' ej� Z. , NW SIF Se c. 34 �r3 0 R17 i) P a �T 4 3 A,-Cr-r--S, No 3� 9m-;: �� /00,0' Nay I alJ - „ K P.16oa n oa.k 7"re gZ � / e Alml Wlf.,v gj" th 8irc� trtI& P le- cam►. i .tx S mofed �ayG 3o F3 ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND • OWNERSHIP CERTIFICATION FORM Owner Buyer �ql/ � Mailing Address 33 S c D►za ry 3 O 1M � T" 1 g.0 P �[Yll4Y►, '1 S�'S ( 1 0 v Property Address 12- lva 455 _ (Verification required from flanning Department for new construction) Ci 1State �A ��w��� �° lzr 1 0 - 7 7— A 9- aao tY Parcel Identification Number I2` i07� - 90 - 0op LEGAL DESCRIPTION Pro Locatio NA fA SE f P�tY L— / <, /., Sec. �1 . T 30 N -R 1 `7 W, Town of �r," Sz ;di:on /'►�1� Lot # Certified Survey Map # AIX Volume . Page # Wan arty Deed # 5 , & Volume �3 �'7 . Page # Spec louse ❑ yes 93 "'no Lot lines identifiable eyes ❑ no SYSTEM MAINTENANCE Lmptopause and maintenance of your septic system could result is its prtmatti failure to handle wastes. Proper maintenance consists of pumping out die septic tank every three yc= or soosut; if needod by a licensed pumper. What you pat into the system can affoct tare - fi`ctioa of the septic tank as a treaftment stage is the waste diapo aisy�m, PmPertY owns agars to submit to St. Croix Zcaing Department , .won form, signed by the owner and by a P ]o=ey=nplm kcr; wstric tedplmmbaor a hoeasedPumpavaifying drat (l) the on -site wastewaterdisposd system is in Proper operating condition and/or (2) after inspection and pmnpmg.(if necessary). the septic -tank is less dmn U3 full of sludge. LWev the mod have read the above roquktMena and agree to maintain the private sewage disposal system set forth, ber+ein.'as set b the with the standards Y t of Commerce of Natural Rte State of Wisconsin.. Certification staturg that Your Septic system has been maintained trhnmcd to the St. Croix County Zoning Office within 30 days- do three Year expiration date. '�. •�.•'��� "h, �NN1nn� /221 `} SIGNATURE OF APPLI T •• • •• i DATE C :� OWNER CERTIFICATION s, 9,t►, n"p (I ' I I' Z E`0••........•p �t,� I (we) certify that all statements on this form,rir of my (our) knowledge. I (we) am (arc) the owners) of the property described above. by virtue of a warren dood r `e�iNdcd in Ii ty egistcr of Deeds Office. 4,2z 91 SIGNATURE OF APPLICANT DATE 4 «4444 An information that Y is mis- represcated may result in the Beni •t being revoked 4444«« �y P� mg by the Zoning Department �• Include with this a lira i pp t on, a s warren deed tamped ty 1mm the Register of Deeds office a of the certified SPY survey map if refcvencc is made in the warranty deed *Aft r+wvljm4 f . at inu = zT =^' + �, -, L' • =` :�:` x .� as..` `7i � .. ,, r a .{ .. CE?c ..� •. �� 'j ss3s1� Document No. VARRANT! DEED i ST. .his feed, made between. H. Schwartz t '. -And autb S. gch an ! o� r z 1998 Grantor, an _ avid X. Fraaey an Lynn Mar as ioint tenants 0 '� Grantee, witnesssth, That the said Grantor, for a valuable consideration $1 and other good and valuable consideration conveys to Grantee the following described real estate in St. Cro 1 x county, State of Wisconsin s Return T F 4� ���c.Q k � 7 R - e zj 0L, �uiL1 7a u 1 / IS � See attached Tax Parcel $ 12- 1076 -80 -000 •- 12- 1076 -80 -110 12- 1077 -00 -000 R This y homestead property. > (kit X nV r Together with all and singular the hereditaments and appurtenances thereunto belonging; And warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except and will warrant and defend the same. Date this ��' day of October . 1998• ,(SEAL) / �SEAL) ., �- Roger H. Sch • Ruth E. Schwa z (SEAL) (SEAL) A U T H E A T I C A T I O H A C R H O W L E D G M E H T signatures STATE OF WISCONSIN ) ) Be. --- �• � � f County ) authenticated t is ay o 398 Personal) came before me this day f C 1998, the ova r named wd Z t�nl TITLEt HEMBER STATE BAR OF WI 5ChLzdLr o ma kno n to a "raon who Standard Erosion Control Plan for 1 & 2 Family Dwelling Construction Sit �? v �T G ;� . ....yyt. i A 1 V�(Y�•7 *X �' Ac4dtditag fhapiers II.R 20 , $c 21 of the WnS�tt a��fv�tt i r lot[ ; cat neelcp and approved prior to the; tssuance of bwttIag hermits for 2 am ........... vv tigcitttt itt „ : ::h,futcttonisrhere teotlxo$taa contra]. prgvtstons of thenollutgadeare ` :Standard Erasion t�ontrol flan fs prnded to assist tin meeting ihts xequuement. ;;:: >Btttldutg fns ors have nuthanty to request eroston +aa�atrol meaxuces nr�t specihically requtcect bq Codewhen :such meaty reeemed necessary to meet the Code's overall perforrttance standard tf keeping sott on site :more': oastrtxctI4tcprojects that disturb more than S acres, or are part o f a development that disturbs than 5 W. e .ate..'... utred �lztaYn a oanstrucuan s►tetoruii[er ri>ltarge rrp ?teV>scon$tn en <: f.:Natural.:Resources ...... artm. �..� Applicant: I tA" 0 (41 Cntif Name Daytime telephone number ve)y //ra W rn/ W 5 IV 0 6 'IQ Street address, city, zip code r Landowner. G9UZ l iQ( -�/UFY (Q — wy Name Daytime telephone number /49s36 mys7 C Ago 69A1 Myo Street address, city, zip code Location of the building site (complete as appropriate): / y S�y quarter of Section . Town —30 N., Range 17 _ Mt Lot /U A Block N�1 Street address Instructions: 1. Complete this plan by filling in requested information, marking (.0 appropriate boxes, and completing the site diagram. 2. In completing the site diagram, give consideration to potential erosion that may occur before, during, and after grading. Water runoff patterns can change significantly as a site is reshaped. 3. Chapters ILHR 20 & 21 of the Wisconsin Uniform Dwelling Code, the DNR Wisconsin Construction Site Best Management Handbook, and UW - Extension publication Erosion Control for Home Builders can be referred to for assistance in completing this plan. The Wisconsin Uniform Dwelling Code and the Wisconsin Construction Site Best Management Handbook are available through State of Wisconsin Document Sales, 608!266- 335& Erosion Control for Home Builders (GWO001) can be ordered through Cooperative Extension Publications, 608/262 -3346. 4. Submit this plan at the time of building permit application. I -- Chock appropriate boxes below, and complete the site diagram with necessary information: b ier t A 11a� s Site Characteristics North arrow, scale, and site boundary. Indicate and name adjacent streets or roadways. eT ❑ Location of existing dminageways, streams, rivers, lakes, wetlands or wells. ❑ Eff Location of storm sewer inlets. The gradient and direction of slopes before grading operations. Q� The gradient and direction of slopes after final grading operations. ❑ Location of existing and proposed buildings and paved areas. (Ur"w 8C r 1 ©tn' 6 1 T Ti_ - ❑ Er" Overland runoff (sheet flow) coming onto the site from adjacent areas. Erosion Control Practices FK" ❑ Location of temporary soil storage piles. Note. Although not specifically required by Code, it is recommended that soil storage piles be placed behind a sediment fence or more than 25 feet from any downslope road or drainageway. L Location of gravel access drive(s). Note: Recommended gravel drive design is 2 to 3 inch aggregate stone laid at least 7 feet wide and 6 inches thick Drives should extend from the roadway 50 feet or to the house foundation (which / ever is less). � ❑ Location of sediment fences (filter fabric fence, straw bale fence) or vegetative strips that will prevent eroded soil from leaving the site. �I / ❑ Location of sediment barriers around on -site storm sewer inlets. M ❑ Location of diversions. Note. Although not specifically required by Code, it is recommended that concentrated flow (drainageways) be diverted (re- directed) around disturbed areas. Overland runoff (sheet flow) from adjacent areas greater than 10,000 sq. ft. should also be diverted around disturbed areas. ❑ a of practices that will be applied to control erosion on steep slopes (greater than 12 grade). Note: Such practices include maintaining existing vegetation, placement of additional sediment fences, diversions, and re- vegetation by sodding or by seeding with use of erosion control mats. ❑ Location of practices that will control erosion in areas of concentrated runoff flow. Note: Unstabilized drainageways, ditches, diversions, and inlets should be protected from erosion through use of such practices as in- channel fabric or straw bale barriers, erosion control mats, staked sod and rock rip -rap. When used a given in- channel barrier should not receive drainage from more than two acres of unpaved area, or one acre of paved area In- channel practices should not be installed in perennial streams Location of other planned practices not already noted. t') 6 a 2 a f YS III f : Indicate management strategy by checking (,0 the appropriate box: e� Management Strategies 6- Temporary stabilization of disturbed areas. Note: Although not specifically required by Corte, it is recommended that disturbed areas and soil piles left inactive for extended periods of time be stabilized by seeding (between April 1st and September 15th), or by other cover, such as tarping or mulching. Permanent stabilization of site by re- vegetation or other means as soon as possible SPR�06 W4 t ❑ Use of downspout and/or sump pump outlet extensions. Note: Although not specifically required by Code, it is recommended that flow from downspouts and sump pump outlets be routed to stable areas such as established sort or pavement ! ❑' Trapping sediment during dewatermg operations. Note: Although not specifically required by Code, it is recommended that sediment -laden discharge water from pumping operations be ponded behind a sediment barrier until most of the sediment settles out Proper disposal of budding material waste so that pollutants and debris are not carried off -site. Maintenance of erosion control practices. Sediment will be removed from behind sediment fences and barriers before it reaches a depth that is equal to half the barrier's height. Breaks and gaps in sediment fences and barriers will be repaired immediately. Decomposing straw bales will be replaced (typical bale life is three months). All sediment that moves off -site due to construction activity will be cleaned up before the end of the same workday. All sediment that moves off -site due to storm events will be cleaned up befo th e end of the next workday. - • Gravel access drives will be maintained throughout construction. All installed erosion control practices will be maintained until the disturbed areas they protect are stabilized. � [ N �pG f" a.YS T f�erehy certify thi T understand the construction tits erosion , coni`ro1 e;Wisoottsin Uniform> Yiag bode, atrtl that `i accept >responsibtlity :for carrying out the above erosion i~ontrof flan nprtSved by the e e force en taut ... V Cigna re of a licaat A publication of the University of Wisconsin - Extension, Ron Stress, UWEX Water Quality Education Specialist (12%92). This publication may be freely duplicated Additional copies are available through the URTEX Environmental Resources Center, 216 Ag Hall, 1450 Linden Drive, Madison, Wl, 53706 6081262 -3652. FAX ST. CROIX COUNTY ZONING OFFICE 1101 Carmichael Road Hudson, WI 54016 (715) 386 -4680 DATE: /v 9 TO: Fax Number: Name: FROM: Fax Number. 386 -4686 Name: o Number of Pages Including Cover Sheet IF COMPLETE AND LEGIBLE INFORMATION IS NOT RECEIVED, PLEASE CONTACT: NAME: � D TELEPHONE NUMBER: �`C� a� L c ` i ti a � fl- M Y Ia - .. C9 O I i CJ v o � V 4 V 1 a is �` 1101 Ca *hael Road. Hudson, vW 91M X86 -4G90 st Cro C (71St' 586696 -tax z o ffic e Fc To rc � (�$ &-J Fro m: K A�Iw Fa= P ages: Z Phone: Date: .7� Z- Re.. CC: ❑ Urgent ❑ For Review ❑ Please Comment ❑ Please Reply ❑ Please Recycle e Comments: GAS cle o k _wpeerrAn Department of Commerce PRIVATE SEWAGE SYSTEM County: Safety and'Buildings Division INSPECTION REPORT St. Croix GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No.: es [ Privacy Law, s.15.04 (1)( 353147 rovice may ( y Personal information you p Y be used for secondary purpos Permit Holder's Name: ❑ City ❑ Village [Town of: State Plan ID No.: Fra a David Town of Erin Prairie a,�20$O6 CST BM Elev.; f Insp. BM Elev.: BM Description: Parcel Tax No.: .� e .e GS'f t13fM 012 -1 077 -00 -000 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION 4• S H1 7FS ELEV. Septic K Benchmark Q 9 , 2f2� Pie Dosing Lsl Alt. BM rr Aeration Bldg. Sewer 104 " Holding St Ht Inlet �Q•�� ° rg •oZ� TANK SETBACK INFORMATION TANKTO P/L WELL BLDG. Ventto ROAD Air Intake Septic 2-66 i5'd J r� NA Dt Bottom ��► , b r �r`r� t Dosing « �(�Q NA Header / Man. Aeration NA Dist. Pipe g ,8o 0 Holding Bot. System f. 3 1 �• 9 PUMP/ SIPHON INFORMATION Final Grade Manufacturer Demand ,SSt; cover /0 �- f �i Model Number GPM f a 3 -� 7 TDH Lift 5 Lriction1 jr SYSterrx� Tp �&t Forcemain Length t EDia- a rf // Dist. To Wel K SO ABSORPTION SYSTEM — 5 -, C ��• ED Width J Length I s PIT No. Of Pits Inside Dia. Li I DIMEN I N a ACH SETBACK nu acturer: SYSTEM TO P / L BLDG WELL LAKE / STREAM LEACH E INFORMATION TYpeO System: J ► Mo a Number: 7!(TD L2/3 �` J O NIT DISTRIBUTION SYSTEM Header/ Mani old Distribution Pipg( k x Hole Size x Hole Spacing Vent To Air Intake � / ,I Length Dia. a 1 / Length ia. `� Spacing f T SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only De th Over Depth Over xx Depth Of xx Seeded/ Sodded xx Mulched p ❑ Bed/ Trench Center Bed / Trench Edges Topsoil ❑ Yes No ❑Yes ❑ No aw - t - cl COMMENTS: (Include code discrepancies, persons present, etc.) Inspection #1: It //I 41 Inspection #2: Lod anon• 1 42 Highway 63, Baldwin, WI (NW 1J4, SEl /4, Section 36 T30N - R17W) - 36.30.17.557 / 9 �� 01 ra� �v 11 4 4hme, Le- � t L ' an e u e Yes No , 1� ether side Qr,additional inf ������1I A. o r, pf..A.�sJ(tr� r,_. Insoeator'sSiqPatuie i L i 1. _ �1;t N4eoa_,c 0 y ! 3 m C I O n r V m m d T ;Q O $ Z CD cj T ;I = co o :r CD n N C CD C O. j 0 O 0 3 7 N N O p fD fQ 0 � G a CD 7 CL W N O < O O ` Q W a L ; a z o =T - -. W z c ca CD D O z CL _O ZY CD 1 r �5� CD CD c a = m 0 0 j p z W A o m j 0 N Z m I f � o I \ I °' I (b o CD I 'I fi I� A I � 1 Z It O w ;I O CD � N I I A I h M. 41 o m 0 a y 0 N O 7 . 2 — d 0 C 3 A (D O. 3 0 K '0 7! # .O. �..: � A i 41 fD A M � y cn xmz o��„T' mfg 1 • A s (D O cn O Rl COta A K O .i. f O C +n N CD O C) (D < m O Q O N C :➢ C A d '--I D O w L7 d C N '.� O t N a (rt z D 3 o ZI _O v o < CL Z cfl (o n r cn ° ch c o c cl .. a O O O ? �• ci r o � fR N fn A �f v o v o v j ( (D m o O Z O D D 0 N a d hV • N !~ N C ro 3 (D -i (n p Z n cn J T z 0 '., I II •• .. co m o G , Z 0 0 En v z (D p O 0 (D 7 ^ O ( C L7 O N 2 y r g 3 a (D A O N O T N y ? 7 3 a O O D a N O Z I 0 v - < O O N O O (D p "O O 4- �c A ? v r m co ' —_m `<—° —° A C mfg= ? =r c) o -n� y N @ O (D 7 a CD .7 o � b O bG 1 !0 b9 4, O O 0 Parcel #: 012- 1076 - 80-000 11/3012009 04:55 PM PAGE 1 OF 1 Alt. Parcel #: 36.30.17.556A 012 - TOWN OF ERIN PRAIRIE Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner O - FRANEY, DAVID K & LYNN M DAVID K & LYNN M FRANEY PO BOX 462 BALDWIN WI 54002 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description SC 0231 BALDWIN-WOODVILLE AREA SP 1700 WITC Legal Description: Acres: 35.080 Plat: N/A -NOT AVAILABLE SEC 36 T30N R17W PT NE SE EXC THE N Block/Condo Bldg: 16.5'& EXC CSM 11/3213 & EXC CSM 12/3493 AKA INC PART PARC A (556A -10 Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) 012 - 1076 -80 -110 36- 30N -17W NE SE Notes: Parcel History: Date Doc # Vol /Page Type 10/20/1998 589516 1367/589 WD 01/29/1992 478527 932/338 WD 04/05/1990 457201 867/121 LC 04/05/1990 457198 867/116 WD 2009 SUMMARY Bill #: Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 09/01/2009 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.000 30,000 348,400 378,400 NO 00 AGRICULTURAL G4 21.080 3,900 0 3,900 NO UNDEVELOPED G5 6.000 7,600 0 7,600 NO 00 AGRICULTURAL FOREST G5M 5.000 7,800 0 7,800 NO 00 Totals for 2009: General Property 35.080 49,300 348,400 397,700 Woodland 0.000 0 0 Totals for 2008: General Property 35.080 65,000 404,300 469,300 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch M 554 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel #: 012- 1076 - 80-120 11/30/2009 04:41 PM PAGE 1 OF 1 Alt. Parcel #: 36.30.17.556A -20 012 - TOWN OF ERIN PRAIRIE Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co - Owner O - VOORHEES, GEOFFREY L GEOFFREY L VOORHEES 810 OAK AVE ALPENA SD 57312 Districts: SC = School SP = Special Property Address(es). L ' _ Pr* (� / Type Dist # Description " 1246 HWY 63 i '�G J�6t tai SC 0231 BALDWIN- WOODVILLE AREA SP 1700 WITC L' gai Description: Acre 3.478 Plat: 3493 -CSM 12 -3493 012 -98 S C 36 T30N R17W PT NE SE BEING LOT 1 Block/Condo Bldg: LOT 1 C M 12/3493 3.478AC PARCEL C Tract(s): (Sec- Twn -Rng 401/4 1601/4) 36- 30N -17W Notes: Parcel History: Date Doc # Vol /Page Type 08/24/2007 858566 WD 11/16/2005 812246 2929/397 SD 06/21/1999 605294 1435/385 WD 10/20/1998 589517 13671592 LC more... 2009 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations - -' as Changed: 09/01/2009 Description Class Acres Land i Improve Total State Reason RESIDENTIAL G1 3.478 31,900 126,100 158,000 NO 00 Totals for 2009: General Property 3.478 31,900 126,100 158,000 Woodland 0.000 0 0 Totals for 2008: General Property 3.470 46,800 147,400 194,200 Woodland 0.000 0 0 Lottery Credit Claim Count: 1 Certification Date: Batch #: 115 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 w COMMERCIAL TESTING LABORATORY, INC. ? 514 Main Street, P.O. Box 526 Colfax, Wisconsin 54730 715- 962 -3121 800 - 962 - 5227 ST. CROIX ZONIW%; REPORT NO.*+ 03295/01 PAGE 1 3T. CROIX COUNTY REPORT DATE; 3/29/90 COURTHOUSE DATE RECEIVED! 3/27/90 HUDSON, WI 54016 2 c, ATTN: THOMAS C. NELSON 0 /2 .-10-7 OWNER: Florence La Uelle LOCATION. NE, SE section 36, Town of Prairie {'t SQiyYw- a-r L'l3l LECTORi M. Jenkins vk SOURCE OF SAMPLE*+ Kitchen faucet COL.IFORM*+ 0 /100 ml INTERPRETATION: Bacteriologically SAFE { —. w NITRATE —NS 2 ppm Under 10 ppm is safe for human coTumpion• Coliform Bacteria /100 ml 1 ,,� k �,� i � _- . Nitrate— Nitrogen, mglL ,� ,�\,� LAB TECHNICIAN: Pam Gane I WI Approved Lab No, 19 �. \NOEPEND t C Means "LESS THAN" Detectable Level Approved by: ® PROFESSIONAL LABORATORY SERVICES SINCE 1952 2A- 90 11: 41 _ V715 962 4030 ujN)1.. TESL LA13 1 (.hut.l tMh k I COMMERCI TESTING LABORATORY, INC. 514 MWilreet, P.O. Box 526 % - Colfax; Wisconsln 54730 t y � '�4'j 715- 962 -3121 800 - 9(12.5227 i i ST: COIX ZWlWJ REPORT NO.: 43295/07 pAG: 3T. C.ROIX WJNTTY REPORT DATE: 3/79/90 COtRtTi OIK DATt RECEIV0 3/27/91D ;4UDSON. WI 544116 ATTtit THOMAS C. N&SON OWiVER. Florence La Vette IOaCtATION; ME, SE section 36► Town of £den Prairie COLLECTOR! M, Jonk i v* SOURM OF SAMPLE: Kitchen faucet OLIFOW 0 /100 at INTERPRETA Racter,otogicatly SAFE NITRATE 2 ppa Under 10 ppa is safe for husan consumption. 4otifora Bacteria /100 at Nitrate- #iitrogQn} fiylL ;.AD TECHNICIAN( Pam Gane W! Approved Lab No, 19 �p} y Means "LEM TW" Detectable Leuot Approved by: o P ROFES S IONAL LABORATORY SERVICES SINCE 1952 FAX HASff xxx ST_ CROIX COUNTY EMERGENCY COMMUNICATIONS CENTER 911 FOURTH STREET HUDSON, WISCONSIN 54016 -1698 FAX TELEPHONE * (715) 386 -9329 WAX) G3 /G2 /North American 6- Minute FM Mode DATE: NUMBER OF PAGES INCLUDING THIS PAGE: TO: NAME: N V E O, tl A P n) 1� `V DEPT: �OAAL OU N FRJ 111or �G� COMMENTS: FROM: NAME: DEPT: NON- EMERGENCY BUSINESS TELEPHONE DIRECTORY (HON -FAX NUMBERS) St. Croix County Emergency Communications Center (715) 386 -4701 St. Croix County Sheriff's Department (715) 386 -4640 or (612) 436 -5440 St. Croix County Courthouse & All Other County Offices (715) 396 -4600 or (612) 436 -6888 I 03/29/90 12:53 W15 386 9329 ST CROIX EMR CTR Z001 ACTIVITY REPORT TRANSMISSION OK TRANSACTION # 0040 CONNECTION TEL 16128939931 CONNECTION ID G3 START TIME 03/29 12:51 USAGE TIME 01'18 PAGES 2 C c ST. CROIX COUNTY ZONING OFFICE St. Croix County Courthouse 911 4th Street . Hudson, WI 54016 Telephone - (715)386 -4680 ev� St. Croix County Zoning office offers the service of septic -n and water inspections to Lending Institutions, Realty Firms, and P ly private individuals. Completion of this form is essential so that the property can be located Please provide the following information, enclose appropriate fee made payable to St. Croix County Zoning Office, and mail, along with form to the above address. Testing will be done as soon as possible after fee and form are received. WATER TESTING--------------------- - - - - -- -FEE: $ 25.00 r- (For nitrates and coliform bacteria) WATER TESTING FEE: $175.00 (For VOC'S) 1 SEPTIC SYSTEM INSPECTION---------- - - - - -- -FEE: $25.00 (Determines if system is properly functioning at time of inspection) ti Property owner's name /4 G% c L L- L Property owner's a d s / ' « i 4 k. bu// IJ 10 e' Legal Descri tion _ 7 1/4 of the I /4 of Section , T -R Town of,( itt � i(Lif Lot Number Subdivision Name FIRE NUMBER LOCK BOX NUMBE Color of house Realty sign by house ? --If so, list firm: ED N4 L C A LT Y IV C ,�L 3(c PLEASE INCLUDE, IF AT ALL POSSIBLE, A MAP,i.e,COPY OF PLAT BOOK, WITH LOCATION SHOWN, AND A COPY OF THE LISTING SHEET. Testing of residential water requires a sample that is fresh. If the home is vacant, and has been so for some time, the water line must be purged by running the water for several hours before the test can be conducted. WINTER TESTING: Many times water lines are turned off, or sill cocks are turned off, making access to the home necessary. If this is the case, please make proper arrangements with this office to ensure time when entry may be gained. Firm or individual requesting services: :C> Y' t�'� 7 t rC- Telephone Number 3 6 REPORT TO BE SEN TO: DAjl� LN P- ;" y v ' ";�' pr,' i noo t 4d z^' P% ij A 41 i Closing date L Signature 1 iY z ' r G I HOMEOWNERS MORTGAGE CORPORATION 3/20/90 Roger Hetchler Edina Realty 700 2nd St. Hudson, WI. 54016 Re; Roger Schwartz Dear Roger, Enclosed please find the health authority form required for certifying the septic system. In addition to the completion of this form we will need a safe well certification. Your immediate attention would be appreciated in this matter since we are going to attempt closing 3/30. Thank you for your assistance. Sincerely vid R. Chapman Mortgage Banker 7400 Metro Boulevard /Suite 405 /Edina, Minnesota 55435/(612) 893 -9481 I ST. CROIX COUNTY WISCONSIN ZONING OFFICE ST. CROIX COUNTY COURTHOUSE 911 FOURTH STREET • HUDSON, WI 54016 (715) 386 -4680 March 27, 1990 Dave Charman Home Owners Mortgage Corp. 7400 Metro Blvd, Suite 405 Edina, MN 55435 Dear Mr. Charman: An on site investigation of the septic system on- the property of Florance Lavelle, 1080 12th St. Baldwin, Wisconsin was conducted on March 26, 1990. At the same time I also obtained a water sample and submitted it to the laboratory for testing. The results of that testing will be sent to you as soon as we receive them back from the laboratory. At the time of the inspection, the sanitary system appeared to be function properly for the existing use. The inspection of this sewage disposal system was based upon a surface inspection of said system and did not involve any excavating or chemical analysis. Accordingly, there is the possibility of hidden defects in the system not discoverable by this inspection. This does not in any way warrant or guarantee the continued proper functioning or operation of this system. It is recommended that the system should be pumped once every three years. Therefore, the prolonged life of this system is totally dependent upon proper maintenance of this system. Should you have any questions regarding this subject, please feel free to contact this office. Sincerely, Mary J n ns' Assistant Zoning Administrator MJ:cj ST. CROIX COUNTY ter. WISCONSIN ZONING OFFICE ' ST. CROIX COUNTY COURTHOUSE 911 FOURTH STREET • HUDSON, WI 54016 (715) 386 -4680 March 27, 1990 Dave Charman Home Owners Mortgage Corp. 7400 Metro Blvd, Suite 405 Edina, MN 55435 Dear Mr. Charman: An on site investigation of the septic system on the property of Florance Lavelle, 1080 12th St. Baldwin, Wisconsin was conducted on March 26, 1990. At the same time I also obtained a water sample and submitted it to the laboratory for testing. The results of that testing will be sent to you as soon as we receive them back from the laboratory. At the time of the inspection, the sanitary system appeared to be function properly for the existing use. The inspection of this sewage disposal system was based upon a surface inspection of said system and did not involve any excavating or chemical analysis. Accordingly, there is the possibility of hidden defects in the system not discoverable by this inspection. This does not in any way warrant or guarantee the continued proper functioning or operation of this system. It is recommended that the system should be pumped once every three years. Therefore, the prolonged life of this system is totally dependent upon proper maintenance of this system. Should you have any questions regarding this subject, please feel free to contact this office. Sincerely, Mary J n ins' Assistant Zoning Administrator MJ:cj Veterans Administration AUTH AP SEWAGE-DIS �WATER-SUPPLY AND IMPORTANT —This form should be completed and filed as required by existing! law 39 U.S.C. 1804 and 1810. PART I—TO BE B Y MORTGAGEE NAME AND ADDRESS finclude 71P Codej MORTGAGOR OR SPONSOR TOTAL NUMBER IS THERE A BASE. �i:S THIS A NEW CAN THE ATTIC OR OTHER AREA BE MADE INTO VA 0 YES ONO WATER SUPPLY BY: ■ PUBLIC SYSTEM COMMUNITY SYSTEM INDIVIDUAL GARBAGE DISPOSAL PART 11-40 BE COMPLETED BY HEALTH DEPARTMENT OR COMPLIANCE INSPECTOR It is the opinion of the ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■ ■■■■ ■■■■■ ■■■■ ■ ■ ■ ■■■■ ■■■■ ■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■■ ■ State ► ■ Iocal . gis ■ is not satisfactory as a domestic water supply for the subject property. It is the opinion of the ■ state r: County ■ can be expected to function satisfactorily, and is not likely to create unsanitary conditions ■ cannot be expected to function satisfactonly. lip N Use of the reverse of this form is at the option of the health authority. PART III—TO BE COMPLETED BY VA I have considered ■ reviewe . ■ ■ ■ water-sup accep a � � • . i ��II `� / / Parcel #: 106 - 1025 -50 -000 11130/2009 04:50 PM PAGE 1 OF 1 Alt. Parcel #: 25.29.17.225A 106 - VILLAGE OF BALDWIN Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type # of Units 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co -Owner O- ROSENQUIST, J E JR,& G K SINGERHOUSE J E JR,& G K SINGERHOUSE ROSENQUIST PO BOX 340 HUDSON WI 54016 .......... Districts: SC = School SP = Special — Property Addre Primary Type Dist# Description * 1080 12TH•AVE SC 0231 BALDWIN - WOODVILLE AREA SP 1700 WITC Legal Description: Acres: 0.000 Plat: 01- 045 -OVA OLSON ADON 1875 OVA OLSONS ADD, LOT 8 BLK D EXC N 75 FT Block/Condo Bldg: D LOT 8 VIL BALDWIN Tract(s): (Sec- Twn -Rng 401/4 1601/4) 25- 29N -17W Notes: Parcel History: Date Doc # Vol /Page Type 07/23/1997 1191/075 WD 07/23/1997 1191 /074 QC 07/23/1997 1128/221 WD 2009 SUMMARY Bill M Fair Market Value: Assessed with: 0 Valuations: Last Changed: 06/20/2007 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 0.000 19,800 55,500 75,300 NO Totals for 2009: General Property 0.000 19,800 55,500 75,300 Woodland 0.000 0 0 Totals for 2008: General Property 0.000 19,800 55,500 75,300 Woodland 0.000 0 0 I Lottery Credit: Claim Count: 1 Certification Date: Batch M 134 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 o ,. m d 1 :E c (D N ^ � O n ;,i O O m O � < @ — ^ C CJ O W N �••� o c o CD � - -4 N a N O V 1 O t'x N j (D < V O O N C ft3 C CD n CL : 0 ' 3 CL O ° O N ra to CA 7 N N 7 O 0 .► c N , lM � CD v v Z D m n m ' ° y a fO `C `_ 0 a� �C 3 C ° CD M w a _ :z Q Z m m m _ N ° f !' y o c .. � z O O O I .. tv A O = 'p V rM O 0 0. c f/1 (/1 f�/1 0' L71 V W N� 0 c - 0 v _a N N O o� N y m d � N CD 14. 3 ID N a o 0 D D o I m c U) z m -+ CO) N ;D .� N A z 7 O Z W CA) T CL ° z °° ^' cn 3 " m F! Z _ CD CD A O i 7 cn Oo a o 3 y a f m < o o m v c N ? N Z 3 O N w O G O O N O CD a W O N p N fi ° T 0 V mm o 4 °m a Ar a 0 D Q o CD CD A N < c„ d0 0 4 a H I f Parcel #: 012- 1076 - 80-000 04/05/2007 11:22 AM P AGE 1 Alt. Parcel #: 36.30.17.556A 012 - TOWN OF ERIN PRAIRIE 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 - FRANEY, DAVID K & LYNN M DAVID K & LYNN M FRANEY PO BOX 462 BALDWIN WI 54002 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description SC 0231 BALDWIN- WOODVILLE AREA SP 1700 WITC I Legal Description: Acres: 35.080 Plat: N/A -NOT AVAILABLE SEC 36 T30N R17W PT NE SE EXC THE N Block/Condo Bldg: 16.5'& EXC CSM 11/3213 & EXC CSM 12/3493 AKA INC PART PARC A (556A -10 Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) 012 - 1076 -80 -110 36- 30N -17W NE SE Notes: Parcel History: Date Doc # Vol /Page Type 10/20/1998 589516 1367/589 WD 07/23/1997 932/338 07/23/1997 867/121 07/23/1997 867/116 2007 SUMMARY Bill #: Fair Market Value: Assessed with: Use Value Assessment Valuations: ast Changed: 06/22/2006 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.000 45,000 404,300 449,300 NO AGRICULTURAL G4 21.080 3,400 0 3,400 NO UNDEVELOPED G5 6.000 8,100 8,100 NO AGRICULTURAL FOREST G5M 5.000 8,000 0 8,000 NO Totals for 2007: General Property 35.080 64,500 404,300 468,800 Woodland 0.000 0 0 Totals for 2006: General Property 35.080 64,500 404,300 468,800 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch #: 554 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel #: 012 - 1077 -00 -000 04/05/2007 11:17 AM PAGE 1 OF 1 Alt. Parcel #: 36.30.17.557 012 - TOWN OF ERIN PRAIRIE 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 DAVID K & LYNN M FRANEY O - FRANEY, DAVID K & LYNN M PO BOX 462 BALDWIN WI 54002 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description SC 0231 BALDWIN- WOODVILLE AREA SP 1700 WITC Legal Description: Acres: 35.004 Plat: N/A -NOT AVAILABLE SEC 36 T30N R17W PT N 1/2 SE 1/4; PARCEL Block/Condo Bldg: B; COM E 1/4 COR; TH S 00' E 765.22FT TO POB; TH S 89'W 1119.44FT;TH N 48'W Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) 340.09FT; TH S 89'W 1250.51 FT TO W LN; 36- 30N -17W TH S 00'E 769.84FT;TH N 89'E 655.47FT TH N 00'W 202.21 FT; TH S 89'E 771.26FT; more... Notes: Parcel History: Date Doc # Vol /Page Type 10/20/1998 589516 1367/589 WD 07/23/1997 932/338 07/23/1997 867/121 2007 SUMMARY Bill #: Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 05/31/2006 Description Class Acres Land improve Total State Reason AGRICULTURAL G4 14.000 2,300 0 2,300 NO UNDEVELOPED G5 10.000 16,000 0 16,000 NO AGRICULTURAL FOREST G5M 11.040 17,700 0 17,700 NO Totals for 2007: General Property 35.040 36,000 0 36,000 Woodland 0.000 0 0 Totals for 2006: General Property 35.040 36,000 0 36,000 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 Parcel #: 012 - 1076 -80 -110 04/05/2007 11:22 AM PA 1 O F 1 Alt. Parcel #: 36.30.17.556A -10 012 - TOWN OF ERIN PRAIRIE 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 - FRANEY, DAVID K & LYNN M DAVID K & LYNN M FRANEY PO BOX 462 BALDWIN WI 54002 Districts: SC = School SP = Special Property Address(es): ' = Primary Type Dist # Description SC 0231 BALDWIN- WOODVILLE AREA SP 1700 WITC Legal Description: Acres: 35.008 Plat: N/A -NOT AVAILABLE SEC 36 T30N R1 7W PT N 1/2 SE 1/4 DESC AS Block/Condo Bldg: PARCEL A; COM E 1 /4COR;TH S 00' E ALNG E LN 371.50FT TO POB; TH S 89'W 287.43FT; Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) TH N 38'W 452.01 FT; TH S 89'W ALNG A 36- 30N -17W LN 16.5FT S & = TO N LN 747.24FT; TH N 00'W ALNG W LN 16.50FT TO N LN; TH S more Notes: Parcel History: Date Doc # Vol /Page Type 10/20/1998 589516 1367/589 WD 07/23/1997 867/116 2007 SUMMARY Bill #: Fair Market Value: Assessed with: 0 012 - 1076 -80 -000 Valuations: Last Changed: 09/0411998 Description Class Acres Land Improve Total State Reason Totals for 2007: General Property 0.000 0 0 0 Woodland 0.000 0 0 Totals for 2006: General Property 0.000 0 0 0 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch M Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 i 1 Wisconsin )rlepartmentofCommerce SOIL AND SITE EVALUATION Page 1 of 3 Division of Safety and Buildings in accord with Comm 83.05, Wis. Adm. Code Gustum Septic Service Attach complete site plan on paper not less than 8% x 11 inches in size. Plan must Coun include, but not limited to: vertical and horizontal reference point (BM), direction and St. Croix percent slope, scale or dimernsions, north arrow, and location and distance to nearest road. Parcell.D.# b %V I 076 — APPLICANT INFORMATION - Please print all 012 - 1077 -00 Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Re By Date, Q� �a Property Owner Property Location R'pl /7/ V Govt. Lot n/a NW 1/4 SE 1/4 S 36 T 30 N,R 17 W Property Owners Mailing Address Lot # Block # Subd. Name or CSM# , 7 1246 Hyyy 63 n/a n/a -4w• City State Zip Code PhoneNumber ❑ City ❑ Village ®Town Nearest Road Baldwin WI 54002 715- 684 -4693 Erin Prairie I Hwy 63 ❑ New Construction Use: ❑ Residential / Number of bedrooms 3 []Addition to existing building ❑ Replacement ❑ Public or commercial describe Code Derived daily flow 450 gpd Recommended design loading rate •5 bed, gpd/f1 .6 trench, gpd/ft Absorption area required 900 bed, ft 750 trench, f1 Maximum design loading rate .5 bed, gpd/ft .6 trench, gpd/ft Recommended infiltration surface elevafion(s) Along 98.9' contour ft (as referred to site plan benchmark) Additional design / site considerations B M #1= 100.0, BM #2 = 96.9'. Part of 35 acres Parent material n/a Flood plai n elevation, if applicable n/a ft S= Suitable for system Conventional Mound In Ground Pressure AT - Grade System in Fill Holding Tank U= Unsuitable for system El ®u ® S ❑ U ❑ S ®U ❑ S ®u ❑ S MU ❑ S ® U SOIL DESCRIPTION REPORT Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD1ft2 Bonng# in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 1 1 0 -5 10yr3 /2 none sil 2msbk mvfr as 1f,3m 0.5 0.6 2 5 -9 10yr5 /3 none sil 2msbk mvfr aw 2m,lcc 0.5 0.6 Ground 3 9 -19 10yr4/4 none sil 2msbk mvfr c w lm,lcc 0.5 0.6 elev -- _ -__ --_ 992ft 4 19 - 28 10yr4/6 none gr. sil 2msbk mfr cw lm 0.5 0.6 c2d 1 7/1 Depth to 5 28 - 33 7.5yr4/4 7 gr. sil 2msbk mfr gw - 0.5 0.6 limiting c2d 10 7/1 factor 6 33 -48 10yr5/4 7_5 1 fs Imsbk mvfr - - 0.5 0.6 28" Remarks: 1 0 -5 10yr3/2 none sil 2mcr mvfr as 2f,2m 0.5 0.6 2 5 -11 10yr3/4 none sil 2msbk mvfr aw 2m,1cc 0.5 0.6 Ground 3 11 -22 10yr4/4 none sil 2msbk mfr cw lm 0.5 0.6 elev 98.9' ft 4 22 -29 10yr4/6 none gr. sil 2msbk mfr gw l m - _., 0.5 0.6 Depth to 5 29 -40 10 Y r5/4 c2d 1 7!1 7.5yr3/8 1 fs lmsbk mvfr {.'� ' ' 0 5 0.6 limiting factor i __T 29' � — -:. Remarks: J • �� ST ('14rvy CST Name (Please Print) Signature: Telephones N & OUNTY Tom Gustum i ° 1558 -I34tG OFFICE r i Address Gustum Septic Service Date CST i4off)W -_ -_- _ 7 R_4 #' N13450 937th St., New Auburn, W1 54757 4/1/99 227611VQil 1 r. 5 r PROPERTY OWNER. Schwarr�Ro�er 9 SOIL DESCRIPTION REPORT ,oss Pag 2 of _ 3 PARCEL LDS 012- 1077 -00 Gustum Septic Service Depth Dominant Color Mottles Structure GPD Horizon in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz Sh sistence Boundary Roots — Bed � Trench 3 1 0 -3 10yr2 /3 - none _ sil 2mcr mvfr as 2f,lm 0.5 0.6 2 3 -8 10yr4 /2 none sil 2msbk mvfr cw 2m,lco 0.5 0.6 Ground - elev 3 8 -16 IOyr4 /4 none sil 2msbk mfr cw lm 0.5 0.6 95.9'ft 4 16 -25 10yr4 /6 none sit 3msbk mfr cw I 0.5 0.6 Depth to c2d t 0yr7/ 1 - - limiting 5 25 -32 7.5yr4/6 7.5yr5/8 sit 3msbk mfr 0.5 0.6 factor 25' - -- - - - - - -- - - - -- - -- - -' - -- - - -- Remarks: - - Ground elev Depth to limiting factor Remarks: Ground - - - - -- - - - -- -- -- - - elev Depth to - -- - limiting factor Remarks: Ground elev Depth to - - - -- - - - limiting _ factor Remarks. N Ik- "a r Pb84 Ple, CSC ;zZ 7i. r.v h 63 /Fq NW S6 Sec- 3G 7 R l7 1� 4crzS NotT'h 3� ` N l i,J ; n Okk Tr-ec- 2 so A . sw J ( M �l I I �CxecP�' aS Na fed �a 1, F3 f Wisconsin Degartment of Commerce SOIL AND SITE EVALUATION Division of Safety and Buildings Page _J_ of 3 Bureau of Integrated Services I Ct e s. ILHR 83.09, Wis. Adm. Code ..�� P ., Coun Attach complete site plan on paper not less thimi iv x 1 inA6 in Bize. � ust include, but not limited to: vertical and horizon tal"referenc RM , dir 4 . CX0 I percent slope, scale or dimensions, north arrpw, and locatwn and distance to ear t road. Parcel I.D. # 9ff APPLICANT INFORMATION - P/ea�seRrint all>tion. R . ewed by Date Personal infomration you provide may be used for set�ndary purpos&C Ai Law, s. t 1 11 l2 9-'J Property Owner f " >1 Location Govt. Lot K) 1/456 1/4,S3(0 TX N,R '1 (or w Property OwneW Mailing Address Lot # Block# I Subd. Name or CSM# City State Zip Code Phone Number ❑ City ❑ Village Town Ni&est Road /d K)rn W;_ 15 - Y060- (7 / S�) Fl y��3 rin P 60U lo,5 ® New Construction Use: [BResidential /Number of bedrooms Addition to existing building ❑ Replacement ❑ Public or commercial - Describe: Code derived daily flow 95-0 gpd Recommended design loading rate C)• bed, gpd/fl d' trench, gpd/ft Absorption area required �3 5 bed, ft 3 trench, ft Maximum design loading rate s bed, 9 pd/fl d� trench, gpd/f, Recommended infiltration surface elevation(s) Mdttrd 6t_6 it (as referred to site plan benchmark) Additional design/site considerations fa l't oT 35 a C r J - f S Parent material 1 A _ _ Flood plain elevation, if applicable Al d it S = Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank U = Unsuitable for system I ❑ S ® U WI S ❑ U CIS ® U ❑ S ®U ❑ S O U ❑ 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 O N 3 J10YU2 t/ . : D rn Cr m a S 6.5 O- (n . ,a /v � 5 c; If 0 S U a Ground 3 70 /40) elev fiJ it. 13 7 . S yk 5 N vkp �e % Depth to -A 25 7/'- 11/G limiting O 3 -3 Y411 2. :0.(t> factor c19in. Remarks: Boring # 1 b _y Iov_3'( �� 1.r„ 56 k 1r\Qfr et S 3 f, M o-s ; 04 a Lf-10 10'rP-4 t s►1 am 5 19 k M f � 0S ,"o 3 10- g 10` e_5 r� VY it m k C- — 0.5 '0.(c, Ground 1 1 I_ J5 tz Lf �{ ari e � I a s b k m �c ' 1 0 -5 (D. (o Dca Li ft. 5 - 16V N (o ` .s'r,2g sc 3 m � r — _ 6. ; 0.S Depth to limiting factor aS" in. Remarks: CST Name (Please Print) Si ture Telephone No. - rho Q D. ' u 5L rn 'PS' 134 Address Date CST Number N g37 S�r t°d Neu; AiJow w 54 757 11 7 019 � - 1 PROPERTY OWNER �� �cczr`�Z SOIL DESCRIPTION REPORT Page o" ' of PARCEL l.D.#I [ 1 oZ 1 - Q V Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GeDjft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench Id R C/U 311 �A, m OL aflw, •S'Q ;I - (a j ofp q1 1� ow i I 2-M 5bk m d �r C'w 1 ;049 Ground 3 U 0 - 31 Now 5 1 I ( rn5 b Cw — OS :6'(0 elev. t D m N o'r? . 51 '3. rns yr r C-u-) — C -S ' O• Lo 10 If& *F/ - L Depth to 5 A A r d `tle 4 to J" X -3 d 5 3 5 6K 1 co O -S ; 6.4, limiting 3� '1.5 d- N Py b Os factor Remarks: Boring # C1 Ground elev. ft. Depth to limiting factor in. Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots PD in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench Boring # E3 Ground elev. , ft. Depth to limiting factor in. Remarks: Boring # I ' Ground elev. ft. Depth to limiting factor in. Remarks: SBD -8330 (R. 07/96) r Ab ON ° N r C�n► o N� a lj N4 VA et y a O - W -- w0 � z h L n � r e a w � ^ Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page 1 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 81/2 x 11 inches in size. Plan must include, but St . Croix 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. 012 - 1077 -00 APPLICANT INFORMATION- PLEASE PRINT ALL INFORMATION REVIEWED BY PROPERTY OWNER: PROPERTY LOCATION Roger Schwartz GOVT.LOT NW 1/4 SE 1/4,S 3 or) t PROPERTY OWNER':S MAILING ADDRESS L" LOCK BLOCK# I SUED. NAME OR ` 1246 HY. #63 �'�` ^ r CITY, STATE ZIP CODE PHONE NUMBER [:]CITY [:]VILLAGE tXOWN RES AD Baldwin, WI. 54002 (71P 684 -4693 Erin Prarie HY. W63OX [ ] New Construction Use [ ] Residential I Number of bedrooms [ } Addition to exist - '"' O'FfCE (] Replacement [ ] Public or commercial describe Code derived daily flow gpd Recommended design loading rate bed, gpd /ft trench, gp Absorption area required bed, ft trench, ft Maximum design loading rate bed, gpd /ft trench, gpd/ft Recommended infiltration surface elevations) ,ft (as referred to site plan benchmark) Additional design/ siteconsiderations soil borings for subdevelopment F Parent material pitted glacial drift Flood plain elevation, if applicable na ft S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE I AT -GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable fors stem 0 ®U ❑S ®U ❑S ®U El ®U ❑S FKlU ❑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 1 0 -8 10yr3 /3 none sil 2msbk mfr cs 2f .5 .6 1 2 8 -29 10yr4 /4 c2p 7.5yr5/8 sicl 2msbk mfr gw if .4 .5 Ground 3 29 -6 7.5yr4/4 c2d 7.5yr5/6 scl lcsbk mfr na na .2 .3 elev. na ft. Depth to limiting fgq]or nelm ks: Boring # 1 0 -13 10yr3 /3 none sil 2msbk mfr cs 2f .5 .6 2 2 13 -29 10yr4 /4 c2d 7.5yr5/8 sicl lfsbk mfr gw if .2 .3 3 29 -50 7.5yr4/6 c2d 7.5yr5/6 scl lfsbk mfr na na .2 .3 Ground elev. na ft. Depth to limiting factgr Remarks: CST Name:— Please Print Phone: Gary L. Steel 715- 246 -6200 Address: 1554 200th. e. , New RichWond, WI. 54017 Signature: Date: CST Number: 8 -2 -96 cstm 02298 PROPERTY OWNER Roger Schwartz SOIL DESCRIPTION REPORT Page �of�_ PARCEL I.D. # 012- 1077 -00 Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots "GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trend 1 0 -11 10yr3 /3 none sil 2msbk mfr gw 2f .5 .6 LN 2 11 -34 10yr4 /4 c2p u.5yr5 /8 sicl 2mgr mfr gw if .4 .5 Ground 3 34 -55 5yr4/4 c2p 7.5yr5/8 scl lcsbk mfr na na .2 .3 elev. na ft. Depth to limiting factor 11" Remarks: Boring # 1 0 -9 10yr3 /3 none sil 2msbk mfr cs 2f .5 .6 `< 4 € 2 1 9-17 10yr4/4 none sit 2msbk mfr gw if .5 .6 3 17 -29 10yr4/4 c2p 7.5yr5/6 scil 2msbk mfr gw na .4 .5 Ground elev. 4 29 -48 5yr4/4 c2p 7.5yr5/8 scl lcsbk mfr na na .2 .3 na ft. Depth to limiting factor 17" Remarks: Boring # 1 1 0-6 10yr3 /3 none 1 2msbk mfr cs 2m .5 .6 2 6 -16 10yr4/4 none sil 2msbk mfr gw if .5 .6 3 16 -60 7.5yr4/6 c2p 7.5yr5/8 scl lcsbk mfr na na .2 .3 Ground eley. na ft. Depth to iimiting factor 16" Remarks: Boring # 1 0 -10 10yr2 /2 none sil 2msbk mfr cs 2f .5 .6 `< 6 2 10 -17 10yr4 /4 none sil lfsbk mfr cs if .2 .3 3 17 -29 7.5ry4/6 c2p 7.5yr5/8 scl lfsbk mfr gw na .2 .3 Ground elev. 4 29 -48 5yr4/4 c2p 7.5yr5/6 scl M na na na np .2 nA ft. Depth to limiting factor - -7- 17 -' Remarks: SBD- 8330(R.05/92) PROPERTYOWNER Roger Schwartz SOIL DESCRIPTION REPORT Fage--3-of .�- PA#CEL t.D. i 012- 1077 -00 Depth Dominant Color Mottles Structure GPD/ftid Boring # Horizon Texture Corsisbenoe Bou'x�ary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 1 0 -12 10 r2/2 c2d 5yr4/6 sil 2msbk mfr if 7 n <3n'`ss 2 12 -30 10yr5 /3 c2p 7.5yr5/8 sicl M na na na np np Ground elev. na . Depth to limiting - Remarks: Boring # i if 1 .5 .6 1 0 -9 10yr3 /3 none sil 2msbk mfr gw ra 2 9 -26 10yr4 /4 c2p 7.5yr5/8 stcl lfsbk mfr gw na .2 '1.3 3 26 -45 5yr4/4 c2p 7.5yr5/8 sicl M na na na Inp .2 Ground elev. na ft. Depth to limiting factor 9" Remarks: Boring # 0 F-8 10yr3 /3 none sil 2msbk mfr C if .5 6 fz M 2 8 -26 10yr5 /4 c2p 7.5yr5/8 sil lfgr mfr gw if .2 '.3 hw.l4 3 26 -40 5yr4/4 c2p 7.5yr5/8 scl M na na na np .2 1 Ground elev. na ft. Depth to limiting W W II Remarks: Boring # 1 f . 5 .6 1 10-12 10yr3 /3 none sil 2msbk mfr gw 103 2 12 -35 10yr5/4 c2p7.5ry5/8 sicl M na na na np .2 G roan d elev . n ft Depth to limiting Remarks: Wisconsin Department of Industry J ' ,3 Labor and Human Relations SOIL AND SITE EVALUATI of Division of Safety and Buildings in accordance with s. ILHR 83.09, q � Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must CO �` ,�; Include, but not limited to: vertical and horizontal reference point (BM), direction and �►' r�FF�G CU percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parce APPLICANT INFORMATION - Please rent all Information. P R awed Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). 00 Property Owner ;BV M P_ Property Location .GlIfRy �� pL(,c'�iti Govt. Lot i1/Gf/ 1/4 SE 1/4,S T ,N,R E (or) W Property Owner's Mailing Address Lot # Block# Subd. Name or CSM# OF .40P . SS City State Zip Code Phone Number Nearest Road f fUflsO,J A.-III . 5`( 1 0 ) 3X 875 ❑ ci wn U New Construction Use: �sidential / Number of bedrooms 3 Ad 'tion to existi ulldi ❑ Replacement ❑ Public or commercial - Describe: �j /� ,p at Code derived daily flow y loo0 gpd Recomm nd� esi�n adi ge 5 bed, gpd /trench, g /ft Absorption area required _ bed, ft 5�r trench, ft Maximum design loading rate j bed, gpd/ft � G trench, gpd/ft Recommended infiltration surface elevation(s) S' t . 3 ft (as referred to site plan benchmark) Additional design /site cons tions LDN � w fOU A.) D A-1 Parent material SCs �� S ,V % " 6� 1 550BOR L Flood plain elevation, if applicable / �'�' ft N i S = Suitable for system Conventional , Mound In- Ground Pressurg r AT-Grade System in Fill Holding Tank U = Unsuitable for system ❑ s U 131 ❑ u ❑ s L - � , 'U / El 2 1:1 SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles :F.<:,, Structure GPD /ft2 In. Texture Consistence Boundary Roots Munsell ou. Sz. Cont. Color Gr. Sz. Sh. Bed ,Trench " 3 Ground _ /o7 — � S/ ��� � _ / 12. elev. 0 9•p -ft• je"Yx Grp— L Depth to 7 S y� C 3 � 5 SCL S/Jjt� /W / limiting factor Remarks: S474 '� IfCTiO4e5 52W T 3 -5 Boring # 0- /0 3 Si/ 2f sht iw.- x 55 f , S •G S - 6 b rf • S ; :G Ground '� $ oG tT Of -s ©S M► -,_ elev. 5 Depth to limiting factor SfTU/�,fF� p 4 � !� 25 in. Remarks: CST Name (Please Print) Signature Telephone No. 38 at 8S Address Date CST Number yS'Z Private Sewage Consultants 655 O'Neil Rd. Hudson, Wis. 54016 ORIGINAL SOIL DESCRIPTION REPORT PROPERTY OWNER Page 2 of PARCEL 1.1011 �✓ 4w S ._ :5-It ' Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GVOjft2 " In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed ,Trench i�YR 3 T , 4 - 1 v �.F /f Ground - /O �/ G 2 5' /Co 5 r Ac S hK M.7P P C 6 10-r . f ,, S elev. Depth to limiting factor �✓` ` Remarks: �Ib/?1 0,j y / S S47 0t ,4T� ! Boring # 2f Skt 0 f- 3 13 Ground ). S G S //M S/f,C /►► ` — �� — ; . S elev. q6 Depth to limiting factor Remarks: SGT /VE- S /1J��i'f sE�j�¢( 4 T 3 Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots PD! in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench Boring # Ground elev. ft. Depth to limiting factor in. Remarks: Boring # Ground elev. ft. Depth to limiting factor in ' Remarks: SBDW -8330 (R. 08/95) .� s ... ........ ......... GO W w r CII Q � V �. O o� L y h o b w 7t H � N W M o _ W 1RG fiR�� i i `� g � a �N -DEPAFVMENT OF RE PORT ON SOIL BORINGS AN D SAFETY &BUILD NGS DIVI ION INDUSTRY, _ LABOR AND PERCOLATION TESTS (115) MADISON WI 537 7 HUMAN RELATIONS (ILHR 83.0911) &Chapter 145) LOCATION: SECTION: TOWNSHIP/ LOT NO BLK. NO.: SUBDIVISION NAME: E 1/4 N SE t/4 36 /T30 N/R17 )k(or) W Erin Prarie n, n/a n/a COUNTY: OWNER'S NAME: MAILING ADDRESS: St. Croix Roger Schwartz 1246 Hy. #63, Baldwin, Wi. 54002 USE D OBSERVATIONS BSE RVATIONS MADE NO. BEDRMS.: COMMERCIAL DESCRIPTION: (PROFILE DESCRIPTIONS: PERCOLATION � TESTS: I Residence 2 na/ lew ❑Replace 4 -4 -91 n /a' RATING: S= Site suitable for system U= Site unsuitable for system CONVENTIONAL: MOUND: IN- GROUND PRESSURE: SYSTEM- IN-FILLrHOLDING TANK: RECOMMENDED SYSTEM: (optional) E�S 1:11 ®s ❑U �S ❑U ❑ S EN S ®U co nventional w /approved monitoring If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the under s. ILHR 83.09(5)(b), indicate: class 2 Floodplain, indicate Fl elevation: n/a decimal' PROFILE DESCRIPTIONS page 46 AmC2 BORING TOTAL DEPTH TO GROUNDWATER- INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH I ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- 1 6.75 104.78 none >6.75 .58bl.1. 1.00bn.sil. 1.17bn.s.l. 4.00bn.l.s. 2 6.99 103.90 none 4.66 •75b1.1. 1.58bn.sil. 2.33bn.l.s. 2.33bn.c.s. &gr B_ w /occ. mot. 3 6.51 103.22 none 2.59 .42bl.1. .92bn.sil. 1.25bn.s.l. 3.92bn.c.s. B w /occ.mot. B- 4 7.08 103.84 none >7.09 .67bl.1. 1.08bn.sil. .83bn.s.1. 4.50bn.l.s. B- 5 6.75 103.14 none 2.33 .25bl.1. 2.08bn.sil. 4.42bn.l.s.w /occ.mot. B- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL - INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL -MIN. PERIOD 1 PERIOD 2 PER PER INCH P- P P- see e sl rate P- P_ _ to 1 Q b taj appro of $hoye s Igroundwat r mknitoring rqusd be done in a cordance P- wi h I 83 0 PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent of land slope. SYSTEM ELEVATION 100.47 ro -►.� ` � �� , F a i L E 3 �- �tEO �,,�'_•�'�' E , Ir E I E E I E � f E d �. E - �Z-' E t � j i r . I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin Administrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. NAME (print): TESTS WERE COMPLETED ON: Gary L. Steel 4 -4 -91 ADDRESS: CERTIFICATION NUMBER: PHONE NUMB R ( optional): 1554 200th. Ave., New Richmond, Wi. 54017 229 715 - 246 -b�2� CST SIGN DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR -SBD -6395 (R. 10/83) — OVER — J F (li� 0D IN P L E.T1, G r f ti j 11 iho A 'Too nc am in -ON nq to A a' no w a no X— "I n n"4 W & ILWAOM K& L VOW,,; . la,, m �:M'0,06M �Ys"K' x"w, A Y rE IS WYAKE FMR MMYVA F! NK MLY W AU. HE k SyAEWS A K R OUT BASE! CN ST! CON DGWNS Y, TLI Mu t A" n' Dw w M ww� A ;A 2, rj>e sue you- re nM M �c M.1" "snKno zQnww� rwv �i c 9, coopwo am appavos w"s jv 10 dwev. askywav 1004 pho ox" ov vAniq my oxamp lot a iv 10. if piw:� t0nnwl A0, PC? 03131Y. h'.iX: 11, swo Me NOM 3K Phu yow "�t p& x p M 0 v E, T 4, z w 1 A o q 5 w a a ; w q e& A A L SO . L 'i E S "'I' 1 L V �1 'f H F H E" L D C A L N i F FR) R 1 - F' , ' i 30 D AY", Ci CN I FTION, "'iNS FIN UP MED SOIL TESTEFS Pam Cobwe 59' LS c0q, E t TO THE 01,%N Via: Tho swi wr rwov A am ;'m P : Kh n"acA V, :A, pl,_p No n h-, Muion;w snavloquest Ell :01 ;q 1 ,3 G :amw '%=T 4 cmw"" q a mum in wage - . _......___- .-.._./ %15 i k C z � I I R i l � r J J v 0' }� C1 L s �9 Q J � ' V i b E 1/ SE 5566 — — 1200.0 , 144s /� 5 g s�.99 a►� 13(07 ce. i3��ly LOT, 8 w C_ S. M. 1213493 556A- 20 N .556A -10 �' c NW 114 SE 114 867/11 NE 1 /4 —SE 114 1200.00' �5 7 w �� � 123 I�S i s \ � I�DUSe � ✓�� 1 zlD,�f 867/116 6 / 100 867/i21 1 24 - co ` 768.19' 1737.95' C. S_R _ 11/3213 1310.93 LOT I 558A - {0 1/3213 W 1/4 SE 1/4 r SE1 /4 —SE 1/4 867/121 -12 OUTLOT 559 I 803/540 558A-20 820/528 890/477 1/3.2! n ` Vvv I r L — �- i / w 14 950 /276'x` — — — _ s s L (7) to A. LA) w z C 0 sla (n E ( rt 0 F-F-r N fi ��o- �, x in 1! v `° w ' o � o L cD CD E a Tl ( c rrr G ro v v~i W r N a r�rr `w m w� r N £ O G m rtan I o roro ro 0 w� CD �cm::rc o a�w z w -- rt w n rr FJ• - — - w m O tv ro ro n 0 1 1 N f hi W n N % O I �I L N _ w (D G• (D z ti`s a a FJ• o CD o � o a j En rt H. a � CA -- ff =) O 0 c c p O '1 Z o ^ ` c - P - N L c a-CD m I I �. °0 G IT/ nl m zm N o V, r v G i r P z X N G r i r D rI tr g i 17 o r n w N +{ O. SS Yh p �3 © `m EVE Irl 0 rn ui Al wNHz » -t (D 0 0 C7 �rtc.. pi En �� N m (D ' 0 0 00 Z (D m (D r n O� xX Z �# O -� o ro 11 N• W N C w w rt . ca clt 0 4 Sao Lh r G o ro 1 10 Qj u t<tf � c �c (D c i cu aF-ja z a ft — — - — rt A) n rt N • f - w m O GTJ L� O rh cn Ar cn tv ft sv N C✓ G I W (D AIL Cn ft FJ- ti aacNn c N' v (D F.i F-J o o �5 i H• iaj L J N � r c T , c � r G z l ) & 0 i it g E uV w d D 0 N Aa 3 Rl cL _ us IN 0 -�i i