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Wisconsin Department of-Industry, SOIL AND SITE EVALUATION REPORT P of 3
Labor and Human Relations —
Division of Safety & Buitclings in accord with ILHR 83.05, Wis. Adm. Code
COUNTY
S'r_
Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but
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. O 0 a ' I 0 cj q ' Li 13
APPLICANT INFORMATION- PLEASE PRINT ALL INFORMATION REVIEWED BY DATE
PROPERTY OWNER: PROPERTY LOCATION
l R OJJ JL GeW. 8T S tN 1/4 S W 1/4,S 33 T Z8 ,N,R 1 b E (or WJt�
PROPERTY OWNER':S MAILING ADDRESS LOT # I BLOCK # I SOBD.NAMEORCSM#
ti %AZl Q1 SO `m ST• l — N t7_a C•S.It'[-
CITY, STATE ZIP CODE PHONE NUMBER []CITY []VILLAGE MOWN NEAREST ROAD
SpQ-1fUG UR't.Lj� ►vI S ( Is) baq- q6 - 1 L Ef*N Gh1l.� Zap `S1F S1'.
PQ New Construction Use [ 54 Residential ! Number of bedrooms 3 [ ] Addition to existing building
] Replacement [ ] Public or commercial describe
Code derived daily flow �A SO gpd Recommended design loading rate bed, gpd/ft • 3 trench, gpd/ft
Absorption area required 3ZS bed, ft2 3-1� trench, ft Maximum design loading rate S bed, gpd/ft b trench, gpd/ft
Recommended infiltration surface elevation(s) 9.P • O I ft (as referred to site plan benchmark)
Additional design / site considerations rtv1-)Vo ►vl S 'y- 5 ' T - kAA C H • M OV . 1 ' o F S*A b R L L .
Parent material —L-O"-2 cue% - rt \-L Flood plain elevation, if applicable lV A - ft
S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE AT -GRADE SYSTEM IN ILL I HOLDING TANK
U =Unsuitable fors stem ❑ S ER IRS ❑ U El S IRU ❑ S ®U ❑ S .®U ❑ S ICU
SOIL DESCRIPTION REPORT
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bouhcary Roots GPD /ft
in. Munsell Qu. Sz. Corrt Color Gr. Sz. Sh. Bed rriench
- L SbVT, Yul a.S - -S •�
1 tr i�
F R -Zy �Z �/ 1 — s, I Z s �k
Ground 3 ZV -31 Z•S7R Sly ; SJ8 c1 ��tS}�� yn`�'�• CS Z •3
elev. _
O ft. 4 31 -6y 7- S Y IZ y l TS O>h >n u fl,- `S
Depth to
limiting
facto
�[14
Remarks:
Boring # , p _9 Zo`-tR 3 � Z S1 > Z �S� ��� R•S — , S . 6
L73 Z 9 -zg 1r, y 2 y /y ISO Z `�s bn'F
3 Z$ 1l)`t - S 1 �sbk Yn viti- C9 � •5
Ground
elev. y �$ -6$ �.SYIZYl6 � ).S `1R SJS `�� o`er
Depth to
h"'► 31u� 1 -S 2 Sty 5� t3 S
limiting KE CEIV E0 l
factor
ST Remarks:'
OX
CST Name — Please Print Arthur L. We erer Phone' 715 -42 - 5 f
egerer Soil esting & Design Service - P.O. Box 74 River Falls,
Sgnature: - Date: CS um :
-T7 M00576
PROPERTYOWNER O'�'S7 iV G �R SOIL DESCRIPTION REPORT Page — of 3
PARCEL I.D.# °t -k4 O
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence BoLxxlary Roots GPD /ft
In. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. Bed Trerx
3 1 � -8 1 D `a2 3 � 3 � s l Z S�1Z Wt. `�''�^ a.. S -- • S . 6
tp�R- ylY st1 Zs"ttk m'�h C- S
Ground 3 z4 -31 t vY tZ S 16 S 1 e 5�� rn Q eS • S
,, �5 t ft. y 31 -� Z ) O `T 2� /G �1$ Y R -SIB S k O�^'1 h� `� t c S
Depth to SYR YA In U'F►- - •`! •S
limiting
factor
Remarks:
Boring # o a
�f Z 9 --L(," 1 O `I R- y/Y — st I Z�'s�k � �- cs • S - �
Ground 3 Zb -32 ►u`t IZ �1 � —' g1 � � • �+�► SVh ti►.t. �►.- � - . Z � , 3 i
elev. t_ AIL - S ) e ,
9').S ft.
S 3� - bb � - S`�R 4//6 TS o� v»�'P�- - •�l � . S .
Depth to i
limiting I
factor `
3Z " `
Remarks:
Boring # '
e
I
Ground
elev.
ft.
Depth to
limiting i
factor E
i I
Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
SBD- 8330(8.05/92)
PLOT PLAN Page 3 of 3
y _-
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015 ) 42 -0 14 00576
r
CST Signature Date Signed Telephone No. CST # :
Wisconsin Department of-Industry, SOIL AND SITE EVALUATION REPORT P % of 3
Labor and Human Relations
Division of Safety & Buildups in accord with ILHR 83.05, Ws. Adm. Code
COUNTY
Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but
not limited to vertical and horizontal reference point (BhA), direction and % of slope, scale or PARCEL I.D. 4
dimensioned, north arrow, and location and distance to nearest road. DO - 1 t) ojq - LL.O
APPLICANT INFORMATION- PLEASE PRINT ALL INFORMATION REVIEWED BY DATE
PROPERTY OWNER: PROPERTY LOCATION
1"4 TtA M @ 6ew: S w 1/4 S W 1/4,S 33 T ',b ,NR 16
PROPERTY OWNER' :S MAILING ADDRESS LOTS I BLOCK 4 S BD. NAME OR CSM 4
tv g 3 Z 1 U SO `r!F ST• 1 ���cis�D C.S.N?-
CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE WfOWN NEAREST ROAD
Spst4jvG Uhuet tvl Sy (its) 68q- q6 - 1 L E�FM, (S t.LO I Zap `lam sT,
pq New Construction Use [,4 Residential /Number of bedrooms Addikn to existing twining
j ] Replacement [) Public or commercial describe
Code derived dairy flow Ll SO gpd Recommended design loading rate bed, g ' 3 trertdt, gPd1ft
Absorption area required 3-1.S bed, ft 3- LS trench, ft Mabmum design loading rate • S bed, gpd$ • b Vwch, gPdjft
Recommended infiltration surface elevation(s) `L8 • C It (as referred to site plan benchmark)
Additional design / site considerations S ')c l S ' Z -'' N - tv11 , I' OF: S jF A jD R L L
Parent material L- 0 "s cueR Rood plain elevation, if applicable ti •• A - It
S = Suitable for system COWE10ONAL I MOUND IN-GROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING TANK
U = Unsuitable for s stem El IRU ®S ❑ U ❑ S [ U ❑ S ®U ❑ S Q U ❑ S [$U
SOIL DESCRIPTION REPORT
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence BwxJary Roots GPD /ft
in. Munsell Ou. Sz. Cont Color Gr. Sz. Sh. Bed ITrench
1 -� 10_UL- 3 13 a.
INU
r.;
Ground 3 zy -31 7 S 7R 3 � R s 18 c cS
elev. _
° l1.S ft. y 31_ 7 -S Y lZ y t _ Oi•, 'M v
Depth to
limiting
factor
zy 4
Remarks:
Boring #
3
3 z$ 1ll`i 3 1L — S Ynui�- CS � • 5
Ground
elev
fL 7- SY�Yl6 �1 .SyR SJS u� Qiu- 'o, — • 3 -`I
Depth 10 t"l stuff - 1•S R
limitin
8
Remarks: '
CST Name: PleasePrmt Arthur L. We ever Pf'or'e' 715 425 - 0165
egerer Soil esting & Design Service -P.O. Box 74 River Fa11s,WI 54022
*nature: Date: CST Number:
rL °t7 -t$ 2_I E - IZ -9-7 M00576
PROPERTY OWNER O'M KJ G q�t SOIL DESCRIPTION REPORT Page ? of 3
PARCEL I.D. 000— ��QY -
Boring# Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft
In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trends
3 0 —8 1 lJ `-i2 3/ 3 s Z 3�7 VvL h
2 B - ._ t0'�R yly � S11 Z`�Shk m'fh CS � • S ° 6
Ground 3 Z� 31 Iwf fz.- 316 S 1 L° sb�2 �t 1� �r CS • �( • S.
�s b ft. y 31 - q2. ) r3 `t fZ � /f. �1 S 12 S lg S O�^'1 yv\ c S
Depth to S qt-S.3 7. SYR VA — `FS owl in U T1 - • `l i •S
limiting
facto
Remarks:
Boring #L
o _ o� 10'-t R. 3 1 I m'Ft^ CL S • g
1p `-t R y/y s I Z�'s m'F't- c • 5
I . 3 Zb 32 10 `i 1�- 3 S1 c.l 1' w► sbk m Fh - . Z. , Z
Ground Z 3
elev. L 3 i 3r 1 v1-f ti, L -,,s`i s /e� ste.� 1 m "�I° cs —
i2 ft.
S 3) - 1.S`tR VA. `�S ot� �m�•�• .�f • g
Depth to
limiting
'factor
3 Z.h r
Remarks:
Boring #
I
13
Ground
elev. ,
ft.
Depth to
limiting
factor
Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
SBD- 8330(R.05/92)
PLOT PLAN Page 3 of 3
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715 47-5 —n16s 14 00576
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CST Signature Date Signed • Telephone No. CST #
Wisconsin Departrnent of Industry SOIL AND SITE EVALUATION REPORT Page of 3
Labor and Human Relations
Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code
COUNTY
. S'• CZ•(jl7C
Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but fi
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. OO a ') c jy ' LO
APPLICANT INFORMATION- PLEASE PRINT ALL INFORMATION REVIEWED BY DATE
PROPERTY OWNER: PROPERTY LOCATION'
R_G) e eew - S DV 1/4 S W 1/4,S 3 3 T 1-8 ,N,R 1 b E (or@
PROPERTY OWNER' :S MAILING ADDRESS LOT # I BLOCK # I S BD. NAME OR CSM #
>v 3 2.1 �1 SO `Rt ST• \ — =
CITY, STATE ZIP CODE PHONE NUMBER []CITY ❑VILLAGE (j5rOWN NEAREST ROAD
S)>Q..)tUG Uhtll k)l SLj 761 (ILS) 68q- g61L Ef1� (5h-L Lt I Z1 `E•1(' ST,
N New Construction Use [ sa Residential / Number of bedrooms 3 [ J Addition to existing building
[ J Replacement [ J Public or commercial describe
Code derived dairy flow `I SO gpd Recommended design loading rate bed, gpd/ft . 3 trench, gpdfft
Absorption area required 3ZS bed, ft 1-15 trench, ft Ma)dmum design loadi b ng rate • S bed, gpd/ft trench. gpd/ft
Recommended infiltration surface elevation(s) 9.9.O r - ft (as referred to site plan benchmark
Additional design / site considerations Y1ul1hlp w/ S `1c 5 TRkwe . YL-1) ry , i' o F SAA. Fi LL-.
Parent material L-O" S cum Rood plain elevation, if applicable )V A - It
S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE AT-GRADE SYSTEM MI FILL HOLDING TANK
U = Unsuitable for stem ❑ S Eau ® S ❑ U ❑ S (RU ❑ S (OU EIS @ U ❑ S 01)
SOIL DESCRIPTION REPORT
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Barhrlay Roots GPD /ft
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed rerhdh
Z --s bk S - • 5 . l
Ground 3 zy -31 SYIZ 31y i slg c1 �yhS�� y��'ti. CS z 3
elev.
O fA - ft. y 31 - 6y S `YIZ y I t — TS O>h yn v FH •�l -
Depth to
limiting
IaCtor
z y 4
Remarks:
Boring #
0_9
Z4� 2 9 - 10 y 2 v /y 1 sit 2. `f -sbk �'�1- — • s • 6
n
..
. 3 Z$3$ 10`tIL 31L lr-sbk
Ground
l
elev. u
$ -6 S Y Yl � � O
8 R- 6 S 8 3
R9. o ft. S y s E (aE - -`I
Depth to "D " siu;z - I•S 2 3 L a j q.A S �w►� i co •� V�J
limiting ST CRCNX
fac tor 001 V I
ING gem
Remarks:'
CS T Name.--Please Print Arthur L. We erer P 715- 425 -0165
egerer Soil Testing & Design Service -P.O. Box 74 River Falls,WI 54022
Signature: Date: CST Number.
PROPERTY OWNER 0"17nfUG a SOIL DESCRIPTION REPORT Page •? c y 3
PARCEL I.D.# 0o6 - L)la\1 1 3
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft
In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trends
3 4 -8 10 ` 2i 3 / 3 s j Z (� S�1Z Vvt i� - a. S
Z 8 �-� .• to yly S1\ Z`rS�Yr mph CS S 6
Ground 3 Z�1 31 i cwt R 3 16 s 1 1 e 75\07- 'WI v�V cs • S
-D� ° ft. y 31 -u2. J 0 `t R A li S /g S pv►l wt i C S
Depth to S uZ Sa 7. SYR VA — `FS Ow► fry U ��- • `� .S
limiting
facto `% f
Remarks:
Boring# C)-9 1p — 5l� 2`FSb�Z m`�►- a- — •g ��
►Q�`11Z y/y — St l Z�'s�k tn'Ft- �S • 5
3 Zb c.S
Ground t Z 3 3
elev. 3 3' t Oy tz, 3� L -,. S `t R - SAS -
97•S ft.
S 3� - 1.S`ifz y/6 'S
Depth to
Iimltlng I
factor
3 ZA ,
Remarks:
Boring #
3
E
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
Boring #
Ft r
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
SBD•8330(R.05/92)
PLOT PLAN Page 3 of -3
SCALE 1 "= yQ '
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3
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301
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(77 5 ) 495 -01 S M 00 576
CST Signature Date Signed - Telephone No. CST #
ST. CROIX COUNTY ZONING DEPART
AS BUILT SANITARY REPOlt - I' �`�,•
Owner Tr yz1__ �/�'
d -
A dre
SS
City /State
Legal Description.
Lot Block Subdivision/CSM 11
'/. S w 'A S k/ , Sec. 3 3, T N >R i t
_..s W, Town of C• / PIN #
SEPTIC TANK -- DOSE CRAMBER -- HOL�TNG °T INFORMATION
Tank manufacturer
m,' �wc�STe" Size ST/PC i�� / f � �ctback from: House 3 f( Well Id U P/L
Pump manufacturer Model
Alarm location l t�L e e v �(,
r -- �.
(HOLDING TANKS ONLY)
Setbacks: Service road Vent to fresh air intake Water Line
Meter location --
Alarm location
SOIL ABSORPTION SYSTEM:
Type of system: fnpu ti d Width Length l u v Number of Trenches
Setback from: House _ I s" Well 2 32 P/L 2 U ' Vent to fresh air intake
ELEVATIONS
Description of benchmark Ne- tee e O
Elevation 1
Description of alternate benchmark Elevation !_ 3
Building Sewer ��'� 3 ST/HT Inlet q 7 ST Outlet 9� , PC Inlet If', 5
PC Bottom `,) Header/Manifold Top of ST/PC Manhole Cover / X ,_
Distribution Lines
Bottom of System ( } �� b
Final Grade ( )--16
( ) ( )
Date of installation _ / / Permit number State plan number
Plumber's signature %J . License number { '�I J._, �, »,` Date / 1
Inspector
Connplew plot plan �*
1
NOTICE: Please provide the following:
• A plan view sketch showing everything within 100 feet of the system.
• Two horizontal reference points to center of septic tank manhole cover.
• Show alternate benchmark, if applicable.
w 3B° ks�
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INDICATE NORTH ARR 3 (� t, b s._
Wisconsin Department of Commerce
Safety and Buildings Division PRIVATE SEWAGE SYSTEM CoulgT . CROI X
INSPECTION REPORT
GENERAL INFORMATION (ATTACH TO PERMIT) Sanitargr21rrpiigI�o
Personal information you provice may be used for secondary purposes [Privacy 4 e, s.15.04 (1)(m)].
Permit Holder's Name: �tity �] [] Town of: State Plan ID No.:
RUEGER, TIM )(
CST BM Elev.: Insp. BM Elev.: BM Description: Parcel(50 8 40
TANK INFORMATION E 'EVATION DATA A9800614
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic ] Benchmark ' I j n
Dosing
Aeration Bldg. Sewer S' 0, 9
Holding St/Ht Inlet
TANK SETBACK INFORMATION St/ Ht Outlet
TANK TO P / L WELL BLDG. Air I to ntake ROAD Dt Inlet
ir
Septic y / 0 ' 2-S " NA Dt Bottom 7
Dosing > /6' / 6 0 / 3 g • 2_15_' NA Header / Man. S • (�' '
Aeration NA Dist. Pipe ,
Holding Bot. System G, / �' �• g� '
PUMP / SIPHON INFORMATION Final Grade /dv , u o
Manufacturer Demand '
J /Oo , 'J
Model Number 9W tid GPM
TDH Lift , Friction qo System 5 TDH rl. -; Ft
Loss H ead
Forcemain Length Dia. Dist. To well
SOIL ABSORPTION SYSTEM
BED/TRENCH Width Length No. Of�nches PIT No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS /�- DIMENSION
SETBACK
SYSTEM TO P/ L BLDG WELL LAKE/ STREAM LEACHING Manufacturer: INFORMATION Type Of CHAMBER Model Number:
System: OR UNIT
DISTRIBUTION SYSTEM
_Header/ Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake
Length Dia_ Length _� • Dia. QO Spacin,&� c/ # -Sj 41 P � S '
SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only
Depth Over Depth Over xx Depth Of xx Seeded /-Bedded xx Mulched
Bed /Trench Center Bed /Trench Edges Topsoil 6 ± [B`fe's ❑ No ayes ❑ No
COMMENTS: (Include code discrepancies, persons present, etc.)
LOCATION: EAU GALLE 33.28.16.499,SW,SW 17 230TH STREET — LOT 1
i
Plan revision required? ❑ Yes ❑ No (�
Use other side for additional information. l
e, SBD -6710 (R.3/97) Date Inspector's Signature Cert. No.
.r
ADDITIONAL COMMENTS AND SKETCH
SANITARY PERMIT NUMBER:
n
�'S
V isconsin Safety and Buildings Division
SANITARY PERMIT APPLICATION 201 B Washington Avenue
In accord with ILHR 83.05, Wis. Adm. Code
DeparNnent of Commerce Madison, WI 53707 -7302
• Attach complete plans (to the county copy only) for the system, on paper not less County
than 8 112 x 11 inches in size. ( ;i -C✓oyx
• See reverse side for instructions for completing this application State Sanitary Permit Number
I Z
Personal information you provide may be used for secondary purposes ❑ Check if revisio to previous application
[Privacy Law, s. 15.04 (1) (m)].
State Plan I.D. Number
I. APPLICATION INFORMATION - PLEASE PRINT ALL INFORMATION I j
Property Owner Name Propert Location
I ' M K S/4,,1/4 s 1/4, S 3 3 T �� , N, R/ G �(or) W
Property Owner's Mailing Acldtibss Lot Numbe Block Number
V 4, -c- /J,e .
City, State Zip Code Phone Number _ Subdivision Name or M um
LA1 /��r r ✓ "5 - 1 (L l2 ) ) 3/ -b��'� s" 5; S 3 !dry /' 33 �f v I Z-
II. TYPE OF ILDING: (check one) ❑ State Owned 0 It� _ Nearest Road
Public or 2 Family Dwelling - No. of bedrooms L ❑ Town OF //t 2 3 e ` ` S ir
III BUILDING USE (If building type is public, check all that apply) Parcel Tax Number(s)
1 ❑ Apartment/ Condo
U? /0g�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. R New 2 ❑ Replacement 3 ❑ Replacement of 4_ ❑ Reconnection of 5_ ❑ Repair of an
______System -------- ------------- Only ______ Existing System -- - - -_ -- ExistingSyrstem
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 [g 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) C� /� Elevation
S G' L) S v v f,� / 6 Feet / 0 C Feet
Capacity
VII TANK in Ca allons Total # Of Prefab. Site Fiber- Exper.
INFORMATION New Existing Gallons Tanks Manufacturers Name Concrete strutted Steel glass Plastic App
T nks Tanks 1 1.
tic ank V �2vv j'yj� �w e ❑ ❑ ❑ El 1:1 lift Pump Tan amber !,� u (� i ❑ ❑ ❑ ❑ ❑
V — Tff . — RESPONSIBILITY STATEMENT
I, the undersigned, assume responsibility f r installation of the onsite sewage system shown on the attached plans.
Plumber's Name: (Print) Plum is Signature: amps) /MPRSW No.: Business Phone Num er:
Plumber's Address (Street, Cit ate, Zip Code):
S - o 4 w: / /i, w 1 >, cL/ c , Ile t_� 5 ".yc2
IX. COUNTY / DEPARTMENT USE ONLY
❑ Disapproved Sanitary Permit Fee (includesGroundwa ate Issued Issuing Agent t e (No Stamps)
Surcharge Fee)
.,llpproved ❑ Owner Given Initial Z � � C l Q
Adverse Determ ination /' U
X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL:
SBD- 6398 (R.11 /97) DISTRIBUTION: Original to County, One copy To: Safety & Buildings Division, Owner, plumber
f
r
SAFETY AND BUILDINGS DIVISION
2226 Rose Street
La
*Isconsin Crosse, WI 54603
Department of Commerce
Tommy G. Thompson, Governor
02- Mar -98 William J. McCoshen, Secretary
Wegerer Soil Testing & Desig RANDY ROBIDA
421 N Main St
PO Box 74
River Falls WI 54022
RANDY ROBIDA Plan ID 9820271
SW, SW, 33,28,16W
Municipality of EAU GALLE Inspector: Leroy G. Jansky
County of St Croix (715) 726 -2544
Private Sewage plans including the following element(s):
MOUND 600 GPD
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(2)(e), Wisconsin Statutes, is responsible for
compliance with all code requirements.
This plan action is subject to the conditions listed on the following page(s).
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. All permits required by the state or
local municipality shall be obtained prior to commencement of construction /installation /operation.
This project is under the supervision of a state inspector. As inspection concerns arise feel free to
contact the state inspector at the number listed. The inspector for this project is listed above.
Inquiries concerning this correspondence may be made to me at the telephone number listed below, or
at the address on this letterhead. Please refer to Plan ID number listed at the top of this page when
making an inquiry or submitting additional information.
Sincerely,
a
ed
POWTS Plan Reviewer;
(608) 785 -9348
Cr J
o Opp
ICS
SAFETY AND BUILDINGS DIVISION
2226 Rose Street
visconsin N LaCrosse, Wisconsin 54603
• Tommy G. Thompson, Govemor
Department of Commerce William J. McCoshen, Secretary
Page 2
98 20271
- 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, Ws. Stats, prior to installation.
- 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(d), Wis. Stats.
SBD-5524 -E (R. 2/98) File Ref: KMANDF.RD PARAGRAPHS APPROVAL LETTER.DOC
Page of 6
11 i
MOUND SYSTEM .98 -20271
FOR
A �-j BEDROOM RESIDENCE
LOCATED IN THE 5 W 1 /4 OF THE S W 1 /4 OF SECTION S3 , T l-b N, R J � W,
TOWN OF Nz- p ST'• COUNTY, WISCONSIN.
RE CEIVED
INDEX FEB 2 4 1998
PAGE 1 'of 6 TITLE SHEET SAht l Y & BLDGS. DIV.
PAGE 2 of 6 PLOT PLAN
PAGE 3 of 6 PLAN VIEW -CROSS SECTION
PAGE 4 of 6 DISTRIBUTION PIPE LAYOUT
PAGE 5 of 6 PUMPING CHAMBER '
PAGE 6 of 6 PUMP PERFORMANCE CURVE
PREPARED FOR
C�.A t��Y R►� t-� t��.Y Ro81 b
PREPAR7� BY
WEGEE�EFR SO I L TEST I NG
AMID . ,,
DES = G!V Sv=E=Zw I CE coovs
F. O . VV.T•S. y 3, •••�~~�•• i y
Conditionally P.O. BOI 74 421 K. MIK ST. i �'
v ED RIVE. FNIS. MI 54022 ARTHUR .
L •
AP O 715 - 4 - 25-0165 `-OI65 0-9150-
L LSWOR R
=
ELSwORTN,
DEPARTMENT OF GOMME `D` ti
Wis.
Visto AF AN
NDENCE , ��0►��� f; I G N
SEE CORRE son
JOB NO. - 3
� r L y 1 r 1,ri1v
Page Z of b .
Scale 1 "=SO '
r
� J
. W
45 10OF 4yPl�C
LIL
J �O NOT COVI V ktr o�L Ll 8DRVl
� \,1VRp �FIS PrR.�•q Q
N
2 N 0 B r1
� \21 Ni p JG
N
t �qi
tn On
m
N l'L R9 -°
0
0
Bc NT LA=W r so' 1= to
l r ,p AFT LI�tS T
ZS
NOTES
-l. Elevations shown are existing ground elevations unless otherwise noted.
2. Install permanent markers at end of each lateral. ( 2 required)
3. Install 4" observation pipes with approved caps. ( Z required)
4. - Septic tank to be \Z o O gallon capacity manufactured by
Aar - �r �`? 1�Jrc � �3C "kN.JetTEV ' \boo
5. Bench Mark ELEV. LOo•O' u,) SPI )' "ouE Cz ur 1� ZV D1R_ Tl
6. Divert surface water around system to prevent.ponding at the uphill side.
Page - Of 6
Approved Synthetic Covering
19 Distribution Pipe
3TM C 33
Medium Sand _
H �
Topsoil F Elev
3 E'
b
(, % Slope .
( Force Main Plowed
Trench of k"-2k" From Pump Loyer
Aggregate
Undisturbed D 1 • Ft.
Soil E 1 - 3 Ft.
Cross Section Of A Mound System Using F 0 Ft.
I Trench For The Absorption Area G 1•D Ft.
A S Ft. H t• S Ft.
B 100 Ft.
I 1 S Ft.
Linear Loading Rate= 6.O GPD /LN FT j S Ft.
Design Loading Rate= 0.3 GPD /SQ FT
K Xo.s Ft.
L \Z\ Ft.
W ZB Ft.
L
Force
A QNYnEv-S ITT
W �. OPPr,�stTi�
Distribution Trench Of 2 - 2 2 E1�A
Pipe Aggregate
Observation
Permanent
Markers
Pipes
(Anchor securely)
Mound Using I Trench For Absorption Area
Page Of -6
Perforated Pipe Detoll
0
End View
Perforated
End Co p)) PVC Pipe
1_
Install permanent marker
at end of each lateral
Holes Located On Bottom.
Are Equally Spaced
Q End Cap
P fi r.
* ti PVC Force Main
Oistrioution
Pipe
Lost Hole Should Be
Next To End Cop
Distr Pip La
P 4� Ft.
X S Z� Inches
Y S Inches
Hole Diamete Inch
Lateral 1 Inches)
Manifold — Inches
Force Main " Z Inches
# of holes /pipe V?-
Invert Elevation of Laterals 9B.5 Ft.
►y•uy x z_ Z8_o8
k
Place lst hole ZS from tee with succeeding holes at S 0 1 ' intervals.
Last hole to be next to the end cap.
' PUMP CHAMBER CROSS SECTION ARID SPECIFICATICIMS ' PAGE S OF �o
VENT CAP
'i 'C.I. VENT PIPC WEATHER PROOF
APPROVED LOCKING MANHOLE
JUMCTION BOX COVER WITH WARNING LABEL
10' FROM DOOR, IYMILI.
WIMDOW OR FRESH
AIR INTAKE I
GRADE i `0MIM.
COUDUIT -- — ___ - -__
� h
1
PROVIDE ( - - - --
IAILET AIRTIGHT SEAL I III V
I II
APPROVED JOINT/ A Tank constructio shall comply I IiI APPROVED JOIIJTS
with ILHR 83.15 and ILHR 83.20 i i
ALARM
e II ,
I
I I ON
C
LLEV. f T. PUMP --� - -�
•. OFF
D
CORICRETE &LOCK
3" APPRovf
RI5ER EXIT PERMITTED OWLy IF TANK MANUFACTURC.R HAS SUCH APPROVAL gEDplµ�
SPECIFICATIOMS
DOSE TASJK MA NUFACTURE R. r'llDkl�YL P�� �' T' IJUMBER OF DOSES: 3 � `1 PER DA4
TAMK 51ZE: � 0 GALLOAIS DOSE VOLUME t
ALARM MAMUFACTUKgR: S S' S�Sr�J S INCLUD1NEa DACKILOW: z Z " GALLONS
MODEL NUMBER: ` ` � CAPACITIES: A= 1k, WCHE509 U j 6 C*ALLON3
SWITCH TZIPC: ZCI��Zy B = Z IIJCHES OR S 4LLOU5
PUMP MANUFACTURCR' G OU LQ S Ca 8 I Z ►RICHES OR z Z, CALLOUS
MODEL NUMBER: 4 D s I INCHES OR ` GALLOWS
SWITCH TYPE: ��Z�Cu( - MOTE: PUMP AWD ALARM ARE TO bEbl
MINIMUM DISCHARGE RATE Z $'�$ GPM IN5TALLED ON SEPARATE CIRCUITS
VERTICAL DIFFERENCE OETWEEN PUMP OFF AUD_DISTRIBUTIOU PIPE.. 1 .50 FEET
+ MINIMUM NETWORK SUPPLY PRESSURE .. , , . .... 2.50 FEET
F FEET OF FORCE MAIN X L . � I F o fr.FRICT1oRt FACTOR. 2' 0 FEET
..= TOTAL DyIJAMIC. HEAD = �S R� FEET
DIAMETER —
IMTERNAL DIMLWSWLI� OF TAIJK: LENGTH ;WIDTH — ;LIQUID DEPTH. 3 ? Z �
BOTTOM AREA — 231= GAL /INCH
= Z(,
AS PER MANUFACTURER .CI' GAL /INCH
Goulds nN6t or-
Submersible
Effluent Pump
3871 EPO4
i
EP05
APPLICATIONS • Fasteners: 300 series • Fully submerged in high ■ Motor Housing: Cast iron
Specifically designed for the stainless steel. grade turbine oil for for efficient heat transfer,
following uses: • Capable of running lubrication and efficient strength, and durability.
• Effluent systems dry without damage to heat transfer. ■ Motor Cover: Thermoplas-
• Homes components. Available for automatic and tic cover with integral handle
Motor: and float switch attachment
•Farms • EPO4 Single phase: 0.4 HP, manual operation. Automatic points.
• Heavy duty sump models include Mechanical
• Water transfer 115 or 230 V, 60 Hz, 1550 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,
Pump: EPO4 built in overload with ■ EPO4 Impeller: Thermo- construction.
• 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. ". Canadian Standards Association
• 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
• Mechanical seal: carbon- length, 16/3 SJTW with plastic enclosed design for end in " F" or "AC ".)
rotary/ceramic- stationary, three prong grounding plug improved performance.
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 *
components.
2
8 - - -- -- — — -- - -- - --
Pump: EP05 - -- - -
• Solids handling capability: o 25
1 W maximum. W - - -- -- - - -- - i
• Capacities: up to 60 GPM. _
• Total heads: up to 31 feet. 6 20
!
• Discharge size: l'rz' NPT. Z s - -- -_- -- ; -
• Mechanical seal: carbon- c 15
rotary/ceramic - stationary, 4
BUNA -N elastomers. o ! —
• Temperature: 3 10 izg.o
104 °F (40 °C) continuous
140 °F (60°C) intermittent. 2
5
1
i
0 0 00 10 20 30 I 40 50 GPM
L L
0 2 4 6 8 10 12 m
CAPACITY
A 1995 Goulds Pumps, Inc. Effective May, 1995
B3871
WtsconsinDepwtmentofJndustry, SOIL AND SITE EVALUATION REPORT Page X of 3
Labor and Human Relations
Divisio of safety & Buik ings in accord with ILHR 83.05, W Adm. Code
COUNTY
Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but Ste• C 1 x
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. O 0 $ ' I 0 ° �q ' q
APPLICANT INFO ION- PLEASE PRINT ALL ON REVIEWED BY DATE
PROPERTYOWNE : RWT_ f 1t�K`/ T'`0 }� PROPERTYLOCATION
�T%R -OM SWE S t V 1/4 SIV 1/4,S 33 T ZS ,NR 1 to E (or )(@
PROPERTY OWNER' MAILING ADDRESS LOT # I BLOCK # S BD. NAME OR CSM #
>v 3 Z t VJ1 SO `nt S T• c.s.wt-
CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE MOWN NEAREST ROAD
S�Q -JtvG UMW t ►vl Sy-)6-) (-, 68q- X16 IS�ifN GAr LIi Z30 `1* Tr
M New Construdon Use [5d Residential / Number of bedrooms 3 [ ] Addition to existing building
(] Replacement [ ] Public or commercial describe
Code derived dai f flow q SO gpd Recommended design loading rate — bed, gpd/ft ' 3 trench, gPd/ft
Absorption area required 3- XS bed, ft2 3'1$ trench, 11: Maximum design baring rate ' S bed, gpd/ft • b trench, gPdjft
Recommended infiltration surface elevation(s) ` • It (as referred to site plan benchmark)
Additional design / site considerations nv v►�Jb w/ S ' l S ' TRk�'-Off . WI 1 1v . I ' o F S*A/b R L L.
Parent material L-O% s cueR Flood plain elevation, if applicable Iy.. A - It
S = Suitable for system CONVENTIONAL I MOUND IN- GROUND PRESSURE 7AT-G SYSTEM IN FILL 1101.11M TANK
U= Unsuitable fors stem El M U WS ❑ U ❑ S [RU M U ❑ S 91 ❑ S M U
SOIL DESCRIPTION REPORT
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence , Roots GPD /ft
in. Munsell Qu. Sz Cott Color Gr. Sz. Sh. Bed ITmnch
o -� —
13 S 1 � Z S b k V`'1 `�V- a, S - S
2 S -z )o -ltz V 1 — s I bk
Ground 3 zy -31 S7R 31y � SJ8 c1 l�►S1,� X►'�►- cs _ Z 3
elev. _
0 0-S ft. 4 31 -6y 7_SY Y ynU�4- •� -S
Depth to
limiting
factor
z y 4
Remarks:
Boring #
1 0 -9 tio�tt� 3 Z — S1 Z �sb
/y
Z`Fs �n'�4- c g •S•6
1✓abk 'MU'Fh CS •�l •S
Ground
elev n y �$ -6$ �,$ YIz Yl6 �;.SyIZ S)6
l`iJ �" t Stuff - 1 -s R 3 �y S l t3 S 1r1� t
Depth to
limiting k
factor
aH l._ v iY
Remarks:'
T Name: - Please Print �.
Arthur L. We ever 71 165 -
eg%rer Soil Testing & Design Service -P.O. Box 74 River Fa11s,WI 54022
SK nabse: Date: CST umber:
M005 -.76
Wisconsin Department ofIndustry SOIL AND SITE EVALUATION PORT Page of 3
Labor and Human Relators —
Division of Safety & Buildrgs
. in accord with ILHR 83.05w:vvis. Code
COUNTY
Attach complete site plan on paper not less than 81/2 x 11 inches in size. I?)an Aclude, but
not limited to vertical and horizontal reference point (Bh% direction and *o of sloe or P EL I.D. #f
dimensioned, north arrow, and location and distance to nearest road. ! , . �� 0 a - 0 y - t { O.
APPLICANT INFORMATION PLEASE PRINT ALL INFORMATION 7 �a 71 BY DATE
PROPERTYOWNER: ",' LOCATION
� - G kER \ S W 174 S /4,S 33 T Z8 ,NR 16 E (or w
PROPERTY OWNER'S MAILING ADDRESS BLOCK S B . NAME OR CSM If
I % 3 Z 1 1 A SO `RF %-r. � t - si t i-
CITY, STATE I ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE MOWN INEARESTROAD
S'VM4fv6 UhtLj�-t 1vI Sg761 ( 68q- q6Z` E1N GkA - L.t? Zap `m ST•
PQ New Construction Use [)4 Residential / Number of bedrooms 3 [ ] Additikn to existing building
[ ] Replacement [ ] Public or commercial describe
Code derived daily flow 4 SO gpd Recommended design loading rate — bed, gpo1ft . - N trefO, gpolft
Absorption area required 3 AS bed, ft2 3 trench, 11 Maximum design loading rate • S bed, gpolft • b trench, gpcW
Recommended infiltration surface elevation(s) `18.0 r ft (as referred to site plan benchmark)
Additional design/ site considerations W /S I KlS� Tya-'tivctf . M) ) of S*ifAjb F4 L.L-.
Parent material t. o s cueR - Tit-k- Flood plain elevation, 'rf applicable K3--A - ft
S = Suitable for system vENTIONAI I MOUND W- GROUND PRESSURE AT -GRADE SYSTEM IN RLL FOLDING TANK
U= Unsuitable for stem El [RU M S ❑ U ❑ S [2U El M U ❑ S E U ❑ S [$ U
SOIL DESCRIPTION REPORT
Boring # Horizon Depth Dominant Color Mottles Texture Structure Roots GPD /ft
_ in. Munsell Qu. Sz Copt Color Gr. Sz. Sh. Bed rftrdi
wl 4 cc. S - S
oa 2 S -z(/ W o - %L V I — s r I Z `Fs b>t y „ `�� a, s • S .1.
Ground 3 z4 -3) Z• S 7R 31ST 7 ` I'Z S 18 c 1 1 �►S�� 1- CC S 2 •3
elev. _
0 0 - S fL 4 3I - 7 - SY IZ y(l - s OM V"U �4- •`l , 5
Depth to
li miting
bclor
Z
4 Ofd:
Remarks: CROix
Boring #
Z,'FSb ,,,I �5 ��. , S • 6
Z 2 9 1ey2v /y SO Z`-sbh bn
3 Z$3 lt)`t 31 L - S\ tin CS •� •5
Ground
dev. ft �$ -6$ �.S Yp-Y /6 1 -slm- Sj8 s O� U,uit-
Depth to ' >M sl uff - 1.r sz Sly s1 S �� i
limiting
faft
Remarks:
T Name: — Please Print
Arthur L. We ever 715 - 425 - 0165
e erer Soil Testing & s
g g gn ervice -P.O. Box 74 River Falls WL 54022
Sgnature: Date. CST Number:
r °t�- t $ Z_) - - M00576
I
•
PROPERTYOWNER O't'n ►y G l;-�R SOIL DESCRIPTION REPORT Page of 3
PARCELI.D.# Ockb
Depth Dominant, Color Mottles Structure GPD /ft
Boring ,# Horizon � Texture Consistence BotxtcJary Roots
In. Munseii Qu. Sz. Cont: Color Gr. Sz. Sh. Bed
3�3 S1 Z TSW Vv,iF - a•S . $ • 6
3
Z 8 zy. ►oY R y y bk ynir- cS . S 6
Ground 3 z� 31 Lc1Y fz 316 s 1 1 e g�k • g
° o ft. Y z %4z J O'7 R Y li S /g S O�'1 1�►'t `� l C $
Depth to S IL[L S3 7. SYR- VA pw� bi U �►- • `1 .S
limiting
fact/ `4
Remarks:
Boring# o -°I tiO�tR31� S1� Z`FSb�2 a-S •z ��
�f Z q Z6 10 1z y/y
i 3 Z6 32 luY 1z. 31 — Slf- M sV\rt m 1 � - H CIS
Ground
elev. 31 .11 1 S' 2, J� L �. S `t R S /t,3 S1 e.1 1 �► S b� m I' es - . i . 3
97•S ft.
. . .5 1.S Y/6
Depth to
limiting
factor
3 Z•" ,
Remarks:
Boring #
i
Ground
elev.
ft.
Depth to .
limiting
i
factor
Remarks:
.: .,,Boring #
'. Ground
e
ft.
Depth to
limiting
factor
Remarks:
S B D -8330 (R.05/92)
I
PLOT P LAN Page 3, of 3
¢ _ —
SCALE 1 "=
NI
3 ,
7
ao
a
Do NbT cow Phr-T oR
J
�.qs ° _ o�A• `Ili
lu 8.3
2 ej�
d
rj
e.� c0+vlvuR IzL.E'v q�.p
x kn q-► s q 6 B•y a u oV: `mac K
1 601 L
o s•z.
en
i p '
W Cx �
0 '
wig- -
wt�..t_
o .
G
715 ) 425 -nl (,5 14 00576
hon No. CST #
CST Signature Date Signed • Telephone
ST CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
y- OWNERSHIP CERTIFICATION FORM
Owner/Buyer (� a� �" u r % e- 2
Mailing Address _1 G �� S �� n s cr t d
Property Address o?
(Verification required from Planning Department for new construction)
City /State Parcel Identification Number
LEGAL DESCRIPTION
Property Location S "✓ m /4, 5 '►� % a, Sec. 33 , TAN -R 4 W, Town of t-
Subdivision Lot #
Certified Survey Map # S "G 3 ( C" , Volume 2 . Page # 3 l 9"
Warranty Deed # J �`� ; Volume 3 N 7 . Page # Lj 3
Spec house ❑ yes 19'no Lot lines identifiable ❑ yes ❑ no
SYSTEM MAINTENANCE
Improper use and maintenance of your septic system could result in its premature 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
masterplumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewaterdisposal system
is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge.
Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards
set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification
stating that your septic system been maintained must be completed and returned to the St. Croix County Zoning Office within 30
days of the -three year exp' on date.
A .7 �'x /
SIGNATURE OjAPPLICA& DATE
OWNER CERTIFICATION
I (we) certify that a statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of
the pro escribe_ d abov y virtue of a warranty deed recorded in Register of Deeds Office.
IGNATURE F APPLI 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
5.
4
oL
584S;.S �TATE 13AR OF !N FORM IQ82
WARRAN 1 - Y DEED
DOCUMENT NO }
Tyrone E. Ottinger, a single person
f
1 ' '
con%etis at,d %%ar ,nt, to _ -T;- A.- _Krueger _and_- Shelly R. - Krueger, - 10:50 A'A a
_ husband and wife surviv_orship_mar_ita pr4�rtY
C t.Ie
the !014)%%ing Je,.n}ta rc..i e tate to
State ,d Wix cstn
a s
08- 1054 -40 -000 ,
f.
Lot 1 of Certified Survey Map filed July 31, 1997 in Volume 12 of Certified
Survey Maps, page 3318, located in the SW- of SWI of Section 33, T28N, R16W,
Town of Eau Galle, St. Croix County, Wisconsin.
b
TRANSFER
$
S=EE
}
is — not
XX
:.
Easements restrictions and r of record if an ,^
[<<ci,ttn to •,rranii�> , q Y � y• �*
I Ci 10.98
August . \ D
N
Tyrone E__ Mtinger_
At'T fit: NiICA rio N \l 'nAC)�� LFDG�tEtiT
!hate - . �tiuct�nsin.
,
August iq 98
__ as
Tyrone E. ottinger, a single person
mlu
i3renda Poulin -
\ -otat, Public 5 _
State of Wisconsin m
Attorney Kristina Ogland 1
�._ �� �.
Hudson, WT 54016 �.. � � �A
,1 A11 N 1R Of `,11,( 0A1IA
1A ARR. 1 V UY 7 1) f orm No _ - I I)ri1 ... ... ..
1ti mss` 2
s FILED
JUL 3 1 1997 ► 1
L uahn aav H. W11LS�f
SL Ct Co°yh
563182 � �
CERTIFIED SURVEY MAP
BEING THE SW 1/4 OF THE SW 1/4 OF SECTION 33, T28N, R16W, TOWN OF EAU GALLE, ST.
CRO I X CO., W I .
PREPARED FOR TYRONE OTTINGER
WEST QUARTER CORNER
Z SECTION 33 - FOUND NOTE: BEARINGS ARE
l ow
3, REBAR REFERENCED TO THE WEST
LINE OF THE SW 1 /4.
il (ASSUMED BEARING)
0 pew UNPLATTED LANDS
Q WEST LINE OF THE SW I i4
m
4336 69' S ° 42' 54 "E 1 320. 09'
55' ,
I I 33. 14' 853. 40'
12
86. 95'
33 33' H I GHWAY
f SETBACK LINE
I 1 100' .
o owpw
I I ml °f "'��
.w Aat o w 0 00
: 0
• � IW O)I \ N ^
:C ;_ �noncn
:–I rn g yy
(0 - n W O 0 O
O w A ao V A N
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' SOUTHWEST CORNER P IERCE - ST. C N ° 42� 0
SECTION 33 — FOUND I RD
I COUNTY MONUMENT ' RO '•••• •••••• . .
W41R- LATTED LANDS
............................ SOUTH QUARTER CORNER
I I SECTION 33 - FOUND
COUNTY MONUMENT
A PPROVED ��oG pNs,�,
0- SET I" X24" IRON PIPE WEIGHING JUN 2 d '97
1. 13 LBS. PER LINEAR FOOT. J Z
ST. CROIX COUNTY 8 -1804
Comprehensive Planning SPRING VALLEY
Zoning and Wis. �•
I" •250' Parks Committee
JA 9
If not recorded NEL S E ` Y 1 NG
within 30 da of DATED
0 50 250 500 SHE wrov t��leb? so
7 087 THIS INSTRUMENT DRAFTED BY JIM WEBER null and void
&L OTT,
Vol.12 Page 3318