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HomeMy WebLinkAbout018-1029-30-000 ' a , 7 ? \ r J / (D k �■ 7 / / ƒ F 0 © ° m \ � — / ? 0. CL / \ 2 § $ \. 9 t a» E 2 z• , a o R m / 0 \ \ ° \ § i,3 a y / n , g / / \ \ 2 § ; R ¥ G § § Q ®— J / \ @ a ° 2 g 2 ] \ a = } ~ ® f C ` e � 2 m E� 2§ R3 � to > e \ \ C 00 % }� / k k / ^ ® OD c Co / � M 0 0 0 +. � 9 9 § \ * * * ® \ § 2 = g d A � \ } ¥ � to \ � $ 2 - .f, 0 Q z > > o : 0 § 0 i ® �• C) @ £ \ / a a = : ƒ \ § . 3 .) . CD \ 2 z m ! 0 w M § 3 7 ) � \ j ƒ w = =a> oQ§[a= \ D) , CL 2 \R/ 7 % ; §3 0f § \ / / 2 CD . E ,:$ms[ CL cn . 'o < _ \D \ CD . \ {/) \ CD (n 0 % . }\ %Q \ mE w ° \ ) � , @ / \ ' 6 J / 7 ST. CROIX COUNTY ZONING DEP* ?M_kNT. AS BUILT SANITARY REPO, ,?,di` Owner O YvNvr 4 .sw Pair 1 V\G PYl Property Address City /State t3 I d w i w z '5 a da 1 Legal Description: o�Fe�F Lot Block Subdivision/CSM # '/4 %., Sec. T 2N -R_aW, Town of c1 vv o # SEPTIC TANK -- DOSE CHAMBER -- HOLDING TANK INFORMATION: Tank manufacturer A H` Size ST/PC/ CIO Setback from: House A�Well P/L Pump manufacturer 24 , -Ile- A Model �/ 9 Alarm location ge -V l�rJe -07 (HOLDING TANKS ONLY) Setbacks: Service road Vent to fresh air intake Water Line Meter location Alarm location SOIL ABSORPTION SYSTEM I Type of system: c)0 d Width S Length 7-3 Number of Trenches /-3c) Setback from: House � Well P/L /o�X Vent to fresh air intake 106 ELEVATIONS z� .r n Description of benchmark -'Y r U A, Elevation /a D • 0 6 Description of alternate benchmark & k7 4 4y_0 rn Elevation �S Building ewer �y V g �� ST/HT Inlet S� ST Outlet PC Inlet PC Bottom Header/Manifold Top of ST/PC Manhole Cover ?i� Distribution Lines () oZ () ( ) Bottom of System Final Grade () () ( ) Date of installation // / /U 9 Permit number 3a y State plan number ,Fa 3 Plumber's =nature License number Date // / f/ 98 ' Inspector ' k� c i ZS 1 Complete plot plan �+ 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. PLAN VIEW M 5 � evv\ � cam, ► aG a� S I a�X ql .Si 2 P olc � I I�� ` ,- award - s o r x ;Z5 S INDICATE NORTH ARROW �c✓Id'l N(�r��5 iL Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Count at'ety and Buildings Division INSPECTION REPORT 5�. &C, -,, 770 GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No.: f0`'' Personal information you provice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)].` t Permit Holder's Name: ❑ City ❑ Village [51 Town of: State Plan ID No.: '— CST BM Elev.:- Insp. BM EI BM Description: j Parcel Tax No.: r r -TO ' ' /u1 ?�L i e 0t8 /C q -3b '00 100 TANK INFORMATION ELEVATION DATA 4 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. F ic G Ben h r p 'I q ng Ob hfj.6AA 107. 3 ,W 1 03, tion Bldg. Sewer /07 I R-32 9T, 1 Holding t Inlet 10 I S�- TANK SETBACK INFORMATION St/ Ht Outlet TANK TO P/ L WELL BLDG. Airi to ntake ROAD Dt Inlet Air I eptic 10v IJI a ( � N�F! NA Dt Bottom 103 osing , , l ob NA Header / Man. �3, I U �� •] Aeration NA Dist. Pipe Holding Bot. System 03- PUMP/ SIPHON INFORMATION �' Final Grade Manufacturer Demand O&ko kA M i`6 67b 1 Model Number 91b Ze� ( Z GPM ` o (� 1 0 3 TDH LiftR,c.t01 Friction $j System S TDHQ�a Ft Forcemain Length SD ` I Dia. Z�� Dist.Towell SOIL ABSORPTION SYSTEM TRENCH Width If Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSION "7S DIMENSION SYSTEM TO P/ L BLDG WELL LAKE / STREAM LEAC G Manufacturer: SETBACK CHA BER INFORMATION TypeOt f f Q '� ru OR U Mo el er: Syste rrl/✓+r.A Cl t DISTRIBUTION SYSTEM Header/ Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake L _!f_ Dia. I Length3Dia. 1 4 Spacing SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded / Sodded x Bed /Trench Center ['� t Bed /Trench Edges rin Topsoil rX Yes ❑ No ,1S Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) &"dh f , , /� Z q 17, 20-1(3 N� NL `f 2 0 U Z7 QD plowl e r - l 1 n -ei g Cl2I sMkof ( i y7 . 3 .P. d�lra�r�yf �' inn -Tu,� �I�wted{ Cc�v►v,� °r' 00 VA 1 V(6 - pit 4 X� �� Isla 1 07 � Plan revision required? ❑ Yes J Q No Use other side for additional information. I SBD -6710 (R.3/97) Date Inspector's Signature sP r Safety and Buildings Division S ANITARY PERMIT APPLICATION 2 01 W. Washington Avenue NN I SCOnsin In accord with ILHR 83.05 Wis. Adm. Code P O Box 7302 Department of Commerce Madison, WI 53707 -7302 • Attach complete plans (to the county copy only) for the system, on paper not less County / than 8112 x 11 inches in size. S7• C R 0 / X • See reverse side for instructions for completing this application State Sanitary Permit Number Personal information you provide may be used for secondary purposes ❑ check if revision to prevIous application [Privacy Law, s. 15.04 (1) (m)]. State Plan I.D. Number I. APPLICATION INFORMATION -PLEASE PRINT ALL INF RMATI N Propert y O ner Name Property Location WFE I �/ . t 1/4 4 g 1/4, S ILL T 7 , N, R /'Z E (or Property Owner's Mailing Address 74 S T Lot Number Block Number d Z — Aty, State Zip Code Phone Number Subdivision Name or CSM Number t5fl W ►AI W S q oe 2. ( ) II. TYPE OF B I DIN : (check one) E] State Owned ❑ qt . Rm /�! ON Q Nearest Road 3 ❑ Village f� ZOO lit S4 Public 1 or 2 Family Dwelling - No. of bedrooms Town OF III.. BUILDING USE (If building type is public, check all that apply) Parcel Tax Number(s) 1 ❑ Apartment/ Condo 2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/ Repairs 11 ❑ Restaurant /Bar /Dining 4 ❑ Church / School 8 ❑ Mobile Home Park 12 ❑ Service Station Car Wash 5 ❑ Hotel / Motel 9 ❑ Office/ Factory 13 1K Other: specify 5 / 4 E n/G 6 IV. TYPE OF PERMIT: (Check only one box on line A. Check box on line B, if applicable) A) 1. NNew 2, E] Replacement 3, E] Replacement of 4. ❑ Reconnection of 5. E] Repair of an ____System ________System _____ ________ Tank Only______________ Existing System ________ S tem B) ❑ A Sanitary Permit was previously issued. Permit Number Date Issued V. TYPE OF SYSTEM: (Check only one) Non Pressurized Distribution Pressurized Distribution Experimental Ot her 11 []Seepage Bed 212qMound 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 L4 S0 Required (sq. ft.) Proposed (sq. ft.) (Gals/day /sq. ft.) (Min./inch)- Q Elevation 375 3 7S 0. Q O Feet eet VII. TANK Capacity in gallons Total # of Prefab. Site Fiber- Plastic Exper. INFORMATION Gallons Tanks Manufacturers Name Concrete Con- steel glass New Exist in strutted T nks Tanks I Septic Tank r Holding Tank ! /OW I I A l C- 19 ❑ El El 1:1 1:1 Lift Pump Tank iphon Chamber / /P L'On780 T 4#j K ❑ El ❑ ❑ ❑ VI11. RESPONSIBILITY STATEMENT the undersigned, assume responsibn ni installa 'on of the onsite sewage system shown on the attached plans. PI m er's Name: (Pri t) P m is Signature ( Stamps) MP PRSW No.: Business Phone Number: ON 0 /1' T21Cl I SfS (o ?!S' - aS7- _a)l V P mber's Address (Street, City, Stale, Zip Code): /D E 7* t��c G AL m S4� PA S IX. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (includes Groundwater D ate Issued Issuing A Signature No Stamps) A roved ❑Owner Given Initial � surcharge Fee) pp '�!/ Adverse Determination 9 l -X 14 X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: aoz SBD- 6398 (R.11197) DISTRIBUTION: original to county. One copy To: safety a Buildings Division, owner, Plumber Safety and Buildings • 1340 E GREEN BAY ST STE 300 SHAWANO WI 54166 visconsin Tommy G. Thompson, Governor Philip Edw. Albert, Acting Secretary Department of Commerce October 16 1998 pp CUST ID No.267341 1 ' OCT AT�V: POWTS INSPECTOR WEGERER SOIL TESTING & DE I.6 5T CROIX IQ COUNTY Z0}�TING OFFICE 421 N MAIN ST ZONING OFFICE ` S, CROIX COUNTY PO BOX 74 , ,' x,1'101 CARMICHAEL RD RIVER FALLS WI 54022 J / r ; -- �' HUDSON WI 54016 RE: CONDITIONAL APPROVAL APPROVAL EXPIRES: 10 /16/2000 Idificat<cn Nutrtb, Transaction ID No. 182713 Site ID No. 162284 SITE: .Please refer.to..both id'entifiea i0 mbers, Site ID: 162284 L lbove, in all corres ndenee the a ST CROIX County, Town of HAMMOND NEIA, NEIA, S14, T29N, R17W TAMMY SWEARINGEN FOR: Description: MOUND SYSTEM FOR TAMMY SWEARINGEN Object Type: POWT System Regulated Object ID No.: 431412 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. 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, ni, DATE RECEIVED 10/13/1998 FEE REQUIRED $ 180.00 KEI A WILKINSON, POWTS PLAN REVIEWER FEE RECEIVED $ 180.00 Integrated Services BALANCE DUE $ 0.00 (715)524 -3630, FAX: (715)524-3633, M -F 7 AM - 3:45 PM KW ILKINSON @COMMERCE. STATE. W I.US I - TIT LE - S NrLI` T page of 6 MOUND SYSTEM FOR A 3 BEDROOM RESIDENCE LOCATED IN THE iN� 1/4 OF THE 1/4 OF SECTION T �-`� N, R 1 - 1 W, TOWN OF , ST. CREi1X COUNTY, WISCONSIN. INDEX PAGE 1 'of 6 TITLE SHEET PAGE 2 of 6 PLOT PLAN PAGE 3 of 6 PLAN VIEW -CROSS SECTION, OF Mouta► PAGE 4 of 6 DISTRIBUTION PIPE LAYOUT .PAGE 5 of 6 PUMPING CHAMBER C.pwss Scurlori � SPELr�ic�r►oNs PA GE 6 of 6 PUMP PERFORMANCE CURVE PREPARED FOR T Rt-l`r'1`t S W E�21►� G E1V Oy 23 ZUO `i'?} SY' � 1� b.11 1v, I jj S PREPARED BY WECEFZEFQ: SO I L TEST I P4 (3 oo�ew�y AND DES I CN SEF ;ZW z cE ®m CONS�� P.O. BOX 74 421 K. KAIK ST. g }.r.► RIVER. FALLS. KI 54022 i r ARTHUR _� WEGERER 915 p 715-4 2 2 5 - 010 P.O.W.T.S. Conditionally APPROVED DEPARTMENT OF COMMERCE DIVISION OF SAFETY AND BUILDINGS � L SEE CORRESPONDENCE JOB NO. 8 -I PLOT PLAN Page Z of 6 Scale 1 "= tAp ' jL 100.0' oN 5 1i16N, 31q 111 Pv Poe _ /L 1. L�hST ZS ' F NOT 'iV � 8�'1 i4l S GtI.E 0 3 � D \Z,VvJ 1so'* 8r"14k 2. � 8�3 tL �t9 _ °Z'\Mvrt M- C n . o I Bo�-� of 7Uj&jc4 Fad `tom �� v V�Q N ^ N � 8.Z yl Apr - cZ- d R o - MIS ftv�eA , NOTES -1. Elevations shown are existing ground elevations unless otherwise noted. 2. Install permanent markers at end of each lateral. ( Z required) 3. Install 4" observation pipes with approved caps. ( Z required) 4. tank to be \, AW3 gallon capacity manufactured by \ �-\v T CUYT CO Q C LZ- 5 . Bench Marks . SEIZ pt'BOU E 6. Divert surface water around system to prevent ponding at the uphill side. Page 3 Of 6 Approved Synthetic Covering i�sT► -► c3 Distribution Pipe Medium Sand _ H G Topsoil F Elev. b S% Slope (Force Main Plowed Trench of 2" -2 2" From Pump Layer Aggregate Undisturbed D 1.0 Ft. Soil E Ft. Cross Section Of A Mound System_ Using F 0 Ft. Trench For The Absorption Area G 1•a Ft. A S Ft. H I• S Ft. B �1 S Ft. I S Ft. Linear Loading Rate = b GPD /LN FT J Ft. Design Loading Rate= 0 /SQ FT K \1 Ft. L °'t Ft. A! terHate • — W Ft. L Force — —_— — B —_ — _— —_ K Maim W Distribution Trench Of 2 - 2 '2 M Pipe Aggregate Observation Permanent-/ Pipes (Anchor securely) Mound Using I Trench For Absorption Area ?' 7 . Page Y Of .6 Perforated Pipe Detail 0 J " � L,d View Perforated End Cop. ` PVC Pipe 1. Install permanent'marker at end of each lateral Holes Located on Bottom, Are Equally Spored Q End Cop Q �-t * PVC Force Main 4 Distnoution Pipe Lost Hole Should Be Next To End Cop Distribution Pipe Layout P 3�1•S Ft. X 3 Inches Y a,6 Inches Hole Diameter It/ Inch Lateral 1 ) ,, y Inches) Manifold -- Inches Force Main Z Inches # of holes /pipe 1 Z Invert Elevation of Laterals q 8- S Ft. Place 1st hole from tee with succeeding holes at 3 6� intervals.. Last hole to be next to the end cap. Combination Sep.td- c; Tank and PUMP CHAMBER CROSS SECTION ARID SPECIFICATIOMS ' PAGE S OF • WEATHER PROOF • -NEWT CAP JUUCTIOAI 80X Y"C.I. VENT PIPE APPROVED LOCKIMG lO' FROM DOOR, MANHOLE COVER ,1 111'1 - 4AUDOW OR FRESH tti+P'RfJ11JG L-N%EL. IUTAKE caaw,r ALK s r � .� le•MIU. PROVIDE 1 IN LE T AIRTIGHT SEAL I I I V APPROVED JOIUT A 1 I I APPROVED JOINT: W /C.T. PIPEoR Tank construction I I W/E I. PIPE _ 1 shall comply with I I'[ ALARM I ILHR 133.15 and 33.20 Is 1 I 1 ON C I I ELEY. PUMP - p � • OFF D COUCKETE 6lOCK 3" APPRovED RISER EXIT PERmnrrD OIJLy IF TAWK MANUFACTURER HAS SUCH APPROVAL U00IN4 SEPTIC F SPECIFICATIOkiS _L.. DOSE >L3F - Ftoll 4Y.1c�z i rr 3 . l� TAUK MAIJUFACTURCR: NUMBER OF DOSES: PER DAy TAWK SIZE: 1 000 / 601 GALLOWS DOSE VOLUME r • S S,� S`tS�i �'lS INCLUDIUG 6ACKPLOW: lZ �' GALLONS ALARM MAUUFACTURC.R. ZZ l0 i Nw _ 31y.Z CAPACITIES: A- C A L MODEL NUMBER: tAl Hfs OR G L OAIS SWITCH TyPC: �k3Lc JR"LT g= QQ IUCHES OR Z5 . 4LLOL15 PUMP MANUFACTURER: Zt� - � cz- C = OR ' S GALLOUS MODEL NUMBER: a D= Q INCHES OR � S GALLONS SWITCH TYPE: 1"1�1ZC��Y NOTE: PUMP AUD ALARM RC TO 5E _ MINIMUM DISCHARGE RATE Z8 •" `d GPM INSTALLED ON SEPARATE CIRCUITS VERTICAL DIFFERENCE DETWEEU PUMP OFF AUD.DISTRIBUTIOW PIPE.. � S FEET + MINIMUM NETWORK SUPPLY PRESSURE . , , , . .. .. . . 2.S O FEET + SS F EET OF FORCE MAIN X 1,61 F 0 T FACTOR.. O'� FEET ., TOTAL D!JUAMIC. HEAD = t14.1k4 FEET Pump chamber DIAMETER IAITERNAL. DIMLIJSION OF TAWK: LEAIGTH ;WIDTH iLIQUID DEPTH BOTTOM AREA _ - 231"- - GAL /INCH AS PER MANUFACTURER = Z - � " GAL /INCH Pure k9_jrD fw woc F. L_L(,Lj v_ 7"S b or- HEAD CAPACITY CURVE 3 7/8 6 1/4 o MODEL "98" 4 5/8 �{ 8— 2 3 5/8 = 6 m 0 15 t .� U 4 4 3/16 0 10 2 5 1 1/2 -11 1/2 NPT 0 U.S. GALLONS 10 20 30 40 50 60 1 70 80 LITERS 80 160 240 0 FLOW PER MINUTE TOTAL DYNAMIC HEADIFLOW PER MINUTE EFFLUENTANDDEWATERING CAPACITY 12 HEAD UNITSIMIN FEET METERS GALS LTRS 5 1.52 72 273 10 3.05 61 231 1s 4.57 45 170 4 3/16 20 6.10 25 95 Lock Valve 23' SKI 102 CONSULT FACTORY FOR SPECIAL APPLICATIONS • Electrical alternators, for duplex systems, are available and • Variable level float switches are available for controlling single supplied with an alarm. and three phase systems. • Mechanical alternators, for duplex systems, are available with • Double piggyback variable level float switches are available or without alarm switches. for variable level long cycle controls. SELECTION GUIDE Standard all models - Wei ht 39 lbs. - Y: H.P. 1. Integral float operated 2 pole mechanical switch, no external control required. 2. Single piggyback variable level float switch or double piggyback variable level, 98 Series Control Sel float switch. Refer to FM0477. Model Volts -Ph Mode Amps Sim lex Duplex 3. Mechanical alternator 10 -0072 or 10 -0075. M98 115 1 Auto 9.4 1 or 1 & 7 — 4. See FM0712, for correct model of Electrical Alternator, E -Pak. N98 115 1 Non 9.4 2 or 2 & 6 3 or 4 & 5 5. Control switch 10 -0225 used as a control activator, specify duplex (3) or (4) D98 230 1 Auto 4.7 1 or 1 & 7 — float system. 6. Four (4) hole J -Pak, junction box, for watertight connection or wiredan E98 230 1 Non 4.7 1 2 or 2 & 6 3 or 4 & 5 simplex or duplex operation, 10-0002. 7. Two (2) hole J -Pak, for watertight connection or splice. CAUTION Forinkmlation on additionalZoellerpmducts; referlo catalog on Combination Starter, FMO514; Piggyback All installation of controls, protection devices and wiring should be done by a qualified Variable Level Switches, FM0477; Elec Alterratar, FM0486; Mechanical Alternator, FM0495;Sump/ licensed electrician. All electrical and safety codes should be followed including the most Sevrage Basins, FM0487; and Single Phase Simplex Pump Control/Alann Systems, FM0732. recent National Electric Code (NEC) and the Occupational Safety and Health Act (OSHA). RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAIL TO: P.O. BOX 16347 < Louisville, KY 40256-0347 Manufacturers of.. �O SHIP T0: 3649 Cane Run Road LouiswNe, KY 40211 -1961 Z r ... A W11 S.vcE /999 PL/MP �0 (502) 778- 2731.1(800) 928 -PUMP FAX(502)774.3624 t Wisconsin Department oflndusby, SOIL AND SITE EVALUATION REPORT Page \ of 3 labor and Human Relations , C3tvision 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 S- f '� K 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. 018- yo Zq _ 3 O - 000 : APPLICANT INFORMATION- PLEASE PRINT ALL INFORMATION REV D Y DATE r PROPERTY OWNER: V PROPERTY LOCATION i C 1t'1'I'1 �i - 16W 8elff-. t@T N L 1/4 lit 199 1 T •Z°( ,N,R I E ( W PROPERTY OWNER' :S MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM # \"Ab ZAZI - M 3-• - — CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE ®TOWN NEAREST ROAD $ s40 h Z$ ZOp `T1F ST. K New Construction Use [ Residential / Number of bedrooms 3 [ ] Addiikn to wdsting building (] Replacement [ ] Public or commercial describe Code derived daily flow \ASO gpd Recommended design loading rate bed, gpolft trench, gpolft Absorption area required 3 Z S bed, ft 3ZS trench, ft Mabmum design loading rate S bed, gpd/ft ' trench, gpd/ft Recommended infiltration surface elevation(s) q 6,0 It (as referred to site plan benchmark) Additional design /site considerations "Ouv b w / S')e1 S' — tze* Ct{ . Wh I �j . Z" of Snit.fl Fr L L Parent material Ln n? s ou eg SL.P .t A1, 'T1 uL Flood plain elevation, if applicable TJ A , ft S = Suitable for system CONVEPMONAL I MOUND "ROUND PRESSURE I AT -GRADE SYSTEM IN ILL I HOLDING TANK U = Unsuitable for stem [I S ®U ®S ❑ U ❑ S au ❑ S Mu ❑ S 9 U [IS Ri U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bourxi3y Roots GPD /ft in. Munsell Cu, Sz. Con, Color Gr. Sz. Sh. Bed rand - 1 0 -8 �o­IR 31Z — si Z` - ab1_ 1 S . Z 2 b I O -1 2 3/l, — s i t Z S b'Vc vvi -- - � S -� Ground 3 16 - - 1• S `1 R S/ 6 c 5 IZ L/ l elev. Depth to limiting factor Remarks: Boring # -� �b`icZ3l s i t Z�s�lz v�`Fh ouS ) s cS Z : Z 8 2.s. tU`t R 3 L L � s I Z.vn s bk r� � ' c5 L L IZ y! SC-1 - Z a,V Ground - elev. X 15.4 f, �. I k UT( IiJ Depth to limiting factor N l 4 Remarks:,. w` ' CS T Name. Print Arthur L. We erer P � -0165 egerer Soil Testing & Design Service -P.O. Box 74 River Falls,WI 54022' Sgnature: / Date: CST Number: �?8 -2S0 M00576 PROPERTYO SW fc - >y G SOIL DESCRIPTION REPORT Page bf PARCEL I.D.# Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Roots GPD /ft g in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trerxh s 5 •6 Z -34 L 31L — S1 as �1 �S - s • L Ground 3 S9 n• S `t R V I L C l .S4 U_ V! 5 1C. 1 Sb S • Z ' . 3 CI A -0 ft. Depth to limiting factor a �y Remarks: Boring # c Ground elev. ft. Depth to limiting factor Remarks: Boring # 13 Ground elev. ft. Depth to limiting factor Remarks: Boring # :13 Ground elev. ft. Depth to limiting factor Remarks: SBD- 8330(R.05/92) • PLOT PLAN Page 3 of 3 SCALE I "= q Q ': o+u S "1tt6H,.31yrDlA P.T , _ ' '�r� fit. = � 7 - ._•b'. " _.._ \ I y V' � 8w1i41 X� L1P P`�X1M�,p� *w3ke ft � a•3 ez. qa _ w �. � lb �oN g 1 5°V0 OD N 0 I AF 'n�c,4 — - --1 IF-L c) B. o •2.o p' � o R o LSTuvu3 Tits Ate"A �8 - Sp (715 ) 42s -0165 14 00576 CST Signature Date Signed Telephone No. CST # ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer Mailing Address Property Address (Verification required from Planning Department for new constructio City /State _ - Parcel Identification Number 0 1 (A —1 o2g _ -46 o -- LEGAL DESCRIPTION Property Location' /,, '/., Sec., T N -R V W, Town of � (Y\ . Subdivision Lot # Certified Survey Map # , Volume , Page # Warranty Deed # ��7� , Volume / a Y 'J� , Page # y Spec house ❑ yes ❑ no Lot lines identifiable ❑ yes ❑ no SYSTEM MARMNANCE Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. i The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days of the thr a ear expiration date. Nk o SIGNA APPLICANT DATE OWNER CERTIFICATION I (we certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the property ribed above, by virtue of a warranty deed recorded in Register of Deeds Office. i ANAT11"F APPLICANT DATE * * * * ** Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. ** Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed r f 589675 5 w REGISTER'S QFrICE -� Y OCT Z z 199$ PQI'CA - Ik7 - �,a..l,� 019- / U G} - 3 O v O U Re star of Doe Form No.1 -M- WARRANTY DEED v� �G r'1 .• Qin' z� ��� o?D0 STATE DEED TAX DUE HEREON: S �¢ Date: October 22, 1998 15 0 -11 FOR VALUABLE CONSIDERATION Roger E. Thompson and Barbara J. Thomopson, husband and wife (ntadw status) . Grantor(s) hereby convey(s) and warrant(s) to Tammy J. Swearingen, single St. Croix ,Grantee(s)' real property in County. Wisconsin, described as follows: The NE 1/4 of the NE 1/4 of section 14, T29N, R17W, Town of Hammond, St Croix County, Wisconsin ) C) '/� - �e- \ 1 A 0� r Q_Cor S �)0. e_ -S�- • C.r C�o A? — �1r1 CS'Cn (' 0 1, together with all heLitaments appurtenances belonging thereto. subject to the following exceptions: None fZ r E. Thompson Affix Deed Tax Stamp Here Barbara J. &Kompson STATE OF MINNESOTA ss. COUNTY OF Wa shington The foregoing instrument was acknowledged before me this da Of by R acer E. Thompson and Barbara J. Thompson, husband and wife Grantor(s). NOTARIAL STAMP OR SEAL (OR OTHER TITLE OR RANK) a a t �= Z- - SIGNATU F P • . ON AKING ACKNOWLEDGMENT NANCY L. BAKER Tax Statements for the real ny described in this imtntnent should NOTARY PUBLIC - MINNESOTA be rent to (include name and •ddrou d (J My Cgmtnbon B r" a • Grantees: Tammy J. Swearingen 1048 200th St. 11115 INSTRUMENT WAS DRAFTED BY (NAME AND ADDRESS): Baldwin, WI 54002 Tammy J. Swearingen 1048 .200th St. Baldwin, WI 54002 DCMNIM - individual(s) to Individival(s)