The URL can be used to link to this page

Home My WebLink About018-1074-40-100 S'I'. CROIX COUNTY ZONING UEPARTMGI' . e AS BUILT SANITARY REPORT RE CEIVEO Owner Ir r Address / Z42 City /Slate [T�'J' /» J , I C` L� [ S L ST CRUX COUNTY �ONItJGOFFIC.E i' Legal Description: Lot Block Subdivision/CSM # Sec. !y L, T ` N-RAW, Town of _ ff .9 fir, itc, PIN # l� 1 SEPTIC TANK -- DOSE CHAMBER -- HOLDING TANK INFORMATION: Tank manufacturer Size ST/PC /D1 6 1 1 0 Setback from: House Well Sd Pump manufacturer Model 3 7 P/L Alarm location /� � �, �- 6 (HOLDING TANKS ONLY) Setbacks: Service road Vent to fresh air intake Meter location Water Line Alarm location SOIL ABSORPTION SYSTEM: Type of j 7 -1,4) YP system: l i � �> �'�' �� x Width 3 :� Len K �- Setback from: House z Number Of TTCLzches X5'7 �� Weil iC�� P/L Vent to fresh air intake ELEVATIONS: Description of benchmark Description of alternate benchmark Elevation " < ' Elevation Building Sewer 3 ST/HT Inlet ST Outlet - PC Inlet PC Bottom / Header/Mardfold l �, � op of ST/PC Manhole Cover �� j 7 Distribution Lines ( ) ( ) ( ) r Bottom of System Final Grade ( ) f Q 3 Date of installation /��' /, Permit number .3 l ! Q State plan number Plumber's signature ,--j � -- - �,iccnsc num f��'�� ;'L }' 2 Z�1 . 3 /r Inspector Date Complcle plot plan K 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 r + L e I - 4 C i r r INDICATE NORTH ARROW Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: fafety and Buildings Division INSPECTION REPORT ST. CROIX GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No.: Personal information you provice may be used for secondary purposes (Privacy Law s.15.04 (1)(m)). 315944 �r�s,a nn C � Village Town of: State Plan ID No.: IAN 6ND CST BM Elev.:- Insp. BM Elev.: BM Description: Parcel Tax No.: l "n 018-1074-40-100 l °� ! a� 3� r IIIC� -�I TANK INFORMATION ELEVATION DATA A9800329 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Se tic /nao Bench rk S .S �p,�s /Dj, lvb� Aeration Bldg. Sewer 3• z Z• 2, S Holding — ORA' Inlet t 3 r-j'j, -7 TANK SETBACK INFORMATION St/ Ht Outlet TANK TO P/ L WELL BLDG. Ventto ROAD Dt Inlet Air Intake Septi V NA Dt Bottom 3& NA Header /Man. Aeration NA Dist. Pipe z.$6 /�• b°f Holdi Bot. System 'D—Z:, PUMP / SIPHON INFORMATION Final Grade Manufacturer ac Demand '9747 Model Number a GPM TDH Lift/. Friction1 Syestem2 TDHI$,� F Forcemain Length Dia. F z" Dist. To Well SOIL ABSORPTION SYSTEM @ W1 TRENCH Width d Length No. Of Trenches PIT No. Of Pits Inside Dia- Liquid Depth DI MENSIONS 0 DIMENSION SETBACK SYSTEM TO P / L BLDG WELL LAKE/ STRE INFORMATION Type O , � , , `. Model No er: System:M*.. OR UNIT DISTRIBUTION SYSTEM Header / M nifold a Distribution Pipe(s) ,� x Hole Size x Hole Spacing Vent To Air Intake Length Dia. Z Length _zl; Dia. Spacing r SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded ! Sodded xx Mulched Bed /Trench Center Bed /Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) /os.SS LOCATION: HAMMOND 34.29.17,NE,NW 1845 CTY RD T C� Val 4 ;)4,5 4 f ptj . C2 _ Top iqI kn � 4 V iVf �, 4�low, Gi ns�� 1��►Py Plan reolsion required? ❑ Yes [P No /( Use other side for additional information- a SBD -6710 (R.3/97) Date Inspector's Signature Safety and Buildings Division V SCO/1S %/1 SANITARY PERMIT APPLICATION P o �X i Department of Commerce In accord with ILHR 83.05, Wis. Adm. Code Madison, WI 53707 -7969 • Attach complete plans (to the county copy only) for the system, on paper not less County �j than 8 112 x 11 inches in size. -s/ • See reverse side for instructions for completing this application State Sanitary Permit Nu e The information you provide may be used by other government agency programs ❑ Check it revision to pr e loos app Lim n (Privacy Law, s. 15.04 (1) (m)]. State Plan I Number I. APPLICATION INFORMATION -PLEASE PRINT ALL INF RMATION s Proper nor Name P 1, t 1/4 T f , N, R E (or). Propert Owner' Mailj��ress Lot Number Block Number /� (, City, Stc to Zip Code Phon N u Subdivision Name or CSM Number GZc re- (. TYPE OF BUILDING: (check one) ❑ State Owned c i t y Neare Road ❑ Village Public X1 1 or 2 Family Dwelling- No. of bedrooms IFown OF i 111. BUILDING USE (If building type is public, check all that apply) Parcel Tax Number(s) 7 1 E] Apartment/ Condo 0 / 0 / D 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 t New 2 ❑ Replacement 3, ❑ Replacement of 4 ❑ Reconnection of 5 [] Repair of an -____ System ________ System ___ ________ __Tank Only_____________ Existing System ......... ExlstingSystem 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 gMound 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 . Proposed s . ft. (Gals/day/sq. ft. Min. /inch Elevation q i;i� p q (� VII. TANK in Ca g cft gallons Total # of Prefab. Site Fiber- Exper. INFORMATION g Manufacturer s Name Gallons Tanks Concrete Con- Steel glass Plastic App New Exist in strutted T nks Tanks E ic Tank o k •^ % o�� (�lI� ❑ ❑ ❑ ❑ ❑ Pump Tank i er ❑ 1 ❑ 1 ❑ 1 ❑ 1 ❑ NSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans_ Plumber's Name: (Pring- Plu ber's ignatu : (No mps) r /MPRSW No.: Business Phone Number: Plumber's Ad Streetiity, tate Code r IX. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (includes Groundwater at ssue suing Age i t re (N® Stamps) )4A roved urcharge Fee) q pp []Owner Given Initial Adverse Determination fh O X. CONDITIONS OF APPROVAL/ REASONS FOR D SAPPROVAL: SSD -6,398 IRA 1/96) DISTRIBUTION: Original to County. One copy To: Safety & Buildings Division, Owner, Plumber I SAFETY & BUILDINGS DIVISION State of Wisconsin Department of Industry, Labor and Human Relations September 3, 1997 �1 2226 Rose Street - ; '' Crosse WI 54603 � RECE VEO �. WEGERER SOIL TESTING C° S E P 1 7 1997 ; ,U 421 N MAIN STREET PO BOX 74 sr cRax RIVER FALLS WI 54022 s � � ZONiNGOPRCE � RE: PLAN S97 -41075 FEE RECEIVED: 180.00 RONNINGEN, TIM NE,NW,34,29,17W TOWN OF HAMMOND COUNTY OF ST CROIX MOUND SYSTEM The Department has reviewed the above - referenced submittal. Conditional approval is hereby granted for the system plan submittal. All noted items must be corrected. The review and approval of the system is based on chapter 145, Wisconsin Statutes, and chapters Comm 83 and 84, Wisconsin Administrative Code, and is contingent upon compliance with any stipulations shown on the plans. This system has not been reviewed for the code requirements set forth in chapter Comm 82 or in chapters ILHR 50 -64, Wisconsin Administrative Code. This plan submittal approval will expire two years from the approval date, or if a sanitary permit is obtained, plan approval will expire on the day the initial sanitary permit expires. The licensed plumber responsible for this installation shall keep one set of plans with the Department's stamp of approval at the construction site. The installer shall notify the appropriate inspector when inspections can be made. All permits required by the city, village, township or county shall be obtained prior to installation. Inquiries should be directed to me at the number listed below. Please refer to the plan number shown above. Sincerely, t rard M. S m Plan Reviewer Section of Private Sewage (608) 785 -9348 SIM -6423 (R. (11/91) I Page of 6 �GEIVV MOUND SYSTEM S9 7 - 41 075 R FOR �V� 1991 1V. A 3 BEDROOM RESIDENCE S LOCATED IN THE 1/4 OF THE 1`1W 1/4 OF SECTION T - ''I N, R 17 W, TOWN OF NA M O 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 PAGE 6 of 6 PUMP PERFORMANCE CURVE PREPARED FOR tz to bhv s r. . oF p� �.�y 1i1� vs��oE � Np , E NC,E PREPARED - BY G pFiR� t%JEC3EF�EF2 SC] I L .TESTING AND. DES z C-3" S CONs/ F.O. BOX 74 421 K. KAIK ST. ► �*' { RIVED. FNIS. VI 54022 AW" L. 715 - 016 i P916 * SLLSWORTK • W rrrgNNrr 4 I G� �' BNBN -0 `l'7 JOB NO. 9 - S _ PLOT Pi M Page Z of Scale 1"= y O' r Ccvty� " `�-''• T _ �, CO VN`•cy _ i t3 1°') _ �. t00� 0►.1 ° I �1lGlt 31 Dl N'')C P t�E w j \ 1 3 Co,�,Yov� � L01..�� 8.2 ', 'D� t�uT P.o►�Pt�t'r oR � � O 6 -A 1L bS'oF - 0PuC_ F.w1. it J O F 0vt 1 f N�-Q - Q V )'rj $E AT L "WT ZS' P26" AlOuA,D . py NOTES •1. Elevations shown are existing ground elevations unless otherwise noted. 2. Install permanent markers at end of each lateral. ( y required) 3. Install 4" observation pipes with approved caps. ( 2 required) 4. -Septic tank to be L Orjz A4o gallon capacity manufactured by V �M t u'j c� s>Ru a C_:r-s . w L \m, cT 1 b o b 5. Bench Mark S FS8 Oy 5. Divert surface water around system to. prevent --ponding at the uphill side. Page 3 Of 6 Approved Synthetic Covering Pi c 3 3 Distr ibution e p Medium Sand Topsoil .r — H TO . G p -- F Elev . IOZ. D 3 E b % Slope Bed Of 2 2 Force Moin Plowed Aggregate re ate From Pump Layer D 1.0 Ft. Cross Section Of A Mound System Using E x Ft. A Bed For The Absorption Area F Ft. G k•O Ft. A b Ft. H 1.5 Ft. Linear Loading Rate= 9.6 GPD /LN FT B Ft. Design Loading Rate= GPD /SQ FT j 1 b Ft. J 8 Ft. K ,•) Ft. L 69 Ft. F ere , M ; W 3 Z Ft. L Observation Pipe A -� g � K -- - -- -- - - - - -- - - - --. •-- - ----- - - - - -- - - -- Force Main Distribution Bed Of Pipe Aggregate Observation Pipe Permanent Markers (Anchor securely) Plan View Of Mound Using A Bed For The Absorption Area i r Page 4 Of �o i Perforated Pipe Detoll 'l 0 End View ) Perforated End Cop. `t PVC Pipe Install permanent at end of each lateral Holes Located On Bottom, Are Equally Spaced Q S PVC Force Main P PVC Manifold Pipe w Distri ution Piee Last Hole Should Be I Next 7o End Cap End Cap P Z Ft. Distribution Pipe_ Layout S Y Ft. X y$ Inches Y _ V 8 Inches Hole Diameter 11 Y Inch Lateral ) Inches) Manifold Z Inches Force Main " 2 Inches # of holes /pipe Invert Elevation of Laterals ) oZ - Ft. 6x1_V)- 1.U2 - Lt. 0fG V&g Z4" Place 1st hole from center of manifold with succeeding holes at ( 4b" intervals. Last hole to be next to the end cap. Combination. Sept3.c; Tank - arid PLtMP CHAMBER CROSS SECTIOU AND SPECIFICATIONS ' PAGE S OF VELDT CAP WEATHER PROOF JUIJGTIOU box 'i VENT PIPC 1 APPROVED LOCKIIJG �:. 10' FROM DOOR, MALIHOLE COVER rNlV -,AmoOW OR FRESH wARr..511JG LABEC.. A1R IuTAKE S cos�DU�ti" r I 6 L ' f �. I a• M u. � 11� y " Il�s?t't�lon� Piet PROVIDE INLET J AtRTIGHT SEAL I (I dc B gFF��S OIUT A I I f { APPROVED JOluTS APPROVED J C.Y. PIPEDR W /C.I. PIPE�W� w j Tank construction I II ALARM shall comply with ILHP ('13.15 and 33.20 Js I 1 I I ou C ! 1 LLCV. F C PUMP - -� OFF 0 COWCRET L� 86 - oo J a�ocle 3" APPRc- RISEK F-)UT PEE MITFZD 01JL!J IF TAWK MAWUFACTURF`K HAS SUCH APPROVAL BEDOINC SPEGIFICAT10kiS SEPTIC E w� PCT' lbOo D05E MAIIUFACTURCR: CAh/C" E WUMI5ER OF DOSES: 3 65 PER D" TAWK$ TAWK SIZL: \OOy 600 6ALLOLJS DOSE VOLUME I ALARM MA►JUFACTURC.R: S.•S•�R�-O S�'1�Tl�I"I IMCLUDIMcm 6AGKFLOW: \3 - 6ALLONS MODEL _WUMBER: \�' `A\"j CAPA A= 1 $ INCHES OR � 1 '� GALLOy5 5WITCH TYPE: Y�E1'ZC�iz`f B= IIJCHES OR 33' � Cv �LL.OMS DUMP PlAMUFACTURCK' Zot?tL�Z C= $ INCHES OR 133 ;Y� GALLOUS MODEL UUMBER: \31 D- INCHES OR 133 OALLOMS _vv &0- _ 6 o - 2 - d 5WITCH TYPE: MQit(u' MOTE: PUMP AMD ALARM ARE TO 6E MIMIMUM DISCKARGE RATE Z $'' . �% GPM. INSTALLED OW 5EPA9,ATE CIRCUITS VERTICAL DIFFERENCE DETWEEU PUMP OFF AI,JO..015TRIBUT(OW PIPE.. \S Qi� 1=EET + MII,t1MUM METWORK SUPPLY PRESSURE . . . . .. . . . . 2•SO FE.I =T �S T 1 S �- FEET OF FORCE MA X `'b` F �orr- FRICTIOU FACTOR.. FEET TOTAL Dy1JAMIL HEAD = '( ' FEET DIAMETER i Pump chamber 't IIITERUAt. DIMEUStOIJ�i OF TAWK: LELIGTH ; WIDTH ;LIQUID DEPTH �_.. BOTTOM AREA 231= - GAL /INCH AS PER MANUFACTURER = \b . Z. GAL /INCH I • —413/16 7 7/16- . �• ,10� O1` r W W HEAD CAPACITY CURVE MODELS 137/139 1 — 6 1/8 4 MODELS 137/139 R. Meters U. Ltrs. ° a 5 1.52 93 352 413/16 f 10 3.05 79 299 15 4.57 64 242 = 6- v l9. 20 610 36 136 ° 1 1 /Y - 11 1/2 NPT a 8 30 0 15 25 7.62 4 137,139 9.14 — — 0 10 Lock Valve: 26 It. 2 s 1 13 a U.S. GALLONS 10 20 30 40 50 60 70 80 90 t00 110 LITERS go 160 240 320 400 1 I 4 0 FLOW PER MINUTE SK373 009921 CONSULT FACTORY FOR SPECIAL APPLICATIONS • Three phase pumps are available in 2OW208V, 230V or 460V. • Variable level control switches are available for controlling single and three • Electrical alternators, for duplex systems, are available and supplied with phase systems. an alarm. • Double piggyback variable level float switches are available for variable • Mechanical alternators, for duplex systems, are available with or without level long cycle controls. alarm switches. • Over 130 °F. (54 °C.) special quotation required. • Combination starters are available for 3 phase pumps. • Refer to FM0806 for 200° F. applications. • Control alarm systems are available for 1 phase pumps. 137 Series - 47 lbs. 139 Series - 51 lbs. SELECTION GUIDE Single Seal control selection Listing 1. Integral float operated 2 pole mechanical switch, no external control required. Model Volts - Ph Mode Amps Simplex Duplex CSA UL variable level M137/139 115 1 Auto 10.7 1 or 1 & 8 — Y Y 2. Single piggyback variable level float switch or double piggyba N137/139 115 1 Non 103 2 or 2 & 7 3 or 5 & 6 Y Y that switch. Refer to FM0447. BN137 115 1 Auto 103 Y Y 3. Mechanical aftemator M - Pak 10 - 0072 or 10 - 0075. Refer to FMO495 D1371139 230 1 Aulo 5.8 1 or 1& 8 — Y Y 4. Combination Starter. Refer to FM0514. E137/139 230 1 Non 5.8 2 or 2 & 7 3 or 5 & 6 Y Y H137/139 200 -208 1 Auto 6.2 1 1&8 Y N 5. See FMO712 for correct model of Electr Alternator E -Pak. 11371139 200.208 1 Non 62 2&7 3 or 5 & 6 Y N 6. Variable level control switch 10-0225 used as a control activator, specify duplex J137/139 200208 3 Nan 26 2&4 3&4 or 5&6 Y Y (3) or (4) float system. F137/139 230 3 Nan 26 2&4 3&4 or 5 &6 Y Y G137 460 3 Non 1.4 2 &4 3&4 or 5&6 N N 7. Four(4)holeJ Pak, junction box, forwatertightconnectionforhardwiredsimplex G139 460 3 Non 1.4 2&4 3&4 or 5&6 N N operation, 10 No molded plug „ sib piggyback switch inducted B. Two (2) hole J -Pak, for Waterlight hardwired Pconnection or splice, 10 -0003. Pumps must be operated in upright position. CAUTION Three phase units require a control switch to operate an extemal magnetic or combination starter. All installation of controls, protection devices and wiring should be done by For infomlatim on additional Zoeller products refer to catalog an Cambfnation starter, FMO514: a qualified licensed electrician. All electrical and safety codes should be PQgybackVarnade Level Float switches, FMO477: FJeMxWAlt =tor,FMO486 ;MedmnicalAltema- followed including the most recent National Electric Code (NEC) and the tor, FMO495; Alarm Padww. FMO732; and Sump/Sewage Basins, FMO487. 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. IIAIL TAD. P.O. BOX 16347. { ` Louinft KY 40256.0347 Manufacflaersol. . 0 � SNIP TO. 3649 Cam Run Road ® Louis *, KY 40211.1961 Quau7 r e vs S MCE /333 PUMP !O. (502) 273 1.1(6on)926 PUMP FAX (SM774 -3624 Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page 1 of 3 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 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 tQAm 01B — \nq AD " APPLICANT INFORMATION- PLEASE PR „IAA, REVIEWED BY DATE PROPERTY OWNER: - ZZ�yt)Q tt - MPCt J PERTY LOCATION 3v` tom: -"1m Ru _ *Jl"6 N fl 1 l 1/4 NyJ 1/4,S 3q T Z9 ,N,R 17 E(or W PROPERTY OWNER':S MAILING ADDRESS Sfp BLOCK # SUBD. NAME OR CSM # CITY, STATE ZIP COD a PHONE /X OVILLAGE MOWN NEAREST ROAD N �`I'1 UND 1 S 4 U1 S ' �! � Z ' _n h/1 O�� C�t>vt t� / New Construction Use f>4 Residential / [ ] Addkn to existing building j ] Replacement [ J Public or commer i t Z Code derived daily flow y Q gpd Recommended design loading rate bed, gpolft — trench, gpd/ft Absorption area required bed, ft trench, ft? Maximum design loading rate q bed, gpd/ft 0 trench, gpd/ft Recommended infiltration surface elevation(s) l02. '10 It (as referred to site plan benchmark) Additional design / site considerations 1-)'oyr -p �^J /'a ' X 4 M J" )_M UM ) ` 0 F_ S7-?_b J:�:/ L . Parent material Lb \,j km c\ - MUt Flood plain elevation, if applicable 1v • A ft S = Suitable for system CONVENTIONAL I MOUND IN- GROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable for s stem O S O U (R! S O U OS OU O S ®U CIS ®U O S ® U SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Structure GPD /ft Boring # Horizon in. Munsell Qu. Sz. Cont Color Texture Gr. Sz. Sh. Consistence Botxtdary Roots Bed ITud Z �o zs lo'.tz L) Ground 3 z.S -Ij to 1-111 q 16 t - 1 • S'f 2 S JS elev. ft. Depth to limiting factor Z S` I Remarks: Boring # 0 - 'n`FY C S 2 �' • S (° Z Z q m l \; 5 3 Z v �o�r� ��lo � skr� s�� c1 �sbi� r�,i • z 3 Ground elev. a -3 ft. Depth to limiting factor Remarks: CST Name: — Please Print Phone. Arthur L. We erer 715- 425 -0165 egerer Soil Testing & Design Service -P.O. Box 74 River Falls,WI 54022 Signature: - - ZZ Date: - ` 9 7 CST Num 5 7 6 PROPERTYOWNER SOIL DESCRIPTION REPORT Page Z of PARCEL I.D. # Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GP:D /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench Y 3 o— 3 Ground 40 tSAk elev. R R• 9 ft. Depth to limiting factor Remarks: Boring # i Ground elev. ft. Depth to limiting factor Remarks: Boring # :> i I I i Ground elev. i i Depth to limiting 1 factor Remarks: Boring # i h. .. I Ground --- I j e lev. v. ft. f r Depth to limiting factor - i SBL7 -R3K(R OF /�`?, PLOT PLAN Pa 3 - of 3 SCALE 1 "= o . S Ind^ `tro Lt-. 1 9�1lGlf,3ly / �vC ,Icev w jL�tTN e� + k I \ I 3 Co�vYovtiZ- Lam. Lp�.p' - bo t ,)uT LJ 1�1S1ti��C3 `T�HS A��A � `0 a S' i 32. Ip I 1 l�vv St Tp � Hfi LAST 25' F;VerI M ovr)1, . w� 4 so' „ Z ZS V -9 ( 715 ) 425 —n1 6s 1 00576 CST Signature .Date Signed Telephone No. CST # Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page 1 of 3 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 _S c4w 1y 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. 0 1 B — 1 T) V AID APPLICANT INFORMATION PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: sbT - 'E� ' fMtV J1v PROPERTY LOCATION _ �u` t T1F'1 UU1�J17uG t; j - 6e1FF-LB� T`J� 1/4 N►&) 1/4,S 3 4 T Z) ,N,R PROPERTY OWNER•:S MAILING ADDRESS LOT # BLOCK # UBD. NAME OR CSM # \2 10 '�>fN -3r- CITY, STATE ZIP CODE PHONE NUMBER EICITY (]VILLAGE ROWN - NEAREST ROAD Ail p Q%) i [5q New Construction Use Residential / Number of bedrooms 3 [ ] AdditiQn to existing building [ ] Replacement [ ] Public or commercial describe Code derived daily flow y SD gpd Recommended design loading rate 0 bed, gpd/ft " trench, gpd/ft Absorption area required � 1 ' bed, ft2 3�? 7 trench, ft? Maximum design loading rate o - bed, gpd /ft 0 • S trench, gpd/ft Recommended infiltration surface elevation(s) u2- ft (as referred to site plan benchmark) Additional design / site considerations }'1'o Jr�`, N J '? L; �' M J J-M v r , l } o c F/ LL . Parent material ^.l — L( Flood plain elevation, if applicable tv • A - ft S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE AT -GRADE SYSTEM IN FILL I HOLDING TANK U= Unsuitable fors stem ❑S EfU 5 ❑U OS Ou ❑S ®U ❑S IOU ❑S MU SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bandary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed ITmr& EMA _ 1e Is to L�2_ 31 (3 - s1 �l Z �sbk ;�� , �'A Ground 3 ZS�� t0`1iZ. �JG - ).S elev. ft. Depth to limiting factor ZS I Remarks: Boring # ,Tx: .A:# z�sbk m'Fr cS 2� • s Z m CS 1v� y 5 ...>:r:::< 1o�r��1b >.5Lf2 Ground elev. R -3 IL Depth to limiting factor Remarks: CST Name: — Please Print Arthur L. We erer P 715- 425 -0165 egerer -Soil Testing & Design Box 74 River Fa11s,WI 54022 Sgnature: 1 2 Date: _ ! � CST Number _ �`) -ZZS M00576 PROPERTY OWNER �ZU7V1U1iyGi SOIL DESCRIPTION REPORT Page L of ` PARCEL I.D.# O LB - ! 01 - qC) Depth Dominant Color Mottles Structure GP ,D /ft Boring # Horizon Texture Consistence Boundary Roots in. Munseli Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench � >,�;�;�< Z $ Z � l � � R_ 3 / � S t'c) Z'F sb1•z i'Yt '�h c S 1 v � . 4 ;� 5 Ground yp 1-Q -f fL S��6 � �. $ � tz sl�s C - � �S�ix hv�j elev. a R•9 ft. Depth to limiting factor Z6 z q Remarks: Boring # ,j ! i' . E Ground elev. ft. i Depth to limiting i factor ! Remarks: Boring # 1 7 7 Ground elev. Depth to - --+ - -- 1 limiting i factor i 1 I i Remarks: Boring # I. Ground elev, ft. F4— Depth to limiting factor f i Re�;•3rk�, Pa e 3 bf, . PLOT PLAN g SCALE 1 "= yQ ' I i U L�1'TN • I s.z vo / l J - DV r3uT C.ovXP ft-"?' oR r WoIj E SO 8E 1f i LOST 25' FJ 1ifauk)b. - w�z.L ZZS � -c) -7 f 715 ) 425 -01 h5 _ 14 00576 CST Signature .Date Signed Telephone No. CST # ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer Mailing Address f o l� u S 5 7 1 Property Address C t f . - (Verification requirrd from Planning Department for new constructioa) City /State _�J``` Parwl Identification Number � 1'2 l ' 4 LEGAL UESCRIMON Property Location %, ° /, Sec. T 2y N=R W, Town of a--y- �- Subdivision Lot # .Certified Survey Map # Volume . Page # Warranty Deed # ,3 Z/ Volume Page # 2 0 Spec house ❑ yes ❑ no Lot lines identifiable. 0 yes ❑. no S'fC51F.�- �IdAN�NCE • Ia erweand ceofyow systmcotldv=tmits tohandlcwastc"LProper x, oonsists cf jvm%ft oat &C septic tank every 9= yearn or sooner; if aee&d by of 1k sedpuagm What you pat.imto &a sys(cm earl affect Sue Simc(io¢' of the Sq)dctaalc•as a hrauma ts4ge is die wzde disposd gyd= - Tn P='aPedy ap= to sabmit St Cmic T.caiag D iL c oafoun, signed by ge 4w= ndby: . P•I�Y�P t�hietodplem�l�a arc s licxasodpampervrafyiag tbat (Ij Biue oa�tie ��stcavataifirsposai sysbcm LS FrOM op s g eon andlar (2) after iaq)�oa oc and pumping Cif necessary), Svc septic-tank is less d= w fall. of •sludge. dc =&aib=dhm read iha A KM zngrriccnpcnt& aardaV= to maiat:ia 9d flue pdvate sewage disposal system wi&'Sue standards , focSr.barm�,aas set by t5e Dot of Qoaomuoe and the Department of AIatwul R,GSOUrocs; State of Wisoonsia.. m datmOrt your system has boca =kftmodmnst be compldad and z+Wod to Me St Cmbc C=mty Zoning Offim witlua 30 da3'r; Cpiratioa data. - iii 9y ST OF APPLWW DATE OWNE>Z CERTITCATTON I ) ccrtify Sint all stag on this foam are true to the best of my (our) knowledr_ I (we) am (arc) the ow=e s) of above, by virtwe of a war s* dood mor+ od in iegister of Deeds Offec. 6' 9� SIQDIATULtE F APP DATE « « ss «• Any inforandoa than is mis 4R •sR� - c�s�tod may touait is tIu saaitaiy paamit bciag revoked by the Zoning Departazeat. ss iadade with this application: a cumpod warzaaty deed from the Register of Dec& office a copy of the certified sutvcy map if rckmnoc is made in the warranty dood e State Bar of Wisconsin Form 3 — 1982 I / 5'758 85 QUIT CLAIM DEED Q � 7`� l / v ' _ _ C �� DOCUMENT NO. VOL 1909PACF,3, ST. CR0i4: y7„ WI John D. Ronningen and JoAnn Ronningen, I''r� *� +-x;,p.r:l' husband and wife _ MAR 2 7 1998 quit- claims to Timothy J. Ronningen and Debra 9:30 \ AM Ronningen, husband and wife Register of Deeds the following described real estate in St. Croix County THIS SPACE RESERVED FOR RECORDING DATA State of Wisconsin: t t(� ��t11�pJib�� 1!5,�(� $ r,, +: ,•.,wt 4 ii IIY �1/i�Y GN'81� (Y�01� R ��'�i'.:.J W1�Y Y� G�l'i'(Jw LAW UN C 740 Main Street Baldwin, Wl 54002 018 - 1074 -40 (Parcel Identification Number) The North 407 feet of the East 289 feet of the Northeast Quarter of the Northwest Quarter (NE4 of NW4), excepting therefrom one square acre in the Northeast corner thereof as described in Document No. 356709, all in Section 34, Township 29 North, Range 17 West, St. Croix County, Wisconsin. The parcel shown on this description is being added to the parcel shown on the document recorded in Volume 1298, Page 270, Document No. 573464, described as follows: One square acre in the Northeast corner of the Northwest Quarter of Section 34, Township 29 North, Range 17 West, St. Croix County, Wisconsin. to create one parcel, and this transaction is hereby exempt from Chapter 18 of the St. Croix County Land Use Regulations pursuant to Sec. 18.05 (A) (3). FEE EXEMPT This is not homestead property. (is not '; o Dated this �al-*� day of l��G�rC.�^ 19 (SEAL) EAL) . John Ronningen (SEAL) (SEAL) • JoAnn Ronningen AUTHENTICAT p ACKNOWLEDGMENT Signature(s) CJdI . "�'t_ b - 1 2 bil Al iitjm STATE OF WISCONSIN n SS. 1 ri /`-&D 6 County. authenticated t� s — Al day of �� 19 Personally came before me this day of // 19-9-P-- the above named ----f' John D. Ronningen and JoAnn Tyv c q , c�r,v�c�t� Ronningen TITLE: MEMBER STATE BAR OF WISCONSIN (If not. authorized by §706.06, Wis. Stars.) to me known to be the person S who executed the foregoing instrument and acknowledge the same. THIS INSTRUMENT WAS DRAFTED BY Thomas A. McCormack t Ba_ldwin , WT _54002 _ Notary Public —_ County, Wis. (Signatures may be authenticated or acknowledged. Both are not My commission is permanent. (If not, state expiration date: necessarv.) 19--.. ) •Names of person<cigning in am capacity should be typed or printed below their signatures. QUIT CLAIM DEED STATE BAR OF WISCONSIN Wisconsin Legal Blank Co., Inc. FORM1t No. 3 — ItIR? fA �ank W VOL 1309 PAGE. 5'5886 F2EGIS��'�'S R (�F'FICE 5T, CR0iX, CC r W/I P90, f .�t(Ar i MAR 2 7 1998 9:30 A M � a� 1 iJv,, " l �a" Re later of Dgeda ----------------------------------- Return to: Thomas A. McCormack 740 Main Street Baldwin, WI 54002 ----------------------------------------- AFFIDAVIT FOR EXISTING PARCEL AFFIDAVIT State of Wisconsin ) ) ss County of St. Croix ) Your affiants, being duly sworn, states under oath that: 1. They are the owners of a parcel of land located in St. Croix County, Wisconsin, recorded in Volume 1298, Page 270, Document No. 573464, St. Croix County Register of Deed's Office: A parcel of land described as follows: One square acre in the Northeast corner of the Northwest Quarter (NW4) of Section 34, Township 29 North, Range 17 West, St. Croix County, WI. SUBJECT TO conveyances to St. Croix County for highway purposes, and to a lease to Minnesota Cellular Telephone Company, d /b /a Cellular One, and to any other leases to any other cellular or wireless companies which may be of record, and RESERVING TO grantors, or the survivor of them, and to their heirs, successors and assigns, all income to be derived from any such leases. 2. The above parcel has had added to it the following described parV ded in Volume 1309 , Page 310 Document No. St. Croix County Register of Deed's Office, resulting in a single parcel: A parcel of land described as follows: The North 407 feet of the East 289 feet of the Northeast Quarter of the Northwest Quarter (NE4 of NA), excepting therefrom one square acre in the Northeast corner thereof as described in Document No. 356709, all in Section 34, Township 29 North, Range 17 West, St. Croix County, Wisconsin. 3. The addition is a transfer exempt from Chapter 18 of the St. Croix County Land Regulations pursuant to Section 18.05 (A) (3). 4. The purpose of this affidavit is to notify the public of the addition and the resulting parcel. I l - VOL 1.`�09PACE3`12 Dated this /9 �� day of March, 1998. Timot onn' Y g. en 7 Debra Ronningen AUTHENTICATION ACKNOWLEDGMENT Signature of Subscribed and �q� w rn to authenticated this day before me this _9 day of 1998. of March, 1998. * Barbara E. Olson TITLE: MEMBER STATE BAR OF WI Notary Public St. Croix County, WI My commission: 5/27/01 THIS INSTRUMENT DRAFTED BY: Thomas A. McCormack Attorney at Law 740 Main Street Baldwin, WI 54002 I I G % State Bar of Wisconsin Form 3 — 1982 ?34(;4 QUIT CLAIM DEED ,, / j8 t/ % �� t ✓ 0 DOCUMENT NO. VOL 1298 PACE f _^ ----� r== REGIS R SR" OFFICE $T. CR IX CO., WI j Prsc'd for Record _john D. Ronningen and JoAnn Ronningen, husband and wife FES 2 0 1998 j quit- claims to Timothy J Ronningen and Debra 9 :30 A Ronningen, husband and wife `L _ �k Ro later of Doads j i I 71.r' THIS SPACE RESERVED FOR RECORDING DATA ;. the following described real estate in St Grad }t County, State Of WISCORSInI NAME AND RETURN ADDRESS Thomas A. McCormack LAW OFFICE 7140 Main Street _ Baldwin, W l 540 J 018- 1074 -40 (Parcel Identification Number) it One square acre in the Northeast corner of the Northwest Quarter ' I (NW 4) of Secti 34, T ownship 29 North, Range 17 West. SUBJECT TO conveyances to St. Croix County for highway purposes, and to a lease to Minnesota Cellular Telephone Company, dba Cellular One,and to any other leases to any other cellular or wireless companies which may be, of record, and RESERVING TO Grantors, orl,the survivor of them:',. and to their heirs, successors and assigns, all income to be derived-from any such leases. The above - described parcel having been created by virtue of that certain hand Contract dated May 10, 1961, and recorded March 13, 1962, in volume 384 of Records, at Page 127, a s Document No. 268236, Office of the Register of Deeds for St. Croix County, Wisconsin. FEE This is not homestead property. (jti) (is not) Dated this (J" day of 14. i (SEAL) SEAL) # D. Ronnin en (SEAL) (SEAL) Ronningen I AUTHENTICATION ACKNOWLEDGMENT STATE OF WISCONSIN Signature(s) `` ss. C 4 •IJV C� County. authenticated this day of 19 Person�y came before me this day of 19 98 the above named John D Ronn nagi a d JoAnn gonningen, husband and wife TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by §706.06, Wis. Stats.) to me known to be the person S who executed the fore m instrument and n ed a the THIS INSTRUMENT WAS DRAFTED BY Thomas A. McCormack Baldwin, WI 54002 Notary Public slT2 Al2 4 County, Wis. (Signatures may be authenticated or acknowledged. Both are not My commission is perm nt. (If not, state expiration date: necessarv.) 19 ) *Names of persons signing in any capacity should be typed or printed below their signatures. QUIT CLAIM DEED STATE BAR OF WISCONSIN Wisconsin Legal Blank Co., Inc. FORM No. 3 — 1982 Milwaukee. Wis. w¢ /cod it � State Bar of Wisconsin Form 3 — 1982 QUIT CLAIM DEED OOCUMEN' NO. YIIC J .J 1 i 70 .-..� REGIST7R'S - OFFICE $T. CRiX ( 'p, ' W1 I � . _ T0- hn._D._ Ronain9en_ and_ OAnn__Ronni _n� husband Qn�_- - -- Rsct. rnr Q�,,.d aid wife - - _ _ FEB 2 0 1998 quit- chrmsco_T,nothT�J. Ronningen an d Debra g 30 AM nin__ hus and wif — 3 Ron _ p Q the following described real estate in Ct (`rn i 7 Cousty THIS SPACE RESERVF-n FOR RECORDING DATA ! State of Wisconsin: NAME AND RETURN ADDRESS A Thomas A. Ar irmack LAW GFFICE 740 Main S #rest Baldwin, W1 54002 018- 1074 - ' tea__ (Parcel ldentit ation Number) One square acre in the Northeast corner of the Northwest Quarter (tJW ) of Section 34, Township 29 North, Range 17 West. SUBJECT TO conveyances to St. a !erase Croix County for highwa to Mitnesota Cellular Telephone Company, dba Cellular � any other leases to any other cellular or wireless companies which may be of record, and RESERVING TO Grantors, or the - urvivor of them, and to their heirs, successors and assigns, all income to be derived from any , such leases. The above - described parcel having been created by virtue of that certain Land Contract dated, May 10, 1961, and recorded March 13, 1962, in Volume 384 of Records, at Page 127, as Document No. 268236, Office of the Register of Deeds for S ^ County, St. ,.coax Count Wisconsin. 4 FEE EXEWT This____nQ --- homestead ro rt (1Q) (is not) p Y- f ' Dated this o - - - - - -- -'r - - -- day of -- - - -_� 4GfZ,_ - 19.98_. r" lit t --- (SEAL) r • – - - - -- - - - - -- VA . R o n n in E (SEAL) Ronnin en (SEAL) AUTHENTICATION ACKNOWLEDGMENT " Sigr.; ture(s) a -- - - - - -- - - -_ —_ __ _ -_— STATE OF WISCONSIN -- - - -- ss, authenticated this day of -__— - - - -C- �� -- -- County. _ 14_ - Personey came before me this �� - - -. y —__- da of 1 - the above named Sohn _ p RO nr�_ngen a_nd JoA Ronn nn TITLE: MEMBER STATE BAR OF WISCONSIN en,- hu band ari wi_fe__ I N (If not. authorized by §706.06, Wis. Stats.) - -- - to me known to be the person s � + { o�bo ex V the THIS INSTRUMENT WAS DRAFTED BY feyll instru+nent and n ed e th ' '• Thomas A. McCormack y , Baldwin, WI 54002 - - - -- ,� f'' !Signatures may be authenticated or acknoAted¢ed. Both are not `�� Public � ' ` - Urst i necessarv.� Hti �t remission is perm eel. (If Mate 'erptratwn date- ' \amc - .(par m .Igmng in any capalwv , hould hr nry-d ,w nntcJ hadna I: I .gnatw,, - QI I'r(I %F%t D. F.O SiArF. 8 4R OF wiSCO�titV -• FOR ,%I .Yo. J — 171t` Vt' 7 •`oni , n legal Blank Co, Inc / MJwa pa VJ.S - 7 '