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HomeMy WebLinkAbout024-1010-30-200 3 0 Co 0 0 69 60 v N c c N 4' i O O N m N = C �O O p > a c �O O O U O°W a - 3 a' U ° M o Z c d > � o w U o =Q� o I v a a5 .p y U C 7 0 U �7 CO N E?`"ov m T In - a O S E Q U "O N E C,= m m O Ir m a X m E X O O. N a N U O O_` N O N N C N N 7 > N m > N 7 LL pp 'O C'O O p O a t O C O C Z O.Q m lC° m C Z T N m 3 f0 O Y Q -O 42. 3 m -Q LL c m E NO d LL c c �.5 o mo ,m o o 3 2 2a. 3 a� omc c v ta°i0 U) am 0- Q Uav o�° m� ¢ m m o I 0 M � N N Z y Z tl! E E O O++ I Z O Z a a CD m 0 0 N N Y N V) H r N E O N O N E E O N i O C t0 (O (O O 1� -it O O O O O 0 N N 0 N N •�V _ 'O L � l9 N N 7 O U •w 0 0 0 3 O O C Z Z O Z O O C Z Z N O Z E E d .. M ! = m = p a o N ' p N d ad. N .m-. m N d N 6 O a a N ( O a a m '0 a 3 ° o 0 o a •NN m u a a a CL a s �i a v U in U l aNi 2 rn o r .O O M 0 0 0 N M M F P Z U M .- Q O N N_ N N N N N N U 00 N 1� n N O N O O N O N N W N O � O N d z N O 0 O m c N ,- m N M �' N V N O 3 ceS d m ¢ (n o ca d Q Z U) y o O m y w c O N N U y 7 M (O O M M 0 0 w U N V M W m ! 2 N d N U a 0 0 0 0 0 0 0 0 0 1 2 O O C Of O C -O N N N N N N N N N N m E O r C U C C C 7 M N N N � U O) ` N d O N C 000 d N W W C N M N O ip .- a y W ' s 7 'O 'O L C CO 'O • 0 0 0- 2 M 0 Z N �' �` (n = N O Z E21 a Z V� `m m € a € a 3 a Lam L: a. rrww0 a d as d o w y c _1 A C0 a I', O N V 0 U Parcel #: 024-1010-30-200 02/04/2014 02:30 PAGE 1 OF F 1 1 Alt. Parcel#: 07.28.17.51 E 024-TOWN OF PLEASANT VALLEY Current ❑ ST. CROIX COUNTY,WISCONSIN Creation Date Historical Date Map# Sales Area Application# Permit# Permit Type #of Units 00 0 Tax Address: Owner(s): O=Current Owner, C=Current Co-owner 0-HEINBUCH, HERMAN R& DELORES C-TR HERMAN R&DELORES C-TR HEINBUCH 1624 CTY RD Z HAMMOND WI 54015 Property Address(es): "=Primary *455 CTY RD J Districts: SC=School SP=Special Type Dist# Description SC 2422 SCH D ST CROIX CENTRAL SP 1700 WITC Notes: Legal Description: Acres: 1.340 SEC 7 T28N R17W SE NE BEING LOT 3 CSM 12/3417 Parcel History: Date Doc# Vol/Page Type 12/20/2011 947565 CORR 03/0311998 574232 1302/64 QC 07/23/1997 1194/549 QC Plat: *=Primary Tract: (S-T-R 40%160%) Block/Condo Bldg: *3417-CSM 12-3417 024-98 07-28N-17W LOT 3 2013 SUMMARY Bill#: Fair Market Value: Assessed with: 262294 139,100 Valuations: Last Changed: 04/29/2009 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.340 14,800 144,600 159,400 NO Totals for 2013: General Property 1.340 14,800 144,600 159,400 Woodland 0.000 0 0 Totals for 2012: General Property 1.340 14,800 144,600 159,400 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch M. Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 r + ST. CROIX COUNTY ZONING DEPARTME , AS BUILT SANITARY REPORT R ko IV Owner Crm ��1►� c oc , �^v !/r Address 1 (p t; 21 _ Sr c �9� City/State rsc s:�► '�, ?oycNot) � 8 G OfiF/C e Legal Description: c� I ' Lot _ Block Subdivision/CSM # 71 c l Y SWL '/+&19 , Sec. 7-, TAN-RIJW, Town of PIN # — /D SEPTIC TANK -- DOSE CHAMBER -- HOLDING TANK INFORMATION: Tank manufacturerPj1 W 5t- f VeC%t Size ST/PC / Setback ��(] Pump manufacturer Mi �� from: House Well p/L Mint e;— '2, Alarm location (HOLDING TANKS ONLY) Setbacks: Service road Vent to fresh air intake Water Line Meter location Alarm location SOIL ABSORPTION SYSTEM: Type of system: R)L)j Width y '7 Setback from: House Number of Trenches Well = p/L��Vent to fresh air intake ELEVATIONS: Description of benchmark Description of alternate Elevation benchmark e , ol lk Elevation Building Sewer U ST/HT Inlet )_Qj )__ST Outlet.��� PC Inlet PC Bottom l �` Header/Manifold ® 7' JTop of ST Manhol ' ',e Cover 7 Distribution Lines ( ) i N v±f r�?Vtt kt ) 7 3 Bottom of System Final Grade ( ) r Date of installation / / per ' q ) Permit number - State plan number umber �' f Plumber's sign e U License number / ' > Date Inspector Complete plot plan f NOTrCE: Please provide the following: • A plan view sketch showing everyth' r 6n 100 feet of the system. �o • o� � A o ~ +P %D d �0 i S +' U +1 H d � O W f N +' M I�C C j U7 W M r CF N �0 (U -FA 0 o. -0 s N C5 ON E L 3 > g- > L N O = aJ # Q!N Z > ai O- (4- d d -C 3 CIS _ ui W V aLi d �u7p O 2+' 3 V d0 � 3d�VlNacti A= 03 � CL kA # D_ .1 E+�w�E 4 J Cr— F Rl Fq �w o�w ' L+; —u�,—tea a-° ad +� aL'0 to Cu H N ON dm3 �n,�,�cnvi0MMMa3.= a o-� E W QOD! �°=nom wW1:3 > 4, O S 3 O H goo � °o d �+ w� ,red a u '6 O O�Qp� ? AG ru W40. P To- � za}dnp -Aai _ WOOJpaq S a+ 3# ® 0t, 0E 02 Ot o, ao 0 d U L N °D HAON aull }off .4o }10s3 }J dd-o a:)ua�,soya. a+ 4 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: S> fetyand 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)]. 315862 , Permit Holder's Name: I ❑ City ❑ Village 8 Town of: State Plan ID No.: HEINBUC(f, HERMAN I PL. VALLEY CST BM Elev.; Insp.BM Elev.: BM Description: Parcel Tax N .: 1 a .5" (61.5- 130 ffpw, 1 ; Cod 0A-1010_/0_200 TANK INFORMATION I ELEVATION DATA A9800250 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. eptic kxe` - f,cC S`T' l05� Bench si ,r _ � ©� �- Dosi n 6- � 4' /. "Pre-c u 4 3•� iD S 6�- Aeration Bldg.Sewer r�p�tj �, Holding - St/ t Inlet TANK SETBACK INFORMATION St i Outlet TANK TO P/L WELL BLDG. Air I to ntake ROAD Dt Inlet -�-� Air 00.3 �.g Septic D 4" (Z�t I S /�/�u, NA Dt Bottom X6.7$ /.z.y k �•-.-�... osing 34 Ll p' NA Header/Man. /07 Aeration A Dist. Pipe 0 7 Holding Bot.System PUMP/SIPHON INFORMATION Final Grade Manufacturer rfi Demand Model Number 55 GPM TDH Lift/0. - Lrictio�2 Syestema• TDH f S� Forcemain Length I0r Dia. Far Dist.To Well SOIL ABSORPTION SYSTEM z'°s DIMETRE N Width ;5 Length� No.Of TGenches PIT No.Of Pits Inside Dia. Liquid Depth / I DIMENSIONS SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEPRVII G Man INFORMATION Type Mn `1 C I 9 "� I O,AMBER N T Model Nu r. Syste t7 J DISTRIBUTION SYSTEM Header/M nifold Distribution Pipes) / x Hole Size x Hole Spacing Vent To Air Intake Length Dia Length 27 f a Dia. Spacing I�i/r l f' ( k r! ! "K —!— SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth Of 4[ xx S ded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges r > t g I�. Topsoil Yes ❑ No Yes ❑ No COMMENTS: (Include code discrepancies,persons present,etc.) -S ?� `_ /, '115 LOCATION: PLEASANT VALLEY 7.28.17,SW,NE 455 CTY RD' 8 ���0 7 A( t, p 5o I `V05 .V"q fvowA �6 ham( etWNt-) Q1o,4 i s 7 br -I �s Plan revision required? ❑ Yes o Use other side for additional information.n 1 -71/tt SBD-6710(R.3/97) Date Inspector's 5414tur ert.No. z tt Safety and Buildings Division ,• /$CO/1S %/1 SANITARY PERMIT APPLICATION POBoW shingtonAvenue Department of Commerce In accord with ILHR 83.05, Wis. Adm. Code Madison, WI 53707 -7302 • Attach complete plans (to the county copy only) for the system, on paper not less County than 8112 x 11 inches in size. ' s C [rp j • See reverse side for instructions for completing this application State S P ermit Number Personal information you provide may be used for secondary purposes ae`crk l rf" e`v&fo4 previous application [Privacy Law, s. 15.04 (1) (m)]. St PI�n J p Number I. APPLICATION INFORMATION -PLEASE PRINT ALL INF RMATION I b ` J Property O er Name Propert Location th �P(a�vcr �W1 P/ 1/4,5 � T ��,N,R1��"(or W Property Owner's Mailing Address Lot Number Block Number 2 ovWn o 7-- 3 City, State Zip Code Phone Number Subdivision Name or CSM Number II. TYPE OF BUILDING: (check one) E] State Owned it Nearest Road & . , ,j I' Public 1 or 2 Family Dwelling - No. of bedrooms ° Tow OF ��PP' Vk «P 111 BUILDING USE: (If building type is public, check all that apply) Parcel Parcel Tax Number(s) 1 ❑ Apartment / Condo V (• 0 7, ✓/ 0 0 ° z y _ ^ 10~ o ` �U 2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 10 ❑ Outdoor Recreational Facility 3 Q 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. VNew 2 ❑ Replacement 3 ❑ Replacement of 4. Q Reconnection of S. ❑ Repair of an System ________System _ ______ ______Tank Only___________ - __ Existing System ------- Existing System B) ❑ A Sanitary Permit was previously issued. Permit Number Date Issued V. TYPE OF SYSTEM: (Check only one) Non- Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 2ound 30 [] Specify Type 41 E] Holding Tank 12 []Seepage Trench 2 *01n-Ground Pressure 42 ❑ Pit Privy 13 ❑ Seepage Pit 43 ❑ Vault Privy 14 ❑ System -In -Fill VI. ABSO RPTION SYSTEM INFORMATION: 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System Elev. 7. Final Grade n �� Required (sq. ft.) Proposed (sq. ft.) (Gals/day /sq. ft.) (Min. /inch) 1 Elevation 1 G 00 6 7 1,2— / . 1 ' Feet Feet acct VII. TANK i Ca allo n g Total # of Prefab. Site Fiber- Exper- INFORMATION Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App New Existing strutted Tanks Tanks Septic Tank or Holding Tank X �� ❑ ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber X t dal/ f e0, ❑ 1 ❑ 1 ❑ ❑ 1 ❑ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name: (Print) Plumber's Signature: (No Stamps) MP /MPRSW No.: Business Phone Number: 1713 Plumber' Address (Street, City, State, Zip Code) � 7! v IX. C UNT / DEPART ENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater P M Issue Issui t Si nature (No Stamps) Approved ❑ Owner Given Initial Surcharge Fee) Adverse Determination X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: SBD- 6398 (R.11/97) DISTRIBUTION: Original to County, One copy To: Safety & Buildings Division, Owner, Plumber r a Conditionally L o APP R OVED t�y o F N C )), seC fNT OF COMMERCE } S DEPAR AFETY AND DING;, iws►oNg y SEE CORRESP ENCE " �� e�5e� fi U�� F F O 1 ti�l a Mks o no `e 51J Cro.55 �cct(oo 7 J v L. dovtS SN ne e At p w P 1 E' G e �� o� � � � S� C-Ui U. e o- 4 ibles I G'� I Y Y P " u y Count Road J Count � R•o,ad J a� 3� mh 0 F -3 N S O to NORTH 3 H {�3 NO N 0 c fu "' P O Z t 3 l 'C G_lp �_ A ` 10 m � 3 0� 3 ro M 3 20 Ul N 4 O p X M this fence npp 7 ft Esnt of lot line -9 30 n ~c3 — < M 40 v H `c r- - � N '+ o m p O o Former Horse .+ 3 O -N p - 3 3 Posture N_ P (n :5 m 3 a ;u I'D _ # to Z N/p M :l$ M r Q.•• - L 1 - 5 0 p V O N . p 1 ° "m' Jb fU�2 .goo •� co S c 4 C)n for "5► M td o a M 3 ru n p aw m o � Q N D fn to 3 0 4J # 0 7 e+ " S 0 N yd ko t+ y on ti 3 �o 0 o a to tzi d1 � S CONS 1 � rq M m iM�« M M m m p.11lS a 9 N �' 4 �� nn�n�miG ro C-F NORTH fou) ,+- o 3 (A n co 0 Q 0 �0 10 20 this I �ence app 7 ft Esat of lot line ` 30 C+ 40 Former Horse Pasture co Q P - 0 ru U7 o C) n .Z] 3 �� ; D �U fTl S N O � 5 bedroom -1� f or duplex ° D 3 �A A 0 � r0 N td � O ! r0 a .� n �a��o 2► ° fo Q go o � td < Q L a °,5 0 (/J d - O w c- " East tet JR, P, O � c+ �Oti '4 c0 Sj o � W r bd Iltl� 04 M M = 01 r I-' CD 0 0 cl W , ,c Pa e Of 9 i Straw, Marsh Hay, Or Synthetic . Coverinq Distribution Pipe Medium Sand - H- _ G 1 �� 6 Topsoil - = - - -r F 3 Slope Bed Of 2� 2 %2 Force Main' Plowed Aggregate Layer (6 Below Pipe) D [.C) Ft. Cross Section Of A Mound System Using E Ft. A Bed For The Absorption Area F Deg Ft, _ G ,C) Ft. A Ft. H 1,5 Ft. Signed: "---- G 6 2�0 B 7b Ft. License Number: 1 i S� K { Ft. 1 � Q Date: J OF L °_� Ft. j `1 S Ft. I ��8 Ft. Ft. Otiserva"tion Pipe 8 K r A ( - _-- ( - Force Main Distribution Bed Of 2 "— 2 2N Pipe Aggregate Observation Pipe "permanent Marker �SC,0 nom Plan View Of Mound Using A Bed For The Absorption Areh'd�+ �i�' I PA(,l GP PUMP CHAMBER CROSS SEC 101J AIJ3 51`EGlFICATIOU'5 II� VENT CAP ; `i`j �VENT PIPE WCATHERPROOF APPROVED LOCKIAIG JUAJCTION BOX MANHOLE COVER 25� FROII1 DOOR, WINDOW OR FRESH 12 "MIU. AIR INTAKE I GRADE I COUDUIT 18 "/11N. ---- - - - - -- 1 _ 1 INLET �01VI'lnFilliq�� PROVIDE I - - - -- r I '• � SCONS* TIGHT SEAL I I 1 y I I , A I I I = I = I I ALARM � 1L7 � I II ��o OF I I oIJ c JOINT! Inppyyl+�N��` I I E.LEV. FT. APPROVED PIPE __ j 3' ONTO PUMP ` OFF D SOLID SOIL COMCKETE BLOCK RISER EXIT PERMUTED OKILy IF TAIIK MAMUFACTURER HAS SUCH APPROVAL SEPTIC E .5 PECIFI'CATI0 AIS DOSE TAKIKS MAWUFACTURE /1 � R: ' i Wfkir PreU� QUMBER OF DOSES: PER DAy TANK SIZE: 10 0 0 GALLONS DOSE VOLUME I5_0;l.4J =15 ALARM MAI.IUFACTURER; � e 4�r IMCLUDIMG 6ACKFLOW: fg�_IE �d3 GALL MODEL ►DUMBER: V MM I— V CAPACITIES: A= INCHES Oft GALL SWITCH TYPE: B= INCHES OR Lf q GALLc PUMP MAMUFACTURER: fm 4g C. = INCHES OR _4=' / GALL MODEL AJUMDER: J � D n INCHES OR � GALL Y (�/ � t SWITCH T PE: 1 e' � MOTE: PUMP AND ALARM ARE TO bE MINIMUM DISCHARGE RATE GPM INSTALLED OM SEPARATE CIRCUITS VERTICAL DIFFEKEMCE DETWEEAI PUMP OFF AND DISTRIBUTION PIPE.. I ' FEET + MINIMUM NETWORK SUPPLY PlREESSSURTTE✓✓. . . . . . . X 2 . 5 FEET 1 j {` �0— FEET OF FORC MAIN X(2 FACTOR. 3, 1 FEET I TOTAL DYNAMIC HEAD = I 7 !7L FEET r7 INTERNAL. DIMENSIONS OF TANK: LENGT ;WIDTH C ;LIQUID DEPTH I � I : DATE 51GUED: �l i � "" "�+ LICENSE NUM E : I �� � B R Page Of Di:.tribution Plpe Detail For A Four Lateral Network Alternate Position Of End Cap Force Main l;, { PVC Force Main ;PVC Distribution Pipe P l� Holes Equally Spaced PVC Manifold Pipe On Bottom s d` ��pglUlYllAlq / / /p pryh X S 1 X CEAUJM 1� _ X * Last Hole Should Be Next To End Ca �+ � �' ° nuuuunlnlal��� Y P 1 Ft. S Ft. X Inches Y 70 Inches Signed: eft _ Hole Diameter Inch z License Number: D �� C1 Lateral Diameter' Inch(e's) Date: I "Y 7 Manifold Diameter Inches Force Main Diameter 2 Inches I Holes Per Pipe 7 Invert Elevation Of Laterals Ft. ME Series M yers 1/3 through 1 -1/2 HP Effluent Pumps Performance Curve � e G °� P�P� r`' " y s96 40 -9 8 CAPACITY LITERS PER MINUTE 0 50 100 150 200 250 300 350 400 450 100 90 28 80 MFG 24 rn S 70 0 w MF W w 20 :- "' 60 Z Z so S 16 w w _ MF F 40 SO 12 0 O I- 30 20 B MF3 IO 4 0 0 0 10 20 30 40 50 60 70 80 90 100 110 120 130 4,R C1 " D LO N S PER MINUTE � ``a` C 0u NS '' � '' '� 5 S '' + /.• - BRUCE ALLEN 'r t BRUCE A = i WEBSTER { W p _ = ` D -1195 _ 8 = t ELLSWORTH - 'ISCO UI c - WISCONSIN B SI G��' nn�my�tntn�a`��� Myer s • 1101 Myers Parkway, Ashland, Ohio 44805 -1923 419/289 -1144 FAX 419/289 -6658 Telex 98 -7443 K3327 8/92 r Printed in U.S.A. s FILED MAR 0 9 1998 ► 5744 r8 L �pepis�leru D eeft SLCMLX 0 CER TI FI � ED SURVEY MAP C Located in part of the Southwest Quarter of the Northeast Quarter of Section 7. Township 28 North, ahq 17 West, Town of Pleasant Valley, St. Croix County. Wisconsin. Prepared for and at the request of: OWNER• Helnbuch Trust Herman R. and Delores C.' Heinbuch. Trustees 1624 Count Road Z Hammond. WI 54015 Drafted by. Kristl A. Eylandt NOTE The parcel(s) shown on this map Is /are subject to State, County and ­"—NORTH 114 CORNER Township laws, rules and regulations ( i.e, wetlands, minimum lot size, access SEC. 7 -28 -17 to parcel, etc.). Before purchasing or developing any parcel, contact the St. Croix County Zoning Office and the appropriate Town Board for advice. % % t (ALUM. CO. MON.) !l N I li C I N I I i i .133 I I li - -S 89'4/'27' E '300.51_'_ o UNPLATTED LANDS 7i l i 33.00: I ° p r ''i M- - -- S 89 47'27' E 243.50' ---------- 66' DRI WAY T o I 1 EA$£MENT I 1 - M' DRIWWAY EASMENT ® WELL I �_I – I 267.51 I ` S 8947'27" E I l SHED N l w l co Co N Y I iIl l LOT 3 N' I M k: I N t ( O ZI I N I U I llo, ZI I I g gl Ul i >l UI I N O N pl l �v -11 Ol I o AREA LQT ; � 58,440 SO. FT. l W N 1.34 ACRES Z aI O z I 9 ° Z N I i I l .i S+ 26751? –E " – _____ – ,�` - - -- N 8947'27" W 243.50' --- - - - - -- I I 33 � I –"'-- - -- - - - - -N 89 47'27' W 2650.31'--------- - - - -r i ► l £AST –wsr 1/4 LINE OF SEC77ON 7 it LO EAST 114 CORNER I t to I UNPLATTED LANDS_ SEC. 7-28-17 I N I (2 _ 1.P.) �1 �4- -NORTH –SOUTH 114 . i LINE OF SEC77ON 7 �/VS APPROVED 4 --SOUT 8�6�q .'r-^ 1/4 CORNER _ r— w - SAFETY AND BUILDINGS DIVISION 2226 Rose Street Nvisconsin CON LaCrosse, Wisconsin 54603 Tommy G. Thompson, Govemor Department of Commerce William J. McCoshen, Secretary Transaction ID No. 116199 Date: 7122198 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The following conditions shall be met during construction or installation and prior to occupancy or use: • This system is to be constructed and located in accordance with the enclosed approved plans. • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19 Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(d), Wis. Stats. • The approved changes will become an addendum to the plans previously approved. All other portions of the installation shall conform to the original approval. 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, Gerard M. Swim Integrated Services POWTS Plan Reviewer (608)785 -9348, Mon.— Fri. 7:15AM to 4:00 PM jswim@commerce.state.wi.us. SBO5524 -E (R. 2/98) File Ref: ITSPRO WSWIM\STANDARD APPROVAL LETTER.DOC Wisconsin Department of Commerce SOIL AND SITE EVALUATION Division of Safety and Buildings Page of Bureau of Integrated Services in accordan ihis� l .09, Wis. Adm. Code Attach complete site plan on paper not less than 8 1/2 x 11 ' ches in sizq , ph •rrlust County include, but not limited to: vertical and horizontal reference i"t (BM), dito¢f 1.d-7-i� �• C' percent slope, scale or dimensions, north arrow, and location and distance to nea`reSt road parcel I.D. # V_ &fo - p _ APPLICANT INFORMATION - Please print a# informatrampo $ /-- Reviewed by Date Personal infomnation you provide may be used for secondary purpo s (Privacy Jot (1) (m)). Property Owner .y Propergi lion K evm u') e i U I ; , ,,J J 1/4 E 1/4,S 7 T ,N,R o W Property Owner's Mailing Address Block# Subd. Name or CSM# IC 2 9 cov') Ro z 3 1 1 Vol 267 PG # 3 City State Zip Code Phone Number ❑ Ci ❑ Village g Town Nearest Road � gmAj>,j 5 c 71s X 96 55 1 e Ife Cooi vy New Construction Use: Residential / Number of bedrooms Addition to existing building El Replacement AM Public or commercial - Describe: Code derived daily flow gpd Recommended design loading rate j ' bed, gpd/ft trench, gpd/ft Absorption area required _ bed, ft C)_� treench, ft Maximum design loading rate It bed, gpd/fl trench, gpd/ft Recommended infiltration surface elevation(s) I 0 ` ` I M t, ft (as referred to site plan benchmark) Additional design /site considerations I' 1 iA� 1 t �� E S It 7 �� I GO" V e It V'I We 0 Qlb Parent material 5 S ¢S Flood plain elevation, if applicable ft S = Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank U = Unsuitable for system ❑ S V U P s 11 U ❑ S U I EIS U 1 ❑ S RU ❑ S U SOIL DESCRIPTION REPORT Horizon Depth Dominant Color Mottles Structure GPD/ft Boring # P Texture Consistence Boundary Roots in. Munsell ou. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench 8 1 1 f C— . 0, 5 - : 0,6 d �•q ft. ' Depth to limiting factor 73 — in. Remarks: // Boring # & - 6 (0 Y ! — S �a� FvT C S �F or 1 )� 6-1 to YR h , -� �, 1 (' �I( >n �'� c s 2 w o G 6 s , � n, r C, 5 (F dim I Ground f 0 312- 104 P 2- / � � �t�k h, ►' G 5 I L ; d,6 elev. I to Depth to limiting factor in. Remarks: CST Name (Please Print) Signatur Telephone No Address Date CST Number 3 COLA, C_ Em�,_ M 1 y Aso �9oz, PROPERTY OWNER em" 86AI A T v,,� SOIL DESCRIPTION REPORT Page of M , PARCEL I.D.# Boris # Horizon Depth Dominant Color Mottles Structure 2 Boring in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots '• Bed ,Trench Ground ✓ D Y A T k C !` 0 elev. tip p rye�s 1 d 0 :04 Depth to ` y 2- t A Es Z t t D e .� .� tq `� v I C S limiting v40 L S'l 6Ik factor min. I LI Remarks: rAkV Boring # E3 Ground elev. ft. Depth to limiting factor in. Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench Boring # ; Ground elev. ft. Depth to limiting factor ' Remarks: Boring # 13 Ground elev. ft. Depth to limiting factor ' Remarks: SBD -8330 (R. 07/96) Soil Evaluation f or Herman Heinlouch 1624 County Road Z Hammond Wisconsin 796 -5521 SW NE sec 7 t 28 N r 17 W L m QM 3 Co P h o t - 3 CP existing m home m o NORTH 4+3 M -n D 0 M 10 Y 20 this fence app 7 ft Esat of lot line -11 30 40 Former Horse Pasture to P F- p P M to W O Q C n co 3 5 bedroom M for duplex Ul � -�j Co ° fD oya�7 0 c� p y a Q o4 C3 W O ci S p � O C3 w N CJI v 4h, %D y r`v i "Y 2 �tL4- D _} Sr Z U /Nc O I I I I I *1�nsin Safety and Buildings Division SANITARY PERMIT APPLICATION Po�Washington Ave. 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 than 81/2 x 11 inches in size. � Coo j • See reverse side for instructions for completing this application State Sanitary Permit Number The information you provide may be used by other government agency programs ❑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 RMATION Property O ner Name ,N�°I P ro pert hX� /1/a a, r N, R / (o W on Property Own s Mailing Address Lot Number Block Number Cit tate Zip ode Phone Number Subdivision Name or CSM Number / L/ y C1�111on wl p ( , s II. TYPE OF BUILDING: (check one) ❑ State Owned 0 City Nearest Road E] Village Public 0 1 or 2 Family Dwelling-No.of bedrooms jjTown OF YUYT III. BUILDING USE: (If building type is public,check all that apply) Parcel T umber(s) 1 ❑ Apartment/Condo 6 Al- 10 -- 10 "20 p 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. ew 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5_ ❑ Repair of an stem System Tank Only xisting System Existmg S stem -- --------------------------------------------y y ------------------------ -- B A Sanitary Permit was previously issued. Permit Number Date Issued ) ❑ y p y g�0 � V. TYPE OF SYSTEM: (Check only one) Non-Pressurized Distribution Pressurized Distribution Experimental Other 11 E]Seepage Bed 21 ound 30❑Specify Type 41 []Holding Tank 12❑Seepage Trench 2 ❑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 q Re ulred(sq.ft.) Proposed(sq.ft.) (Gals/day/sq.ft.) (Min./inch) Elevation 5 ?o jt —� 100 Feet Feet Capacity VII. TANK in gallons Total #of Prefab. Site Fiber- Exper. INFORMATION g Gallons Tanks Manufacturer's Name Concrete con- steel glass Plastic App New Existing structed Tanks Tanks Septic Tank or Holding Tank >4 1 )y ❑ ❑ ❑ ❑ ❑ Lift Pump Tank/Siphon Chamber I loW I I ❑ I ❑ 1 ❑ 1 ❑ ❑ VIII. RESPONSIBILITY STATEMENT I,the undersigned,assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name:(Print) Plumber's Signature:(NoS mps) MP/MPRSW No.: Business Phone Number: I& r 1� L;Z6 -;-) 4d�0 Plumber's ddress(Street,City,State,Zip Cod v o a , S y IX. COU TY/DEPARTMEINT USE ONLY ❑Disapproved Sanitary Permit Fee (Includes Groundwater ate Issued Issuing ent S' nature(N am Surcharge Fee) pproved ❑Owner Given Initial er C_y\7� Adverse Determination tXJ l X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: Std(R.1 11198) DISTRIBUTION: Original to County,One copy To: Safety&Buildings Division,Owner,Plumber I INSTRUCTIONS 1. A sanitary permit is valid for two(2)years. n a time of renewal an new criteria in the the expiration date and at 2. Your sanitary permit may be renewed before Y ou sa y p y p Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer/Renewal Form(SBD-6399)to be submitted to the county prior to installation 5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system,contact your local code administrator or the State of Wisconsin,Safety and Buildings Division, 608-266-3151. To be complete and accurate this sanitary permit application must include: I. Property owner's name and mailing address. Provide the legal description and parcel tax number(s)of where the system is to be installed. IL Type of building being served. Check only one and complete#of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is public,check all appropriate boxes that apply. IV. Type of permit. Check only one on line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested for numbers 1 through 7. VII. Tank information. Fill in the capacity of every new/or existing tank,list the total gallons,number of tanks and manufacturer's name, indicate prefab or site constructed and tank material. Complete for all septic, pump/siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix(e.g. MP,etc.), address and phone number. Plumber must sign application form. IX. County/Department Use Only. X. County/Department Use Only. Complete plans and specifications not smaller than 8 1/2 x 11 inches must be submitted to the county. The plans must include the following: A) plot plan,drawn to scale or with complete dimensions, location of holding tank(s),septic tank(s)or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if required by the county; E) soil test data on a 115 form; and F) all sizing information. ---------------------------------------------------------------------------------------------------- GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges(fees)for a number of regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater contamination investigations and establishment of standards. , I INSTRUCTIONS 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at a time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer / Renewal Form (SBD -6399) to be submitted to the county prior to installation 5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed pumper whenever necessary, usually every 2 t 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety and Buildings Division, 608- 266 -3151. To be complete and accurate this sanitary permit application must include: I. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. II. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is public, check all appropriate boxes that apply. IV. Type of permit. Check only one on line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested for numbers 1 through 7. VII. Tank information. Fill in the capacity of every new /or existing tank, list the total gallons, number of tanks and manufacturer's name, indicate prefab or site constructed and tank material. Complete for all septic, pump /siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County/ Department Use Only. X. County / Department Use Only. Complete plans and specifications not smaller than 8 1/2 x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if required by the county; E) soil test data on a 115 form; and F) all sizing information. ---------------------------------------------------------------------------------------------------- GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater contamination investigations and establishment of standards. a i SAFETY & BUILDINGS DIVISION State of Wisconsin Department of Industry, Labor and Human Relations October 4, 1996 2226 Rose Street f La Crosse WI 5460 j RECIAEVED WEBSTER PLUMBING & ELECTRIC C + I N3659 CTH C ST CROiX ELLSWORTH WI 54011 00UNTY ZCKt'i *GOFFICE RE: PLAN S96 -41262 REVISION TO PLAN S96 -40980 FEE RECEIVED: 6 . HEINBUCH, HERMAN SW,NE,7,28,17W TOWN OF PLEASANT VALLEY 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 OD chapter 145, Wisconsin Statutes, and chapters ILHR 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 ILHR. 82 or in chapters ILHR 50 -64, Wisconsin Administrative Code. - The approved changes will become an addendum to the plans previously approved. All other portions of the installation shall conform to the original approval. 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. \ I , i SHDA- 7887(8. 10/84) SAFETY & BUILDINGS DIVISION State of Wisconsin Department of Industry, Labor and Human Relations WEBSTER PLUMBING & ELECTRIC Page 2 October 4, 1996 PLAN S96 -41262 Inquiries should be directed to me at the number listed below. Please refer to the plan number shown above. Sincerel yard M. Swim Plan Reviewer Section of Private Sewage (608) 785 -9348 SHDA -7997 (R. 10/84) Tll� A 1 REC EIVED h e �.'1's o o �► �w j`�pr►`>1 r1 flel4ll c OCT - 3 1996 oup SAFM g SLOGS. DIV. 1� ( k 5 fi I��l o t�t / dh fhi ,S r Cf�r�lx c / 7 P j 5,c,. 7 T CA � � 7 � � 9 6 � 4 � 2 pt'v Ulon fo w� i � �y h �S M L B X711 P7 �ci //°') CL rq� C- , 3 Cro5,5 5e c f/o.t l Pug vl -I -e c/ ii rmo5 S plip, P f o r �� J v • � 6 C or - �pttut "'gill 3 �Yt� ISCONSIN . i d o, ........... G 14 i �uC `J " r) 'a) C LD 6 _- 0) If N s >1 _ fir, « :3 0 Oc C U 0 ' d ril Cl c :5 CL U Ln 09 CL t ti C r � iL LA X to _ � ;5 o 75 c'! a L c 1, r� C LJ U - r o Ltd W ° 01 M=L u £ g) > �, ��i z d ❑ (Ij L to xaldnp Ao,4 4) to woojpaq S jod paualsap asnol -i . woo.jpaq £ `, rs L 0 0 � 'J CL - a o �02�C 311 {} �I .Y- t,+ i CI 3v s l yT ��innauun►�������`r f r Y _ r i-aa-4 su if-m i I f i r _ 4 C J L 1 ""rnu Pa o f M" 15 9 Straw, Marsh Hoy, Or N Synthetic Covering a r taSTri'1 a 3 O isiribution Pipe ,• �, •• ..... 4 ``` %Aedium Sand-,-. 6" Topsoil - H _ G 3 E p % Slope b Bed Of 2�- 2 -' Force Moin Plowed Aggregate Layer (6" Below Pipe) D J' Ft. Cross Section Of A Mound System Using E t fti Ft. A Bed For The Absorption Area F 0 ' Ft. G 1,x-0 Ft. • Signed: LtP � A � � Ft.= �cl+ °� H I' 1 Ft. License Number: p ���5` B Ft. S "7- K �� Ft. Date: S"7 X30 , /��� L c /g Ft. J 7 Ft. P - Ft. . Force Main �� W � g.�s Ft. L Observation Pip e - - - -- ------- - - - - -- - - - - - -- IF -- o _ __ -- U istribution i Bed Of 'z - 2 i P"pe I Aggregate Observation Pipe Permanent Markers I Plan View Of Mound Using A Bed For The Absorption Area I i P u m PA r, t• c; F CHAMBER CROSS SEC T _ IOI,1 AU SPECIFICAriokjs VC Q7 CAP Y VEUT PIPE WEATHERPROOF APPROVED LOCKIAIG Z5' FROM DOOR, JUAJC710M BOX MANHOLE COVEF, WINDOW OR FRESH 12 "MIU. AIR INTAKE GRADE I I 4" MIU. COIJDUIT -- 18 "Xim. 18 "MIN. ---- - - - - -- IMLET 111 • t ; ^ P �� PROVIDE I ���'•I r AIRTIGHT SEAL A l y II ALARM Ir'�"� vp 3 I I `a�pnlumnrm,��' "f. c *APPROVED I I ON 1SC01ys JOINTS WITH I I �'''j E L E V. F I BRUCE ALL '•: ° APPROVED PIPE -� WEBSTER N j f ire Icy er 3' ONTO Pump,, - D -1195 Ve D SOLID SOIL OFF = ELLSWORTH I a L �1 h uric W ONSIN 33 P��� � a r �.• CONCRETE BLOCK .............. ��t, ICI - �ir � RISER EXIT PERMI7rED 0QLy IF TAUK MAULIFACTURCR HAS SUCH APPROVAL SEPTIC f DOSE SPECIFfCATIOUS (� TA IJKS MAMUFACTURER: v► pf - pre, {l IJUMBER OF DOSES: PER DAB TAWK SIZE: _ )Q 0 C 6 ALL O1.15 DOSE VOLUME j ALARM MAULIFACTURER: T f INCLUDING OACKFLOW: GALLONS MOGEL AIUMBER' OLIN M CAPACITIES: A= �f ILJCHES OR 5 I Z GALLOAJS SWITCH TYPE: P2Lof ^l,yi PUMP MAMUFACTURER: Qr 8 = IIJCHES OR ALL S ,jyy C= �WCHESOR 2- MODEL NUMBER: •/ J LLO 5 INCHES OR G(LLO� SWITCH TYPE: _ ! lL'hT�Ji1 MOTE: PUMP AUD ALARM ARE TO pE MIWIMUM DISCHARGE RATE Gp / I • NSTALLED 011 SEPARATE CIRCUITS VERTICAL DIFFERENCE BETWCEAJ PUMP OFF AUD D15TRIBUTION PIPE.. I' � Z FEET + M UETWORK SUPPLY PRES�UPE , , , , , , 2.5 FEET + -1�-"— FEET OF FORCE MAIM X '� 5 FT � o FEFRICTIOU FACTOR._ � 10 S FEET TOTAL O'J JAMIC HEAD = I � 7 r FEET I y IIJTERA)AL, blMEIJStONS OF TAA1K: LENGTH L I, ;� - , j WIDTH ,LIQUID DEPTH 51GUED: - �1���' �h 'Y��L� S � DATE: Page�0 f Distribution Pipe Detail For A Four Lateral Network Alternate Position Of Force Main End Cap P PVC Distribution Pipe PVC Force Main P PVC Manifold Pipe, )t � Holes Equally Spaced �- On Bottom S X X 1S C ONs ''' 4 1 ' * X 2 ,rXBRp »... 's W H ALLEN ... Last Hole e Shou I d Be i Eli -ti RTRH s e Next To End Cap '; `• WISCONSIN , P 27 Ft. S __4_F t . X 6 Inches S igned: - 1C ) ojL 4�'� � y /�- nches License Number: /l yr - V V ' Hole Diameter Inch Date: S�. 30 �el Lateral Diameter I { �`� Inch(es) Manifold Diameter Inches Force Main Diameter Inches I Holes Per Pipe I— Invert Elevation Of Laterals icy =�Z Ft. r ME Series Myers 1/3 through 1 -1/2 HP Effluent Pumps Performance Cury e e �°k VrrVj0 �y 5 9�6- 409 80 CAPACITY LITERS PER MINUTE �r fv 0 50 100 150 200 250 300 350 400 450 100 90 28 BO 24 U) Cr 70/SO W W op 20 � LL 60 z z - 0 W so MF RS 16 ' = J 40 M�Sp 12 O O I- 1- 30 8 20 MF3 10 4 0 0 0 10 20 30 40 50 60 70 80 90 100 110 120 130 CAPACITY GALLONS PER MINUTE CtOuN`'���•,,,���,� ly �I ®� ' A -1195 ELLSWORTH WISCONSIN mvers • 1101 Myers Parkway, Ashland. Ohio 44805 -1823 419/289 -1144 FAX 419/289 -6658 Telex 98-7443 K3327 8/92 Printed in U.S.A. T' ` HONAL WORKSHEET Page Of I MOUND SYS I EM �V I1. IN r kOI) PRI.SSURL SYSTEM-Continued- I (i I. Wastewater Lord, Total Da r Daily Flow= Sal. 10. force Main: Uses. ILHR 83.15 (3)(c) himmium Dosing Rile = 3 Adm. Code and PROVIDE A DETAILED Diameter = 2_ LIST OF SIZING ON PLANS, n , �j 1 I. Total Dynamic Head: 2. Depth to Limiting Factor = i '� _ d m ft. Syste liead =1Do,e y`�'s 3. Landslope = I f � _ z•5 =---'F- Vutical Lift = �� 2 1 . 4. DisD itribut onDSystemamber to l �D ft. �flSr�bYt) 1DI1ion Loss= tw,ypos � 5. Elevation Difference Between I M� / 12. Pump Selection: Pump and Distribution System = ft. Pump will discharge at least [Dm 3z r 6. Absorption Area Siting: at 1 009 ft. total dynamic head. Area Required = s q, ft, Pump model and ma ufacturert i Bed or Trench Length (B) = 8 _�S ft. ^ ; J • Bed or Trench Width (A) ■ 6 ft. 13. Dose Volume: Trench Spacing (C) ■ ft.1� r 7, Mound Height: 10 Times Void Volume of 13 /e G � `, Fill Depth Do t. Distribution Lines = g; = f 1 8 '( Daily Wastewater Volume Fill Depth Downslope F) ■ • ft. ` 4 Doses In 24 hrs. Bed or Trench Depth (F) ■ 0 , ft, J Backflow - 1 7 Q L Cap and Topsoil Depth (G) ■ ► • O ft. ` � Minimum Dose = 2 ( Cap and Topsoil Depth (H) • (" ft, JQ g 14. Dose Chamber: 8. Mound Length: End Slope (K) _ ! It. Volume = ga, Total Mound Length (L) _ ` �S ft. 111. CONVENTIONAL PRIVATE SEWAGE SYSTEM 9. Mound Width: �« 1. Wastewater Load, Total Dally Flow ■ ga;. Upslope Correction Factor ■ WIS. Use s. ILHR 83.15 (3) ( U , W1S pslope Width ()) ■ 'j L.._� ft. Adm. Code and PROVIDE DETAI D Downslope Correction Factor LIST OF SIZING ON PLANS. Downslope Width (1) _ 1 2• ft. 2. Required Septic Tank Capacity = al Total Mound Width W ■ ,2 [ ,•' ( ) � 11• 3. Percolation Rate = 10. Basal Area: 4. Absorption Area Sizing; Mir Infiltrative Capacity of Reler to Table 2 in ch. ILNR 83 Natural Soil = Q _ gal, /sq.ft./day and PROVIDE A DETAILED LIST OF Basal Arta Required ■ / Od sq. ft. SIZING ON PLANS. Basal Area Available ■ - Lff sq. ft, Required Area = 11. If Standard Tables from Cha ter ft D ILIiR 83 length = ft are used, Indicate Table # Width = 12. For the Distribution Network, Use Numbers 5.14 in Section 11. Number of Trenches ■ ft. ' 11. IN GROUND PRESSURE SYSTEM Trench Spacing = f 1. S. Distribution System: Depth to Limiting Factor ■ ft. Lateral Length ■ 2. Landslope ■ ft. % Number of Laterals ■ 3. Percolation Rate ■ min. /In. Lateral Spacing _ 4. Proposed System Elevation ■ In• ft. Distance from Sidewall to Pipe = 1n S. Wastewater Load, Total Daily Flow: gal. System Elevation = Use s. ILHR 83. 15 (3) (c) , Wis. ft. Adm. Code and PROVIDE A DETAILED IV. SYSTEM-IN-FILL LIST OF SIZING ON PLANS. Fill in All Items from Section III R (1 f Required Septic Tank Capacity ■ gal. 1 _� // Rp p v 6. Absorption rption Area Sizing: V. SEPTIC TANK "( - Percolation Rate ■ min. /in. 1. Capacity = Area Required = /1 0 1VB S � gal. sq. ft. 2. Manufacturer: L'�M D►'IP[gci- System Length ■ ft. 3. Show Site Constructed Tank Details on Plan Svatem Width= _ ft. ok;L-1 P k C to %; CERS 'Si(: C -ISirA 7. Distribution Pipe Sizing: `�C� � V1. DOSING TANK Hole Siic = '/ 100 in. 1. Capacity = Hole Spacing = It. 2. Manufacturer: gal_ L,ttcr,ll Length • W 11 1. Pump Manufacturer: y e -y-5 L.Ilcral Siic 4. Pump MmIcl; III. 1 .Ilcl,ll Spasmµ I1. 5. OperrUny; Hcad= /O. Irl�t.11lll• 1141111 \idowall In 1'ilic 'ASl� I1. n. b. I low R.;Ic = [pm. N K. Uistr n I Ilj i U% I l l., µc 1. 7. Show Site Constructed Tank Details on Plans N umbe r ul l lar. 1'1•r I'iltr 1 luw Per (live nn. gl VII. 110I.UIN( I ANK `I. Manilold Siting: �t"_ 1. Capacity = gal. � I ylsr (centre ur end) C'P11 Tom✓ Length 2. Manufacturer: = Diameter ="'- it, 3. Show Site Constructed Tank Details on Plans in. -SHOW ALL INFORMATION ON PLANS- DILHR SBD -6761 (R.03 /92) - - -- Ai R9 5116 - 4L'?'X n gs onsin Department of Industry SOIL AND SITE E V A L U jR'f P O R T Page of 3 bor and Human Relations DivisionofSafety & Buildings in accord with ILHR 8 .0 Ad COO/ COUNTY f 5t CV-0 ; ""c Attach complete site plan on paper not less than 8 1/2 x 11 inches i . Plan u$illith�de, but not limited to vertical and horizontal reference point (BM), direction a of slope, scale or ARCEL I.D. # dimensioned, north arrow, and location and distance to nearest ro: . APPLICANT INFORMATION- PLEASE PRINT ALL INFOR N EVIEWEDBY DATE �. PROPERTY OWNER: W' IONS n H2v'w+4� H- p s ' ,)6u � �M . -, 1 /4,S / T29 N,R 17 (ore) PROPERTY OWNER':S LING ADDRE # e bL0 SUBD. NAME OR CSM # (6 �0v 0 ZZ CITY, STATE ZIP CODE PHONE NUMBER []CITY ❑VILLAGE MOWN NEAREST ROAD M kyV)V*h0y)j Wfs (71S) 79 — 55 2 I Gnu„ New Construction Use P4 Residential / Number of bedrooms 3 [ ) Addition to existing building Replacement [ I Public or commercial describe Code derived daily flow 1 50 gpd Recommended design loading rate • 2 bed, gpd /ft ' — WMh, gpd /ft Absorption area required 3 . 75 — bed, ft — — " nn Prft Maximum design loading rate L , 2- bed, gpd /ft - -d rench, gpd/ft Recommended infiltration surface elevation(s) ft (as referred to site plan benchmark) Additional design/ site considerations N 0 00 0 R 670o 0 Parent material L 0 r i Flood plain elevation, if applicable _A/& ft S Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING TANK U:= Unsuitable fors stem I ❑ S IOU IRS ❑ U ❑ S IOU 1 ❑ S ■ U ❑ S ®U ❑ S SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Structure GPD /ft Boring # Horizon Texture Consistence Boundary Roots In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trertcft 1 0-11 10 Y 3/Z - si) 'If qb c 2 0- o•6 2, f I.26 0 R? I -r ; 2 r, f v- t- I f 0•S 0.6 Ground 3 2 01 1 0 YR 4/ ---- ---- -- 0 2 d r Ls O's elev. ►o Y R 7 Z 9� ft. 3 4 -7 Depth to limiting factor 1 - Remarks: Boring # i �° �q i S 2 a r 0• 0,6 TSYK 3 / 2 - Si 2 1-F Ground.. J I 7'32 Io YR 4 / 4 1 04M �abk ,� I� 0• 0.6 elev. ft O R 6 C 2 ct d r cs T 0.110 I 5 4- 52 7.5 YR 6 �2 -- - ------ f -� 0.7 d Depth to ioYR7 /z 4- 64 1 limiting 6 2 -6� ►oY C YR6` an� a c5 -' -' factor Remarks: " q CST Name. =Please Print v c t; Yn s Phone: 30 Address: 6 l Ulm 0 ` jt/r7 WS S Signature: Date: CST Number: L2 X49 C-5L 12 O-2- PROPERTY OWNER h e Y'yi a11 SOIL DESCRIPTION REPORT Page of +� PARCEL I.D. # ` Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench -1 V 1 D R // s; F b -Fr c 2 0 -6 - 0.6 2 1Y 1 YR 9 /9' s;J 2p4 cs l o .s 0•6 Ground 3 20 -32 !6 4 /I 1 oath 2 �a6 k v C 5 1-F o ..5- 6 .6 elev. ft. 32 -36 to R6 ! ---- - sa�v I F b s L o o.8 Depth to 61 S o Yk I limiting factor 36" Remarks: evg o Cyhd A -6 'r is e 01,513 b w5 av av'o' Pa Boring # 0'3 10 YR q A — - i 1 2 d �r 2f a 5 D-6 1 o� s s; l 2� g 6 (r c , l ©.S o .b II Ground 3 7-1 /0 /2 bK C S 1 0'5: � ele ft. 19- I O YR 9 1 4 M U r r 1 � ©-s 0'6 Depth to 5 315 IoYR7 /Z z -6 " 1 r w.s 5& 16 t F a 64 d t C _ limiting factor —"--t Remarks: * b o tf lts a 37 6 Pab► r- 3 �l Boring # 1 0 -7 1 61861 1 -- �l �v Cs .2� Al 1 7 l YR / 1 S/S F if C 5 Ground 3 17 2 15 3/1 F u , 5 R 1 elev. Depth to limiting fac qL O 37 1'` uvo Remarks: o Wn �� iJ Ana a Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD- 8330(8.05/92) i o u n t 7 R ad J co u rl t y Road J � \ . . � m � � \ : � ■ ® � / e »s mg home eva»on bottom of r � »&nQ 1013 Feet m■ wo � �� . $ ■ e � ~� � ■ Q b 2 � ■ /- t \® p _« ■q Ln 2ƒ\ Ln mm 2 ~ 2§ ƒ/ /f ]o ƒ R ƒq« �r7% $k m 0n ro Z+ m q m Q_ /� §� /j 0 / -_ k 7a- 0 10 k' gy m /// n / 3 ry $ ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer P*e v Not 1 �e I �_ uc h Mailing Address `O ! CoU D �' f{m�►o�+d ° � �y� Property Address �b�v►dJ 1 w`�' 15 9 rwlr► �/ ✓ s �� _ (Wrifccation required from Planning Department for new construction) City/State Al� Pamd Ideutiftc9ion Number 0 – Q " (0 1� 0 '� Q LEGAL DESCRXPTION Property Locatiols % K"' % Sec 4 N-R ) 7 W . To wao f P � 1 j rA 1 4L)e. r Subdivision Lot #,_ Certified Survey Map # T Volume J — #- Warranty Deed 9. 7 l d 7 3 Volume ! �� . . rage # Spec douse 0 ycs� no Lot lines identifiable yes ❑. no YS' IF, M V iA ll V T, fi I i 4: 1� IG` R Im F o p ermem4mfimta mmofy=zq*cqd=coddr=ltrmLiftI zrzisatui £ai'Iu�tolraadlewastcs.P�roperma bcaaaee oframplag o Y t if aecdcdby s'l c=cdp=4= Wbat you put.idto the system eau :ffxt�,fu�i:oa of 6be sepi��amk -as.: tit�g�C iaIIre�exstedisposalcyst�, .. - - . 171� Fmk' owner agrees to subm*k to St Qvbc Zoautg Dq t fi boa farm. sigaod 6q cwncs and by : - P7apl�rrsizidodpinmbaoritr�oca9odPumpav�fYingtl�t( ijtb�coaaitc�rastcaraterdrsposalspstcm is m pmper opaatirzg eoadition and/ar�2) af3,cr inspoctioa and pmmping.(if necessary), the . septictaalcis icss tlraa I13 #u1I of s[ad�ge. . �'�. � �i8oed hahe.rcad dre aboYC sad agzax to maia�ia ttrc private sewage disp�al system wig 6rc staadaids ttt fart&„ bemin, acs set by &c Dqa&acacfC=m=c and the DV&dmcat of riat&l Rrsovm . State of Wisconsin_. Ccrtifica&n that yxw septic cystcat has beta maintained mnst be eompldad and tamed to the St. Q oix.Cvcmty Zoning Office within 30 days cf the d= year expiratioa date. SIGNATURE OF APP CAN / DATE OWI�TER ART ECA TON I (we) ect* that all stateMcnxs on this form am taut to the best of my (our) Imowlcdgc. I (we) am (arc) the owncr(s) of do poopcaty described above. by virtue of a wan" dcod woocdcd in Register of Deeds Office. `..�` SIGNATURE OF APPI.iCANT DATE « «« « «« Any information drat is :nis the sanitary pe mit being ncvoiced by tilt Zoning Departm cnt. «• Indude with (lds application: a cumpod wacnnty dood from the Register of Dec& office a Copy of the certifiod survey map if mf=acc is made in the wacranty dcod 5 743 89 (� e VJ�. � � ��PAC(I $T. CRcix G". WARRANTY DEED n«jt "Fw, , HERMAN R HEINBUCH and DELORES C. HEINBUCH, husband and w,fe, hereby warrant an JUL 12 19 convey to HERMAN R. HEINBUCH or DELORES C. HEINBUCH, trustee+, or successor t$t 9 trustees) of the HEINBUCH TRUST DATED JULY 16,19%, (hereinafter referred to as `:Kit, 'flt "Assignees "), the following described real estate in St. Croix County, State of Wisconsin' tAO" l NEIA of Section 7 -28 -17 EXCEPT part to William R. Volkert and Deborah). Volkert in Vol. "630 ", Page 447, Doc. No. 371376. This Is rerl homestead property. Dated this 10th day of July, 1996. HERMAN R- HEINBUCH DELORES C. HEINBUCH STATE OF WISCONSIN ) FEE COUNTY OF EAU CLAIRE ) EXEMPT ACKNOWLEDGEMENT Personally came before me this I Oth day of July, 1996, the above named HERMAN R. HEINBUCH and DELORES C. HEINBUCH, to me known to be the persons who executed the foregoin &' •• acknowledge the same. •• lic M 6100 This instrument wa3 V Colleen A. Cowles, Attonry - w 1324 W. Clairemont Avenue, Eau Claire, Wisconsin 54701 i 8 FILED MAR 0 9 1998 ► MTtItJ JJ,W► S `7 6 8 L �c�ro�izco wi CERTIFIED SURVEY MAP �. Located in part of the Southwest Quarter of the Northeast Quarter of Section 7, Township 28 North, anZ3e 17 West, Town of Pleasant Valley, St. Croix County, Wisconsin. Prepared for and at the request of: OWNER: Helnbuch Trust Herman R. and Delores C. Heinbuch, Trustees 1624 County R(,ad Z Hammond, WI 54015 Drafted by. Krlstl A. Eylandt NOTE: The parcel(s) shown on this map is /are subject to State, County and 4 CORNER Township laws, rules and regulations ( Le. wetlands, minimum lot size, access ­• —NORTH 1 to parcel, etc.). Before purchasing or developing any parcel, contact the St. .3£C. 7 -28 -17 Croix County Zoning Office and the appropriate Town Board for advice. 1 (ALUM. CO. MON.) /I N /I in I / I Co I 1 I i 33 I I ' I, —S 89'4 /'27 E 300.51 '--_ UNPLAT'TED LANDS 33.00: , I Mo • ' _ f 1 : MN - -- S B9 E 243.50' ---- - - - - -- I ` 66' DRIVt fWAY T o I EA$£itIENT ; I j 0- - -- - M' DRIVEWAY EAMEYENT WELL 1__�I I -- 267.51 ` S 89'47'27" E I SHED col �IiulMl NI z l all I LOT 3 0 al CA �'I I o ° g1 C 6 (Li I I Ci `n l Ci I g I 1 g l I I N: t " I �Ii�l i N AREA LOT .J: i J i of i o 56,440 Sa FT. c� g l W 1.34 ACRES 9 Z I m I I N 1 3 l I �04 S 89'47'27' E i — - -- I 2139.30. ` Imo— ..�� 33' - - - - -- N 89'47'27 W 243.50' - - -- I 1 11133' �-- - - -- - -- — N 89'4727' W 2650.31' r I I I EAST —NEST 1/4 LINE OF SEC 7 1 C14 I EAST 114 CORNER , 1 • M. r ` n . I UNPLATTEq_ LANDS SEC. 7 -28 -17 (2 /.P.) 1 N I 1 , 11 1 ��L NE OF c ory 7 gyp► G�Ny APPROVED 1/ 4� — SOUTH 114 CORNER SEC. 7 -28 -17 RONALD F. MAR 0 b 98 (R. R. SPIKE) JOHNSON 6 -1186 AMERY. ' ST. �c•,A -.•.H.04 l EGEN � W IS c desprN�ar�M4Y PHxininq County Section Corner Monument y� C Q� a V41A16gold of Record C . - �� ''ak�� N 7H 0 Set 1" x 2 of 1 13 I Iron Pipe weighing �tt ;O S S minimum URJN���f P P NnN00 rMmtArelatutIi linear foot. witty "�� 60 0 apin.0 alrttt JOB #96099 lltltt• Prepared by. wb iti GRAPHIC SCALE A & E LAND SURVEYING al: dVIL ENgNEERING BEARINGS ARE REFERENCED TO THE NORTH —SOUTH 1/4 SCAM IN FEET: 1 inch : 60 feet Phone No. (715) & CIML 109 East Third Street, P.O. Box 325 LINE OF SECTION 7 TOWNSHIP 28 N., RANGE 17 W. New Richmond, WI 54017 WHICH IS ASSUMED TO►R" ; SOUTH. Sheet 1 of 2 VOLUME 12 PAGE 3417 twiscons3n Department of Industry, PRIVATE SEWAGE SYSTEM County: La6oren&HumanRelations INSPECTION REPORT ST. CROIX Safety and Buildings Division (ATTACH TO PERMIT) Sanitary Permit No.: GENERAL INFORMATION 268609 Permit Holder's Name: ❑ City ❑ Village t Town of: State Plan ID No.: HEINBUCH, HERMAN PLEASANT VAL CST BM Elev.: 7 — Insp. BM Elev.: BM Descriptio • Parcel Tax No.: TANK INFORMATION X ELEVATION DATA A9600307 TYPE MANUFACTURER CA CITY STATION BS HI FS ELEV. Septic Benchm Dosing Aeration 041dg. Sewer Holding St/ Ht Inlet TANK SETBACK I R TION St/ Ht Outlet TANK TO P / L W BLDG. Air I to ROAD Dt Inlet Air Inta Septic NA Dt Bottom Dosing NA Header / Man. Aeration NA Dist. Pipe Holding Bot. System PUMP/ SIPHON INFORM ION Final Grade Manufacturer Demand Model Number GPM TDH Lift Friction System TDH Ft Loss m ead Forcemain Length Dia. Dist. To well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches 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. Spacing 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.) LOCATION: PLEASANT VALLEY.7.28.17W, SE, NW, CTY RD J Plan revision required? ❑ Yes ❑ No Use other side for additional information. SBD -6710 (R 05/91) Date Inspector's Signature Cert. No. SANITARY PERMIT APPLICATION SatetyandBuildinggsDivisi y Bureau of Building Water System! 201 E. Washington Ave. In accord with ILHR 83.05, Wis. Adm. Code P.O. Box 7969 Madison, WI 53707 -7969 • Attach complete plans (to the county copy only) for the system, on paper not less County 9 than 8 112 x 11 inches in size. • See reverse side for instructions for completing this application State Sanitary Permit Nu ber a (0 g 6 The information you provide may be used by other government agency programs ❑ Check it revision to previous application (Privacy Law, s. 15.04 (1) (m)]. State Plan I.D. Number I. APPLICATION INFORMATI -PLEASE PRINT ALL INFORM ATION Property Owner Name Property Location Herman Heinbuch Se 1/4 N W 14, S T , N, R (or) W Propert Owner's Mail in Address Lot Number Block Number 1 924 C - Y. Rd Z City, State Zip Code Phone Number Subdivision Name or CSM Number Hammond, WI. 154015 1 (715 x796 -5521 II. TYPE OF BUILDING: (check one) ❑ State Owned ❑ It Nearest Road ❑ VII age Public x 1 or 2 Family Dwelling - No. of bedrooms 1 own O lPleaSent Valley III. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s) 1❑ Apartment/ Condo U 2 '7 / U/ 6 U 2- 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. Ef New 2. ❑ Replacement 3. ❑ Replacement of 4_ ❑ Reconnection of 5. ❑ Repair of an System System Tank Only Existing System Existing System B) ❑ A Sanitary Permit was previously issued. Permit Number Date Issued V. TYPE OF SYSTEM: (Check only one) Non- Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 21 ® Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22 ❑ In- Ground Pressure 42 ❑ Pit Privy 13 ❑ Seepage Pit 43 ❑ Vault Privy 14 ❑ System -In -Fill VI. ABSORPTION SYSTEM INFORMATION: 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System Elev. 7. Final Grade Required (sq. ft.) Proposed (sq. ft.) (Gals/day /sq. ft.) (Min. /inch) Elevation 450 384 3 84 .78 101.5 Feet 103 Feet Capacity VII. TANK in Ca gallo S Total # Of Prefab. Site Fiber- plastic Exper. INFORMATION Gallons Tanks Manufacturer's Name Concrete Con- Steel glass App. New Existing strutted Tanks Tanks Septic Tank or Holding Tank X 1000 X Midwetern ® ❑ ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber X 750 X dwestern �❑ I ❑ I ❑ 1 ❑ 1 ❑ 1 ❑ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibilit for installation of the onsite sewage system shown on the attached plans. Plumber's Name: (Print) Plum er's Signatu e ( o Stamps) r P/MPRSW No.: Business Phone Number: Joe Stang MP 6646 19 715 - 698 -2266 Plumber's Address (Street, City, State, Zip Code): 506 Willow Dr. Woodville, WI. 54028 IX. COUNTY/ DEPARTMENT USE ONLY ❑ Disapproved Sa tary PermitF a (includes Groundwater ate Issue Issuing Agent Signature N A roved Q71 n ( Surcharge Fee) pp ❑Owner Given Initial l �(r Adverse Determination V X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: SRD -6398 (R. 05/94) DISTRIBUTION: Original to County, One copy To: Suety & Ruilaings Division, Owner, Plumber INSTRUCTIONS 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at a time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority_ 4. Changes in ownership or plumber requires a Sanitary Permit Transfer / Renewal Form (SBD -6399) to be submitted to the county prior to installation 5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety and Buildings Division, 608 -266 -3815. To be complete and accurate this sanitary permit application must include: I. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. II. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is public, check all appropriate boxes that apply. IV. Type of permit. Check only one on line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. Vl. Absorption system information Provide all information requested for numbers , 11irough 7. V11. Tam, : n . formation. Fill in the capacity of every new /or e(isting tank, list the total gallons, number of tanks and matrrj ft ci irer'S name, indicate prefab `;r s' ti_ constructed and tank material. Corr plete for all septic, pump /siphon and holding tatn'c. for this system_ Check experlrnental approval only if tanks receive,] -2xper product approval from DILHR. VIII. Responsibility! sl-atement. Installing plumber is to fill in name, license number with appropriate- prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County/ Department Use Only X. County % Dep::3rtment Use Only. iflcatiOns n(" - r-10 , than R .1 2 x' 1 ;fic sUi) "' tted -oi.hE C,unty_ The plans must � _ ,'� , ".�1 t:r�ar, _ �• sidle Or 1'VI;I1 ofTtti, _. _ c: SiGr`, �, 0_�tiiGi`- J; I:�.tIdlnQ iank(j), septic S �V '! �e, ;[r _ 1 ?I_= , pump or s!phon �,x _�I �� r - -_, r �L,., _r a� t'ri, I j . th.::uilding served; I , cose volume; t' .ress section c _, _ si it ;information. GROUNDWATER SURCHARGE 1 983 v%: %I the creation of surcharges ,IeeS,i :or zi -�t Jaied t)!,!ct -s which tian offectaroundwater the throuc�_ these surcharges are used for monitoring grour a+ : , , r�irat�;: r investigations and estat)iishment of standards_ SAFETY & BUILDINGS DIVISION State of Wisconsin Department of Industry, Labor and Human Relations August 19, 1996 2226 Rose Street La Crosse WI 54603 WEBSTER PLUMBING & ELECTRIC N3659 CTH C ELLSWORTH WI 54011 RE: PLAN S96 -40980 FEE RECEIVED: 180.00 HEINBUCH, HERMAN SW,NE,7,28,17W TOWN OF PLEASANT VALLEY 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 ILHR 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 ILHR 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, 6 erard M. A Sw Plan Reviewer Section of Private Sewage (608) 785 -9348 SBDA- 7987(8. 10184) i � � Q•R.� G �►vA� � ry S fl} 1 � HERMAN HEINBUCH PLEASENT VALLEY TOWNSHIP ST. CROIX COUNTY TITLE PAGE PLAN S96 -40980 SE NW S 7 T28N R1 7W PAGE 2 PLOT 596 -4pgg PAGE 3 Cross Section 1 Plan View PAGE 4 Septic/Pump Tank Specifications PAGE 5 Pipe Detail four lateral network PAGE 6 Met'er's Pump Curve Chart RECEIVED AUG 1 5 1996 _ � p SAFETY & BLDGS. DIV. �5`� >, Ft � BRUCEALLEN WEBS TER � ♦ K�� EL SW0 pON U� EE GO s t IT r— Z o �' County Road J County Racal J 0 1 U�. a � � B 0 existing hct� elevation bot -kon of a 1SC sldlno 101.5 feet BRUCE ALE WEBSTER 0-1195 �..� ELLSWORTN V.'ISCONSIN d Q 3 P P' 6 h 7 ch N 7 � 3C < -J1 n ro c' o 'h ';p-y Q3 ! I) Q M 2 ro Q. c-0 -� m :°- o n : H' d 3 t t+ Q v G sa rr4ryPGS rte., S�Sj�M m CL OD 'A • a lly ei• too Page Of t Straw, Marsh Hay, Or 8 ,96 40 Synthetic Covering AST M C 3 Distribution Pipe Medium Sand H G 6" Topsoil F 3 E F 3 b S % Slope Bed Of 2�— 2 %Z Force Main Plowed Aggregate Layer (6" Below Pipe) D 1' Ft. Cross Section Of A Mound System Using E _fj Ft. A Bed For The Absorption Area F 0,5 Ft. G 1 'D Ft. Si d A Ft. H IBS Ft. gne: � G�Ri�'1 / qc� B Ft. License Number: l l J K Ft. Cp L g r; F t. Date: .f, 4 J' ,5 ,.1 ?, 7 Ft . r �W ).,, 5 F t L o C T . �swtm+ r TiscDasu+ t ° 1 aF w Ft. '� '¢ � sl_ I G Observation Pipe W`t K G •_____— __ — :� A ( I W � o ---- j --------- - - - - -- ------------------ - - --. Distribution Bed Of Z — 2 2 . Pipe Aggregate Observation Pipe Permanent Markers Plan View Of Mound Using A Bed For The Absorption Area PAGE GF t. PUMP CHAMBER CROSS SECTIOIJ AKJG SPECIFICAT10kJ5 ,I I 6m%,j VEMT CAP 0 i y "PI VENT PIPE WEATHERPROOF APPROVED LOCKIAIG i , MAWHOLE COVER I JUAICTIOW Box 25' FROM DOOR, " { WIIJDOW OR FRESH 12 MIU. ! AIR INTAKE I t GRADE 1 tI I H" MIU. I L _ } � CONDUIT — ---- _ - -_ -- I IB "MIN. --- - - - - -- INL T 2 PROVIDE 33 I - - - -- �� Dr AIRTIGHT SEAL I I A will Do a a ` BRUCE ALLEN WEBS TER _ /r 00 n �Vu I 11 = D -1195 d I pJr p 1 I I ALARM ELLSWORTH gtic e1E �p ca I Y ISCONSIN 1^O y�On P 1 p►� (� q 4 V I ON "Ib D I` D ., s''!� APPROVE '"��lO I NTS WITH I ELEV. - * ' , " , APPROVED PIPE j ® . � PUMP 3' ,t 0 OFF � SID SOIL E III CONCRETE BLOCK RI 1'iT£D OWLy IF TANK MANUFACTURER HAS SUCH APPROVAL SSE' G SEPTIC E 8PECIFICATIOUS DOS 1Ju�PsWK Q Ye�ag}' TANKS MAN UFACTURER: 1 IJUMBER OF DOSES: PER DAy TAWK SIZ£ GALLOWS DOSE VOLUME (_ y� A INCLUDING ISACKFLOW: �� GAL , d ALARM MAAIUFACTURER: 'C +�1 MODEL NUMBER: b L V CAPACITIES: A= Z J UCHES OR L SWITCH TSPC: �E � g = INCHES OR % 3 G PUMP 1AANUFAGTURLR: �r r— INCHES OR X 1 3 GA t MODEL NUMBER: D= INCHES OR 1ti F GAL SWITCH TYPE: m-eaJ43`2I MOTE: PUMP AND ALARM ARE TO BE MINIMUM DISCHARGE RATE 213'C ' GPM INSTA LED gy SEPARATE CIRCUITS,, VERTICAL DIFFERENCE BETWLEU PUMP OFF ARID DISTRIBUTION PIPE.. FEET — C `� � it l ° g -t�s J + MINIMUM NETWORK SUPPLY PR�E�SSURT,E/.. . . , .. . . . . 2.5 FEET ` + 70 FEET OF FORCE MAIN X L =L lo itF RICT1ok1 FACTOR..— FEET TOTAL OtIMAMIC. HEAD = ���� FEET (9c72" f I � IMTERWAL DIMEWSIOMS OF TAWK: LEAIGTH ;WIDTH ;LIQUID DEPTH Y3 2 SIGIJE D: LICENSE QUMBER'- DATE' slzl • Pag el Of Distribution Pipe Detail For A Four Lateral Network I S , 13 8Q Alternate Posit ton Of End Cap Force Main �% �% \ P % `% 1 PVC Distribution Pipe PVC Force Main P I I PVC Manifold Pipe Holes Equally Spaced On Bottom oco uiruuip� y !, rrrr y S t X X SEyV X etswoml+ ly 2 �7scoKSUI �' It iona , WWI EIBHole Should Be Next To End Cap P �ytAN 040 5131 P 1 4 2 f t swws gel • �� W! IF S J —Ft • i SE E CORK ( X Inches Signed: Y Inches License Number: P Hole Diameter Inch q 6 Date: �St— [,2, �� Lateral Diameter i Inch(es) Manifold Diameter Inches Force Main Diameter 2 Inches • # Holes Per Pipe Invert Elevation Of Laterals ME Series MYM 1/3 through 1 -1/2 HP Effluent Pumps 6 Pel'fOr1111nCe Curve eye Gv � 860 CAPACITY LITERS PER MINUTE. 0 50 100 150 200 250 300 350 400 450 100 90 28 80 M 24 U) 70 W E - MF w W �Op 20 � LL- 60 Z Z 50 S 16 w w = a 40 12 O O 30 8 20 M E33 10 4 0 F 0 0 10 20 30 40 50 60 70 80 90 100 110' 120 130 \\ \111\11511 b I 1 t J! JJJ p CAPACITY GALLONS PER MINUTE � � �_ WEBSTER t D -1195 ELLSWORTH t WISCONSIN . M • 1101 M ers Parkway, Ashland, Ohio 44805 -123 419/2 FAX 419/289 -6658 Telex 98 -7443 {(3327 8192 Printed in U.S.A. Wisconsin Department ti Industry, SOIL AND SITE E V A L U I, R P,.O R T P of a e l � Labor and Human Relations � � .1 � . � g — Division of Safety & Buildings L in accord with ILHR 8 .0 Coder J ,A, COUNTY I K `~�" ` St Cr0 Attach complete site plan on paper not less than 8 112 x 11 inches i . Plan IriU.�.lt9cltide, but `. not limited to vertical and horizontal reference point (BM), direction o of slope, scale or f ARCEL I.D. If dimensioned, north arrow, and location and distance to nearest ro j ; APPLICANT INFORMATION- PLEASE PRINT ALL INFOR P N < ; , ';'` EVIEWED BY DATE elp PROPERTY OWNER: fdOP&p�lt'4CATION� Herrn4q H- P;n6jc SS Q� 1/4,S / n T 2CJ N,R 17 or PROPERTY OWNER':S M LING ADDRE e . BLO , SUBD. NAME OR CSM # 6� �0uh 0 2: CITY, STATE ZIP CODE PHONE NUMBER []CITY [:]'VILLAGE (TOWN NEAREST ROAD 1 V H �LY►rovt WIS (7155- 79 '55:2 1 - Coun d New Construction Use P4 Residential) Number of bedrooms 3 _ [ j Addition to existing building j Replacement [ ] Public or commercial describe Code derived daily flow 1 50 gpd Recommended design loading rate 2 bed, gpd /ft Irmh, gpd /ft Absorption area required 3 7 ;5 bed, ft - - 'ft 2 Maximum design loading rate 1, 2 bed, gpd /ft trench, gpd/ft Recommended infiltration surface elevation(s) ft (as referred to site plan benchmark) Additional design /site considerations M 0 u 0 R En tae r 0 Parent material f Flood plain elevation, if applicable N ft S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable fors stem ❑ S U IR S❑ U CIS O U [Is o U EIS ®U I ❑ S lid U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench �.. 0 - 10 YR 3 2 --- --- fi >> s i` 2 �, c 2 O's 0.6 -26 i 2 �^ w, �r c l fc 0•S' 0.6 Ground 3 2 6 3 YR 4 � 0 2^ r cs 0 .5 - P. 6 9 I_ft. 34. 2 Y R 7! Z 7 $ �(a 5YR6`g I� -�6k dl �� h c s Depth to limiting factor 31 Remarks: Boring # 0 - 11 19.1 7 SY 2 Ground I o YR ` q o4r>1 2 �-qbk r 1 J 0.5 0.6 9 elev. ' ft. R 6 c 2 14 r c�s De l� to 5 4- 52 7,5 YR 61Z - - ---- -- a�� ! ab �C s I 0.9 d 18 limi 6 2-6� + o YR /Z f g64 ( _ — factor t0 Y c SYR6 an� GS Remarks: -)� a2t q � CST Name: — Please Print Phone: v Yn S y 30 a Address: 6 0 w D 6 14�i1 w' s 6 Signature: n Q r� Date: CST Number: Li /�1 f ! 7 . �7 1� r' f T M C A­ PROPERTY OWNER HCY'yicth 1 SOIL DESCRIPTION REPORT Page 2 of 3 ` PARCEL I.D. # Boring Horizon Depth Dominant Color Mottles Structure GPD /ft 9 Texture Consistence BoundaRr Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 311 1 1 YR IM s;J 2 cs 1 0.5 !04 Ground J 20 1 2 F4d �f �r 1� . S Q• elev. �7 ft. 32 -36 10 R6 1 I --- sated F b S I 0 o.8 Depth to 6_JD 'oYR7ls. C ��d J �ah� ft^abK dl CS limiting —' factor 3C" Remarks: 1a rvS OV 5c A -6 ' is -3 0 la !", 16 4vd p Boring # t() YR r3 % I 2 { d ►� 2-F a.s 0,6 Si > 2 f-a F� c I os o.b Ground 3 7- 9 /o �l2 bk c s O IoYR 9 10aM 5 315 l °YR7 /Z' z 6 "t rws 2 S �6 1 F �6k d l Depth to C S limiting factor Remarks: h,e 41P-s at 37 bav 61 k l - 3 y Boring # 0 " 1 1 6 18 6�1 --- 1 F If 7 sYR sls I c s 1 r 0 <3 ^ Ground... 1 � -3� -�Y S/ F S a elev. Depth to limiting factq[, Remarks: n t�h � h �, a Boring # Ground elev. ft. Depth to limiting factor Remarks: can_a1411n10 nv00% a n fC v N O Y O O existing elevation bottom of siding 141,5 feet i y Imo. title ~ Y fV ^W' yYJ' W � e Un OD ' ^� m Y l � 14 e t - ■ f 4. O Ln Q ,� � � t A �E Cn = w T - h rp cn to D .+ro Q�'oo P 110 to n vi 3 D X S2 O Q X z o Q W r r to 1< ? st o Z' o ,� ,� n O `� LID �' n i STC -105 SEPTIC TANK MAINTENANCE .AGREEMENT St. Croix County OWNER/BUYER Herman Heinhuch MAII,ING ADDRESS 1624 Cty. Rd. Z PROPERTY ADDRESS 1/51 6 c ' (location of septic system) Please obtain from the Planning Dept. CITY /STATE Hammond WI 54015 PROPERTY LOCATION SE 1/4, NW 1/4, Section 7 T 28 N -R 17 W TOWN OF e 4 S ¢ h t t/ Ile- ST. CROIX COUNTY, WI SUBDIVISION LOT NUMBER CERTIFIED SURVEY MAP , VOLUME , PAGE , LOT NUMBER 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 licensed septic tank pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. St. Croix County residents may be eligible to receive a grant for a maximum of 60% of the cost of replacement of a failing system, which was in operation prior to July 1, 1978. St. Croix County accepted this program in August of 1980, with the requirement: that owners of all new systems agree to keep their system properly maintained. The property owner agrees to submit to St. Croix Zoning; a certification form, signed by the owner and by a mater plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper operating; condition and (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge and scum. I /We, the undersigned have read the above requirements and agree to maintain the private sewage disposal system in accordance with the standards set forth, herein, as set by the Wisconsin DNR. Certification stating that your septic has been maintained must be completed and returned tothe St. Croix County Zoning Officer within 30 days of the three year expiration date. \\ SIGNED: DATE: St. Croix County Zoning Office Government Center 1101 Carmichael Road Hudson, WI 54016 11/93 S T C - 100 This application form is to be completed in full and signed by the owner(s) of the property being developed. Any inadequacies will only result in delays of the permit issuance. Should this development be intended for resale by owner /contractor, (spec house), then a second form should be retained and completed when the property is sold and submitted to this office with the appropriate deed recording. - ---------------------------------------------- Owner of property Herman Heinbuch Location of property SE 1/4 NW 1/4, Section 7 ,T 28 N - 17 W Township Pleasent Valley Mailing address 1624 Cty RD. Z Hammnd WI. 54015 Address of site q Cam, Subdivision name Lot no. Other homes on property? Yes x No Previous owner of property Total size of property 38 acers Total size of parcel 38 acers Date parcel was created Are all corners and lot lines identifiable? x Yes No Is this property being developed for (spec house) ? Yes x No Volume and Page g Number 5 - � as recorded with the Register of Deeds. ------------------------------------------------------------------- INCLUDE WITH THIS APPLICATION THE FOLLOWING: A WARRANTY DEED which includes a DOCUMENT NUMBER, VOLUME AND PAGE NUMBER AND THE SEAL OF THE REGISTER OF DEEDS. In addition, a certified survey, if available, would be helpful so as to avoid delays of the reviewing process. If the deed description references to a Certified Survey Map, the Certified Survey Map shall also be required. PROPERTY OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge that I (we) am (are) the owner(s) of the property described in this information form, by virtue of a warranty deed recorded in the office of the Count R of Deeds as Document No. S and that I 'ge(J ? d y g (we) presently own the proposed site for the sewage disposal system or I (we) obtained an easement, to run the above described property, for the construction of said system, and the same has been duly recorded in the office of the County Register of Deeds as Document No. a Signature of Applicant Co-Applicant PP PP a.!` /917& a 1 , /(19ly Date of-"Signature Date of S gnature I Pal, Yol 1194 PAG 49 DOCUMENT N o. STATE BAR OF WISCONSIN FORM 3-1982 THIS SPACE RESERVED FOR RECORDING DATA 548070 QUIT CLAIM DEED ---- - -- REGISTER'S OFFICE ST. CROIX CO., WI dated..Jul_y. ... IQ.,... ..... PAN for PAW ..... e. is nbuq- h-_ Q. r-_. D. e. 1. ax. es... ._. AUG 1 2 1996 .. -- -----•--••-------------------------•-••---•-•--•......--•-••---•••---- •--- ••- •- •.......•- •- •-- • - -•• -- - quit - claims to ._.. lie S.41s��1_. r ..11ea.nbu�k�.. and - - -D.e 1 Q.1= e.S .. C , -........ 11:35 AM u-c H.eixabh- ,.__b_usband.. and -..Wi�£a__s- s_ .auxv .y (rJ .... ma�i.tal ... pxoper -t3' ------ •---- •---------- -- - - -- �.�,E Ak. • ....................•--•---•-•--•---•---...------•.......--- •---- ...-- •-- ••--- •--- - -•• -• ....................... fttawd ------------------------------------------••---•----•-•-----•--•------------------ •-- .....- •--------- •-- ...... the following described real estate in ....... ..... CrQ.iX .................... County, State of Wisconsin: RETURN To o ne s &nbuch S parcel of land located in part of . the 71oa5� Cty Rd C Southeast Quarter of the Northeast Quarter arr'�►on— oIW = = � ` _. and the Southwest Quarter of the Northeast Quarter, all in Section 7, Township 28 Tax Parcel No .............................. North, Range 17 West, Town of Pleasant Valley, St. Croix County, Wisconsin; described as follows: Commencing at the North Quarter Corner of said Section 7; thence on an assumed bearing along the west line of said Northeast Quarter, South a distance of 2398.24 feet to the northwest corner of Lot 2 of a Certified Survey Map recorded in Volume 9, pg. 2689 in the office of the St. Croix County Register of Deeds; thence, along the north line of said Lot 2, South 89 degrees 47 minutes 27 seconds. East a distance of 243.50 feet to the northeast corner of said Lot 2, this being the point of beginning of the parcel described herein; thence North a distance of 436.00 feet; thence South 89 degrees 47 minutes 27 seconds East to the east line of said Northeast Quarter; thence along said east line, southerly, a distance of 676 feet more or less to the East Quarter corne of said Section 7; thence, along the south line of said Northeast Quarter, North 89 degrees 47 minutes 27 seconds West a distance of 2406.81 feet to the southeast corner of said Lot 2; thence, along the east line of said Lot 2, North, a distance of 240.00 feet to the Point of Beginning. Containing 35.8 acres more or less. Subject to all ease- ments, restrictions and covenants of record. Together with an easement for ingress and egress over and across the north 33.00 feet of said Lot 2 as shown on said Certified Survey Map. I This deed is given to correct that deed recorded 7- 12 -96, in Vol. 1189, Page 497, as Doc. No. 546742, Register of Deeds' office, St. Croix County, Wisconsin. FEE This ...... i .S _ DQ.t....._.. homestead property. # (is) (is not) -TXEMPT 19.96 ` I I I Dated this ......... IZt 1 7 ..................... •-- •- -... day of ........... A. �,--.- .-.... ............................._......... .................- •- .._....`.( SEAL) .................. .................................................. (SEAL) * ............................................................ /.. • 1 B - lt . A04d I .......... ... .........................• - -... .................._......(SEAL) _... H ................__.....__ ....................(SEAL) �_i! I I AUTHENTICATION ACKNOWLEDGMENT II Signatures) . __ Hailabu.Qh...and...... STATE OF WISCONSIN I 1 ss. - -p eo.1.Qxes__.C.,._. lei �nbu� ...................... ........ .. ...................... .. ........... .County. �1,nicated this 1 01ay of f_ .. ._.. 1996 .. Personally came before me this ............ ....day of lit. sll.. , 19.. the above named Ka en M . .. En ...... l ,.tl �...._... , .....---............_..............--........ ............_........_......_.. TITLE: MEMBER STATE BAR OF WISC `� ............................. If not Notar Publics �: _�'✓ ----------•--•-------- authorized by § 706.06, Wis. Sta )L ��T, M y commission expires 6 `Jr-= OTAf�)• j���' -- -- - --- . --- - - - - -- me nown to be the person ............ who executed the ioreg g instrument and acknowledge the same. THIS INSTRUMENT WAS DRAFTED BY P U S U .,• r - 54 - -- -----------------•-•--•--------•----------------..._.--------•------- EAVe?i._ e lls WI -•-•--- •-- ••-• 2 •--• 2 ........., 5 ,•.•� ary Public ------------------------------------ County, Wis. (Signatures may be authenticated or acknow ab "'� y Commission is permanent. (If not, state expiration are not necessary.) date: -- - -- - -- --------- ................. .......... .......... 19.........) u II I QUIT CLAIM DEED STATE BAIT OF WISCONSIN Wiscow;in Lrgal Blank Co. Inc. FORM No. I — 1982 wiR A & E Land'Surveying P.O. Box 325 New Richmond, WI 54017. Tel (715) 246 -4319 Prepared for and at the request of Heinbuch Trust Herman R. Heinbuch and Delores C Heinbuch, Trustees 1624 Cty. Rd. Z Hammond, WI 54015 Tel. (715):796 A parcel of land located in part of the Southeast Quarter of the Northeast Quarter and the Southwest Quarter of the Northeast Quarter, all in ;Section 7, Township 28 North, Range 17 West, Town of Pleasant Valley, St. Croix County, Wisconsin; described as follows: Commencing at the North Quarter Corner of said Section 7'; thence on an assumed bearing along the west line of said Northeast Quarter, South a distance of 2398.24 feet to the northwest corner of Lot 2 of a Certified Survey Map recorded in Volume 9, page 2689 in the office of the St. Croix County Register of Deeds; thence, along the north line of said Lot 2, South 89 degrees 47 minutes 27 seconds East a distance of 243.50 feet to the northeast corner of said Lot 2, this being the point of beginning of the parcel described herein; thence North a distance of 436.00 feet; thence South 89 degrees 47 minutes 27 seconds East to the east line of said Northeast Quarter; thence along said east line, southerly, a distance of 676 feet more or less to the East Quarter corner of said Section 7; thence, along the south line of said Northeast Quarter, North 89 degrees 47 minutes 27 seconds West a distance of 2406.81 feet to the southeast corner of said Lot 2; thence, along the east line of said Lot 2, North, a distance of 240.00 feet to the Point of beginning. Containing 35.8 acres more or less. Subject to all easements, restrictions and covenants of record. Together with an easement for ingress and egress over and across the north 33.00 feet of said Lot 2 as shown on said Certified Survey Map. C Dougla J. ah er Da F �l Regist re Land Surveyor No. 2145 x .�ti � s 0, A & E Land 'Surveying er iP GLAS y Z pO 5 -2145 HUDSON, ;WiS: r � � I � n \ V I ~ S j � � f f i f E c� S� f 1 ' v W e i 1996 -97 COUNTY BOARD SUPERVISORS #1 THOMAS DORSEY 1850 CO RD 0, NEW RICHMOND 54017 246 -5233 #2 LEON BERENSCHOT P 0 BOX 8, GLENWOOD CITY 54013 265 -4973 #3 GEORGE E MENTER 2851 CO RD N, WILSON 54027 698 -2854 #4 ARTHUR D. JENSEN 2203 55TH AVENUE, BALDWIN 54002 684 -2916 #5 ARTHUR C JACOBSON 314 E ROSENLUND ST, WOODVILLE 54028 698 -2767 #6 GERALD PETERSON 1300 FRANKLIN, BALDWIN 54002 684 -3836 #7 CHARLES A GRANT 1185 3RD STREET, HAMMOND 54015 796 -5385 #8 ROBERT M BOCHE 1524 CO RD H, STAR PRAIRIE 54026 248 -3919 #9 RICHARD R KING 1214 CO RD H, NEW RICHMOND 54017 248 -3955 #10 CHARLES P MEHLS 1813 OAKRIDGE CR, NEW RICHMOND,54017 246 -2634 #11 LEE KELLAHER 400 E RIVER DR, NEW RICHMOND 54.017 246 -6011 #12 JOHN F DOWD 158 WILLIAMS AVE, NEW RICHMOND 54017 246 -2481 #13 JOHN M MORTENSEN 324 MERIDIAN DR, NEW RICHMOND 54017 246 -5731 #14 CHRIS BETHKE 1738 174TH AVE, NEW RICHMOND 54017 246 -5207 #15 VERNON S DULL 204 SO DIVISION ST, ROBERTS 54023 749 -3350 #16 JOHN BRADLEY 1232 COUNTY RD J, RIVER FALLS 54022 425 -5854 #17 MARY LOUISE OLSON 704 UNION ST, RIVER FALLS 54022 425 -5365 #18 DONALD W BROWN 174 TOWNSVALLEY RD, RIVER FALLS 54022 425 -9329 #19 DAVID HENSE 282 COVE ROAD, HUDSON 54016 386 -3250 #20 HERBERT GIESE 1012 CRESTVIEW DR, HUDSON 54016 386 -3600 #21 THOMAS P. ONNE � LL 131 GRANDVIEW DR, HUDSON 54016 386 -3091 #22 TOM IRWIN 1321 BOULDER POINT DR, HUDSON 54016 386 -1020 #23 NANCY BIERAUGEL 1111 4TH ST, HUDSON 54016 386 -6632 #24 DARYL L STANDAFER P 0 BOX 808, HUDSON 54016 386 -1192 #25 WILLIAM KRUEGER 208 STATION CIRCLE NO, HUDSON 54016 386 -6444 #26 TIMOTHY S FILIPIAK 416 BROOKWOOD DRIVE, HUDSON 54016 386 -1172 #27 EINAR D HORNE 429 STAGELINE RD, HUDSON 54016 386 -2665 #28 RONALD G RAYMOND 812 MCCUTCHEON RD, HUDSON 54016 386 -6102 #29 LINDA L LUCKEY 1386 PINEVIEW TR, ST JOSEPH 54082 549 -5994 #30 GEORGE SINCLEAR 1472 HILLCREST DR, NEW RICHMOND 54017 247 -3376 #31 BOB GUNDERSON 333 RICE LAKE RD, SOMERSET 54025 247 -3265 UPDATED 08/19/96