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Home My WebLink About040-1241-80-000 y ~ v ° O c 0 � I ca N I O. N y I' O I C O Z � Z C U. c O � � I Q � I I 3 V I O Z cc O Z y y ° N ° W 1 m N I- fA I li � I O Z d a O E V O N O O OJ 1\ I 7 0 2� O ® Z Z 6 Z o `r E y � I H _ c0 p N y d co O _ a a E I 3 N O 0 0 ' ►v �aaa a LL o > rn rn vs W U rn rn } ao o M O O m C? n N m N 'D v .F NV C ' � � w � I O O O N N �i 0 0 N C r.. _ o E © 6 Apr 00 N O w O N N y O H ) N N 40. N O zn N r N r N W W N .- o_ o o o c O N f- I'.. fn Cl) O h �2 fn Ai E w it a d a 7 M►1 cl CL C c d c CJ A u a ',' 0 in U ST. CROIX COUNTY TONING DEPART1V)F°IIN'T AS BUILT SANITARY REPORT Owner r "cw l Address n �Y.y�a7`� D City /State /r.� // G r mss-! /S G�sr ;� ��` • NG i Legal escription: Lot - Block Subdivision/CSM # S'1,4 (� Sec. �, T98N -RLW, Town of - rVo : Y PIN # — ' - c (- SEPTIC TANK — DOSE CHAMBER — HOLDING TANK INFORMATION: Tank manufacturer &,r/ a QS'Tw. vSize ST/PC,/ U Setback from: House S / Well – AIP P/� Pump manufacturer �.. �. /d 3 Mode dd lr Clio si n „I,I C r % Alarm location �-s L P� (HOLDING TANKS ONLY) Setbacks: Service road Vent to fresh air intake Water Line Meter location Alarm location SOIL ABSORPTION SYSTEM Type of system: t.*zo,c„ A~4f Width 2 y Length --ZZ Number of Trenches Setback from: House 71f ` Well ,U O P/L _ Vent to fresh air intake a .- ELEVATIONS Description of benchmark ,L, f Elevatio Description of alternate benchmark Elevation 9 T� Building Sewer ST/HT Inlet ST Outlet PC Inlet PC Bottom ,?(F Header/Manifold . 7 Top of ST/PC Manhole Cover 7 Distribution Lines ( ) ( ) Bottom of System Final Grade ( ) ( ) ( ) Date of installation A — IL lfa r Termit number _2,24.PV7 State plan number 11 r - 7�'!/ Plumber's signature � License number ZZ 7Wef* Date Inspector _ Y feet comploc plot plan K At 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 J tk r �ld a�.c ,�'oC �v� r js�•r/ INDICATE NORTH ARROW S CROIX COUNTY AA PLANNING & ZONING l.. s!6'Y%EAs �� /� ... ..,...i .�tN&' .�'i - /( /. //✓ � \`:.n.: ": % /.. : "'�iYNN il h FAX MEMO µ DATE: c,4�Ll,Ij Code A6- 4680tratz FAX NUMBER 715 - 386 -4680 �(J 3 y1 -7 f Land Information Fr Planning FROM 715- 386 -4674 �� U� FAx NUMBER: 715 - 386 -4686 Real Pr e-4 'y PHONE NUMBER: !i�� / � / 715-, 7 -7 � 7 �� `1 b 96 R cling -386-4675 NUMBER OF PAGES, INCLUDING COVER SHEET: RE: VV y P &UT �s iow ST. CRO /X COUNTY GOVERNMENT CENTER 1 10 1 CARMICHAEL ROAD HUDSON, W/ 54016 715386 -4686 FAX PZ @CO.SAINT_CR WWW.CO.SAINT- CROIX .WI.US Wf sin DepartmentoCommerce PRIVATE SEWAGE SYSTEM Count , Safety -and Buildings Division y: 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)]. 320207 Permit Holder N!g ❑ Cit pp Village Town of: State Plan ID No.: TR CST BM Elev.- Insp. BM Elev.: BM Description: Parcel Tax No.: 4 ! p0 I 3A U _PU 040- 1241 -80 -000 TANK INFORMATION ELEVATION DATA A9800395 T MANUFACTURER CAPACITY STATION BS HI I FS ELEV. Septic �li.�u! I L4 Y ►2 Benchmar Dosing Aera ' Bldg. Sewer / � . f � oz.o/ �•`�d Holden St/ Ht Inlet IA -O( 7,72 TANK SETBACK INFORMATION St/ Ht Outlet T K TO P/ L WELL BLDG. Vent to ROAD Dt Inlet _ Air lntake ept Sic t- ID w p �l NA Dt Bottom Dosing ,r ti/ yb NA Header/ Man. 3 q Aer Dist. Pipe 3,�5, Gj Ho Bot. System 5. 'T PUMP/ SIPHON INFORMATION.,- A4&wl, , Final Grade Manufacturer " Demand sir Walt 49- o � � Z ! 7 Model Number g2dripM A (� 1� 1� P l aa.ot 4 • Z� TDH Lift 3 Z TDH /I Forcemain Le Dist. To Well SOIL ABSORPTION SYSTEM 3 `0 DIMENSI N H Width Length r No. Of Trenches PIT No. Of Pits Inside Dia. Liqu Depth DIMENSION SYSTEM TO P/L BLDG WELL LAKE /STREAM LEAC G Manutacturer: SETBACK -- INFORMATION Type O CH BER S ste 4 'LO r ' Model tuber: y nl� � �/� OR NIT DISTRIBUTION SYSTEM Header / M njfold Distribution Pi� r , , x Hol Size x Hole pacing Vent To Air lntake Length T Dia. Length � 0 Dia. 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 i$ Bed /Trench Edges Topsoil 1 J[ Yes ❑ No Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc) 0 LOCATION: TROY 21.28 ►19,SE,NE 589 WYNGATE DRIVE — WYNGATE LOT 8 vw a Plan revisi n required. ❑ Yes [4-No Use other side for additional information. SBD -6710 (R.3/97) Date Inspect is Signature ert o. Al - Safety and Buildings Division %SC0/1S %11 SANITARY PERMIT APPLICATION 201 W. Washington Avenue In accord with ILHR 83.05, Wis. Adm. Code P O Box 7 Department of Commerce Madison, WI 53707 -7302 • Attach complete plans (to the county copy only) for the system, on paper not less County than 81/2 x 11 inches in size. �5 eva << YZ • . See reverse side for instructions for completing this application State Sanitary Permit Number Personal information you provide may be used for seconds 3Z0Z�� secondary purposes ❑ Check if revision to previous application (Privacy Law, s. 15.04 (1) (m)]. State Plan I.D. Number I. APPLICATION INFORMATION -PLEASE PRINT ALL INF RMATION Property Owner Name Property Location /a 4r 1/4, S .0 1 TgF , N, R E (or)alq Property Owner's Mailing Address Lot Number Block Number City, State Zip Code Phone Number Subdivision Name or CSM Number SS` ( ) af-e II. TY F IL ING: (check one) ❑ State Owned ❑ I Nearest Road Public 1 or 2 Famil Dwellin - No. of bedrooms ❑ ViI age own O III BUILDING USE (If building type is public, check all that apply) Parcel Tax Number(s) 1 ❑ Apartment/ Condo a'yle- 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. ® New 2_ ❑ Replacement 3 Re Replacement of ------ System -------- System -__-- _- - ❑ p 4. E] Reconnection of 5. ❑Repair of an - - - -- Tank Only ---- - - - - -- Existing System - Existing System - - - - - - ---- - - - - -- B) E] 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 40a d Required (sq. ft.) Proposed (sq. ft.) (Gals/day /sq. ft.) (Min. /inch) Elevation 3Od IS-40d A t / 1,10 1 41— �9� Feet Feet VII. TANK Capacity INFORMATION in gallons Total # of Ex er. Prefab. Site Fiber Gallons Tanks manufacturer's Name Con- glass Plastic A p p New Existin Concrete structed Steel Tanks Tanks Septic Tank r Holding Tank i�`r�W C ey r ® ❑ I ❑ ❑ ❑ ❑ Lift Pump Tank iphon Chamber r S >! El ❑ ❑ El ❑ NSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite se age system shown on the attached plans. Plumber's Name: (Print) Plumber's Signatu o Stamps) MPRSW No.: Business Phone Number: jo, r �a J T lumber's Address (Street, City, State, Zi Co e): IX. COUNTY / DEPARTMENT USE ONLY C] Disapproved Sanitary Permit Fee (Includes Groundwater D ate Issued lssui Agent Signature (No Stamps) A roved Surcharge fee) pp Owner Given Initial ��/ � g` I (� �• etermination ONDITIONS OF APPROV REASONS FOR DISAPPROVAL: tJ 46ftK� a+ 41 m el SBD- 6398 (R.11/97) DISTRIBUTION: Original to County, One copy To: Safety & Buildings Division, Owner, Plumber Safety and Buildings 2226 ROSE ST LA CROSSE WI 54603 -1905 Visconsin Tommy G. Thompson, Governor Department of Commerce William J. McCoshen, Secretary July 10, 1998 CUST ID No.267341 ATTN: POWTS INSPECTOR WEGERER SOIL TESTING & DESIGN 421 N MAIN ST PO BOX 74 RIVER FALLS WI 54022 RE: CONDITIONAL APPROVAL APPROVAL EXPIRES: 07/10/2000 Identification Numbers Transaction ID No. 112791 - Site ID No. 13661 SITE: Please refer to both idQui fffication numbers, Site ID: 13661 above, in all co a agency.. St Croix County, Town of Troy SETA, NEIA, S21, T28N, R19W 6 Tedd Solheid c• /� FOR: Description: Mound ?' Object Type: POWT System Regulated Object ID No.: 28817 ST c Ak,, fC�� The submittal described above has been reviewed for conformance with applicable Wi" onxig►4xniuistibdes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The following conditions shall be met during construction or installation and prior to occupancy or use: • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Adm. Code. • 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. A copy of the approved plans, specifications and this letter shall be on -site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction /installation/operation. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. Sincerely, DATE RECEIVED 06/24/1998 FEE REQUIRED $ 180.00 BARD M SWIM., POWTS PLAN REVIEWER FEE RECEIVED $ 180.00 Integrated Services BALANCE DUE $ 0.00 (608)785-9348, MON - FRI, 7:15 AM - 4:00 PM JSWIM @COMMERCE.STATE. WI.US 1. `• Page of 6 MOUND SYSTEM FOR A 1 4 BEDROOM RESIDENCE LOCATED IN THE 1/4 OF THE 1/4 OF SECTION 1 , T N, R �°� W, TOWN OF �-�p� , S`�_ C, \� -�1LJC COUNTY, WISCONSIN. OF 10 - QGftTl-=� X> lb Ivu, 0y0- vv41 80 INDE% RECEIVED PAGE 1 'of 6 TITLE SHEET JUN 2 4 1998 PAGE 2 of 6 PLOT PLAN SAFETY & BLDGS. DIV. 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 'SOD PLO S - `E'PN � ry �E SQL lc} �`1 D w�c��3va� 1 wlry ss�z_s P0.tv.T.S. ConrWitionally xrROVE D DEPARTMENT OF COMMERCE VISION F Y WINGS PREPAPM BY S CURRES DENCE WEGEE::;tEF2 E3 C3 I L- AND. DES I Gfli SERV I CE`� ••"•'•"••• ��✓ F.O. BOI 74 421 K. ISAIM ST. Y' ? ARTHUR L. WEGERER RIVED. FALLS. V1 54022 fiiISWORTH, 715- 42`,r -01 b5 � �w /^ �SIG1 JOB NO. 98 - 1 PLOT PLAN Page Z. of Scale 1"= SO' o `96E \AJAL L - \r4 BF Per UV"T S> ' Myj - �Dv>vD S \ O 1 GAS O J 1 ; 1.0 aF y PV C 9 r Co i LrL 99 - �.3 r 0131VR$ 4L!CL • ' Z3�Zp' 3 /y w/ LP NOTES -1. Elevations shown are existing ground elevations unless otherwise noted. 2. Install permanent markers at end of each lateral. (4 required) 3. Install 4" observation pipes with approved caps. ( 2 required) 4. - Septic tank to be ` ZAO 1 8 00 gallon capacity manufactured by 5. Bench Mark S 1'�0 U1 6. Divert surface water around system to prevent.ponding at the.uphill side. Page 3 Of 6 Approved Synthetic Covering P G 33 Distribution Pipe Medium Sand H -- ••_ Topsoil =___ — F FIev Q q E D 3 ` Z % Slope Bed Of Z�— 2 %2 Force Main Plowed Aggregate From Pump Layer I D ' Ft. Cross Section Of A Mound System Using E '\X- Ft. A Bed For The Absorption Area F o.% Ft. G Ft. A `J' Ft. H 5 Ft. Linear Loading Rate= q •S GPD /LN FT B Ft. Design Loading Rate= 0- Y.GPD /SQ FT I loo Ft. J `a Ft. K �-O Ft. e Position L 33 Ft. of Force Main W 3 Z Ft. L Observation Pipe A I - I• - - - -- --------------------- -�I W o - - -- ----- - - - - -- Distribution Bed Of 2 "- 2 2 Pipe Aggregate I Observation Pipe Permanent Markers (Anchb= securely) Plan View Of Mound Using A Bed For The Absorption Area Page Ll Of —� Perforated Pipe Detail 0 End View , )Perforated __,/ End Cop. • • f PVC Pipe Jo�`� `ooze a S Install permanent at end of each lateral Holes Located On Bottom, Are Equally Spaced S Q ' PVC Manifold Pipe PVC Force Main Oistn ution Pipe Lost Hole Should Be I Next To End Cop End Cop P Zct S Ft. Distribution Pipe Layout S '{ Ft. X '12. Inches Y L IZ Inches Hole Diameter J"4 Inch Lateral < "I/ Inch(es) Manifold Z Inches Force Main 2 Inches # of holes /pipe ° I Invert Elevation of Laterals 9q•S Ft. '�'l Y, \ • \. 10. S3 X t4 L2. Gl-*i u Place lst hole ZA from center of manifold with succeeding holes at LLZ intervals. Last hole to be next to the end cap. Combination Septic; Tank and k'`PL1MP CHAMBER CR055 SECTION ARID SPECIFICATIONS PAGE S :;OF (� ` VEMT CAP � WEATHER. PROOF JUkICTIOU BOX . 4'C.I. VENT PIPC APPROVED LOCKING 2!.10' FROM ODOR, MAWHOLE COVER sNCM ,AwooW OR FRESH wARfJWG L148EC.. AtRIAJTAKE S aa"wIT tj 6''M PHI- . 1►JLET y�IN5ot'tT1o1J PIPt PROVIDE I I ---- AIRTIGHT SEAL I � I APPROVED JO11JT: APPROVED JOIUT A I W /C.1. PIPS =ox Tank construction I III WIC I P�PE�P _ I I I ALARM shall comply with ILHR 133.15 and 33.20 b I I C I Ow 88.5 ELEV. OFF D COUCRETE BLOCK RISER EXIT PERMITTED OiJLy IF TAWK MANUFACTURER HAS SUCH APPROVAL BEDUINr, BEDDINi4 SEPTIC f 5PEC.IFICATIDhJS 005E TA►JK MAIIU FACT URCR: � S S T' MumbER OF DOSES: PER DAB TAWK :,IZE: �Z'tJ0 I Soo GALLOWS DOSE VOLUME r IMCLUDI JG BACKIrLOW: ' L ALARM MAUUFACTURER: S •S. ,�`CS2.0 S�- LS1�1 S GAL DNS MODEL WUM8CR: COI �W = � 1 1 - CAPACITIES: A 1 - IUCHfS OR L4 31 CALLOUS SWITCH T:JPC: )RY 5= Z IUCHES"OK L-11 G�LLOU5 PUMP MANU FACTURE K: Gam ADS C= S 1 R UCHES OR \ GA LLOIJ 5 MODEL AIUMBEM PoS D� • IIJCHES OR lq —1 GALLOAJS SWITCH TYPE: � T MOTE: PUMP AMD ALARM RC TOO 15L LIZ �Z MIk1tMUM DISC1iARGE RATE GPM INSTALLED OW 5EPARATE CIRCUITS VERTICAL DIFFERENCE DETWEELJ PUMP OFF AUD..DISTRIBUTIOU PIPE.. Y 331 FEET + MIIJIMUM METWORK SUPPLY PRESSURE , . , , , , , , , , . 2 S FEET + ti09 FEET OF FORCE MAIN X 3 I F/ o rr. FRICTIOU FACTOR.. 3 " FEET io TOTAL Dy1JAMIC HEAD = 83 FEET Pump chamber DIAMETER -- IAITIK IAL DIMLWSIOIJIi OF TAWK: LEkJGTH ;WIDTH ;LIQUID DEPTH 38H BOTTOM AREA — - 231= GAL /INCH AS PER MANUFACTURER = - L\ -OS GAL /INCH Goulds 6 OF - Submersible } Effluent Pump 3871 EPO4 EP05 APPLICATIONS • Fasteners: 300 series • Fully submerged in high ■ Motor Housing: Cast iron Specifically designed for the stainless steel. grade turbine oil for for efficient heat transfer, following uses: • Capable of running lubrication and efficient strength, and durability. • Effluent dry without damage to heat transfer. ■ Motor Cover: Thermo las- • Homes systems components. tic cover with integral handle A for automatic and • Farms Motor: manual operation. Automatic : 0.4 and float switch attachment • EPO4 Single hose HP, • Heavy duty sump 115 or 230 Vp 60 e: 0.4 H 0 m odels include Mechanical points. • Water transfer RPM, built in overload with Float Switch assembled and ■ Power Cable: Severe duty • Dewatering automatic reset. preset at the factory. rated oil and water resistant. • EP05 Single phase: 0.5 HP, RPM, Upper and lower in SPECIFICATIONS 115 V, in le phase: FEATURES heavy duty ball bearing Pump: EPO4 built in overload with construction. •Solids handling capability: automatic reset. ■ EPO4 Impeller: Thermo - 3 /4" maximum. • Power cord: 10 foot plastic Semi -open design AGENCY LISTING • Capacities: u to 55 GPM. standard length, SJTO with pump out vanes for p g mechanical seal protection. C Canadian Standards Assmiation • Total heads: up to 24 feet. with three prong grounding ■ EP05 Impeller: Th • Discharge size: 1 NPT. plug. Optional 20 foot design SJTW with plastic enclosed design for (CSA listed model numbers • Mechanical seal: carbon- length, improved d end in " " or "AC ".) rotary/ceramic- stationary, three prong grounding plug p p BUNA -N elastomers. (standard on EP05). ■ Casing and Base: Rugged • Temperature: thermoplastic design provides 104 °F (40 °C) continuous superior strength and 140 °F (60 °C) intermittent. corrosion resistance. • Fasteners: 300 series METERS FEET stainless steel. 10 i • Capable of running dry without damage to s 30 �G components.` Pump: EP05 8 - • Solids handling capability: c 25 I /a' maximum. a _____ __ • Capacities: up to 60 GPM. s 20 • Total heads: up to 31 feet. • Discharge size:1 Y2" N PT. i 5 -- - - - — -_ '- _- - • Mechanical seal: carbon- 0 15 .83 rotary/ceramic- stationary, BUNA -N elastomers. 4 - - -- o � • Temperature: 3 10 i 104 °F (40oC) continuous 140 °F (60 °C) intermittent. 2 - -- - -— -- - - -- - - - -- EPOa - — 5 z I 0 00 10 20 30 40 50 GPM L 0 2 4 6 8 10 12 m CAPACITY ©1995 Goulds Pumps, Inc. Effective May, 1995 WAR71 PLOT PLAN Page 3 of 3 SCALE 1 "= 50 ' Per Umt S n' F� �itSvX�D s \ 0 c r 9 r CO W o.� 9$ %4 Lam- 1 ` \� Dp 1v OT aOT1��+t�T ' `'1 g3' z5 � 02 0141VR8 -t, , i O PEN ` TLee `j �`.\ ON b �I-lGN Z36Zp' Biq b I R \Z"U w / L A : ( 715 ) 42.5 -n1 cs M 00576 CST Signature Date Signed Telephone No. CST # Wiscoruin a erlt Industry Labor and Human Relations age SOIL AND SITE EVALUATION REPORT P \ of 3 • _ 'DWision of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site an on ��' pl pl an paper not less than 81/2 x 11 inches in size. Plan must include, but not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. IIq j „ ap APPLICANT INFORMATION- PLEASE PRINT ALL INFORMATION I . ,8Y DATE PROPERTY OWNER: x 9 PROPERTY LOCATION 7 )�D ft? S`1 � N 1 E GGVF - I: S 1 ' 1/4 NE 1/4,S 2-1 T 2 ,N,R Zq E (or 0W PROPERTY OWNER•:S MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM # °t o. °11 Yn' - _ rD U W RrD - 0 — w `l N G ATE CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE ®TOWN NEAREST ROAD w MN... (6l� - �3t3 - �� w�ItJ6f1� DR, [>q New Construction Use Residential / Number of bedrooms [ ] Addition to existing building [ I Replacement [) Public or commercial describe Code derived daily flow bLJ' 3 gpd Recommended design bading rate o ed, gpd/ft - trench, gpd/ft Absorption area required S o0 bed, ft SOIj trench, ft Ma)dmum design bading rate _ - S bed, gpd/ft 0 • L trench, gpd/ft Recommended infiltration surface elevation(s) w 3 , O ft (as referred to site plan benchmark) Additional design / site considerations Y ovr.� w 8 X 3 b M t,\ . I OF SAIJZj Ff U Parent material St L,1 -/ OQ 1T' Rood plain elevation, if applicable I'Q1 ft S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE I AT- GRADE. SYSTEM IN FILL I HOLDING TANK U= Unsuitable fors stem 11 S 10 U ®S ❑ U I EIS M U ❑ S LO U ❑ S MU ❑ S [s5 U SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Structure GPD /ft Boring # Horizon Texture Consistence Bourxiaty Roots in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trerldi " = O -a �O`1R 3!3 Sl Zwi hyr �S S �: n Ground 3 Z• -3S - S `t R 31 L — s e s bk wi U'P>, .y S elev �.Stia sia Ca.� 3 /• totiR si 5 Depth to CA S � J 4 E limiting factor 3S Remarks: Boring # Z Y Z 8 -30 1 01 R 3 I G S 1 z S�1z r,� 1:2S • S sle Ground 3 34S 3 512 3/ i o s S 1 - In i < - S 3 `/ Depth to X limiting factor Remarks: cq� , Oit• e T Name: — Please Print Arthur L. We erer Phone. 715 -425 `014§., F <' gerer Soil Testing & Design Service - P.O. Box 74 River Fall s,W Signature: Date: Date: CST Number: q8 - \S = Z �- M00576 PROPERTY OWNER S C, �-jD SOIL DESCRIPTION REPORT Page of „PARCEL I.D. # O \Zy 1- 8 O Boring # Horizon Depth Dominant Color Mottles Texture Structure GPD /ft In. Munsell Qu. Sz. Cont. Color Consistence Bourday Roots Gr. Sz. Sh. Bed Trench 1 3 Z 8 -3 Z , I.O � R 31.E — S ' Z `� s bl� v,-r `F 1_ cs `` • s , b Gr,ot'd s 3 3 Z -V l• S -I R �! ! 1.S `-2 sJ g elev sr S) O m`11 -- `l^i C S - -y Depth to 1lmitln� • factor 3Z,r+ f • s Remarks: " Boring # 13 I 6-9 Z>n sb w►-f — Z q- Z! \p"LR -alb _ s i l Z`Qsb� wart►- . S, b Ground .. �.S` -t23 6 sc'� ov`'1 - q jft: y 3Z - Lo-m-(- L3 Depth to Ilr�(ting Remarks: B[Ing #` ! ► J O S� SU) L Fl LW 3hJ G n Ground "(z, LD y'r s w o 1v elov. D* to Q 3 W v Iimiting t.�J factor, . t Remarks: Boring # Ground { elegy � (t Depth to., •y limiting ' factor. ' v t Remarks: S80-030(R.05/92). PLOT PLAN Page 3 of 3 SCALE 1 "= 50 �L BF P r L-V-tIT Sp*, FMH - Pf )ut S \ 1 i 1 0 �c r o .9 r co i �� 1� 4EL - �o 05 9�Z O PEN ON ? w / L (715 ) 425 -0165 M 00576 CST Signature Date Signed Telephone No. CST # STC ROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Om er/Bu3 re4� 4/5 Mai ing A(Ild ri s Pro erty A di h -ss A) Z (Verification required from Plarailing Department for new construction) V City 'State Parcel Identification Number LE ��kL D 1 !;; CRIPTIO i Prcc m L. x;;.- I ion _57� 1 /4, ' 14, Sec. T N-R�W, Town of Sul) J'Asiou Lot # Cer Wed . up i ey Map I' Volume Page # Wit ranty 11 ci d # Volume Page # a,-'<0 Spe- house I � yes 23 nc Lot lines identifiable 0 yes ❑ no Sy. rLM 1 1 ? 'A �.,!.NTENAJ4CE Impi to 'use and m& aterianceof your septic system could result in its premature -failure to handle wastes. Proper rri! ►tenauce cons :tss of puali:i ig out the s:,-ptic tank every three yzars or sooner, if needed by a licensed pumper. What you put into ;:,1_,system can: Tect the f ixi -tion of the septic tank as a treatment stage in the waste disposal system. The iru cj-�: tarty owner igrees to submit to St. C Zoning Department a certification form, signed by the ownt i nd by a wato rl)lumb:.-.r j i urneyman p lumber, restrictedplumber or a licensed pumper verifying that (1) the on -site wastewatere[is .1 pc - z t system in ,roper on r ing conditi(n andler (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 fiill rf sludge- I/we the and :. cLed have re;.d the above requirement's and agree to maintain the private sewage disposal system -with. th.- �.zndards set fli -di, here jr, ;!;, set by the Department of Commerce And the Department of Natural Resources, State of Wisconsin. C ! �Gcation st36 ., ithat y4 r a ' !i -ptic system has been maintained mutt be completed and returned to -the St. Croix County Zoning Offic,: x ithin 30 days )f the d r( c mar exp9t on date. C7 C Q SIGI AIM - 01 APPLICAP T DATE Qik. SE ' ION I (Wr ci: rtify t all stiatements on this form are true to the best of my (our) knowledge. I (we) am (arc) the c= : ter(s) of the I OPC Ili as I e, by virtue of a warranty deed recorded in Register of Deeds Office. SIGI k11M 01. APPLICMT DATE Any irb imation that is mis- represented may result in the sanitary permit being revoked by the Zoning Departme i: b dude *&x 1 his applica ion: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed W'consin Department of Industry SOIL AND SITE EVALUATION REPORT Page of 3 Labor and Human Relations— . Division of Safety 8 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 W � not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. If dimensioned, north arrow, and location and distance to nearest road. APPLICANT INFORMATION PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION '�:>O N �ZZ L. GGW. 6(T S 1� 114 » 1 /4,S T ,N,R Iq E (04RI PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM # IN IQ — w'-( N G r - E CITY, STATE ZIP CODE PHONE NUM ER ❑CITY []VILLAGE NFOWN NEAREST ROAD R1U�1Z \"�ru W 1 s�ozZ (�tS)�. DR. 14 New Construction Use X1 Residential / Number of bedrooms Addif pn to existing building j ] Replacement [ ] Public or commercial describe Code derived daily flow bZO gpd Recommended design loading rate S -4_ bed, gpd/ft 1 trench, gpd4t Absorption area required S oD bed, ft SQj trench, ft Ma)amum design loading rate o S bed, gpolft 6 • trench, gpd/ft Recommended infiltration surface elevation(s) 0 It (as referred to site plan benchmark) Additi onal design / site considerations `►-1 �y r� - L-j/ 8 ` Y- V 3 .B � , V-1 1, j . 1 ' 0 F SPl1p Ft L� Parent material s Q ova, I' - s Flood plain elevation, if applicable N . fl, It S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE I AT -GRADE U ❑ SYS N U LL ❑ S�G� U U = unsuitable fors stem [Is IOU (OS ❑ u EIS W U El S SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consis� Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed ITirench �3`1 R 313 5 Zrvi h `yL l a' cx, S S ;• `Y ' Ground 3 u, -3S - 1 , S Lt R 31 — s e s bk wt U'�1. S ,�{ S elev It G°t,_ t{ 3S -SI ` -3'y 3l 1 0� R S / s1 �w� vK�y - m�'r' - Depth to n4 A1S L limitag factor s N Remarks: Boring # zVV1 Sb�r' w►.'F1- 1 0`12 3 — S1� �S��rr ►� '�i G5 . Growd 3 34_3: Z2 3! 1 n ? Sti�ssla s 1 0 r� � -1n �c C-S — elev. Deph to -1 limi" - factor 3fl" Remarks: CSTName :—Please Print Phone: Arthur L. We erer 715- 425 -0165 egerer So I Tes -ting & Design Service -P.O. Box 74 River Fa11s,WI 54022 Signfure: = _ Date. CST Number: M0057 6 PROPERTY OWNER NZ-kW L SOIL DESCRIPTION REPORT Page 7-of 3 • PARCEL I.D.# Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu.Sz.Cont.Color Gr. Sz. Sh. Bed Trench € t..,>. > >;> Z g-3 z to R.. 31 — S ! 1 Z`�s U� `F)✓ cS s • >o c1�' -�.sti� slg.. Ground 3 32-1f �•S�1 P Sly ef I.Y`1 R S/3 S O m6--h1`ci c.S elev. cl.q.o ft. Li ycf_ m‘-ia. (43 - LSBR - Depth to limiting factor '2.h Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring# BEM h:y Ground elev. ft. • Depth to limiting factor Remarks: Boring # tiiminom Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(R 05/92) PLOT PLAN Pa 3 of 3 SCALE 1 "= SO IQD ao o`y wttLl ,, r, SQ' Q rj �J 1 o � o 0 v co e, vj m Ln- q9 •3 c�O �f7� o ` �s "�� 1�0 r�o^� Go►tiPYt�1' oR i �� p1S�NiZA 1�lS ry- B.Z wa Z36.Zp' 3 !y 1 A6 , w / L 715 ) 425 -()1 9 M 00576 CST Signature Date Signed Telephone No CST # Atilt DO C UMENT NO. OCU Donald 0. Rodahl and Joyce J. Rodahl, Grantor, conveys a- -a=ants to Tedd Solheid and Stephanie Solheid, husband and wife as S-'Zrnrl � marital property, Grantee the following described real estate in St. Croix County, State of Wisconsin: REGISTER'S OFFICE ' C Lot Eight (8), Plat of Wyngate, Town of Troy. ST. C O IX O., W1 Said deed is given in full satisfaction of the Land Contrazt, tt,rtdeen JUN 0 3 1998 the parties dated February S, 1998, recorded February 13, -993 in Volume 1296, Page iso as Document Number 572984. 3:45 _4 . . . . . . . . . X.- NAME AND RETURN ADDRErS a FEE 040-1241-80 -000 This :.s not homestead property. foarc Number Pf Exception to warranties: rt All easements, restrictions and rights-of-way of record, if ar.y Dated this RD day of June, 1998. (SEAL) (SEAL) 1.1W. ' R.d4,h (SEAL) _94 (SEAL) ACXNC+JL1DGVC0ff AUTHENTICATION S;7ATE OF WISCONSIN Signature (s) ) ss. COUNTY ) 14 day of 'l authenticated this day of 19 Perso n "Iy :a cefore me this cane 19 9 named ...... To me known to be the person(s) who executed the foregoing instrument and acknow-edge the same. TITLE MEMBER STATE BAR OF WISCONSIN (If d by 57 authorize 06.06, Wis. Stats.) County, Wis. 4 THIS INSTRUMENT WAS DRAFTED BY: 31c Public voj- bommission is permanent. (It not, expiration date: Joseph D. Boles Rodli, Be-kar, Boles Krueger, S.C. 99 P.O. Box 138 River Falls, WI 54022 o.N .,NO I mp (3 Ul j 2 I �0 // o0 // //� Qo rn �(A / �N / v i ro �/ I / XX rn Cb I• rt•/ 6w/ I �a ao I � / /• � p I o _ .� ♦ /•'• Urn n I � I cn ©� '' m CA pp op a£ N e�£I • �, 6, J z ti D :ID I m ,0 �� ro of o n m N = I `� y m to v' ha O rn I 6Z� 8' - - r 00\ I � • \ \ mss. �,�� \ .. '\ '�. ao (p \ \ ( Of o o yN I \ O — — — — — — — — — — — — — — — — — — — — — — r — � S 00 480.70' UNPr� n LANDS. �s.