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HomeMy WebLinkAbout040-1255-40-000 c � I 0 © I N d y �u I C h I h � I O N z o c Z LL C 00 O � Q I 7 Z •' I °' z I' •• o z 11 m ° c') z a m c c C7 ° 1 cc o z v c :3 N d z g ° o v� z �, S E a N co N a Cl) � N C C O o 0 Z H Z 10 N z N y O N LL ~ N LO c >, G D a 4 L O h /� N N o m I- N U N F- V a�rr.tt a� LL 0 0 0 a Z ° •r~ > a a a a Q .. g > 7 O N rn CF) y to J U ! rn rn > - c > LO LO � N O O O E D o N IL Cr" '6 N N O N N C "O E O O C N O O c m p u of o Y c o w C H N N_ y O N W L N 2 W C N (D LO Y�V N A T • Ii V O N y O O O O CO h U co O Z N Z x (n Fr r n a a w E c c m IL J L 7 `�1 G Ua oro ST. CROIX COUNTY ZONING DEPARTMENT 10� F AS BUILT SANITARY REPORT Owner Property Address City /State cRaY, N Legal Description: Lot _� Block — Subdivision/CSM # ct e -x _,4( /4 ,��vt /4, Sec. IL, T,2kN -RAW, Town of PIN # O�f�- SEPTIC TANK -- DOSE CHAMBER -- HOLDING TANK INFORMATION • t� . t 351 Tank manufacturer Wet I tf Size ST/PC IX O / --- Setback from: House 1 1 L Well 9 P/L �� 1 Pump manufacturer -- Model 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: &irb+ W idth Length Z! V'_ Number of Trenches Setback from: House �2A Well _ P/L _q <I Vent to fresh air intake I&a f ELEVATIONS Description of benchmark 4 7/ - Elevation Description of of alternate benchmark " it Elevation � Cf Building Sewer FC.2, ST/HT Inlet ST Outlet 7 PC Inlet _ PC Bottom Header/Manifold Sf� - S� Top of ST/PC Manhole Cover Distribution Lines ( ) P 9 () ( ) Bottom of System () S 71. 4 () ( ) Final Grade () g,' rj -,PC () ( ) Date of installation o f ley ermit number 3P V7,19- State plan number Plumber's signature icense number Date Inspector Complete plot plan ` J 1 3 I n, � 1 3 . �G + 1 f I c Q] f f NIX Cie 7 I� V I f. F 3 F Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Count Safety and Buildings Division tT . CROI X INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Sanitarl(Nlitv_: Persona[ information you provice may be used for secondary purposes [Privacy Lr, s.15.04 (1)(m)]. Permit Holder's Name: ❑ Village El Town of: State Plan ID No.: B RUCE LENZEN HOMES / LAYBAKER, I�fi6Y ti CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: o67 2 ' TANK INFORMATION ELEVATION DATA A9800620 TYPE MANUFACTURER CAPACITY STATION BS HI I FS ELEV. �a BenchCtl i 45y S> 2Z Dosing w coen•� _ X41 t ►ev y . q �1d9', 9°) q • `1 � BFSS o°I Aerati Bldg. Sewer g�q.�q 7. Holding-.------ �`� , � du�* Inlet TANK SETBACK INFORMATION W Outlet GR7 . e 1 S<K t Co TANK TO P/ L WELL BLDG. Air I to e k ROAD Dt Inlet Air ta �O' I S ti NA Dt Bottom Dosing _ A Header /Man. Aerati NA Dist. Pipe c`��.go►3L Ho Bot. System i,gq °. ' 61 A ('0 5ZX0. o PUMP/ SIPHON INFORMATION Final Grade QSg,G �; gg 3 -SQ Manufacturer Demand Sf ( aP�Jq cl 3 r Model Number GPM TDH Friction stem TDH Ft Forcemain Length Dia. Dist. To Well SOIL ABSORPTION SYSTEM BE / TRENC dth Length i No. Of Trenches PIT No. Of Pits Inside Dia. Liquid pth DIM I N .� 7 S DIMENSION SYSTEM TO P/ L BLDG WELL LAKE /STREAM LEACHING Manu acturer: SETBACK ::7 i, .j, f INFORMATION Type Of L , � ` - CHAMBER Moe Num er: Sys q •{ OR UNIT a tern�onvewT DISTRIBUTION SYSTEM Header / Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length 1 4 Dia. Length 7 S acin P 9 )off (n- r,.r -� '1 -e 4 p 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: TROY 30.28.19,NW,NW 185 MAXANICKIE DRIVE - TROY GLEN LOT 4 P \4 tm- Qtv�5lrn rt�,_'ll� efEVCtII V'A!'.t �QU,( F.ICi/ f c: P ..ir IZcv��ra�1 �' a 5� /zj l`7 —�K f f�� —'rte ,• .� Plan revision required? Q�Yes ❑ No Use other side for additional information. 5 (d- SBD -6710 (R.3/97) Date Inspector's Signature C ert. o S, V i s -cons in Safety and Buildings Division S ANITARY PERMIT APPLICATION 201 W. Washington Avenue Department of Comm6rce In accord with ILHR 83 -05, Wis. Adm. Code P O Box 7302 Madison, WI 53707 -7302 • Attach complete plans (to the county copy only) for the system, on paper not less County than 8 vi x 11 inches in size • See reverse side for instructions for completing this application State sanitary Perm Number Personal information you provide may be used for secondary purposes 3 " r f Ze> [Privacy Law, s. 15.04 (1) (m)]. Check if revision to previous application I. APPLI ATI N INFORMATION- PLEASE PRINT ALLINF RMATI N State Plan I.D. Number Prop y Owner Name Propert Location Liav� cc /a /w1 A, S 3r/T N, R `dt E (oq�.0 Property Owner's Mailing Ad ress Lot Number Block Number a ire C ALI q City, State g. IM Zip Code Phone Number Subdivi ion Name or CSM Number -� ai ( ) II. TYP F L IN (check one) El State Owned It Nearest Road Public 1 or 2 Family Dwelling - No_ of bedrooms _ ❑ village Town OF III. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s) 1 ❑ Apartment/ Condo 1 0 Y — _ �t 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 `p< S New ystem 2. ❑ Replacement 3. ❑ Replacement of 4_ E] Reconnection Reconnection of 5. Repair of an y_ System Tank Only ------- -------- Existing System - - - -- Existin 5 stem 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 12Weepage 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 1 3. Absorp. Area 4. Loading Rate S. Perc. Rate 6. System Elev. 7. Final Grade Required (sq. ft.) Proposed (sq. ft.) (Gals/day /sq. ft.) (Min. /inch) Elevation ; 7.�? . Q Teet ?-Me e t VII. TANK Capacity in gallons Total # of Manufacturer's Name INFORMATION Gallons Tanks Prefab. Con Site Steel Fiber- Plastic App- - New Existin Concrete strutted glass App. Tanks Tanks eptic Tank /�3� G ❑ ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber ❑ El ❑ ❑ ❑ VIII. RESPONSIBILITY STATEMENT El I I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name: (Print) Plumber' i a re: ( a s MP /MPRSW No.: Business Phone Number: TZ.4 Plumber's Address (Street, Ci y , State, Zip C de): �� v IX. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater ate ssue Issuing Ag ent Signature (No Stamps) [Approved El Owner Given Initial 5 Surcharge Fee) l Adverse Determination 0W 7 j� C� � X. CONDITIONS OF APPROVAL/ REASONS FOR DISAPPROVAL: SBD- 6398 (R.11197) - DISTRIBUTION: Original to county. One copy To: Safety & Buildings Division, Owner, Plumber `� `'� SANITARY PERMIT APPLICATION Safety and Buildings Division . . 201 W. Washington Avenue 6consin In accord with ILHR 83.05, Wis. Adm. Code P O Box 7302 Department of Commerce Madison, WI 53707 -7302 • Attach complete plans (to the county copy only) for the system, on paper not less County than 8112 x 11 inches in size. 4-lc i 7� • See reverse side for instructions for completing this application State Sanitary Per3;;Lmit�7N)umberr Personal information you provide may be used for secondary purposes C] Check it revision to previo (Privacy Law, s. 15.04 (1) (m)). State Plan I.D. Number C . APPLICATION INFORMATION, PLEASE P I T ALL INFORMATION r rty Owner g ame t roperty Location rUZ L E': zP s L �s/a j�,,,1 /a, S � � T_ , N, R f Zrf E (orCyl Propert Owner's Maili g Address Lot Number t-� Block Number City, State Zip Code Phone Number Sub i i on Na o r tSM Number F BUILDING: (check one) ❑ State Owned ❑ itr Nearest Road Public 1 or 2 Family Dwelling - No. of bedrooms ° Town of III BUILDING USE (If building type is public, check all that apply) Parcel Tax Number(s) 1 ❑ Apartment/ Condo 2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/ Repairs 11 ❑ Restaurant /Bar /Dining 4 ❑ Church/ School 8 ❑ Mobile Home Park 12 ❑ Service Station/ Car Wash 5 ❑ Hotel/ Motel 9 ❑ Office/Factory 13 ❑ Other: specify IV TYPE OF PERMIT (Check only one box on line A. Check box on line B, if applicable) A) 1. pq New 2 ❑ Replacement 3. ❑ Replacement of 4_ ❑ Reconnection of S Q Repair of an ting ------ System ________ System_____________ Tank Only______________ ExistingSystem _____ ^__ Ex- - 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 ASeepage Trench 22 ❑ In- Ground Pressure 42 ❑ Pit Privy 13 ❑ Seepage Pit 43 ❑ Vault Privy 14 ❑ System -In -Fill G a4 aw 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 O_cy 7 5 Y Feet Feet Ca acct VII TANK in allons Total # Of Prefab. Site Fiber- INFORMATION g Gallons Tanks Manufacturer's Name Concrete con- Steel glass Plastic Exper. New Existin strutted App Tanks Tanks eptic Tan / titi' l �'� ❑ ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber ❑ 1 ❑ 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 Si nat re: (No am MP /MPRSW No.: Business Phone Number: Plumber's Address (Street, Cit te, Zip Cod Air' G t IX. COUNTY / DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater ate Issued Issuing A nt ) ignature (No Stamps) Approved Q Owner Given Initial / Grp Surcharge Fee) Adverse Determination OCR / � X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: SBD- 6398 (R.11197) DISTRIBUTION: Original to County, One copy To: Safety & Buildings Division, Owner, Plumber - a 7` I i r 1 i i i ► i j i I i 1 I I j I � I : • � I 1 1 t-2 I I I -a- y I ' I c- � I : I 1 i . I I j �G l/ SITE PLAN Ze 7' ¢ v � i SCALE 1 = 50` OGDEN -ENGI NI;ERI NG CO Walnut St. C ivil Qgineers & Land Surve River IIS, f:: /154022 hone (715 ) May 6, 1999ax (715 425 =731 �f m Al Mr. Rod Eslinger St. Croix County Zoning Office 1101 Carmichael Road Hudson, WI 54016' k U N ', Y Re: Troy Glen, St. Croix County, Wisconsin , 2)NIRiGOFF c Dear Rod; Enclosed are the revised reports for Lot 4, Troy Glen, per our telephone conversation. Please contact us if you have any questions or concerns. Respectfully, James D. Filkins rs 3� sconsm De partment of Industry. SOIL AND SITE EVALUATION REPORT Page of LaMar and Human Flotations Division of Safety & Bwldngs in accord with ILHR 83.05. Wis. Adm. Cade T F?AR( Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. an include 'but. not limited to vertical and horizontal reference point (8M), direction and 9' pe, err EL I.D. x dimensioned, north arrow, and location and distance to nearest road. l \CCEIV I APPLICANT INFO RMAT10N- PLEASE PRINT ALL INFORMA REV K. PIY o DATE td- G 12 . 156 PROPERTY OWNER: p� ,GliL� G FwZE�/ O�l� $ C, GOVT%LW 1/ 4 IVW > 4 S30 T Zd N,R /,6 S*LW PFgPERTY OWNER':S MAIUNG A DRESS 5oZcaivp �T• 5'790. Zo ¢ T s D. d L+ C1 STATE P C 51/65) OE PHONE NUMBER GE ` �� N all / .s4 An -so sa OWN r New Consmx lion Use kj Residential / N umber of bedrooms ( ( Addition to existing building Replacement ( ) Public or commercial describe Code delved daily flow 400 , 9Pd Recommended desgn loading rate bed. 9pdAt trench. g;XW Absorption area required S 07 bed. ft 7 c ", tt esign loading rate D�_ bed.'gpdm 2 D. 9 trerldt, gwR Recommended infiltration surface elevations A// . Lift (as referred to site plan benchmark) Additional design / site considerations Parent material Xl1- yt/ /vyJ,gL OVTIV~ plain elevation, it applicable It S a Suite for System CONVENTIONAL MOUNO I PRESSURE AT -GRACE IN FILL HOLOIWG TANK U- unsuitable for system ®S O u tZ S O U I &S 01.1 ff s 0 u cc S 0 U 0 S 0U SOIL DESCRIPTION REPORT # Horizon Depth Dominant Color Mottles Texture Structure GPD /ft Boring in. Munsell Ou. Sz. Cont Color Gr. Sz. Sh. Consistence 18oun Roots Bed. Treft • B 8- /4 2 3 ¢ — /s /csb,� ds w Z�= D7 .0.8 Ground e 8'd1I . Depth to limiting ac Remarks: Boring # ©� ry ,3�- D -7 ©, 8 Ground l� e,7: 0 88 0. G Depth to limiting 00 F Remarks: CST Name: — Please Print JAMES • D. FILKINS Phone: (715) 425 -7631 Add ren: OGDEN ENGINEERING CO., 113 WEST WALNUT ST., RIVER 54022 Signature: � _ . Da :� S Q 9 2 � v CST Number 222952 PROPERTY OWNER 1, 2A (/ Z �i✓ SOIL DESCRIPTION REPORT Page Z of 3 PARCEL I.D. X Boring # orizon Depth Dominant Color Mottles Texture Structure C.ar>ststenoe Barrdaryr Roots GPO /ft in. Munsell Ou. Sz Cont. Color Gr. Sz. Sh. Bed iTrench D >. o Z -- 5 Z r S D.SI DEG - -JC 142-7 UM 88� epth to Gmidn9. Remarks: Boring # 21 8 8 -34 /o% 4 ¢ s os6,Ci ohs w A> A S C oy� s G - 5 a /,V/ -- L 0.7 o g Do" to Remarks: Boring # My2 d s w 3v D,S o. G 8 /i-N /o Ye Os ds w ound lev. ft Depth to i limiting factor > -00 n Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: S80.63MR.OSAM PAGE 3 OF 3 SITE PLAN CEIV ( _j MA"J' n 7 1 7 99 ST CROIX CWNTY ZCXVtNG OFF►UE :per AV NOTE: DRAINFIELD TO BE A MINIMUM OF: 25' FROM DWELLING; 50' FROM WELL; 5' FROM LOT LINE. �dT ¢ � 0 4 s SCALE 1" = 50' OGDEN ENGINEERING CO. JAM D. FILKINS, 222952 q Civil Engineers & Land Surveyors DATE: 1�nEU s / 113 V.. Walnut St. River Falls. WI 54022 (715) 425 -7631 V ri sconsm Oepertnnt of Industry SOIL AND SITE EVALUATION REPORT Page of 3 te L:..bor and Human Retanons pivysan of Satsry 8 f3wldm9s in accord with ILHR 83.05. Wi�f�dtii. ' Code COUNT`! Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Wn;Fnust inc4o, but O'AR CEL I.O. +e not limited to vertical and horizontal reference point (BM), direction andY _ f dope, Tcx dimensioned, north arrow, and location and distance to nearest road. (* ' R IEWED 13Y DATE APPLICANT INFORMATION PLEASE PRINT ALL INFORMA PROPERTY OWNER: PROP A� ON AeAK6' 1, 4V Ze► N D 1I,E S � r ( {a{� NW 174,S T Z� N.R /b N�.W PR OZ O o ��NG A�0RESS 5,71,6. � � � LOT 9 BLOCK /t S 0. NAME �O� G STATE ,5 P C DE PHONE NUMBER (:]CITY I CXOWN NFAREST ROAD v 5�N Gv/ .S /� t1/S) 386 - Jel D' New Cortsmx tiara Use p(J Residential / Number of bedrooms ( J Addition to existing building L J Replacement ( J Public or commercial describe Code derived daily flow � gpd Recommended design loWirtg rate Q 7 bed. gpdM trench, gpoltf Absorption area required g S' bed. (i ch " araua esign loading rate _ bed. 9Pti/ft 9 . 8 trench, 9P Recommended infiltration surface elevations) , / j �rIt (as referred to site plan benchmark) Additional design / site considerations I 7S ' BAD Nlrl L T° 6v,6.57 Parent material f4L aVIVAI - &, 4,//4 60TIU Rood plain elevation, it applicable IV - It S = Suitable for system CONVENTIONAL MOUND I NS�f-- ROUND PRESSURE Ar cw►oE sY�TEM IN �xl Howuvc TANK U= Unsuitable for stem Es ❑ U ( U S ❑ U ®S ❑ U ff S ❑ U WS U C3 S ffu SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Texture Structure lConsistertoel Roots GPD /ft Boring # Horizon in Munsell Ou. Sz. Cont Color Gr. Sz. Sh. Bed. Trend. /,- 5 do Ground C 8 -8¢ DY,e S /N e 8�. ft Depth to limiting Remarks: Boring # f>< p -6 /4 z — S/ Z>�ar• �5 w D.s €D.� Is G 8 oY S 6 — 5 Os � � l � D.7� ° • Ground g8 fc to limiting Remarks CST Name: — Please Print JAMES b. FILKINS Phone: (715) 425.7631 Addresc OGDEN ENGINEERING CO., 113 WEST WALNUT ST., RIVER FA , ILILD&2 Signature: Oa CST Number. 222952 r PROPERTY OWNER - 7 Ei✓ SOIL DESCRIPTION REPORT Page Z of 3 PARCEL I:0. if Depth Dominant Color MotlfeS Texture Structure Consisflenoe GPO /ft Boring # Horizon in. Munsell Ou. Sz Cont. Color Gr. Sz. Sh. Baxd3y Roots Bed iTrench Gro G' 18- 7,0 Z4 Y,2 3 G .5 Ds /�1 — 0• . 8 88 f 1t... i Depth to j f factor NTY ?� 7'Jh1 GC)FF Remarks: Boring # C - o oy/2 44 - s a 1 /V/ -- �' 0.7 ©. Ground 88 • ft Depth to limiting Remarks: Boring # Aw vt-ea A Ground Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: S130- 6330(R.05/92) PAGE 3 OF 3 SITE PLAN / •, /,e Al 887_ zz P TIVED 77 r4g9 �T csia) . iNTY NOTE: DRAINFIELD TO BE A MINIMUM OF: 25' FROM DWELUNG; 50' FROM WELL; 5' FROM LOT UNE. d7 ¢ s SCALE 1" = 50' OGDEN ENGINEERING CO. JAME . FI KINS, 222952 Civil Engineers & Land Surveyors DATE: c s �� , 113 W. Walnut St. River Falls. WI 54022 (715) 425 -7631 Wiswrisin Department of IndusuY, SOIL AND SITE EVALUATION REPORT Page of Labor and Human Aelauons g Division or sorely 8 awngs in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but .557" ' not limited to vertical and horizontal reference point (SM), direction and % of slope, scale or PARCEL I.D. 0 dimensioned, north arrow, and location and distance to nearest road. APPLICANT INFORMATION— PLEASE PRINT ALL INFORMATION R I DBY DATE PROPERTY OWNER: PROPERTY LOCATION "4,6 L o O•`'/� S C. GOVT. LOTM�V 1/4 NW 1/ 4,S 70 TZI N.R 1,6 S4Q[,W PR ERTY OWNEIT:S MAILING A DRESS LOT fr BLOCK # D. NAME 0 M s 4Z �OyVo .�` >. s>6, Z-0 ¢ — S ter 10/1: CS ��y eFZ`11!�11 CIJY, STATE P C DE PHONE NUMBER (:]CITY ILLAGE OWN 2 4,MWMele- EST ROAO all s- 9 P 145) 30 -sosa y - D' New Construction Use k j Residential / Number of bedrooms ( ) Addition to existing building L ) Replacement ( j Public or commercial describe Code derived daily flow ADO gpd Recommended design loading rate Q 7 bed, gpd/ft trench. gp0 Absorption area required $ 07 bed, ft 7J`D trench, 9 Maximum design loading rate _ bed. gpdHt d, 3 trench, gpd/ft Recommended infiltration surface elevation(s) S /N /T. , A8d (as referred to site plan benchmark) Additional design / site considerations N pL L >, = /Z' 7S ' Bat:D . �t/ /T L 7 4u65 Parent material XLL //l/ /V/YI 6y7'jV1;— plain elevation, if applicable /t - It S - Suitable for system CONVENTIONAL I MOUNO IN- OROUNO PRESSURE AT•GRAOE SYSTEM IN FILL HOLDING TANK U- Unsuitable fors stem ZS O U 0 S O U S O u KS O U I If' S O U ❑ S �u SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Structure I GPO /ft Boring # Horizon in. Munsell Ou. Sz. Cont Color Texture Gr. Sz. Sh. Cons Roots Bed Trertctt O- r3 0 /� Z// s / Zr r� 3 S cs6z ¢ / / ds w zi o> o, s Ground elev . tl . � ft. Depth to limiting Remarks: Boring # Ground C 8 Of' S 6 5 Osa � ,7� O •B OIL � Depth to limiting �; �` f — '- .� eo a, T CHO X ` Remarks: ZONINGOFFtCE CST Name.— Please Print ,JAMES "D. RLKINS — Phone: (715) Add ress: OGDEN ENGINEERING CO., 113 WEST WALNUT ST., RIVER FALLS, WI 54022 Signature: _ Date: Z S• CST Number: 222952 PROPERTY OWNER 4 iVZlrxl SOIL DESCRIPTION REPORT Page Z of 3 PARCEL I.D. 0 Depth Dominant Color Mottles Texture Structure CAt Roots GPO /ft Boring # Horizon in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. Bed ITF&xh Lj d Z — 5 Z r 4P.31D.4 P' 38 D Yid 3 5 �� p�5 G(1 {' 4. 710•$ Ground C �� -90 Z4 Y,e s — S Ds r� -' f D• . 8 0 7-1 Depth to tam rte_ � Remarks: Boring # D.7 0 9 Ground elev. Depth to limiting o a Remarks: Boring # MY2 l .s Z'�qr d s w 3v>F D�So.G Y,e ¢ ¢ 3 Os ds w W-, 4,704 Ground I ry 3. D ft. Depth to limiting factor y Remarks: Boring # L Ground elev. ft. Depth to limiting facts Remarks: _ Sao -s 0(R.05AM PAGE 3OF3 SITE PLAN 1"Al �= 987.zz NOTE: DRAINFIELD TO BE A MINIMUM OF: 25' FROM DWELLING; 50' FROM WELL; 5' FROM LOT LINE. ZZ) T ¢ Tay s % SLo�E SCALE 1 = 50' OGDEN ENGINEERING CO. JAM9 D. FILKINS, 222952 Civil Engineers & Land Surveyors DATE: 9 ZS Q 113 W. Walnut St. River Falls. WI 54022 (715) 425.7631 CEC,- 18'98 (FR 1) 14:11 BRUCE LENZEN INC TEL:7153861999 P. 001 12/1 FR 14 .81 FAX 7402 072 MERCANTILE BANK DEC. -19' IWR11 09'40 BRUCE LENZEN INC TFL17153861999 P.00� IT CRO COUNTY UPTIC TAn MAMMA= AGMEMEM AM QWNERSED MRTWICATION FORM OWll erl$ttyer LL J N LL I n a 1 R jo)ig nn] C J y Q r lam, Maijias;; Addreaa J45' _ La i i f P l k A S+ • IP t „i� Al s5� 1 ej a..,-.....� 18 J Prope Address +�o�' � � G t�ty (Verifati nopttrad t>u>m rlat>aigg Aa Qwstate Parcel Ida Oeatinn Number — 6 4 1 1_ LEGALMEW WTION P'opes;ly Lcccd= AL 1 4, Sec, J&L Tom$ N•R j.�.W, Town of �1� Y� - Subdivioloa - rA D Y G 1FN Lot 0 _. Cet'WW Survey Map # - : L6 4 a D ? . VojwAe / °�• pale M Wamuty Deed # S S W 9 Veltmte r 3 IPd 0 page # 3 3 Spat bourn 0 you JR no Lot lirw Weld ble Z You Q s hl UM M ADMNAVOW Iatpmw cad a7aintammat lop* rimom could Ou In tbproutan" mum to baadk Wum. rmmu eia"Wo eocs" of puWittE Wt the capon took every *mo you$ Of son W, It mded by a LW w pumper. Wlsat you put ho tbo #►stem GO Aft% to 611a91" of me Ionic tank u a unamt tr ap is floe WNW & mW ev"t• The WWI vwoar a greo m to oubait to St, Crolu Zanint j3gwrrtiattt a am iftod" QM W$Wd by the mvom Sad by s ma<naplambsr, jeprneytwe RZttlmbK,rwRlamdplttmbe! er a licsswdptt�gruratityiog Ibat {I) tba as -cite wlltttwaDerdi�ta�1 �ystom is is pmper O"Wina emdltlnn snriMr (2) rRer ioapecdoa sad pumpia f (if mmeelamy), the aepdo uk im Iesm than 111 fvii 9f sludge. Vwa, the nndtveipmedbova and th above ngwrsa om ad maree to Malepjs Gm peiv4a taurep diopowal system with Ow 4MWw4s Ael �� h+tre�, K4 set by► the Depat9steot o! Cotaautecce and fhe bepartswst o =Natural AmeWOer, gbh etR►i000aaia, Ct�ra!'iaatlaO 41#059 64176W mm}tle syeaera ham tact; MiOntaiaed swat to umxWMtad mad resod a dw Be. Cow Comply W&O N1tt" 94 dAla tlao three year aspiration date. iWA 1ricAxr l l�' O i two) wed tbm 4114b o this (Attar m true t6 *6 beat Of my (our) knowledge. I (we) wo (are) the ow 41) of tba prop dassribad above by vimm of a wamly dead maulad in Lgiffw of beads Mr. IMNATUM 0 AM a DA 'PR •....a �►ar iatOrmatiaa tbgt is atjo roprrsaaladtaay Hauls is floe lagi4lry plrpdt loaio ravolred b the zoaiag Dmpatbt»eat. ••••e� 1 e 11141t►de with this eppileattea: a Namood wmmaty deed ki m for Aolistar olUSarts nmem 4 espy of the oarbitled survey map if tt lr nos 4 made is The ormuty deed VOL 1385 PAC , STATE BAR OF WISCONSIN FORM 1 - 1982 593416 • WARRANTY DEED KATHLEEN H. WALSH REGISTER OF DEEDS DOCUMENT NO. ST. CROIX CO., WI — - - - - - -~ " RECEIVED FOR RECORD This Deed made between Bruce Lenzen Homes. Inc., a 12 -09 -1998 2:30 PM Wisconsin cor oration . WARRANTY DEED EXEMPT # Grantor, CERT COPY FEE: and Richard W. Cla baker and Judith Dianne KlinLysick COPY FEE: husband and wif as joint tenants TRANSFER FEE: 267.00 RECORDING FEE: 10.00 PAGES: 1 Grantee, Witnesseth, That the said Grantor, for a valuable consideratio one dollar and other good and valuable consideration conveys to Grantee the following described real estate in St. C I THIS SPACE RESERVED FOR RECORDING DATA _ -- — - C ounty, - State of Wisconsin: I NAME AND RETURN ADDRESS Edward I ' F Davison& Vlack 200 East Elm Street River Falls, WI 54022 i 040- 1113 -90 PARCEL IDENTIFICATION NUMBER I� Lot Four (4), Plat of Troy Glen in the Town of Troy. I . i I� This is not homestead property i jhk (is not) I Together with all and singular the hereditaments and appurtenances thereunto belonging; I I And grantor I � warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except easements, restrictions, II ; i reservations, and covenants if any of record, and highway rights of way �j and will warrant and defend the same. Dated this / Tff day of December gg ,19 (SEAL) (SEAL) Bruce Lenzen Hom Inc. ruce nzen, rest. ent (SEAL) (SEAL) r AUTHENTICATION ACKNOWLEDGMENT Signature(s) Bruce G. Lenzen State of Wisconsin, ss. St. Croix County. ee ,, ,, authenticated this day of December Ig 9 8 Personally came before me this `y b—/— day of . I I N 00 W 2637.16' (N 00 6 12'26 " / W) 318.58' 1 1318.5f FA - v 1 11 1 1 - � i 11 1285.58' 243.76' 169.82 159.13' 572.71' 00 N FENCE ENCI 00 ........., �B / n N o $g Wm $� 194 .29 , j 1. 2° S 87 .... ° °' p e g ° 12 °0 p 00, , 1¢, o p5 84 Z W .381 ......1. 14 � / �n ( v c , m r o 0 Lt y w a -�? n .� AE W / M fo ot IZ l °LO N L4 ` �• w 00 , I I Z ►� � I � N (� c� ` co 1 0 Ui f — O . a cn 2 ' ... 00 � \ N D w Z » m 0 00 O 1 N N Z 75, 1 v Z � I ................. .. • v " 167.19' 1 442.55' 1 c 1282.96' S 00 E 1 on (N 00°12 I m I r 0>0 0 I m m lololrl• I-f i m N D a �,IMI I a � y a z I�INI !2 So Iola A m _ IO I 0 II 0 S D v I �? . z �m Ny- �° V) -�I n r B m LI .. A cD