Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
040-1284-30-000 (2)
Wisconsin Department of Commerce Safety and Building Division PRIVATE SEWAGE SYSTEM INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for seconds ry Purposes (Privacy Lew, s.15.04 (1 xm)) Pa 11 u Robert W. & Karen J. Supers TOWN OF TROY St. Croix 040-1284-30-000 i 0!: � i y, $ I C*--W "A-tx(A COQ -:0C i�SecbonrrownlRg9 Map 7 ap No: TANK INFORMATION L11...'CIf I 09.28.19.1607 2.) Bldg sewer length amount of cover vw-�Ltl-- Plan revision Required? Lk Yes Xr No 11 � Use other side for additional Information. 49 D�710(R.3�f9_7�)p Dale �O cry —� A Insapclofs Signature — Can. No. // J�/LGCf_(�1 `D /N�� epAnli 1.�1— 0-a y r industry Services Division yy- County ILQ 4822 Madison Yards Way Madison, W l 53670 5 Sanitary/P�erm(itt Number (to be filled m by Co.) V 1 �( +53 b+� t. Unty Mad' 15 - Co Ft `r/ 1 I Permit Applicati State 7ntisserioti Number omR'ur,t In sstwtla 3g3.21(2). Wis. Aden. Code, submission of this form to governments[ unit is requited prior to obtaining a sanitary permit. Note: Application forms for striaowned POWTS are submitted Ica Project Address (if different lion mailing address) time Deparenent of Safety and Professional Services. Personal information you provide may be used for secondary purposes in accordance with the Privacy Law, s. 15114(Ixm), Slats. pm,,,.'1 u L Apol:a s Infermdm - Please Plrhd AN Lflrraadse Property Owner's N S� S s ay 0- p ,36-00 L% R . •w"ry LAX;a Lot Property Owner's Mnl'ag Address o I,�xd ` pni �.� Gos1 City, State Zip Code Phone Number 1 DUbsU>, / 1/, Section T� N R I E m W LL Type of � (theta to flit �) Lot tf I Subdivision Name ❑Im2FamityDwelling - Number ofBedroppls IV,--�- p� ©i1Q Block M 1--� 1 rublw Commercial - Describe Use u .ity of owned - Describe Use illege of R CSM Number ®Town of _ ILL Type of Powys r atae (cbetk ent er "Ned' or"RepYoewent" rod edw appdmble err YBe A. CYeelc we M= M We ilCNpkle Yee C if System DDther Modification to Existing Systear (explsem) Additional Pretrealmmt Unit (explain) Syst® F atolding Tank at -Grade Mou d hdiAml Siteof Before ❑Revision Plumber �namfer to New st Previous Permit Number and Dale Issued .3 R -yq 5- -7//O �e •L / Expiration IV. twtmnt Area aid Task 1talermatlOe: 2 Design Flow (gd) Design Soil licatioa RaWgpdtst) Dispersal Area Required (st) Dispersal Area Proposed (so System F1 arm bb Ob g 5 poo Capacity m Total p of MauufactmrT Tank InformationGallons Gallons Units .$ tj ' /h Ncw Truss FAniong Tanks l Y V I fi 1 b a U in in C7 A. Septic or Holding Task .- , -;i S4 ui si t %I lkssiog Cbaalber V. RapoissU y SWWmt"- 411te ode* - moon r 7 far. Inlannow ettke roWis Wars on Me slimed" pkm& Plumber's 's Si MPIMPRS Number Business Phone N umbF X- 0cab �M,4 Plumber's Address (SUM, C- State, Code) 11 514 �W ru �N VW VL Ceeety/Departmeat Use KAppoveal ❑ pisappmvod Perm�it+F�eeA/,Q=r T�rConditions of 3/ �-w `l SYSTEM OWNER: / t 1. Septic tank, effluent filter and dispersal cell must be serviced / maintained �f 1' ' f1 Ot1� jt fad �hdw'i�14�I by `) as per management plan provided plumber, 2. All setback requirements must be maintained 06 per applicable code/ordinances. a=t-�7� 11��Y tAre1_2l__. -..w l�sva aTn1:1�1 w • � s7.7 Pa ate• . a Ire �lo-j- m�p p��s t-OcKfIoN ' 53S ORc, Ar4 D' X tic Safi 13 ��.�. Copy 31g ����,mbtk �$ SOt�bw►k '�ba� �Isr�►oo.o w 1� P.1a12 A 0oar S ��f3�11 Rye , va)vj y 7LQL- m 3x go 9 s-e C.fi16N 10 1= 9 0, ✓ N 1 al-M voume-es-6, tic-PIPR3 aaa901 0 witl tea: 1 cmgw-smww b OaC Tam `otM�3 rammumobar 1Nis e aMEioe¢3�, i 9i Cak�► a cT4uRPage F�n4t Pie 9 wed �3um �lo-t- P1�P NA m� - a� s G L"CR+loN - 53S ORc6rd DKn)ve Let 13 9,00 r_Nil 5�,N 31$ l �I`�,MbtK IaSt,5b +r_10o.a S��',� �k P.a6aic w�� A• ►v(7 g� (3a11 �MN s JL r Z Fl oW r B' o ry 5 3)( M 9 3- eetows o+ lot = 9o� N 1 CJRclnaad Dv-1v-e �im �ou1'h��S�jZ UIC-PIPPO aaa9ay 130bRLU11'1 f�o►xp si�s-T ST- CROIA c umi-y ZONING OFFICE POR IUrjLI CERTIF OFF �ONomnspawT STING.SEPTIC TANK This is to certify that I. have inspect the ed the septic tank Presently p� Sl� K/ y seiving Sec_ residence located at: N ,�� �i �� T=` S . Rj f1, Tom of �,�� - ty, Wisconsin- 'Upon inspection, I c St'Croix baffles to be in good certify that I have found the t Condit -on appears t and it and Last time serviced --_�� 19�'-1 o be functioninng grope ly. Did flow back occur from absorption system? line_ APPrwumate volu., or length of .Capacity: Construction: Pre a2i Con Manufacturer (if known) ArTM* /_j I f known): p �S � Urate) Yes_ No'%q:Z (if no, skip Steel S-Q K gallons au notes -Other 1 p Please Print Form to be cOmPleted by 13,censed ply= {e- 395_a6 licensed diap"oser (MR I-L3 , , filiacoasin Statutes) econsin Administrative Code) Plumber (applying for sanit ary permit) Certification-- In accepting the above state®ent certify that the tank, towarding existing septic tank conditic v e is of ILHR 83 w � -best of my knowledge, will C=folm to .b�affle()�_ t ;,ept for inspection opening Name -J 1 yh�1. Signature MPIMPRS or I' E 00000000 fill VI VI VI !:: 5 4/712021 Home Products EZflow k) Sep, QBow® Septic System I Infiltrator Water TecM, "Iss EZflow® Septic System (xJ UiEZj--towy INFILTRATOR The Infiltrator EZflow septic system is an environmentally friendly replacement to traditional stone and pipe drainfields using an engineered geosynthetic aggregate modular design. The gravelless EZflow system is designed to improve drainfield performance by eliminating the fines and reducing compaction and embedment associated with stone. Preassembled units include a 4" perforated drain pipe surrounded by aggregate and held in place with durable, high -strength netting. Bundle System Configurations: Single Bundle 7", 8", 10", 12", and 14" diameters Horizontal Bundle 7", 9", 10", 12", 13", and 14" diameters Vertical Bundle 10", 12", and 14" diameters hMs:/hvww.hMvewmvw=nVpmdudsleblow-septlMerswN-jePk4YsiwV 116 C 1 /.1'rZ Triangle Bundle 10", 12", 13", and 14" diameters Qnow® septic System I Ird water water Techr"Nies Easy -to -Contour Lengths 5' and 10' Applications: • Shallow applications (low -profile models) ■ Trenches & bed systems ■ Fill and mound systems ■ Pressure distribution systems ■ Serial distribution systems ■ Use with advanced treatment systems ■ At -grade systems ■ Step-down or drop -box systems ■ Commercial, community or cluster systems Benefits: ■ Always clean and free of fines ■ Bundles are quick to install, saving costs on heavy machinery and labor ■ Gravelless leach field and septic pipe • Modular construction allows configurations to match trench dimensions for most system shapes and sizes ■ Engineered for optimal storage and absorption efficiencies ■ Ability to contour along sloped sites and around trees or landscaping ■ Lightweight system is perfect for repairs and tight job sites ■ Easily hand -carried into position reducing time and labor ■ 5' or I Y lengths with simple snap, internal couplers ■ Easier cleanup at job site with the elimination of stone ■ Manufactured from recycled materials rather than a mined natural resource ■ A wide variety of diameters and configurations to meet any installation professional's needs ■ Approved in many jurisdictions with an increased efficiency rating, reducing drainfield size ■ Backed by the leader in the onsite wastewater industry Installation & Ti Vi > FAQs: Where can I get local installation code, system designs, and product technical questions answered? Many installation requirements and options are governed by local codes instituted by the health department in your area. When in question, check with the local health department for specifics and follow their code instructions. Any design or installation questions not answered here can be directed to the infiltrator Water Technologies' Technical Services staff by calling 1-800-718-2754. In what types of systems can EZflow be installed? hnpsJlwww.MMraWmatw.CwVpoductsl Z6 S r. CRO NTY SANITARY SYSTEM F` OWNERSHIP/ADDRESS FORM �� Community Development Department will utilize this information to provide the property owner with information regarding operation and maintenance of your new or replacement sanitary system This information will be provided as part of our ongoing efforts to protect public health, your well, groundwater, surface water, property vakm% and county resources. Once approved, this completed form and educational information will be sent to you by email. Owner/&ryer _ Mailing Address Cm►/State/Zip _ Round on the property tax bill) OWNER/BWER INFORMATION S 53S OrcVrsx vD,b>J W) S G NEW SYSTEM: LEGAL Property Location NL 1/! ,�L'/4 ,llSec. Subdivision Plat �1 V-Lf�p1 Cardfied Survey Map T JN RIq W. Town of / If 0 �1 Lot S. Volume . Page 'lilarrm ty Deed # `� Sb (before 2006)Volume . Page t# Number of bedrooms Spec house 0 yes-Wno Lot lines identifiableA*es O no OFRCE USE ONLY New Property Address &2!t tVaiiimfim of new m*md 6om Cww ity oerdopment Dgwbnan for nee mtstnmon) 1 / (sue - - (Date) This form must be submitted with all Private Onsite Water Treatment System (POINTS) opplecotkum New S hsdude weh this form a recorded warranty deed from Ure ReyLOW a¢Deeds Ofte and O copy of ifie survey map if rgf6wwe is made in the warranty dead Conwriunity Development Department — Land Use Division 715-386-4680 SL Croix County Government Center 715-245-4250 fax cdd@wxM.am 1101 Caffnkhael Road, Nudsm W154016 y�y Y V 18 9 `i 1' 3 0 2 STATE BAR OF WISCONSIN FORM 2 - 1998 WARRANTY DEED Document Number This Deed. made between Sam E. Miller, .$-sinal9._ Qerson, ---- -- -- - - - ---- _ - ----' Grantor. and _ Robert . W _Sera and Karen J . Steers a _ _ _husband and wife, as survivorship mar-x-t&l eroQe—tYs—. —. --- - ___—._, Grantee. Grantor. for a valuable consideration. conveys and warrants to Grantee the following described real estate In St. Croix County. State of Wisconsin: Lot 13 Plat of The Orchard lvision in t e T wn o Troy, St. Croix County, Wisconsin. C. 7 9 S IZstB KATHLEEN H. WALSH REGISTER OF DEEDS ST. CROIX CO., NI RECEIVED FOR RECORD 05-20-2002 10:50 AN WARRANTY DEED DEMPT It NEC FEE: 11.00 TRANS FEE: 645.00 COPY FEE: CERT COPY FEE: PAGES: I I. , . Name and RSIWr Addreaa erative Mortgage Sery 040-1284-30-000 Parcel lattnnscelxxr NtY . W11,11 This i-�n hoinestead property. (is) (Is not) Exceptions to warranties: Subject to easements, reservations and retractions of record. �7 Dated this l !ot may -• -2 SL2 day of - (SEAL) Z `, --- — (SEAL) SA_M E. MILLER---- - (SEAL) AUTHENTICATION Signatures) authenticated this day of -- TITLE'- MEMBER STATE BAR OF WISCONSIN (If not. authorized by §706.06, Wks. Stats.) (SEAL) ACKNOWLEDGMENT State of Wisconsin, ss. 4t [7roix County. Personally came before me this _6% day of May 2 1 n 2 , the above named SAm F. Miller —. - to me kn n to be the person —_ who exccWO(l the fortgolrtR n e t and ackno ed same. 1 THIS INSTRUMENT WAS DRAFTED BY — STEP HEN J. DUNLAP —"��� - Nouary Pub . S to of Wisconsin _ My commission is permanent. (If not. state expiration date Hudson, —Wisconsin . (Signatures may be authenticated or acknowledged. Bah are not -- Tfacy L. 1 Ufr1151 necessary.) NotalY Public • Nanra of peraan aytnina in any capaeny muM bi typal a pnntetl Mow their ayrurure Stata Di ..:..cons' W,aC .- teeM aiYrk f� inc STATEPERM No 2 II ICON SIN A4,wa�.ee. wo WARRANTY DEED Da.A W 36o THE ORCHARD SUBDIVISION LOAD A PAR! 0' Ik ?W VS- 171 OF X Ia-MIS' 171, AD A w OMs mov 1/4 Cr MIOIWM 114 AIO NPAT OF 1( KnOM '/4 Q X SOMA'/i, NO N FAT O N( 1 1TW 1/4 OF X WD10 1/t NO NMI OF It 101W 114 OF X NWWJS1 1/i OF K= 9. Imo! 2N WN_ W; 11 IM N K aW Or IV. Sr OD1 MW. 11 09t IO1101C Lm 5 OF (06(0 w WP NEW W N 1UW( It, Fla 2995. LOM =ALW (WTTOU RINR1d M OACwAD AIBa4Tll LlOB01 . Ind 9 �..._ CAIOWpA1 cam so SE — RR4 MIT FAWM -- NNIL.. t7Atl6 ��11MM O l0.�lpv3/1SgI M 441 EAWm IOIw N 3y N01 To mm 7 pq IDM is Tom M IRO 1m1 At LL OW LCI mYR MAC DOOM fl 11/4 NI Jr 1W PI Am12ism, mNN um mm It MIT EADW U • KMAS MO1E W1110 Ik W%%M TO Tit N" LK W 1/I. SIM9 ALL MOP9 D 9E "J6INM O PIM, WM 0 ft i EASEWWS 9W1 W A I169 TIM 01 NK01 IUL OEM'M V Lm IN *2) FUT am 0( I* IRV 0CNJ0t 10 ow OR KM AWL m A1iI1K Old mu WE" ne a 0W a N( oP[ M Q x NIIum WIDIM IW mma NO A Um RAN Fat InS U. %6 $mar art 6 IV LME) to M W LFOA 0351WGIC AL701K FUAU 0 MOX OR P,7A0q A NN P00 010m ai6 ro G02 salm¢ CENEDAL M0110E STATEMEITF ED PNut 90n ON Na OF OSAO 6 MCI To M Mon. AO MOW N6 Us AAO K"Am a 11Xvm we m7 SE AM to PNM Eit) luaw pm" 0 01UOW6 NN PW. OF lA'A0 01A0 M % 0100 0.U•n M K OAII N0 K A'ogmf for Ow W AXE un6LTT LASEYEMIS N7 pw 09 KW Oafs IN to Y kmao W TW nE 1sxw 14A0 mm M1 RW SK. OR 0115TU7 VISA W NW L0 O1t 0511Qt LK M 06T fta O A AWE W ON 6 A WLCM OF SON 2.117 CF WSL171AI sWA AAILQ 61U1 EASEWII5 a HBO SET FO TO AR Fo111f 0 OF RW OW NO PIfAtC/R61C AM MK A IV 70 SOM DE ATA % 4 ''/s p5 / Ir A/ Ig 27 10%76 Sq Ft 250k LOT 1094M SiT Z51 k Itmmmu ROma4Q lrrrrrll � I. Ag4 4. I ..11 01 FOX NYNW g11W11" 1/4 1 266645 S8912'35'1 NO81N LIE "1/4!9FC00N 9 mWA 4Cm+ LOT 22 121920 5a F1. ZBD k S SO I�2r S 71T I \MF 341? LOT �3 109481 Sq FL' 151 k S � ' �1— LOT 2'� 11 94 $q Ft t 262 k L91 NE 1/4 SECTO 9 43ON -- Aaa--' —LOT 21$ — ——LhT--20- — \ <1 14'097 Sq, F. 1 122403 Sq F:. i� 124k 1.81 k. / yM II Ix rn E '... MIT l X**m an km Y I OW I MC L00 a 139489 S. FLFI r/sa 120 k I \au>L5 N'/r. Old-sAt [AS[Id' (To O I; 0a1 / fiii 11� j/ 1 .S � / 5t90 � LOT 17 / 6 t 2.65 k. t t ---- _-_._-_ — -- Imll�: N I _ a tau m �1 tOUu1 1 I IM112 Sq Ft 110514 Sq FtIWYY1 109166 Sq Ft. "I I. 1 1 Z50 k 1. 4 k u 2.51 NC it r 1 1 LOT 12' OT 13 LOT 14N r.mA N'a W- vy \9� \U'n 5�(45s sI LOT 1��'� \�a` ®v 1 238119 Sq Ft / SA7 k. / PAW no J. K. make mW 3 LOT 16 — >I 111953 Sq Ft. 2.57 k • I EF 5 ART A r:WIW. I 4j, e°Er"a i or. I: B{W4• I �5 � ` UlID ry 1_-�LOT 1� 137U k Ft. 4.11 117 k. ----- 'u90 1I QZ DEIAL A qt 10 sw SS7 roar mmyX cE a FS ►SID6110111 WIVE W NIA6 233 D W5"NIS OR mm AK cm Kim THE 01-OF-W AD x ZINN LAE 4F01am W-0 0 N( 10t LW@ 10 SAS we m PAF1I;a 0(1EWIS sm M mtM oNUCL Fla m E1C. 1 37NG E7Pf my Wien W I(SE WSN0 m %U cmm A 4S1iCWN m 11( RWIM OF NE MI P=K 10 SEC J"3. or" AArm r0 M K CW4R°.A9C 91 K C4➢AIIW111 cr T*"W0t OW 1W WOO mtArWN1 aF A ZWM om[t Im(m WNWMI x NaW NNWO 1W1a OF*r D m m +aN cm mow EOwAEW. t06555' 1885T071 Z6i K89IT301 . I 5K45 N�1211 Y ° — — — —B� — --- — — ------- — — °— COUNTY 166AY°FF —_— --------——---— — — — — — � 1000' SOD'AT301 11 �A} v0 A� �S, . I aro r m PNm 19E[T I or 3 Ir 11yiewMin Department of Corntner0e yW)dBuamrwsor iUm PRIVATE SEWAGE SYSTEM INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Pereortd kl6omalioft you pvNrb may be used for 6e0or4MV ptMpoees IPftwy Lxw. S.15.04 (1 xm)l. TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic Dosing Aeration Holding —� TANK SETBACK INFORMATION TANKTO P/L WELL BLDG- vent to ROAD Air Intake Septic > 5d 2 01 i NA Dosing NA Aeration NA Holding PUMP/ SIPHON INFORMATION SOIL ABSORPTION SYSTEM TRENCH Width _ I I length i � NO3 f Trenches ELEVATION DATA Croix 640-1284-30-000 TATION (IS HI FS ELEV. nchmark 1S 105,15g. r Sewer St/Ht Inlet 15 St Outlet 8 Ot Inlet Di Bottom Header / Man. ti - rDist. Pipe ;, System Grade 35 reot. .OrFinal • `srf .nver 03 Dia. SYSTEM TO P/L BLDG WELL LAKEISTREAq LEACHING I k6iwh SETBACK CHAMBER Num C- INFORMATION Type ORUNIT S em:V, l2 1" DISTRIBUTION SYSTEM x Ho spacing veni To AvIntak Header Want 4 Distri cation Pipe s x Ho a Size 9 �, ra la ng 7 S� Length I SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only xx D�of xx Seeded/Sodded xx Mulched Depth Over Depth Over Yes ❑ No Bed/Trench Center BedlirenchEdges Topa❑Yes ❑ NO Cl COMMENTS: (Include code discrepancies, persons presenledf4ction #1: to II&ID! Inspection#2: I Location: 535 Orchard Drive, Hudson, WI 54016 (NE 1/4 NE 1/4 9 T28N R19W) .0928191607 The Orchard -Lot 13 NE l�0�'14 cotMtr 1.) Alt BM Description =°`" 2.) Bldg sewer length = 29. ° -amount of �,ver-- 4 3} �.1„Q,4_Ieo ,�t Plan revision required? Cl Yes No Use other side for additional information. j O $ I Celt N. Date Inspectors Sgn+cure seo-r710 (R-31s� I T B S Z f17J O f Ll i _ -+6 A-s - J Safely and Buiku s Division C01e0' ST V �1�sconsin 20l w. washloptoa Ave.. P.O.62R 7162 litadieai. an s37ar - 716z 5 3Ad5- De cgAfp DR. De artment of Commerce smimq Pin Number Sanitary Permit Application 35429 5' In woord wit Comm 93.21, afu. Ades. Code. Pew isrorm8*0 " 0 Check it Revieioa need Law 05. •' Appfm�taa tofamaflao - rimum Prhrt AB la[ormatfaa ; : ' ' Dian I.D. Number -OY9d Number Op9, aP, /9. /Go7 4apsrtyowoasNams r) m tom. Aapeety o. a bkWffg AddVI SI CVO" 11 AD X / S / to Number Bb* Number qa, Seem zip on& .: .. a bfivhdoo }lame CSM Number ( k'1 r Flo L g O/Uq)I A G 063Go Q.1jpa of BaNdleK (dock aY thu MAO Ocio' 1 or 2 F may Dw@ftg - Number of Bedroom ❑Vmsse ❑ paWkXammeeeial - Describe UM TfLO iD Naarar Rand ❑ sea Owned , '� 3' 9 3.75 E GN S o r F.e1 7,7ft A BSe DRrN/)�� DNv� IQ.'Ljp1'� New 1 ❑ Raplaoamsse s7rem s f Formal (amok a*aae box as Hoe A (armbwb* rrLama f ere). une B it apPlkab)e) A 3 ❑ Repiaoamem Of 6 0 Addition Ia Far osa ank 019V alem T Perntk Number Dais !rued D. ❑ Check if Swirry Pomit Pm im* Itaoed iV. T`Ppa Of (Cleock as that aPpI7)(aune�hK �e is for btserned me) 30 - � S >ti:r4 rM ER I - 50 fAt In -Ground Pronvind 110 Moa7 ❑ s.ne Piker j ❑ conwaerd wetland 220 Pmta+ri d µ urn 41 0 Hold-V Tank 48 0 SbWe Pus Sl ❑ Drip lies 45 0 Ar-Chade 46 0 AeroWa Tre.mYn Unit 49 ❑ is 30 0 Omer V. Arse Ioformatloe: Sal Application ftmowm Race 40cm Meradon Plml Ore& Dwp now wo Required Proposed Arm Rar(Gda.jMys/S9•PW (Min.Aoob) khan i GOO ht Tood Number Mamdrmrer Prefab Site Seed Paler PIRSLk VL Teak Ls[o C Cam of Tanis Coaorao caowaamd aim New 8slstrs Taeb Taob x sap& or !arras Tmk - ► z ¢O VII Statamaot- 4 aarome reapeaatbaR7 car Inetaand a of the Pown rbowo an the ahaehed . pkembsrs Name (P[hrt) Plumber' Siparre MPll�lt5 Number Busineu Ptaoe Number IKF isOoN�-4- 2,2 s Cp 3ab'�b�z Pbtmbees Address (Sheer, ci4. sue. Z4 Code) /0 7o N��F ,C / DL E AM h!9-W sa A/ // VW/0 Vm. Un Due Barad Ise Anent sr�e (No Stamp �Apptaved ❑ Dr.ppravedSurc) Pea (t �rot amdwuu ` arge ❑ owner Given moist Adown ,g �5 VD UL tCoedtkWw a<Apprwral/Rea'°wfair P ae Slot.t-. o^^ �-[I Asrea M com4 eabl dr Ow w rw uaa sin s u btehr r tr. SB"398 (R. 05101) 1104eoo owhiprim 8p� c w SOIL EVALUATION REPORT 13Y1 odop p� ! a 3 %taa7otOwxxf w th Cam ft [Ms. Adm Code NC.E Saw00b0ienkm Aa�dmaaa�drrallmRpmwt Cw" $tCnoit feCMid� Oit aot faar6locra,,,,,„e....� moad PaeM -- — - latroeetabpa aeatta eat &I00M6000, pN�01S 1� rti�rrr�rara rw pstta/ o • • ' � - - PIM - ta4 c'moo* (fl PrapwlyOMW 1 r , PlO�bt�saelloa WSW - - �r 1 <.i atld ME 10 NE U1 s 9 T 29 1009 _ N W Pmvowly0wmntlrlr/1tw�i 81m&• 9rdd NownorC91A/— P.O. Boot 161 `i j . 13 I Plat Of Wees OROMd Hu Cade Ptmane J CM J 11\M AS Town New st Road - Fld3orl Wl 9N'!6 2759 Troy Ordtetd Drbe 40 mm Caneduceon Ula 16 Rwidemetr / Numbw d ba*w,rs 4 Code dsrwwd dnW lbw =W 600 GPD _1 RA bm. wt J PrsAc ar oarremarc r - oeeaba Paw* r ON Gbciw outwash F1oadoMe4Mw Rewfedae na Genera convia s and moormradel m: ReomnmW imaig 2 trerwtms at 3' x 90.625'. usn9 29 high capaelly SbDilfu3w infiarator chambers at sy3:me ebv. z r-- UBang o J BwkV !7 Pt Ground Surtm dw 94.91_ R pWoq f,S ftcgw > J-W._ in. 9d ARde Hu¢a De* 0a "Cats As" Dn Ta11e 9mmdmy i .M 1 0-15 ! 10yt3R ports el 2fsbk ttnAr 4s 2f 0.5 0.9 2 1ii1 ! 1op= pone j d` 2%bk wylr a 1f DA 0.9 3 >7 TAP" pOM b - - 099 ad ca - 0.7 1$ 4 Os9 .�.- pd = 1wA Hera s Os 0.7 1.2 min 10p" 5 hone a OS9 � - - 0.7 12 i a Bong e J Plt CrandSurfwedw 95.76 tz Azr i. NO lot DmcdOm �e 0aiee/ WN Prr sbmdm - — — 1 10 now y pats - - - - is noes s twee s hate s 2ftMt _ 2W /s 2 /f 0.5 0.5 0.9 0! 2 9-20 /0P3A W* as 3 204Z 7spw -- Os0 tat a _ 0.7 1.2 4 10PSA Oo0 pl) It gs _ _-• 0.7 0.7 12 12 5 e !WIN 10yr6M Oop ell f06J1 10yt014 tmrusnt an = aao 3tl < 2Z0 mg4 sd TSS c 150 = tiOD c 30 nqt and TSS .fix rrdL CST Wane Floe NM CST Number Jarws ILTMap�aon >`..._ 3602 �aa &C.E it A Sae Cvdmmepons � ia/a�et Commbtled Tdmglwe Number tmre W150M 4/2301 715-246.7767 /39/ F.IlmmhGrauer 1OWL-S@M PsodDs OW1039-60.OW, W926.19.132 Poe 2 d 3 3 � d Plt Gmund Surbw day. 93.83 .. A DMM to WOe tba >1& laI UP Role liltieoa . Oa* Dataaitwl Cda Red= DuoO a Team owe am ; Cwn-- Alt '1b7 TIW 1 0-12 101W non. ay d 11 - 2Ubk 2pbt Op 019 - - Oq aw6 WA* ow 95 06 a>s � ` -` 2r 1f - - Os 0.6 0.7 0,7 0.9 OA 1.2 1 12 2 12,E 10p = am 2m 7.6Y" lay" _stM � —FAM- 4 22410 owe - -Id 5 W128 10p" nono s - 0.7 ads JBorkv d Pt Geoud Swfam abv. l9 n. Depth to inrrq aaor :t� 6L Ham I DqM Dwtwt o Cda Radar Dta mom Tarneaa i SY Ehm C M M MM 1 0.12 1oym now 31 2Mbk Id 2kbk s _ on W* ' 95 as 21 0.6 OA 2 12a0 10p = R M M* If 0.5 02 4 1Mn. nd mi - - n tom 6 74�t?2 10y1f14 - 0.7 1.2 a BMWs Jsoft !�R GtaaadSu4ostaMw. _-9326,_. A Dq*lo*ftt91Mcloa >ur k Rel�elfeaRMe Ho�oe D@* OWAMCdW Rtdw0n 000 TS*M M-NOW . C MiMlaw 'E1�1 al l 2 11-25 1opa3R 10p = noln ,� 2flbk astir os 21 0 5 IIOIM d 2W[ M* as 1f 0.5 _oA 02 3 12540 4 5 30 3 03-120 7'symn lop"low 10pfb/4 npM b 0do OsrD Qy Rd and -awl - __.. OF 06 - - 0.7 12 naM s - 0.7 0.7 - 1.2 12 - ti I E'flMarn1 = 6W? 30 < 22O nV& and TSS >30 c 150 nvWL • EMuwd S2 - oM L80 R& wW TSS .�A ffQOL The Depwuma of Cammaoe a an oww oppatu itY sov ioc pa' vWo aW eq a-9 , If rm umd an kmm 10 nom s avioes or nwd alnrsaw o w adwnwe k ntaL *=maw the dwwuncrN a160i•266-3131 a TTY 608-m44r 77. I.3 oO z a( /ot /3, /Yfi//t�.'1Q�c./iw/d, A Soil pbSa!✓ct�'on of Toy, cmix N 9 6S ■ By ■ V 83 ten ■ s, or ■ 6 ■ a2 M M .EYI _ may. FF 1� � • d.M. = P�� I : n l.lk: li kr Po Ca leca�eden Ik.y,Q.U.� 4 70,C. of Ea sf peop. Ant. E7cV.- 2 103.sn; Af3e P'-i391 Rex coury A#afta& gptwsk aeCNO. 644753 STATE SANITARY PERMIT PREVIOUS NO. 3 Z f OWNER PLUMBE w► ffis r ME TOWN OF SEC, �N, R_17_ AND/OR LOT BLOC /tr a _ A _ SUBDIVISION CHAPTER 145.135 (2) WISCONSIN STATUTES (a) The purpose of the sanitary permit is to allow installation of the private sewage system described In the permit. (b) The approval of the sanitary permit is based on regulations In force on the date of approval. (c) The sanitary permit is valid and may be renewed for a specified period. (d) Changed regulations will not impair the validity of ■ sanitary permit. (e) Renewal of the sanitary permit will be based on regulations in force at the time renewal is sought, and that changed regulations may impede renewal. (f) The unitary permit is transferable. History: 1977 c.168; 1979 r. 34,221; 1981 c. 314 Note: If you wish to renew the permit, or transfer ownership of the permit, please contact the county authority. A OIFZED ISSUING OFFICER - DATE �ZOZZ PERMIT EXPIRES UNLESS RENEWED BEFORE THAT DATE POST IN PLAIN VIEW VISIBLE FROM THE ROAD FRONTING THE LOT DURING CONSTRUCTION SBD-06499 (RI 1/20)