HomeMy WebLinkAbout040-1092-30-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix
Safety and Building Division Ik
INSPECTION REPORT Sanitary Permit No
GENERAL INFORMATION (ATTACH TO PERMIT) 538765 0
State Plan ID No:
Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)].
Permit Holder's Name: City Village X Township Parcel Tax No:
Huppert Bros. Inc., c/o Lawrence & Donald Hu I Troy, Town of 040 - 1092 -30 -000
CST BM Elev: Insp. BM Elev: BM Description: Section /Town /Range /Map No:
/66 1 -S&I / C 24.28.19.370
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER . CAPACITY STATION BS HI FS ELEV.
Septic :17.,, Benchmark
F D A 146
�
Dosing Ca � M Alt. BM �
Aeration c�c.� r l .�. � 9 (p. Z
Bldg. Sewer 7�
Holding St/Ht Inlet T.
TANK SETBACK INFORMATION St/Ht Outlet �
TANK TO P/L WELL BLDG. VRnt to Air Intake ROAD Dt Inlet
Septic / Dt Bottom
2 / L 4 �vd C� c L
Dosing /d i 1 / Header /Man. / v 7' 7
Z� aZ 46 6•S 53,
Aeration Dist. Pipe
?3, 3
Holding Bot. System 0 94
PUMP /SIPHON INFORMATION Final Grade
Manufacturer Demand St Cover e�r Z t,
Z6 e GPM C'� d 3 • / �
Model Number 310 13 -
TDH Lif / Friction Loss System Head J TDH t
Forcemain / Length Dia. � Dist. to Well i
Z Z- /dZ
SOIL ABSORPTION SYSTEM
BED /TRENCH Width / Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia Liquid Dept`
DIMENSIONS (0 7 Z
SETBACK SYSTEM TO P/L BLDG� IWELL LAKE /STREAM LEACHING Manufacturer:
INFORMATION CHAMBER OR
Type Of System: eG �,/L �
Model Numbe
L-8�J2 �a aZ �J // 7 //ll�� UNIT �
DISTRIBUTION SYSTEM b-46 A (p = 3 64- at
Header /Manifold I Distribution x Hole Size x Hole Spacing Ve to Air Intake: l
/ Pipe(s) ✓ I I
Lengt Dia_ Length Dia `� S pacin g \
SOIL COVER x Pressure Systems Only xx Mound Or At - Grade Systems Only C ., W`_--�
Depth Over Depth Over xx Depth of xx Seeded/ dded xx Mulched
Bed/Trench Center X1. ! Bed /Trench Edges Topsoil
Yes No Yes No
COMMENTS (Include code discrepencies, persons present, etc.) Inspection #1: / / Inspection #2:
Location: 855 Chapman Drive RRi`iver Falls, WI 54022 (SW 1/4 NE 1/4 24 T28N R1 9W) 40 acres Lot Parcel No: 24.28.19.370
ri
1.) Alt BM Description = ' ' " ,' 6aj
2.) Bldg sewer length = /
�a
- amount of cover =
Plan revision Required? 0 Yes No � � ' � 1 r g.
Use other side for additional informati X
SBD -6710 (R.3/97) Date Insepctor's Sbatur Cert. No
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix
Safety and Building Division
INSPECTION REPORT Sanitary Permit No:
538765 0
GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No:
Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)].
Permit Holder's Name: City Village X Township Parcel Tax No:
Huppert Bros. Inc., c/o Lawrence & Donald Hu Troy, Town of 040 - 1092 -30 -000
CST BM Elev: Insp. BM Elev: BM Description: Section /Town /Range /Map No:
24.28.19.370
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic Benchmark
Dosing Alt. BM
Aeration Bldg. Sewer
Holding St /Ht Inlet
St /Ht Outlet
TANK SETBACK INFORMATION
TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet
Septic Dt Bottom
Dosing Header /Man.
Aeration Dist. Pipe
Holding got. System
Final Grade
PUMP /SIPHON INFORMATION
Manufacturer Demand St Cover
GPM
Model Number
TDH 1 1-ii ft Friction Loss System Head TDH Ft
Forcemain Length Dia. Dist. to Well
SOIL ABSORPTION SYSTEM
BED /TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth
DIMENSIONS
SETBACK SYSTEM TO P/L JBLDG IWELL LAKE /STREAM LEACHING Manufacturer:
INFORMATION CHAMBER OR
Type Of System: UNIT Model Number.
DISTRIBUTION SYSTEM
Header /Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake
Pipe(s)
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 D, No L ]Yes I No
COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / / Inspection #2:
Location: 855 Chapman Drive River Falls, WI 54022 (SW 1/4 NE 1/4 24 T28N R19W) 40 acres Lot Parcel No: 24.28.19.370
1.) Alt BM Description =
2.) Bldg sewer length =
- amount of cover =
Plan revision Required? Yes 0 No
Use other side for additional information.
SBD -6710 (R.3/97) Date Insepctors Signature Cent. No
A.. 7
fety and uiidin n 62 County
201 W. Wash' n Ave.,
I�Iroa Madi n, W i �5 - 3 A 707 -71 �� Sanitary Permit Number (to be filled in by Co.)
tscq - - -- - - -- _- -- - - 9r talc Transaeti umber - —
Sanitary Permit App V
In a; , .ardance , vith s. Comm, 83.21(2), Wis. Adm. Code, submission of this fo b ias g ernmen
unit Ri require i prior to obtaining a sanitary permit. Now Application fortes POWTS Project ddress (if different the mailing address)
submitted to tie Department of Commerce. Personal information you provide may or seco ary G C�
u +u ace in acc ordance with the Privacy m Law, s. 15.04 I , 8tata. �/ o a7 NKd% �.
I. el,p ip leant in Information - Please Print M Information
ProlvAy Owne is Nanhe Parcel #
ezo
Prol arty Owner's Mailing Address / /��► Property Location
�' ^ -� K� Govt. Lot
City, State Zip Code Phone Number Ye t- /, Section
'If � � T�rI; R_� / /_ EbrW
1I.
Ype o ntiding ([heck all that apply) -- — Lott[
�r 2 FamiI y Dwelling -- Number of Bedroorna Subdivision Name
Block # �v
❑ I rblic /Corn nercial - Describe Use _ -_ ❑ City of
umber i
❑ S late Owner I - Describe Use CSM Village of
N _.
— - - - -- �--- ❑ ef-- .
11I. 11'ype of I Prmit: (Check only one box bn line A. Co mplete line B if applicable)
A ' ❑ New System �Rf�t�acement, System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain)
T
B. Pere lit Renewal El Revision Cha ❑ Permit Transfer to New List Previous Permit Number and Date Issued
❑ ❑nge of Plumber
Before! :xpiration Owner O
IV.• •I. of 1 1 0W TS S ystem /Component/Device: (Check all t hat apply)
Pressu ized In- Oround ❑ Pressurized In- Ground ❑ At -Grade ❑ Mound> 24 in. of suitable soil ❑ Mound < 24 in, of suitable suit a
❑ I holding Tai+k El Other Dispersal Component (explain)__ ❑ Pretreatment Device (explain)
V. 11 1spersab Treats tent Area Information: _
De:¢ gn Flow (1 pd) 4 Design Soil Application Rate(gpda VDispers I A Requited (s Dispersal Area Proposed (s System Elevation
Vi(.1rank Ins o Capacity in Total 0 of Manufacturer
Gallo _ Oallons Units A
New'fanks P.xistingTanks 0 m o «? o
(�✓ V U cm A P,
Seer r, or NolAinl Tank
N i" Chamber _ 3 D
VII.. Respon tibility Statement- 1, the undersigned, assume r sp a lity for installation of the POWTS shown on the attached plans.
Phw0er's Nan a (Print) Plumber's MP/MPRS Number Business Phone Number
PI urnher s Add rasa (Street, City, State, Zr Code)
�711i nunt� /De ailment Us e_Onl� - _ _ J ____ _ _ Y� 4- ipproved Disapproved Date Iss ed Issuing nt Sign Reason fo iai / 75 I X. [.ondi
sauna for Disapproval 3 ` I/ tank,. effluent filter and y dispersal cell must ail be services I maintained J n _
as per management plan provided by plumber. �1�, 60 CGe-
2 ,j' aJ�# tick regtprements must be maintained J
- -- — — -
syetem and anOtnit to the Crrnty only on paper ere less tnan n six : t 1 [neAes In slza
8131- -6398 (R. 01/07) Valid thni 01/09
' 4
t
Cover Page
Shaun Bird
Bird Plumbing Inc.
1008 192nd Ave
New Richmond Wi 54017
715- 246 -4516
Date: 5/11 /11
Owner: Jason Kjos
Location:SW1 /4 NE1 /4 S24 T28 N,R19W 855 Chapman Drive Troy
System type: In- ground absorbtion system(conventional)
Manuals Used: In- ground absorbtion system (version 2.0)
Page#
1. Cover Page
2. Plot Plan
3. Chamber Cross Section
4 -5. Maintanance and Contingency Plan
6. Filter Specifications Sheet
7. Pump Tank cross section
8. Pump Curve
Signature
License numb r 226900
PLOT PLAN
PROJECT Jason Kios ADDRESS 855 Chapman Drive River Falls Wi 54022
SW 1/4 NE 1 /4S 24 /T 28 N/R 19 W TOWN troy COUNTY ST. CROIX
MPRS Shaun Bird 226900 DATE 5/11/11 BEDROOM 3
CONVENTIONAL IN- GROUND PRESSURE CONVENTIONAL LIFT XXX HOLDING TANK
MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE630 DOSE TANK SIZE
HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 656 # of chambers 32
IL BENCHMARK V.R.P. bottom of siding ASSUME ELEVATION 100' Filter BEST Filter
❑ BOREHOLE O WELL *H.R.P Same as Benchmark
SYSTEM ELEVATION 92.7/92.5 4.5' below grade
Chapman Drive
20' B -2 5, Vents Plans Designed Using Scale is 1" = 4�'
10 ,
Conventional Powts unless otherwise
Manual Version 2.0 noted
35' 1% Slope
LB-3 not enough slope to cell X 70' establish contours cells witth h >3'
• spacing
50'
B-1 Existing 3
25 bedroom
house
40' 25'
50'
ST
huffcutt
combo tank 0'
Old System is to
D W be pumped and
buried 20' Well
DW
EGrade >6» uick4 Standard -W
of Cover eaching Chamber
ith 20.0 ft2 of Area
8ft ^2 /pair of end caps
4' Lon Cty Rd U 34 at System Elevation
PLOT PLAN
PROJECT Jason Kios ADDRESS 855 Chapman Drive River Falls Wi 54022
SW 1/4 NE 1/4S 24 /T 28 N/R 19 W TOWN troy COUNTY ST. CROIX
MPRS Shaun Bird 226900 DATE 5/11/11 BEDROOM 3
CONVENTIONAL IN- GROUND PRESSURE CONVENTIONAL LIFT XXX HOLDING TANK
MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE630 DOSE TANK SIZE
HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 656 # of chambers 32
BENCHMARK V.R.P. bottom of siding ASSUME ELEVATION 100' Filter BEST Filter
❑ BOREHOLE O WELL *H. R. P. Same as Benchmark
SYSTEM ELEVATION 92. 4. below q
Chapman Drive
20 i0, B -2 5, Vents Plans Designed Using Scale is 1" = 40'
Conventi6nal Powts unless otherwise
Manual Version 2.0 noted
35' 1% Slope
LB-3 not enough slope to 2-3' X 66'
70' establish contours cells with >3'
spacing
50'
B -1 Existing 3
25' bedroom
house
40' 25'
50'
ST
huffcutt
combo tank 0'
Old System is to
D W be pumped and
buried 20'Well
DW
Vent
> 6» Quick4 Standard -W
of Cover Leaching Chamber
with 20.0 ft2 of Area
4' Long
12" 5.8ft ^2 /pair of end caps
Cty Rd U 3 4 „ Grade at System Elevation
Cross Section of Quick 4 Standard -W Leaching Chamber
Typical cross section for 2 of 2 cells
Quick 4 Standard -W Leaching
Chamber with 20.0 ft2 of Area per
Chamber 5.8ft ^2 pair of end plates To be >1' above grade
Finish grade elevation
Typical Installation 96.8
L en t Grade Vent
4' Septic Tank 4' L 4' Long 1 �� Grade at System Elevation
34 Grade at System Elevation 34"
Spacing 5'
2 - 3' X 66 Cells Observation tubeNent
Same on other end Located at ends of Cell
i
A
B
16 chambers per cell
System elevations:
A_92.7
B 92.5
Maintenance and Contingency Plan for a Septic System
Maintenance Plan
1. Septic Tank is to be pumped once every 3 years.
2. Effluent filter is to be cleaned once a year. Please note: a larger filter is being installed in
order to extend the maintenance interval of the filter.
3. Once every 3 years, cells are to be inspected via the inspections pipes at the ends of
the cells.
4. Owner agrees to limit greases, garbage, and water conditioner discharge into the system.
5. The owner agrees to save this plan.
6. Do not plant trees nor park nor drive over system.
7. Watershed is to be diverted away from system.
8. Discharge into system is not exceed those required as per Comm. 83
Contingency Plan
Option #1. If system fails, determine cause of failure, use alternate area and install new
@no ted replacement area.
stall system at a lower elevation, by removing chambers, removing biomat,
w system.
o adequate area is suitable for replacement area, and system elevation
wered. Install holding tank as last resort.
3. Replace any other failing components as needed.
Plumber: Shaun Bird 715 - 246 -4516
St. Croix County Zoning 715 - 386 -4680
Pumper Tom Mondor 715 - 246 -5148
Shaun Bird #226900
ST. CROIX COUNTY
SEPTIC TANK MADMiANCE A
AND
ovn L mp cERTEnCATION FORM
Owne .���
arBuyer Maffi Add �sS 2 a Al;
Property Address
( Va ffl oomraWne d f rom P,anam & zo=g Deputn nt fbr nee►► cawftutdon.)
City�st o Parcel Idea�tific�tiaa Nwaber O..
LEGAL MICKEE=
Property Locatio sec. T 4 f N R &W, Town of �^
Subdivisit�t '
Lot #
.'' _ , Volume , Page #
Cert38ed fiarvay' 1VIup # G (� � p ar # � Z
Warranty Deed # l y Volume
' epee home Lot i ielestlt3sble� no
LyJ MAi1111"EM= AND OWNER TIFIC_eTiON
Improgeoc nse dad mce of year septic cyst= eoald result M its pmo>zotaa+e MM to huKft �• u mm
o vow of p�iang ont the bolt every three yms oar wome�r, 3f=nded. by a U=M" F9=6 3"o Fw
the syswm can affea the of the sgyfw tank = a treatment stage in the waste ftposal system. Owoee asaiao awe
mwomn'ballWw are Weatftd in 10 83.52(1) and in Chq*w 12 - St: Croix CaoatY Saniwy Otdfmmm ft
mw property owner agrees to snbmat to St. Croix Cauaty PLaatnimg 8t Zoning Depart a fo° m. si8101Cd by
owner and by a ma$Wplam w. j0==7 == Pb=1w, noWco ed phmober ar a lieemeed pt Vw VW16ft that ( IN oa aito
wmswwatcr disposal aysemn is iss Prapeor opea atmg confifionw&= (2) arm imWvdn sad Po11; - B (if ')• 1 be ' teak is
Jos than 1/3 iA of stodge:
Vm. the =d=AWd hwm read tare above regmments and spree to the private ae+o V d>ispoaal v't the
s0.&,+ds sea Sorb, ice as sat by the DepuUMM of Commerce and the Depeatmut of Natand Roes Slate c f Wisaoa>8an
Ce bftatioa stating that y0vt septic systeta bas been maintained most be 00MVlebd an d sea>araed to the St Qv ft G xmty PUMning &
Zodu8 DepuftoW with 30 day: of the throe you ewphWJ= date.
I/we c wdfy that an statoa;manta.0n tides ft =an arcs ttae to the beat of my /onr kwwWge. vv @W/are rise om es(s) of the
property dor3bed above, by vktae of a woumy deed retarded is Register of Doeda Office.
Number of b ms
SI WA— ffUCANT(S) DATE
***Any' tltrt is �e�ed may ros k is the sanitary permit bola$ revoked by the PkMiag dt ?.od)S Dqmbnmt • '"`
Iachulc with this applicsdim a r aao kd wano ty deal $tam the RarsW of Deeds Office and a OOPY of the Cwt 'ft l s0My :msP if
rdzrmm is made in the Wass" deed.
(REV. 09M)
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Septic -Dose 'Wank Cross Section And Pump Performance Specifications
Tank Manufacturer ct_ Pump Manufacture
Tank Model Number Pump Model Number �b1'J S
Total Tank C Alarm Manufacturer U�tC4-L �S 5
Max. Bury Depth Alarm Model Number
Switch Type
Filter Manufacturer Total D ynamic Head (TDI - Fee
Filter Model Number Elevation Head
Distal Pressure
Network Loss ^_
Minimum Pump Performance Required J Force Main Loss _
GPMi I @ Q, Ft TDH Total Q __
Outlet Manhole Min. 4" Above Grade With Manhole Min. 4" Above Grade
Locking Device. Inlet Manhole With Locking Device
< 6" Below Grade Sealed Watertight Securely Mounted
Weather -proof
" --`� Junction Box
♦.r �"° Finished Grade r -� rY rr �' '� " ♦ -_
Vent Min. 12" Disco:anect
Above Grade Means
With Vent Cap
">
Outlet Filter
Inlet ------ Inlet Baffle - - - - - -
A
Switch Settings and Reserve Capacity 4
Tank Volume = GPI Weep
Dimension Inches Volume Gal. B Hole
(reserve) A C 7
Off Elevation C
(alarm) B 2 3o g 3
s Ft
(dose) C 7• -� - Bottom
(dead) D / ,� D I�levation
Total Ft
< i s < 'TTi �T��T �"s't.� > <3� T"���eTt'< < -- i ' < • . < t t < : > s'1
ss < >
GENERAL INSTALLATION: The septic /dose tank is bedded and back filled in accordance with the
manufacturer's product approval specifications. Maximum depth of bury as specified by the manufacl urer may not
be exceeded without prior approval. Manhole covers exposed to grade have an effective locking dev ice (padlock)
installed. .Piping at the inlet and outlet is of approved material, connected to the tank with watertight fittings., and
laid on stable soil to prevent settling or sagging. The force main is sleeved with 4" Sch. 40 PVC to bt idge the tank
excavation and the sleeve is sealed watertight. Electrical service complies with NEC 300 and Comm 1
02/05 LJ Page of
(nj -
cr_
AI
HE D TY CURVE TOTAL DYNA,\Ai-� HEADZWACITY
MG �) 5 57/59 PER MINUTE
25 IK'3 EFFLUENI AND DEWATI
Model 53/55/57/59
6 – 20
d Meters Go Ltrs,
5 1.5 1 63
5 43
10 3. 3 4 29
4 19 72
10
19
Snit –off Hecd 19.25 ft. (5.9m)
2
3 1 ' 5/16 6 5/32
4 5/8
1 1 '12 --11 12 NPT
U.S. GALLOHS 10 20 30 40 50 1
Jf
ER
6 80 160 3 15/16 — ��
FL PER MINUTE 009897 -
4 1/16
Variable level float switches available. r
Variable level long cycle Systems available. - TT I- j
Available with Special cord lengths of 15', 25', Wand 50'.
- Alarm systems avz ilable.
= Duplex systems available. 10 1/16 i
3 3/32
L SK858
�IedOn Llsflngi'
It
M53/55 & M57/59 Model Vo Amps; uplex CSA , U ' external control rquired.
– 115 1 Auto 91 -1 -7-1 ----- Y
L 1. Integral float operated mechanical switch, no
1\1 115 w — 2 3 or 4 �&S Y 2• Single piggyback - variable level float switch or double pigglybark variable level
53 . -_A
115 Auto 7 -- Y float switch. Refer to IFIV10477.
115 Auto -- I -- I —
.— 9,7 -- 3. Mechanical alternator "M-Pak" 10-0072 or 10-0075.
5N 7
57 30 4.8 . ..... Y Y 4. See FM0712 for correct model of Electrical Alternator.
:1�5 & D57/ Auto 4 Y - Y 5. Variable level control switch 10-0225 used as a control activator, with Electrical
7 8
E53155 - k — ESW - 7/5 - 9 2 —
on Z8 2 3.,4 Y Y Alternator (3) or (4) float system.
Single piggyback switc, in
irinformation on additional Zoeller pr( ducts referto catalog on Piggyback Variable Level Float Switches, FM0477;
Dctricaf Alternator, FM0486; Mechan
, al Allernator, FIV10495; Sump/Sewage Basins, FM0487; and Single Phase
nPlex Pump Control/Alarm Systems FIVIG732.
R V
For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump.
-
115
11
115
- j
i115
,J *
MAIL TO: P. 0. Box tip
Louisville, KY 40256,).
O
SHIP TO. 3649 Cane Run Road Manufacturers of,
Louisville, KY 40211-1961
(502) 778-M I • 1 (800) 928 PUMA hftp,,1Avww.zoeIk-r-00M FAX (502) 774-3624
(D Copyright 2002 Zoeller Co. All rights reserved.
Wisconsin Department of Commerce SOIL EVALUATION REPORT Page of
Division of Safety and Buildings
in accordance with Comm 85, Wis. Adm. Code /� l
Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County c- ' 1 � D/ ,
include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. 0
percent slope, scale or dimensions, north arrow, and location and distance to nearest road.
Please print all information. Reviewed by e
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04(l) (m)). 1 Q 9,Z
Property Owner p Property Location
/) 5 C1r� Govt. S� Tp N R E ( ) w
Property Owner's Mailing Address Lot # Block # I Subd. Name or CSM#
L7 '!
Cily State Zio Code Phone Number ❑ City ❑ village jErYown Nea t Road
R;X-4-FJZ I LA
❑ New Construction Use Residential / Number of bedrooms — Code deri ed design flow rate 'y�� GPD
eplacement ❑ Public o mercial - Describe: __—
Parent material VL�,� Flood Plain elevation if applicable
General comments
and recommendations: ✓ ���G "'�/
System Type System Elevation
a Boring # El Boring
9-1 Pit Ground surface elev. / ft. Depth to limiting factor in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDAf
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2
tl
4
® Boring # Boring
it Ground surface elev. ft. Depth to limiting factor in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2
Z Z
V t
fl
• Effluent #1 = BOD > 30 < 220 mg/L and TSS 30 < 1 ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L
CST Name (Please Print) nature CST Number
Bird Plumbing, Inc. Shaun Bird 226900
Address Date Evaluation Conducted Telephone Number
1008 192nd Ave, New Richmond, WI 17 �. 715- 246 -4516
C
Property Owner Parcel ID # Page of
13 Boring # ❑ Boring
Pit Ground surface elev. Ji 21 ft. Depth to limiting factor in. Soil ication Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
,5
F-1 Boring # ❑ Boring
❑ pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
Ong # Boring
F
El Pit Ground surface elev. ft Depth to limiting factor in.
• Soil ication Rate
Horizon ')epth Dominant Color Redox Description. Texture Structure Consistence. Boundary Roots GPD/ff
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2
Effluent #1 = BOD > 30 1220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD 130 mg& and TSS < 30 mg/L
The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or
need material in an alternate format, please contact the department at 608-266-3151 or TTY 608 -264 -8777.
sao-s330 (a.ww)
Soil Test Plo2EOO
Project Name Jason Kjos Address 855 Chapman Drive
River Falls Wi 54022
Lot ------ Subdivision --------- Date 5/11/11
S W 1/4 NE 1/4S 24 T 28 N /R W Township Troy
Boring G) Well PL Property Line County ST. CROIX
BM or VRP Assume Elevation 100 ft. bottom of siding
System Elevation 92.7/92.5 *HRPSameasBenchmark
Chapman Drive
20' Scale is 1" = 40'
10' B -2 15' unless otherwise
noted
35' 1% Slope .
B -3 not enough slope to
'70' establish contours
0 '
50'
B -1 Existing 3
25 bedroom
house
25'
ST
50'
DW
20'
' Well
DW
Cty Rd U
_ - 7f' Ft T .. h r ,,. • NI, ,�,f,?•�, 's• ' '�. c, ' y -n- ..
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'Deed, aaaada 13etreen ---- ..n+ F FIupperi! and ST..Ci C.
:._.hgsb fe. - sc'e for 1 �sas+e! its °i5ih '1
o
days Ja - 1? t25
�s
_.. --_ = , Granter,
- 11:30-A �_
,and . -- - - -- r Bros ..t__ . �. A Wisconsin_ Garj?or 11 � f.... � c�� a M.
------ -- - - -- -- •- •--- - --•--
- -- - - --
- -- ----- ---- -- ---- ---•---• ----- ----- ---- ------
-- - 1
Cc'antee,
+ItI1e That the said Gn?
� rantor, for a valuable consideratio i`
I t , !! t r val t' le f ?TL 1C ra tlQT1 r
s- Y_ti _ i. -•• .d i�u . ......... ... 1 . TO -
i# conveys to Grantibe -the following describes) real estate ia. __.._St �+3� ..... ��
i S County, State of W isconsila : 1 ^ _ — _ _
i An uar'�.i- V_jCec3 one-11a ].ntBLc�Gt in: The Northeast
Quarter of Section 24, T 28 N, _R 19 W, excepting Tax Parcel No: ----- ----------- - -------------------
therefrim the following described - parcel: A parcel
of land in the SM of the NE3h of Section 24, T 28 N, R 19 W, TOxM . of. boy, �-
St Croix. County, Wiseansin, further described as follows Beginning at a point an
the E line of sai Section 24 a distance of 1907.1 feet S of the NE carnet of said 1�
Section 24; there N 89° 21' W - along the centerline of the town road extended a fi
distance o£ 160_0 feet; thence S () 06 W petallei with the E li of said Section 24
a distance of 523.3 feet; thence S 89 °21' E a distarl. -'e of 160.0 feet to the E line i
of said Section 24; thence N 0° 05' E along the E line of said Section 24 a distance +�
of 523.3 feet to the point of beginning, the above described parcel containing 1.9
acres, mare or less. j
AND ,
A parcel of land located in the SE4 of Section 24, T 28 N, R 19 W, described as s
follows: nlle N 981.75 feet of said SEA, containing 59.5 acres, more Or less.
This warranty deed is given in full satisfaction of those certain land contracts I�
dated March 31, 1969, and recorded in the Office of the St. Croix county Register of -
D on April 10, 1969, in Volume 450 at pages 460 and 451, document number 295912,
and also recorded ;n Volume 450 at pages 462 and 463, document number 294913.
This ... i ............ homestead property. I�
(is) (is not)
Together with all and singular the hereditamente and appurtenances thereunto belonging;
..
And.. ... 9Xt'??1t,�S,�XS ............. .... ......-•.•------••----•-----•--'• .. ...... ................ ........
warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except eaS2gIYeI1t
cover.w*Its, restrIctions, and reservations of rights--ol.�y, if any ' of record s
rlst:iv �,
i
and will .warrunt and defend the sume.
. I
Dates) this l ith day of ... Jai?uarY 19.$
!p
i
..._(SEAL) lr��� /G��'yGl (-- •_�..'_..-...(SEAL)
Edmtmd F. Huppert
• .... ...
............ - ._._....- ........_.. j i
..... ................... ............ . ....... ...................(SEAL) LY
/yam .._...... (SEAL)
..
............................... ..... .......................... ..
. Rose Ruppert ........ ... ................ ............ I
AUTHENTICATION ACKNOWLEDGMENT
Signature (s) ............
5;TATE OF WISCONSIN
ss.
i
Rose H rt
----•-- ------- •- -------- ------- - ------ County ,.
authel.ticat hislltia day of_.v 19 - -t35 Personally came before ire this ________________3ay of 19 - — 18 the above named
_. ,C rara_k...V�a�_ ....
TITLE: MEMBER STATE BAR OF WISCONSIN ...... ---- ----------------------------------------------------------------------
(If not, ..........
authorized by § 7,76.06, Wis. State.) to me known to be the person .......... who executed the
foregoing instrument and acknowledge the same.
THIS INSTRUMENT WAS DRAFTED BY
Edward F. Vlack, DAVISON & VLACK ------------- ..__. ------------
-•• .................-•--......------•-•---.. ......_._...........--- -- -• - -•- .
..................
Riti- ver..Falls_,..Wi consix._.54422.. .—•• -- Notary Public ------------------------------------- Count W ' s '
(Signatures may be authenticated or acknowledged. Both My Commission is permanent. (if not, state expiration
are not necessary) date: .---•--- ----------------------------------- . 19_.. ......
)
•Names of persons signing in any capacity should be typed or 'printed below their signatures.
STATE BAR OF WISCONSIN Stock N o. 1 3001
,iGM'giolcompay� FOBM No. 1-1982
I