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HomeMy WebLinkAbout040-1133-80-000 (2)f STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER � ' '�Vi C f�QG� �C%yI ADDRESS C %- Tk N o �'e v� � 5 C�J ` �yG � SUBDIVISION CSMf LOT SECTION- LT �? -N-R W Town of L, ST. CROIX COUNTY, WISCONSIN 22 5-7�.(40 C--- IPjjAN VIEW ;000 _To S�OWf�EVERYTHING WITIUN 100 FEET OF SYST M t '� IM I �1 INDICATE Nul-U-11 t-r`pnw Provide setback and elevation information on reverse of this form' Provide 2 dimensions to center of septic tallk, manhole cover - BENCHMARK: - Z&O) 0 ALTERNATE BM: SEPTIC TANK / PUMP CHAMBER / HOLDING_TANK INFORMATION Manufacturer: t We YCf'PO4S-j Liquid Capacity:, 400 Setback from: Well House - other Pump: Manufacturer L Model Size Float seperation Gallons/.cycle: Alarm Location SOIL ABSORPTION SYSTEM -Width: Length �� t Humber of trenches Distance & Direction to nearest prop. line: _ Setback from: well: House other Building Sewer PC inlet Header/Manifold Existing Grade ELEVATIONS ST Inlet; ST outlet PC bottom Pump off Bottom of system Final grade DATE OF INSTALLATION: PLUMBER ON JOB: 70^a LICENSE NUMBER: INSPECTOR: 3/9 3 : j t 35 jT28NFMU& (5w X Lj% 4 ffiyx • Labor and Human Relations INSPECTION REPORT Safety and Buildings Division (ATTACH TO PERMIT) GENERAL INFORMATION I Permit Holder's Name: El City Village Ilk CST BM Elev.: �Insp_ BM Elev.: TANK INFORMATION TANK SETBACK INFORMATION BM Description, TANK TO P L WELL BLDG, Ventto Vent Intake ROAD Air Intake Septic NA Dosing NA Aeration A ngv-r-­^ PUMP/ SIPHON INFORMATION Manufacturer 'C i r Demand Model Number 3Y71 LO GPM TDH LiftS,04 Friction �ystem Loss Head k Ft T D H Forcemain Length �0' Dia. ;)ff Dist. To Well ELEVATION DATA STATION I Benchmark Bldg. Sewer st/� inlet st I outlet Dt Inlet Dt Bottom Header Dist. Pipe Bot. System Final Grade A9300147/ BS HI FS ELEV- A 4 I,Z, 4rll 7, SOIL ABSORPTION SYSTEM No. aQ-1ts e Dia. Liquid Depth BED/TRENCH Width Length No. Of Trenches PIT DIMENSIONS [DIMENSIONS Manufacturer - SYSTEM T P L BLDG WELL LAKE / STREAM LEACHING SETBACK CHAMBER Typed OT! ZtA,� Made► um er INFORMATION f ,( OR UNIT System, DISTRIBUTION SYSTEM x Hole Size x Hole Spacing Vent To Air Intake H e a d e I d Distribution Pipe(s) 1111� "I, length Dia Length Dia Spacing s Only xx Mound Or At -Grade Systems Only.SOIL COVER x Pressure System Depth Over xx Depth Of xx _"S, ee ra ed/Sodded xx Mulched Depth OverF� ❑ Na E] Yes [] No Bed 13-0� Center Bed / Edges Topsoil ❑ Yes COMMENTS: (include code discrepancies, persons present, etc.) LOCATION: NE,SEjSEC.35,T28N-R19W (SUNVIEW DRIVE) 6) 61 r Plan revision required? [] Yes 0,40 Use of side for additional information. 42 Cert. No- SBD-6710(R 45191) Date inspector's Signature - -, SANITARY PERMIT APPLICATION t DILHR COUNTY In accord with ILHR 83.o5,11Uis. Adm. Code STATE SANITARY P I ## f —Attach complete plans (to the county copy only) for the system, on paper not less than El 81 x 11 inches in size. J Check if revision o previous application —See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER I. APPLICANT INFORMATION — PLEASE PRINT ALL INFORMATION. PROPERTY OWNER PROPERTY LOCATION • (� ,!`' '/4 '/41 S ' T Cam` , N, R r''f E (o W PROPERTY O ER'S MAILING ADDRES LOT # BLOCK ## ) �15 D n � "T � - 'r CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER CITY NEAREST ROAD Il. TYPE OF BUILDING: (Check one) ❑ State Owned ❑6,J VILLAGE: — r • i Ell or 2 Fam. Dwellin of bedrooms PARCEL TAX NUMBS () TOYJN OF: ❑Publ c9—# III. BUILDING USE: (If building type is public, check all that apply) 1 ❑ Apt/Condo Apt/Con Hall fi ©Medical Facility/Nursing Home 10 El Outdoor Recreational Facility 2❑ y 3 El campground 7 El Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining 4 El Church/School 8 El Mobile Home Park 12 ❑ Service Station/Car Wash 5 ❑ Hotel/Motel 9 ❑ Office/Factory 13 E Other: Specify IV. TYPE OF PERMIT: Check only one in line A. Check line 8 if applicable) 1. New 2. El Replacement 3. OReplacement of 4. El Reconnection of 5. ❑ Repair of an A} � System System Tank Only Existing System Existing System B) E]A Sanitary Permit was previously issued. Permit # Date Issued V. TYPE OF SYSTEM: (Check only one) Non -Pressurized Distribution Pressurized Distribution Experimental Other 11 S1 Seepage e Bed I)'K (-8 21 ❑ Mound 30 El Specity Type 41 Holding Tank P 12 El Seepage Trench 22 El In -Ground 42 [:] Pit Privy 13 1:1 Seepage Pit Pressure 43 El Vault Privy 14 El System -In -Fill VI. ABSORPTION SYSTEM INFORMATION: 1. GALLONS PER DAY 2. ABSORP. AREA 3. ABSORP. AREA 4. LOADING RATE 5. PERC. RATE fa. SYSTEM ELEV. 7. FINAL GRADE REQUIRED (sq. ft.) PROPOSEDs+q. ft.} (Gals/day/sq. ft.) (Min./inch) c �j` ► ELEVATION "�' ./ �`� /' Feet ��� Feet 41 VII. TANK CAPACITY Prefab. Site Fiber- Exper. in gallons Total # of Manufacturer's Name Concrete Con- Steel glass Plastic App. INFORMATION New ExistingGallons Tanks structed Tanks Tanks 0b El 0 Septic Tank or HoldingTank t'` s to S'7 Lift Pump Tank/Siphon Chamber �6= 7_5� 1 F] 0M VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name (Print): Plumb r 'ed Signature: (No amps) MP W .: Business Phone Number: 4J14, P umber's Address (S reet, City, State, Zip Code): 4e �-fLo IBC. COUNTY/DEPARTMENT USE ONLY [] Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Issuing ent Sign Surcharge Fee) Approved [ owner Given Initial Cam' gam, Adverse Determination X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-6398 (formerly Plb-67) (R. 11188) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber INSTRUCTIONS y. 1. Ktanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at the time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit.issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer/Renewal Form {SBD 6399} to be submitted to the county prior to installation. 5. Onsite sewage systems must be properly maintained. The septic tank(s) must be b a IP`censed pumped Y pumper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety & Buildings Division, 608-266-3815. To be complete and accurate this sanitary permit application must include: I. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. IL Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is Public, check all appropriate boxes that apply. IV. Type of permit. Check only one in line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. Vl. Absorption system information. Provide all information requested in #1-7. VII. Tank information. Fill in the capacity of every new and/or existing tank, list the total gallons, number of tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete for all septic, pump/siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. Vill. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County/Department Use Only. X. County/Department Use Only. Complete plans and specifications not smaller than 8% x 11 inches must be submitted to the county. The plans must include the following: A) plot .plan, drawn to scale or with complete dimensions, location of holding tanks), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B} horizontal and vertical elevation reference points; C} complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve, pump model and pump manufacturer; D} cross section of the soil absorption system if required by the county; E} soil test data on a 115 form; and F} all sizing information. GROUNDWATER SURCHARGE 1983 Wisconsin Act 419 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater, ground- water contamination investigations and establishment of standards. a SBD-6398 (R.11188) 0 NF�s�-s3sia�Rl9w 3�� � 6/�n193 Wei too 7 QMec� 2�o Ee ?S'v � /�reM Sf s- u.Re.T�pP,pr )UAD os 6� 4i i3� 59� i 'y�ho l PayP6 sEa � I RI,ke Ho�.e I �fQ4 F S.T. s � S O N PUMP CHAMBER (-"ROSS SEC-TIOW AKJD SPECIFICATIOUS PA GF E —.. 0 F commoommomomm 4"C.I. VENT PIPE: L5' FROM DOOR, WIMDOW OR FRESH AIR INTAKE IkILET APPROVED JOINT W/C.l. PIPE LXTENDIMCP 3' OWTO SOLID SOIL LLCV. FT. ..---�VCWT COkP WEATHEK PROOF JUIJCTIOKI BOX &RACE COWDUIT APPROVED LOCKINIG MANHOLE COVER WA r no' il 4" MIM. .......... PROVIDE AIRTIGHT SEAL A APPROVED JOWTS W/C.l. PIPE ALARM EXTEM01MCP 3' ONTO SOLID SOIL ON c P U tA P OFF D CONCRETE BLOCK:p LI - I 'o F -mmo—ftmW4 is Frr-sand casr)oot) 3 APPROV KISEK EXIT PERMITTED clLtJ IF"FAWK MAIQLJFACTLlRr.--;t HAS SUCH APPROVAL VIF-00 I NQ-% SEPTIC E -.5PrClF-1-CATl0KJS DOSE Rje0 tcfcA MAkJUFACTUkCp4: NUMBER F DOSES: P E FL DAJ TAWK 51ZE *9 2 5.L . GALLOWS DOSE VOLUME MAMUFACTUFLER: IA 11 k 4 IKICLUDIAJG BACKFLOW: GALLONS ALARM MODEL K)UMBEK", L 40 CAPACITIES: A -IMC1415 3 OR 2�.GALLOQ5 0 jj9e'a -� V 1( TAPE..(;o 5 INCHES OR 375 , GALLOWSSWITCH L4 C, IWC HE$ OR e2LZ21GALL0QS PUMP MAMUFACTURER',' 7 � 1� 0 IKIC HES OR SGALLOWS MODEL MUMBEK". SW ITCH T J P E : eyn r MOTE: PUMP AND ALARM ARE TO BE ob 1 (93 G PA MINIMUM DISCHARGE RATE qqmmwm�� INSTALLED OW SEPPARATF. CIRCUITS VERTICAL DIFFEKEWAKIO DISTX15UCE bETWEE&J PUMP OFI; TIOM PIPE.. FEET + MiklIMUM NETWORK SUPPLy PRE$SUKE a 6 0 0 0 a 0 6 a * 0 2.5. FLET FyjoofT.FKlCTI0kl FACYOROM FEET r + 'i'EET OF FORCE MAIM TOTAL OtiWAMIC HEAD FLET � e� it /I Cf IMTERMAL, DIMLWSIOWS OF TAWK: LEKI&TH -p;w I DT H ;LIQUID DEPTH LICLOSE klUMBERO0 DAT E PAGE -�— OF 11"C.I. VENT PIPE � Z5' FROM DOOR, wlkjooW OR FRESH AIR INTAKE 151, m I m. IIULET APPROVED JOINT w/c.-I. PIPE EXTENDIM& 3' OVITO SOLID SOIL LLEV. FT. PUMP CHAMBER CRO55 SECTIONJ AKJD SPECIFICATIONS ,,---VEWT CAP WEATHER PROOF JUUCTIOU BOX I z" m1u. GRADE rnk]nLJIT,/ APPROVED LOCKINIG MAWHOLE COVEF- �,t 4" MIW- I 15" m I �. -Z -7:----- PROVIDE AIRTIGHT SEAL III v APPROVED JOIVS A W/c.l. PIPE ALARM walolmG 31 ONTO SOLID SOIL 5 1> oN P U tA p OFF CC)MCFLETE bLOCK:p L it I i A 319 APPROV 5 ty snion KISEK EXIT PEKMI-ITED C�U*J IF"'FAIKJK MAQUIPACTURV-R, HAS SUCH APPROVAL SF-i)D I Nr, I SPEC.IFICATIOUS SEPTIC E DOSE KJ KS M A KJ U FACT U R L R' f'j WUMBER OF DOSES: p E K DABTA TAWK :)IZC: GALLOQS DOSE VOLUME GALLONS IKICLUDING BACKFLO\o%/: ALARM MAIJU FACT U FL ri. R: Ll 96, � 3-0,�SGALLOW5 MODEL KIWABEM' 4 CAPACITIES. A= -IKIC14[5 OR - '5 SWITCH TtJPE: 5 INCHES OR -q3 GALLOUS OR GALLOU5 PUMP MAWFACTURER: -IKICHES ZLiNGALLoms MODEL MUMBERO. D-- -IMCHESOR SWITCH `TYPE:. /,� eye k 1p t, kJOTE* PUMP AMD ALARM ARE TO BE - =r �,- I 3 IN5TALLED Ors SEPARATE CIRCUITS MikiltAUM DISCHARGE RATE c9 G PtA �' 52-- VERTVERTICAL.I-.. DIFFEREKILE bETWIEU PUMP OFF AMD .015TRIBUTIOU PIP FEET + mwiKUM WEWORK SUPPL3 PKE$5IJFLE 0 0 0 0 0 a 0 * 11 0 0 2-5 FLET '3,/,,of,F9ICTloM + �-F-ET OF FORCE MAIN )4- FAC701K. FEET TOTAL OtJWAMIL HEAD F E E T Z" ') IMTERMAL C)IMLWSIOWS OF TAQK* LEKI&TH -.�.;w I DT H ;LIQUID DEFTH 51GN]ED:- LICF-NJSE KAUMBER1. DATE: MODEL: 3871 SIZE: 3/4"SOLIDS RPM:1550 HP: 0.4 METERS FEET 1 8 25 7m 6- 20 U 2 5 < z 15 4 .j h 3 10 0 r 2 5 C, r% 0 0 20 GPM 0 2 4 6 8 10 12 M 3 /h CAPACITY GOU LDS PUMPS. INC. SaECA FALLS NEW YOW 13148 Effective October, 1988 C) 19M Goulds Pumps, Inc. SPECIFICATIONS ARE SUBJECT TO CHANGE WITHOUT NOTICE PRINTED IN U.S.A. C3871 S T C - 100 This application form is to be completed in full and signed by t110 0�','1101-7(s) Of the property being developed. Any inadequacies Will only result in delays of the permit issuance. Should this development be intended for resale by owner/contractor,(spec house), then a second form should be retained and completed when the property is sold and submitted to this office with the appropriate deed recording. Owner of property Location of property�4�7 1/4 1/4, Section N R W Township Mailing address Address of site Subdivision name Lot no, Other homes on property? yes No 7' Previous owner of property e I*vl (11C Total size of parcel %,f 1 , Date parcel was created `7 J -C%/ `' Are all corners and lot lines identifiable? ',r' Yes No Is this Property being developed for (spec house)? Yes No Volume and Page Number as recorded. with the Register of Deeds. INCLUDE WITH THIS APPLICATION THE FOLLOWING: A WAIZIZAITTY DEED which includes a DOCUMENT HUM13FRr VOLUME AND PAGE NUMBER & THE SEAL OF THE REGI STE'R OF DEEDS. In addition, a certified survey, if available; ;would be helpful so as to avoid delays of the reviewing process. If the deed description references to a Certified survey Map.. the Certified Survey Map shall also be required. PROPERTY OWN CERTIFICATION I(we) certify that all statements on this form are true to the best of my (our) knowledge that I (we) am (are) the owner(s) of the property described in this information form, by virtue of a warranty deed recorded in the office of the County Register of ; I Deeds as Document No. and that I (we) presently own the proposed site for the sewage disposal system or I (we) obtained an easement, to run the above described property, for the construction ruction of said system, and the same has been duly recorde the office of County Register of deeds as Document No. t sigpature of ap� licant Date of Signature Co -applicant Date of Signature CAr�E(�I T Na, THIS SPACE RESERVED FOR RECORDING DATA oocu WARRANTY DEED i STATE BAR OF WISCONSIN FORM 2 --- 1982'11 9 P A 5 E - REGISTER'S OFFICE Waldemar E. . Zas Crow and Doris L.-------------------- ---- . Zas Crow, husband and I 51. �KVIA wife ___ as surv---------- ivorship marital property -- Reed for RBCf�f ---------- -- - --- -- ----------------- --------------- ----- -------- - -- - S E P 181992 Eu ene 0. Larson and Carol J. Larson, I� Qt 8:30 A convevs rind warrants to -g. -- ----- .. ._.------ ----- husband and__wif_e. as- surv_ivor.shi_p_- mar_i-tal-_pr-o-p_er-ty------------- - ----- - - ------------------------------- ------------------------------- --------- I ---------------- ------------- -- -------------------•----------------------------- �,a�i3tCf of Deeds ------- -- RETURN TO ------------ ----- --- ----- .� the following; described real estate in ------------------- - - - -Count- State of Wisconsin: Tax Parcel No: --------- -------------------- Lot 1 of Certified Survey Map recorded in Vol. 7, page 1993; being a part of the NE 1/4 of the SE 1/4 of Section 35, Township 28 North, Range 19 West. EE This _ no-t___------ homestead property. ( (is not) Exception to warranties: easements, restrictions and rights of way of record, if any. September , 19__92 _. Dated this -- ---------- 1`�� ----.- dad' of --- - ..... ` - .---(SEAL) -- --- ---- ---------- ------------- -- (SEAL) -, ----- - ------------- * Waldemar ... E. Z trove ---------- -------- ---------------------------------------------- (SEAL) ------- - (SEAL) Doris L. Zastrow ----------------------- ------------------------------------------ ..... AUTHENTICATION ACKNOWLEDGMENT Signature "s} - STATE OF WISCONSIN ss. ---------- ---------------------------------------------------------- - -- ---- - - -- -- --- -------- - -County. authenticated this -------- day of___________________________ 19______ Personally came before me this ------ -/ - . _day of Se temUer---------------------- 19--- the above named -------------------------------------------------------------------------------- ___ * ----------- --- ---- ----- - -- - - - - --- - --Waldemar__E._-Zastrow_-------------------------------------- --------- - - - TITLE: MEMBER STATE BAR OF WISCONSIN ___Doris__L.__Zastrow------------------------ __________._____-__-_ (If not,, ------------------------------------------------------------ -------------------------- = ;--_ti__.:_.,.sr, ==,;----------------------------- authorized by § 706.06, Wis. Stats.) to me known to..b�.,t ieruD r s-_''�,_�_,, who executed the fore,oin n�t`ruxn -hand ekng cage the same. g THIS INSTRUMENT WAS DRAFTED BY - - - - ' - ---------------------------- Joseph D. Boles - Attorneyat Law -,-- - -_- --------------------------------------------------------- * - -- --------------------- River Falls, WI 54022 Wis. -------------------------------------------------------------------------------- Notary Public _---- - - County, (Signatures may be authenticated or acknowledged. Both MyCommission isrpe anent. (Ino state expiration are not necessary.) date: -- - -- ------------- --- - 19__�) *Names of persons signing in any capacity should be typed or printed below their signatures. WARRANTY DEED STATE BAR OF WISCONSIN Wisconsin Legal Blank Co., Inc. FORM No. 2 -- IIJ82 Milwaukee, Wisconsin STC - 105 SEPTIC TANK MAINTENANCE AGREEMENT St, Croix County OWNER/BUYER ROUTE/BOX NUMBER Y I �/� FIRE N0. / CITY/STATE ����i�r � W ZIP 10_ 4- 1 4 Section T-' N, R W, PROPERTY LOCATION: 1 / � / . Town of , St. Croix County, Subdivision I Lot No. Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a. LICENSED SEPTIC TANK PUMPER. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. St. Croix County Residents MAY be eligible to receive a grant for a MAXIS of $3000 of the cost of replacement of a failing system, which was in operation prior to ,duly 1, 1978. St. Croix County accepted this program in August of 1980, with the requirement that owners of ALL NEW SYSTEMS agree to keep their systems properly maintained, The property owner agrees to submit to St. Croix County Zoning a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper operating condition and ( 2 ) after Inspection and pumping ( if necessary), the septic tank is less than 1/3 full of sludge and scum, Certification form will be sent approximately 30 days prior to three year expiration. I/W'E, the undersigned, have read the above requirements and agree to maintain the private sewage disposal system in accordance with the standards set forth, herein, as set by the Wisconsin Department of Natural Resources. Certification form must be completed and returned to the St.Croix County Zoning office within 30 days of the three year expiration date. S I G N E D DATE ..� St. Croix County Zoning Office St. Croix County Courthouse 911 4th Street Hudson, WI 54016 ( 715 ) 386-4680 Sign, Date, and Return to above address DEPARTMENT OF REPORT ON SOIL BORINGS AND INDUSTRY, LF.30R AND PERCOLATION TESTS (115) HUMAN RELATION (H63.09(1) &Chapter 145.045) SAFETY & BUILDINGS DIVISION P.O. BOX 7969 MADISON, WI 53707 LOCATION: SECTION: TOWNSHIP MUNICIPALITY: LOT NO.: BILKNO' SUBDIVISION NAME: NE ��SE 1' /1� 35 T 28 NCR /9 E (or TROY L O T I ��l C. S. M. COUNTY: OWNER'S BUYER'S NAME: MAILING ADDRESS: ST. CROIX MARVIN RASMUSSEN ROUTS J SUNVIEW OR, RIVER FALLS, W/ 54022 USE UA I tti Ut5btKVA 1 WiMb NIAUC NO. BEDRMS.: COMMERCIAL DESCRIPTION: PROFILE DESCRIPTIONS: PERCOLATION TESTS: Residence 3 N. A New 0 Replace 4 - /8 - 88 4- / 6 - 88 RATING: S= Sie suitable for system U= Site unsuitable for system CONVENTIONAL: MO ND: 1N-GRO ND -PRESSURE: SYSTEM -IN- ILLHOLDING TANK: RECOMMENDED SYSTEM: (optional) CONVENTIONAL E]S E UEIS_ Elu S EIU os u as EA If any portion of the tested area is in the If Percolation Tests are NOT required DESIGN RATE: under s,H63.09(5)(b), indicate: CLASS I N O Floodplain, indicate Floodplain elevation: PROFILE DESCRIPTIONS BORING TOTAL DEPTH TO GROUNDWATER -INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN, ELEVATION TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) OBSERVED EST. HIGHEST B- / 6.9' 100.61 NONE �7 6.9 Bn I ( /.51/ Bn si/(0.6')Bn s1 (0.6 `/ Bn f and gr(4, 2 1) B_ 2 6.2' 100.4' !+ 6. 2` 8)? I.(/.3'J gn riI (0.5') 8n rI(0.5 9 Bn t and gr( 3.9') %. 4 ` /0 /, 0, �+ `� T. 4 ` Bn I (I. 9'/ Bn ri/(O. T'/ a (0.41) Bn r and gr ( 4. 4') B_ 3 T. 4` /00, T' + 7,4' Bn / r /,e'/ 8,7 r/ (0.91) 9n s and ,gr0 / 4.7'1 4 B- B- 5 T' 6' /00. 9 r 0 r T. 6' B / 1 2. 611 8n rl /0.31 B n r and Qr t 4_51J B- SOIL MAP SHEET 90 PERCOLATION TESTS TEST NUMBER DEPTH INCHES WATER IN HOLE AFTER SWELLING TEST TIME INTERVAL -MIN. DROP IN WATER LEVEL -INCHES RATE MINUTES PER INCH PERIOD i PERIOD 2 PERIOD 5 P- I 2.9' 5 3 //22'IF 3 //4 " 3rr 2 P- P-2 3, 2 ,� g 4" 3/ /// 6" 3 314 " f p_ 0 P_ 3 3.31 5A 5 3 T/ /6" 1 9/r6" 3 3 /4" 1/ P_ PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- zontal and vertical elevation reference points a ,tl i tion on the plot plan. Show the surface elevation at all borings and the direction and percent of land slope. SYSTEM ELEVATION 9' 'qA BACKHOE PIT -i- V. R. P. T 0 P PIPE ASSUMED I00 ` HOLE ali PERC l . PIPE _ .... rr r �d __ ,, (� ��.3 r I' 9 -. /C .'� + B/ _.. N bi A. 1�1. B 2 59' % INSTRUCTIONS FOR COMPLETING FORM 1- SBD T 6395 To be a complete and accurate sail test, Y raV r- )01.t MUSt imc:lra dey . Complete legal descriptlon; 2. The use section must clearly hndicat:e whether this is a residence or r,ornmercial project; , MAXIMUM number of bedrooms or C(NT)Mercial use planned; 4, Is this a nevv or neplacernerat system; x Complete the suitabihty rating boxes, A SITE IS SUITABLE FOR A HOLDING TANK ONLY IF ALL OTHER SYSTEMS ARE RULED OUT BAISED ON SOIL ND;TIONS; . PLEASE use the abbrovi tacos shown here for writing profile descriptions ;and com0etin th(-- plot .clan; . MAKE A LEGIBLE diagram accurately locating your test locations, Drawing to scale is preferred, sq::)r to sly. et may be used if desived; >, Make Sure your IbFnchaiark and vertical elevatinn reference point arp clearly shown, and are pomlane nt; , cornplete all appropriate boxes as to tastes {addresses, flood plain data, l erc-olatior) test �2yC np- tion, if appropriate, 10. It i lie information Isuch as flood plain, elevati rr doE-,'s not £a vf y, plaae l s .ire the appropriate law�:;. . lg) the tOrTn art [)kACE. YOLaa- CUrremaddress arid your certification numbt,r; 2, lvlake legible. conies and distribute as required. ALL SOIL TESTS MUST BE FILED WITH LOCAL AUTHORITY WITHIN III 30 DAYS OF COMPLETION, ABBREVIATIONS FOR CERTIFIED SOIL TESTERS Soil Separates and TeXtWeS Other 1,3ymboh, "t Stone oLjer � � Bedrock cola ��c�� hie if �° � _.. ands�c�;a�E r m r c}1 I rnd r+ " * 1����{' lmmlicriaJ ['� gy� (rIr-1 c _ Fine "'Jan:.f BId W. BUS 1{1rrr r y; h y %� r ..•..-.. Y. r t `b.,.3 y ...... rfy .oa rv, o l Clay y yy `(3ay.a,,pr .' srr_:€ llty Clay Loam M(I't mottles i s .....,.. .� s f-ld ("la �. .�r s �it:fj �rth s 9 :a ..,...... r t, a if zf'1 a Y 3 �.' ., a Y 3 .K. C. Ti'Y 5,1 7. 9��.� YF} gg Y.. �.y. o..,..., �j E£`¢[v` (�E£�'�Q' ¢ Yt7 tt¥���� $a✓r�rrriTS j gh fo lirlt.rr<l VRP Vrti car e-ferr:.rsce Point This oii hest report t is Die first st""p In :3ecurOnq C,'� siifi ar Yd pe' I'll F-L, e county or thE.,} I.i F-`pCii'{�riwlnt n ay ri�� r��s, �, f 1.j..�Fs soil -§�-�- " 1)" � i ; A.. is ', � 3 i a ,r (� �. f i - 1 r"� � i €4:; �:� �;)�"i ���` #� � '1PI�"�r�� _���,��-�t�f..f., �� ..�.r?�t�:.���:_�:-�- �?:�: ������ �.'3€��tl� �t:�� �s�:` C)�ev atz•, and apermit rapplicalion muso3 he s�.��3i€`�ri�E;°�. ��P mi 1P; ord:a� .g,C: Pet.r, lt. i Ire =tani(ar:"V peri-nit mu�t Q.btalm"'d and, posted pri=)r "'k- n,.<,", of any Gi!! i'PIYIED SUhV7EY MAP MARVIN P. KASMUSSER AND HEBMCA M. KA.SHJSSEN E 114 COR. SEC. 35, Part of the Northeast 1/4 of the Southeast 1/4 of Section 35, r28N, R19 W (COUNTY Township 28 North, Range 19 West, Town of Troy, St. Croix SURVEYOR S MON, ! County, Wisconsin. '` UNPLA r7ED LANDS `x Q 569.44'20"E 328.00'R(EA5r) Op n, 6 6' 1 t�� W 6S' I 1. Ol7ACRES LOT /'1 Y� 44,279 SOFT. O two c- tu L61 Q. j I OC � — O S 89 44 ' 20 " E 328. 00' W b J F Q) J 0 �w b 1 •. b ar b � L I is tu 1. 703 'ACRES ry [ O 74,266 sv. Fr. M o N W Ck O �� ` O O DWELL ING WITH A T r. GARAGE MONUMENT ED W L INE APOLL 0 RD. ' ' 2 ZE 6 6' 328.'00' R 133.00'1 1.98 f � ` oc tin "I v r� VI �I 1 I N 89. 48' 38 "W 359, 98 ' tZ vi Q 0 I R (WEST 36 1. 00') Q 4. Q. E Lo 7- I C.S.M. VOL. 7, LINE SEI/4 ' ' PA GE I 2�D©C.-435878 SE COR. SEC. 35, r28N, - R19W, (CouNrY SuRvEYaR.'S MON.) SCALE I'= /00' Owners Address: 0 50' /ca' /501 zoo' 300, Route 3 Sunview Dr. Dated: 3-28--88 River Falls, WI 54022 • Indicates 1" iron pipe found. 0Indicates 1" x 24" ircn pipe weighing C/ r r OF RIVER FALLS 1.13 lbs./lin. ft. set. APPROVED B Y - ����11�11/1//rfh,, r E r / L • DATED �* :• ;' LAURENC � rn W m u P : G� S �. ,0 CP % .� 4r �k ALLS'..• � ` • NW I NE C`. r. N.`f M SUNVI W D R. � .S SW L o CA rION SKErcH SEC. 35, r 28 N, R /9 W SCALE / 3Ooo' LAti • ,I**A10"" Laurence W. Murphy A F OLL O R D. gi s to red Land Surveyor M. (i Vol. Page Certified Survey Maps St. Croix County, Wisconsin SHEET / OF2 CFjiTIFTFD SURVEY MAP MARVIN P. RASMUSS-:� AND REBECCA M. RASMUSSE� Part of the Northeast 1/4 of the Southeast 1/4 of Section 35, Township 28 North, Range 19 West, Town of Troy, St, Croix County, Wisconsin. Description: That certain parcel of land located in the Northeast 1/4 of the Southeast 1/4 of Section 35, Township 28 North, Range 19 West, Town of Troy, St. Croix County, Wisconsin, more fully described as follows; Commencing at the East 1/4 corner of said Section 35, thence South (recorded bearing on the East line of the Southeast 1/4 of said Section 35) a distance of 534.21' (recorded as 535.00'); thence N 89048138,tw 31.98, (recorded as West 33.00') to the -'JOINT OF' BMINNiNIG, of the parcel to be lip -rein described; thence continue N 89048'38"W 328.001 (recorded as West); thence N 00 0 07105"W 0 361.61, on the Fast R.G.W. of Sunview Drive (recorded as North 362.00'); thence s 89 4412011E 328.001 (recorded as East); thence S 00007'05"F, 361.201 on the, monumented West R.O.W. of Apollo Road (recorded as South 362.001) to the POINT OF BHINN11'14-G, containing 2.722 acres, being subject to easements of record. Dated: 3-28-88 State of Wisconsin) County of Pierce) I, Laurence W. Murphy, Registered Land Surveyor, do hereby certify that by direction of the Owners, Marvin P. Rasmussen and Rebecca M. Rasmussen, I have surveyed and divided the lands shown hereon in accordance with official records, Chapter 236-34 of the Wisconsin Statutes and the Ordinances of St. Croix County; and that this map and description shown hereon are a true and correct representation thereof. I.A01411 I stiff 01*k, 0 N 40 LAURENC = rn 1W M P P : ?'sac J . c� S 71Z 0 R1 Z�,.,FALLS,,.-* wisc 4C 0 LAO 0 sells%% Laurence W. Murphy Registered Land Surveyor SHEET / OF2 43rx- lx �•-• LL5 i s SW1 CAI r� 5-5 ��, �� ,L-j� C•.�Lc pit-� C� t t� .� � CERTIFIED SURVEY MAP NIA 1,VIIV P. Fjls "lU JJml � 1 L6 1.r E I/4 CDR. SEC. 3.3, Part of the Northeast 1/4 of the Southeast 1/4 of Section 359 r249N, R / 9 W /COUNTY Township 28 North, Range 19 West, Town of Troy, St. Croix suR VE roR s MON,! County, Wisconsin. UNPLA 77ED LANDS ® S89.44' 20"E 328.00`R/EASi1 Q0 6 6' `• N 66' I /. 0/7ACRES -1 0 T/ 1 44,279 SO. F r. O Cj 6:)# f, 06 11� *.•• w. f 1�y/ I /.r to I(i . :r /1)33s 1 •`yw.� cz V) O S 89. 44 '20" E 328.00' w (n 1 O 2tij m ►� w ..s to Q) 1. 703 NACRES (4 O O � h " 74,26d so, Fr, W ar R� ~ DWELLING WI7N A rT. GARAGE • , ~ ac � Ll 7 QE M� O 0s4ON41Mjm7 C0 W L IN£ AFOLLO RD, hh « ' 1.98� w Q � 66 32 8.'0013:009 ku�. N 99 48 `38 "W 359. 98 3 I (,ti "J ku ` R / WES r 36 /. 009 I 4 LU r C. S. M. VOL. 79 E LIN£ sE„4 I PA GE 1952, DOC.# 4358 i' 8 SE COR. SEC. 35, r28N, R/9W, / COUNTY SURVFYQRS MON.) SCALE 1 "- /001 Owner's Address: 0 JQ` /001 150, 200, 300r Route 3 Sunview Dr. Dated: 3-28--88 River Falls, WI 54022 Revised 6-29--88 • Indicates 1" iron pipe found. Q Indicates 1" x 24" iron pipe weighing CITY OF RIVER FALL S _ 1.13 lbs./lin. ft. set. 4 J APPROVE-0 g Y`—� LAURENC - rM m �WMU P °c • " S 1344 .. • '.. SC. CO NW HE '/I' LA'• 5 , rr C.T,H.Alf `t•,�RlimW, ' �J Laurence W. Murphy sum VIE W A POLL 0 RA gistered Land Surveyor D R. .S. M. SW SAPPROVED I L o CA r ION SKE rCH sec. 35, r 28 N, R /9 W SCALE / 3 Qo0' Vol. 7 page 1993 'JUN Z 9 M8 Certified Survey Maps SL COUNTY St. Croix County, Wisconsin PLAMN: 5HEEr 10F2