HomeMy WebLinkAbout040-1188-90-011 (2)Form- STC- 104
AS BUILT SANITARY SYSTEM REPORT
OWNER (3reU OL k/ TOWNSHIP SEC T N-R W
Jf
ADDRESS SC3a� Reajrl ST. . CROIX COUNTY, WISCONSIN 71
� ' �NDZ oC r1 � �(' rl -- � f
SUBDIVISIONCa k X I q -e AC tc$ LOT 71 LOT SIZE %� ,✓r f ' ..
PLAN VIE14
Distances and dimensions to meet requirements of ILHR.83
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
33
r56
gG
BENCHMARK: Describe tl,,.e vertical reference point usedT)
0 V
Elevation of vertical reference point: Zno. ()08 Proposed slope at site: cz
SEPTIC TANK: Manufacturer: e k S Liquid Capacity:____L2_1
Number of rings used: Tank manhole cover elevation:
T"-,nk Inlet Elevation: CfG ___ Tank Outlet Elevation:
Number of feet from nearest Road: Front, OSide,;a/Rear,0 Feet
From nearest property line: Front 10 Side,%&..JRear,0 Feet
Number of feet' from: well
L111 building: ZL
TO: M6Y, TDAw',5 FROM: DATE:s--/ �7/
PAGES INCLUDING
THIS PAGE:
FAX FAX #: PHONE #:
lions to septic tangy:)
E.E REVERSE SIDE
PUS. CHAMBER
urer: Liquid Capacity:
PUMP Model: Pump/Siphon Manufacturer: Pump Size
PUMP Mc:el:
Bottom of tank elevation:
Elevation of inlet:
Pump off switch elevation: Gallons per cycle:
Alarm Manufacturer: Alarm Switch Type:
ine: Front. Side, 0 Rear, 0 Ft.�
1 �.J
Number of feet from nearest property
Number of feet from, well:
Number of feet from building:
(Include distances on plot plan).
SOIL ABSORPTION SYSTEM
Bed. X Trench:
Width:
Length: () Number of Lines: Area Built:
Fill depth to top of pipe: 3
nearest ro rt line: Front, Side, Rear. Ft.
Number of feet from p Pe Y
Number of feet f rom well:
Number of feet from building:
(Include distances on plot plan).
SEEPAGE T
Size: Number of pits: Diameter:
Liquid depth: Bottom of seepage pit elevation:
Area Built:
Has either a drop box 0 or 'stribution box 0 been used on any of the above soil
absorbtion systems? (Check one).
HO TAN
Man acturer: Capacity:
Numbe of rings used: Elevation of bottan of tank:
Elevation f inlet:
ran nearest property 1 ine : 0 Front, Q Side, 0 Rear', Ft.
Number of feet p � Y---
r of feet f ran well:
Number o feet from building:
Number of feet f nearest road:
Alarm Manufacturer:
Inspector:
Plumber on the Job: Paul 5tejh_-eEA_
•711 q Y _3 DATED.License Number: 7
3/84:mj
WA'�; pa rtTA9X I A§t?�S . 19 NW AYVAWIERAGR�94�ODRIDGE
' Lobar and Human Relations INSPECTION REPORT
and Buildings Division
(ATTACH TO PERMIT)
INFORMATION
Permit Halde�'s Name: ❑ City ❑ Village [R Town of:
in
TROY
CST BM Elev.: lnsp_ BM Elev.: BM Description:
rANK INFORMATION
TYPE
MANUFACTURER
CAPACITY
Septic
Dosi ng
Aeration
Holding
TANK SETBACK INFORMATION
TANK TO
P 1 L
WELL
BLDG_
VeVeAirnt to Intake
ROAD
Septic
, i°
4 �
i
NA
Dosing
NA
Aeration
NA
Holding
PUMP/SIPHON INFORMATION
Manufacturer Demand
Model Number GPM
TD H Lift Fri cti on Head TD H Ft
Loss
Forcemain Length Dia_ Dist, To Well
aunty:
Sanitary Permit No_:
State Plan ID No.:
Parcel Tax No_:
A9300126
STATION BS
HI
FS
ELEV.
Benchmark
Bldg. Sewer
St / Ht Inlet
St / Ht outlet
Dt Inlet
-7R 5
01LJ,
Dt Bottom
Header / Man.
M
Dist_ Pipe"
Bot. System
4 0
Final Grade
SOIL ABSORPTION SYSTEM
BED/TRENCH width Length No. Of Trenches PIT No- Of Pits Inside Dia- Liquid Depth
DIMENSIONS - DIMENSIONS
SETBACK SYSTEM TO P I L BLDG WELL LAKE/STREAM
LEACHING Manufacturer:
INFORMATION Typeof •-' CHAMBER Model Number.
rn <
y
S ste: ,4 � �� ID -7 0 �.!�,�'�' OR UNIT
DISTRIBUTION SYSTEM
Header/Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air intake
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 1 Trench Edges Topsail a Yes a No ❑ Yes [] No
COMMENTS: (Include code discrepancies, persons present, etc_)
LOCATION: TROY 36.28.19 NW,NW LOT 71 EAST WOODRIDGE DRIVE
C4
;w , 7,. .
Plan revision required? ❑ Yes ❑ No
Use other side for additional information. �
SBD-671 g (R 05/91) Date Inspector's Signature Cert No
DILHR
SANITARY PERMIT APPLICATION
In accord with ILHR 83.05, Wis. Adm. Code
—Attach complete plans (to the county copy only) for the system, on paper not less than
81/2x 11 inches in size.
—See reverse side for instructions for completing this application.
I. APPLICANT INFORMATION — PLEASE PRINT ALL INFORMATION.
PROPERTY OWNER PROPERTY LOCATION
D J S 3
0�1 ( Q K42 1/4A/ 1� 114v
PROPERTY ni ER' MARLING ADDRESS LOT #
COUNTY
X
STATE SANITARY PERMIT❑ # f
Check if revision to previous application
STATE PLAN I.D. NUMBER
T �el N9 R /Y
BLOCK #
..._. a C5 ---east UOocPO
Cl,STATE ZIP CODE V PHONE NUMBER SUBDIVISION NAME CSM NUMBER
F I �s ,5Y 71slO A -.0 A c v—e L
3 Vaa
I F &919( 11. TYPE OF BUILDING: (Check one) ElStStB Owned NEAREST ROAD
T FV10 V r
E]Public CX1 or 2 Fam. Dwelling—# of bedrooms PARCEL TAX NUMBER(g)
III. BUILDING USE: (if building type is public, check all that apply)
1 ❑ Apt/Condo I
2 El Assembly Hall 6 D Medical Facility/Nursing Home
30 campground 7 Omerchandise: Sales/Repairs
4 El Church/School 8 1:1 Mobile Home Park
5 El Hotel/Motel 90 Off ice/Factory
IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable)
A) 1. D4 New 2. EReplacement 3. EReplacement of
System System Tank Only
B) E]A Sanitary Permit was previously issued. Permit#
V. TYPE OF SYSTEM: (Check only one)
Non -Pressurized Distribution
11 Seepage Bed
12 Seepage Trench
13 ❑Seepage Pit
14 ❑System -In -Fill
Pressurized Distribution
21 ❑Mound
22 El In -Ground
Pressure
C�a 0 -- I 18� C1 ta I I
10 ❑Outdoor Recreational Facility
11 El Restaurant/Bar/Dining
12 ❑Service Station/Car Wash
13 ❑Other: Specify
4. ❑Reconnection of
Existing System
Date Issued
Experimental
30 ❑Specify Type
5. El Repair of an
Existing System
Other
41 ❑Holding Tank
42 ❑Pit Privy
43 ❑Vault Privy
VI. ABSORPTION SYSTEM INFORMATION:
I. AB
VI.
GALLONS PER DAY
11 L
2. ABSORP. AREA
3. ABSORP. AREA
4. LOADING RATE
5. PERC. RATE
6. SYSTEM ELEV.
7. FINAL GRADE
.
-
I
REQUIRED (sq. ft.)
PROPOSED (sq. ft.)
I (Gals/day/sq. ft.)
(Min./inch)
ELEVATION
l
7
Feet
Feet
0—
1
0 .:
V VII T
II. TANK
CAPACITY
in g lions
Total
# of
Manufacturer's Name
Prefab .
Site
Con-
Steel
Fiber-
Plastic
Exper.
App.
INFORMATION
New
Existing
Gallons
Tanks
Concrete
structed
glass
Tanks
Tanks
I
SeDtic Tank or WQI,4-aa Tank
kleAwt-
Awo
-0•e
-
p
El
Vill. RESPONSIBILITY STATEMENT
1, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans.
Plumber's Name (Print): Plu r s ig ture: (Notamps) MP/MPfFWMo-: Business Phone Number:
P—a C Z., telkl
Plumber's Address (Street, City, State, Zip Coder
/V r W1
R. COUNTYMEPARTMENT USE ONLY
F-1 Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued issuing Agent tampsr,"%
E] Approved F-1 Owner Given Initial Surcharge Fee) dob
Adverse Determination
X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL:
SBD-6398 (formerly Plb-67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber
INSTRUCTIONS
1 A sanitary permit is walid for two (2) years.
2. Your sanitary permit may be renewed before the expiration date, and at the t.'.Ine of rene'vmad any new'
criteria in the VN11;sconSJn Administrative Code will be u.
U 12, 0 a 'p
.3. All revisions to this PETMJit' rn u s t be a p p r o v c.1 el r iffi it -,U tr
I
Z �-t'q
i
4. Changes in ownership. Or P!L1mb,_n,,r* requires a Sa.r'.tary P e r M,
4.1y prior to 'nstal.lation
�ubmiffed to the
%,evva� e sy,,�I�crric� ��nust be. pre-.,perty
pumper \�-,Ihenevor i ecessary, usually every 2 W yes
-iistrator or the 6. 'on --oncerning your te sewrage sv-sitem t a t our lo(,P0 d admir
..If you have questl , s ur onsi y
State of Wisconsin, Safety & Buildings DivIsion, 608-26, _38-i5.
To be complete and accurate this sanitary permit,application must include:
1. Property owner's name and mailing address.. Provide the -legal description and parcel pax nurn'be'.-r(s) of
where the system is to be installed.
11. Type of building being served. Check only one and complete # of bedrooms if I or 2 Farniiy Dwelhing.
I.I.I. 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 8 if permit is 1tor yank re-Jdacemeint, re.Coni-ir.-icticill, C)r
repair.
V. Type of system. Check appropriate box depending -on system, �%;Pe.
VL P`sorpticl.- systern mforrlaf,,nn Provide ?W nfo!r"
vil. TanK inforn-lafigor, F
tank.ci, and,
anc h k S �W -
I I r
X a
t, i j I
A,� t 1 i� 1 .0 il V �,l I y A f,-4 i'�
p,.", n s i v i I ty s, *w f�l m e q. i to i i i r PI t- I er, h
IX. Use Only.
X.
0
z.
A. 4�a L',
4 f V
IA %1
com
u r4-js a, n d W i plete
Perf:C)f:,rT:janc.,e curve- PUrnp rnodel and pump nn a i ui t a. c; t U f4 e- r of 0-�e
required by the county; E-) s> o i I test data on a form; a n d F) a I I s zing i to r: 711ion.
GROUNDWATER SURICH A RGE
1983 Wisic-lonsin Act 410 included the crez:-Jion of
tc
SBD-6398 (R.11/88)
APPLICATION FOR SANITARY PERMIT
• 9TCw100
This aAp llcatlon form Is to be completed in full and signed by the ovner(s) of
the to err being developed. Any inadequacies V111 only result In dtlay= of
a p Y �
the petmit Issuance* •Should this development be Intended for resale br
evnesrcontractat # t $Pee house)* then ■ second form should be retained and
completed when the property is sold and submitted to this *Ulco with the
approptlate deed recording.
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o cv ett
8 r� L �Aq n Zt��Z 2 1v
one = t p P Y Cx
vpestrAI/�VL�/4,r eectlon3vLocatlon of prT 2�'?�
0
Tonne h i p p
NaillnT address
o0 Ct
el 1 i 0
llder... of site
Subdivision name
Lot nubs
Ftevlovs ovnec of pcoQesly. , 1114r1 4dIs 29,eclelogdf
MTet.l .s:. et pasc.l � �/ �' /SO'= o�/';)!§
I Date parcel was created
11c• •11 corners and lot ilnes ldenllElablet �yen _� o
to this ptopetty being developed lot renal* (spec house)? Yes o
Yola end Page Number as recorded v1th the Register of Deedso
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INCLUDE WITH THIS APPLICATION T112 POLLOWI NC 1
h VARRAXTY DASD ►rh I ch Includes a DOCVNHNT NUMB tR , V0LVX1t AND PAOt KVMBVal, and
the SEAT. or THE R2OI8TKR or DREDB. In add 1 t long a tort 1 f ied sutvay, it
available. Mould be helpful so as to avoid delays of the revl e►+ing process. t E
the deed description tolerances to a Ceit1 l led survey Nap, the Coctlf led Surrey
Nap shall also be required.
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.
PROPERTY OWNER CERTIFICATION
I (VQ) carts fy that all statements on this form are true to the best of my (out)
knowledge; that t (we) am (ate) the ownectsl of the ptoperty described In
this Intotmation totm, by virtue of a warren t rdad in the Office of
the county Regletet of Deeds as Document No. A%T1 and that�Y(Wel
presently own the proposed rlto for the sewage disposal system lot tYei have
obt■lned an easement# to ru
n n with the above described property! [or the
eonottuct l do of said system, and the same has been duty recorded in the office
o �h County q I,Vt■ r of Deeds# as Document Me. f .
s i9natuie 1-6f owner N RM I
-----21tratilte v Cowftner 1 t 8 Applicable )
late at • ynalus•
a T"? eif 47 2..,
Date of Vignatus�
SEPTIC TANK MAINTENANCE AGREEriENT �
St. Croix County
014NER/BUYER -� ��O �'y �-• � � �l � L- C� lt�l /I ✓ J C./ � � �/ `�/j` w
0
ROUTS/BOX NUMBER ��O � -GX/06�✓ Vj Fire Number �
,(� d
CITY/STATE Weil. ZIP �
PROPERTY LOCATION:�k',A/4(k, Section T ;SINR /� W,
Town of St. Croix County,
Subdivision �/I IJLee i�G✓PS, Lot number_
Improper use and maintenance of your septic system could result in
its premature failure to handle wastes.. Prover maintenance con-
sists of pumping out the septic tank every three years or sooner,
if needed, by a licen"sed—se tic tank er. ghat you put into
the system can a ect the unction o tum e -septic tank as a treat-
ment -stage in the waste disposal system.
St. Croix
County residents -may
be eligible to
r+ecieve a grant for
a maximum
of
6Olo of the cost . of
replacement of a failing system,
whic was
in
operation prior to
July 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
system properly
maintained.
The property owner agrees to submit to St. Croix County Zoning, a
certification form., signed by the owner and by a water plumber,
journeyman plumber, restricted plumber or a licensed pumper veri-
fying that (1) the on --site wastewater disposal system is in proper
operating condition and .(2) . after inspection and pumping (if nec-
essary) , 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.
H
the undersigned have read the above requirements and agree °
to maintain the private sewage disposal system in accordance with 6
the standards set forth, herein, as set by the Wisconsin Depart- zr
merit 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.
R
SIGNE
DATE --e
St. Croix County Zoning Office
911 4th St.
Hudson, WI 54016
386-4680
Sign, date and return to the above address.
..,w.r.:,3•a�. az7�i3°-is:4��!...rt�.fe: �+�- ;�+r�.,r ,., s.. ...... .,•.na.:.*+Y+r+®rr. ++L�w. wrr xr...
NO � ul
SOIL AND SITE EVALUATION REPORT
04VISiOA cat S;AfUry & SWIC0GS in accord with ILHR 83-05, Wis. A&n. Coda FOOLU N-TY
St. Croix
Attach coniplatj:�Ia plan on papar not lass than 8 112 x 11 inches in <2o. Plan mini inclWd4j, but PARCEL I.D.
W1 Ilnnitad to vaniicW and horizontal ralarconce point (BM), dria6c6on and %o of :�lopijj scald or
dimensioned, north arrow, and loc"on and di:uanca to nf3x6st road.
APPLICANT INFO R 41ATION-PLEASE PRINT ALL INFORMATION REVIEViEl) EY 0A T E
A
PROPERTY OWNER: PROPERTY LOCATION
C,"reg 12QIivka GOVT. LOT NW -_ -_ IA NW V4,S 36 T 28 ji.R 19
PROPERTY OWNER':S WJUNG ADDRESS LOT # BLOCK I E suso. t"OR CShi 8
120 South Pearl 71 1 -- ]oak Ridge Acres
CITY, STATE ZP CODE PMONE Nu'tA@Efl @0j0CPxx= 006N NEAREST A04
River Falls, WI 54022 (715)425-8008 Trov I Count y Road MM
New Construction Use (XI Residential / Number 01 Dexwms -3- A 00i ion to ejuis 0,Iljjlg
Replacement ] Public of commercial describe
2
Code derived CIZuly Ilow 6QO gpd RecominanoW design loading rate5 gAa6 uexno gpo o2
Absorption area icquilm 200'01:d, ftL)'- 1r 000 luencn. ft2 NUximum design loading iaie .7 ptq:d. opwn2 .8 _Vench, 9P1111"
RexwunanaW ififill,tatiOn SU(IaCe Clavabon(s) 92.4 q (as referred 10 $+LQ PW wranafk)
AC10160nal aesigii l site considerations additional rock will have to be used.
Parent maw" FloW plain eleiat;w, d appLcaola NZA_
S
0 E F4.L
CONvENWNAL MOUND iN - Gli0i�t%D ME:;6uhE AT-Q z Sultaole lot systeln 1 1 [2 2 Ou 0 S ED U 0 S 2 u
u- unsullziolo lot S 21 S CC) u 2S Ou S ou
S
stem I up�
SOIL DESCRIPTION REPORT
Boring
Giound
ellv-
91 it.
DPth to
L1111bing
Ixtut
Boring if
Ground
96,8611.
Depth to
1016no
luclo(
Horizon
Da to
In.
Dominant Color
munsell
Nlomi�ls
QLi. Sz. Cont. Color
Texture
SuuCLu10
of. SZ. Sn.
Cyr ,swnce 5axuq
Roots
OL!u ,110J,
j
-
Q-1 4
- MI
1 Q
None
sil
2 M P1
Mf i as
1 f
.5 6
2
14-41
2.5YR 5/0
(2P.5YR 5/8
sicl
1 f sbk
mf r as
NP
_NP
3
41-52
10YR 3Z4
r 1 f I.")
sil
1 f sbk
mfr as
D4P
NP
4
52-61
10YR 6/4
—
None
S gr
0 M sg
7
M1 as
T
.7 e8
5 51
-110
10YR 6Z4
None
s gr
0 m scL
M1
7 .8
Remarks: Sy2tem DeL21h Nin 7011_j3Qttm_. _Wet ;.-.#--4 & 5 Dry
-Qf lsay!2r � 2 VeEL
1
1-20
10YR 3Z2
sit
2 m sbk
mfi
as
1f
.5 6
-2
20-39
-,.None
10YR 4/2
None
sil
1 f sbk
mfe
as
1f
_*2 3
3
39-51
10YR 3/4
None
sit
1 f sbk
mfr
as
2 3
4
51-63
10YR 6/4
None
s qr
0 M sg
.7
5
63-113
10YR 6/4
None
s qr
_0'M sg
Ml
7
*8
' ;wry
�� �
�� � .
Remarks:
'40
V%JT Nwiw—P1,ua.,*o Piwit
-2dul Q,J,-Steiner
N8Z3.Q Hiqhway-§�_L_River Falls
WI 54022
Pnorw: N
(715)", 425-5544
WEAW. Ml-ly 25, 1993
'3074
j
Gr 011vka SOIL DEO%CRIPTION FIEPORT
PROPERTY OMER _9E� �P�
PARCEL I.D. I
r )
lm7
Depth
Dominant Color
TexturLl
Structure
Sz. Sn.
Bouraq Roots
..............
6L:0
Boring
on
FHorizon
in.
Munsell
Qu. SZ. C�OAL Color
1
0-12
1 OYr 2 2
27
7
on
1 f sbk
mf r as 1 f
2 .3
3
2
12-51
1 OYR 4/2
None
s
51-65
1 OYR 3/4
None
s i l
f sbk
mf r as '+
.2 .3-
Ground3
4
65-80
1 OyR 6/4
None
s
0 M s
Mi as
7
98
f
Depth to
5
80-13
1 OYR 6 4
None
Boring
4
Ground
elev.
95, 37 it.
Depth to
411ilting
Boring 4
5
clouflj
ak%v-
95 IL
factor
Boring
- 6
Ground
e1j;v.
96 IL
Depth to
Remarks:
1
-10
1 OyR
2 2
NoneSiT
1 f
2
0-53
1 OyR
4/2
None
sil
1 f
sbk
mf r
as .2
3 :)3-62
1 OYR
3/4
None ---------
sil
1 f
sbka
Mf
s 3
4
2-67
10 YR
6/4
-,-.—None
S r
0 m
sq
mi
as
8
5
7-130
1 OyR
6/4
None
S gr
0 M
---
Sg
M1
7
Remarks:
Mf
f
0 - 13
rR
1 ON
2/2
None
o
if NP NP
2
13-60
1 OyR
2/2
f 2D
sicl
1
f sbk
mf r
as
0
M f i
_N
3
60-120
10
M 3 P
P)OL J�
L6 71
0 0
Tor.) 1
SyS` c � �� c �j '� 1 ►;�,t 17�, �
642, ji / ?,-I#
SOIL AND SITE EVALUATION REPORT
Dora on al Salary �u�wrx�s in accord wiUi ILHR 83-05,1 Wis. ACM. C00a COUNTY
Mach complatio :�Io plan on papar not w4s than a w*20 x i i irochios in:s�zu- Plan rnuw inclwdj. b�ot St. Croix
mi finii4od to vorticW and horizontal foioior�co point (6hi), drfjcton and % of ;wopj4 *"1W or PARCEL I.D. A
cjjm6ns.janijd, north arrow, and location act" to na;a -:it load.
APPLICANT INFO UATIO N-P LEASE PRINT ALL INFORMATION FLEvi EviED 6 Y
DnTc
PROPERTY OViNER: PROPERTY LOCATiON
ea GOVT. LOT NW V-4 NW V4,S 36 T 28 XR 19 W.Xxlv.�
_�10E.- 7 _2cLjiyka LOT 4 8L00(.1 SUED. WV42 OR C-SM I
PF HT1(OWNER':S IvWUNG ADDRESS 71 Oak Ridge Acres
120 South Pearl
CiTY, STATE ZiP CODE PnONE Nulii8EA aofai tir�ST
River ]Falls, WI 54022 (715)425-8008 Oounty Road MM
- - Troy WMEMMEMEMMOMM-_ -
New comuctioti Use JXJ ResiOaniiW / NwMWI 01 D�XO=S _. ,_ C Aar tian ews�ng C visd.ng .�
j R�:Plaar:ment C) PU011C Of Ccwlc" aescri�
code dafivtv. da;ly 110W F 600 gpd dL-sign loading tal,61 5 tea* 0ArL2 .6 uncna qpWl 2
1)
.8 Vencn'
-qu 6- 1 000 Vencn' ft2 Ntaximwm je�gn joaaiN talA,., 7
Absorption area iL 4L-ld 1 r 200 ft
191�wmffianjw infiivacn Su(=' efivatiQr)(S) 92.4 (as lelerlea to S W Ptah toaranaf�)
Additional daSiqll / site WnSidCM6011S .ddiLjDnal rggk will have to be used.
Parent N/A tt
MOM
S z Swale lot System CC)fivUJCNi�L hiodtto CAQwtv 0 ME "-'uRE ik T - C� L;% 0 E SY0W vq f" rK;4�41wi
u z unsullaole 101 system 0 u 2 S Clu [2 S 0 U 2 s Ou 0 S ® u Ds Ou
SOIL DESCRIPTION REPORT
Boring N
Giound
6v. ,
91 IL
Q�Ptn to
LaIlLing
1; clur
Boring 0
ti
Ground
CIL-V.
96.86 it,
Depth to
limiting
lactar
Honzofl
Depul
Dominant Color
WOW"
Texture
suUCLUw
C"sw=
Boa-c:q
R o o i s
B�L) 11L1,J,
in.
lunsell
Qu. Sz. Cont. C010r
Sz. Sn.
]12
None
sil
2 M P1
Mf i
as
1 f
.5 .6
2
14-41
2.5YR 5Z0
p 5/8 1
sicl
1 f sbk
mf r
as
NP NP
3
41-52
10YR 314
l f 1
sil
1 f sbk
mfr
as
NP NP
4
52-61
10YR 6/4
None
S qr
0 M Sg
Mi
as
4,7 •8
5
51 -110
10YR 614
None
s
0 M sq
-.7 .8
Remarks: __ _qyatem DepthL__ Min 7Q" 13QLtQW Qf I _#2 YeEy Wet.L #._4 & 5
1
1-20
1 OYR 3 2
None
sil
2 m sbk
Mf i
as
1 f
5 6
2
20-39
10YR 4/2
None
sil
1 f sbk
mf e
as
1 f
.2 3
3
39-51
10YR 3Z4
None
sil
1 f sbk
mf r
as
3
4
51-631
10YR 6/4
None
s cjr
0 M sg
M.
as
7 .8
5
63-113
10YR 6/4
None
s gr
0' M Sg
7
8
Remarks:
Pa
N8
C.j I .....,3teiner
L12. Highway 62; River Falls
;P
WI 54022
"o
A 0 ; rA A
.. %I. _�S` —
1991
3074
'2Le�LPolivk-a SOIL DESCRIPT10a flEPORT
PROPEM MiEfl
PARCEL I.D. i
Boring 11
3
.16. "4f J,
Ground
98
Remarks:
--
Lori
--
I ?
I n
10xrIx
2 2
None
2
0-53
10YR
4/2
None
Sil 1 f sbk mf r
S
as i f .2
3
4
1 OyR
3/4
Na
1 f sbk m
sil fr
Sil Lif...
as
3
Duna'
4
2-67
1 OYR
6/4
None
S SE 0 m M-1
S cl
as .7
95.
5
7-1301
1 OyR
6/4
None
s gr 0 m S9
.7
71
8
Depth to
Boring
CIO"
95
Dcp� to
Remarks:
1 0-13 1 L
OYR 2 2 None
- if HP NP
f 2D sicl 1 f sbk mf r as
2 13-60 1 OYR 2/2
mf
3 60 -12 0, 1 O)OR 212 M3P Sicl -0
................ .
Boring N
1 OyR
2/2
None
S i
2 m
mf r
as if
0-10
sit
m
sbk
mfr
as 1 f
2
3
6
2 10-51
10yR
4/2
None
..... .
3 51-63
1 OyR
3 4
None-
sit
1 m
sbk
mfr
as
82
.3
Clowid
1
4 63-7C
1 DYR
6/4
---
None
s (gr
0 M
sg
ml
as
7
96 IL
S
0 m
ml
7
5 7o-130
1 OyR
6/4
None
DOM 10
A. ------
Ploy 1)lon LoJ/
t �d
a� 83
RC�(r�<e n•�t I V arx�c Dr*
�uewny �Ob
�y /IOUc:
O
aWG�I �
O
92, ya , No
�01e�3�4� M(F7�'0 GNr
ec�ory ��o�6V �Ca (p � 51zv173
4)ht�
r . . I . a , . , ' . i, - -"o 2 v R. 1 S' I . I
DC-CUMENT NO
RUN 1LOX61
STATE BAR OF VVISCONSIN FORM 2-1982
WARRANTY DEED
VOL 101- PAGE 309
Rolling Hills Devel
a Wisconsin corporation, aka Rollin llqs
Develo ments Incorporatedaka Rollin Hills Deyeloyaea
Corp
cony-ays and wa.,rants to Gre oiri,i( L.--Polivka and LuVnn--J—.
Polivkat.--husband and wife as survivorshi
marital ry ertv
THIS SPACE RESERVED FOR FIECCIRDiNG ,ATA
REGISTER'S OFFICE
ST. CROIX CO., M
Rec'd far Record
J U N 3 1993
at M
Regjster of Deeds
RETURN TO
R j!r cz t
FAn
124 S. ST- Ou 22- 7
x
Ql�"02 � 1
the following described real estate in crniCounty, L'
State of Wisconsin: Tax Parcel No.
Lot 71, Oak Ridge Acres in the Town of Troy and
art of Lot 70 of the Plat of Oak Ridge Acres, located in Section 36,
T28N, R19W, Town of Troy, described as follows: Beginning at the
SE corner of said Lot 70; thence NO0 07'E 9.00' along the East line
of said Lot 70; thence Northwesterly 23-56 ' 0 on 'a 15.00" radius curve
1 ;
consave Southwesterly whose chord bears N44 53W 21-21thenceI
N89 53'W 120-00'; thence Southwesterly 23.59 on a 15radius curve
copcave Southeasterly whose chord bears S45 07'W 21.21"; the8ce
SO'07'W 9.00' along the West line of said Lot 70; thence S89 53'E
150.00' to the point of beginning.
This is not homestead property.
(is) (is not)
Exception to Warranties:
easements, restrictions, and rights -of -way of record, if any.
Dated this 27th day of May '19-9-3
fRO L L G LLS D V ITT, INC.
(SEAL) -(SEAL)
-Richard N. Fox, President
(SEAL)
SEAL)
J. Frances Fax, Secretary_
AUTHENTICATION
chard N. Fox
Signatur
ig nal ur chard N. Fox
J F ces Fox
)aut ticated this '19
Lauri J. Gaylord
0
TITLE- MEMBER STATE BAR OF VVISC NSIN
(It not,
authorized by § 706,06, Wis. Stats.)
THIS INSTRUMENT WAS DRAFTED BY
G-aV-10rd. AttnrnPv
River Falls_, W1 54022
(Signatures may be authenticated or acknowledged Both
are n o t necessary -)
ACKNOWLEDGMENT
STATE OF WISCONSIN
SS.
County.
Personally came before me this cay of
* 19— the above named
to me known to be the person who executed the
foregoing instrument and acknowledge the same.
Notary Public-- Counly, Wis.
My Commission is permanent. (if not, stale expiration
date-- .19--)
'Names of person5 signing inany capac-ly shou:0 be typea or printed bejoyv their signatures
STATE BAR OF WiSCONSIN
WARRANTY DEED Fenn No 2 — 1982
bf74f P41 P' UW T 11
Neko Tax Forms, P.Q.130A 102208, Gr000 Bay, YA 54301.0208
m
y
�T4
N<
*rV
7//3� 103
/-Z-:t AIkjAO