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HomeMy WebLinkAbout042-1077-70-000STC — 10 4 AS BUILT SANITARY SYSTEM REPORT OWNER ��f �f .�"� SC � (, �7 I.�% ADDRESS ���,� �� :Wiz- ��o� SUBDIVISION CSME LOT SECTION N-R W, Town of CL K ST. CROIX COiwy, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM 0 '00, tj �3 3c"— ATE N V, I VF A on on reverse of t-Ils fol-rF'' 1)1-ovi-de- setback, and el(?vatlon informat' l Providc) 2 dimencsions to center of- tank mal,1101-e BENCHRARK: % �� �,. S: � �O ALTERNATE BM: SEPTIC TANK PUMP CHAMBER HOLDING _.TANK INFORMATION Manufacturer: Liquid Capaci-ty-. Zconn Gol/_ '0011�� ............ Setback from: Well -'7- e_�> House, Other Pump: Manufacturer Mode lt ---S i z e Float seperation Gallons/cycle: Alarm Location SOIL ABSORPTION SYSTEM Width *0 Length Number of trenches - Distance & Direction to nearest prop. line. 10 44� Setback from: well:,/ House ;2,/ Other P, - 104 ELEVATIONS ­7 5 4 Building Sewer ST Inlet.- ST outlet 02, ui 7 PC inlet PC bottom Pump Off -;3 -7 3 Header/Mani fold I _Bottom Bottom of system -1r, Aj C 41 3 ��.Q7(ing GradeFinal grade 02 ,--�<071> DATE OF INSTALI-ATION: o -;:� ;;a 7 _3 PLUMBER ON JOB: xE7 LICENSE NUMBER: INSPECTOR: 3 /9 3: t, 'r f"'liOATIDN: 28o29-18,4 ivisconsin epartrnWno Rustry, ANATE SEWAGE SYSTEM Labor and Human Relations INSPECTION REPORT Safety and Buildings Division (ATTACH TO PERMIT) GENERAL INFORMATION F Permit - Holder's Name: E] City [] Village lil Town ot'. SCHWALEN, JAMES H WARREN CST BM Elev--. Insp. BN1 Elev.-. BM Description". -rAKIV 1KjrnQ"AT1nM ELEVATION DATA A9300342 TYPE MANUFACTURER CAPACITY STATION BS HI FS E LEV. Septic 4 zxkol Benchmark i n Dos 9 V T Aeration Bldg- Sewer Holding St/Ht Inlet TANK SETBACK INFORMATION St1 Ht Outlet TANK TO P / L WELL B LDG. Ventto Air Intake ROAD Dt Inlet Septic �750 A�I*Llr NA Dt Bottom Dosing NA Header / Man. <217 3 too, Aeration NA Dist. Pipe 31 1 Holding Bot. System PUMP SIPHON INFORMATION Final Grade ;4- Manufacturer Demand Model Number GPM TDH Lift Friction LQss System Head TDH Ft Forcemain Length Dia_ Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches 1 PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS 5 -7y 1 � C) -- 15— []IMENSIoNS Man acturer, SYSTEM TO P L BLDG WELL LAKE STREAM LEACHING SETBACK CHAMBER model Number: INFORMATION Type Of- L;-", OR UNIT Sstem j y 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 /Trench Edges Topsoil D Yes El No Yes No COMMENTS: (include code discrepancies, persons present, etc.) 7 LOCATION: WARREN 28.29.18.442A r tr lei 7W _j ► Plan revision required? E] Yes El No Use other side for additional information. SBD-6710(R 05/91) Date Inspector's Signature Cert No UA I mcxwmpn SANITARY PERMIT APPLICATION COUNTY �ILHRIn accord with ILHR 83.05, Wis. Adm. Code ) rVOLARTNIAU" I --) Kcj STATE S ITAR PER T # —Attach complete plans to the county copy only) for the system, on paper not less than ,% , 8% x 11 inches in size. El Ch if re sion t revious 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 C-'/4 —C.5 r Zj4 uola LJ!V ICE WY4 S F T 5� < N I R ?E (0 W Am - PROPERTY OWNER , S AILING ADDRESS LOT # BLOCK # CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER CITY NEAREST ROAD II. TYPE OF BUILDING: (Check one State Owned ILLAGE aoolex :�PARCELTQWN QF- OPublic �190'1�or 2 Fam. Dwelling—# of bedrooms TAX NUMBER(S) 11111. BUILDING USE: (it building type is public, check all that apply) ep,,el ;::.7 ie Z 7 4�� 1 F] Apt/Condo 2 El Assembly Hall 6 1:1 Medical Facility/Nursing Home 10 ElOutdoor Recreational Facility 3 11 Campground 7 EJ Merchandise: Sales/Repairs 11 ElRestaurant/BarfDlning 4 0 Church/School 8 1:1 Mobile Home Park 12 0 Service Station/Car Wash 5 El Hotel/Motel 9 El Office/Factory 13 El Other: Specify IV. TYPE 0 PERMIT: (Check only one in line A. Check line B if applicable) 5.0 Repair of an A) 1. TYPE 2. ❑El Replacement 3. El Replacement of 4. El Reconnection of System System Tank Only Existing System Existing System B) F-1 A Sanitary Permit was previously issued. Permit# Date Issued V. TYPE OF SYSTEM: (Check only one) Non -Pressurized Distribution 11 ❑Seepage Bed 12 ETSeepage Trench 13 ❑Seepage Pit 14 ❑System -In -Fill Pressurized Distribution 21 ❑Mound 22 El In -Ground Pressure V1. ABSORPTION SYSTEM INFORMATION: 1. GALLONS PER DAY 2. ABSORP. AREA 3. ABSORP. AREA I REQUIRED (sq. ft.) PROPOSED (sq. ft.) 75V 71570 VII. TANK CAPACITYin gallons Total # of INFORMATION New xisting Gallons Tanks Tanks Tanks r- Experimental 30 ❑Specify Type Other 41 El Holding Tank 42 El Pit Privy 43 ❑'Vault Privy 4. LOADING RATE 5. PERC. RATE 6, SYSTEM ELEV. 7. FINAL GRADE (Gals/day/sq. ft.) (Min./inch) X k 99"5-0 E�EVAT19> ??,90 14* t Feet Lo!' /o!:;i.34eet Prefab. Site Fiber- Plastic Exper. Manufacturer's Name Concrete Con- Steel glass App. structed Septic Tank or Holding Tank 0 Lift Pump Tank/Siehon Chamber VIII. RESPONSIBILITY STATEMENT 1, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached -plans. Plumber's Name (Print): Plum er's Signature:Sta ps)Business Phone Number- �A�SWRo - �- J�IZ C4'L V J, 1jy9 Plumber's Address (Street, City, State, Zi Code): 10gr IX. COUNTY10EPARTMENT USE ONLY Disapproved SVitary Permit Fee (includes Groundwater Date Issu ed Issuing Agent Signature (No StAmps) Surcharge Fee) Approved F-1 Owner Given Initial x d4 �-� U 114 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. 2. 3. 4. 5. s. A sanitary permit is valid for two (2) years. r 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. All revisions to this permit must be approved by the permit issuing authority. Changes in ownership or plumber requires a Sanitary Permit Transfer/Renewal Form (SBD 6399) to be submitted to the county prior to installation. onsite sewage systems must be properly maintained. The septic tanks} must P by'a pumped b 'a licensed pumper whenever necessary, usually everyf4o 3 years. 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 compete and. accurate this sanitary permit application must include: I. Property owner's name and mailing address. Provide the legal description and (s} o parcel tax number f where the system is to be installed. P II. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 FamilyDwellin g Ill. 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. VI. 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. Vlll. 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. rrrrwrrrr�wrrirrrrrrwrr.rrrrrrM+��,.. ..rrrrrr+ ..rrr�.��... .rrrrrwrrr.rrrrrrr rr�.r�r...+rrir----rrrrrrrrrrr..r-------rrr+rrrr.rrrrr�rwrrrrrr.�rrirrr..rrrrr GROLINMXTER SUA CHARdE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The monies collected through these- surcharges are used fort mnitoring groundwater, ground- water contamina#ion investigations and establishment of standards. ti SBD-6398 (R.11 /88) _� 1 WC t�s I I xxe JrD U5 5 es TIED 110 x 41 3 W. dt-u et 9R g Ov c Atl i a e-4 L 16 a 74 C) -T-p OV \r 1 %_-4ortsin Departnent of Industry, SOIL AND SITE EVALUATION REPORT P 3 �"a yr and Human Relations age Of Divis:,'-n of Safety & Buildngs in accord with ILHR 83.05, WIiitS. Adm. Code COUNTY Attach complete site plan on paper not less than 8 1/'2 x 11 inches in size. Plan must include, but not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. dimensioned, north arrow, and location and distance to nearest road. APPLICANT INFORMATION -PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: A M ES 57C PROPERTY LOCATION L ^� GOVT. LOT .✓Ui5- 114 SE 1/4,S 2f T ZY ,N,R / E PROPERTY OWNER":S MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM # �a 3 P w y 625 :2- � - )roR 10,=-74,�PIIC-7 G- 4::5'61e_f CITY, STATE ZIP CODE PHONE NUMBER STY []VILLAGE RMN NEAREST ROAD 1;),0 F, Ee T S Gam/ S. 3_41D 2-3 (7sly- S 3 eZ- Iwi���'�a� //-I<�)/ � S [f New Construction Use [�J" Residential 1 Number of bedrooms Addition to existing buikfing i I Replacement Public a commercial describe Code derived daily flow �O 41ee_+ gpd 73 3 - t3 v �1 5 Recommended design Ioadig rate bed, gpcilft2 _ 6 trench, 9wt' Absorption area required �� bed, ft2 7110 trench, ft2 Maximum design to d rate ' bed, gpolft2 ram' trench, gpdrft2 Recommended infiltration surface elevation(s) 5E�f- ft (as referred to site plan bendvnark) Additional design I site considerations 42vc y -4),Q dU.v SyST. Parent material 5'<,5 '�p'7-- -D rC k-;A-f Flood plain elevation, d applicable i'✓74— ft o /V /,+/,4J S = Suitable for system CONY ONAI. MOUND IN -GROUND PRESSURE AT -GRADE SYSTEM IN RLL HaLDING TANK U = Unsuitable for astern �G] U 0-9, ❑ U as❑ U 19-6 y❑ U CSC❑ U ❑ S SOIL uBSCRIPrTiON REPORT Ground elev. fit Depth to Uniting tac or C2 Ground elev. ft Depth to limiting factor 2 Horizon 4 Depth in. 0 _1 Dominant Color Munsell 0 V Mottles Qu. Sz. Cont Color Texture l5 Structure Gr. Sz. Sh. o, /Vt, '1� Consis C 'km'-0- Bounclary s;� Roots G P DIft Bed Tmrch S S T -i ,a yR 3/ y �. 1. 9,0�aI eI/y 01 14 //A, 6.� 7 C , T 3� � 0 YR c,/l � S 0, u+—, - 9 p S _5' � Z 3 ~ fO r 0 Yle / + -5 0, t..� f 5 t� /l✓ �� r V als Remarks: 17'0'I~' L- -2- i S /© %2 z/�_ :;2,-f. shoe � �0�MY - �, , S V � 7.2- /o il' 61�1 s Remarks: ff G e'U� (rG.� S I�t'c�� /f- 7— 60 " rCST7N24te:-'­�P1ease Print. t U �.� Ph�,ne:/- j v�'" �`� c- ff'ss: 0 Q_ L S, JV 0/ & — 2 2- 3 r1tj 2, 4/f.-j, Signature: Date: CST Number: ? LEAS E- 5' p1 `L � I � S o/./S .3- T� e-1 OW A 4;o02'AV1)771,y This hest site APPROVED for a conventional sep#ic system• %3i4 cffAo c-, P.* •TS --r1a No • Go T R Low T e c,,Ajfig• 8a TP, e- u GA. STC - 105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER ROUTE/BOXAMBER FIRE NO. 3 CITY/STATE ZIP PROPERTY LOCATION: 1/4 1/4, Section T N R Town of k 2 a.;aza - I 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 MAXIMUM of $3000 of the cost of replacement of a failing system, which 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 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. UWE, 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. SIGNED 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 S T C - loo This application form is to be completed in full and signed by the owner(s) of the property being developed, Any inadequacies will only result in delays of the pOrmit issuance. Should this development be i�tended for resale by owner/con'tractor,(spec house), thenia second form should be retained and completed when the property' is sold and submitted to this office with the appropriate deed recording. -------------------------------------ea ----- ------------------------ Owner of property Location of property 1/4 1/4, Section -:23 Township Mailing address4�5 '0�_ II-e Address of site Subdivision name Lot no. Other homes on property.? _yes- 'No Previous owner of property Total size of parcel Date Parcel -was created Are all corners and lot lines identifiable? Yes No Is this property being developed for (spec house)? W Yes L_No Volume and Page Number 11-11 as recorded of Deeds. I with the Register INCLUDE WITH THIS APPLICATION THE FOLLOWING: A WARRANTY DEED which includes a DOCUMENT NUMBER, VOLUME AND PAGE NUMBER & THE SEAL OF THE REGISTER 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 OWNER 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 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 of said system, and the same has been duly recorded in the office of County Register of deeds as Document No. a 2� 1--ttire of applicant Date of —Signature Co -applicant Date of Signature , DOCUMENT NO. - WARRANTY DEED ..= ' VOL 413.PACE 84 se s STATE OF WISGONSIN FrDRM 9 a" • . _...� THIS SPACE RAVED FOR RE9COIfD11+13 DATA 2801-06 �. , tttLGW W OFFICE FJ f . THIS INDENTURE, Made by.. Wilfred A. --_Baker and Florence .............. grr. CRolx Co.. W i8. ................... I 18th Reed for Rwmd this__ _ Balser, ..�`i8 wife,.....................-•................................... •----...............-.... _.....�..... �.. �.�:.. dty 19JP AL .. . ......... . . . ............................................_ .......... .................'...........„_..-----........_....grantor$_,- m St• Croix of ..................... ........... - ..__.___. County, Wisconsin, hereby conveys and warrants to Drams James $ h en! a sinl.e mart - . . u - -- ETURM,'�i ................,.......---............._.............._.............».._. .. St. Croix.................County, Wisconsin, for the sum of grantee ......... of---------------------- •-- ......................................................... ftenhsnight Hundred Twenty. -five �,1�`,82.nt1 ._..,_...._ ............................... ......Dollars, • St Croix County, State of Co Wisconsin: the following tract Qf land in t nsln. , The property conveyed to be described as follows: m` Southeast darter (S) of Southeast darter O and Government Lo m Four (k) except the North twenty-five- (25) feet of the East 720' i- also, beginning 720' West of the Northeast corner of Govertnent Lot Four (+4) thence South 60' thence Southwesterly to a point A that is three hundred twenty (320) feet South of the Northwest . corner, thence North to the Northwest corner, thence East six hund (600) feet to point of beginning all in Section Twenty-eight (28) , IV Township Twenty-nine (29) North, Range Eighteen (18) West. r. $�,tbect to Roads, rights of ways of record and easements. ►•. �. f Y I � � r � r " a Y Y WI-W • � : ; (IF NICE'.SSARY. CON•t-INIJE DESC:RIM s vri )N oN RI-RSE SIDE) In Witness Whereof, the said grantor.- ha ....... hereunto set.......their ..................... hand_,, ... a seal ... $,.this ............. 17th....... dayof ...............„---. ..................... ..... ___,. 1 AND SEALED !N NCE ol: ,• ..,,' ._ .. .._., ,. c.... --t .......... (SEAL) Florence Baker .......... LaBuwi ..................:..............................................(S�-) . Grace M. Atmtin on 4....................................................................................(SEAL. f ' " 'State of Wisconsin, _ . before me, this.........17t-1day of_ ....... � ............... A. D., 19-.65 , the above named....._----------------------W _; .�. rend �'loreace Hak+Qr,, hie .!�:�':�,. •}.............. -`%.y ,...............................................----,............ _.,........ ` ..................I. ........._......--;---$ •.•;''� �...._.inst '--_.-.. -t a acknowledged e. to me known to be the person_-s"�ivAt s Uonar! and THIS INS7`AUM![tVT WAS ORAFTt:t lL �r#' 0 . �t� _ .._ ._, , ..�ir-o.i-A-- ... ..-..• _..County %IS. L�1 ry Public,. +.- ► a Leonard Ls�{��• •�a< rrrr rrNrr••' � ,�, my Con Mission (e*reS) (is) ------- 3P,�6mtA. •••_•.... _t R a (Section S4. S I (I j of the W ivAxWn Sta � ides that all instmm nts to be f=ordad "ll have plainly printed or typewritten gone o - the r�artxs of the grantors. grantees. g►itl%WM sod notary. Section f9J13 similarly requim that the own of the �rson who, or 8o m- + manta! agency which. drafted auclti instrununt. shall be printed, typewritten. atarnped or written' thetooA in a kRiga tnormer)' • . wis.t••i�l R r�►rwtaR WARRANTY DEMO —BTATiE oF• WISCONSIN — FORM No** .t _ Wi sconsin Departrnent of Indus", SOIL AND SITE EVALUATION REPORT Pap of Ww and Human Relations Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adrn. Code COUNTY Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must dude, but not limited to vertical and horizontal reference point (13M), direction and % of sbpe, scale or PARCEL I.D. dimensioned, north arrow, and location and distance to nearest road. I/--% - -7 -20D - oy) - APPLICANT INFORMATION -PLEASE PRINT ALL INFORMATION REVI y DATE PROPERTY OWNER: Y E -S 5c- k W PROPERTY LOCATION � :,LCT 1/4 52'— 1/4,S 29 T N,R le E LOCATION PROPERTY OWNER'-S MAILING ADDRESS LA" BLOCK OF —SUED. NAME OR CSM # CITY, STATE ZIP CODE PHONE NUMBER !]VILLAGE 2"N NEAREST ROAD I C) E10, T I ft 1'2-- /4"2:57 4/ 5 14 New Construction Use (''Residential Number of bedrooms Addition to existing building Replacement Public or commercial describe Code derived daily flow gpd Recommended design bading rate bed, gWI? T3 3 -13 Ll - B 5 _trench, gpd/ft2 I Absorption area required bed, ft2 '710 trench, ft2 Maximum design loading rate bed, gpd/ft2 -6 trench, gpd/ft2 Recommended infiltration surface elevation(s) 4 (as referred to site plan bencNnark) Additional design /site considerations - 9,0z X 74�)le 1-40doesw4;� sV57-. � r «•Y ,v�--/f 6C,*- -5-01'7�412 /.z-- Parent material 5e 5 (4, '7— -D c (f L Flood pkin eleation, I applicable It I I & 17' le/A. C 14 IV 114 S = Suitable for system CONVENTIONAL MOUND IN -GROUND PRESSURE AT -GRADE IN FILL HOLDING TAW U = Unsuitable for system [-SS11 U 19-S C] U [a-s`, 11 1 174-ft-, r-] I 1 17111 f-1 -(Z Boring # Ground elev. ft. Depth to limiting factor 3& Boring # 2- Ground elev. ft. Depth to limiting factor SOIL DESCRIPTION REPORT HorizonDepth in. Dominant Color Munsell Mottles Structure Qu. Sz. Cont Color Texture Gr. Sz. Sh. Caris� Roots G P M2 Saixtry R Bed Tmrich .7 AQ,4 0 0, 36-fO )OV L,//�/' 0 7-S vp 3 /Z U-f A )R Remarks: JE Aj I-E D r 13 /0 YR 2-1 S&e ovi-fR, 5- ri .2j'- �11141 2- "-M U-f /Z Remarks: 3 &-1-' /-/4 � /f JCST Na- -Please Print Ptrone. Aj 0 ' �j 12 ;* 4. Id ;? 2- 13 s rA, JSi nature: Date: CST Number: -k, 57ol Z, 57 IA) -3 T� This test site APPROVED for a -conventional septle system. 5 ! �-- k, 5 V� 6,4,0 6 L- 5 V .5 ze Ay I 6000, 1/ k PROPERTY OVER WA IJEA3 SOIL DESCRIPTION REPORT age A PARCEL L�. q Z- Boring Depth Dominant Color Horizon In. Munsell MOWN Text�uure Gigs. Sz. Cont. COW Structure Gr. Sz. Sh. �� g�� Roots GPD/ ft Bed a�rrctr o -- /� o Ke Z!2_ n � 3 /3 .2 - zy /o fie 1� /s 0 �' P- � S Ground C .7_ f O �� �� ._.�, 1 Q� f S .�. �� � dev. leA to ,...._ ._. .. ..--- IiMng Remarks: Boring -� �oyz/�- S/ �' Shy S� . AilEmma 30 7, Yy/P y/(, S c', c, s' ' c . 30�o/0ylP 6P Ground elev. ft to riming bcw „ Remarks: Boring #14p a o- o Y►2 / z !3 �s D, ,�,,,,-f 74k 3 13- l D M 343 /� / [...rc.v ,' 5 ----- .S Ground dw. 02, V I ft. to iador ,, Remarks: . Ground ear. ft. Remarks: enn covinrD nCKnOV% v7, rI1 z, �)/,z 7,Y'3 ye 0,34 JAM ES O'CC,, iNELL cr of C ;Ja SL Croix CO.,Q CERTIFIED SURVEY MAP �, J JAMES H. SCHNALEN f♦] Fart of Government Lot 4 of Section 28, Township 29 North, Range 18 Weet, Town cf Warren, St. Croix County, Wisconsin. This instrument crafted by Laurence W. Murphy E //4 G'OR. SEE. 28, T29 N, UN LAT T ED Z. •7 D [+ R I8 W, ( P "IRON PIPE � FOUND) N 88 30 • ' 0-5 "W 3284, T4' E/W //4 (, I NE 52 09, 73' S 88 ' 30' 05 " E 319. 90 , 76, 01 " 2 W 114 COR, SEC, 28, TT � T 29 N, R / 8 W, e n c e (GOUN T Y SURVEYOR'S 9' I M O N. 0111�11I 118111%♦.4 1 O Indi cafes 1" x 24 rA� ••••••...,.,. ♦ I 7 iron pipe weighinf,, � .•' ': � 1.1? lbs./Lin. ft C r ` r ;' LAIRA o set .401 W cc h 41 tj .. a � • IVELS, . S : 1i �'•'• Q) Dated: 10-26-1992 WlSC. •'' �.. : k :�� '`•••.....•••' 'L urenc�j4AS.114�6urphy I h N Reg tered Land Surveyor( � N N .� Q a . ti ,r: , I 3 1 = ti• h M N. a I O � 2 LO T e _ N J. 470 ACRES Q W /Sl, 148 50, Fr, J 3. 440 ACRES EXC, JO/Nr DRIVEWAY I O o r~ LIJI / 49, 828 SO. Fr. S 88•_ 06"E ,0,001 S 88 30' 03„E 3¢9.90' Z ''Ij QL.I 2 T 9 , g ' I ' 40' ' `° W o �b I '^ J N 88 • Jo, 05 "W W a, Q I Owner's Acdress: 140.010, Q 3 628 Highway W Roberts, WI L O T + _ 54022 0 O o a Phone No. 2. O !9 -ACRES I h ti 1-716-749-2282 8 7, 9 6 6 SO. F 7% r` NN N 1.989 ACRES EXC, JOINT O DR/ VE WA Y 86,,64`6 SO, Fr, I �_,,— / 0 0 ' 73' I N 88 ' 30' 05 " W 3 19, 90, S C .A L E 1= 10 0' UNPLA TIED LANDS 0 t, 50, / O o' 150, 2 (X ' 300, SE COR. SEC. 28, r29N, R / 8 W, 12 "IRON PIPE 10 ?733 FOUND) Vol. Pace Certifies' Survey Maps St. Croix County, Wisconsin. 2 o � W L � h Q J O 1 ­4 ,7~ O 11 JD �� L0) � N RCO � Q C N W 45' _ V'oiy COUNTY 0 ��. n.)i�% Plannir days of ., .ova) date qal ' &hall be SHEET 1 OF 2 r yeo - jilo S 0 6-G E S T p S' y S T4E7," u 4 7'r'D ru S , Law TOE-Aj c-to�,.. 70 O I i c TP E-"c4A.., 19" ro y ti � L�EV�T�t�►J S �' r 93 r /D Z,e,-),Lj 0 7' =` /00 0 0 .