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HomeMy WebLinkAbout042-1016-80-230Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)], Permit Holder's Name: City Village Township MITCH SPINKS TOWN OF WARREN CST BM Elev: Insp. BM Elev: BM Description: IV2. 5-7 gam,,) � bh -so(1 4r_A TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic �iesi Daain& 3 -k Secs GIq�'D�25 TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic k -z, Z,2I n er•,TG1men PUMP/SIPHON INFORMATION Manufa er Demand GPM Model Number TDH Lift Friction Loss System Head TDH Ft Forcemain. ngth Dia. Dist. to Well SOIL ABSORPTION SYSTEM ELEVATION DATA County: St. Croix Sanitary Permit No: 648450 State Plan ID No: Parcel Tax No: 042-1016-80-230 Section/Town/Range/Map No: 07.29.18.101A-50 STATION BS H I FS ELEV. Benchmark Alt. BM SE CpF�rEQw )c F'o 44ioh of 5-m Bldg. Sewer Q St/Ht Inlet 39 q _ St/Ht Outlet $.55 9s .32 Bt+ftfe t tto m Dist -.-Pi pa Bot. System 1 -/ 10M 9 -� G 3. C)q Final Grade q.'S IO2. S7 St Cover BED/TRENCH DIMENSIONS Width Length �2� No. Of Trenches (5 L�"b`rs PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth SETBACK INFORMATION SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING CHAMBER OR UNIT Manufacturer: -I�• i14robr Type Of System: � 6 Model Number: DISTRIBUTION SYSTEM Header/Manifold Distribution _ 1p;pe,(Q�i x Hole Size x Hole Spacing Vent to Air Intake Length Dia Length Dia Spacing SOIL COVER x Pressure Svstems Only xx Mound Or At -Grade Svstems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges ..... n Ye5 Nou COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Inspection #2: Location: 946 107TH AVE 1.) Alt BM Description = Conte, -eke, ��ti -fib eo,)"el oaer Re- lou.A..)5 �,r 2. Bldg sewer lo` � �+s; length = 9 - amount of cover = 3) '(re��,�s 2 �►� 3 n� ��s-}ailed C, iwk- t)f �� � Well 6. SAMt ele,w4o—1 OrS �) ,�S` oar Sv� dc.Scibcd below ��s•�� Plan revision Required? ❑ Yes [ No I Use other side for additional information. I� IL;5 SBD-6710 (R.3/97) Date Insepctor's Sig ature Cert. No. -1 01A, L L L--., L L LJ Industry Services Division 4822 Madison Yards Way County County V� APR 2 8 2023 Madison, WI 53705 Sanitary Pernu-t Number (to be filled in by Co.) P.O. Box 7162 Madison, W1 537077162 F 6 1 0� �'7 + C rn rn SaMftgyr t Application State Transaction Number In accordance with SPS 383.21(2� Wis. Adm. Code, submission of this form to the appropriate governmental unit is required prior to obtaining a sanitary permit. Norte: Application forms fog- state-owned POWTS are submitted to the Dqmxtmmt of Safety and PVDfeSSi01W Services_ Personal information you provide may be used for secondary Project Address (if differcnt than mailing address) purposes in accordance with the Privacy Law, s. 15.04(1)(m), Stats- �4(2 ve L Application Information - Please Print All Information P"qx,fty Oumers Name N S s- Parcel 0I f D/ Property Owner's Mailing Addre "Cl 4 f N t-1 Property Location Govt. "t City, State Zip Code Phone Numbe*r �,,.1 I%- # S ' F 114 111W 14, Section Ta9 N R E or W IL Type of Buikling (check all that apply) Lot # 1:11 or 2 Family Dwelling - Number of Bedrooms I Subdivision Name 11pubi 1-c/Commercial - Desen-be Use Block # state 0med -Describe Use% city or 'illage of CSM Number 2 -zoo c-©�, g�V:Mo Mown of Pt K- R-q N Ill. Type of POWTS Permit: (Check either "New" or "Replacement" and other applicable on fine A. Check one box on line B. Complete line C if applicable.) A- [Wew System [lepheemew System aCher Modification to Existing System (explain) ElAdditional Prebtatment Unit (explain) B- E]Holding Tank In -Ground ElAt-Grade EMound In vid I di - ual Site Design er T (explain) Other ype (conventional v=nal C. Renewal Before DRevision mange of Plumber OTransfer to New Owner is, Ist Previous Permit Number and Date Issued Expiration IV. Dispersal/Treatment Area and Tank Information: 3j 3',x &2 +mv%j" =::; NSM-EIAL� q 0. Design Flow (gpd) Design Soil Application Rate(gpdlsf) Dispersal Area Required (sf) Dispersal Area Proy6sed (st) tern Elevation 00 Tank Information Capacity 1.11 Gallons Total Gallons Of UniLs Manufacu-"r/ New Tanks Existing Tanks 0 SeNIC or Holding Tank DuN% ig Chamber E l V. Responsibility Statement- 1, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (PEint) u is Si MP/MPRS Number Business Phone Number L Plumber's Address (Street, City, State, Zip Code) b VT. County/Department UsdOnly Permit Fee Date Issued Mg Approved 0 Ilkproved Issuing S gent Signature it --V n 'al ;>a 0 J�.3� `� l 2D2 Z Conditions 9 rr'�A­ ppriv 3 ) VZfAa�ea� SYSTEM NE OWR: -1. Septic tank, effluent filter and dispersal cell e-v,4o:t&vA must be serviced / maintained as per +M4A� &rl- Auat 4mtlza &I&et m� &6 m managent plan provided by plumber. 2. All setback requirements must be maintained as per applicable Code / ordinances. Alta & to cawpWe plans for the syitew and submit to the Count) only on paper not ku dum 3 b7 x 11 ioeb" in sb* SBD-6398 (. 03/2 1) j �lo-t� MAP ��me� n1�}�CY� SPINks LOCF(fION COPY O:P:yl '. -low- jar 1 w ♦ ter. -T �- a'�l�• SyS� w :tr , 4w 71 .�� - A t DOW j �lo-t� MAP ��me� n1�}�CY� SPINks Loci-►oN u o,�p L � �,� 3 �cdKoo� no 3 �� w al l io Qd/�jU yoe�J�mb�� fsm=lol.59 `� 136OVir y�a� y� � Nn• Ir NpIca1) TYPICAL TRENCH CROSS SECTION VIEW J. L IL d.Rm �No Scale) , lie • 34 i ' • • ' (typical) •.._ r , • ' Provide minimum 3 ft Highest Trench Lowest Trench (as applicable) separation between trenches. System Elevations = r I .6 �5 8 � ft, ft,ft, ft, ft Quick4 Standard-W wl End Cap Show location of Inlet 1 outlet pipe connection on plan view. (typical} p P rM Iva B ft atypical) INSTALL PER TRENCH: IN -GROUND DOSED -GRAVITY DISPERSAL AREA Stepped Elevation Trenches with Quick4 Standard=W Chambers 3-ft Trench (down -sizing credit) SOIL COVER 77 12" min. trench Observation Pipe (types) TYPICAL TRENCH Install per manufacturer's ImOucflons• PLAN VIEW �. (No Scale) A = 3.0 ft (typical) Qulck4 Standard-W Chamber (typical) {mfd by Infiltrator aysferns, Inc,y I << 7"o Instalt pur8uant manuf�aoturer8 Instructions. C�uick4 Std-1N a 20 � EiSAJchamber = _ z + Pairs of end caps ,ft El Ir p (� 6 SAlpe305#t Proposed c ropo � El per trenchIC�LS_ft2Required Infiltration Area -- 0 ft x trenchesProposed Total EISA ft Distribution Method: branched manifold ► • • !a i t 1 ,I t� - i • , ' , ' r • • , i i ' r 1 i • , r ' . , 1 ' •' r r � 'i ► , r �fy•. , , � ♦ ' ri .,,, , r • r. ./ . .t . , , • 1 • , :' ' .. ti r•. • + • r R 1 • • • - ; + . i • I ^ • a ' , , , r • , 1 t 1 ' ' + r � •' , � • • • of ' r 1 • ' '. t . + ,t � • r , • ; 1 • 1 , , r / • ♦ i • • ' • r ' i /• ♦,• .� r' ••,• tr t, � .•. '•: �" � •+if . ►' r , r • i{ ' • ' " .r e. '1 id ; •7 ��. ••, ;, , , r,„,+ `Ii • •►. rr ar . r" •1',, 1+, 1 '., ♦• + • ` i •, •� ♦ , 1 ,/ . •� +. 'i � I � • 1 1 � ' ! ••' 1• •' . •. 1 . • • 1 ' ., ► , • 1' r �• a r f .. ' • t • r � '. •,J r t ' ' 1 i /, r, 1 1 , .r r f' r ' a +� t • i •• ` • 1' ♦, •' i /` �i, .• ' •. • '�' ♦a ' + )� , a • h ` •�/ rh ' . ,••'• t'. 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'r'• r+ + j♦. , � .,r j•i 1 ,' . • 1, I • s •.. • . , •• • , 1. /�� •ti'� '•r • 'f a t `r Il�ii • . Aw" 0 � V�I VI VI VI V�i VI � 0 � V�I VI VI VI V�i VI � via 004 0 cc Ito if low 8 y AIN pis Ila lieu ST. CR NTY SANffARY SYSTEM ems' ��' the on* 014MERSHIPIADDRESS FORM � Community l�� Department vW utlllze *is ' atlon to provide the property owner with Ergc4manw, and maintenance of your rkew or replacement sanitary systeml �s ' � be as part of our o ' eIfor�s to protect pubkc MAN ycw welt groundwater,, surface water, vahms, and court resources. once approved. thits completed f m and edu ona seat to you by eman. rIL rq 11 tcjin S f) "I M . M AddressU1142 bN 1s 1z, done 7 � 6---, EnW8 Adchim M5 i v4tF,,s-ot,, cc. corn Parcel - - -� 101 4 �. 80 3() an the p y NEW wral B& MAE I gum r9uperty m P n WE 1/4 vN W�. q$A. Sec- .7 T 2;?�N t L 'own of P1CmdFad . SubdWWw Plat Lot ►N18P#,..,_..._.,....__..'� 1.. .o....._.,__,_,_,__,._...,... . Volume 21 Page # S-2 93 w I ��z�3 fare 2�Vr� Pa # Numaer be�dr+ao�ns 3 souslines- Spec a l3 yes 6kno � :dentfiable 0 yes 13 no i`m propertyaadrez jc) oay Milli of rim address reqtgred trimir cam, del 66S Dena t fW near aarrst�uc#ior� This fi)rm nwist be with ag Private Onsite Water Treaftrmwt System ) ap NOW�Q � of Deeds � a of U* cerurmu � IsryjQ*In dw woo deed Commwity Demiop trent Departnnent -- Land Use Dien 715-386 4680 St Croix County Govemment GmW 715-245-4250 Fax 1101 C michad Rnacl, # V. Vin 54016 1 �4R LEMA-12N RQN'r E AT! O oor -,w _ +b�4.� C)fxSCRW"IOK ELEVATIOKKAM 030b7 P#7em Q1? cUST SPiNOS � CAt�� �� T� S�kLIE "F IS1Fd'2QZ,72' LOCa-F gOWRTS �i >+ VI w'ii t ZZOM I MEN - Ed • w OVA i b 77 M� Al Akf I I I l tO te wagon LL oft t •*^ O -A ! - pw - �e I� 4 CA kv k i x . - k• WWI IS V ,m u '" t',`1 ��%1 i e _ Ili'. r i IV* WAR � $0 � vwgcm tit, � ! 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I , oB�iiiil�� r�iiiti i■Ar r, "Im MOM ' - - - - - *'iTr *ammw dw 1Itie 1. sow - vo e t ; R 10Am � ra 08• ate 4t "10 �wt -g;A *.s,-gwqtft .. t*41 "WS"o) I Sn) ion M616 Im 43q%V %r,401 Soft"A ftr4r�ul State Bar of Wisconsin Form 1.2003 WARRANTY DEED Document Number Document Name THIS DEED, made between Rosemary Ruth Forsyth and Steven Grant Forsyth, wife and husband ("Grantor," whether one or more), and Mitchell Spinks,Gr J/` - , le, Marl. - W�,�Grantee," whether one or more . Grantor, far a valuable consideration, conveys to Grantee the following described real estate, together with the rents, profits, fixtures and other appurtenant interests, in St Croix County, State of Wisconsin ("Property") (if more space is needed, please attach addendum): Lot 4 of Certified Survey Map in Volume 21 of Certified Survey !baps, page 5253 as Document No. 831700, filed august 8, 2005 in the office of the Register of Deeds for St. Croix County, Wisconsin, being located in the Northeast Quarter of the Northwest Quarter (NE l4 of NW K) and Northwest Quarter of the Northeast Quarter (NW /4 of NE �4) of Section 7, Township 20 North, Range 18 West, Town of Warren, St Croix County, Wisconsin. 1072735 BETH PABST REGISTER OF DEEDS ST. C ROIX CO., WI RECEIVED FOR RECORD 10/12/2018 12:51 PM EXEMPT#: REC FEE 30.00 TRANS FEE 170.70 PAGES: 1 **The above recording information verifies that this document has been electronically recorded & returned to the submitter Recording Area Mn% and -Return Address We one Premier Group, Inc. 906 Dominion Drive Hudson, w1 W16 042-1015- 0 -230 Parcel Identificabon Number (PIN) This is not horn:stead property_ (is) (is not) Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrance except: Roadways, Easements and Restrictions of Records. Alexandra M. Marulanda 01 i2l °� -. State of Florida Dated October, K 2018 - r 4. r rnlss�on Expires 4411012019 .,, �y GO p Commis ion No. FF 216469 (SEAL) W-0 _­ - el (SEAL) Ro et~na1 Ru Forh Steven Grant Forsyth AUTHENTICATION Signature(s) State of Florida} authenticated on 5th day of October, 2018 a S c C7 TITLE: MEMBER STATE BAR OF WSCONSIN (If not, authorized by VDTs. Stat. § 706.06) THIS INSTRUMENT DRAFTED BY: Michael H. Forecki ACKNOWLEDGMENT SS. County) Personally came before me on 0 day of — 0:�rl�Aex- —3 geld , the above named Rosemary Ruth Forsyth and Steven Grant Forsyth, wife and husband, to me known to be the person(s) who executed the foregoing and acknowledged the same. I / - Notary Public, State of Florida My Commission Expires: � � - I � - ,�-c31 q (Signatures maybe authenticated ar acknowledged. Both are not necessary.) NOTE: THIS IS A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD SE CLEARLY IDENTIFIED. WARRANTY DEED 2003 STATE BAR OF WISCONSIN FORM NO. 1-2003 " Type name below signatures, File No_: 34742 St, Croix County 1072735 Page 1 of.1 ......_ .. �....__w.�_._..��..._..........__.._...__�-----__--_--......_.........._....... _. ...._......_.... ..._ ....... __..._.___ 0 W C:1EF1 IFIIE 1%vev m im LOCATED IN PART OF THE NE1/4 OF THE NWI/4 AND PART OF THE NW1 /4 OF THE NEI /4 OF SECTION 7, T29Np RI 8Wjp TOWN OF WARREN, ST. CROIX COUNTYw WISCONSIN. 1 1/4" I. D. IRON PIPE OWNER SURVEYOR FOUND S89024'19'E 3,74' GLENN FRANCIS EDWIN C FLANUM FROM SET 3/4" REBAR 942107TH AVENUE NORTHLAND SURVEYIN NW CORNER ROBERTS, WI 54023 P.O. BOX 14 SECTION 7 n n " r-5-) n /-A,\ ROBERTS, WI 54023 G, INC, V 13 L A 6 L-- KAT H. w �av REGISTER OF DFED'_--j ST. CROIX GO, wi RECEIVED FOR RECORD 01:00p" CERTIFIED -'"3URVEY MAP REC FEE: 13.00 --C , JPY FEE (60 PAGES: NE CORNER SECTION 7 N88`55'31 A (n 1 1 iti \ Z.� --i I g 444 47' 0 CD c� S830' 4.41 0 1 0 co 0 @) 2�i) '-;b&Cry 33 .06' I C-r= E I C3 rQ C3 LOT 43 4)'-- V�' =Lt I I po I rA LOT 4 0 -71 1 r'a 0 m• N 0 IRON PIPE FOUND 1 U::71 1 2.39 ACRES 00 1 I j S02"55'49"E 1 .07'FROM ITS L104.012 SO FT.] COMPUTED POSITION rilCD m IN C. co wpomm ' www-w It LAA illillillillmmo"lllllIIIIIIIIIIIIIIIIIIIIII1111111111 -13')o 9*: 97 '584I)N 317.521 cno Is S-24s cn - ^UEFkY CD w m m wis co c78360 11� < 5. --q nl 55 m � 0 s um r7i c) Iva QD0 -n -0 LEGEND m m Vn 0 K 0 ALUMINUM COUNTY SECTION Z; z CORNER MONUMENT FOUND 0 1 5/16" O.D. IRON PIPE FOUND 9.71 0 3/4"O.D. IRON PIPE FOUND 1L@)ciT g,,ct,m. um w 3/4" IRON REBAR FOUND eco-44 PC o0'fl *3 36.AV cl 3/4" X 18" IRON REBAR SET WEIGHING p e DLzreHFP)":�� 1.50 LBS. PER LINEAR FOOT - - - - - - - - - - - - - - - - . ................. . 100'ROADWAY SETBACK LINE SCALE IN FEET 1 200' SOIL TEST LOCATION 200 0 200 PROPOSED DRIVE 91/ CURVE DATA TABLE /m. NUMBER RADIUS CENTRAL ANGLE CHORD BEARING CHORD LENGTH ARC LENGTH TANGENT IN TANGENT OUT ci 49,00' 47039'55" N09"5832.5"E 39.60' 40.76' N 13`5 1'25'VV N33�48'30"E C2 80-00, 214029*42" N73"26'21"W 152.81' 299.49' N33"48'30*'E S00`4 1'1 2"E C3 80.00, 82030"18" N07026'39 W 105 . .50' 11 5.2(Y N33048'30mE N48Q41'48"W C 4 80.00, 5100313" N74-13'24.5"W 68.95' 71.28' N4804 1'48*'W S80" 1 4'59"W C5 180.00' 70026'50" S45`0 1'34*W 92.28' 98,36' S80014'59"W S09"48'09"W 180.00' 10029'21 " S04033'28.5"W 1 14,63' 14.65' 1 S09'48'09"VV S0004 V1 2"E THIS INSTRUMENT DRAFTED BY SAM ADAMS SHEET I OF 2 SHEETS JOB NO. 05-60 DATE 8-1 1-05 REVISED 07-21-0-6 1 of 2 Vol 21 Page 5253 -;;" (ZI (� VOL PAGE � L�V EEN KATIEH. W 3 REG115-TER OF DEEDS ST. CROIX CO. , WI eFtIrl F1 en FR%vaV ffWAAFO RECEIVED FOR RECORD 08/08/2006 01:00p" LOCATED IN PART OF THE NE1/4 OF THE NW1/4 CERTIFIED SURVEY MAP AND PART OF THE NW1/4 OF THE NE1/4 OF REC, FEE: 13. 00 COPY FEE: 3. 00 SECTION 7, T29N, R18W. TOWN OF WARREN, PAGES: ST. CROIX COUNTY, WISCONSIN. 1 1/4" I.D. IRON PIPE OWNER SURVEYOR FOUND S89024'1 9"E 3.74' GLENN FRANCIS EDWIN C FLANUM FROM SET 3/4" REBAR 942 107TH AVENUE NORTHLAND SURVEYING, INC. NE CORNER NW CORNER ROBERTS, WI 54023 P.O. BOX 14 N88055'31 "E SECTION 7 SECTION 7 P LLI�� �� �j �DD !g� ROBERTS, WI 54023 NI/4 CORNER 70-47' N88"SS'31 88c'56'04"W I SECTION 7 N88c'56'04"E 1054.16 S 224.52' 59c). 239.54' 1643.71' CC:) O) 2523.32' NORTH LINE OF THE NW1/4 NORTH LINE OF THE NT-1/4 L QW ARJ A cf) A 70.45 C/) ---I :Z5 A Cfi 4 M 0 0 i` N88-56104"E 237.96' LOT 2 CA) -T1 k2 --q z 4.29 ACRES -Z IFfl Ln M 186,979 SQ. FT. CA) 0 M 14 LOT 1 cf) V7 ---I 7.08 ACRES INC. EASEMENT rf, 308,289 SO. FT. 2TRAILER C/-) 2 4N'\Pj cn al 1cn 0 cn -TI 6-11 WELL HOUSE CD c-n 4 6.52 ACRES EXC. EASEMENT N.3 66' M m m 44J GAF?IkGL I (f) 284,201 SO FT. C:> © E/5 cri -T1 co 0 lc�.. HOUSE M rn C'�3 --q "' M r-n Do ----j cl? Cq M NGc-n ---q LOT 3 c/') M D> 0 6--' -qz SEPTIC Q VEN 6.83 ACRES TS 02 "'I -D M N89`1 8'48"E 528.86' (D rn 01 —�7 w 297,730 SO. FT. 6 46ADW'AY EASEMENT S8901 8 0 m � co --------------------O 1 ---1 m x'2 S89'018'48"W 326.09'1 2-70-T f 201.88' cn (n 58-\JV 444 47' C�p 2 A © r/5 CD 5�0 0 ---b- SB3c I (��' W 0 1 4:b .06' Io Ifl 1 i?J —1 330 > 9J-0 LOT 4 M 1 LOT 4 0 n I M tp- 0 rn N I EF' 1,, IRON PIPE FOUND 2.39 ACRES FT I S02055'49"E 1.07'FROM ITS 104.012 SO. FT, ao COMPUTED POSITION M IN C. M C�c 5Z 317. S-2497 158 cn 83'21 --i ZE: AMERY C:> w w 0 .9:� M ram-,7- cf) wis "(D M 0 C5 s rA C) 00 99 9 0 rot LEGEND I M VIP %.ONO 0 K: 0 ALUMINUM COUNTY SECTION c/) CORNER MONUMENT FOUND v 1 5/16" O.D. IRON PIPE FOUND • 3/4" O.D. IRON PIPE FOUND - - - - - - - - - - - - - - - - - - - 3/4" IRON REBAR FOUND W(Mo 6jj PC(-& (aMI*3 3/41' X 18" IRON REBAR SET WEIGHING 1 50 LBS. PER LINEAR FOOT .................. 100'ROADWAY SETBACK LINE SCALE IN FEET 1 200' A SOIL TEST LOCATION 200 0 NOW co 200 4) PROPOSED DRIVE CURVE DATA TABLE fi NUMBER RADIUS CENTRAL ANGLE CHORD BEARING CHORD LENGTH ARC LENGTH TANGENT IN TANGENT OUT C1 49,00 47c39'55" N09"58'32.5"E 39.60, 40,76' N 13`5 1'25'W N33048'30"E C2 80.00, 214`29'42" N7W26'21'VV 152.81' 299.49, N33048'30"E S00041112'%E C3 60.00, 82c'30'1 8" N07c26'39'VV 105.501 115.20' N33048'30"E N4804 1'48"W C4 80.00' 51 '0311311 N74013'24.5"W 6 8 . c, 17 15' 71.28' N4804 1'48"W S80014'59'VV C5 80,00, 70026'50" S45-01,34'W 92.28' 98.36' S80`1 4'59"W S09-48'09"W C6 180.00, 10"29'21' S04033'28.5"VV 14.63' 14.65' S09048'09"W SOO-41'12"E THIS INSTRUMENT DRAFTED BY SAM ADAMS SHEET 1 OF 2 SHEETS JOB NO. 05-60 DATE 8-11-05 REVISED 07-21-06 I of 2 Vol 21 Page 5253 ED RECEIVE 1! 114 0 5 2006 ST. CROIX COUNTY FILE NLPNiBE L D 0 0 7 5 C E RT 1 ET MAP LOCATED IN PART OF THE NE1/4 OF THE NW1/4 AND PART OF THE NW1/4 OF THE NE1/4 OF SECTION 7, T29Ny Rl 8W, TOWN OF WARREN, ST. CROIX COUNTY, WISCONSIN. 1 1/4" I.D. IRON PIPE OWNER SURVEYOF FOUND S89024'19"E 3.74' GLENN FRANCIS EDWIN C FLANUM FROM SET 3/4" REBAR 942 107TH AVENUE NORTHLAND SURVEYING, INC. NW CORNER ROBERTS, WI 54023 P.O. BOX 14 SECTION 7 n nw, r-o-) n /-A\�i-gFn-) n ROBERTS, WI 54023 N1/4 m > m N88"55'31 "E NE CORNER SECTION 7 70,47 N88055'31 A 10 0 47' 0 c6 0 S83-21'58"\N 1 4.41 "l/ 0 C�) @ 1 10 CIO 4:1 > to N) c z 0 330,06' m Qn -" a ci�D � g - N " " C�o 0 (�D I LOT 4 om--r� A n 19D io LOT 4 (Z) m C�� I F:3 El Ic= I" IRON PIPE FOUND x m 2,39 ACRES 0 m I I cz� S02055'49"E 1,07'FROM ITS 104,012 SO. FT, 2 z C=� C�l COMPUTED POSITION 0 cf) -< 317.5211 c/) I --i S83' Z m 61 3"W m cn 15.72 0 \© \ p 0 0 -4 Z fta \ z W � � y LEGEND 0 0 c 9: 0 1 4\VO Z C ALUMINUM COUNTY SECTION ) 1P, CORNER MONUMENT FOUND v 9,70' 1 5/16" O.D. IRON PIPE FOUND 3/4" O.D. IRON PIPE FOUND ------------ -L(Du &3- owc 4"\,N JI 0 3/4" IRON REBAR FOUND 4plooQwv ago 2 36.V A n4 0 3/4" X 18" IRON REBAR SET WEIGHI x ........ UHPLnA 7M DD 116H[P4 1.50 LBS. PER LINEAR FOOT -- — — — — — — EDWIN C. 41 FLAN(sM 1, ........ . 100'ROADWAY SETBACK LINE SCALE IN FEET 200' S-46� ♦ SOIL TEST LOCATION A2I -mmw co/ MER '11� 00 0 wl,200 PROPOSED DRIVE CURVE DATA TABLE -NUMBER Cl RADIUS 49.00' CENTRAL ANGLE 47*39'55" CHORD -E3 TP�-` N09058'32.5"E CHORD LENGTH 39-60' ARC LENGTH 40.76' TANGENT IN N 13051 P25"W TANGENT OUT N33"48'30"E C 2 80-00, 214029'42" N73026'21"W 152.81' 299.49' N33048'30"E S00041'12"E C 3 80.00, 82030"18" N07"26'39'"vV 105-50, — — 115.20' N33"48'30"E N48041'48"W j C4 80.00 f 5100313" N74013124.5'tw 68,95' 71,28' N48"41'48"W S80014'59"W 80.00, 70026'50" S45001'34"W 92.28' 98,36' 380014'59"w- S09'48'09"W I S09"48'09"W S0004 Vl 2"E C6 10"29'21 " -T —s64-33'28.5-'W 14.63' 114-651 THIS INSTRUMENT DRAFTED BY SAM ADAMS JOB NO. 05-60 DATE 8-11-05 REVISED 05-30-06 SHEET 1 OF 2 SHEETS RE. CE IV ED 4 �� -yuz� d � _ . 'C j. 2006 Wisconsin Department of Corn S61 �KLVXlfi6N EPORT Pe L of —3 Division of Safety and Building 9-- rdal -hComm 85.Wis. Adm. Code County KD Attach complete site plan on thh�an 183 �1/2 x 11 inches in size. Plan must include, but not limited to: vertical and honz ce point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all information. eview Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location L-E. PJ P-P. AN C,15 Govt. Lot N) 1/4 N VJ 1/4 S N R I E (orfi7) Property Owner's Mailing Address Lot Blocl# Su. Narn 1 0-1 --2/, )01�� -- -/+ - � re city State Zip Code Phone Number 0 City [3 Village (Town La st Road OJ3 U- YITS W I _I 51�02-3 1 .4 P, R, '� Aj )-Trl-+ A V-F New Construction Use -.A Residential / Number of bedrooms 3 Code derived design flow rate d-+ Sa GPD Replacement 0 Public or commercial - Describe: Parent material 5 A --3PY- 0 U TWAS tt Rood Plain elevation if applicable n.% f A General comments and recommendations: Boring # Boring Ground surf 'Fq. ( os-- Pit ace elev. ft Depth to limiting factor 1 in. Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/ff *Eff#1 *Eff#2 2- 1H -2-6 up. 3/ (10 Vf Co 2-(6-96 1-6 Boring # U Boring pit Ground surface elev. /0 - --&-- ft. Depth to limiting factor in. dr%—!t A—U-1r. — Horizon Depth in. Dominant Color Munsell Redox Description Qu. Sz- Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/fF *Ef1#1 *Eff#2 to Yq- k 2- T �5 r- rn m r C s3 v-� L-14 L) %f a- 2- L'i j2- 2. M br, M-(-r c vj 2- v� 1 -0 114 - 2-W1 YP' ZN 5(/15 0 5 rn 2- v--F I D YR 41 (.0 V a+ te 9 TL r-1 IlUtff It ft I - DLJLJ5 aV � ZZU WL EM I Z-h-j >jU < I tlU FTH-:VL Effluent P2 = BoD,:< 30 mgIL and TSS < 30 ")/L CST Name (Please Print) Signature CST Number P-- LA 8-5 9 c 7 3 -"4 Address; Date Evaluabon Conducted Telephone Number 2- Fs 12 ( - 0Trt 5 - 2--3 <) (0 --115--7-72- - 3 41e4-2 � A QV- 5T->P,1P-)1E7 VALLF-cr,W1 Property Owner (I L E ►J n1 RA �-I 5 Boring # ❑ Boring Parcel ID # Page Z of 3 pit Ground surface elev. 2 7 ft. Depth to limiting factor in. Horizon Depth Dominant Col Redox Description in. Texture Structure Consistence Boundary Roots SailDffApplication Rate Mansell Qu. Sz. Cont. Color Gr, Sz. Sh. GPD/fh 1 © -) (0 I 2�2 — 2 - `Eff#1 `Eff#2 a -3� rj- �z+ -- ' 3 41 5� I z �, �- d s of. ., . Qf 77L9 =0� Boring # ❑ Boring ❑ Pit Ground surface elev. _ �A ft. Depth to limiting factor in. Horizon Depth Dominant Color Redox Description P in. Texture Structure Consistence Boundary Roots Soil Application Rate Mansell Qu. Sz. Cont. Color Gr. Sz. Sh. GPD/ftz `Eff# 1 I `Eff#2 Baring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to fimitina factor in ` Effluent #1 = BODs > 30 < 220 mg/L and TSS >30 < 150 m9AL Effluent #2 =GODS < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance t need material in an alternate format, please contact the department at 608-266-3151 or TTy 608-264-8777 services or SBIM330 OL&W) w � L-CrT SD IL 6-5T 'FA CAE 3 d f 3 SCALic ay- t a7Tfr Avc -E 26 &6 a-�s , Ln gqo -;z r : gC Q644 M A AX til 0 0 m r Z jA 0 0 t ,5 r-- F ,7eAm&vA,- �3I - Cfb` COUNTY OWNER ✓1 11U 5�i 09', qjl Noe.. �D9E X CHAPTER 145.135 (2) WISCONSIN STATUTES (a) The purpose of the sanitary permit is to allow installation of the private sewage system described in the permit. (b) The approval of the sanitary permit is based on regulations in force on the date of approval. (c) The sanitary permit is valid and may be renewed for a specified period. (d) Changed regulations will not impair the validity of a sanitary permit. (e) Renewal of the sanitary permit will be based on regulations in force at the time renewal is sought, and that changed regulations may impede renewal. (f) The sanitary permit is transferable. History: 1977 c. 168; 1979 c. 34,221; 1981 c. 314 Note: 1f you wish to renew the permit, or transfer ownership of the permit, please contact the county authority. D'ATE 'hbZ23 F RE T'"A'- Y""AT" , U W E "" B"r- j xx v r_j NLESS RENEJ ..... ..... SBD-06499 (RI 1/20)