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038-1217-30-300 (2)
Wisconsin 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: April Ellis City Village Township TOWN OF STAR PRAIRIE CST BM Elev: Insp. BM Elev: BM Description: TANK INFORMATION TYPE MANUFACTURER CAPACITY 1 Septic �N y f .S 9-00 Dosing b0 owk Aeration Hnid;r • TANK SETBACK INFORMATION.? Oh kn)c Aov%*�* TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic T 60% b Dosing SA% � % D /1 P. r aa&fq-- --. j Holding Ell ]�L- k all I PUMP/SIPHON INFORMATION Manufacturer Model Number Demand GPM TDH Lift Friction Loss System Head TDH Ft 'oe A Forcemain Length Dia. Dist. to Well ' 4 SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. 0 DIMENSIONS 1 61 1 t> SETBACK SYSTEM TO P/L N BLD WELL INFORMATION Tyne Of System: ;n (116, 51, DISTRIBUTION SYSTEM ELEVATION DATA County: St. Croix Sanitary Permit No: 651292 State Plan ID No: Parcel Tax No: 038-1217-30-300 Section/Town/Range/Map No: 18.31.18.1195C STATION BS ?-;- HI FS ELEV. oa • a Benchmark I b56 Al CWU • Bldg. Sewer . ok- utt St/Ht Inl t • St/Ht Outlet Dt Inlet Dt Bottom I b•76 °I . Header/Man. • � 100. Dist. Pipe Bot. System .y Final Grade Cover 1 • l�� 10� - PIT DIMENSIONS INo. Of Pits I Inside Dia. ILiquid Depth :E/STREAM LEACHING Manufacturer: CHAMBER OR 1�0UNIT Model Number: Header/Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake Ilk Pipe(s) Length Dia I Length Dia__ Spacing 6 0 • SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded/Soddec& xx Mulched Bed/Trer:;n Center w Bed/Trench Edges Topsoil 7 (it Yes ❑ No —1Yes❑ No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: [ 1/j3 r — KC� Inspection #2: I �3 p(ou-r— Location: 2116 81 ST ST 1.) Alt BM Description = CP'f — �� • � ' • .S'}0'I�t � g&aum of t lbi 2.) Bldg sewer length = ��� �- SdbA)C* - amount of cover = 0 1 all VWW 5WAXIV on 61.- at- in obi I��cs 50 , ahb 75 y 0� hno�wa C+r1dS AEI' �'ht. 50 4vom Plan revision Required? Yes [ No d PA Use other side for additional information. 9 ; V�Z-, -, "L" &.10 Date `0c s Signature Cert. No. SBD-6710 (R.3/97) Division County 5A _2V; rh -� 2 "ladiikill Y®hIA4., Way1 2023 e N P � ' anitm l eft Nuinlx.r (to be itll'6-d 1Il kno P.O. Box 716 � d�L� 111 .7ik�A.14�17 1 AW,I 11 ��r Sanitaq'PenlnitL In accordance �vffli PS' 3hi. 2 9 ("oj). Wii . �\Wn. Co e, submission of axis f tru to iK- 1pru1) i.-itli governmental unit PQJTr>,- CDJ2. 3 0202fo 1 reigo i rcd prior to oht nin ing a ,N:i n i 1i ry I)c rM i t. `ante: Application limns ror s`1 at c,.o wn d f O � W ° l' S are sabmitled to Project A ddre(i t lei ftl•4 i t than t1ruii 1 mg add r ss) I11(: Del)artofient ot` Skr1�iy ant] rluE'Ussl gllai'Services. Pemmol iurc4met,i ll your pride may be usW for. ono ry ter 'W S in acr,itnc..o with Oc- _ 1. Awkatlau i " rx .lftem — Plea se PrInt AIII lntorniation P ru Dertm Go nef& Nn rripal I'l u;pa P]er tail ink; Addfm F*r pn*rty Lo-ciilion Govt. Lot `i!y. . stoic ' 'dip ("ode i"ho+ne umhc%, .i xL�'yp.rf :di (check all t t npply) . .� pt uMviston ea i!enti lyI) 11�g -N xrilti° of la _ 0city of "late 0 'ned - M wribe Usc in-ii) e Q _ Village of /7 a �e 111. Type of POWPOWYS Permit;(Check of "New" or " epla wenf' and ipthtr applic-able on lllie A. Cbeek one box on H ne R . Coill plot e t i n e Co' i 1'r Ucable. r•Az. alai i# owl Pmtr t>rx ent art k rtt ather crti i ��ii to tit' i `l.fc�tclirt Tank I r) -�. �r��Und atara& L 2,q 1irri�'��nl .��e I>er' •�' e (xll�irt) r Y. o~' l)fi1� � i1 l i[�l1jl� al�(_.Ilewal Est �'r�.� F �rrrtif .0 � � Y ha! r anu%%fer try New Owner , w � t lAtrt�i�:Pr au�l Date 1�rti�ea1 _ent ar�d'h.ank.lr�fort��r�tlo�. -.— 6 x -jfLpu,wvwf_ cdt 5g�� 144-= 1 4f 79 19D Dun, i Fbv,: o N� ,I ri *ail pItcatlo11 10t�(gPM. i�". r l R } P ill l t��'� E � �t � �i � „ l r�� �r�c, �i �� System El at ion - I �r� It�R.r��wtirIkn aIln's UnitsP FokVa92 . V. R esp o n sibi I ity S IatemenI- L, the and for iu illation of the !} f -shaven f,n the aatlached pis ni�. �c ►uinb(rr f'la z� alAr' I tr �u r 'N ` j r ;,_.'_• n .IP y, y. r' • {�{ iffy -' d *t AddresslStreci,'e S a)- r • 9 Y l L County/Department Usie Only E ��'"�cl ia�re� Itit Fir Diild 1SSU IS�.uing � genI Sli ala rr. ='_§ L023 f lwu� " � r l i l k r r�; t T ;v 3 A- �� �- b SYSTEM I��iTI � -. S u,wL �r der (� S wive-r Ikks F,' . �� # r � o �� �� rE t i t 1 i r l I i 2, �� S d91tcf—, must be cNiced mint inef a per, n - Q % �1 /2,oZ lo . AN setback:. r r 1,0m" 6vu ; u iremE �t� mi m 1)�f rn � �� -r ed A �, ns � � I -up! of appiI ., !e , tl�d l rj-r_lin�,nci�s Wo- Atlath 1'' C�e4k&Q a4�.M17lIri"0e pUaf €'Fr the LyS(e111 .0Ill1 ..1IbrIY6'II lid 4IJ� �w o2l 01dy ell a � 1 i . 111,18 8 U.1 x .. - o r Ls `re-CQ Wu�wvuQ -fie •� e K,,� � (eac.+5_6 Ar" cop oor r F VPA I A41 �.� • • -- pea- 30 # .00ei --p-p .- t9 . '' �- - -.'qu — —; _ t Soto WJA ;AN re r ' r i 4 lee { dfpblb Ile jpo 00 -, � +o of FOUND 24W OUTSIDE METED [ CI PIPE FOUND I"' OUTSIDE DIAMETER IRON PIPE im rn cwz � ma"GEE.L ONTR Mm , ELUS PROPERTY vw cm "It TOVN Of STM PRAMEs ST. CROIX C"Tyi -"-SCMSZN j EXISTING CONDITIONS I L�L� W i s �t ri _-i i i D cpwtmm t o if Sa Fety and Pro fession a i Sery 1 Ce7s Division. of Industry mices 48 22 M ad Ism Yards Way ff) 162 �7 Madlsc�ii. WI �_17( . September 13, 2023 K I N-1 A OU0 N N EL L 504 3'1D AVE F-1 OSCLOLA, WI 54020 S'I" ("Roix C 10UNJ Y SITE: H.I.Is 2116 8 1 ST ST SOMERSET.,W1 54025 SW-.SW-S EC I 8-T31 N-R I 9W FOR: Desi(rn Wastewater I-1mv Value: 600 I-% fled roo ni kv: 4 Linfiting Fact or(s): 22 Maintenance Reel idred : [Afluctit 1,11ter Phone- 608-266-2112 Web, 10,11v_ %1h, 1A't Ot C Tony UN (,I,\, ( F Overit I P F Dan llcrtth, 'wcrei;3.r� Identification, Nurnhers, Aliplication No.- D1S-08233'(,s4_`, Nile 11) to. -�l 1 120724 Ple(.1se I-'ACI identification numbers in each rreSp U: I L I h e D CPS P� i I r,onalftolpapy APPROVED DEPT, Of SAJtETY AND PROFESSPONAt. SIERWC E 5 04V1SkDN Oir L STRY SERVICES SEE CORRESPOND CE Y� Co V�7_. N 1. - I and Cu rnponent Manual - Version 2.1 (May .2022-2027) Prcssure 1) i.,%t ri bution Component M anual - Version 2. 1 (May 20221-21:)27) SITF REOUIRENIFNA'S A full size cop�_ kli'01C PJ)170\ k:d I)IMIS, tMd this letter shall be. on -site durinla consmiction and open to inspection by aulhortzcd repi,csentatives ul'Llic Depzwtment, which may inciudc liocal mspectors. A, c1cL!tr(mJk,.,. �Iaiilr) M)d signature sh,211 be on the plans which are used at the job site for con...sti-LiCtiOn. The following Conditions Shall he me( during cimstruction fir installation and prior to uccupancy or use: Ile obi; tiiic(] from the cotinty where tiu's project is located in accordance with the requirements of Sec. 145.19, NVis. -Slats. Prior to the of - the disper�.-il area, cl)L'Ck 1,11c T1141isture content or (lie soil to a depth of 8 inches, Proper soil nio i -sturc cow ctil t can be de t crin [ned by rol I I ng a sail sani ple bowce ii the hamis, I I''] t t-o I I � into it '/� -inc h wire. th 0 � 11 C, I � too wet to prepare. I f it crLi ni h I sitc prepa,ratioi,i can procced. I i'the sit e is too vet to prepare, do notproceed un I i 1 1 t d rl Cl 0 Inspection of the prn'"ate seu&aqpe systeni insuillatioii is required. Arraii;iem%-.iii� t'Orl HISPeOloii shall hi� made ixiih ihc :n -�7 del�isnags coutity official in accordance with ffie provisions of See. 145.211)(20)(d), Wis. Slats. 0 A stale -approved effluellt, Film- is required- Maintenance ill t'OFM�0'101) 111 U St t)C i \ C 11 istiI the Lm,-ncr of ffic (arik, e-%piJimil 1p tilat Periodic cleaning of the filter is required. '5 0 j%,11 p1ping !�Iiall cullform to SPS I'able 3.84,30-_' and SFS TJb1C 34.'0- 8 0 Insiflate 1m I Wing sewer beyond 30 feet per S!"S 382.30 (l 1)(c) 46 Well ,coriJk-s to fjm-t chs. 'NR 911 & 812 .0 11IS111111111(fil to follow all mai'luf4clurer's recommendations. 0 Verify property line(s) Prior (o ill. a 111unip Floa,(Av to be set and periflcd per the approved plan. OWNER, RESPONSI III L]TIES P Hic cur -rent ox-nci. dAnd cash subsequeni owner, shLall recei-ve a copy of this letter including instructions relating to proper use and i nainlenancc o J_ I lic �ystem, Ow ners shal I recel'Vc a copy of"I he apptopri a i per at ion and maintenance manual andJor ovmerls manual 16T the 11OWTS described in this approx al anti %Vis. ACIT11in. [.'c��l_ I � 8 3- 5 4 ( I In the event th is, soil absorptiwi syitem or anvOf its COT11ponCTIt PJtl, a,; to create a health haz,ard, the property owner must fol I ow the coati ngcncy p lan as desc rl bed I ii the 'Llpl) roved plans. T 1) L: subjii ii Lal d". cri 11cd �ibkv� k: 11 L, � 11cc n 4"cv i c�vcd fOr Con 1,0111 K111CC with applicable Wiscoilgirt Administrative Codes and Wiscort', 11`1 Me submitial has been CUNDITIONALLY APPROVI-T). This System is to be constructed and located in accordance -&Ith the enclosed approveki plans and with an component man kial(s) rcterenced above, The owner, as derined in chapter 101.0](10), Wisconsin Statutes, is responsible I -or compldance with all code r�:qujirements. No perqon may engage in or work at p] it ii ib I Fig, in th c state unless I I c -,.-nsed to duo by the Department per s. 145.06, stats. All PQF111[tS required by the si�itc or- the local i-nunicipahty shall he obis-ined prior to cornmencement of CollStRIC110TI.: lil�tztl[atioli,luperati-L)II. In 'Franting this approval, the Division of hidustr-y Sera is rcser-ves the r1gr1it to require chLangcs or additions,, should conditions -,iii,,,c Z, t7 III-3killIg [hCM TICcessary Cor code compliance, :Vs per siate c-tats 1 (11 - I 2(.2)_ 110thincy _T1 lh'� VeOew Shall relie-ve the de f the siLTner o rcsponsibifity tor designing a safe building, structurc- or coniponnt. The .1 )1 v is-lon does not take responsibi I it), For the ales '19TI OF constniction of the revie%�ed iterns. I liquil.[CS Lj)jjCCj_jjjjjLY this correspondence may be madc to nic a the contact infOrration listed Mow, oi at [lie atLir-C:"S 011 Iciterhead, Sincer'.01y, <a76 Kafic Petrel I v I sion of Industry Services Phone: 608-574-1189 L'niall: katie,petzel( wisconsin.gov Fee Required- $250.00 Fee Received: $250.00 Balance I)uc.- $0.00 1cfund Expected: SO.00 ?0VIOUND AND PRESSURE DISTRIBUTION COMPONENT-DESIGY11 Residential Application W D ElfANDLTME-PAGZF......... Project Name, Ell -is Owner's Narne- April Ellis, Owners Address, 261 Canyon Pass Hudson W154016 Legal Descrption SW -.SW -sec 18-T31NR18VV Township. Star Praises cuufity, ST Croix Subdivision Name: Rolling Oaks Lot Numbev 27 Block Number, Parcel LD dumber® 038-1217-30-300 Plan Transaction No., Page I Index and title Page 2 Data entry Co rid 0 rallalo), Page 3 Mound drawings APPROVED Page 4 Lateral and dose tank DE P 7 OF '�r A F` TY Akl? PPOIF ESSIONAL SERVICES Page 5 System maintenance specifications DIVISION OF IMULLSTRY 5ERVICE5 Page 6 Management and contingency plan --A Page 7 Purnp curve and specificatilons Page 8 Plot Plan Page 9 Filiter Spec Page 10 ATT soil evauation Designer'. Kfim A Oconnell License Number- 224263 Date: 08J27/23 Phone Number. 715-381-7917 Signature: COMPOnent Manual Design References: Mound Version 2.1 (May 2022-2027) & Pressure DiStrib Ution Versi on 2. 1 (M a y 20 22-2027) Ve..rston 7, 0 R - 1 1 / 12) page 1 of 10 Mound and Pressure Distribution Component Design Design Worksheet Site Information (R or C) R Residential or Commercial Design 400.00 Estimated Wastewater Flow (.gpd) 1,50 Peaking Factor (e,g. 1. = 150%) 600,001 Design Flow (gpd) 11.00 Site Slope (%) 98.8Gj Contour Line Elev2hon (ft) 22,00 DeDth to Limiting Factor (in) 0.60 lri-situ Suil ADplication Rate (gpd/ft J! Distribution Cell Information 75.00 Dispersal Cell Length Along Contour (ft) 1.00 Dispersal Cell Design Loading Rate (gpd,/ft`) 11 Influent Wastewater Quality (I or 2) Pre,ssure Disribution Information (C or t'') e C:,-.,,rat er or End Manifold 4,0 Lateral Spacling (ft) 2. Number of Laterals .1 Orifice Diameter ('in) 2.5 G' Orifice Spacing 2.00 For main Diameter (in) 75.00, Forcernain Length (.ft) i 93.00 Pump Tank Ellevalion (ft) 4-55 System Head �ft) x 1.3 6 .8.0 Vertical Lift (ft) 1 (3 7 Fr_lct,,on Loss (ft) < 0.00 In -line Filter Loss (ft) 1 13.021, Total D namic Head (ft) 1oe Pr,ilect Lateral Diameter Selection in. di a Options choice 1 00 1.25 1.50 x X 2.00 x 300 x Treatment Tank Information !20,0.00 Septic Tank Capacity (gal) Manufacturer Dose Tank Information 800 00 Dose Tank Capacity (gall) 221 24 Dose Tank olu r ne gal/ir." Wieser 7IManufacturer E1,11,15 Note- Siand fill (DI calculations assume a Table 383-44-3 in -situ soil frealment for feral (.oliform of <= 36 inches. Are the laterals the hig est. 221nt in the distribution Y netwoli0 Enter Y or N If N above. enter"the elevatio of the highest point Et'/Orifice Does the forcemain drain back? Y _j Enter Y or N 12 23 Forcernain Drainback (gal) 6732 5x ''paid IL] [Ile kgal) 77 9 - 5 5 Minimum Dose VO[Urne (gal) 32-311 System Demand (gprn,Li Manifold Diameter Selection in dia. optiot Gholc� 1 25 x I so X_ x 2.00 3.00 Gallonslinch Calculator (optional) 1200 00 Total Tank Capacity (gal) 36 00 Total Working Liquid Depth (in) 33 331 g2l/in (enter result in cell B49) Eftlent Filter Information Polylok Pilter Manufacturer PL-b25 FI'lter Madel: Number Page 2 of 10 0 Z= 1P M-Irom L Mound Component Dimensions SIM 6130.90 (ft 2) Dlspersa� Cell Area 8.00 (gpd/ft) Linear Loading Rate -t J A M H 1 00 ft K 1020 ft 14.95 ft L 95.39 ft ft W 28.49 ft 172 1 08, (ft) Bawl Area Availlable 7,50 (ft) 1/10 B Obs. Pipe Place -merit Mound Cross Section View Aggregate Dispersal Area Finished Grade 101,76 (ft) 11- -.ro 99.97 (ft) tl Dispeit Shading Key .. . ....... Topsoil Cap Subsoil Cap ASTM COJ Sand Tilled Layer: Ago rega,te Dispersal Cel I k6 E. 40 H G IDO.47 (ft) Latefal Invert D � art) Conto r 11 Site slope Geotextile Fabric Cover Dispersal Cell Z a- 0 1 -FA > F � (]1 9 ft ' TvjDical Lateral LO 0 A See, lateral details an Page 4 for nkimber, size, and spacing of laterals Laterals are equally spaced from the distribution cell's centerlifie m the (fistributions eil (AxB). Project. Ellis Page 3 of 10 P End Connection Lateral Layout Diagram 0 = T u r ri - u ;�- --r.Y t J I; �f L3 r1wo or ctes n C-LA P11 Ll -71 JW All laterals we i4entic-al J+ )K H 0 1 -;- 57 IJF III ed on e b o P t orr, a t e r .6 0q ally5 P a C F ai c-,,? m ain connection vis � r i? P ortf os� t 1D m,)NIlold a I i� o i r, r 7 47, 8,forcernain '--ch 40 P'W' per SP'7, TaL.,!� �34.30-'- J Number of Laterals Lateral Diameter Lateral Length (P) -ateral Spacing (S) ,,-,ateral Flow Rate System Flow Rate Total Dynati)ic Head 2 Orifi'ce Diameter in Orifice Spacing (X) ft 0 rifices per Lateral ft Orifice Density pril Manifold Length gpm Manifold Diameter ft Forcemain Velocity 0,156 in ft ft /orifice ft 'KI ft sec 1 50 2.53 7 3 e 3 7 30 400 1000 16.16 4- 0 Ow 32 31 1. 50 I 1302 � L " 3 30 Dose Tank Information i I LOCHJnfj �-vMth war nir.,_q Ja be- I a nd IuCk ing dev�ce a nd seajed watfr1pqht Electrical as per NEC 3-00 ann, SPS 316,300 WAS Dsconnect 4 In. rnin Tank component IS prope rly vented Wieser capacity 80000 Volume 2224 Manufacturer Gallons Dimension inches Gallons �A. 1. 3 9 4 75 81 B 300 72 6.1 C D Total 3 800 J Dr-. 9 7E r 9 5 -5 177 92 Boo oci A B C D 3" Bedding under tank. Alarm Manuafacturer I J ombus - Tank Aler-t Alarm Model Numbef 1101-01H PLIMP Manufacturer Goulds Pump Model Niimber PE 5-t Pump MUst Deliver 32.31 Igp-m at I ft TDH Alternate ()(Alet locat:on 2 1 n. Weep hole or anti - siphon device A P Unip off elevat�*n (ft) -all Dose tank elevation (ft) 1 93,001 Note'. Sit ies containing mercury may not be used in this system. Project Ellfs Page 4 of 10 Mound System Maintenance and 0 ration Specifications Service Provider F s Name Phone POWTS Regulator's Name St Croix County Zoning Phone 715-386-4.680 SVseem Flow and Load Parameters Design Flow -, Peak 600 gpsi Maximum Influent Particle Size 1/8 in Estimated low - Average 400 gpd Max"irnum BOD5 220 rng/L — 150 mg/L Septic Tank Capacity 1200 gal Maximum TSB 3mg Soil Absorption Component Size 600 ftc. Maximum FOG 0 /L Type of Wastewater Domestic Maximum F'ecal CoInform > 1 OE4 cfu/1 00 mL Service FrequencY Septic and Pump Tank inspect and/or service c)nce every 3 years_ EfflUent Filter ShOUld inspect and clean at least once every 3 years Pump and Controls Test once every 3 years Alarm Should test monthly Pressure Systern Laterals should be flushed and pressure tested Mound Inspect for panding and seepage once every 3 years Miscellaneous Construction and Materials Standar,ds 1 Observation pipes are slotted and materials conform to Table SPS 384.30-1, have a watertight cap. and are. SeCUred in as shown in the mound component manual 2. Dasper.&-,,all cell aggregate conforms to SPS 384,30 (6)(i), Wis. Adim Code. 3 a the requirements in SIBS 384,'Wis. Adm. Code. X, I gravity and pressure piping materials conform t 4 "Illaaf the basal area is accomplished with a mold board or chisei plow 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soli erosion and, help red Uce frost penetration. Finished Grade 6-8," D!ametp,- Lawn Spr',nkler Valve Box Distribution Lateral Turn -up Detail Threaded Clean01,11 Plug or, Ball Valve �S eep 90 or Two enwree Bends Same. Diameler as Lateral Project, Ellis Page 5 of 10 see owl HIM ..�� IT I i 7 il#,7 Q M • M { ir�.Fl\i .i • wl. Mr . ..�r ►�•..Y yM CIA 1\*/I lr 1 IM• ••M • s �. �� � •� 1 . � :.. r. ,r! �.•.•:e ' 1 r .rw'�r• ir.*.M•'.\►..•�w�r •.•� y.^-al ' .• , 1 � '� 1 }...' ,.� ..rw'•1 �' ! ry1 i A. i 1 +..�. .y ......,�.w.yi,l �.�li.4v r�. .1..1 1 ...,�1♦ � a ■� is►�ww�'.i;..attr'Mr►•+wiw'a� ar,rl•r adollk ■ •w[►.'i-•arKi.Mr ' 7M'�'a ' .�lu�• ! i }., L 4r.s •. fr.{ti•IS , {y' r.•!. �. .;. ,� ;... Ir..'.r r• ..r.. r�4. + i ''' •' �� r 11 \�.rl' � � � � 1 i IriF .\rw �..�.. -. 1�•.iR � �•rl . �V.1 `.�w_ !t 1,� � ..y�wlj. � � ,. • • ' ' ,' 1 •4 � 1 } '� lii ,1"1 ■ 13 ►r.. 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' � � : r«.•w+i�.�{i+�. �..rVr*+r�� � ��•.Iw�r w�'. �.rrTw. ���r..�d,rw► :I+M+� +'s• 14i.►"r. alr�r.w .1 �+•..► •.4' �! � `i ir�w�� r f .�r� � 4 ? '�Ir- '�., .�,... � •,,• .'� 'b 1 1 A..,.,�■.: I+.i�r 11��•- 1.� ..,r• ,�1l �.. 1. 1 � .}. �.�.� f..r 1.+• - +. � '• R �•. .'r• n ,,, 11 - �11 rl •+•• Y�+M it •++f I.r}I •.w 1 ii rr► 1 � 1. ..d...l � 1. j....r . �. • j r i f�_("� � � � � � 1 1 • ► �, � 1 ! � t ' ', s Y I ' 1.• , , .4f .�1 +\'.i ��i� 1..� �:IHvs�•�N �� •.' "71 .. 1 „ la Ihl. IFw.. �. ./,r•V�I tJ ��1: .-.... ■.1'� •'. .! - 1.�1 rM\� •1' ��; '/YI/111M . ': M N� +,►,11 w\1 '�. 1. f1.,''1'./i�'•" • .',,•1„w�.,..M. � .rry�,'ay , ' l m E a -1c :�p C). .-- 0 r t ow Ile jpo � r i 0 of + FOUND 4A " OUTSIDE I METER IRON PIPE Is FOUND I"' OUTSIDE DIAMETER IRON PIPE im rn cwz Im ma" J & S GENERAL ONTR* ateMm rdl.$�r2l ELUS PROPERTY TOVN Of STM PRAMEs ST. CROIX C"Tyi -"-SCMSEN EXISTING CONDITIONS UN Lud SumiqM ROOM 013COWTM mac. i.in� P1 -525 Fi Tfie PL-525 Fift(r is rated for 1D,000 GP D (gal Ions pel- dad,) 111akinty hL one of Hie ldrgest filters In its class. ft Ims ILI I I - 121 the Polvlok PL-525 li-is -m iutoniiaic shtit-of f ball linet-ir feet of 1/16"' filti-c-ition slots-. Like the NAY k 11, - 1 0 ( ( < n� ot ing, the btall will floal up �ind �i,�mptpr-irif� !L,.,,.11Ut Iff stalltd with every filter. VVI-wn the filter is removed f - cle.111 k- ho rwLz trm qn fhi, rtfffispnt 1. vi) n't I ,;,t vp the tanke Ra it', d f () r I (), 0 L A) G ID (gallons per d ay). 525 1 near f ee t of -1 / 16" filtration Accepts 4 and 6"SCHT) 40 riPt Bt,z I It In gas del, fecion Automatic shut-() f tL. 1,") �i I I w I ;en filter is removed. Alarm accessibility. Acrept-s PVCcxh-,nqk)11 11,111dje, P11--525 I cl c a I f or- rQs i d- c n It i 1,Li I a nd ct -i nimercia I w,-;i s te fl n w u p to VI6 jr/ Filtration Sloir,-i (0) 50,000 GPPJ 7 Ai-cv k. I" PVC R'atcd fw,- II(), Mx) GP) 52' ) I.A T L Ft i "i I I. ral lon SloM 1. Loct-Ato 'Llw oitt let of t1w septic tank. 2. Remove the tank cov�er and puns p tank- ifnecessary. 3. Glue the f ilter housin g to the 4"' or 6"' ou let pip . if SCHD 40 pipe. the fi Iter is not cenlered tinder the access opening use a Polylok �,xtend & Vok or piece of pipe to center filter. 4. Insert tbe PL-525 filter into its housing. Certified to Cort1flod 'o 5. Replacu aiid secuie the sLvtic tank cover. NSFIANSI Standard 46 SPA Ward 46 ar it waWr levet Is V-525 NialpatenanCel, 3. Tfi, e PL-525 Ef fl u e n t Fil ters will operate eff Ie ntly for j :seve-ral years ujider normal conditions before requiring cleaning. Tt iv, recommended that the filter be cleaned every time the Lank is pumped, or at leatit es,ery years. If the installed filter contains an optional al'Orni, the owner wil I be ntiti f i ed by an alarm, �-v hQn tho f 11, tei, needs servicing, Servicing skould be donebya certified Septic tank puniper or installer. 1. Locate the outlet of the, septic tank. 2- Remove to i ik cover and pu rnp t�:i A if ru-cessii rV. 3. DO notw'e flitex is removed, 4, PU I I P L-526 ca r t ri (11 s-),e o t i t of the hous 111 t " 5. Hose off filter over the septic tank. Make sure all soli-r; 14a I I b ack into septic tom® not in to 0 (1, %.V 6. 1 t. vit, r t the fi her cartridge bac k into Uie Wming ni ak- in.,4 I 1 IV L 1t 1 V filter, 1 -, p roperly afigned and completely inserter-L T kof)Lit-e MId SOCUre septictanlk covcr. (1140(jor -,toolill-A q I') -N1,1t al P 7 & tie.,I I f lofts* tv rs- accept Polylok 01,14,A B�, I the Sm,-trt Fit tv i,,i�f s %v i t k: I i kt i t ki a I un i. r. Men, I & I 11;% i I i F-artitv inst-all% into existing tank�,. Polylok, Inc. 3 id 'airfield BJv(L Wallingford, CT 06492 '10111 Free: 877.705-9565 Fax: 203.284.8514 -.�,kN.�,v.j)(Aylokxom Wlscons it DePa rtment of Safety and Pmfessicri al Se rvices D 1 vi s o.1 of Industry SenficAs UMMUNK630-01111 1 '�9 Page Of - d e County j I I n accordance w khSPS 38 S. VVo& Ad m - Co"XI Attach complete site plan on paper ixA less than El 112 x I I inches in size- Plan must include. bot not limfted to: vertic.Hl ami hofizontal referenc,�-. �xjint (13M). direction anrl percent slope, '7 scale or dirnarvs tonsnorth rth arrow, and 143c;a tio n a nd d E-s to rice to nea rest rya) - Please print all information. Revlewed, by Date Pursunal infomiatton e ingy be usei fur Prime v, P(npo-.-irty Owner Properly Location Gc)vt- Lot 1/14 1/4L S T, N Prop-c-Ay Owner's Mailing Add Lot # Subd, Name or CW 41 C LOr sty Zip Code Phom Number City El vina-ge E] T?wn Nearest Road L F< New Consblictcin Use: M Resklefltial Mumber of hemirmrns Code deiived design flow ratPD Replacement E]Pubpc or cmmercial — L)escdbe: Parent material Flocd Plan elevationilf apphcable'�.r Generaj comments and rec;ommendstk)ns-. _!5 r F]Bormg BOMg # ' atGround sorface It, Depth to limiting fackit Sdj Nokation Rate GPDIFe Horizon Depth Iwiw Dominant Cx4or Munsell Redox Descriptim Qu. Az. ConL Color Texture structum Gr. Sz Sh. Consistemcc Boundary Roots TfF#1 '&EfW /7 0� MEM 7E= Grid surfaceI sty I Eftent #1 = 1300, > 30!9 220 nVtL and TSS > 30 S 1.50 -m I "' ' Depth to limiting fadof'� _,�' -.7,? in. I I' > 30s and TSS > 30 S 150 CST Nunwer Telephone. Number 3B D-M 0 (R 04 115) Property Owner Parcel 10 -Page of i: F-1 Borinci Boring p I t GFOUnd sUrfetce elev. ft Depth factor FBorno r.4 -J -1— in tirnlcmr-h Firtr%r in Eft uent #1 = BOD U > 30 < 220 mq1L and T 5 3 > 30 < 150 mgiL I = B'C"D , < 30 rnglL arid TSS < 30 mg/L T hept'ff e -ind Pro fes�iojlal Services, 1", :1 n eq'-.= I I [pnol'11111ty sera ice provider and if you need assistance to e Dt. oS-,ty L acc ess s u v v i evs, o r i i e ed ma 1,c ri a I i n an a r i i,,, I c, 1-,,) i vnt c o -TY lhmugli llclay, , jitact ibe &pm-tinent at 008-266-3 151 ur 'I L SOD-1330 (K I III I? 930 | \ AA le -or pff 36 IT 1�p 61. 33-22 W FOUND 2.3ir OUTSIDE DIAMETER IRON PIPE 6 FOUND 1 " OUTSIDE MAMETER IRON PIPE 77 1 & S GENERAL CONTRACTING too ELLIS PROPERTY em TOWN OF STAR PRAIRIEl ST. CROIX COUNTY, VASWNSIN p off SO Land Surveying EXISTING CONDMONS | |' / � -_ Private Onsite APPLICATION FOR REVIEW S -Complete all pages- Wastewater Treatment P S NOTE- Pemonal in!a�mal,ion you provide may I)e used for secondary purposes [PT1vac-)r Liw s. 11%) 04(l)(m), Stat&j Systems Division of Inca ustry SeirvicE*.s Plans to be E-filed. Provide SharePcIint User name below For plan status, check our webs,fte at Email teChnical code qLJP.,S6Qn,S tO Sevefal counties have been delegated certain authoifty to review plans in twu of Divl�ion of Industry servicn%,. countles, and the it designation check our wobsite at 1. P-roject Information - Fill in all known information, Confirmation of assignment to a reviewer. op Projer,PlSite N` irrie, Transaction ID: Location, Ntirriher & Strp-et c)f projecl (if I i n k ri own. j nffira1f.4j, near road) Lega I ire S (;Ti 0: I'an: Cotinty City Village Town of 2. After plans are reviewed, please{ (check all that apply) Call rnj,,tomer 1, 2 (circle nLimber)* Requesting pa rty wi I ( pi ck up 4 Mail Plans to customer 1, 2 �cirde number) mRefers to wstorrier number ffom below. Previous Related Trans. ID: Estimated Completion Date, Assigned Reviewer - Assigned Office - Mail to your of of choioe beloW: La Crosse, Green Bay For a current i1st of iiiose NO TE. We re se r v e the right to re -d Istdbute plan m to another office if needed to reasonably balance turnaround Croes. Check for next available review data 3. Complete the following designerlownerlirequesting information. Utilize the check box -es when designer, ovnw, or r"uesting pwV Is the name to avoid repeating Information. Des4g'ner Into rm atio n (C ustorner 1) DSPS Other Please Specify Helow (Customer 2) DSPS First Name -Last-Nalme Customer Number Z_ First Nam fro t Name CusWrrier Number compa4y Carnparry Name `0 - I 4% Address )Sta Z'+ city.- IP4 (9 djuits) DRY zip--V4 (9 d4ts) -2 -,-.. _ -�,„�^ . Thant, N-u- r E-inall address cal M*XM Phane Number E-m-a-11 address all phone (area code). (area wde) Check If applk;aWe Ctl CIA ir appi:nable of specffy F03110riship Owner r 0 OWDer El Other - specify r(j 1;,j tio n s hip -1 Information and Plan Submittal Checklists, To reciLiest ekmtwic plan review complete the appropriate- application form and-e-'4nall it, along with your regIstered Sliar ePoInt username to If plans are being submitted via paper, they will be a,ssigned to a rovkYwer after receipt at a DSPS office, Submittal callas can be found in each applicable oc,mponent mamial Bari!ors the POWTS pnraid page under Publications KolrnenfOnalaska Area DSPS Green Bay DSPS 2860 Midvw�isl Cr Ste 104 2331 San Luis Place Onalaska, W1 5465in Green Bay, Wl 54.304 WB-785-9334 920492-5601 Fax 608-785-933U Fax 920-492-5604 _Email. Email: Make Checks Payable to: Division of Industry Service. OR Check box to invoice designer and sign below TOTAL AMOUNT DUE Review Code 7633 DeSig nor Signatu re SBD-10,577 (R 3119) ! POWTS BUShHTTALebec all Owt any -. incomplete foffln M in proce nq d Wp) 0AM lc T n s.Tank RsOmrn on t 0-nly RIPLACEMENT COMWAMM SPOW fJV DISInfoctlion !nit nt Enter MTEM TYPE(S) None I WOO r816 f NYSISM If 'ffubMftt1ft9 Multiple Systems on the sarne efte Enter Few 0 Rsvialarp to pmviously appmvod pan I IIfin @out R eview Po. replacernOM of ■ 6400 is n , addit I on of a n eftont fi Iter a r pretreatm a ni d evil ea to s r[ existfil 9 a ysto m, etc.) #hr Component Mmusi Deftn All tn n pn n re "vlously approved SIBS erlt Manuat - Ver. 2.O, SBD-10 (N-0 107, R. 1?1 Fit + I and s, B .10 () our ). I I - '} er. .0' l 7(.0J 110 1. 11 0/ fund �++[ Fay / �rl�ua `�Jy1 11fic"! C�WnPmGnOnl--2.OtSiBD-10091.P(N.,RIO1) 1 DaBig n wtewa�' ¢�+yy f ■/L� Py�Y }I5� d aytam CbbUtlon Compone nt — Ver, 2.0, BD-107MIR N 101ID1 1011 _ t 1 I pD i r * specify1 j ,i - 2,000 NXIII $326.00 I n d Mdue l Sha Dan Ign� On or more trwatmwd mmpontntsare not Ad rW@YkvWy appm$d a Mar s. BPS 384.1 G () or (3): (ice s d I nMavWflon hen Compona rtt -Ip Jr, Nonn rnar�u a and use p is thoijt product PhmwjftW k In- r nd � r r1ow Iri aPPM0: Mound o f p i r flow of the proposed system: C Wetlands Downiftft m bs p support tr b nos. In a s a +D Ws 4.00 I+ 1- 1 6 D.0 SWAMOM1 - malls *W Me pmjeat end stbah Bu da"(cmis - M 01 0 to r thm 8X0 pI 90.0 - p i State-owned f0ditt", ON* HoldN tanks pmvlouso -under a. SP 0 HcAldI ng Tank Component Man u , @rt 10, -1066" ,WWI RIM )*wamewsw FlowIn F 1 Q ()(� Dedip Wntriolor flow" the wed ems: Odom Per day No*Bte omW Cwwerft and at HoWq taft 1* WWI this rn e n ual 6.000 gpd or 0.00 an daily Am of )m n � ,pBr � d to the -�- 6,0 1 — 1 , � QPd 1 QPD unk ftr Irifted oaf f Doport7wt ISSO SPS 303-22() (9] .00 U nets r th an 101000 T 1 11#19 n , 0. e F a Ite � , day hold I n ca parity, k Co - Holdingtan tncl � n atfucl ed tanks NOT 'Ilbw 1'r ,IgwDeetn Ugo wastefflftr Flow In spew.NNW MVIOLSly approved uraW & S P9 384.1 ( or (3). DRIgn wagUffiWer fbW the pro p ose d s gate 0811cm ft day m Mwt be provided to support t�'theratdonpmjsct. trt M reb stame nt, . 15�0 0 gpd or 0 180.00 all code �n 9, tact pod f tachn Isis i �h a �� i ) � � 1 - 1 �� ��� then 10,000 GPID gfie-ter gpd $480.00 800 Saturates Deternflnotion Report (using c Ie D u to r l patio n $240.00 KID Offtanj:W 8 yetem ti me ad 1' neI f t for individual sWem as per appropflate Eshvve ayWm Vie) Expediment Number $400.00 PHorl (enW a a me a rrmnt as norm at re vse w fee (feted a bove ) Enter Total (rmr B -1057 (R 311P) Si. CKoiac,—OuNTY SANITARY SYSTEM Nile y`Office Use 0111y OWNERSHIP/ADDRESS FORM Created 21202 1 C'.0mmunity Development Department will utilize this information to provide the property owner with information regarding operation and maintenance of your new or replacement sanitary systemi! This information will be provided as part of our ongoing efforts to protect public health, your well, groundwater, surface water, property values, and county resources. Once approved, this completed for and information will be sent to you by emaii. If YOU would like to view your issued sanitary Permit onMire e YOU Can do so by Using the Propgrty Files-Sca,ijiried weblink. OWNER/BUYER INFORMATION Owner/BuyeL Mailing Address Gty/State/Zip Phone Number (required) Email Address (requirred..i Parcel Identification Numner (found on the property lax bill) ,4 1/4 S e c. T, _I&W, Town of i<'�x Property Locrifion '/4 ir'") 4, N R � , � � 1 # Subdivision P!,-t- Lot Certified Survey I Paqe # ..e Warranty Deed -(before 2006)Volume Page ft Number of bedrooms Spec house 13 yes a no Lot lines identifiable 0 yes 0 no New Property Address )A -- (Staff Initials) OFFICE, USE ONLY 2 gl"% W GC's61"'.' e CVerfficafion of new address required from Community Development Department for new construction.) 9/F (Date) This form rnust be submitted with c711 Private Onsite Water Treatment System (POVvTS) applicatt'Ons. New System: Iticlude with this form a recorded worronty deed from the Register of Deeds Office and u copy of the certified 5'� II., V 1p if referen ce s mode Ire th e wo rrun ty deed. Community Development Department — Land Use Diviior 715-386-4680 St, Croix Cokinty Government Center 715-245-4250 Fax 1101 Cirmichael Road, Hudson, W1 54016 State Bar of Wisconsin Form 1-2003 WAR RAN TY DEED Document No. Document Name THIS DEED, made between Daniel Schultz, a single person ("Grantor," whether one or more), and April Ellis Revocable Trust ("Grantee," whether one or more). 1155055 BETH PABST REGISTER OF DEEDS ST. CROIX CO., W1 RECEIVED FOR RECORD 06/24/2022 10:27 AM EXEMPT#: RE C FEE 30.00 TRANS FEE 210.00 PAGES: 2 **The above recording Information verifies that this document has been electronically recorded & returned to the submltter Recording Area Grantor, for a valuable consideration, conveys to Grantee the Name and Return Address: following described real estate, together with the rents, profits, April Ellis Revocable Trust fixtures and other appurtenant interests, in St. Croix. County, State 261 Canyon Pass of Wisconsin ("Property")(If more space is needed, please attach Hudson, WI 54016 addendum): 038121730300 Parcel Identification Number (PIN) This is not homestead property. Lot 27 of Certified Survey Map recorded in Volume 18 of Certified Survey Maps, on Page 4500, as Document No. 753479, said Map being part of Lots 23, 24, 25 and 26 of the Plat of Rolling oaks 2, being located in the Southwest Quarter of the Southwest Quaver (SW1/4 Sl1 1 /4) of Section Eighteen (18), Township Thirty-one (31) North, of Range Eighteen (18) divest, Town of Star Prairie, St. Croix County, Wisconsin. Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except: Dated: day of June, 2022 Daniel u tz (Signatures may be authenticated or acknowledged. Both are not necessary.) NOTE: THIS IS A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. WARRANTY DEED 2003 STATE BAR OF WISCONSIN FORM NO, 1-2003 "Type name below signatures St. Croix County 1155055 Page 1 of 2 r FRONT ELEVATION SCALE 114° = 1'-a' SIDE ELEVATION REAR ELEVATION SCALE tf!!" = 1'-0' SCALE If8" s I Ar 0 L_ Y u J J L-L-J W J L1J 0 LLj RE SIO�4 fl+R Ev a 4r I � no 2w— SUE -ATE OOf02J23 DPAWFJ 9Y AA A'.)RSWW S 06 DATE. ORIG De,'Xln OF x LOWER LEVEL FLOOR PLAN OPTION A NOTF13 I PAIL NVERMOR # EXTER GR m F^DFAI 10 BE 2-2.19 UNLIESS ITHERvmSE NOTED 2 P GTAiR TUJC CU T SHOKIN a I a . - I IA- lw R r2E SPALL AMMO W&LSAT45' U ML E65 GTH FRIMSE NOTED 40ALL EXTEM 100 DMENSIONS ID OUTWE OF SHEA!,iwS SP MAINW�Nls J-1 a, ekippER vmIn 1&4'-,0'"GT I RANSOM A004o JW L E &S 0 THIFRV�%E NOTED B ) GARAG E L iAL L N8 IRJJ55 J. FLOOR JOIS r MANUFACTUNER t 9 VER F'f SIZE A 5 PAil; MG OF AT$ A TRLr&SES 8? A In' RM F1 NS ON P.LL DOORS ,JN I E &S 0 THF RYASE N 0 T E V 91 RG 01A DIMENS IONS FOR TIN IS HE F: R 0 0 MS ARE AFPAO XWAAI E & Lia [I FOR OEUERAIPLANNING 0ACT 10: 0 .5 E. EN TIRE EXTEFOOR OF HOUSE II " HEAVER T P WE R q E DIAN TS Up TO V-1 I' SPAN -Ci TR P-CIER 1 0 RPAN 0 Ft LAAU H - 2 TN IAAF F, S 041 P 5 5 NOTED G-H ER k-IFW r- esa• X204 AWN SH S05F7 Icy JILT ! 9rr sfI £r w Mbd Z q 6HLl542 1 h �$ it posslUe'to have IOVPAW CR �- this door sw ncg out? ovETrr OFT -941I VALIL # - w GLOB. i -- T� T• ? 1. _� 1 `7i t�}I ll a z 1#ic+e M.Arldrew5 Homes 1 1 v wall I I tiE , jj ovven? - I I I 11i1Fk I 1 h I 1 I E 1 Fi I A5 I ,s i.i -,,., I ; , Ire• I y i i� KI fI UDIL8UNICRA€T CAS LAYOUT TOO { 1 134• REF w*€Rl In F J CL I 2 �k ie^p6 ,ffi� IL IN ^ _ _ I CAR LAYOUT rW I I _ g �r � for-ak• ;__ 1 I , L.L_ �►I1�,-^-III I I E PROF' 1 BENCH r6R3P AREA L-U • cwsi I e �) 80 X VAULT � _. a,. r I .l[ 8L7--�- i{5H � � l j _. -+ � ilPPERS � � >e: - - I � J LU LU 1 f] . $ATHI r - 1 _.. j - wCif } 1 = FRONT P R HLl � - I Na r Ant ------- NOTES Sd Idi' kNIN I l 11ALL NTER 100LFXTEA10A LLj FAE€4TAN� IIII�III 4x; I _ H hESSE)ER 2 TIERVAS, I p TUB ®_ u I Id#LE S., E'TH ERVa15E k61FQ i 2k l;fM TREAD CL'i BH 30%-2 4 '-' SHOVYN 0 9U' - 7 3AL' MM RM --. _ SH 2554-1 - L" )I ALL ANGLED VAkLS AT 43' YF AACHED VA)w ABY €iY -1 UNLESS OiH ERYAS€NDTF0 0ALL EXTERIOR 1 ` DMEN66ONS 1. OUTSOF OF SH€AT H 9y G iK5 I z I Ct y� 5) MIUM valEM°f8! 7.1 A'1 U PPE A VJDWG ---------- - - - '.I rvi �',YO'M4T ITRAN W RI$ABD YEl LH ESS 4TH EAVAIS E N G;E ❑ MAIN LEVEL FLOOR PLAN 2160SQ F; ("WREASFoF+6aSoFT) I 4113ARAaE1'A+ ib6 REVISIONS SCALE I f4" _ 1 -c {Ai}C7 ?L7-0� $t� FT FOR `JFI=ICE15UNf�QpM} � 4 L - - --- -- ?ITT+usS i FL4oR A©n�T 1�r.kurwcnauER c MR NDT IN 4RIGRiA: SO FEET CGurAT I TO V'ERWY SLIE A SPAC hr CH .575 V IT, I 47R uSS€S Mob Im -2364 TOTAL FINISHED ON MAIN LEVEL- 4 �' 1 L >,, ♦ 1/2' RETi1R N$ UM ALL DOORS fUh I5ss a?HEFIVA&E HDIFE0 Muf DA'€° 07126/23 41 ACH5M GMENSiawS FOR FNISHLG I ROOIDSA;RE APPROXNWn A USIP5 L FOR GENERAL PIAMM1I0 E1(AC7 512AtAf146Y W AOrFA 0141I 510N rill. VARY M.. ANpRiM'S 0 10, 0 5 0 ENTIRE _ I = EaTEBIOR OP HOUSE I 1+i �IFA47FR TRF.AiER RE OSFNTS _ -_-_-__-_ _ UP TO L'.I I'SPWi = a TRf4tER DAIL, 5-0'SPAN GR LARGER.: 2 MLSAFR$ 0Q G QB.. r'23 UNLESS NOTED 0 THE RwCE Sim 2aso- "T TRUSS NOT WOE - cour fr,,QAAAJ3E FiR WON I IM POURED CO*C.FOL*D VMLLS "EXTERIOR LEME FORh0TCtlF0TfkuSStF. iTATD.PLATE R '10 DRAkAQ EDGARD ON Wit'000T.CONC FTG!a REW PER CODE 10'-0" CONC. WALL @ GARAGE - BRG. Box VAUiT PER -"AT p 71 F TBEDROOM f i IL INTERIOR ELEVATION AT BACK WALL SCALE 1A'z 1'-Ir M.Andfews Homes HEN L0 HALL BATH ne, 0 LL- �z --j LLJ LLJ REVtSIONS LIA'E: SCAJ 4 e Wisconsin Department of Safety and Professional Services illillilil000� Page of Division of fndustry Servioas SOIL AT] N EPORT 242� rdw In ar=ice with SPS 385, Wis. Adm ,- Code Count Y Attach own plate site [Aan on papar not kxss tha n 8 112 x I 1 1 nches i n size. Pla n must includ e, but root limit ed to-. vertical and hotiz(xital reference paint (13M), direction ar�d percent sk�pe. Parcial LID. scale or dlmens'�ons. north arrow. and k�cation and distance to nearest rwid. Please Print all infora natit n. ate Perwnal informabon yw Mvide rrpjtbe 9f 2�%2�23 used kw secwg a, Law, s. 'IS _04J1 (Pdva Party Owner Icperty Lcwafion T E (or) W Govt. 1_11�5 V4 S N R � Ownees, Mailling Addresp., Lot # Bkm* # Sub& Name of ICSM# Lee` State ZIP Code Ph om Number CAY Village T Near 4d New Constnictm tjse. GPD P"_Fet of llmiterofbo*omm Code derived desiW *m rata4_ - o56r:cf " IN El Replace.ment El Pub6c or commercial - Descdbe. ft Ce) Ua aw-Parent material Fk)odPlan elevationif appli�rble- 7' General ments ar4 recommendations: r 4- tX ) OP 22VAY0,f- .0 L _V1 Vk_�. C:� 41* k�' air cV9kwb%oMe__ 5- V* Wring 8cwing P4 GmuW surface alev ao'y ft. Depth to firnifing Wor Sod Application Rate GPD/Fe Hadzon [kn.pth In. Dominant Cater Mtinwl I Redox Description Qu- Az_ Go I nt- Cb1or Textupe Structure Gr. Sz Sh. �stnnce Bound-ary Roots `Eff#1 NE__ fry k 4— �2, S # ia�cqft C pit Ground surface elov9 2 it. Depth to limiting facw, Soil �� iiRate Horizon Depth Domkmirt Cokir Redox C*scidpOon TeAjre Smxture CansWence Boundary RooV; GPD/Ft7 Min"D Qu. Az. Cont. cokw Gr, Sz. Spa. *Eff*1 E M2 JV/). A Y _5 Eftient #1 UM > 30 -s- 220 a TSS > 30!5 150 PNLL CST Nmqe (Pleavie pIrtht) Signature Addmss Dale Evalualkw) Conducted ZLI Eft #2 1BOD, > 30:s 220 mgl and TSS> 30 -,r 150 m CST Number Te;ephnm Nunber -7) es)) - SBE)-8330 (RO4115) Property 0-wrier Parcel ID # Boring Boring # pit ('roUr..d S U Ff a Ce ej eVI, ft, Depth to liriiifing factor in. Page of I qnd A nril 1 rn fin r- P afia I Horizon Depth in- Dominant Caloe Munsell Redox Doscriiption (-),,j S.7. Gont.Color Texture Structure Gr. Sz. Sh. ofisisten ce oundary Roots i GPD/ft ff t4i 1:1-ff#2 Op Bonn g # Boring Irt. L1 Pit Ground surface slay Depth to limiting factor I-)n4'1 A n n I ir-i I inn RAP Horizon Depth 11171- Dont minaColor Mursell Redox Dit,,sc6ption Ou. Z. C0111 Color 1'(,XWrc ur Slrucle Gr Sz, Sh, ._.ons;�sterl.ce Boundary Roots pD2 G tft ff# 1 01 - ff#2 Sor-ing # 11 p�t Ground sur-face elev ft, Depth to limiting factor in,. Soil iicaticf' Rate Horizon Dept[-i Dornitiant Color Munsell Redox Descnipfion QU. Z. Conl, Color Texture Struchiri--, Gr. Sz. Shr onsifence oundary Roots I G P D.11 �fWi "Iff-#2 iu Effluent ftl -- BOD `j > 30 <.252-3 rnq�"L and TSS >30 < 150 mg/L Eftlue�nt #2 = BOD < 30 M(YL a;id n TSS - 3D iq.,L -I'lic Dcpt. or SfArOy and PfOI"VssIMI;L] S%:P1 iCCS iS �01 C1,11.1,11 0j)J)0[JU1NI:,v scrvice [)[V� IL"t2i employer, 11' klssis�L-LIIICC to access services or neCLI 111'1161.11 ill -11(Crflal �ill e form.t7alzuiitact [tic depai'tni-Qnt at 608-266-3 151 or J--I-Y through Rclay, L k ( 4 del o 'Ila l000l 1 9 30 r 0 ooe -OPP,- 1--40 .01 AP C3 e� --of 11-0 0 f- 00 A 3&22t 'o ILS 0 FOUND 2-318"' OUTSIDE DLAMEMR MON P 41 FOUND 1" OUTSIDE DtAMMMR IRON PIPE wo GENERAL CONTRACTING' v ambft IN V 1 W23 ELUS PROPERTY ow mclr= TC%N Of S7AR PRAME, ST. CRCMX COUNTY, VASCONSIN W FLE Auth- Comadadmociatm SO Land oulvem EXls-nNG C0NDl--l0NS I" MAMEW 1-002 wwom wwwwe *mm hC co �L W >x�t SURVEYOR: CERTIFIED SURVEY FLAP W z in x �� 4c DOUGLAS J. ZAHLER LOCATED 1N PART OF THE 5W1 14 OF THE 5W114 OF SECTION 18, T31 N, R18W, TOWN OF STAR PRAIRIE, ST. CROIX COUNTY, 0 U Nrn y � A X, S & N LAND SURVEYING, INC. WISCON51N. INCLUDING PART OF LOT 23, PART OF LOT 24, LOT 25 AND LOT 26 OF THE ALAI OF ROLLING OAKS 2. 0 N tLU00 &: � � � � � 2920 EI�ILOE STREET NOTES: � � k p� P-HUDSON, WI 54016 VI�114 COR. A� CONDITIONS, RESTRICTIONS, NOTES, ETC. Z � z { SEC, 18 USTED ON THE PREVIOUS PLAT ARE Q 30 OWNER: - UNPLATTED LANDS OWNED BY OTHERS W � W APPLICABLE UNLESS OTHERWISE INDICATED. .�_..._____r________----,.._.__�.___---.___�.. u. 4 W D C �� N GRAND PROPERTIES, LP w= -fas W „W I cp NO ADDITIONAL. LOTS ARE BEING CREATED. NORTH LINE OF THE SW114 OF THE 5W114 ar �- o A W N H W W T 12 RIIIARD 5T. 5 UITE 1 pQ n ° !€ LL H �` �. W �. •` SOMERSET, I1V154Q25 SS9 33 59"E 640.63 S 89 33 59 E 449.49 o w •ull.% I L3A.to I ►' WON; it �Jc' -14Nc�`NAVIGABLE # NAVIGABLE Q �, < I NO OWNER OR RESIDENT SHALL DO o WETl.ANt, + , WETLAND a ANYTHING WHICH WOULD INTERFERE ''� , ,� �� 4;=9�.' 6 W I WITH OR CHANGE THE OPERATION OF°� THE APPROVED COMPREHENSIVE WATER LEGEND DRAINAGE AND SOIL EROSION PLAN FOR 4 THIS PLAT, THIS INCLUDES BUT 15 NOT LIMITED TO BUILDING UPON ! �3 � . _ 3.30 AC�� FOUNDALUMINUM COUNTY I r' ~� �.� �, OBSTRUCTING, ALTERING, FILLING OR _ _. _ �'' P) ' 1144,231 �:' p .I SECTION CORNER MONUMENT(0_ EXCAVATING, OR PLANTING 1N ANY POND ' Its ; S� L.B.Q. = 931)9 • 91 �`1 ; NON -NAVIGABLE , - EXISTING FOUND 1 OUTSIDE DIAMETER IRON PIPE N I LL EASEMENTS, WATER DRAINAGE DITCHES, � 1 �r ��'��, WETLAND �` � ��` ,• JOINT SET 1' OUTSIDE DIAMETER BY WATER RUNWAYS, WATER CULVERTS, =1 153.02 , r. O� 18* LONG IRON PIPE, WEIGHING i uj BERMS OR GRASS SEEDINGS. ,��''! N8104215 , ,� �, � Oar; DRIVEWAY 0 1 H.W.E.=927. 5 ' . , 7 ��fl 1.13 LBS. PER LINEAR FOOT a ALL LOTS ON THIS PLAT tV1 1 _, r 14 �► r Qp� ' .. o ! w ARE REQUIRED TO, ! 1 1 _ �:; ` -.�, ,,.- �'� ►� .- FOUND 2 OUTSIDE DIAMETER IRON PIPE SUBMIT AN EROSION 1 T_ c1j0 ` %'`� -- LOT 27 ROADWAY SETBACK LINE CONTROL PLAN TO THE ► I 1 , :• �� ,� ` / y ,� x� ! ! , 4 9? (100 FROM RIGHT-OF-WAY) ST. CROIX COUNTY .�, � '* 1� o,� 3.SZS ACRES � �� O� �.� r.� 1 T 1 I Q (153,52� Q. FT.) �► °�` ► � � i • _ ZONING DEPARTMENT '� 1 �1 +� 25 WIDE UTILITY EASEMENT , 1 '�, 1 I L.B, . =�931 .5 rO I BEFORE A SANITATION 1 1 1. l '1 Q; ;0 �' --------------- ORDINARY HIGH WATER MARK I PERMIT WILL BE ! ! 1 �L] 1 1 ! � �`� ': �'•,`. '0" STORM WATER PON DING AREA ISSUED. 1 1 .4�0 75 SETBACK FROM ORDINARY 0//►� j I u�� �,� . [� n� HIGH WATER MARK1 1 ! I I �9 ,f' H . W. E.=927.5 HIGH WATER ELEVATION I I r 0000' 4(— DRIVEWAY 1 I I '"� ' 1` 1 ,46 k b �yD 'L °� fl� Q '� Cb10#0�, r W PROPOSED SEPTIC SITE I �' .'�i� w LOWEST BUILDING OPENING BENCH MARK: TOP CA o •-u , �, ' , OF ALUMINUM(p" ° � � � L.B.4= = 931,5 (THE LOWEST WINDOW OR I � r , } AKS 2 DOOR ELEVATION COUNTY MONUMENT, I �- � 5W COR. ELEVATION 970.(}10 I �? � I� � � �� � r � SEC. 18 1 0 r L DEED IN 1;- r CURVE DATA TABLE; (ALL LENGTHS ARE IN FEET � — - - - -VOL.1997/_j 1 � Curve Radius Central Chord Chord Arc Tangent Bearings I T�_ Number Length Angle Bearing Length Length Tangent 1n Tangent Out _ SCALE IN FEET 1� - 1 59, w C1 233.000 2r2834" 553°30'54"W 110.67 111.74 S6r1611V S3T46'3T'W W C2 167.00 21"09'24" SW21'19"W 61.32 61.6T 539°4637OW 56T56`01"W THIS INSTRUMENT DRAFTED BY: WILUAM KANE _ C3 233.00 30°54'16" 545028'53"W 124.16 125.68 56W56'01 "I S3(°01'45"W ,LOB NO.6052.22 DATE: 12/2212003 1 1 150 0 150 V) 000 • CRo�� couN� . . . . . . . . . . . . . . .. . ....... r NO. �S1 2 92 Cr 2 71- 9TI F tuic�l•i�vJ�L PREVIOUS NO. OWNER AW-tL 6LLI 5> ILUMBER ��� D'epMA&LL L a# :22 4263 TO=woo OF%A[zibr WN Nq• AND/1-Oxx 2= 1 I BoLdi I& ..D 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 g t, changed regulations may impede renewal. (f) The sanitary permit is transferable. Histor y: 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. - DATE ?/Z*12,02r� I'Zff';�02570'p IF T -3-11 --- ft ' f V "i 11 '11' E U " S S REN'" , WE" "ATE" T""IS NLT-j Irld " -urt'URE THA' 'ROM THE ROAD FRONTING THE LOT DURINCT C'(�NSTRiJC,TT(�N n oicy i c�� f��fC� � vveR. r 9w CocceG-�o� �,rr�ruv�nv.�� a-� te wr&ek �"