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004-1051-40-300
Wisconsin Department of Commerce Safety and Building Division PRIVATE SEWAGE SYSTEM 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 X Township DiBona, Tim Cad ,Town of CST BM Elev: ~ Insp. BM Elev: + BM Description: n ' ~ 1 UU•a Cb•~3 ~ ~T S U~t? ~~ TANK INFORMATION u TYPE MANUFACTURE i r,.. ~~.Q /Q -1 afl CAPACITY Septic ~ ~ ~~ ~i I~ u Dosing l.t Aeration Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic l ~ ~ ~~ // ' b Dosing t.t ~ ~ ~ 4 ~ Z Aeration Holding PUMP/SIPHON INFORMATION ELEVATION DATA county: St. Croix Sanitary Permit No: 488259 0 S to Plan fD No: ~ ~ ~ ~ .~ , arcel Tax No: 004-1051-40-300 Section/Town/Range/Map No: 22.28.15.342A20 STATION BS HI FS ELEV. Benchmark ( ~. 3 ~ _ ~ ~~ Alt. BM Bldg. Sewer •~ ~ 3~,f SUHt Inlet /~ !3 / ~? 3 ~ r SUHt Outlet Dt Inlet/ Dt Bottom S . ~{ p -I- ~ Z . O` ~ 1 ~ ,~0 ~~' 9~ r Header/Man. r0 ~ OZ.2$' Dist. Pipe , G S , ~ ~ ~'OZ • 2,$' Bot. System O/. SO r Fi ayrade, ~l ~ ~ 2 c(~ _ r St Cover '~.n ~N:svs ~.. o t~ ~+- ,.~..~. rj' Z° ~/ O r .r s. s~ .~ s i~•s~' ED ENSIGNS Widt ~ t Length r No. O~irenehes ~ ~A - PIT DIMENSIONS No. Of Pits Inside Dia, h 1 C/ ~ ~- SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEAC NG acturer: INFORMATION CHAMBE Type Of System: ^ } r p.~ ` f ~ UN Model Number: SQ ~ ~ DISTRIBUTION SYSTEM Header/Manifold ~~ 3 ' 0, ~ `/Z DisUibution p r ~ ~( ~ th 3 0 ~ ~i i 3 '~ ~ S x Hole Size ~ 3/~b ' x Hole Spacing ~• Q , Vent to Air Intake Dia Length pac ng Leng a_ SOIL COVER Y Prassura Svsfams Anly YY Mrn,nd Car At.Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil Yes ~ No ~ Yes 0 No COMMENTS: (Include code discrepencies, persons present, etc.) Insp ction #1: ~ ~ Inspection #2: Location: 262 310th Street Spring Valley, WI 54767 (SE 1/4 NE 1/4 22 T28N R15 ) NA Lot 3 Parcel No: 22.28.15.342A2 1.) Alt BM Description = S•~' ~~''''~~~ O.T. ~ ~'`S ~ ~II``^` ••~ ~~ ~'^ °~ ~~~ ~ "T~~ 2.) Bldg sewer length = .,.~ S -amount of cover = ~Z ~ ~ G+~r , Plan revision Required? ~ Yes ~No , ~r ~ ~~ Use other side for additional information. Date Insepctor's Signature Cert. No. SBD-6710 (R.3/97) SOIL ABSORPTION SYSTEM Safety and Buildings Division County ` m ~ 20l W. Washington Ave., P.O. Box 7162 0 I~'CO~~~~ Madison, WI 53707 - 7 162 Sanitary Permit Number (to be filled in by Co.) Department of Commerce (608) 266-3151 h ~S Sanitary Permit Application F .~ ~( Q ~ ~ In accord with Comm 83.21, Wis. Adm. Code, personal information you provide ~ ~ t V 11Cm U r may be used for secondary purposes Privacy Law, s 15.04(1 xm) ent than mailing address) I. Application Information -Please Print All nfo n RE Z (p Z Property Owner's Name JUL 0 5 2006 - Parcel # Lot # Block # ~- //lo./A ~ I Property Owner's Mailing Address ST. CROIX COUNTY a Pro a Locatio P rtY ~ 3~Z A - ,~ry~. 9G ~6 ~' ~ ~ ~~~ Ci St t ~'• Section ~ ~'• ty, a e ip Phone Nttmber _ ~A~ ~ ~ ~ 66 ~ ` .? -DSS (circle one) RAE T ~~ N II. Type of Buildi g (check all that apply) ~ ~~~ ; _" 1 or 2 Family Dwelling - Number of Bedrooms o7 2 ubdivision Name CSM Number ^ Public/Commeroial -Describe Use Vtlt L L ' ~ 3g~~ YD 1 • Za SOSa ^ State Owned -Describe Use •BE'i[y ~ViHagty~Towns ip of CAD y III. T ype of Permit: (Check only one box on line A. Complete line B if applicable) A. New System ^ Replacement System ^ TreatmenUHolding Tank Replacement Only ^ Other Modification to Existing System B• ^ Permit Renewal ^ Permit Revision ^ Change of ^ Permit Transfer to New List Previous Permit Number and Date Issued Before Expiration Plumber Owner IV. T e of POWTS S stem: Check all that a I ^ Non -Pressurized In-Ground Mound > 24 in. of suitable soil ^ Mound < 24 in. of suitable soil At-Grade ^ Single Pass Sand Filter ^ Constructed Wetland ^ Pressurized In-Ground ^ Holding Tank ^ Peat Filter Aero is reatment Unit ^ Recirculating Sand Filter ^ Recirculating Synthetic Media Filter ^ Leaching Chamber ^ Drip Line ^ Gravel-less P~ e ^ Other (explain) V. Dis ersallTreatmentAren Information: Design Flow (gpd) ~ Design Soil Application te(gpdsf) 7 ~I~ Dispersal Area Required (sf) Dispersal Area Proposed (sf) System Elevation ~ s .6 i '(o t~ ySo 7~ L!O // O /a~S Lso,s ~a.~P. VI. Tank Info Capacity in Total Number Manufacturer Prefab Site r Gallons Gallons of Units Concrete ConsUVCted Glass New Existing Tanks Tanks Septic or Aal~ieg-~'enk dG~b -' 600 /E'S~il. Co./G.rsr [~ Aerobic Treatment Unit ,' / ~ ! ~~ W Dosing Chamber ~ Gao ~t .t / VII. Responsibility Statement- I, the undersigned assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plum a MP/btl~RS-Number Business Phone Number Plumber's Address (Street, City, State, Zip ode) VIII oun /De artment Use Onl Approved ^ Disapproved Sanitary Permit Fee includes Groundwater Surcharge Fee) ~ Q6 Dat Issued ~f uing Ag t S' Stamps) , ^ Owner Given Reason for Denial ~~. ~ (~ ~ O~ ! `2 %~ ~ IX. Conditions of ApprovaUReasons for Disapproval 3 a ~ S L ~ _ // ,, __ ~ T~-r' -~^ - ~Q ~ STEM OWNER: vG~~ , ~ ~ y r , , /~ 1 eptic tank, effluent filter and ~ !~~,a'~T ~`'~ ~° f~~'S'h"`'t' r ~ Sy~'i~:c~'4'z- A _ - '~~ ll be serviced !maintained ~ ~ t (~ ` ~~ y a ispersal cell mus y~ as per management plan Pr st be mainta nedr C%~2~~-e-C ~ ~"~h ~ 2. All setback requirements mu ,~}~ ~a~~~~'~j! ° G~ ' , - /~ ~ z ~~ CS ~f ~G~~- ~5 , as per applicable code/ordinances. ~ _~ =~ ••..+.....v...y.c ~ ~{Lw~~w~e~a~./uJu//nnry~.poly) IUr rO~n paper no[ teas ma sl/L Z l ~6e8 `-~~~ ~~ ~ 71ib ~L/v"vl, •'w /, - ~ ~ 1, ~ SBD-6398 (R. 01103) h~~.~,~~~e~ Cv(.L~ ~ ~ ~``/`~~~'~~ ~~ ~- ~~ ~ ~ ~~~ ~ y ~~ ~~~ a "~+ c a ~~ 8 \z~ e ~ ~ ,. ~ ~ a ~ a o oa h ~ n ~ ;~ ~~ o A ~ ~ a ~ c ~+ ~ r ~ ~ ~ o ~ ~ w a (~ a 0 ~ ~ w k~ ~ V '1 i ~ c ;~a. w ~ ~ ~ Q~ a. Z ~ a ~o ~ ~ c M o\ ~ no ~ r at t ~~Q~, „ ~ .~ 0 ~ a ~ A ~ ~ ~ ~ ~ ~ ~ !^~ A ~- w ~ ~ ~~ ° N :, . ~. z ~, w~ ~ t.: S `~ ~~ e~ A ~ 0 0 ~ ~~ t ~ '~ r ~ o p t ` O a .~ ~~` "'_ h A = 0 ~• t, ~c1 !` chi (~ !? ~ a "~ 4 N ~ ~ ~ K ~t\ i ~I+ v n o° a c ~ 'T ~ e ~ O \ ° Z~.. 04 ~ w .r 1 ~, w c Q -* ~v/ I commerce.wi.gov ^ ^ iscons~n Department of Commerce Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601-1831 TDD #: (608) 264-8777 www. commerce.wi.gov/sb/ www.wisconsin.gov Jim Doyle, Governor Mary P. Burke, Secretary June 30, 2006 CUST ID No. 3412 HERB J PELKE PELKE PLUMBING N6298 STATE HWY 25 DURAND WI 54736 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 06/30/2008 A7TN.• POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 Identification Numbers.. Transaction ID No. 1278768 SITE: Site ID No. 714041 Tim Dibona Please refer to both identification numbers, 310' Street above, in all corres ondence with the a enc . Town of Cady St Croix County SE1/4, NE1/4, S22, T28N, R15W Lot: 3, FOR: Description: Three Bedroom Mound System Object Type: POWTS Component Manual Regulated Object ID No.: 1079882 Maintenance required; 450 GPD Flow rate; 26 in Soil minimum depth to limiting factor from original grade; System: Mound Component Manual -Version 2.0, SBD-10691-P (N.O1/O1), Pressure Distribution Component Manual -Version 2.0, SBD-10706-P (N.O1/O1) The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: Reminders • This system is to be constructed and located in accordance with the enclosed approved plans and with the component manuals listed above. Co~dr~ • .Per manual cited above, limited activities are allowed in the area 1 S feet down slope of the component area. ~PP Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and pE R7MENT dispersal are prohibited. N ~C •' The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption $EE CORRE area. chs. NR 811 & 812c • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the POWTS installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stat HERB J PELKE Page 2 6/30/2006 • Comm 83.22(7) A copy of the approved plans specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. Owner Responsibilities: • Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1).. • Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • Comm 83.55 The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence maybe made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, l ~~~~ ~ ~~e Charles L Bratz POWTS Reviewer II ,Integrated Services (608)789-7893 , 7:45 am - 4:30 pm Monday -Friday charlie.bratz@wisconsin.gov Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 WiSMART code: 7633 cc: Leroy G Jansky, Wastewater Specialist, (715) 726-2544 ~i. I e~ 9 RECEIVED JUN 3 0 2006 SAFETY& BUILDINGS. Private On-Site Wastewater Treatment System (POWYS) Indez and Title Sheet Owner: ~%s ~i~o.~ro Project Name and System Type: ~.y ~/~sa,/,~ - 3-wit . /rlau~/~0 ~6wrs Location: 3~o r-~ .sr Street Address . Legal Description ~~~ au„~ e~ ~,voy .fir ~aaix ~o Township/County Contents: -Page 1: /.,~~OdX ANO ~irt!' Swrr Page 2: G't o r d'~i A~ Page 3: `floss - .~~c ri../ ,v./o ~i./ ~~~/ .~ /I ,.,,io Page 4: ~,oe- 1,o r`ir,~~ L~9yir r' Page 5: ~E'Pra ~ ,~.~ /~vr~ C.rvy,o~.~ l~osf • ~e~ ro./ Page 6: ~vyi G"B'ilFiit.y.i.r~! <uA~~ Page 7: Dowd o.v./rs 1 ~,i./a,~a ~yo,~~v~~~r~,~r ®i.,/ Page 8: ~~ . Page 9: Attachments: a ~'vasa ra./ ~.ri r ~ 7~~~a`~t-j' o ~~ /~ lle ~./i./ r6i/A./L s• ~./fr. F ~Uh:;,4ER~~ . Plumber~r: /~~rit~ ~te~ Signed: Credential Number: /~~- ~ 5~/Z Date: G - ~7-aG ~~ ,. ~• ' J G~SEO .SBD - /0 6 9/•~ ~ u.v0 Co ~yPo.vrv r /'~A./a~v6 ~ v Eft sii,J .~T, O /a 7al -io ~ ~itissyr ~ ~is rri/~ON 1'/a.J LorsP~rr•~r ~~ d~,c sar .7•e 777 !''~rsn~'rY.1S/d ~7v11 8.~ X , 07~/~ ffd'?17 7~io~s ~riy .a~va p•att/Y ~y v uo S OSY 00/ ~ '~ O~~S ~ 'D ~f >I~ 5y~ ,~~ set ®~II ~~ ~ ~?7 d~,~og~/ ~~~ oql t~ v~~l S sd~~ s•00/ ~ ~ ~. SCJ hi d~/ ~ ~,r.~ 7Ad j'' 1®rvf ~ ~ rn~ ~,r~ ~~ ~nd,,ti ~• ~ ,~~o~ ~"''009lpr-p/ ~s,. ~ ~- Q f pp/ SS s •oo/ (] Xos'//I' 6 ~ ~ ~ •~d ~~r/ a~i vow •y~r-f o~s~~or~ 1p~ d ~d Js~-/ 0 y9,, ~ y-rn1 ~~ -,i ~~/u ~~ Xoa~/dd ~~vN1 D'y/ry d~Nf 3 sqv ~vns a)/ 0~9~ ,Cd/rlyyr7//'~ 1N.a~//.750'f7' 77/7~//y ~r,~/ ~r71 a~ ys rdokQ>7 y o..t rig +~on.~ or~-~d 9n~ .gyp! o, a'rr~ oflsio~ : ~~ °/yl ,s~v r~r9'a .~.s gj, 'f 8 •lrw~o7 ~ shy ~97?ll~~ 1y771r f,s ~ oy ~ a~° o oy = / / ~~ z~ \_ 7~rCY7 1~ ~s o/~' ri~ia ~a ' P1UGE_~OF_~ D= ~ Ft. E":~~c ~ CROSS SECTIOIV~ =0F MOUND F- : 9 Ft. . • ~!/i'wir~s s~rl.~as. ~:. ,~,.:. , ~,..y,r ...~ . _ . ~, •.. ~ ~ • • .• ' 'SYNTHETIC COVERING ~ DISTRIBUTION. LATERAL - /'s "~dc bQEDIUb'i SAND ~ H TOP SOIL 1 ~ ~v • fD/: -S o.~ '~ ~ CEU oY ~-2~" aggregat ~ FORCE MAIN PT,OWED LAYER .. _ ~ . • , 98 • l.. L - t h:~Ft.• . . B: ~_Ft. ~• 8 / J . 7d / FORCE MAI2i ~ •? N/°dG ~ /o ~ .. x . .1-~~~Ft• f v ..-.. ...' .i .. .~ r r .~' .. • ~ ~' .. . K ~4 Ft. ` X.. ~ X • ~ I-,~Ft: ~ ~ ~ t ~~s ~ ~ yea' 41- i3 Ft. / G A • ~p ~~~ PSG ~~~Observation ,7 3 u x X 111~~~ ..- _ Pipe . V ` ~ Observation Pipe ~Distribntion Pi es.= //~/uG ~~ ~' `~ GEU of ~-2~ aggregate .z ~v Q r ~o % • ~~ ~ Q J(r G/iIf'crANl4 L./ Tlit IL S $LAti VIESi OF HOUTID PIPE I:ATERAL LAYOUT •• • PAGE• y OF. ' 9 HOLE DIAMETER- ~G In - LATERAI. " ~ In . 13ANIFOLD " ~~In . ~ - FORCE MAIN " - a In. ~ ~Pv L Y ~_FG . - - 'orce Mai S- ,~ Ft. • Y_/~Ft. ~ ~~ ' Manifold p - 38 ~ ' ~~ "fuL y •~ ~~rut.dro y ~ ~ ~ . /yat~s , Lac,~r~o Ev~N.c r U/ y~!/4d~ SLltvd •_ -ov .,Qel"_ror! ~ .. ~~ Ho ~ ES~L.p fe- s~y/~a~~ ~ .~~. y ~,~~s/ ~ . 69~ lot. /.mar, ~ /Y ~.ots x S: 7d ~.v~s,~r~.~iy~.,• .vase a~e.~ Page ..5' Of `~ SEPTIC TANK E' PU1~IP CHAMBER CROSS SECTION AND SPECIFICATIONS ..r Su. f'o. 4" CI VENT PIPE 12" MIN. ABOVE GRADE ~ WEATHERPROOF _ ?' /0~ FROM DOOR, WINDOW OR JUNCTION BOX APPROVED FRESH AYR INTAKE WITH CONDUIT MANHOLE COVERS W/ PADLOCK 8 ~/ vra v~~ ~ WARNING LABEL _ . . ~--~~ 4 " MIN . 18" IN. ~~ ~, .~~ INLET ~ ~~ I ' 4JATER TIGHT SEALS T I GAS- ~ TIGHT i `~ ~ • ~ A SEAL ~ ~ APPROVED JOINl'S WITH D ' ALM APPROVED PIPE APPROVED ~l . ~, P ~~ $ ; ~ ONT PIPE 3 -L-- O ON 3 Ot~70 SOLID i . SOLID SOIL SOIL' PUMP OFF ELEV . po. z FT. C --~-- ~ ~ OFF ~~'r RISER EXIT D PERMITTED ONLY IF TANK MANUFACTURER HAS APPROVAL 3" APPROVED BEDDING UNDER TANK CONCRETE .PAD SPECIFICATIONS SEPTIC./ DOSE TANK MANUFACTURER: _~/j~-sE,~ ~tic.~rrE TANK SIZES: .SEPTYC oa GAL, DOSE Goo GAL.. ALARM MANUFACTURER: s..i~ ~ f,~o,,,Q~s MODEL NUMBER: C,~„K i11r,,~r ~- SWITCH TYPE: _ ~~,~~,,y NUMBER DOSES PER DAY: ~/ (/9~? ~ . DOSE VOLUME INCLUDING 88.3 0~ y/ FLOWBACK: 9,? .GAL. CAPACITIES: A = ~d INCHES = _ ,~~G. GAL. B = 2 INCHES = _ ,~,~L GAL. PUMP MANUFACTURER: ~y.Oso~s j~c, i./c,v C = SS INCHES = 9'•T y GAL. MODEL NUMBER : .tv sa SWITCH TYPE: ~~,~~,, y D = g, s- INCHES = _ /y,T 8 GAL . REQUIRED DISCHARGE RATE ~r.y GPM PUMP E ALARM WIRING AS PER ILHR 16:23 WAC VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE //.9 FEET + MINIMUM NETWORK SUPPLY PRESSURE . ,~,s FEET + _ .mss ~ FEET FORCEMAIN X /, s FT/100 FT. FRICTION FACTOR _ : y ~ FEET TATAL DYNAMIC HEAD =- /,~;L FEET INTERNAL DIMENSIONS OF PUMP TANK: LENGTH s'3" ; WIDTH 78~~ ; DIAMETER - LIQUID ISEIsT~' 3G" . ~~. ~~,~ 9 SD33 Y~33 __ Typical Apphcatan' Sump/Effluent pump ----- Capacities _ _ __ -- SW/SDNS33 to 48 GPM (3 0 I/sl Heads _ _ _ _ SW/SD/IrS33 - to 26 h. (7.9 m) Electrcal SW/SDNS33. 115V, le, 10.0 FIA, 60 Hz Motor SW/SD/V533 1/3 HP shaded pole w/thermal __ - overload 1550 RPM - Minimum Recommended _ __ __.. _ _. SDNS33 = 12" (304.8 mm) Sump Diameter SW33 = 18"(451 mm) Automatic Operation SW =Wide-angle float switch (manual available) SD =Diaphragm pressure switch VS =Vertical float switch Materials of Construction Cast iron and engineered thermoplastic Impeller Thermoplastic vortex Discharge Size. __. __ _ 1.1/2" NPT (38.1 mm) Solids Handling 3/8" (12.8 mm) Power (ord 10' , SJTW,(20' optional) Superior features • Carbon/Ceramic mechaniml seal • Oil•filled motor w/automatic reset thermal overload • Uses single row boll bearing construction • Piggyback plug available for easy maintenance and replacement 9 6 ~ ~ ~ ~ ~ = a 3 0 0 .. au i i ,.. I _.. _._ ;. _.. I SD33, SW33, V533 20 - ~ -i __...___...~ - I I ,0 -_ -~ ---- - - 0 ~ Typical Application' Sump/Effluent pump (opacities SW/SDNS50 - to 44 GPM (2.8 I/s) Heads SW/SD/VS50 - to 24 h.17.3 m) Electrical SW/SD/VS50 - 115V, le, 8.0 FIA, 60 Nz Motor SW/SDNS50 -1/2 HP shaded pole w/thermal overload 1550 RPM Minimum Recommended SD/VS50 = 12 (304.8 mm) Sump Diameter SWSO = 18" (457 mm) __ Automatic Operation - SW =Wide-angle float (manual available) SD =Diaphragm pressure switches VS =Vertical float switch Materials of (onstruction __. _ __ ..----- Cast iron and engineered thermoplastic _ _ _ ----- -- Impeller. _ Thermoplastic two vane semiopen Discharge Size 1.1/2" NPT(38.1 mm) Solids Handling 3/4" (12.8 mm) Power Cord __ 10' , S1TW,(20' optional) Superior Features • Carbon/Ceramic mechanical seal • Oil-filled motor w/automatic reset thermal overload • Uses single row boll bearing construction • Piggyback plug available for easy maintenance and replacement IH lb ~~ ~~' t w 4~ . (apanty-U.S. G.P.M.O 10 20 30 40 50 liters/Second 0 I 2 3 Q`~~~~aCK JW jtCh A -. ~' .-- -,,,nr r. -~.. POWTS OWNER'S MANUAL ANll MANAGEMENT PLAN FILE INFORMATION Owner ,//,~ Permit # DESIGN PARAMETERS Number of Bedrooms 100 droom ^ NA .Number of Commercial Units - NA Estimated flow (average)* 6a aUda Design flow (peak), estimated x 1.5* ,sp aUda -Soil Application Rate , p al/da ft Influent/EfI'luent Quality (NA^) Monthly Average*' Fats. Oil & Grease (FOG) < 30 mg/L Biochemical Oxygen Demand (BODS) < 220 mg/L Total Suspended Solids (TSS) 5 250 m Pretreated Eflluent Quality ^ Monttily Average*** Biochemical Oxygen Demand (BODS) < 30 mg/L ~(, Totah Suspended Solids (TSS) ~ 30 mg/L / `~ Fecal Coliform (geometric mean) ~l _ 100m1 Maximum Effluent Particle Size 1/8 inc - diameter *Wastewater Flow Verification and Calc atio (Other than bedroom based) ** Values typical for domestic (non-commercial wastewater and septic tank effluent. ***Values feat for retreated wastewater. evcTCnT cPF.CIFT['ATIONS J 1 U + - - - - Se tic Tank Ca ci poo 1 ^ NA Se tic Tank Manufacturer iE's~~ ^ NA Effluent Filter Manufacturer ZA6~'L ^ NA Effluent Filter Model /ao ^ NA Pum Tank Ca ci ~o t ^ NA Pum Tank Manufacturer ,l//ES~.t. ^ NA Pum Manufacturer ^ NA Pum Model .c/ So ^ NA Pretreatment Unit ~'NA ^ Sand/Gravel Filter O Peat Filter ^ Mechanical Aeration ^ Wetland ^ Disinfection ^ Odier: Manufacturer: Model: Dispersal Cell(s) ^ In-ground (gravity) ^ In-ground (pressurized) ^ At-grade ~ Mound ^ Dri -line ^ Other: ^ Leaching Chamber Manufacturer Model Laying Length/Chamber Soil Application Rate_gpd/ftZ Area Req. ft2 Infsitrative Surface/Chamber-ESIA Rating ft2 Minimum Ntunber of Chambers ^ Aggregate Desi Flow/Loadin Rate= ft min Materials: all materials must comply with WI Adm. Code COMM84 and be installed per manufacturers spec ifications and a royal letters. TL+C~T!'~AT !'~D7TTi 7?TA ^ "Wisconsin At-grade Soil Absorption System, Siting, Design & Conswction Manual" (Converse et.a1.1990) ^ "Wisconsin Mound Soil Absorption System: Siting, Design & Construction Manual" Converse, J.C. and E.J. Tyler. Publication 15.22 ^ "Design of Pressure Distribution Networks for Septic Tank-Soil Absorption Systems" Publications 9.6 ^ "Design of Conventional Soil Absorption Trenches and Beds". R.J. Otis - ASAE Publications 5-77 and "Design Manual - Onsite Wastewater Treatment and Disposal Systems". EPA 625/1-80-012 October 1980 ^ SBD - 10570-P (8.6/99) "At-Grade Component Manual Using Pressure Distribution" ^SBD - 10567-P (8.6/99) "In Ground Absorption Component Manual" ^SBD - 10705-P (N.01/O1) "In Ground Soil Absorption Component Manual" Version 2.0 ^ SBD - 10628-P (N.6/99) "Recirculating Sand Filter System Component Manual" ^ SBD - 10656-P (N.6/99) "Split Bed Recirculating Sand Filter System Component Manual" ^, SBD - 10572-P (R.fi/99) "Mound Component Manual" SBD - 10691-P (N.O1/O1) "Mound Component Manual" Version'l.0 ^ SBD - 10595-P (8.6/99) "Single Pass Sand Filter Component Manual" _ ^ SBD - 10657-P (8.6/99) "Drip-line Effluent Disposal Component Manual" ^ SBD - 10573-P (R 6/99) "Pressure Distribution Component Manual" 'SBD - 10706-P (N.O1/O1) "Pressure Distribution Component Manual" Version 2.0 ^ Drip-line Effluent Dispersal Component Manual for Multi-flo Onsite Wastewater Treatment Units irin w.~ ~ T7 ~ /'~L~1-if L'1VT AV1 H11\ 1 L' 1~t11~~.. r. ~i~L au~.+.. ... ....--.. - MAINTENANCE MONITORING SC HEDU LE Service Event Service Fre uenc Ins ect condition of tank(s) At least once eve ^ monQis 3 ear(s) (Maximum 3 rs. Pum out contents of tank(s) When combined stud a and scum a oats one-third (1/3) of tank volume Ins ct dis rsal cell(s) At least once eve ^ months ear(s) (Maximum 3 rs. Clean effluent filter At least once eve tnonths ^ car(s) um controls & alarm Ins ct um At least once eve ^ months ear(s) ^ NA , Flush laterals and ressure test At least once eve ^ months „3 ear(s) ^ NA NA At least once eve ^ months ^ ear(s) Valves ^ months ^ ear(s) ^ NA Other: At least once eve PaL'C 7' of START UP For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that may impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. System startup shall not occur when soil conditions are frozen at the infiltrative surface. OPERATION The property owner is responsible for the operation and maintenance of the POWTS and submission of required reports. The quantity and quality of the wastewater stream will affect the performance and longevity of your POWTS. The installation ofwater-saving appliances and fixtures along with prompt repair of leaks reduces the wastewater volume. Also the brine or waste from water softeners, iron removal units, other clear water treatment devices and foundation drains should be discharged to the ground surface whenever possible. Note: this does not include laundry waste, showers, dishwater, etc. This system is designed to handle domestic strength wastewater, however the disposal of food based greases and oils, vegetable/fruit peels and seeds, bones, and food solids such as those produced by a garbage disposal should be minimized. Toilet tissue is the only paper that should be discharged into the system: Other non-biodegradable items such as baby wipes, tampons, sanitary napkins condoms, cigarette butts, dental floss, and cotton swabs should not enter the system. Chemicals such as petroleum products, paint, disinfectants, pesticides, antibiotics, solvents, etc., should not be flushed into the system as they can seriously damage your POWTS and contaminate your drinking water supply. Maintain a regular steady flow by spreading laundry washing throughout the week. Avoid vehicle traffic over all system components. Compaction of snow over the dispersal unit may cause it to freeze up. ^ Valves Valves shall be operated in the following manner: Alarms Alarms should be tested on a regular basis by the home owner. If an alarm sounds, contact an individual licensed to service POWTS, There is normally a 1 day reserve under regular operating conditions, however water should be conserved until any problems with the system are corrected to prevent back-up of sewage into the dwelling or surfacing. INSPECTIONS Inspection shall be made by an individual carrying one of the following licenses or certifications: Master Plumber, Master Plumber Restricted Sewer, POWTS Maintainer or Septage Servicing Operator (per the attached Maintenance Schedule). Septic Tanks Component Tank inspections must include a visual inspection of the tank to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any backup or ponding of effluent to the ground surface. Access openings used for service or assessment shall be sealed and/or locked upon completion of service. Any defects shall be promptly corrected. Exposed openings greater than 8 inches in diameter shall be secured with an effective locking device to prevent accidental or unauthorized entry into the tank. When the combination of sludge and scum in any tank exceeds one-third (1/3) or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with Chapter NR113, Wisconsin Administrative Code. The outlet filter(s) shall be inspected and cleaned to remove any accumulated solids according to manufacturer's specifications. Provisions are to be made to retain solids in the tank. Filter cleaning may be necessary at more frequent intervals than stated in the maintenance schedule to keep the system operating. Pump Chamber/Treatment Tanks Component The inspection must include a test of all electrical equipment such as pumps, alarms and floats. A visual check must be made for leaks, backups, surfacing, missing or broken security devices and other hardware and the condition of any filters. Any service needs or repairs shall be promptly taken care of. ^ In-Ground Gravity Component Dispersal Cells The inspection shall include recording the levels of ponding, if any in the observation tubes and a visual inspection for any • evidence of surface seepage or discharge. Any discharge to the ground surface must be promptly reported to the regulatory authority. Ponding at depths greater than 75% of the height of the component may indicate overloading or impending hydraulic failure necessitating more frequent monitoring. Page$of 9 Mound, At-Grade, In-Ground Pressure The inspection shall include recording the levels of ponding, if any in the observation tubes and a visual inspection for any evidence of surface seepage or discharge. Any discharge to the ground surface must be promptly reported to the regulatory authority. Ponding greater than 75% of the height of the component may indicate overloading or impending hydraulic failure necessitating more frequent monitoring. The pressure distribution system is provided with an opening at the end of each lateral to be used for flushing. The laterals should be flushed at least once every three (3) years. Pressure checks of systems with multiple laterals should be done to ensure that equal distribution of effluent is occurring to promote the longevity of the system. REPORTS Reports for maintenance, inspection, and monitoring shall be submitted in accordance with COMM 83.55 Wisconsin Administrative Code. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to ensure that the system is properly and safely abandoned in compliance with Ch. COMM 83.33, Wisconsin Administrative Code. - All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. - ~'he contents of all taroks and pits steal: be rerzoved ~d prox:ly disposed of by a Septi~gc Se:ti;cing Cp.,rator. - After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or other inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code comptiant replacement system: ^ A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. ^ A suitable replacement area is not available due to setback and/or soil limitations. Barring advances in POWTS technology a holding tank may be installed as a last resort to replace the failed POWTS. The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank maybe installed as a last resort to replace the failed POWTS. Mound and at-grade soil absorption systems may be reconstmcted in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. «WARNING» SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTIAN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN, DO NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROt+ri THE I~iTERI01n OF A T::NK M A,Y BE DIFFICIJLT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER Name E'/L6 `~EG,t"E i9'®-.3~i'/Z I Phone ~'/.S d7.7- <S-~`~ SEPTAGE SERVICING OPERATOR um er) -G!„~/cvo~r./ Name Phone Ik:\WPDATA\EH\POWTS OWNER'S MANUAi..doc POWTS MAINTAINER Name ~iS ~ldCE ~L/~E La ~./~ J Phone 7/.~ L7•? - S•~ CL LOCAL REGULATORY AUTHORITY A enc ~C' eta o Z ./~.~~ f Phone /.3" ~6 - 80 Page~ot 9 ~ ,e Wisconsin Department of Commerce Division of Safety and Buildings SOIL EVALUATION REPORT Page ~ of .3 m accorvance cairn uomm no, vvis. rrom. cave County - ~ Plan must n on not less than 8 1/2 x 11 inches in size Atta h o lete sit l a j Ao/ . mp p per c c e p a inGude, but not limited to: vertical and horizontal reference 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. Reviewed by Date Personal information you provide may be used for secondary purposes (Privacy Law• s. 15.04 (1) (m)). Property Owner Property Location 0./~4 Govt'Lot SE 1/4,t/E 1/4 S a T ,l8 N R /.S$(o Property Owners Mailing Address Lot # Block # Subd. Name r CSM# , 9C a la ~ ~E 3 City State Zip Code Phone Number ~-6itY ~1ftltege Town Nearest Road t o ui./ ~/ Z SS~oo,t ( S) G y~- a 3SS ~ii'•O .,s' 6 ~ fir' New Construction Use Residential / Number of bedrooms 3 Code derived design flow rate y.~ GPD ^ Replacement ^ Public orcommercial -Describe: ' Parent material Flood Plain elevation if applicable it/~0 ft. General comments /`904..0 ~o~rs / ~ J•~•~v cifl' a/Cn/ G.tess fi6to -fa.r! s~i~.vr 1sT Y and recommendations: ~ .r ~ ~ STRucIN.c! iw/. i1/-2 ,o !' /~-/7 ~ irixio .v~ f/i~ ,fTAa6rvwt ~E6oisr~..i0 ~«P G N/S!c /4iot/i.~c ~o a./ j'o .~o~• !l Fro ~~+•!./D -f YS. c'rc ~/. o F /a /. S ~ e„ i /ee. S ~Ge,~ Tiu 4 .S.lY /t/e r!s o ./ ~o~ E o? ~ ~o r e o DA~/K ,tyoa~ o .6~ lJu 6 /•~ oElo ~ E,/d N6.1r fo -~ n Atto~aoarr TNT fuTatt o4s! w q f4« Fi~/Li/r•• U Boring # '-' ""•'..' i ii ~r ® Pit ~rounv surrace elev. ~~• n. uepu~ w hmiGng factor ui. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/fP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1. ~ `Eff#Z O- 3 a Y~ .T '"' ~ ~ t t S v- i~-,~r . Y,t .r 3 - s, / s~k ~ s - G s - ~ ~ r.~ s col sra fs v ~'~ /a ys /e ~A~OrlEL •/ °~ Boring # ~ Boring ~ ~~ ®Pit , . Groundsurface elev. /ao• ~-s ft. Depth to limiting factor ~_ in. Solt liption Rate Horizon Depth Dominant Color .Redox Description Texture Structure Consistence Boundary Roots GP D/fP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 `Eff#2 a Qyti S3 i !i G ~ .~ 8 3 .~9• Y.c s ~ .arc s/~ ,~ ~.~~ _ -s"z ~src s~ G ~s s ~ ~ G ~~ A './ /9 Emuent #1 = BOD > 30 < 220 mg/L and TSS >30 _< 1 ~ `Effluent #2 = BOD < 30 mg/L and TSS _< 30 mg/L CST Name (Please Print) Si u CST Number ~ .4 L ~ l.Tlrl" ~ ,T Address a Evaluation Conducted Telephone Number So3 ~ ~~,~y Sr. E.va <<./iA6' ~/~ >o G- -a 7/S 8.3 y~8~io ~. Property Owner !~/iy ~/,~10./.4 Parcel ID # Page ~ of ~_ a Boring # r^~ Boring / a Ial pit Ground surface elev. /O~ 8 ft. Depth to limiting factor c~?l in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/fP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 'Efff12 3 o G.~ •I s'?'~t .f/ f GA1d.. ~ .. ,y . /G~o Gnodit /.~ ~ ,70~ Gip/ia ^ Boring Boring # ~ _ i ~~ X^ pitGround surface elev. foo. -3" ft. Depth to limiting factor 3d in• Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/fP In. Munsell Qu. Sz. Cont. Color .. Gr. Sz. Sh. 'Eff#1 'Eff#2 ~ o .~ .~ ! c%t!i ~ t .?v~ . 8 .s =fo a Y s' -- s~ ~ d ~ ~~ ~ ~ S ~' v -f~ o Y.t s Sriz s/ < s rs s/ cam. s : / ~ . .r -- Boring # ^ Boring ^ pit Ground surface elev. ft. Depth to limiting factor in. Soil A lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 6 ~ a Gowi ~r o ! s r aw rr .,~ v i,~ o r o~~ o /8-a Y N is c ,o T oars ~~ i ~sY NO mss' v~/4 )~ a a f ~,J Lo ~ E a ,/.O ~ t ~ ,t ~ ~ . ' Effluent #1 = BODE > 30 < 220 mg/L and TSS >30 < 150 mg/L ' Effluent #2 = BOD, < 30 mg/L and TSS < 30 rr~g/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or • need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-2648777. S8D-i310 (807/00) PLOT PLAN ~-- ~ ~~. ~ of 3 PROJECT NAME: /// ,~o,/~ _„ PROJECT LOCATION: /S!/ Lo r 3 .~/Q ~~ Sr. CST LICENSE Q : • a,~ y - .~ ./ sr~ri' ,Q/~itc Y. ~Y.y/t! • SIGNATURE: ~~ ~~ ~ A`/E ~ A//.coY. . lam-- 3tv ~ DATE: - ,~-O ~ • y. • ' Ga~f r 0, ,~ fiE~o ,~ s • i F ~a~~~` D~~d~w~Y ~`' Z // / ~ - Yd O ,~o ~ yo Q = /SAI~C/~atr emirs S•~` ~G,cr ~iIALtL ~o! ~: .,, fii.rua~ ~OL! .Sj~~O • . t~.g , 3, ~F'~o Fp~st ~_ j ~o ftl0'4~E .3'B't• ! '~ rV ~ ~ ' fpcci Wf,B,/.fE.rtnr z' ~ ~ 36° a ,~ . Lh'~sLO FEE 68 ~ ~Ra/aj~ 3-,dc. S~~ j ~~,5 L~~rl. ~ ~ , Gi ~ J~r~ 1~ ,~3.. ~ ,B.~ -~ . ,Qo sra~ o f WoaO ,O~wG ~il.t sS f/rl D t~ o.~ S~t!E~ .. __ _ • - ~ I Cv RECEIVED ` JUL 0 5 2006 Wisconsin Department of Commerce SOIL EVALUATI N P RTST. CROIX COUNTY P ge ~ of 3 Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. od ounty T- GOIO/ Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must inGude, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. ' percent slope, scale ordimensions, north arrow, and location and distance to nearest road. OD `7 /D~~ - d' Please print all infonnafion. F~evlew Date/ Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). ~~ ~ 7 Q Property Owner Property Location o,,/,~ Govt. -Lot SE 1 /4,r/E 1 /4 S o7a T ,78 N R /.S ~ (or~W - Property Owner's Mailing Address Blodc # Subd. Name or SM# 9ca lam ~~: 3 ,~dS'o~ ily State Zip Code Phone Number ~flY ~µege Town Nearest Road .`t Dwi,/ ~ ~/.Z SYDo,z (/S) G y~- oSSS ~.O,D ..~ rs ~ ~r New Construction Use Residential / Number of bedrooms .3 Code derived design flow rate DSO GPD ^ Replacement ^ Public or commercial -Describe: Parent material Flood Plain elevation if applicable it/A ft. General comments ~fO4,,,o f~6t/fS / ~ ~,~„ip Liir o~C./ GQ,~SS f~'660 dar£ s~i6.vr ~1.IT Y and recommendations: ~ .~ ~, ~ - SrtucrN.co' ~,,~. i/-2 ,Rr /)-/7 isix~o .v~J/k .fTAaarawd' ~f6oirirl••~D ~Ef L X/s!~ /fit o wi.~c !/o w./ 7r-o ,~o~~ /t £6a ~~'!•/D o < /a /. S ~ o•/ ~ ..SEE /t/e rfs a./ ~.fC! o? ~ ~c.reo tq.//~ svou~o Q~ lJud /./ O£6.a ~ E./oa6A~ To Boring wc[O~a~N~~ ;i-6 /'W/ r..ca ~....ou %n ' // •-.. o. •s.. ~ Boring # ® pit Ground surface elev. /4~• -s ft. Depth to Limiting factor o77 in. Soil lication Rate Horizon Depth Dominant Cobr Redox Description Texture Structure Consistence Boundary Roots GP D/fP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1. • `Eff#2 O- 3 aYi1 .T '- / ~ r tS v - /.T - •?7 e rc S 3 -' .~i / S~i~ G S - li ,~ -s/ Q rt s sYa s/t ~- ~ s d. ~. ~ si- ~ is r.~ .~ ~~ sra fs s v ~'~ - ' /C /S ~e CA,OJf L ./ /~ °~ Boring # ~ Boring ~ ~~ Groundsurface elev. /O°: ~s ft. Depth to limiting factor ~ in. ®Pit - _ , Soil A licetion Rate Horizon Depth Dominant Color .Redox Description Texture Structure Consistence Boundary Roots GP D/fP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 `Eff#Z / D- o1'.c d .3 / / S- ~~-~ 8 a - ore s3 -' ~ ~ t ~=~ .L 8 3 .~9- yc sG c,7 -;'•r~ s~~ r• ~A,v~ ~ y -sz zsrc .s-G js s .~ - /, G - tmuent ~1 = Boy > 30 < 220 mg/L and TSS k3~ `Effluent #2 = BOD < 30 mg/L and TSS < 30 mylL CST Name (Please Print) I CST Number t ,9lL ~ llo'j-r" ~ Address ~ ate Evaluation Conducted Telephone Number So3 /q /~~/,oY Ss' Eivcl G~i Ai.~s' ~/,$~ ~S' ~ G- ,?-O 7/S 8~ f~ 8G/o ...,.. ~,,,, ,,,,,.. M,,. 4 l Property Owner !!/M ~/.~a./,0 ~ ~ ,~ Paroel ID # Page a of ~,_ Boring # ~ Boring / ~~ pit Ground surface elev. r~ 8 ft. Depth to limiting factor d~ in• Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/ff° in: Munsell Qu. Sz. Cont. Coior Gr. Sz. Sh. `Eff#i `Eff#2 / --JG a r s .~ S, .2 ~ /v - G . ~ s-r~t r/6 / Glt~N. y .;'~-~o .s .f ~.~.,/ sr~ sass-/ s s S~ .7~ ~.~ - - . 7 ^ Boring Boring # i i, Pit Ground surface elev. /oa. S ft. Depth to limiting factor -30 in • , Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 `Eff#2 ~ OYR3 ~ / c'd~1 ~S .?v~ ~ o -Y o Y.t s/ s r~ b ~ ~ ,l s rz s/ ~,.,. s s / /z f -' ~ ,y/ ~ ` ~. Boring # ^ Boring ^ pit Ground surface elev. ft. Depth to limiting factor . in. Soil A lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/ff' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 'Eff#2 a s: a Lowe cr o ` ,r A r r aw i-s .~ tv ~.~ o r a~~ r a /8-aG Y w1 ,v is ,o r ow <-s. ~?-,c1 / ~s 1' ~ s cefar r jyF Y ,~.~ .~ o.K r ai LO G o ,/.O [ F it / .O "Effluent #1 =BODE > 30 < 220 rrg/L and TSS >30 < 150 mg/L ` Effluent #2 = BOD, < 30 rrrglL and TSS < 30 mglL The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SBD-8330 (R07/00) _ ~ n -~ ~ ~~ ~ ~ ~~ a o ~ ~ ~ ^ n e o N _.~ ~ ~o ~~ t~ ~` C ~ ~~> ~ ~' ~ ~ ~ o~ a a G :G a O ~ N ~ f ~ ,,L 0 •~ a a e O H ~ fn ~ ~ C7 ~ n ~ -d O ~ ~ b O ~ H Cs7 N ~ ~ to C7 9 .. Z ~ ~, .. ~ ~ ~ n ~I i• L ~ Q A r ~ I ~ ~ ~ c . ~ ro r ~ ~ ~ o H '' M a ro °~ ~ ° a o ~ a ~ O K A a n 4 6 ~ ~ ~ o ' ' ,a 1 a ~ o ~, ~ as ~ ~ ~ ~ ~ w ~ ~ ~, a °~ L ~ A Q .~ a ~ M `~ , x ,o ~ 7 . w . Al ~ ~ ^~1 ~ , ~ ~ ~~ ;~ a~, w o _ w ,,, . E-~A h _ ~ o ~ K l~ o ~ • ~~ o _~ ~ g L~ `C ~ .. 1 0 ~ wW ~j\ t, 'T~ ~.1y L o°, v ~ ~( ~ „~ ~ ~. e,- t to . ~ o ~ ~ ~ v ^ ~ ~ L h ~ tN .n O 'T e ~ ~ ~1 ~~ ~ ~ e ~~ wa N 'T~ltt r - ~ti tC. V~ _ PELKE PLUMBING & WELL DRILLING, INC. St. Croix County Zoning Office Item to be Paid -Description 565 Tim Dibona - Mound 565 Soil Eval Report Review 600 Mailing Fee 11688 Check Number: 116 8 8 Check Date: Jul 3 , 2 00& Check Amount: $ 5 7 9. 0 0 Discount Taken Amount Paid 550. 00 // 25.00/ 00 RECEIVED JUL 0 5 2006 ST. CROIX COUNTY ' ST. CROIX COUNTY ` . SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer _ l i ~ o ~t y' 1,~ ~ ~ ~ o ~ ~- Mailing Address O ~` /~-UL- 1~ ~1 ~ - rl ~-~-~ ~v~ ~ i Property Address ? ~~>or`^ (Verification required from Planning & Zoning Department for new City/State ~f~cr'+~ t1~. (~V ~ Parcel Identification Number Qo ~ 1- ros ~ - Flo -~M~- a ~ -a..0) o°.~-.-+c-s-Y - - LEGAL DESCRIPTION Property Location ~E '/4 , I~~ '/4 ,Sec. ~~ , T ~~ N R ~ s W, Town of ~~~ Subdivision Certified Survey Map # o?~- 5d5C~ DduM~ ~ gOy385 Warranty Deed # ~~ ~ ~O? > > Volume 2 O ,Page # Lot # 5D ~ Volume 028'8'$ ,Page # a?8'r1 Spec house ~~ Lot lines identifiable es o SYSTEM MAINTENANCE AND OWNER CERTIFICATION 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 pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department 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/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. Uwe certify that all statements on this form are true to the best of my/our knowledge. Uwe am/are the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Number of bedrooms ,-, ~ IG ATURE OF APPLICANT(S) ~~ ~oG DATE ***Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. *** Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV. 08/05) .. ~} ~888~ 2a7 sTarF e.~n of w~scaxsn~r sau 1 - 2000 WARRA1~iTY D~E)dD Daa~we,~t t~ws~ - ?hus Deeds mndct between Ao~y,n R. Lamb and C')-es~,i 1C. Lamb, hna~barld aad xi.f• --_ Ot~tor, and ~~oothv R. DiBonw, a siaala s~rsoa and ]-lissiah s, lsillar, a siAgla p.rsenl as ioint tatsa:lts~ C:ltlntsc. t3rantor, for a vahlabk c~nsidra~aGion, co~rrys to Gtarrtee folbwigg descn'bed xea) esiste in _ gt~-..Croix Co , 5tat~e of Wim11~ (the "Fhmpaty'} (if wore space is needed, please attacl~addeagdnm): Lot 3 of C*rtili~d surv~sy Map rsaorded in Vo nms ZO on pads S050 as pent lio. A0~9®5, ittcl sll of Lot 1 of Csstified aurwy Nap saoosdsc! in ;Voluwe 2S an paq. ~35a and a past of t2~e Sovtheaat attar of tlaa liorthaast Quarter I s8~ o! 118~t) , s.cti ~~ , Township 2A ~iorth, Ram 15 Rest, Tom of Ca 80642 1 x~?Ht.RGN N. YALS111 It~ISTSR t>F DBRDS S'!'. C.RQI7t CO. ~ MI ~IV~c Fora p1gGORp i9/lt/ZNS 12s~5PN MAQItAf~ ~ ~D 1lDC FE'Ei 11.10 T~IIMS 276. N L~ FElE~ PAt3ES ~ i Moadiot Arw r' gETUYtN TO: 1Ytle t?qe prtroiCt Croup, Inc. 706 19th St. S. Hudson WI 54016 ' 004-1OS1-~0-100 all 0o4-lost-4a-oso past Pace! Idnt[e~ks iQUOO~sr (tom Tog~etller with sit apptle~mlt tights, title and iraeeiects. ! This i,,, s not _ hoalexead pmpcRyr. (is) (it not) Gtantor wacnats fiat[ the title to the Piopeity is ®ood, indetlprstble is fa simple std free and clear of eoenmbrtmoea except Aosdways, T+-'osuats, and Rsstaciatioos of aaex~rd hated this 7th dad of saptws~bar 2005 . aQ • JOhn A. AU'~P1TIt`.ATION Signatltre(s) authenOcatcd this dsy of , 'iTfifi; b~~ER STA'i'!? BAR t)F WCSCONSIN (lf rent, suthoriacd by $706.OG. Wis. Scsis.) was trrmeu~rrr ass t>sw~p enr ]tiohs~al it. poseahi.~ ]lttossurY. .~1ttr..(~ /~ -- • Cis+syi E . ~,R~, a AC1sJ~TOWY.IDCIMtEN7' STATE OF WISCONSIN as. Psnao~lip Csmt before nti this ~ ~ day of -~asiblr_ -- . , .,TQQ~ the above ttsmed ~ who eaoeacted slrlvlorwiedeedthe ssme. i Mp (if not, p~1e e~di0n date' ~ ~ Pv~ ~~ a eq' cp~ry wt br tilted ar pirMd mew ~tMit WAZUANTY ODD iTATE DAR O! rOiRM tlw i,lMe ~ t~Itd1M1 H ioe.old usi o.l~wooa ttltY rrn- ste ~, ~ Ctei~. wt Ntot-»~ Phoa.: (7!n ps.~! t'atr. Cats) os~1l t4 ltioarst 1t tAa~elci ~ time to R.Iw.+•.+tM~.a+'"'bf sE ~~.url u.c,~0isfliw 10.1+1 tam Ts~M ytieitn «oM-1~ Tawas ~d7(a5 \~ ..t ~O~M NO. ~s# Suck Nat. Zbs7~ 60*436° SOSO RBGZST&R OF nEiFpS CERTIFIED SURVEY MAP NO. v,,.~:v~~oR R&COeD ~~~.+ e2 t 3oP11 VOLUME ° PAGE sos~° .^_ csRTZFi~, suRVer r,~~ 1t~C FSE: 13. N THE SOUTHEAST QUARTER OF THE NORTHEAST OUAiRs!'~~ a. eo INCLUDING LOT 1 OF CERTIFIED SURVEY MAP RECORpED IN VOLUME 16, PAGE X352 OP 5EtT10N 22. TOWNSHIP 2A NORTN, RANGE 15 WEST, TOWN OF CAdY, ST.CROIX COUNTY,WISCONSIN fYOrttfenSt corner OWNER/PREPARED F~R~ Sectron 22-2B-IS John b Cheryl t_ain0 Found 1' iron Plfx 27b 310th Sr oNP~T?!D Wilson, WI 5402'7 L~NDB - NW COrr+H sc/NE --~. ~~`, se~'37'OiQ-E , 130!!.52' - ti ~~ 1270.77' , ~` LOT 2 •,, \ ` ~ ~~ ~ 863,901 sq.ft. ~-,,~.r-- ', 19.83 acres , `a"IQ~i'~O ~ Cody Gfelk incl. r-o-w UNPCdT4CD ~ }~ '~, ~ 839 744 Sq ft ~N~ ~ ,t '. . • 19 28 acres f ' ~, . not incl. r-o-w pRAF1E0 BY: lost A. Brandt J8 SURVEYING L1.C rs 966 Rustic Rd 3 ~ Glenwood City, WI N ~ ~ SW Corner S£/NE -t~it98'93' 30" ~I Vest !/I SlCtlon 22-i'.8-J5 tot i, cs,M COMputed per tees vas. rs, rg u~9 ~i~ ~ i N I!~ CP~iYrriillP ih ~ m ~~ i Jy.79' mouC~, ;.~ S401'+C ~• ~' look d~~v'M'yl~ horse I C' I t'' 9rreo o'~ rn I w!I I 33~~~ ~,, 30.~9'~ g~ (,Y 1;~ l~ C/f l "' C "' ~ ~ 3 ~~ _~ ~S~r*' r ^~ N ~~ (~~rn a; ~ 1274.13° ~ v' ° ' Sl~L3'47"E 1J09.32' OD I I r -.' rSOK tg5t5~' Y Q { ~' •~{ ` z LOT ~/ ' I , ' ) ~ 1,200 sq.f i 6ot I, cSM I va_i6_rp •3sa ~ , i 't °~ 20. rB3 ~ intl. r-o-w. '' J i ~~ - - - --~ ~ ' ,~.~+': . w '~~~ ~- _ 848,456 sq• f t J 19.48 acres nOt intl. r-o-w' -- ---` _. _ a ~ '~~ 75' selbdCk I~ne `, t 477.51' ,~~` Ni9o'S3'30'w X310.81' 5237.70 y,,,Pi,,~~p (ez~y.~s') 4ANDs '~ tot t, CSM vW la, N 261 I .. 33.00' p•O•B• East I/~ Section 22-28-75 Found 1' iron pipe Note: Each parceS on this map is subject to State and County lays, rules and regulations li.e, wattands, minimum lot sire, access to parcel, etc.). Berore purchasing or de~aloping any parcel, contact the St. Croix County Zoning Of rice rot advice. e! ~ W ~' y t LEGENp fa ........Gorernmant Corner las notetl) o..........5et 3/4"x16° Iron rebar weiyhiny 1.502 (bs.ilineal rt. •..-.......Pound 1" Iron pip! ~ ...,.recoread data North is relerencad to the east Une of Me Northeast SCALE- 1" z 300' awrter of Sac. 22-28.15 which bears $00'40'45"E ISt. Cro±K County Grid System! 0' 300' 600' Vol 20 Pase SO50 .~ A, • aMn.oT ~ a~.tt~ dt~•. - wi QQ ~~.U Page 1 of 2 .mil 7 . rte- :'-c - _ ai~ ~3s•s`8~5 . ~ ti~ ~ :~t,~ a~7 ~ i 5a'~ ~ ~ ~ cD - _ _x_-c ~':,• 'u,,Y...ie8 - Z~ e~mg iS uiEW QSL ~ ~ _ :, ~ -' ;, ~Mr'iY'iO~ _}{£!~ . ~1~WYyIl'tnW . 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AllWVd-LLY1W . iv'+1N3a+53ki o~~ ~ ~ ~~~ ~Z~ Q ~ZW ~ lL ~b~ O ~~~ ~auaplea~ ~. `° quo ~ ~~~~~~ ~ :1~~Mkid ~i O ~ g tl~ + + ~ + ~ ~ ~ 1 ~ ~ ~ ~ + -.. ~ ~ ,w I •I t ~..J~.....r•~ ~I O ~Y~ y_...-. _----~---.~ rk'-'-'-'_~----- `9 ~~ ~ M------ ~,.r.- ~ gaN~s'' ~~ ~ 1 I S 1 1 + ~ ~ 1 I i `iy _ 1 1 0~, ~ ~~{ 1 ~~ { __ I •~~ ~ ! ,e.•w at 1 9 t .1 ;i; i ~' ~ :I . / ~.~ r7 • ...-. ~..t 5... i~ ~9` ~ U. J J~ 1 ~ =~ ~«~~ - ......-........~ .. \„/ k ~ ------~ J Q 03 ~~ p, ~~ 7 :: O x~ ~~ -t ~.~ .r e ~~ n ~ iw O p~ 70 n n L ~~~ a ~. ~ ~ g r ~ Y4 ~~ ~ry¢ ¢ ~ s ~~ ~~~ _~~ w ~ *"~- ~ >`~t s ~ ..._.. c r. §a p ~.:.`+ ~ ~~~~ i~ Z O ~ ~ ~ m ~D9 SAO ~ r s ~p ~T~ ~t~ D X! ~ m ~~ ~ ~ ~~~~ ~_~ ~R ~~ i T 1~ . w CJ ~~ ~ 5 xz ~ g T , ~} fi ~ t _ _ i A ~ x="r ~ - ~ N = ~ ~ PawECT ~\VEST ~ZAFT ~ D ~IC~ ~'~ °~ ~~ ~~ ~ ~ O ~ ~ ~ ~ i ~ ~ g ~ l~Q~i~ ~ M ~, ~~rr RES1DiiNTIAi. • MU~Tt-FAMILY `UGH' COMME4~ =_ 780 Main St. Suite #2 - $aidwin. W4 gcp0e w ~ ~ Q .... T I.I A r. A A ~ nu -,. < ao ~ c.ecn CV "• r..~A.a. ~ ;,VN - - a ~. 6 ~~ --_ _-_-\ ~ , 1` ~i ~ ~ F ~~a~ ~t ,, h~~~ 'R 1 _, s'.~w~4_~ y ~ ~ P 7p ~ $~ / <~ # ~~ ~ ~~ ~~ _ -- 1!`SPORTAiVT N07E CA1rTRAGTORJOLLMER ?V YEfi~~T ALL b12ES, pMEN8iON5 AND LOGATK~l5 O?: PLBN e6'FORS BEGINNINb i00RK. ~' IVS. py6iY,Wr•.~S rLN 800196 [q' Mt ov9RMaNC~S ON OGlr1FF NPOi PITCJI Le i10i® [Hlg6Y' 11A~ Ab 1VOT0+' i>ir. nrn j .,~ as' NFA6 .~ ~f wG~ts Y a~ y ~~ °a{ ~ ~ h ; -- ~ ~ -~- I e~ -J ~. ~ , ~ ~ 3 + _ 3 i1 r 0 / tY' SIRB r` y a aT f1~1~ RDO~ Pt~AN Jffi.E. V!~ . P17' !NORM WO 6YPCRR[ ~~R' ,r r ~ ~`,~~ 1 ~ y f.r r .; IxafuS t4K+~ ~ ~ xV~NN 10~Mr ~ r h9acu. ~ 2a~anw~ ~~-~ ~~ ~~ i__ .•>1.9 o-aiR,el09 1' P~TI+6 CpClli~i ~~ lf1Y`IOaT10l110~ u~ f' ode 1600 YM ~MNG • N-N,ti~ Rit j-fb ~An+LLI sWn6:B! 9:E . Y6iRli! a.~e~o \a • QI N V ..s v~G'TiUN ~ GOY. PORGN I KI7G~EN .c.~: w'.PO` ~, . i7TFI,,p a., rua 4N . O W ~ 3 `~ Q ~ V ~ J ~ ti J ~ N LL H .~di ~Uf ~~ W~ti o~~ rn ~n LM V f-- o J U1 $CRL.E- 83 11d0id D~~ ~: OEP iNrnu o-aF; usr r~v~soo~ OSro(#iGb (13 Page ~ 6 ~ Of 6 MEMO DATE: June 23, 2006 To: Shaun Bird, CST #226900 CodeAdminisuau FROM: Pam Quinn, CST #665054 715-386-4680 ~~; RE: Soil Evaluation Report for Tim Dibona Land Information ~ Town of Cad , SeC. 22.28.15 LOt 3 Of CSM 20/5050 Planning y 715-386-4674 Real Prop In response to a Dept. of Commerce hold on a proposed at-grade POWTS plan for 715-3 677 this site, I conducted a soil on-site determination on 6/16/06. Weather was clear, sunny, and in the 80's at 10:00 a.m. Hand borings (started with power auger, then hand-shoveled to enlarge hole) were dug alongside the three test pits described in the soil report dated 5/18/06. Although my borings only extended to 24 inches, mottling was observed at approximately 18 - 20 inches below grade. The mottles were common, medium and distinct with some high chroma deposits observed in soils from the 63 hole. Your soil evaluation report recommended an at-grade POWTS due to mottling at 45 inches below surface grade. My on-site did not concur with your findings and subsequent excavated test pits on 6/22/06 confirm that a mound will be required at this site. A copy of my on-site report is attached for your review. Cc: Charlie Bratz, Dept. of Commerce POWTS Reviewer II Leroy Jansky, DCOMM Regional Wastewater Specialist Tim Dibona, property owner PZ@CO.SAINT-CROIX. WLUS ST. CRO/X COUNTY GOVERNMENT CENTER 1 101 CARM/CHAFE ROAD, HUDSON, W/ 54076 715-386,4686 FAX WWW.CO.SAINT-CROIX. WI,US ~~~~ ~~.. LINTY ON-~ /~/~ ST. CROIX COUNTY WISCONSIN PLANNING & ZONING DEPT. ST. CROIX COUNTY GOVERNMENT 1101 Carmichael Road Hudson, WI 54016-7710 (715) 386-4680 FAX (715) 386-4686 RIFICATII ~~ e~ T J FORM 6~S~~S~ _ n ci, a ~l-1 in >~ Pmperty Ov. ner `` Property'LocaGon ~ r (v ~ ; ~~/ n/~.~, __ // ~ ~ /J/ ~'J/v~ GUVt Lot .St~ 7Ft /~~iA SZZ T Z~ H R /S E { w Property o'rner s fVlailing Address Lot J: Black # S~bd. Ftama ar CStv1d 3 ~a ~- Z~ Sa ~ Cihp State TpCode PhuieFtumber ^Cily ^Village orNn t~earestR ~ {7is ; 2-CI5~S ~l d- 5~ y~r Ld.. ~.vllauucovn use: ~h~sidanual Wumper of bedrooms _3_" '(__. _. Cade derivEd~ign fbvrrate._5!,$~ ~"(~__')_ ____ __ GPD ^ Replaoemznt ^ tdi or c ~mzrci 1-Describe: Parent material . _ d 0 " _ _ ~~la~ _ __ Fl Plain ele~a ' nrf~ licably _^ G~!h'~~0'Lcr>~ ft. - - - -- - -- - - -- - /~ Q.ati+ Gzneral ctmments a~~ ammea atbn~ nG~~ ~ ~ ~ _ ~~~ ~~ ~/~„ ~ ~ ~ ~ f~G~~ ~ arm ~ ems' ~ Being ~ ding - 1 oar C:rrolnd u Irhlro ~6:~ `) f r ----..___.---- --r.. '-......_..~.__....------. . Horizon L~p1h Dominant Cobr RE~ox D~r_ripticn Texture Structure Consistence Boundary• Rocts - Sod Gcatian Rate GPQ~tI: in. fvtunsNi Qu. Sz. Cont. Cola Gr. Sz. Sh. '~~ 'E1fdi1 'Effif2 Z a- 3 s ~ r~6.~ Yid ~~ ~ ~ u~~ r J `J Boring dYt 2~~~ Z~ Borng ~ /~~ ^ Pit Ground surface elan. _.__ __. __ __ _ fl. Depth to limiting factf~t __ ~~ ___ in. Sal A licakim Rate Horizon Depth tkiminant Cobr Recbx Descriptbn Texture Structure Consistence Boundary Rods GPDV1p in. fvtunsNl ou. St. Cont. Cobr Gr. Sz. Sh. 'E1Fdf1 'Eft#2 D-/l~ `' 10 ,e 3 ~i ~ o2h~ , r Ol C S Z -i ~ ~, s'i .~ / 2 •~ Io /z Sa S~ ~/lo s b ST, CROIX COUNTY ON-SITE VERIFICATION FORM ~s~~ 1 o T 3 Property0•rner_ ~ _ O~LIQ____ ParcellD#___.~0~_'ZV 5052 '~ _ ?/ -------- Page --- of--- Boring ~ nng .~~~~~ i' ~ 2©~ ~ /D ^ Pit Ground ace elan. ______ .__ ____ ft. Daplh to limiting factor _______ in. Sal Appliption Rate Horizon ~p1h DominanlCobr Redox Descr~6on Taxkrre Strudura Consistence Boundary Rods GP D:ff in. WlunseN Ou. Sz. CcN. Color Gr. Sz. Sh. "Effft1 'Eff~1 o f y ie / ~. ~.. v w / y ~ 2 io yes 3 %' s ~ ~ 0 S /O Boring g ~ L , , D , ^ Borutg GroLnd suRaceal _ ' - -fit. D to fiin~[t~~!r!`~!~- _ in. _ _ .. -- `- Sal Ncatbn Rata tlt Dominant Cobr Redox Description Texkrre Strudun? Cc~ststence Boundary Rods GP D.fiN in. fvfunsell Qr. Sz. CcN. Caor Gr. Sz. Sh. 'Eff~1 'Eff#2 / - ~ /~ Z Si 2 r ~S 2 -f C ' ~~d /0 2 5.7-3 Si~ Zrl2.~l,~. lc~ Z _ .G~ 0 7.s f a ~ ~ M A /~ A ~ t i r ^ Bering ~ ^ Boring ~ ~~~ W~~ ..... ~//1.c., ~OGfiis-vl ~~~~~~ ^ Pit Ground surfaceelev. ___._ __ ___. ft. Depth to limiting factor -ii Sal A lication Rate Horu.on Depth Dominant Cobr 13adox Description Taxkrre Structure Consistence Boundary Rods GP Drff in. fwlunsell Qu. Sz. Cont. Cobr Gr. 4.5h. 'Eff~i1 'Effit2 Y~,~ ~/fL~~C7 ' EAIuEnt ~i = BOD, =• 30 _ ?~7 mg:1 arm TSS =•30_ 150 mgA ' EfiluEnt #2 =SODS= 30 mg~L and TSS = 30 mg4 j'_"~ r Wisconsin Department of Commerce Division of Safety and Buildings `~~~EVALUATION REPORT Page r/ of 3 m accoraance vn~ ~,ornm o~, vvis. r+am. ~.vue i ~n~ ~~ ~ ~ r ~ I nches in size Plan must Attach complete site plan on paper not less than 8 1/2 x 11 ' ` . indude, but not limited to: vertical and horizontal reference point (BM), direction and parcel I.D. yt/,~~ (/(J ~ ~~ ~./~ 'z~c~ LJ percent slope, scale or dimensions, north arrow, and location and distance to nearest road. < -- Please print al inf0~ c^^ r~v Personal irdorrnation rovide ma u ~>f t O4 (1) (m)) ou be used f r rtda s Revie by Date g , . y p y ry p . o Property Owner ~~ ~` ~Y 2 5 2006 ~ r Pro erty Location ~ Z ~ 7v ~ Go .Lot <j i 1/4 S 1(4 N R E ( W Prope Owne s Mailing Add~ss ST. CROIX COUNTY Q' / Lo # B~# Subd. Name CSM# dU ! C 7 ~ City fate Zip ode Phone S City ^ V' lage own Nearest Road n f/ ~' Jv ~ GAG-~ ( J ! G~~ sf ~ ~ s 7 New Construction Us esidential /Number of bedrooms Code derived design flow rate ~.i -y GPD ^ Replacement }b~lic or commeraal - De cribe ^ Pu : __ __ _________.__ ___ / Parent material .sTY s f / Gu ~fl/'/'cte~ D~!'~ ,_____ Flood Plain elevation 'f applicable lt/ I ~ r _. ft. General cortxnerrts and reoomrnendati~ s: ~;~j~ ~ ~` o~ij,~c G ~D z -r ~ ~d° /~ System Type // ' ~ / ~ ~~L~~~ ~f' ~ System Elevation ~~ ~ I Boring # q~q~~ Boring ~~ i / K~ pit Ground surface elev. ~ " ft. Depth to {imiting factor ~, in. Sal ication Rate Horizon Depth Dominant Caor Redox Description Texture Structure Consistence Boundary Roots G D/ff in. Munseil Qu. Sz. Cont. Cdor Gr. Sz. Sh. •Eff#1 •Eff#2 ~-1~ Or31L - - s ~.~ ~~ 2- 3- 0 I - C k ~ ~ ``{ ~ 3 _ s ----- ~ Ds Lv' / - 1 eori~ # Boring ~{/~ •/ pit Ground surface elev. ~` ~. Depth to limiting factor -„~-G~ in. Sal ligtion Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff in. Munsell Qu. Sz. Cont. Cdor Gr. Sz. Sh. •Eff#1 'Eff#2 Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 1 • Effluent #2 = BOD < 30 mg/L and TSS < 30 mglL CST Alarns (Please Print) - - natur CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation onducted Telephone Number 1008 192nd Ave, New Richmond, WI 540 ~ / ~ - ~ ~ 715-246-4516 (P'ro~pert~y Owner I '1 I Boring # ^ Boring Parcel ID # . _~ ~Q Page of L~ i it urouna surrace elev. s ~- n. urpui w ummriy ~auv~ r .. a~. Soil ication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/ft? in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 t Z 13l ro ~ ~^~ ~ ~ ~ ;~ ~ ~ -y~ . -- ~ o s< <n u~ N/ ~~ # ^ Bonng ^ Pit Ground surface elev. ft. Depth to limiting factor in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/iP in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Boring # ^ Boring ^ Pit Ground surface elev. ft. Depth to limitng factor in. Soil ication Rate Horizon 'lepth Dominant Color Redox Desrxiption. Texture Structure Consistence Boundary Roots GP D/ff in. Munsell Qu. Sz. Cont. Cdor Gr. Sz. Sh. 'Eff#1 'Eif#2 'Effluent #1 = BODS > 30 < 220 mglL and TSS >30 < 150 mglL 'Effluent #2 =GODS < 30 mglL and TSS < 30 mglL The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SBD-8730 (8.6/00) -~ ~ Soil Test Plot Plan Project Name Tim Dibona Shaun Address 1962 60th Ave Baldwin Wi 54002 C~ Lot 3 Subdivision -------- Date 5N 8/06 SE 1/4 NE 1/4S 22 T 28 N/R15 W Township Cady Boring Q Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of Wood Corner Post System Elevation 96.4' *HRPSame as Benchmark Alternate BenChnlarl~ Top of Steel Fence Post @ 100.4' 310th St. Scale is 1" = 40' unless otherwise noted Pro 3 Bedroom House 40 75' _ ~ B-3 B-1 130' 1% Slope At1.B. `B M. 10' 10' 20~ 500' ~ CSr~ d~~~~- 96.5' w z ~' -2 96.0' Fence Line ~--~. 330' 1320' Property Line i r~ ~~ ij__ 1 , .FF1~, '.t i9 s 1 - _ y FEB _ 9 ~ y~r.~ ~~~'V ~,r,~ ~fORM N~O. 985-A ^'R.[~idler c.... ~:....... Stock No. 26273 8104385 VOL 20 PAGE 5050 KATHLEEN H. MT~I,~A- REGISTER OF I3EF_ifS -°°"~`~ C:E4~TIFIED SURVEY MAP NO. ~~~av FOR RECORD 5 02:30PM VOLUME 20 PAGE 5050 CERTIFIED SURVEY HAP REC FEE : 13. 00 THE SOUTHEAST QUARTER OF THE NORTHEAST QUAR5F~2 a. e0 INCLUDING !OT 1 OF CERTIFIED SURVEY MAP REtORDED IN VOLUME 16, PAGE 4352 OF SECTION 22, TOWNSHIP 28 NORTH, RANGE 15 WEST, TOWN OF CADY, ST.CROIX COUNTY,WISCONSIN Northeast corner OWNER/PREPARED FOR: Section 22-28-15 John & Cheryl Lamb found I' iron pipe u•1 274 310th St UNPLATTED $ ; Wilson,.Wl 54027 uNDS oA I N centerline to I ~ ~' 1 ~ ---- m l NW corner 37.75' SE/NE ``~~~ S89'S7'00"E 1308.52' 33' ,t 1270.77' moN ~\ ~ ~ septic ~> '~ ~ tank Io \,\ `~~ ~ O/ ~ • driveyvoy I ~~ ``~' 863,901 sq.ft. ~ hotyse ~ I~ ~ ` 19.83 acres `Ti ° I ~° 0 0 ~ rn centerline `~~ `~ incl. r-o-w shed ~, ~ Cady Creek ~~ Weill S ~ UNPLATTED w ~ ~`, ~`~ 839,744 sq. ft. 33~ ~ i ~, m .~ LANDS ~ 't I °o '~ 19.28 acres ~J $ V cn not incl. r-o-w ~ Ltoo' i c r*-I 1 ~'~ S ~ ~ ' a~5.39'' 'cr ' ~ ' ni N 1274.13' i° ; t"' ~ ^ <T ~~ , S89'~3'47"E 1309.52' m ; ~ '°',' ~ v DRAFTED BY: ry,' -- --n =-f§'1 ~ ~ Joel A. Brandt t soil tests1j x-; ~ ~ ~? JB SURVEYING LLC cw ~ LO/ / ~~ 2~2 - I u I ~ ~ p ; Lot t, CSM ~ ~ m ( ,~ 966 Rustic Rd 3 p ~ ~ 871,200 sq.ft. I vol. 1s, Pg. 4352 ~ °D Glenwood City, WI n~ ~ 20.00 acres I --- -- '~ ~ incl. r-o =w -_,- ~ - - - , -_ =_ - ~ -s; ------ ~' `,` 848,456. sq. ft. i` ;°° ~6 /;~. 19.48 acres -- -------_ __1 .- -- -. ._. _. not incl. r-o-w-'~ `\~~ '-~ Lot t, csM SW corner ~--------- - SE/NE 75' setback line Vol. 10, Pg. 281a _3_92_7._27' 1277.51' ~ ,``' - - - -- - - _ ~ ___ West I/4~N89'S3'30"W N89'S3'30"W 1310.51' I 33.00' P.O.B. Section 22-28-15 ~ (N89'S3"34'W) Enst I/4 Lot 1, CSM Computed per ties 5237.78 UNPLA'tTED Section 22-28-IS va. 15_Pg. alas _ - - - - (5237.75') LANDS found t' iron pipe Notes Each parcel on this map is subject to State and County laws, rules and regulations (i.e. wetlands, minimum !ot size, access to parcel, etc.). Before purchasing or developing A~ any parcel, contact the St. Croix County Zoning Office for advice. ~ V ~~~N~~ LEGEND 8.........Government Corner (as noted) ~~• a aflAfor o..........Set 3/4'"x18" Iron rebar weighing s-=~ w ~ 1.502 lbs./lineal ft. o`c'^"~OC1^'. ...........Found 1" Iron pipe ~.y ~ (, ) .....recorded data r ~S[JRVF-~ North is referenced to the II ~~'" east line of the Northeast SCALE: 1" = 300 Quarter of Sec. 22-28-15 which bears S00°40'45"E Page 1 of 2 (St. Croix County Grid System) 0' 300' 600' Vol 20 Page 5050 \~ N s • ` J rr~ ~<,Bc~/ fly 7/5~ ~ Viz' ~SS~ June 13, 2006 _ ~~ Designer CUST ID No. 341 ~~ ~~ _ ~__ _ HERB J PELKE ~~~~~ C ~v-~ PELKE PLUMBING ~ -~ N6298 STATE HWY 25 ~ nn '/ ~~~ DURAND WI 54736 ~ ~/ ~'(1-- ADDITIONAL INFORD ~ ~ ~~~ ~ ~ ~~ ~ ~ tification Numbers S~. ~G [D No. 127876$ SITE: 14041 Tim Dibona _ _ ;fer to both identification Town of Cady num~ers,~bove, in all correspondence St Croix County with the agency. SE1/4, NE1/4, 522, T28N, R15W Lot: 3, FOR: Description: Three Bedroom At-Grade System Object Type: POWTS Component Manual Regulated Object ID No.: 1079882 Maintenance required; 450 GPD Flow rate; 45 in Soil minimum depth to limiting factor from original grade; System: At-grade Component Manual, SBD-10570-P (R.6/99), Pressure Distribution Component Manual, SBD-10573-P (R.6/99) The submittal described above has been placed on HOLD and the review and approval is pending subject to receipt of the ADDITIONAL INFORMATION and accompany the resubmittal: Key Item The soil profiles have descriptions that include discrepancies with what might be expected for perching ground water with the textural changes and matrix colors. Checking with the county for conformation of the site for suitability of an At-grade system. . ~ ~_e~~ /~ ~~ ,~_ _ ~-~ lz-Z,~ f~ j ~-~~~ 1 ~ ~ __._ ~ ~~ ~. ~~ ~ __~ .~ /~~ 2~` Q !~~~~ F ~~ / -. r~ f ~. `~~` ... ~~~_~ '~' _ . ,,# / r~~~ s ~~ .:,~ i ice- ~ 1 ~ ~~` a ~ ~' ~ ~ ~ ~~ ~ ~ ~~~~ c /f "~°~~ i Parcel #: 004-1051-40-300 06/13/2006 11:40 AM PAGE 1 OF 1 Alt. Parcel #: 22.28.15.342A-20 004 -TOWN OF CADY Current ~ ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 01 /24/2006 00 0 Tax Address: Owner(s): O =Current Owner, C =Current Co-Owner O - DIBONA, TIMOTHY W TIMOTHY W DIBONA C -MILLER, ALESSIAH J ET AL 310TH ST WILSON WI 54027 Districts: SC =School SP =Special Property Address(es): ' =Primary Type Dist # Description " 262 310TH ST SC 5586 SPRING VALLEY SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 20.000 Plat: 5050-CSM 20-5050 SEC 22 T28N R15W 36.77A SE NE CSM Block/Condo Bldg: LOT 3 20-5050 LOT 3 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 22-28N-15W SE NE Notes: Parcel History: Date Doc # Vol/Page Type 09/14/2005 806421 2888/287 WD 08/24/2005 804385 20/5050 CSM 08/05/2002 686056 16/4352 CSM 02/21/2002 671700 1840/330 WD more... 2006 SUMMARY Bill #: Fair Market Value: Assessed with: Use Value Assessment Valuations: Last Changed: 04/18/2006 Description Class Acres Land Improve Total State Reason AGRICULTURAL G4 19.000 1,500 0 1,500 NO UNDEVELOPED G5 1.000 100 0 100 NO Totals for 2006: General Property 20.000 1,600 0 1,600 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 ~' i .~ .:,~, , ` Wisconsin Department of Commerce Division of Safety and Buildings ~~RIGII~AL SOIL EVALUATION REPORT ~n orrnrrl~nro with Cnmm Ali 1Aric Grim f:nrlo 1546 Page 1 of 3 Certified Soil Testing County Attach complete site plan on paper not less than 8'/: x 11 inches in size. Plan must St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimemsions, north arrow, and location and distance to nearest road. Parcel I.D. S(j --~C) ~ C Pending Please print al 11'-11 viewed Da e Personal information you provide may be used r seconr~ r~n~LaDyls.15.04 1) (m)). ` ~ Q Property Owner j~ Pro erty Location ~ JUN Q Go Lot SE 1/4 NE 1/4 S 22 28 N R 15 W Property Owner's Mailing Addres; Lot Block # N ame or CSM# Subd . ~ 274 310th St. ST. CROIX COUNTY ~' "I ~/ /~ K-~ ~0 371.~~ City State Zip ~,; City ~ Village , Town ~~r~R,gad T `~ ~ WI 54027 715-772-3294 Cady fV' 310Th St. 3 V New Construction Use: ~! Residential / Number of bedrooms 3 Code derived design flow rate 450 GPD ~_ _ Replacement _~ Public or commercial -Describe: zop(~~ ,~ Pa ~ ill Ap ~~~~~ F od plain elevation, if aRplic~gle NA General comments K-'1.0'~r ems' e~dy,{-ern o~'i or~~~ral {~+U'uz-~- re- and recommendations: install 4' x 112.5' rock bed mound on 98.0 contour as upslope edge of rock w/ 1.0' sand fill cs ~.j- P Boring # :.: Boring Pit Ground Surface elev. 97.8 ft. Depth to limiting factor ~ 84 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0-8 10YR 2/1 - sl 2 f sbk mvfr cs 1f/m .5 .9 2 8-20 10YR 4/3 - sl 2 m sbk mvfr gs 1 m .5 .9 3 20-38 7.5YR 4/6 - sl 1 m sbk mvfr cs 1 m .4 .6 4 38-43 10YR 4/6 - Is 0 sg ml cs 1 m .7 1.2 5 43-53 10YR 5/6 - s 0 sg ml cs - .7 1.2 6 53-84 10YR 4/4 - Is 0 sg ml - - .7 1.2 some gr & cob below 38" ^ Boring # -__._.- Boring ~J Pit Ground Surface elev. 98.7 ft. Depth to limiting factor 29 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0-7 10YR 2/1 - sl 2 f sbk mvfr cs 1f/m .5 .9 2 7-29 10YR 4/3 - sl 2 m sbk mvfr cs 1 m .5 .9 3 29-41 10YR 4/3 f3p 7.5YR 5/8,5/3 sl 1 m sbk mvfr cs 1 m .4 .6 4 41-72 10YR 4/6 - Is 0 sg ml cs 1m .7 1.2 5 72-76 10YR 4/4 - mcos 0 sg ml cs - .7 1.2 6 76-90 10YR 4/4 __ __ -:~ Is - - - ---0 m - - -- - m-~- -- - - .4 .6 side seep @ 72"; horizon 5 @ field capacity; gr & occasional cob below 41 ` Effluent #1 = BODS> 30 < 220 mg/L and TSS >30 150 mg/L ffl en 2 = < 30 mglL and TSS _< 30 mgL CST Name (Please Print) Signatur CST Number Henry F. Grote 222774 Address Certified Soil Testing Date Evaluation Conducted Telephone Number E. 4366 353rd Ave., Menomonie, WI 54751 5/6/2002 715-233-0398 ~~ ~~ t. ~~ , Property Owner Lamb, John & Cheryl Parcel ID # CSM Pending Page 2 of r 3 Boring # .~ Boring Pit Ground Surface elev. 97.4 ft. Depth to limiting factor 25 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Bourxiary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 `Eff#2 1 0-8 10YR 2/1 - sl 2 f sbk mvfr cs 1 f/m .5 .9 2 8-25 10YR 413 - sl 2 m sbk mvfr cs 1 m .5 .9 3 25-44 10YR 4/4 f2p 7.5YR 5/8,5/3 sl 0 m mvfr cs 1 m .3 .5 4 44-48 10YR 3/4 f2f 7.5YR 5/8 sl 0 m mvfr cs 1 m .3 .5 5 48-55 10YR 4/4 - Is 1 m sbk mvfr - - .7 1.2 horizon 5 near field capacity ^ Boring # ~ Boring __~ Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Textun: Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 `Eff#2 I Boring # (Boring j Pit Ground Surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 V 'Effluent #1 = BODS> 30 < 220 mg/L and TSS >30 < 150 mg/L `Effluent #2 = BODS <_ 30 mg/Land TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SBD-8330 (R.07/00) Certified Soil Testing Property Owner Lamb, John & Cheryl Parcel ID # CSM Pending ,, , . ~ a Page 2 of 3 Boring # Boring Pit Ground Surface elev. 47.4 ft. Depth to limiting factor 25 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Ef~~ "Eff#2 1 0-8 10YR 2/1 - sl 2 f sbk mvfr cs 1f/m .5 .9 2 8-25 10YR 4/3 _ sl 2 m sbk mvfr cs 1 m .5 .9 3 25-44 10YR 414 f2p 7.5YR 5/8,5/3 sl 0 m mvfr cs 1m .3 .5 4 44-48 10YR 3/4 f2f 7.5YR 5/8 sl 0 m mvfr cs 1 m .3 .5 5 48-55 10YR 414 _ is 1 m sbk mvfr - - .7 1.2 horizon 5 near field capacity ^ Boring # _ Boring Pit Ground Surface elev. ft. Depth to limiting factor in. Sod Application Rate Horizon Depth • .Dominant Color Redox Description Texture Structure Consistence Boundary Raots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 `Eff#2 ^ Boring # - 'Boring ~ Pit Ground Surface elev. ft. Depth to limiting factor in. Sod Application. Rate Horizon Depth Dominant Color Redox Description Texture Stn3cture Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 `Eff#2 'Effluent #1 = BODS> 30 < 220 mg/L and TSS >30 < 150 mg/L `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 to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SBD•8330 (R.07/00) Certified Soil Testing ,~;. ,_I ~ ~ ~ T ~ 9 ~ ~ '^ ,~ 9 f 0 --J! ~~{1 ~~ d a~ n~ 0 d J a I~ Z V~ ~ V, ' d Jo (~ N N p W ~J i e+ s v r-'t/1 ~ 0 ~ ~ ^ ~~ :r i `~i ,-+„ ~ o v~J ,M s J ~ ~~ ~ \ ri ~\ o '; o~ e :, d~ 3 o' .s ~j~ v-~ ~, d ~~ 9 r ~~ ~ ~ ,. \ ~ ;` ~ fi ~~ n ~ ,y 'T ~ „, _~~ v ,i. ~- a r v a a ~ ~ ~, ~ ~ t ~ ~ . -, ~~.~ .~ d ~~ ~ ~ ~ i .~ ~~° Jl ~~~ o a~~2~ M~ 4 Ml rF o' v' ~ ~ e '" .+ (' a ; ~ -~ D c ~' ; Y ~ -- ~ ^ ~-„ ~' °~ ~ ' ~ -~ ~' ~~ .~ . Y y 9o"'t _,O ~~ ~ a ~ ~ ~ ~ ..~ f ~ 0 ~~ ~=1 -~- ~~= -_ f ~-- ~-- , ,, ~. , Y 68656 Q ~ ~ VOL ~ 6 PAGE X352 xATHLEEH H. MALSH OCT ~ 7 ~~ ~- REGISTER OF DEEDS ST. CROIX CO. , NI ST. CROIX COUivTY RECEIVED FOR RECORD w~ SURVEYOR'S RECORD 08-05-2002 11:00 A REC FEE : 13.00 CER T ! F 1 ED SURVEY MAP COPY FEE: 3.00 PAGES: 2 LOCATED 1 N THE SE 1 ~4 OF THE NE 1 i4 OF SECTION 22, T28N, R 15W, TOWN OF CAD Y, S T. CRO I X COUNTY, W 1 SCONS 1 N. PREPARED FOR: _ __ Nom. BEARINGS ARE REFERENCED TO JOHN LAA~B THE EAST LINE OF THE NE 1 i4. (ST. CRO / X COUNTY COORD / NATE SYSTEM). NE CORNER OF SECTION 22. (FOUND f" IRON PIPE). py tv~ S m e . UNP4 A.T.T~P... ~.AN4.~ I ~', o I N~ W I ~ R1 N89° 30' 42" E 484.00' z :-~ :m :o :r 'v ~~ N 0 S ~~ G~ s` APPROV~n ST. CRO1X COUNTY Plannlnq Zoninn and Parks Committee auc o 5 zooz If not recorded within 30 days of approval date approval shall be null and void 451.00' 33.00 n 33' 33' N '~ N ~ ((^~~ aft! 100' yl Qy ~ S r Z m C11 ~~C LOT 1 ~~ of o ° ~ ~~ 3.00 ACRES :a ~, ;~ ~ ,p ~ m •D ~ 130, 6T9 S0. FT. '~ N °:~ :_ : z '- I 2.80 AC. EXC. R/W n , "' I ^~ "' :~ 121, T69 S0. FT. :~ :x c 'n ~ ~p~ ~ ~ cs'~ 45 ! . 00' 33.00' m S89° 30' 42' W 484. 00' m I ~--I 33'~ 33'~ . t1NP.l..AT.T,ER..I,AHD.S°'~$ •~•• ~~ •M~• wlw .!!4~....!.9. ,PAGE, 2814 ~~ E li4 CORNER OF SfCT/0N 22. (FOUND 1 ' IRON P ! PE ). O = SET 1 ' 0. D. X 24" l RON P / PE WEIGHING 1.13LBS PER LINEAR FOOT. 1"=l00' 0 50 100 250 SHEET 1 OF 2 2002052 THIS INSTRUMENT DRAFTED BY JIM WEBER Vo1.16 Page 4352 ~"-`~ SGGN~is ~ . N ~~, ~ JAMES ~. ~ - N WEBER ' S • 1804 8PRlNO YAi1.1.EY < Wi8. ~~` 9 ® ~ N ~ r.. DAME 04 -, ~ANDiNAR +~R 1 NG, L L C ' DATED. M~~Z-1 Z~_ ~~- ' FORM N0. 985-A er P.~.~ G..LU....,.. Stock No. 26273 CERTIFIED SURVEY MAP N0. VOLUME a~ PAGE s~b~ . THE SOUTHEAST QUARTER OF THE NORTHEAST QUARTER, INCLUDING LOT 1 OF CERTIFIED SURVEY MAP RECORDED IN VOLUME 16, PAGE 4352 OF SECTION 22, TOWNSHIP 28 NORTH, RANGE 15 WEST, TOWN OF CADY, ST.CROIX COUNTY,WISCONSIN OWNER/PREPARED FOR= John & Cheryl Lamb 274 310th St Wilson, WI 54027 NW corner SE/NE z 0 O rn N UNPLATTED u'. LANDS DRAFTED BY: Joel A. Brandt JB SURVEYING LLC N 966 Rustic Rd 3 Glenwood City, WI N ~, rn O w West 1/4 ~ Section 22-28-15 I Lot 1, cSM Computed per ties i voL 1s, Pg. 4149 I ------ UNPLATTED LANDS ~~ S89'57'00"E ~ 1270.77' Northeast corner Section 22-28-15 found 1' iron pipe cn o°IJ 0 ~ tV ~ I~ centerline v+ I ~ rri I _ 37.75' I I' 1308.52' ~ 1 ~ ~ + ' . ~~ LOT 2 \ ~` ~~ ~ ~ 863,901 sq.ft. ~ ', • 19.83 acres centerline ~ ~~ Cady Creek ~ , incl. r-o-w 1', ~'+ 839,744 sq. ft 1 '~ 19.28 acres , ~, ~. not incl. r-o-w /, ' ~ / /-~ 1274.13' moN~ septic ~ tarp k drivewoy,~ ,n_, hoyse N I IJ w °w shed ° m well ~ 33{ o I wl Q~ a ~35.39'I ~~v±\~I I~w I "" l~ I III ~ Icf°oo0 ,r+ o ~~ o ~ A w O~U7 o - $ rri to ~~ m TNT N /V N ~./' ~~ ~~ ~W fV cn v n~ ~~ 589:'$3'47"E 1309.52' m ~ f ~ soil tests ~~ $1 ; LOT 3 1 ~~ I o n ~ I Lot 1, CSM ~ I v; ~ j 871,200 sq.ft. o. Pg. 4352 I " I m '~ 20.00 acres 6~ -.ro---- 1 `incl. r-o-w ~~_®' I _ - - i---- a+ I ~ ^- '~ _ 848,456 sq. ft. I'`, _ ~ 19.48 acres -- I ~~~ - -- -. 75' setbock line ~`~ `~ - 1277.51' , ' ~.~ N89'53'30"W 1310.51' (N 89'53' 34"W) 5237.75 UNPLATTED (5237.75') LANDS Lot I, CSM VoL 10, Pg. 2814 ~vr---- 33.00' ~ P.0.6. East 1/4 Section P2-28-15 found 1' iron pipe Note: Each parcel on this map is subject to State and County laws, rules and regulations (i.e. wetlands, minimum lot size, access to parcel, etc.). Befoce purchasing; or developing any parcel, contact the St. Croix County Zoning Office for advice. North is referenced to the east line of the Northeast Quarter of Sec. 22-28-15 which bears S00°40'45"E (St. Croix County Grid System) SW corner SE/NE _ 3_92_7._27' ~N 89'53'30"W LEGEND ~ .........Government Corner (as noted) o..........Set 3/4"x18" Iron rebar weighing 1.502 lbs./lineal ft. ...........Found 1" Iron pipe ) .....recorded data SCALE: 1" - 300' 0' ~ 300' 600' ,aa ~, ~r 8RANDT ~ a-zeos l3LEN'i~00~ C-TY~ w+ Q' 9'~ suRv~° ~ 2~I~o~ . -J ~` Page 1 of 2