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042-1019-95-100
"O O 00 C `V i °o 3 0 GG cp 0 v3 O op O N a~ aEi L ev ~Lg ~ U I o ~ ccoaai I I y U) .0 3 U 000 N - ' X O W N C w0 W m V C C O E"' O 0 O 'O C M QY O O O c U U p N fl N U c0 N N 1 (U Z 3~NO~ o z° .o L C 3 m N E 'O 3 C 0 LL U. LO.O O C a C 'D y N cu m a) O Q p d N L a U ~ ~ O M 3 Z N ~ N W W C t; O L N W a CO a m ~ (7 -p I U I O Z d c w d Z v O c Z (D E a a) m N m N 2 N ry O 1? '0 O U C "6 p O d d 0 Z co Z ~i Z Z N N' _ d N y £ N "It C W N to a) O O1 L d d d 0 m Z a a 'A O CL ° c o N d i N y d O O ° G o a E G C a o N p N N U) E E M F F- F- 3 E_ w. N 04 E N> NO 3:3: ° F- O 3: 3 O O a~ z° • R LO (L a a a a a a L N CO CO N 7 O v> vi O) O) : 0) a) N V! - U r m 0) WA, m ° N N ° ° O 'J C) 0 I` a co N U) 6 CDEn 0) 0) N O ! rn H to o y 5 `o o c E to m y O O N O N O O cn 3 ° N C O U C CL N N C O ~ C CO N O C d O =3 O N c6 - W O i Z N-0 F- N O F..I N> N It cn m O O CEO O E U • L O O>_ •N- N N S F- N O Z © rte. j` •R Yk `d N V m a 4) w a CL a' • c~ CL y y c m c `i~l c II c c A UIL 2ll!,0 0 ) 0 9 ST. CROIX COUNTY r WISCONSIN } <;r ° x ZONING OFFICE ST. CROIX COUNTY COURTHOUSE (IV .Y `rn J 911 FOURTH STREET • HUDSON, WI 54016 _ (715) 386-4680 SEPTIC INSPECTION / WATER TEST REQUEST FORM Specify desired test(s) & remit appropriate fee with application. Outside water lines are often turned off during winter months, making access to the home necessary. Please make arrangements with this office to insure a time when entry can be gained. ❑ Water (VOC's) $185.00 KI Septic X $25.00 P1 Water (Nitrate & Bacteria) X $35.00 (Visual inspection) Owner A ribank Requested by:. Peg Starke FNB Hudson Address: 1029 99th St. Roberts Wi Address: 307 2nd St. Hudson Wi 54016 City & State: City & St. Zip Code: Zip code: Telephone NQ: (715 ) 235-0607 Telephone N4: (7 15 ) 386-5511 Property address (ire N2 & Street) : 1029 99th St. Roberts Wi 54023 see attachLocation: SV h, 2 o Sec•, T-2- N, R~_W, Town of St. Croix Co., WI. Tax ID N° Parcel ID N4 House color: brown Realty firm: _ Lock Box Combo: Water sample tap location: TO BE COMPLETED BY PROPERTY OWNER *PROVIDE A SKETCH OF HOUSE & SEPTIC SYSTEM ON REVERSE OF THIS FORM* Is the dwelling currently occupied? ❑ Yes 0 No If vacant, date last occupied: Septic system installed by: Year: Septic tank last serviced by: Date: Previous Owner's Name(s): Have any of the following been observed? - ❑Y ❑N Slow drainage from house. q 0 ON Sewage Back-up into dwelling. Sewage discharge to ground surface,i oad ditch or body of water. l;7~~ 0 ❑Y ONE, ow drainage from the dwelling. 6 ON °o 1 odors. OtheM<~Pmment lative to system operation: ertifg h t the above information is complete and true to the 'best` of ~.rq nowledge. DATE: OWNERS SIGNATURE: _ 4/93 OWNERS DRAWING OF HOUSE & SEPTIC SYSTEM LOCATION t IN TO BE COMPLETED BY INSPECTION AGENCY System design &/or permit on file? ❑Yes ❑No Soil series per SCS Soil Survey: sheet # Tyne of soil absorption system: ❑Below grd ❑At-Grd ❑Mound Approx. size 'X ❑Gravity ❑Dose ❑Pressurized Ft ..2 ❑Bed ❑Trench ❑Dry Well ❑Holding Tank ❑Outfall pipe OBSERVED DEFICIENCIES ❑Other ❑Unknown Septic tank Setbacks: ❑House ❑We11 ❑Prop. line ❑Other Dose tank Setbacks: ❑House ❑Well ❑Prop. line ❑Other ❑Locking cover ❑Warning label ❑Pump/Floats ❑Alarm ❑Elec. wiring Soil Absorption System Setbacks: ❑House ❑Well ❑Prop. line ❑Other ❑Ponding: ❑Discharge: General comments: 5T INSPECTORS SKETCH OF SYSTEM LOCATION N 7,nsppector Title OCT-18-93 MON 15;06 MENOMONIE FCS FAX NO. 2350507 P.02 r~ ST. CROIX COUNTY WISCONSIN ZONING OFFIa ST. CROIX COUNTY COURT"OUSs 911 FOURTH STRUT ! HUDISON. WI 54016 (775) 386.4680 8l~pTZQ IN$pEC"fI!?liT f WATER UST REQUEST FORM Speeify desired test;,(e} a remit appropriate fee with application. Outalde water lines are often turned off during winter months, making access to the home necessary. Plez%*e make arrangements with this office to insure a time when entry can be gained. A water (voc•s) $165.00 V septic k $25.00 9 Water (nitrate & Bacteria) x $35.00 , (visual inspection) Owner : `gri,ba, Address- 102929th At R berc W1 Requested by: Pec Starke FNB Hudsoa city & State ; ~ Address : 107 2nd sS iud , r~i_ 5 . City & St. Yip COM- 7, ip Code; ~ Telephone W-. (715 ) 23 -0d Telephohe W_ 335.1 _ 3$6-551 Property address (Fire If a street) : LQ29 99th St. Robert wi 023 see attachi4catien;^`.h. , Sap.` T St- Croix CO., WZ. Ta If -N' `~w, Town of x YD Nom, Parcel ID FP House color: bro Realty firm: Water sample trap location. Lock Box combo: O Bx PLEm$ BY PRID x OW ~ *PROVIDE A SKETCH OF HOUSE & SEPTIC SYSTEM ON REVERSE OF THIS FOAH* oy$ Is the dwelling currently occupied? 0 Yes WNO If vacant, date last occupied: _ Septic system installed by., 1 IV Khd, Septic tank last serviced by.. Date; ~e ft/ 7~aeet /a4(! Date: a n/de.e/ Previous Owner's Name(*): n lave any of the following been-observed? DY ON Slow drainage from, house. 13Y [IN Savage Back-up into dvelling■ DY ON Sewage discharge to ground surface road ditch or body of water. E7Y ON Slow drainago from-the dwelling, DY ON Fold odors. Other comm nts relative sys em v eratior III, I I certify that the agave .~,ntorlaatidn i~ complete and true to best of my kn wledge. 41 ~ 3 S`6. CROIX' COUNTY W[S.CONS[N PLANNING & DEVELOPMENT PLANNING SOLID WASTE REAL PROPERTY ZONING 715-386-4674 715-386-4623 715-386-4677 715-386-4680 October 28, 1993 Peg Starke First National Bank 307 2nd St. Hudson, WI 54016 Dear Ms. Starke: An inspection of the septic system serving the home located at 1029 99th St. in Roberts, was conducted on Oct. 27, 1993. This inspection was based upon a surface inspection of said system and did not involve any excavating or chemical analysis. Accordingly there maybe hidden defects in the system not discoverable by this inspection. A water sample was also taken at the same time. We will forward the results to you as soon as we receive them from the lab. My inspection revealed that the septic tank manhole cover extends to the ground surface in violation of ILHR Chapter 83. This cover must be either buried with 211-6" of soil or be provided with an approved locking device. I was unable to locate the drainfield portion of this system and cannot therefore evaluate its condition. If you have any questions which I can answer for you, please feel f contact me at this office. Sincere y, mes K. Thompson Assistant Zoning Administrator ST. CROIX COUNTY GOVERNMENT CENTER • 1 101 CARMICHAEL ROAD • HUDSON, WI 54016 COMMERCIAL TESTING LABORATORY, INC. 514. Main Street, P.O. Box 526 Colfax, Wisconsin 54730 ' 715-962-3121 800- 962- 5227 FAX 715 - 962 4030 ST, CROIX COUNTY GOVERNMENT REPORT'NO.1 51758/01 PAGE 1 CENTER REPORT DATE; 11/01/93 1101 CARMICHAEL ROAD DATE RECEIVED: 10/28/93 HUDSON, WI 54016 ATTN1 THOMAS C. NELSON OWNERS Agribank LOCATIONS 1029 991h St-, Roberts COLLECTORS Jim Thompson DATE COLLECTEW 10-27-93 THE COLLECTOW 4200pm SOURCE Of SAMPLE1 Outside tap DATE ANALYZED110-2&-93 TIME ANALYZED12100pm COLIFORM,MF"CC1 0 /100 mi. INTERPRETATION: Bacteriologically SAFE NITRATE-NI. 8 ppm Above 10 ppm exceed,,; the recommended Public Drinking Water' Standard. Coliform Bacteria/100 ml Nitrate-Nitrogen, mg/L 02 cr) LAB TECHNICIAN. Pam Gane )0 5i GF0 ri C00 F NDEVENOF OF V`, "rt WI Approved Lab No. 19 A 10101GO =g A t Means "LESS THAN" Detectable Level Approved by, 'd y ® PROFESSIONAL LABORATORY SERVICES SINCE 1952 rr0 19a~ SEp 29 O' CONNEII r- CO sOlslw R Cly, 373624 St, Crolx orn C~ly WUcoasb CO GER~~'JEa"~2~3 3g~~AN CERTIFIED SURVEY `5N 33, o. o O MAP 93 \ 33 1® ro 1 6 6 411 0\•9a LOCATED IN SE I/4 OF THE SE I/4 OF SECTION 7 ?Ao'~ s° AND IN THE NE I/4 OF THE NE I/4 OF SECTION 18, I ~ T29N, R18W, TOWN OF WARREN, ST.CROIX COUNTi, WISCONSIN I I m I I ~c00 yes SCALE IN FEET 1"=1'.U y 1 o J° ° v Q 0°: 1 o y C'Z N- 0 0 100 20d 300' o a►A/9`o y~J~ n LEGEND o ~0l0 90 O -ir(;, Q & SECTION CORNER MONUMENT trn ®°aASg AGO • It"IRON1PIPE FOUND 1x 1 0 ~o p I "X 24 IRON PIPE WEIGHING 1.68 LBS. / LIN. FT. SET 1-4 1 19g~y 3\ 11)" 'T1 I I $33' 001, Im ~ I A`E F ;v I I~ 33` I 356 °aa`'~ ~ p- 1 ~ C 1 I 00 0l oo 1 y ~i 1 C II ~1 Gy~ c, ~0 ' 09° 5 ' Cn "o '!y to "L 1{ 1 i 1~ II f 9 S Z % 1;~ l A o°f c~~ Ns °cG `?p 1~O 11 ZZ~ o+n O %N 0 Or) k25o N3 0 J AP ROVED o33~a 12646, ® No a,3 SEP 1 1981 11I I g A9 is ...Jlx C "U: l' I 'fir l 1@NSIVc PAR PLANNING _is:.. i. I_.. - _ qr{P ZONING CO ITTEE I I N o I i ~C 9~osl4g„ z ;J. '9 N 1 I 'v °-n X13 n io 1 1 Z %P 001 V ' ~S9 5 p l I I l c ~00 C) ~~~0 g EI ~RTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRY, DIVISION LABOR AND 1 C P.O. BOX 796 PERCOLATION TESTS (115) MADISON, WI 5a707M HUMAN RELATIONS SE S~ "7 LOCATION: SECTION: OWNSH /MUNICIPALITY: LOT N, .:BLK. NO.: SUBDIVISION NAME: ~N ~ * l T z9 N/ E.✓ 3 ~Po v A//,~o,~ ~/~v~ COUNTY: OWNER'S BUYER' ME: AILIN ADDR S : f~.C/t~b/X r >y~ n T / /9/L~X~4,vd£~ ~ ~o6~fs ~uiS USE DATES OBSERVATIONS MADE 'PROFILE DESCR NO. BEDRMS.: R R PTI New ❑ A GE TS: Residence ? / V! (f z T Replace 23 Qvej&t Sr -.T Z-04,41 RATING: S= Site suitable for system U- Site i Ie 1yo`" m CONVENTIONAL: MOUND: IN-GROUND E: S STEM-IN-FILL HOLDING TANK: RECOMMENDED SYSTEM:loptional) [ S ❑U DU ®S ❑u ❑S ©u ❑S Zu eaVVIE.0%ID.tJ~L If Percolation Tests are NOT required ESIGN RATE: If any portion of the lot is in the /KJ under s.H63.09(5)(b), indicate: Fluodplain, indicate Floodplain elevation: PROFILE DESCRIPTIONS BORING TOTAL DEPTH TO GR UNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN. ELEVATION OBSERVED EST. HIG HE TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- 1 67 /0/`01 3 ,'Z z., "/,-/-13V G yq -4 v. 1-00,f~ wl y L ,1'11v .6y. Si c. , J-3 " Z7-/?.,v . 3t'l y6 OAP - L . /.3nr . B- 2 73 `~9(o F!. ~ ~ > 3 w vC,(CG~ 0R. ;k c -S a.CQ oe • &S • Ph' a.,- 73 Fr• %~la n.+? ~ r3~ . -g y. sr~, Lo ~ ; ~ , Rio" r3 L zvi B- 3 -72- 7.2- a CA"ZH "J/ 44- 47 7,L R R . w~ 8p ioo•v'`r. , ~o &y s,~ z,,• Sy„ ~,,,~~,.o S4. I31 Ut H f'Ajc'IP.t i2,y 'o Aj riv pQ W O (S B- ' •~8 00•~ F~ ~ y~~~•~N•-may. Z y" ~~•~,,..s;~, s o " ~ W dep. &A) • S Q . B- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DRO IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL-MIN. P D t P R p R PER INCH P l D o 2Q p- P 2 3 P- p. Y/ re f P- - PLAN VIEW: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- zontal and vertical elevation reference points and show their location on the plot plan. Show the surfaceelvation at all borings and the direction and percent of land slop. %F 714 F/EV . 2 VERT• PEf • pr = X00 FT. y1AA *1C & AS I). Cg I~GV Rorto~r SYSTEM ELEVATION s!„A1,~ 13E 97. o Fr v rP ~o;.,'r . 4or #L ~ M Q wr'# 3. o j ffo.0 1 SD 30~ 1V~ yavst ~~s~ `i~~J' 4 T W N t • W Nap- 41 e' AT /ew r ~ 3 30 ,•o' f,Po•ti 7r~9~'~'~s• N IMWV f4q_ . 70 4,",r %N At--,+ o ~A 164 7 i , • AS BUILT SANITARY SYSTEM REPORT ".-R ~1, lev , TmMSHIP (kfarrert SEC. T~N, RW ADDRESS , ST. CROIX COUNTY, WISCONSIN. 3 . 3DZVZSION kjk P j e r,p j&j ,,LOT LOT SIZE PLAN VIEW -Distances b dimensions to meet requirements of H62.20 _ SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM • i i ~ I -12 I& Lt-1. Z e- La ! [ ' i a k [ i F"C;) lei 15 ' i f It 14-1 TIC TANK(S) MFGR. J f e.5er CONCRETEC _ STEEL I ndS ca.2e NlilpvP ntcaw NO. of rings on cover Depth DRY WELL "INCHES NO. Of width length area j no. of lines width_LLL length y " area I yL.a` ,~to/•r Tec th to top of pipe b" a:ZEGATE 1 RATE - AREA REQUIRED G..v AREA AS BUILT ;claimer: The inspection of this system by St. Croix County does not imply complete ~.xpliance with State Administrative Codes. There are other areas that it is not possible inspect at this point of construction. St. Croix County assumes no liability for :tem operation. However, if failure is noted the County will make every effort to ;ermine cause of failure. _.ASES AND OILS SHOULD NOT BE DISPOSED THROUGH THIS SYSTEM. _z DATED PLU11BER ON JOB LICENSE NUMBER 7 /Q.5 ?3 3 Z REPORT OF INSPECTION INDIVIDUAL SEWAGE SYSTEM San.itaty Penm.it~y State SPptt.c l,,?l:~-i NAME rownsh.ip - / S CAo ix County Locatiol-, Section SEPTIC TANK Size ,~C-C ga.t.tonA. NumbeA o6 Compattmenta f Distance FAom: Weft 121 oA gteateA d.topeo it Bu,i,.td.ing 6t. Wet.tands fit. H.ighwateA = it. R DISPOSAL SYSTEM Distance FAom: We.t.t 6#. 12$ of gAeateA b.tope ,,/S it. Bu.i.td.ing 4 G a f it. W et.tanda Ft. • H.ighwatet 6t. FIELD DIMENSIONS: Width o6 tten eh it. Depth o6 tack b e.tow t.i.te 1 in. Length o6 each tine it. Depth o6 tock oven t.i.te Z in. NumbeA• o6 tin es ~ Depth o6 t.i.te below gtade3u in. Tota.t .Length o6 tines -1 ~ C) it. S.tope o6 tteneh _ in pen 100 it. Distance between .t.ine.a~t. Depth to bedtoek 6t. Tota.t ab.soAbt.ion area °S y6t2 Depth to gAOUndwateA _ it. 2 RequiAed area it Type o6 Covet:- "Pa en .,,..ox StAaw PIT DIMENSIONS: NumbeA o6 pits GAave.t around pit.6yeA no Outd.ide d.iametet r~ ?_;6°t. Depth be.tow in.tet it. J~ 2 Tota.t abbotbtion "ea l it A AAea %equited 6t2 rm INSPECTED BY TITLE ' r . APPROVED K , DATE XIS _197 REJECTED ,DATE 197. EH 115 WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH P.O. BOX 309 MADISON, WISCONSIN 53701 rr'~~REPORT ON SOIL BORINGS AND PERCOLATION TESTS LOCATION15e_%, 0-'/4, Section T~V, R/JP_ ® (or)(Ofownship or Municipality Lot No. Block No.~4rI,,~,,, a-,.+~R.-.• 1~~iirt AV~ County St L /`!3r J( ~J Subdivision Name Owner's Name: Mailing Address: &2 -3 50 C:- S O, A .4A.,-,4 h&& W dc? Q "~tr~Y ~'litiu.K' `r'Sr!/ TYPE OF OCCUPANCY: Residence - No. of Bedrooms Other EFFLUENT DISPOSAL SYSTEM: NEW X ADDITION REPLACEMENT q DATES OBSERVATIONS MADE: SOIL BORINGS /`Z" 71` -PERCOLATION _TESTS SOIL MAP SHEET SOIL TYPE Sa. C-2- SA,v7i'r & Sr°%` 1"Ali PERCOLATION TESTS TEST DEPTH CHARACTER OF SOIL HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES RATE NUM- INCHES THICKNESS IN INCHES SINCE HOLE HOLE AFTER INTERVAL MIN/IN BER 1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3 P re g~' 02 Wo .30 11z.- P " - / S! I.- Ore j 414 C2- /A/0 4 o? ''f P-3 rc_ 30 SOIL BORING TESTS TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, INCHES NUMBER INCHES OBSERVED ESTIMATED HIGHEST (DEPTH TO BEDROCK IF OBSERVED) it L I 'r B- 75.4 /6 .57111/ gy St y r15 , we A&Af a- F~ B- 7 9'2"S.°1 63t°filey XX ~cLact C_ > p6 6". 7'23 "S-' vY SAC PLAN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.) Indicate on the plan the location and square eet of suitable areas. Indicate number f square feet of absorption area needed for building type and occupancy1 9r_p' ~ - 0'r u ~ ~'~9 Indicate scale or distances. Give horizontal and vertica reference points. Indicate slope. r-~j- .5' X l.°,. Wd;W; C~eAZft" e s 1 d eUT Y \ S1 6i O ` v y~ I ' 32 ZIA PH -7 i fe r is 1 L -A N 4- 777~ /e w State Permit PLB67 State and County -0+ Permit Application County Perm ~ a for Private Domestic Sewage Systems County *DENOTES STATE APPROVAL REQUIRED Date Approval Received from State if Required State Plan I.D. # A. OWNER OF PROPERTY Mailing Address: a2300 Sd, v~-°G= f G~. I& Y lue 0 j/ cc Y (or) Lot,4 -7 B. LOCATION: 6AF % Y4, Section _7_, TC" N, Rj4pO R -City Subdivision Name, nearest road, lake or landmark Blk# Village Township Ll1i¢o-ne J _ LUc`l/f`*m r- MA'-f4 W4-/,C- Di-d^-lCy C. TYPE OF OCCUPANCY: Commercial *Industrial *Other (specify) *Variance Single family- Duplex No, of Bedrooms No. of Persons D. TYPE OF APPLIANCES: Dishwasher )r YES NO Food Waste Grinder_YES_C NO # of Bathrooms Automatic Washer X YES NO Other (specify) E. SEPTIC TANK CAPACITY-A.2-00 Total gallons No. of tanks *Holding tank capacity Total gallons No. of tanks New Installation X Addition- Replacement -Prefab Concrete *Poured in Place Steel Other (specify) 2)13)aTotal Absorb Area sq. ft. F. EFFLUENT DISPOSAL SYSTEM: Percolation Rate U07 New Addition Replacement *Fill System 1549 Seepage Trench: No. Lin. Feet Width Depth Tile Depth No. of Trenches Seepage Bed: Length 01100' Width IP*' Depth " Tile Depth 6 `f No. of Lines Tile Size ~ Seepage Pit: Inside diameter Liquid Depth Percent slope of land /O 0,76 ;i /44 Distance from critical slope goLre- df -2 cl 05 I, the undersigned, do hereby certify that the information I have reported is in accord with Section H62.20, Wisconsin Administrative Code, and that I have sized the effluent disposal system from the EH-115 prepared by the Certified Soil Te ter, / NAME ~t ~h c ~~r1 C.S.T. # .rs -/S~ and other information obtained from o owner er)- o Plumber's Signature MP/MPRSW#, M ~a©gg Phone #-32L-5 t-7d Plumber's Address M N) O. cL to SC, 5401 -R n PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with H62.20, including well). Al A/0 qx " 91 Ave° c p c n e5•` 01 Dry gaw p ~ Parcel 042-1019-80-000 09i26i2005 10:47 AM PAGE 1 OF 2 Alt. Parcel M 07.29.18.112C 042 - TOWN OF WARREN Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner O - POWELL, STEPHEN E STEPHEN E POWELL 1057 99TH ST ROBERTS WI 54023 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description ' 1057 99TH ST SC 2422 ST CROIX CENTRAL SP 1700 WITC Legal Description: Acres: 14.220 Plat: N/A-NOT AVAILABLE SEC 7 T29N R18W PT S 1/2 OF SE 1/4; LOT Block/Condo Bldg: 4 CSM 1/264 (7.22AC IN SE NE 6 AC IN SW SE) & INC PT DESC AS COM S1/4 COR SEC 7; Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) TH S 89'E 1044.22FT;TH N 00'E 744.48 FT 07-29N-18W TO POB; TH S 58'W 178.34 FT; TH NWLY 52.99FT;TH N 29'W 132.01 FT;TH N 73' E more Notes: Parcel History: Date Doc # Vol/Page Type 05/11/1999 602988 1425/597 QC 2005 SUMMARY Bill M Fair Market Value: Assessed with: 0 Valuations: Last Changed: 07/11/2003 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 14.220 76,100 165,000 241,100 NO Totals for 2005: General Property 14.220 76,100 165,000 241,100 Woodland 0.000 0 0 Totals for 2004: General Property 14.220 76,100 165,000 241,100 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: 12/04/1998 Batch M PRGRM Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 0 U L5 D ST. CROIX COUNTY SURVEYOR'S RECORD UNPLATTED LAND SCALE NE CORNER SW-SE 20d 100' 0 200' NORTH LINE SW-SE NORTH LINE SE-SE S89°55:12"W 258,09' 203;08' S 88°3 199.82' 030'3g'W 9 0\\ a 210.04 885.50 S89 POINT OF BEGINNING (PREVIOUSLY RE- au)) `6-,N 04 ' 4'E CORDED AS 20d) 36.80 N U-) I O UNPLATTED ( OD UNPLATTED LAND f0 O M LAND 3 N do In Wu SW- SE 0 } 4 _ SE-SE z TRUE BEARING h O U' rn o 13.22 ACRES N LEGEND M j N 0\) 5° a s COUNTY MONUMENT, BERNTSEN atex .5 6y°,3~ v CAP M o CQ~O P \ oae -237032'42" W - z • 1" IRON PIPE FOUND a o 1 3021'35" to 0 0 1"x24" IRON PIPE WEIGHING W WW O 1.68#/LINEAL FT. SET .a it 1 7°53'37" z O w W S 0036'15"E 0 1"x24" IRON PIPE WEIGHING o m- 6' 116.54 1.68#/LINEAL FT. ON L}INEll s0 147 050-37" 1. -h--)f FENCE 0 ~ W 10 lI 4 ~ \ \ S 44193'05''EZ - ~ . Pit ED CENTERLINE 66' \ o. SUN 2j N ROADWAY AND \ \ 2\ 1S 0009-12"E , 0197,6 o)VELL UTILITY EASEMENT 88.63 o ao of D co 84 Cco , f)j UNPLATTED LAND -co°bV°tY S1/4 CORNER 4 S51 604 SECTION 7, n~ ~O 74.90 SE CORNER T29N, R 18W \ SECTION 7, .3 6 S 70°I 0`08"E T 29 N, R 18 W cFRr 58,79' SUR~~Y ~ ~ ~ WILLIAM WHITE SURVEYED FOR: RILR I ROBERTS, WIS. 54023 Mdn / ~~6 S28°44'14"E g 10 IJ cb STC - 10 4 Rat rVED AS BUILT SANITARY SYSTEM REPORT /Lp s C coax OWNER f ZONING .5-4,1C ADDRESS /,/)2-1 y;<<sL ~~L d0le L-3 SUBDIVISION / CSMV LOT o'L!¢ SECTION__7_T~11 N-R_M W, Town of ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM h' )60 _o qq' ,sG i IND A E NORTH AR OW Provide setback and elevation information on rove se of this form. Provide 2 dimensions to center of septic tank manhole cover. BENCHMARK: j /i',yi gcAe 4~I S ALTERNATE BM: SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer: Ltr~ Liquid Capacity: .2~ o~ Setback from: Well_House Other Pump: Manufacturer 6;z._./o/ Model#9~6fl- fl S1Ze r Float seperation J,rJ Gallons/cycle-':--Z e7 Alarm Location ® :SOIL ABSORPTION SYSTEM Width:- Length 5/7~ Number of trenches a e„Wo C01W Distance & Direction to nearest prop. line: S LaL F.~.FSetback from: well: House Other ELEVATIONS Building Sewer ST Inlet. ST outlet PC inlet PC bottom Pump Off Header/Manifold Bottom of system Existing Grade Final grade DATE OF INSTALLATION: /7 - y' PLUMBER ON JOB:- LICENSE NUMBER: J~l~IQS a'C! INSPECTOR: 3/93:jt Wjjconsin Department of Industry, PRIVATE SEWAGE SYSTEM County: Labor and Human Relations INSPECTION REPORT ST. CROIX Safety and Buildings Division (ATTACH TO PERMIT) Sanitary Permit No.: GENERAL INFORMATION 265518 Permit Holder's Name: ❑ City ❑ Village Town o : State Plan ID No.: EST, STEVE WARREAT CST BM Elev.: Insp. BM Elev.: BM D scription: Parcel Tax No.: TANK INFORMATION ELEVATION DATA A9600227 4117 -P("j' TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing olC~e S~~ h / C~~ C3~ ZE . rB. !✓j~ Aeratio Bldg. Sewer c~._ Holding St/.Ot inlet n C TANK SETBACK INFORMATION St/ 14f Outlet 3. d a vent to p 3 f<~O TANK TO P / L WELL BLDG. Air Intake ROAD Dt Inlet o.~ Septic Slog .37/ 117f NA Dt Bottom Dosing ~-qD L_ 9d~ -<1157 NA /Man. NA Dist. Pipe 55 / Aeration i Holding Bot. System 1 ~71 /G PUMP /N INFORMATION Final Grade ManqNumber ~S Cp6 emari * M Mod,TDH Lrictionaq System ~ TDH Ft Forcgth Dia. oZ " Dist. To Well SOIL ABSORPTION SYSTEM Width Length No. Of Trenches PIT No. Of Pits Inside epth BED / TRENCH 4/7 DIMEN I DIMEN 1 N Manufacturer: SETBACK SYSTEM TO P / L BLDG WELL LAKE / STREAM C ABER Type O i Mo e INFORMATION OR U *F 9UI NIT System: 7 DISTRIBUTION SYSTEM Header / Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Dia Length Zz Dia. Spacing Length SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over Txx Depth Of xx Seeded / Sodded xx Mulched Bed /Trench Center es opsoil ❑ Yes C] No Yes ❑ No COMMENTS: (Include code discrepancies, persons presen, etc.) -)FAS A , SE, SE 99TH ST LOCATION: WARREN-7.29.18 a Plan revision required? ❑ Yes V A4'0 -7 11;7 J~Tx~- Use other side for additional information. Date Inspector's Signature Cert. No. SBD-6710 (R 05191) ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: v t Safety and Buildings Division Bureau of Building Water System- SANITARY PERMIT APPLICATION 201 E. Washington Ave. In accord with ILHR 83.05, Wis. Adm. Code P.O. Box 7969 Madison, WI 53707-7969 • Attach complete plans (to the county copy only) for the system, on paper not less County than 8 112 x 11 inches in size. {'O / • See reverse side for instructions for completing this application State Sanitary Permit NNuumbeer T r he information you provide may be used by other government agency programs ❑ Check itYevl~i8n to previo~s application [Privacy Law, s. 15.04 (1) (m)]. State Plan I.D. Number 1. APPLICATION INFORMATION- PLEASE PRINT ALL INFORMATION Propert y wrier Name Property Location S S4 1/4 5'£ 1/4, S "7 T Z f , N, R /6> k(o W Property Owner's Mailing Address Lot Numbed Block Ny ber A/ City tae Zip Code Phone Number Subdivision Name r CSM Number a Z 3 (~i ) 7 -3YO4 ~ 11. TYPE OF BUILDING: (check one) , E] State Owned ❑ ~t~ Nearest Road ❑ VII age f,{r El Public 1 or 2 Family Dwelling - No. of bedrooms - Town OF 111. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s) DMZ-jv~~- 1 E] Apartment / Condo 2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/ Repairs 11 ❑ Restaurant/Bar/Dining 4 ❑ Church / School 8 ❑ Mobile Home Park 12 ❑ Service Station / Car Wash 5 ❑ Hotel / Motel 9 ❑ Office/Factory 13 ❑ Other: specify IV. TYPE OF PERMIT: (Check only one box on line A. Check box on line B, if applicable) A) 1. ❑ New 2. Replacement 3. ❑ Replacement of 4_ ❑ Reconnection of 5. ❑ Repair of an ------System ________System Tank Only______________ Existing System Existing B) ❑ A Sanitary Permit was previously issued. Permit Number Date Issued V. TYPE OF SYSTEM: (Check only one) Non-Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 21 Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22 ❑ In-Ground Pressure 42 ❑ Pit Privy 13 ❑ Seepage Pit 43 ❑ Vault Privy 14 ❑ System-In-Fill VI. ABSORPTION SYSTEM INFORMATION: 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System Elev. 7. Final Grade Required (sq. ft.) Proposed (sq. ft.) (Gals/day/sq. ft.) (Min./inch) Elevation 6d /off /Z60 0 35/©/11/ Feet %Ub, 5Feet VII. TANK a aat . Fiber- Plastic Exper. INFORMATION in gallons Total # of Prefab Site Gallons Tanks Manufacturer's Name Concrete CO"- steel glass Ape New Existin strutted Tanks Tanks Septic Tank or Holding Tank QdG2 ~4 ~/7 1:1 El ~ El E] u Lift Pump Tank /Siphon Chamber A _44`6 VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plum is Name: (Print) Plumber' Signature: (No S mps) MP/MPRSW No_: Business Phone Number: - }z / 77 r 3.;L.' Plumber Address (Street, City, State, zip Code): / a j- IX. COUNTY / DEPARTMENT USE ONLY Disapproved S itary Permit Fee (Includes Groundwater ate Issue Issuing Agen Stamps) ❑ Surcharge Fee) >0" V Approved E] Owner Given Initial a8®.0 - Adverse Determination X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: SBU-6398 (R. 05/94) DISTRIBUTION: Original to County, One copy To: Safety & Buildings Di-ion, Owner, Plumber i INSTRUCTIONS 1 _ A sanitary permit is valid for two (2) years. 2. Your sanitary permit maybe renewed before the expiration date, and at a time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer/ Renewal Form (SBD-6399) to be submitted to the county prior to installation 5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety and Buildings Division, 608-266-3815- To be complete and accurate this sanitary permit application must include: 1. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed- 11. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is public, check all appropr'ate boxes that apply. IV. Type of permit. Check only one on line A. Complete line B if permit is for tank replacement, rec,nnection, or repair. V. Type of system. Check appropriate box depending on system type. VI_ Absorption systern information. Provide all information requested for numbers 1 hrough VII- Tank information. Fill in the capacity of every -lew/or existing tank, listthe total gallons, numbs cif tanks and manufacturer's name, indicate prefab or site constructed and tank material- Complete for p,lrnp/siphon and holding tanks for this system. Check experime,7,tal approval only if tanks received =?xperim:.,-~ta, ,roclu t approval from DILHR. VIII. Responsibility statement Installing plumber is to fill in name, license number will appro;ariv-:,~ refix !e.g. MP, etc.), address and phone number. Plumber must siren applicati an form. IX. County% Depas ment iJ~e Only. X. County / Departmc-~i. Use Drily. C {JmrJ~e te c tiC;r S to _ >>~;ai! R 2 1 1 1Ci"i -ul- a to r~t' I -y , i~_n mans must t~,•-'h eorNIL CC%rllk~ 1qf._il":kf',l seF?t'•C r ;.;.!'T,p or s-phnn, t r ng e c GROUNDWATER SURCHARGE 1983 ~,V` Sln.~c9.4,0 i- Ii-,e c r? 1,![~r~ CrFSl~rrhargeS l {~~PS} viii a nUtTlla~~ Cl r,-'ClUl:'1:ed nrf3C.t' E1 Ih1Ch Cii3n effect ground-water _ -1 he monies :c>llected through these surcharges are Wised for "nonitorir)g -tiu :ric )r i %,estr,I_:itions and eslal>i~s°~r~,e,„ of standards. ` PAGE Or PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS VENT CAP 4" C.I. VENT PIPE WEATHER PROOF APPROVED LOCKING JUNCTION BOX MANHOLE COVER 25' FROM DOOR, WINDOW OR FRESH 12°MIU. AIR INTAKE £1 1005, Z, GRADE I 4" MIN. CONDUIT--" 10"MIN. ~ \ . ff11_.E1" PROVIDE I AIRTIGHT SEAL I I I APPROVEC JOINT A I III APPRO.,.. W/C.I. PIPE I III EXTENIDIAI(- 3' I II ALARM EXTE~.' O►JTD SOI ID SC!'.. B I I 0K1TCJ I I I o u C ) I PUMP--, OFF D CONCRETE BLOCK RISER EXIT PERMITTED ONLY IF TANK MANUFACTURER HAS SUCH APPROVAL SPCCIFICATIOU5 nw_z SEPTIC AND DOSE TANKS MANUFACTURER: _L/ HUMBER OF DOSES:_ PER F)i~ TANK :;IZE : GALLO S DOSE VOLUME S, he ro INCLUDING BACKPLOWt ALARM MANUFACTURER: Sz,s MODEL NUMBER: CAPACITIES; A= /-7 INCII150R 35 8 SWITCH TYPE: mpr Q B= ~2- INCHES OR PUMP MANUFACTURER: Q~o,~ C=INCHE5 OR C MODEL NUMBER: 4fr O yu_ D•Zl-,~ 2INCHES OR SWITCH TYPE: pl-l-#1 NOTE: PUMP AND ALARM ARE TO E,f. PUMP DISCHARC.E RATE GPM INSTALLED ON SEPARATE CIRCUI-r VERTICAL DIFFEKEUCE B►-wark! PUMP OFF AND DISTRIBUTION PIPE.. 4' 2,q FEET + MINIMyM NETWORK SUPPLY PKESSURTT,E~~.. , , . . , . 2.5 FILET -4- _ FEET OF FORCE MAIN.)( ~F/ooFr.FRICTION FACTOR.. ' FEET TOTAL DYNAMIC HEAD f03 FEET INTERNAL. DIMENSIONS OF TANK: LENGTH _;WIDTH -;LIQUID DEPTH SIGNED: LICEWSE NUMBER: DATE.'-- -11~- Goulds Submersible Effluent Pump EP04 3871 EP05 APPLICATIONS • Fasteners: 300 series - Fully submerged in high ■ Motor Housing: Cast iron Specifically designed for the stainless steel. grade turbine oil for for efficient heat transfer, • Capable of running lubrication and efficient strength, and durability. following uses; dry without damage to heat transfer. ■ Motor Cover: Thermopias- Homes Effluent systems components. Available for automatic and tic cover with integral handle Motor: • Farms manual operation. Automatic and float switch attachment points. • Heavy duty sump • EP04 Single phase: 0.4 HP, models include Mechanical • Water transfer 115 or 230 V, 60 Hey 1550 Float Switch assembled and ■ Power Cable: Severe duty RPM, built in overload with rated oil and water resistant. • Dewatering preset at the factory. automatic reset. ■ Bearings:. Upper and,lower SPECIFICATIONS • EP05 Single phase: 0.5 HP, 115 V, 60 Hz, 1550 RPM, FEATURES heavy duty ball bearing Pump: EP04 built in overload with construction. ■ EP04 Impeller: Therm • Solids handling capability: automatic reset. plastic,Semiell e: e mo- 3/a" maximum. • Power cord: 10 foot with pump out vanes for AGENCY LISTING • Capacities: up to 55 GPM. standard length 16/3 SJTO mechanical seal protection. Canadian standards Amiatlon Total heads'. up to 24 feet. with three prong grounding m EP05 Impeller. Thermo- Discharge size: 11/2" NPT. plug. Optional 20 foot plastic. enclosed design for (CSA listed model numbers Mechanical seal: carbon- length,16/3 SJTW with end in "I"' or "AC".) rotary/ceramic-stationary, three prong grounding plug improved performance. BUNA-N elastomers. (standard on EP05). ■ Casing and Base: Rugged • Temperature: thermoplastic design provides 1040F (400C) continuous superior strength and 140°F (60°C) intermittent. corrosion resistance. • Fasteners: 300 series METERS FEET stainless steel. 10 • Capable of running dry without damage to 9 30 components. Pump: EP05 8- • Solids handling capability: c 25 3/4' maximum. w • Capacities: up to 60 GPM. s 20 • Total heads: up to 31 feet. Discharge size: 1IN NPT. Z 5- • Mechanical seal: carbon- 0 15 rotary/ceramic-stationary, a 4 BUNA-N elastomers. o • Temperature: 3 10 1040F (400C) continuous 140°F (600C) intermittent. 2 5 1 00, 10 20, 30 40; 50 GPM i 0 2 4 6 8 10 12 M3/h CAPACITY ®1995 Goulds Pumps, Inc. Effective May, 1995 B3871 SAFETY & BUILDINGS DIVISION T State of Wisconsin ~P Department of'Industry, Labor and Human Relations ~VVfI Apri I 1 1 io Sri icy ,t, Stree j -a Q r iiEGERER SOI' L TESTINC: 421 ! R-IfN JRF:ET PO BO t ,y f' PL;i -N S96-401 Ei r. r it'ED: 180. 0 17 I- EST, STEVE SE13E.7129.18 TOWN OF VARREN >JT OF ST CROIX MOUND SYSTPI The Department ha3 revie,,ed tile 0,)ov---referenc4-J -_Co tiona approvi.t 2 hereb- E,.rant.ed for the Pian submittal. All noted itE:m must b)? CC«t rt_CtE'li. the .'F-vie1, ;1217 111 C!i 7ad of the sN'stem is basec: on chFi-pter 145, Wisoollsin Statutes, and chapter-z; ~NR. P"i and 84, "-isconsir; \C7!llinistrati've ,code. quid is ~-ont.inven, iipoil come I ',ilce vith any stipulations sh~.)wjl on t11t. L~~,aI1S. 1nis 4y:SteT=, alas nat been i lBwe(i i'or the c<,de PL01-1 remen-s se-C, forth III (+laf) --r i_i:HR 82 or in II-13R 550-64, !'-isccnsi,, Administrative ("')dle'. 'tle exih1 i17°_' ;;epc,i+ Ti,Mfi ITu:;L r e Inso'ct.ej ill' roT. 111Cturai sourlciness, size 'll;d baff.es, and muF.A. b, brouillit-, into confoTirlawlt' with the requirements of Cl(apter I _`iR 8, lS, ~illll, rod,:'. If it, z:;'oe a state approved .t'ptic tank siia11 IDE 1)lgT i .10(l. Thi, Ulan sui-,m.ittaI nJ,)prova-1 1,'111 xpire rwu 1 s I't'<-w the approval datc.., oi, it 1 sallitar`+ k)t'-ijrit obtain'-C'. t)ta7t `+-il' c-1pire oil tile da',= t<ilf' lnit.la.k ~a111 .'1r permiT oSplres i]e`. .ilC€'n_~c'.: lTlll':~t t'@Elr`?1f 1!l!s:' for this installation shall ke,-o one -.et of J a17 With till i:c',.~ T'T„me.-,A's stalnp of approvni at the constru."t ion site. The` insi al, loz 1 ~ ni, ify ~ the appropr. iat iiis.I)eci.c)r when i rls pecL:i oii, caul be m"ide. \11 7,a~rraiLs required the c:it.Y, county :t1a11 be ox,taiileci prior to inst.,cllation. SBDA-7997(8. 10/94) } 1 SAFETY & BUILDINGS DIVISION State of Wisconsin Department of Industry, Labor and Human Relations t,EK f,,Fi SOIL TFSTIN,1; lncj.uiries ~.hous'd be 6irectcd to me vr, the number _-,steel. 1_,eiow. Please refer to the plan, number shcwll above. aincer=,_Iy a.rd M. SO,4 P1aD Reviewer SectioD of Private Sewa;e t F~)3) rn~-9~~f8 ST CR,OIX SUDA-7987 (R. 10/94) SAFETY & BUILDINGS DIVISION State of Wisconsin Department of Industry, Labor and Human Relations April 2, 1996 2226 Rose Street - La Crosse WI r 't[EIVEO WEGERER SOIL TESTING 421 N MAIN STREET ;J'U PO BOX 74 ~r ccl;; RIVER FALLS WI 54022 COUNTY ZONING OFFICE ~ RE: PLAN S96-40177 FEE RECEIVED: JP Use' WEST, STEVE SE,SE,7,29,18W TOWN OF WARREN COUNTY OF ST CROIX MOUND SYSTEM The Department has reviewed the above-referenced submittal. Conditional approval is hereby granted for the system plan submittal. All noted items must be corrected. The review and approval of the system is based on chapter 145, Wisconsin Statutes, and chapters ILHR 83 and 84, Wisconsin Administrative Code, and is contingent upon compliance with any stipulations shown on the plans. This system has not been reviewed for the code requirements set forth in chapter ILHR 82 or in chapters ILHR 50-64, Wisconsin Administrative Code. - The existing septic tank must be inspected for structural soundness, size and baffles, and must be brought into conformance with the requirements of chapter ILHR 83, Wis. Adm. Code. If it does not comply, a state approved septic tank shall be installed. This plan submittal approval will expire two years from the approval date, or if a sanitary permit is obtained, plan approval will expire on the day the initial sanitary permit expires. The licensed plumber responsible for this installation shall keep one set of plans with the Department's stamp of approval at the construction site. The installer shall notify the appropriate inspector when inspections can be made. All permits required by the city, village, township or county shall be obtained prior to installation. SKDA-7997 (K. 10/94) J SAFETY & BUILDINGS DIVISION State of Wisconsin Department of Industry, Labor and Human Relations WEGERER SOIL TESTING Page 2 April 2, 1996 PLAN S96-40177 Inquiries should be directed to me at the number listed below. Please refer to the plan number shown above. 6 Sincer ly and M. S m Plan Reviewer Section of Private Sewage (608) 785-9348 cc: ST CROIX SSDA-7997 (R. 10/84) Page of 6 ~+~r r~ +,~GEIVED MOUND SYSTEM O i F+Pit O 1 ~9~ FOR ~ 9 6 A 3 BEDROOM RESIDENCE AF Ely i $Loa. W. LOCATED IN THE Se 1/4 OF THE SE 1/4 OF SECTION T ZqN, R 1S W, TOWN OF w P% ~~N , 3T• 0-TtaLX COUNTY, WISCONSIN. INDEX PAGE 1'of 6 TITLE SHEET PAGE 2 of 6 PLOT PLAN PAGE 3 of 6 PLAN VIEW-CROSS SECTION PAGE 4 of 6 DISTRIBUTION PIPE LAYOUT PAGE 5 of 6 PUMPING CHAMBER PAGE 6 of 6 PUMP PERFORMANCE CURVE SyB .50F all, PREPARED FOR - oll 0S i✓ 019,~pR>a~GS 1 o Z 9 c19 Tn+ ST, Ro 8 STS I W! S Y 0 Z.3 `91_v'. a s~4 ~~~~GE G 5 PREPARED BY WEGEF~tER SQ I L TEST I NG AND . DES = Gtr SIEFZ V I CE , F.O. BOX 74 421 K. WK ST_ RIV9. FALLS. VI 54022 ART"a!R . e 715-425x0165 s Y:`?,:=::;ri = m v • WIS. ~jyn r ••••••••e°` dL~S I G14 119 P_ I `IS " JOB NO. q5 PLOT PLAN Page -Z-of Scale 1"= y 0 ' T"o ►vcT ~`1PR~T Olt- 161S)VI-f-8 Of I X111.1 p . v _ plJ l ! (LnN O M 70~ 8 l~l \ O_ ~-LUS ~3a10 P 2.~pveF.11. zS'or- L. N w 1v 411 puc erXksD 6 S~PT1C Th ~h - Tp V~~I-ffw I" Pv CE 0 1F IT Is _ cubl COP MIYA4 -L iNe 1u WU- 9-ZS PTtrs . 1F NOT, RePt-RAE KA' N A !OX0M G+rL.KLDWNS" LJM ~'Ct~I4ST TM.•Fk. x 1 g w~LL 0 LtE'5, ~P<5T OF w~ SQ ' 4- sT NOTES: ~ ` 1. Elevations shown are existing ground elevations unless otherwise noted. 2. Install permanent markers at end of each lateral. ( y required) 3. Install 4" observation pipes with approved caps. ( Z required) 4. Septic tank to be Loop gallon capacity manufactured by M kfl 1J eS1'L LAJ P\lk' CkYr C t F- lz-ea)S1 Pyr1t-z- 'Mk 'U BF -SO C)R L ktbW1e1TVW IV*. 5 . Bench Mark S eFe- "ove 6. Divert surface water around mound to prevent ponding at the uphill side. - Page 3 Of (o E' 10 ~ Approved Synthetic Covering F-s''" c 33 Distribution Pipe Medium Sand G Topsoil F -Elev. 101,-4.O 3 E " j.b % Slope Bed Of 2"- 2 %2 Force Main Plowed Aggregate From Pump Layer D \•o Ft. E Z.o Ft. Cross Section Of A Mound System Using A Bed For The Absorption Area F 0,S Ft. G \.o Ft. A _4-!~ Ft. H \-S Ft. Linear Loading Rate= q •SwIGPD/LN FT B ~Z Ft. Design Loading Rate= u.3SGPD/SQ FT I lq Ft. J Ft. K kt.S Ft. r~°1riemftAe Position L -7O Ft. of Force Main W Ft. L Observation Pipe--,\ fi K r o A I - - _t ~r---- r7-IC7--------------------~~ Distribution Bed Of 2~- 2 2 Pipe Aggregate Observation Pipe Permanent Markers (Anchor securely) Plan View of Mound Using A Bed For The Absorption Area 6 Page Of Perforated Pipe Detail t. . ~ 7 0 End View Perforated / End Cop i PVC Pipe OP Install permanent-marker at end of each lateral Holes Located On Bottom, Are Equally Spaced 4 S i P PVC Manifold Pipe PVC Force Main Distri ution Pipe Last Hole Should 8e I Next To End Cap End Cap P Z-2- Ft. Distribution Pipe. Layout S L4 Ft. X '49 Inches Y Ll S Inches Hole Diameter 1ty Inch Lateral Inch(es) Manifold 2 Inches Force Main Z Inches # of holes/pipe Invert Elevation of Laterals tOy.SFt. 6xl-\-) =-1_oz x%4 _ ZPd.oB GP-vn Place lst hole 'Lq" from center of manifold with succeeding holes at q8" intervals. Last hole to be next to the end cap. PUMP CHAMBER CROSS SECTION AND SPECIFICATIOMS ' PAGE S OF (o ! y l e y o/ V E WT CAP ti" C.I. VENT PIPE WEATHER PROOF APPROVED LOCKING MANHOLE T JUNCTIOW BOX COVER WITH WARNING LABEL ~ 10 FROM DOOR, 12'MIU. wiNDOW OR FRESH I - AIR INTAKE I S GRADE I `I~MIiJ LC~~ S t WAIN. CONDUIT 18"MIN. I IALE T PROVIDE ~ AIRTIGHT SEAL I I I I ~ II v APPROVED JONT/ A Tank construction shall comply I I i ( APPROVED JOINTS with ILHR 83.15 and ILHR 83.20 i 'II ALARM B ( ,I I ( ON C I I CLEV. qq-L FT. PUMP-~ ,r OFF D ~T2.. q .OO CONCRETE BLOCK 3" APPRwfc) J RISER EXIT PERMITTED OWLU IF TANK MANUFACTURER HAS SUCH APPROVAL. U VOI IQ SPECIFICATIOKJS DOSE q TAMK MANUFACTURER: 0-t10OW T ~ 2~1`CdST NUMBER OF DOSES: 3~ 3 PER DAU TANK 51ZL: X50 GALLOWS DOSE VOLUME r ti~Z.O ALARM MANUFACTURER: INCLUDING DACKFLOW: GALLONS S.3• ~~1~`cTRO S~($Te:"~ S MODEL NUMBER: 101 l~ W CAPACITIES: A= 1 b INCHES OR _312- dGALLOU3 SWITCH TSPC: INCHES OR 31 oG?,LLOU5 PUMP MAMUFACTUitE1R: INCHES OR 'M' O GALLOWS MODEL NUMBER: S D= J/?-INCHES OR 19-" GALLOWS 5WITCH TYPE' 02CUyz.L( NOTE: PUMP AND ALARM ARE TO DE MINIMUM DISCHA-RGE RATE 28'08 GPM INSTALLED OU SEPARATE CIRCUITS VERTICAL DIFFERENCE BETWEEN PUMP OFF AuO_D15TRIBUTIOLI PIPE.. S-Z9 FEET + MINIMUM NETWORK SUPPLY PRESSURE . . . . . 2.50 FEET -I- S FEET OF FORCE MAIN X 1' 61 FYo fLFRICTIOU FACTOR_ 0- I'l FEET . = TOTAL DtJUAMIC HEAD = .8'0 3 FEET DIAMETER 38 11 Z IMTERWAL. DIMLWSIOM~ OF TAWK: LEW6TH ;WIDTH - LIQUID DEPTH BOTTOM AREA - 231= GAL/INCH AS PER MANUFACTURER - 1a.5 GAL/INCH . - PpcG~ 6 or- ~ 4% 6v. U) W HEAD CAPACITY CURVE 45/a W "57" - "59" SERIES U_ L 45/s 25- 1112 111 - 111h NPT 43/16 20- 6- 9 ~ ~ 1 o ~ W U ~ 15 a z a 4 975/16 J Ia' 0 10 33/32 2 I 5- 1 TOTAL DYNAMIC HEAD/ Zg q$ FLOW PER MINUTE EFFLUENT AND DEWATERING HEAD CAPACITY 0 UNITS/MIN FEET METERS GAL LTRS US 10 20 30 40 50 5 1.52 43 163 GALLONS 10 3.05 34 129 LITERS 0 80 160 15 4.57 19 72 FLOW PER MINUTE 19.25 5.87 0 0 CONSULT FACTORY FOR SPECIAL APPLICATIONS e Piggyback Mercury Float Switches *Available with special cord lengths of 15', available. 25', 35' and 50'. e Variable level long cycle systems *Alarm systems available. available. . Duplex systems available. Standard cord length - automatic 9 ft. SELECTION GUIDE Standard cord length - non-automatic 15 ft. 1. Integral float operated mechanical switch, no external control required. 2. Single piggyback wide angle mercury float switch or double piggyback mercury 57/59 SERIES Control Selection float switch. Refer to FMO477. Model Volts-Ph Mode Am Simplex Duplex 3. Mechanical alternator 10-0072 or 10-0075. M57/59 115 1 Auto 8.0 1 or 1 & 7 - 4. See FM0712 for correct model of Electrical Alternator, "E-Pak". N57/59 115 1 Non 8.0 2 or 2 & 6 3 or 4 & 5 5. Sensor mercury float switch 10-0225 used as a control activator, with "E-Pak" D57/59 230 1 Auto 4.0 1 or 1 & 7 - duplex (3) or (4) float system. E57/59 230 1 Non 4.0 20r2&fi 3or4&5 6. Four (4) hole "J-Pak". junction box, forwatertight connection or wired-in simplex or 2 pump operation, 10-0002. 7. Two (2) hole "J-Pak", for watertight connection or splice, 10.0003. 57 Series - Wt. 27 -.3 H.P. 59 Series - Wt. 29 -.3 H.P. CAUTION For information on additional Zoeller products refer to catalog on Combination Starter, All Installation ofeontrols,protection devices andwiring should bedone byaqualified FM0514; Piggyback Mercury Float Switches, FMO477; Exectrical Alternator, FMO486; Mechani- licensed electrician. All electrical and safety codes should be followed including the cal Alternator, FMO495; Alarm Package, FM0513; Sump/Sewage Basins, FM0487; and Simplex most recent National Electric Code (NEC) and the Occupational Safety and Health Act Control Box, FM0732. (OSHA). RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAIL TO. P.O. BOX 16347 L. Louisville, KY 40256-0347 Manufacturers Of . ® O ZZ7ZZ-ZZ7 ZT SHIP LoTO. 3280 Old Minters Lane Louisville, KY 40216 „ (502) 778-2731.1(800) 928-PUMP QUAL/TY PUMP9 SNCE ~s~~Jp FAX (502) 774-3624 Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page A of 3 Labor and Human Relations Division of Safety & Bindings in accord with ILHR 83.05, ~4 . COUNTY w S-V Attach complete site plan on paper not less than 8112 x 11 inches in siz must i fAkGEL I.D- # not limited to vertical and horizontal reference point (BM), direction and pe, s,a1q,Frf!r:* dimensioned, north arrow, and location and distance to nearest road. s APPLICANT INFORMATION-PLEASE PRINT ALL INFORMA !y. 1J~Jc DBY DATE PROPERTY OWNER: R E ION STLV~ wes T 1!a ~4S -7 T Zcl N,R 18 E(o IN PROPERTY OWNER':S MAILING ADDRESS BLOCK D. ME OR CSM # _ CITY STATE ZIP CODE PHONE NUMBER []CITY OWN NEAREST ROAD 1~0$ ~-r S % A 5 p Z 3 t~ 1 Sl X14 - 3 ~l 1 w 1v °t I Tit S'('. [ ] New Construction Use [A Residential / Number of bedrooms 3 AddibQn to existing building [ Replacement [ I Public or commercial describe Code derived daily flow 'ASO gpd Recommended design loading rate 0 - IS bed, gpd/ft2 trench, gpolft2 Absorption area required t-1 S bed, ft2 31 S trench, ft2 Ma rnum design loading rate o , S bed, gpd/112 0. trench, gpd/ft2 Recommended infiltration surface elevation(s) ~r • O It (as referred to site plan benchmark) Additional design / site considerations V'1 ou NJIZI w / 8'y- t4-1' $t1b . "t-u. 1 'o f- S NA✓p t=H LL . Parent material Tt L-V- oy)e2. Q o u ►n t`I a Flood plain elevation, if applicable M-. A - ft S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable fors stem 0S RU (9 S O U ❑ S ® U El S ®U O S XU ❑ S YU SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trends r~5<~I<>3> o-b 1o`tt~Z-!~ si 2~'sbk ~t.~Fh ~s o.S o-6 'F4. g - o i c,3 Ground 3 13-Z6 1u`1~z 316 - S1 cl lwtsbVL v14 elev. Lis-z It. Z6-Z lu`1R 3A ~t s~cz 5)b e1 v wt~h eg - - Depth to 5 Z°t 3 b ` f R -7 l2 - LS 2 - - - - limiting factor ~,t S ? S Cs'lo aoe V:1 ~ C,M ~w Remarks: Boring # ~'Z~~ Z °1-zl to `1, tz 316 S i I Z. ~ ~ bh m cS o. s o. 6 i 3 Z~-3g LO `1 R 4~~~ F l-i•S ~►z slt, C Ground - - elev. ti 3$_q ~o~v2~tZ - MR o ft. Depth to 5 ? S 20Grc t~1 limiting factor Remarks: CST Name:-Please Print Arthur L. We e rer Phone. 715-425-0165 dress: egerer Soil T sting & Design Service-P.O. Box 74 River Falls,WI 54022 - Date: Number; ' Signature: ~S-~ Z 1"lY'f! z4 ~l`~`l~ "1400576 PROPERTYOWNER S,(1,1JE tivT SOIL DESCRIPTION REPORT Page? of PARCEL I.D. # Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence BounClary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trerd► O- ~0 1D `1 Q Z I ` S 3 rk ~ ~ 1 z~, b k m v. ~-S - o_ S o- Ground 3 Z7-37 ~v `21Z yI ~S 4 R SA C ` ei~ w 'F- 0-S ` elev Depth to limiting factor Z, N Remarks: Boring # two 8 \ TAN h L = Lv Y"j Ground W'L Q$v S S rj L elev. ft.. Depth to limiting factor Remarks: Boring # ' . IC Ground elev. ft. Depth to limiting factor Remarks: Boring # 'at♦,? ,:r^ L . . . Ground elev. ft. Depth to limiting factor Remarks: - - PLOT PLAN Page 3 of 3 scRL~ 1'' _ V4 O ' Uo Vti34 r C PAV- hcT o IZ D lS'*INJU-s wo,o bit LA7 lime O~ u v- t 4~I wlLfiTN Ir ~ W S s~Tt C Teti I 3g CQI tA. X, o J4 ~O~' ~-LS`II~vG D~R't~FtER.U ~ bhsT OF Hklvkn> S Cr1 M",TktLsA I- o P Ro ~ LrRltil , ~ Jr T Sp 4- LOO as-~yz s z s- o) 6 s M oa s~ 6 C~? [ L4 , l `~a 5 (77 ~CST Signature Date Signed Telephone No. CST # STC-105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNERBUYER I-e" '~(JP.s J~ MAILING ADDRESS PROPERTY ADDRESS (location of septic system) Please obtain from the Planning Dept. CITY/STATE PROPERTY LOCATION YE 1/4, SE 1/4, Section -7 T~N-R~W TOWN OF Goa yre4 ST. CROIX COUNTY, WI SUBDIVISION v LOT NUMBER CERTIFIED SURVEY MAP 4/4 , VOLUME , PAGE , LOT NUMBER 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 licensed septic tank pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. St. Croix County residents may be eligible to receive a grant for a maximum of 60% of the cost of replacement of a failing system, which was in operation prior to July 1, 1978. St. Croix County accepted this program in August of 1980, with the requirement that owners of all new systems agree to keep their system properly maintained. The property owner agrees to submit to St. Croix Zoning a certification form, signed by the owner and by a mater plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge and scum. I/We, the undersigned have read the above requirements and agree to maintain the private sewage disposal system in accordance with the standards set forth, herein, as set by the Wisconsin DNR. Certification stating that your septic has been maintained must be completed and returned to the St. Croix County Zoning Officer within 30 days of the three year expiration date. SIGNED:. DATE: St. Croix County Zoning Office Government Center 1101 Carmichael Road Hudson, WI 54016 11/93 S T C - 100 This application form is to be completed in full and signed by the owner(s) of the property being developed. Any inadequacies will. only result in delays of the permit issuance. Should this development be intended for resale by owner/contractor, (spec house), then a second form should be retained and completed when the property is sold and submitted to this office with the appropriate deed recording. Owner of property 5;~,e `(J.s Locationofproperty 5C 1/4 1/4, Section -7 ,T ~N-RAW Township LL. f/-evc Mailing address /o') I yFy 14 S/ C ~~v2- 3 Address of site /0 Subdivision name Lot no. Other homes on property? Yes__X_No Previous owner of property Total size of property &reS Total size of parcel Date parcel was created Are all corners and lot lines identifiable? _ Yes No Is this property being developed for (spec house) ? Yes - No Volume 10'~ and Page Number 3 as recorded with the Register of Deeds. INCLUDE WITH THIS APPLICATION THE FOLLOWING: A WARRANTY DEED which includes a DOCUMENT NUMBER, VOLUME AND PAGE NUMBER AND THE SEAL OF THE REGISTER OF DEEDS. In addition, a certified survey, if available, would be helpful so as to avoid delays of the reviewing process. If the deed description references to a Certified Survey Map, the Certified Survey Map shall also be required. PROPERTY OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge that I (we) am (are) the owner(s) of the property described in this information form, by virtue of a warranty deed recorded in the office of the County Register of Deeds as Document No. 5'y 8y3 , and that I (we) presently own the proposed site for the-sewage disposal system or I (we) obtained an easement, to run the above described property, for the construction of said system, and the same has been duly recorded in the office of the County Register of Deeds as Document No. Signature of Applicant Co-Applicant Date of Signature Date of Signature t 1314-1 (D) (For ust bys ACA, FLCA, PCA) .r'~~• 1046pmr.399 A~ 508433 LIMITED WARRANTY DEED THIS INDENTURE, dated October 20, 1993 , between AgriBank, FMB , ormer y known as Farm Credit Bank of 8t. Paul, a federally chartered MOSER'S (*F,CE corporation, whose post office address is 375 . ~~x W( Jackson St., St. Paul, MR 55101, party of the first part, and Steven A. West and Sherry A. hest, as Reed for Record Joint tenants , whose post office a3 esa s 1 06 NOV 0 41993 Mont Croix D~°e to Hudson WI 54016 , pity of-the second art, (hereinafter referred to as 1:30 PAl1 whether singular or plural), WITNESSETH, that the 0 M. said party of the first part, for and in conuideration of the sum of One Hundred Five ~~NYdDi~dt Thousand and no/100 DOLLARS, to it pad by the sad party of the second part, the receipt whereof is hereby acknowledged, does grant, bargain, sell, and convey unto the said party of the second part, hie/her/their heirs, successors and assigns, forever, the following described real estate situated in the County of St. Croiz and Recording Information State of Wisconsin , to-wit; See Exhibit A attached. This conveyance is exempt from state deed transfer tax and return pursuant to Wis. State. Sec. 77.25(2). subject to all existing easements and rights of way; also subject to all tr_3s on said promisee for the year 1993 (pro-rated'. and following years; also subject to all unpaid parts and installments of special assessments on said preaisse which have fallen due, or will fall Gae hereafter. BYCWDIBG therefrom and excepting and reserving to said party of the !:rst part all mineral and royalty rights. intQests, estates and titles heretofore reserved or excepted of record by the party of the first part prior to January 22, 1966, if any, with such eassmsnts for ingress, agress and use of surface an may be incidental or necessary to use of such rights. The foregoing exclusion, exception and reservation shall include, but not be limited to, all oil, gas, hydrocarbons, coal and other minerals of whatsoever nature lying in or under the above-described lands and all royalty interests as to all, gas and other minerals produced and saved thsrmfrao. It is expressly understood that the raid party of the first part will make no warranty as to the extent of its ownership of minerals, or as to its title thereto% TOCATBBR with all and singular the hereditaments and appurtenances thereunto belonging or in any rise appertaining; and all estate, right. title, interest, claim or demand whatsoever, of the said party of the first part, either in law or equity, either in possession or expectancy of, in and to the above bargained premises, and their hereditamests and appurtenances. TO RAVE AND TO MUD the said presdess as above described, with the hareditaments and appurtenances unto the said party of the second part, and to big/her/their heirs, successors and assigns Fcmn. AND TSS SAID party of the first part, for itself and its soccesscre, dam covenant, great, bargaia and agree to and with, the said party of the second part, his/her/their hairs, successors and assigns, against all and every persom or persons lawfully claiminq the whole or any part thereof, by, through or under said party of the first part, and none other, it will farwer W WtAQ and DIFM. In WrnM38 Nom, the said party. of the first part, has caused thew presents to be executed in its corporate name the day mad year first above writtam. AgriBank, FCB By Eugene Flemming D rector Risk Assets (Name) (Title) STATE OF MINNESOTA ) es. OF RAMSSY ) the foregoing instrument was acknowledged before me on October 20, 1993, by Sung- Plemeing , Director, Risk Assets of AV'-',, rM, formerly sAAAnnnnnnnnnnn;...w%AAAAAnnAAAMMm kno m as Fars Credit Bads of St. Paul, a federally chartered corporation, an behalf of said corporation. JAY C. JOHNSON _ NOTARY YWUrrMIMREROTA ANOKA COUNTY C. ly Ceaue. Gehee Oet. 6.1666 68 J . Johnson m „-"-W W ■ s'p notary Public. Anoka County, Minnesota My commission aTires 10-05 , 1998. This instrument was drafted by: VOW TAX sTATEMaxrs Tor AgriBank, Fm stoma A. Vogt a Sherry A. vest negl Estate services 45-21 1106 Mont Croix Drive f2 ti 375 Jacksm at:..~ Madams, wI 34016 ~r 104 PAGE `3f O MMIBIT A A parcel of land located in the SS}SE}, Section 7 and NE}NE}, Section 18, described as follows; Commencing at the SN corner of sai" Section 7 (being also the NS corner of Section 18); thence N89052'50"W (true bearing) 200.75 feet; thence NOo3311411E 1317.70 feet; thence S8803110211W 403.07 feet to the point of beginning; thence S0033114"W 1456.17 feet; thence Wly 134.45 feet along a 1138.83 foot radius curve concave Nly whose chord bears N7303310411W 134.37 feet; thence N7001010811W 58.79 feet; thence N003311411E 1393.40 feet; thence N88031102118 184.84 feet to the point of beginning. Also a permanent roadwa easement 66 feet in width, located in the S}SSJ of said Section 7 and the NEINE} of Section 18, Township 29 North, Range 18 Hest, Town of Warren, St. Croix County, Wisconsin, being all lands lying 33 feet radially and at right angles each side of the following described centerline: Commencing at the S} corner of Section 7; thence N005313411B (true bearing) 837.94 feet along the West line of the SWISE} of said Section 7; thence S86055127"E 493.00 feet; thence N30511161'2 217.23 feet to the point of beginning; thence SEly 332.26 feet along a 338.00 foot radius curve concave Sally whose chord boars S5703614411E 319.04 feet; thence S2902710311E 184.07 fast; thence Sly 117.31 feet along a 233.00 foot radius curve concave Wly whose chord bears S1500113911E 116.07 feet; thence S003611511E 116.54 feet; thence SEly 56.12 feet along a 50.00 foot radius curve concave NEly whose chord bears S32045138"E 53.22 feet; thence SEly 121.62 feet along a 339.61 foot radius curve concave Sally whose chord bears S5403912811E 120.97 feet; thence S40231561113 197.05 feet; thence SEly 249.61 feet along a 400.00 foot radius curve concave NEly whose chord bears S6201613511E 245.58 feet; thence S800091121IE 88.63 feet; thence Ely 174.01 feet along a 350.00 foot radius curve concave Sly whose chord bears S65o54138"E 172.22 feet; thence S51040'0411E 74.90 feet; thence SEly 129.16 feet along a 400.00 foot radius curve concave NEly V.ose chord bears S6005SIO611E 128.60 feet; thence S70olOI0811E 58.79 feet; thence Ely 179.83 feet along a 1138.83 foot radius curve concave Nly whose chord bears S7404113311E 179.64 feet; thence SEly 264.31 feet along a 300.00 foot radius curve concave Sally whose chord bears S5305813611E 255.84 feet; thence S28o4411411E 30.98 feet; thence SEly 151.95 feet along a 200.00 foot radius curve concave My whose chord bears S50030110"E 148.32 feet; thence S7201610611E 31.59 feet; thence SEly 171.53 feet along a 200.00 foot radius curve concave Sally whose chord bears S47o41'55"E 166.32 feet; thence S2300714411E 31.23 feet to the centerline of an existing town road and the point of termination. Subject to permanent roadway easement being all that portion of the above described permanent roadway easement lying within the above described property. All in Sections 7 and 18, Township 29 North, Range 18 West. Subject to existing highways, easements, and right-of-way of record. _ • 1 • 4 ¢ f o ! 3 0 d `+1 c c ~ ~ n 3 r* ew f. CD # (n Z N C CD CD y a N G N W (n 7 co .p (CD W 3 ° m N N- 7 'a 9 O CO O O CD -0 Q 0 c A O 7 "n cn N 3 7 0 C rte.. l~l c (D I _ W cn ~D 4 E D m c (n L (D (0 rn rn 0 W 4 f`7 N OD C~ (D 3 O O O W C' CD "lid cc 0 L CO N CO ( o O r ca c 000 Goi wl < w 3 0' 3 NNN m o m Qy I ~1 co CD 0 co Oa (v N 3 a ~ , 'I N N Z ~ Z Z 0 0 D D c CL =3 CD I m i c Cl) Q m a -I N O ccnn p Z i_ •A M N Q O, V a m z °O m o~ I v ~ a w ~ a f3D n I 0 ' F N L a Z v o m ~ ~ N II o_ N 3 2- I I ~ II N °o CD A CD N N d0 b 0 O A O F e b I O (D - ti y Parcel 042-1019-95-000 07/15/2005 02:56 PAGE 1 OF I F Alt. Parcel M 07.29.18.112E 042 - TOWN OF WARREN Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): * = Current Owner * LAMERS, GARY J GARY J LAMERS 113 E PINE ST STILLWATER MN 55082 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description * 1029 99TH ST SC 2422 ST CROIX CENTRAL SP 1700 WITC Legal Description: Acres: 8.855 Plat: N/A-NOT AVAILABLE SEC 7 T29N R18W SE SE THAT PART OF SE SE Block/Condo Bldg: INCLUD IN L OF LOT 2 D AS COM NW COR LOT 3; TH N Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 0 DEG E 551.77';TH N 88 DEG E 297.42'; 07-29N-18W TH S 0 DEG W 551.77'; TH N 89 DEG W 297.42' TO POB Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 1070/173 WD 07/23/1997 1046/521 SD 07/23/1997 835/242 07/23/1997 554/592 2005 SUMMARY Bill M Fair Market Value: Assessed with: 0 Valuations: Last Changed: 10/23/2001 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 8.855 60,000 4,500 64,500 NO Totals for 2005: General Property 8.855 60,000 4,500 64,5000 Woodland 0.000 0 Totals for 2004: General Property 8.855 60,000 4,500 64,500 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 00 Total 0.00 0.00 • o~~,e/sue/lam - G~~y Z'o5w'te_~s ego 7,9S' 6 tX sT Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page - of L Labor and Human Relations Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 8 i # s ' e. Plan must include, but ST. Cif 0/.x not limited to vertical and horizontal reference f slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and d' o neaprestoad. ay2 -~0~9- 9~ APPLICANT INFORMATION-PLEASE T ALLRP,~ TI REVIEWED BY DATE PROPERTYeWNfER: 3vYE-~ to ` PERTYLOCATION 4,4 1W LOT YY 1/4 SF_ 1/4,S 7 T L9 N,R /of E ( W j a PROPERTY WNER':S MAILING ADDRESS # BLOCK # SUBD. NAME OR CSM # 3 z 31 9 73 G CITY, STATE ZIP CODE NU CITY OVILLAGE N ?NEAREST ROAD Gvaov sT- [v]New Construction Use [,J'Residenfial / Number of b6drooms 3 [ ] Addition to existing building [ ] Replacement [ ] Public or commercial describe Code derived daily flow gpd Recommended design loading rate y bed, gpd/ft2~~ trench, gpolft2 Absorption area required 37J`- bed, ft2 37 trench, ft2 Maximum design loading rate y bed, gpd/ft2 ' J trench, gpol(t2 Recommended infiltration surface elevation(s) ft (as referred to site plan benchmark) Additional design / site consi lions 5/~T Ev,~1414 7!~y aN~ Y ,j'vrT-t 4 I E_ Fo re h o c,.u D Parent material $L$ J Flood plain elevation, if applicable ft S = Suitable for system CONVENTI MOOUNP IN-GROUND PR URE AT- S DE SYSTEM IN FILL O SING TANK iri U = Unsuitable fors stem 13 S l d'5 U 11 S SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mollies Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench O-'y /0 Y&4 • S t y , s- z io Y, 1 /3 f sde •,-vi fe as -2 Ground 3 PL-2 -S ~//F 2 40 6~- 40 f/~ i - •S elev. ft. f} i 1- 1: 1,4 c 7'oP ~i -Y 5 7,: F ~D v ' i Depth to limiting r factor /s R Remarks: Boring # Ground elev. ft. Depth to t limiting factor Remarks: ~j CST Name:-Please Print Pd 13E p T 24L Q R 1 C t4-j--- Phone: 7i5 , 3 ~G r Q Address: X57-1 Z 5,1r2_ n s• rCT NIImhAr• PROPERTY OWNER SOIL DESCRIPTION REPORT Page of PARCEL I.D. # Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence BouIfty Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed wich Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # J7. -44 r"I i. alwu Ground elev. ft. Depth to limiting factor - - 3 o o opF,~ APPo°x 2° t 1 d~ ie ~lvU,vd •S ~S Tcc~! S . ?EST 5-1 7-E- s0rr~iE- ~,e ~T .f,4,0,6:- e y C.0 e~vT- Sots- CODES . Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page of 3 Labor and Human Relations Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code RJE-P ST" or- PA&CE1 611t%ixoA/l~/ res-'co v"roLr z-)- tt? P / COUNTYST• C APO/' X Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. REVIEWEDBY DATE APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION 1 PROPERTYOWNER: 13uyeRS PROPERTY LOCATION t0SEPf{• b MARY G.AH1 GOVT. LOT 5f= 1/4 $E' 1/4,S7 T 2y N,R IIf E(oiljo PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUED. NAME OR CSM # 550 v/Ety sT. 3 .sit 3? 362.Y vo/. 5~, P . f II Z CITY, STATE ZIP CODE PHONE NUMBER EICITY []VILLAGE [MOWN NEAREST ROAD ' PAO L AJ J • 55110 Z (G/X.) 2.2.5 - /0 9d G!J/I RE'ti ~9 ( New Construction Use [i KResidential I Number of bedrooms [ ] Addition to existing building Replacement [ ] Public or commercial describe Code derived daily flow (000 gpd Recommended design loading rate ' y bed, gpd/ft2 • S trench, gpd/ft2 Absorption area required SOO bed, ft2 Sro trench, ft2 Ma)i mu design loading rate S bed, gpd/ft2 • G trench, gpolft2 Recommended infiltration surface elevation(s) 5.~2 3 ^ ~1 O It (as referred to site plan benchmark) Additional design / site considerations sae- 'Jo FS (p~ • 2- Parent material ACS 51 - T&W ETT- ` ~ Flood plain elevation, if applicable ft S = Suitable for system CONVENTIONA MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable for s stem ❑ S 0-u- I gas O U ❑ S W 2t ❑ U T o s 2tf D S Em- SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Botndary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed mr& ,Y ~>..Y Si/. z,f, sh& .w,. fR C s 24-.. .5 . Co k 7-!y io yip 313 5~•% 21f, sbk /t.% f2 cs Z 4011 , 5 . 41 f!o Ground Q 2.t y k (O fie y/7 cL Ny 511 Z, AMI hk 44A T Q G' S ~ f .5 O!X jell elev. Z•~ ft. [ I 0.38 -/.5 NR s D & , s /w. ~ e s . lapth to C - &0 7 s yR Y/& S R 'SSG s ~-1 L 41k ak 41A Uf' limiting factor8 01 s.ss. Remarks: Boring # [ 0-9 /0 Y2 C s 2 , . S 4r:: -15 io yR 313 S• z , f, she_ fQ C5 2-,- . 5 (jzt lS•i5 y~ ylY ~G.~y 51 2, bk A-, f R C S I-f . s Ground ` . ~ elev. C 25 - jo~ 7•S yR ~p .S 2. A4A 64; Mf t' C5. S y .57, ft. G y) .5 /0YR 3/y -SYR5/& Sc/ zm, bk w, L) -f I' az - Op Imp Depth to limiting Z - 1 RA<, T-0 P_E D DYJ]o i fE ,v CO lJ T~7~ N 1~ factY~.r S57r Remarks: CST Name:-Please Print ROQaRT- 24L-13 R ( C kT" Phone: ,74~ = 3 Sao - oOle-6- Address: 655 0'0 eC Rf7• [juVSo,) L0I. S4O/Cv 02 - I(- 9y CS IM 2-1/ ?2 3 PROPERTY OWNER SOIL DESCRIPTION REPORT Page Of PARCEL I.D. # 6 S-A4 3 *7 3 ~oZ- ~ vo / • y P~ . !ll Z Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed rer A I o iv y,P s 'x 2, /e YR" 313 A Pp , , z f s6K M-F,2 C-5 S Ground ~3zt e-30 /oyR / 14y S.~ 2 b~ nM-F~ CS z f S elev. 'F R • C s f s ~g••~ ft. ► c o• y ~s yR Z f She_ Depth to C 7 7 5 YR 5 SG! z b k n" v j _ N N limiting factor # 535 Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # :iih'iiri~'•`-:' Cl\ w.•::< 1 Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. f<. f U)CP P m r - r- • 0 rr, D FFI \ i~ Ak o c A R, Q v1 L c a w o r- C N. v' N . t w ~ ~ Q I , 1~ N N L I ~ G Q 4 rr ~I i w w / tl~ I I G\ x I n ~ C d Z Irt oUo i 0 w f b~ FILE0 0. CONNEII I JAAES l~ co R~pld6r of Doods ~Y Coon 3rd3624 x. 51, CIO' 1~.. Wucoo~m )o C E R T I F I E D SURVEY \ gv 33 \ \65155\. 1 00 ro IAN . 00 MAP 356 6, 1~ , ^t 1 A-11 6\9A LOCATED IN SE I/4 OF THE SE 1/4 OF SECTION 7 6 1 0 yno~ll J3 AND IN THE NE 1/4 OF THE NE 1/4 OF SECTION 18, T 29 N, R18W, TOWN OF WARREN, ST.CROIX COUNTY, I m. I %2 WISCONSIN v' , -o O ,a < I s~ lp I ~c% *,k0 Nll~ `0. %A SCALE IN FEET I 1001 I o S~ O '17 `PO. J1 o O 0 100 20d 300' I I 'Vn % ~ t^ `(n Oe ~Ip 'C~' 'V~' ' 2 „ ~9~0 - ~`I' 'N r LEGEND 0 A - 0 o 9 ot 0 `~~O~ ~~.a~GO SECTION CORNER MONUMENT I $ o 0 'm ®AASe i T~n+ Z I;;IRON PIPE FOUND I V O \,CO 0 I "X 24" IRON PIPE WEIGHING 1.68 LBS. / LIN. FT. SET i 'T1 I I $3'~3\ O ! m~ I 35\~ O4A5~ ~ O I~ I ~Iw ~i~ %~i I I 0. -4_I a02ag5 O'S p 9 ; < I 8 0 ( 9 j 00 Ii 1 f 9 ~O 7 14 0 OVA % ,D ,y 11 0o s o 0 1 1 11 I fccp g262 , ~ 6Z9~N3g05g'/ ,e J AP ROVED . 12646, SEA 1 -1981 AyA ~3 ~ I .'i: J;X L• •11:.1 ilt151Vc PAR PLANNING ~.r-... ' I.. _ - .*Na IQ.-4INO CO ITTEE I ' 1 s ~0 s ~ y N N\r cS~ 9g„ 11 I I ~Gw 0 Z I 1 ~ V,, O: N II I , 9 O( 0-p F (l~ ey9 5, O A I I O~ 'tt ~iP 0-00 O--7 lI ~ p o~~~ ~3\1' NOS- I l I 1 0 SAN < ,a n \_P' 'F'7 oei-vU y0 i 4C- -`7 J . 7aS77 / 2 c- uRe~vT sots cc~D~ s . Wsconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page / of 3 Labor and Human Relations Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code RE`re5T- at` PARCE1 6F_%i,vA1Iy T-ES~rtd sOLy 11- terP/ COUNTYsT c,E~o/'X Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but PARCEL I.D. # not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or dimensioned, north arrow, and location and distance to nearest road. APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: R u ytFR S PROPERTY LOCATION U'0SFPtt d MARY GA-11 GOVT. LOT 51= 1/466- 1/4.S7 T LF N.R I ~ E (00 PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM # 1(/ Z S5o UiEcv sT. 3 3-~34z.y VO/. y, P CITY, STATE ZIP CODE PHONE NUMBER CITY VILLAGE 010WN NEAREST ROAD ST PAV L ~-t 0. 55 fo Z. (&/L) a25 - /D 70 GtJ4,RfE.v 99 - [ New Construction Use [Residential / Number of bedrooms [ ] Addition to existing building ] Replacement [ ] Public or commercial describe Code derived daily flow (000 gpd Recommended design loading rate ' y bed, gpd/0• S Wench, gpd/1112 Absorption area required ,SOO bed, ft2 5 C00 Wench, ft2 Maximum design loading rate • S bed, gpd/ft2 • G trench, gpd/ft2 Recommended infiltration surface elevation(s) S-,W- • 3 - It O It (as referred to site plan benchmark) Additional design I site considerations 5E4E- uo ES ~!~t • 2- Parent material 10-C5 51 - T& W E TT Flood plain elevation, if applicable ~I • • it r: U i L U C i 1- ro, SYS N FILL 7 HOLDI S = Suitable for system CONVENTIONAL, MOUND IN-GROUND PR URE AT G DE❑ U ❑ T III IT ❑ S NG~ U = Unsuitable for s stem ❑ S 21 O U ❑ S 26 1 1~ SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft Boring # Horizon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trer>ch .w. fR w. .5 . G o - 7 /o ,P -~Z 511. z, f, 04 5 y z 9-!y io y4 313 5.•% 2,f, 5bk- nMf2 cS z..,.1- .5 Ground Q Zt- y' 30 /a y le y/Y Z, V~ hk 4% C S f S 6o elev. .6 wjee eA &V 'v ft. C O 38 7.5 N R "7 zpth to c (oo -7. s yR S rR S L L iw% b k 4,A U j 2 N >J limiting OP R O'(o F~Pq~Tti D Oolo .tom ,vcov 7`~~ factor Remarks: Boring # [ 0-9 /d YR ./z Si/ ,f, Sbk iw+-F tZ C 5 1 .1, . S. •6o ,r2 4 z -15 ioYR 313 5•/, s6K +,4e C5 2--, s apt ts•)_s /o yR y/y Ground / S z 5 4& A wf f • CS . S_ elev. C LS -y 7.5 yK Ate.. y (p C "Y2752-1 vR /Y _5 'Depth to limiting Z ' fz RhLY 0 P_E D 1) V 1 o i7(-E- 67,L) CD U T~7~ N NI factor sss Remarks: CST Name:-Please Print RD(3EI?T- 24-0 R t c- kT Phone: 715-- 386 _ R es" Address: 6Sc; D oat Rd7 ~~U~So~ Lvl. SYo/~v eZ - yy cSrm 2-1/c~~_ I r • y PROPERTY OWNER SOIL DESCRIPTION REPORT Page Z., of -3 PARCELI.D.# 3 CSM 373 6112- / VOI v P,jq .1/12- Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trends Av ye 2-12- P_ •f She ,w.-F /2 c 5 . S G > A2. i° YR 3/ 3 S.% Z f s bk ,,,,f c S Z . S • G Ground Bit e"30 y4y/~ y ~it<yEvipiG~ic~j)• s.~ 2 e., bK nti.~i CS 7-F S elev. ~g rt. I l C o y -7. s yR y s/ z f 5d4 111A s s Depth to G 7 7.5 yR e6 z s Sc/ z ,w, bk v t'__ N N limiting I F_ factor „ s~ Remarks: Boring # Ground elev. ft. 9 t Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks:..... _ _ Boring # Ground elev. ft ~ cn 5) p rn C w~ ~ C I ~ a I~ I r l o d 2 r I 0 • w i i w ~ c r