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HomeMy WebLinkAbout032-1062-80-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division Sanitary Permit No: INSPECTION REPORT 552308 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: 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 Parcel Tax No: Town of 032-1062-80-000 ` Somerset, L tie, Roxanne & Jeff CST BM Elev: Insp. ~Elev: BM Description: , Section/Town/Range/Map No: 6'61 23.31.19.315D TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER i✓V35 CAPACITY STATION 7BS I6 HI FS ELEV. -64 , Septic rJ Benchmark C, MAX, /04c:, W t`e~atn.r S f Z Alta BM L.- (fz 4, Aeration Bldg. Sewer Holding St/Ht Inlet TANK SETBACK INFORMATION St/Ht Outlet 16.13 q~g .23 TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet /0. 12 dc-L A ~ V b Septi Dt Bottom ox"M 66 A/5 -7 0 L) Header/Man. 77, Iz50 S /O AD o air I ~o Aeration Dist. Pipe q 57 , (p Holding tot. System ° ~.y Final Grade I PUMP/SIPHON INFORMATION * '78 Manufacturer Demand St rCover r ~r GPM rI'~ L10vE.L. O 5 Model mber TDH ift Friction Loss S Head H Ft Forcemain Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM BEDITRENCH Width / Length / No. Of Trenched PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS v? T Z SETBACK SYSTEM TO P/L BLDG WELL ` LAKE/STREAM LEACHING Manufacturer: II INFORMATION CHAMBER OR ^~r~~rft'7a Type Of System: /b/ / . 1 Qr UNIT Model Number: ll. ~ar~ /v ,v DISTRIBUTION SYSTEM iWc}6>~ aEa ,Z1c ! 2b+Zb Zb Header/Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) Length Dia_ Length ` Dia ` Spacing SOIL COVER x Pressure; Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth f 1xx Seeded/Sodded Ix Mulched Bed/Trench Center ZI Bed/Trench Edges Topsoil Yes 0 No Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:Z ~Z Inspection #2: Location: 681 205th Ave. SOMERSET, 54025 NE 114 SE 1/4 23 T31 N R19W) NA Lot 1 ~~5 Can Parcel No: 23.31.19.315D ~ 1.) Alt BM Description 6 2.) Bldg sewer length = t x, - amount of cover = i-T Plan revision Required? ❑ Yes <No 7-11 ur Cert. No. Use other side for additional informati n7, Date Insepctor's Signat SBD-6710 (R.3/97) Ahw~ commerce.wl.gov Safety and Buildings Division County ~Y ® 201 . Washington Ave., P.O. Box 7162 St. Croix 'sco Madison, WI 53707-7162 Sanitary Permit Number (to be filled in by Co.) Department o Commerce L, 5 2-30S Sita A lication State Transaction Number Al~ In accordance with s. Comm. 83 1(2), this form to the apri go Project Address (if different than mailing address) unit is required prior to obtain 'g a plication forms for state owned submitted to the Department of nal information you provide may be use econ Same purposes in accordance with the Pr aw, s. 15.04 1 m , Stats. 1. Application Informati Please Print All Information Property Owner's Name Parcel # Jeff& Roxanne Lytle 032-1062-80-000 Property Owner's Mailing Address Property Location 681205 Ave. Govt. Lot City, State Zip Code Phone Number NE.,/,, SE'/<, Section 23 Somerset, WI. 54025 (circle one) II. Poe of Building (check all that apply) Lot # T 31 N; R 19 W 911 or 2 Family Dwelling - Number of Bedrooms 4 1 Subdivision Name Block # CSM Vol. 1, Pg. 1 El Public/Commercial - Describe Use l(Vt~ Na ❑ City of ❑ State Owned - Describe Use CSM Number ❑ wi e of 01-0001 032-56 El'Townof Somerset III. Type of Permit: (Check o ly one box on line A. Complete line B if applicable) A" ❑ New System Re Placement System 11 Treatment/Holding Tank Replacement Only El Other Modification to Existing System (explain) List Previous Permit Number and Date Issued B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New Before Expiration Owner IV. T e of POWTS S stetn/Com onent/Device: Check all that apply) ET'N,n-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil ❑ Holding Tank ❑ Other Dispersal Component ❑ Pretreatment Device (explain) V. Dispersal/Trea ent Area Informatio : 60 Infiltrator -4 Plus" Standard chambers & 6 endca s, Pol Lok PL-525 effluent filter Design Flow (gpd) Design Soil Application ds tspersal Area Required (sf) / Dispersal Area Proposed (sf) System Elevati p 600 gpd 0.50 gpd/sq. ft. 1,200.00 sq. ft. V 1,230.60 sq. ft. ✓ 97.40' VI. Tank Info Capacity in Total # of Manufacturer Gallons Gallons Units d o b New Tanks Existing Tanks Qn~ Y$ 2 w g a` U v~ y ~ w C7 Ci. 1 0 Septic or Holding Tank 1,250 1,250 1 Wieser Concrete X Dosing chamber Na Na Na Na VII. Responsibility Statement- I, the un rsigned, assn a responsibility ' t ation of the POWTS shown on the attached plans. Plumber's Name (Print) be ' Sign r MP/MPRS Number Business Phone Number James K. Thompson S MPRS 30021 (715) 248-7767 Plumber's Address (Street, City, State, Zip Code) 340 Paulson Lake Lane, Osceola, Wl 4020 VIII. Coun epartment Use Only Approved ❑ 'sa roved Permit Fee Date Issued Issuing A Signature $q75a az-iZ Own enReas or Denial IX. Conditions of Approval/Reasons for Disapproval Crd P4, SYSTEM OWNER: J 1.. '$eptic tank, effluent niter and dispersal cell must all be services I maintained 60 as per management plan provided by plumber. 2 A110(back requitements must be maintained as per a Code / ordinances: Attach to complete plans for the system and submit to the County only on paper not less than 8 1/2 z I I inches in size SBD-6398 (R. 02/09) Valid thru 02/11 Conventional POWTS Index & Tilte Sheet Project Name: Lytle 4 bedroom Replacement Conventional POWTS Owners Name: Jeff & Roxanne Lytle Owner's adress: 681 205th Ave., Somerset, WI 54025 Site address: Same Project Location: Subdivision: Lot 1, CSM Vol. 1, Pg. 1, Doc. #01-0001032-56 Legal Description: NEl/4 SEl/4, Sec. 23, T.3 IN., R. 19W., Town of Somerset, St. Croix Co., WI. Parcel ID 032-1062-80-000 Page 1 Index and Title Sheet Page 2 Site Plan Page 3 Dispersal Cell Sizing Calcualtions Page 4 System Cross Section Page 5 System Management Plan Page 6 Filter Specifications Page 7 Septic Tank Cross Section Page 8 Parcel map Page 9 Septic Tank Maintenance Agreement Page 1 D Waranty Deed Attachments: Soil Evaluaiton Report by Thomas J. Schmidt, 10/21/2011 Mater P ber Restrict d Service: James K. Thompson, Dep't. of Comm. Credential #30021 ~_t Signature: Date: Page 1 Of 10 Design pursuant to In-Ground Soil Absorption Component Manual for POWTS, version 2.0 SBD-10705-P (N.01/01) ~ CX/~~+rrg ~~'~c.oll t.l ett , gxaane- Ly,6/e ~ 8/.zos~/1dc. O ~~cf3 e f u7/. SS~o~ S r!E`'ysEyy, Se C, 13, 4C-l. Ae03.Z-106.2-90-a~ hc27 /Soac"cs sswne a a✓.' = /d0. cYl.~ Gyi's n9 drywcll6vbe aba,doned P,~P~scdc.~;cscr~,c as pu de. wtPl,.z5oMR S,T. ~ ~w'~blrl.~t'rl-sas / eFF/ucrtE S•l~sr E,:,qq s. r. 160 be systo'muitd abw,aleV~cdas~p~,~de~1 #4116 {•~b Pve°. B3 / / / 'C54 Gr~+ ° /oG.15•' ~ L~('i Jew c„y / / ~a/2152 ~ buy/d/ Scwar dccK d ~ / A!f • irl : ,Bath ~ A5i3C~i Well . / 1Qe5,clence a4►, prooo.scd c~,'soer, ~c//, ec (3) xl~es 44 <5 ,oe, ,6~c roc ,1, • 16,E dive :5"P Act Oct-' to be 97. s/o' gA 0~ /0 LYTLE DISPERSAL CELL SIZING CALCULATIONS 1. (4 bedrooms)(100 gallons estimated flow)(1.5 design factor) = 600.00 Gpd design flow 2. Infiltrative capacity of native soil = 0.5 gpd/sq. ft. 3. Absorption area required: 1.200.00 sq. ft_ 4. Absorption area as proposed: 1,230.60 sq. ft. (60 chambers total) Infiltrator "Quick 4 Plus" = 20.00 sq.ft. EISA per chamber, Infiltrator "Quick 4 Plus" end cap = 5.10 sq.ft, EISA 1,200.00 sq. ft. - (6 endcaps)(5.10) = 1,169.40 sq. ft./20.00sq.ft. EISA = 58.47 chambers required Number of trenches: 3 @ 20 chambers per trench (60 chambers total) Trench width: 2.83' Trench length: 83.00' Trench spacing: 9.00' on center Total system area w/ 6' trench spacing: 21.00'x 83.00' Pg. 3 of 10 i Soll Absorpdon System Cross Section ! o~.7s' 9 9.7s , /0.zS ft / o-Z.Z,sft 4" schedule 40 Final Grade PVC Vent Pipe With Vent Cap 8 f/d ft Leaching Chamber system Elevation a,83 ft (v.cx) ft Coco ft Soil Absorption System Plan View ft Z.v~'3 ft C'. 00 ft 7- Leaching Trench 1 Chambers 4" Dia. Trench 2 Header Vent Or Observation Pipe IIIII Trench 3 Leachina Chamber Snecfffcadons Manufacturer And Model EISA Rating LO. D sq ft per chamber Soil Application Rate & S-0gpd/sq ft 640 gpd Design Flow + (0,54 Soil Application Rate 20• EISA = (PO Chambers 3 rows of .Z® chambers each. Page of ~0 Conventional Septic System Management Plan Pursuant to Comm 83.54, Wis. Adm. Code General The conventional septic system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall be maintained in accordance with component manual SBD-10705-P (N.01/01). All local and/or state rules pertaining to system maintenance and maintenance reporting shall be complied with. Septic Tank Septic tank servicing mechanics comply with Comm. 83.54(1)(e). Septic tank to be located within 150' of service pad, with bottom of tank to be 15' below service pad elevation. The operating condition of the septic tank and outlet filter shall be assessed at least once every two years by inspection. The septic tank contents shall be removed when the sludge and scum in the tank exceed 1/3 the liquid volume of the tank. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code, by an individual certified to service septic tanks under s. 281.48, Stats. If the contents of the tank are not removed at the time of a biannual assessment, maintenance personnel shall advise the owner of when service will be needed to maintain less than 1/3 scum and sludge accumulation in the tank. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated. Septic tank manholes risers, access risers, and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8 inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into the tank. No individual should ever enter the septic tank as dangerous gases may be present that could cause death. Septic tank abandonment shall be in accordance with Comm83.33, Wis. Adm. Code when the tank is no longer used as a POWTS component. The addition of biological or chemical additives to enhance septic tank performance is generally not required. If such products are used they shall be approved for septic tank use by the Department of Commerce, Safety and Buildings Division. Soil Absorption Cell Trees or shrubs should not be planted directly on the soil absorption system. The area above and around the system should be seeded and mulched as necessary to prevent erosion and provide some degree of frost protection. Traffic (other than for vegetative maintenance) over the system is to be avoided. Soil compaction may hinder aeration of the infiltrative surface within and above the system and will promote frost penetration during cold weather months. Cold weather installations (October-March) dictate that the system be heavily mulched for frost protection. Influent quality into the system may not exceed 220mg/L BOD5, 150 MG/L TSS, and 30 mg/L FOG. Influent flow may not exceed maximum design flow specified in the permit for the installation. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner. Levels above 4 inches indicate an impending hydraulic failure requiring additional, more frequent monitoring. Contineency Plan If the septic tank or any of its components become defective the tank or component shall be repaired or replaced to keep the system in proper operating condition. Excessive ponding within the dispersal cell will be eliminated by installing a new soil absorption cell to bring the system into proper operating condition. Questions on the operation or maintenance of the system should be directed to the installing plumber, Jim Thompson at (715) 248-7767 or the St Croix County Zoning Department at (715) 386-4680. Pg. 5 of IV I: ra{ • ® Filters PL-525 EFFLUENT FILTER ( M ERCIAL) Polylok, Inc is pleased to add its new commercial filter to its existing line of quality effluent filters.The PL-525 is rated for over 10,000 GPD Alarm per day) making it one of accessibility " extension is PVC (gallons er da extension handle the largest commercial filters in its class. It has 525 linear feet of 1/16" filtration slots. Like the Polylok PL-122, the new Polylok PL-525 has an automatic shut off ball installed 525 linear feet with every filter. When the filter is of 1/16° removed for cleaning, the ball will filtration slots Rated for over float up and temporarily shut off 10,000 GPD the system so the effluent won't leave the tank. No other filter on, x the market can make that claim! Accepts 4" & 6" SCHD. 40 Pipe ~3 PL-525 Maintenance: The PL-525 Effluent Filter should operate efficiently for several years b; under normal conditions before requiring cleaning. It is recom- mended that the filter be cleaned every time the tank is pumped or at least every three years. If the installed filter contains an optional alarm, the owner will be notified by an alarm when the filter needs servicing. Servicing should be Gas deflector done by a certified septic tank _ Automatic shut-off pumper or installer. ball when filter 1. Locate the outlet of the U.S. Patent No# 6,015,488 is removed septic tank. 5,871,640 2. Remove tank cover and pump tank if necessary. PL-525 Installation: 1. Locate the outlet of the 3. Do not use plumbing when septic tank. filter is removed. Ideal for residential and com- 2. Remove the tank cover and 4. Pull PL-525 out of the housing. mercial waste flows up to pump tank if necessary. 5. Hose off filter over the septic 10,000 Gallons Per Day (GPD). 3. Glue the filter housing to the tank. Make sure all solids fall 4" or 6" outlet pipe. If the filter is not centered under the back into septic tank. access opening use a Polylok 6. Insert the filter cartridge back Extend & Lok or piece of pipe into the housing making sure to center filter. the filter is properly aligned and 4. Insert the PL-525 filter into completely inserted. its housing. 7. Replace septic tank cover. 5. Replace the septic tank cover. I ~Q7z, /a j . 521" 41 z 84" r m N -1 II ` / I \ ~ 8a Q 44" I 5" O rr.~i m I NO < < W AI~ m m rmOm mXX I I ~ \ II / ~ II ~ / 39" D z O T. C (n --i r D m m n z c C U7 m O D C Z N m (A a D r 2 C p C.) Z O 0 0 r r O Zz N D D :Ez pZ DOZ a D G7a D ~C Wm2Kt7 W `Ll CC 3 WN m z Z r~ n ~~n D ~cnz D Z ~~rm-azm>oo>L G (A Z m m ~ m a r.. p CIrT1D D mna -7n 2pr=nmmAOrN r C m F D N r-iZ n AOZ(D --j Lf) fir-- m~r0 ~N r- c: O L/) \ C < O n m (n -A i --4 -1 Do m r CO U m (n A O m M 2 m Z Dr- m nDm Comm -NN m\ m N m _m r0 a D O Co ym W ~tn~ N I --1 Or ~p0 JN ~N n N D mm nv ? mmm m rw~o\N n ~C] m a n N --I r ap D D W e - p n \ O Z C { C) C) m m Ir- U) m N O 0 0 '0 CN D m D D m p N 3 mO D chip 2rz ~0 n n v zm C w z AdOa WO ~n Q n - p V) m A n O I _ D D vm O'C z O -1 r F m n z c: m r m Q n0 N O n ~ a OZ A O C z m 2 O m (A 1n A D n A O < -i O m r m p z m F O m c m z O D r m x m N K m A m m -4 m z m z (A r -1 \ O (A WLP1250-MR MIESER CUACAETE SCALE:1/4" = 1' REV NO. DATE: m DRAWN BY:SWT Z SEPTIC MANUAL W3716 US HWYIO. MAIDEN ROCK, W1 54750 DATE: JANUARY 2008 `J REV. JAN. 2008 800-325-8456 FILE: WLP1 250-MR . T o~/D p v ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM 19 Owner/Buyer Z-Y6 Mailing Address ~s 5~0.25~ Property Address 6j a,-,?e (Verification required from Planning & Zoning Department for new construction.) City/State 5 "DI Parcel Identification Number Z _ lQ~z_ 8~- ~f , LEGAL DESCRIPTION Property Location 17C '/4 , 5L_ V4 , Sec. .2-3 , T / N R /5? W, Town of som er C6 Subdivision Plat: fL.5_/_0 , Lot # Certified Survey Map # 0/-6V0/ 0 3~2-- , 6 , Volume Page # S3 Warranty Deed # X763 A (before 2007)Volume 333 , Page # Spec house ❑,~O ` o Lot lines identifiable es ❑,m- 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. I/we certify that all statements on this form are true to the best of my/our knowledge. I/we am/are the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Numb of bedrooms - SIGNATUA PPLICANTS 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. 09/07) q o,' /D } isconsin .•--~''~~G.'~ SO EVALUATION REPORT #1659 Department of Com in a ance with Comm 85, Wis. Adm. a Page 1 of 3 Division of Safety a Bull S 46 lk~ Schmitt Soil Testing, Inc. Attach complete site plan n paper n IN lets iga x 11 in sin size. Plan must our St. Croix include, but not limited to: ertical I o onta, t (BM), direction and percent slope, scale or dim nsion 5 orth~ w~\ nd distance to nearest road. Parcel I.D. _1062-80-000 315- se pr y/ ' adon. Aevieweo B ate Personal information you provide a? for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Z Z 0 / Property Owner Property Location Lytle, Jeff & Roxanne Govt. Lot NE1/4, SE1/4, S23, T31 N, R1 9W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 681 205th Ave. 1 CSM 01-0001 032-56 City State Zip Code Phone Number ❑ City ❑ Village ❑ Town Nearest Road Somerset WI 54025 715-222-0353 Somerset 205Th Ave. ew-Canstruction Use: M Residential / Number of bedrooms 4 Code derived design flow rate 600 GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material Outwash Plain (GoC Gotham Flood plain elevation, if applicable na ft. General comments and recommendations: Area is suitable for a conventional system with 0.5gpd/sgft rate. Possible system ele~tipn for. Sy J replacement area is 97.40'.Exact elevation of building sewer must be determined , % F1-1 Boring # F] Boring -J3. 3 3 ® Pit Ground surface elev. 101.97 ft. Depth to limiting factor 110+ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-10 10yr3/4 none Ifs lcsbk mvfr as 2m,2f .5 1.0 2 10-23 10yr4/4 none Ifs lcsbk mvfr gw 2f lvf .5 1.0 3 23-42 7.5yr5/6 none fs Osg ml gw 2f,1vf .5 1.0 4 42-71 10yr4/6 none fs Osg ml Cs 1vf 5 1.0 5 71-110 10yr6/4 none ms Osg ml 7 1.6 2] Boring # ❑ Boring ® Pit Ground surface elev. 101.77 ft. Depth to limiting factor 105+ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 *Eff#2 1 0-11 10yr3/4 none Ifs lcsbk mvfr as 2m,2f .5 1.0 2 11-24 10yr4/3 none Ifs lcsbk mvfr gw 2f lvf .5 1.0 3 24-35 7.5yr4/6 none sl 2msbk mfr gw 2f lvf .6 1.0 4 35-62 10yr5/6 none ms Osg ml Cs lvf 1.6 5 62-105 10yr6/4 none fs Osg ml .5 1.0 r/ * Effluent #1 = BOD 5> 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD5 <_30 mg/L and TSS S_30 mg/L CST Name (Please Print) Signature: CST Number Thomas J. Schmitt 227429 Address Schmitt Soil Testing, Inc. Date Evaluation Conducted Telephone Number 1595 72nd Street New Richmond, WI 54017 10/21/2011 715-247-2941 SBD-8330 (R.07/00) t Property Owner Lytle, Jeff & Roxanne Parcel ID # 032-1062-80-000 Page 2 of 3 ❑ Boring # El Boring ® Pit Ground surface elev. 98.67 ft. Depth to limiting factor 96+ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0-10 10yr3/4 none Is lcsbk mvfr as 2f,lvf .7 1.6 2 10-19 7.5yr4/6 none Is Osg ml gw 2vf .7 1.6 3 19-33 10yr5/6 none ms Osg mfr gw 1vf .7 1.6 4 33-96 10yr6/4 none fs Osg ml .5 1.0 ❑ Boring # ❑ Boring ❑ pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft' 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. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/f 2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'EM ' Effluent #1 = BOD5> 30 < 220 mg/L and TSS >30 <150 mg/L ' Effluent #2 = BODS < 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) Schmitt Sol Tesum, Inc. Page 3 of fir' Conducted by: Conducted For: Schmitt Soil Testing, Inc. Name: Jefi& Roxanne Lytle Thomas J. Schmitt, CST 227429 Address: 681205th Ave. 1595 72nd St. City, State, Zip: Somerset, W154082 New Richmond, WI 54017 Phone: 715-10-1978 PID: 032-1062-80-000 signature /G Lot No.: 1 Date A -.2 -,2~:, LI Legal Description: NE1/4 SE1/4 S23 T31N R19W Backhoe Pit Township, County: Somerset, St. Croix County Bench Mark 1 El. 100.00' Top of 1" pvc pipe Bench Mark 2 EI. 108.29' Bottom of siding on Northwest comer of house. /lope-- 12% amp qs ` Dtje l /10 6 2 ~Cr}ub le / 14 51ked CfirSt+ ld Govaq e / 93 S6' g, ~ w -u a ~ou5~ e Id tar lao' or r lam' ,:I 643544 KATHLEEN H. WALSH State Bar of Wisconsin Form 5-2003 REGISTER OF DEEDS PERSONAL REPRESENTATIVE'S DEED ST. CROIX CO., WI RECEIVED FOR RECORD Document Number Document Name 01130/2007 10:40AK PERSONAL REPRESENTATIV EXEMPT # THIS DEED, made between Katherine E Stouvenel REC FEE : 11.00 as Personal Representative of the estate of Karen L Rapp a/k/a Karin L. Rape TRANS FEE: 435.00 ("Decedent"), COPY FEE: ("Grantor," whether one or more), and Roxanne M Lytle CC FEE: PAGES : 1 ("Grantee," whether one or more). Recording Area Grantor conveys to Grantee, without warranty, the following described real estate, together with the rents, profits, fixtures and other appurtenant interests, in St. Croix Name and Return Address County, State of Wisconsin ("Property") (if more space is needed, please attach addendum): David J. Estreen That part of NE 1/4 SE 1/4 Sec. 23-T31N-R19W described as follows: Lot 1 of 304 Locust Street Certified Survey Map recorded in Vol.1 of Certified Survey Maps, page 1 as Doc. No. 248542. St. Croix County, Wisconsin. Hudson, WI 54016 114 6O~( 032-1062-80-000 Parcel Identification Numben(PIN) This is homestead property. (is) (is not) Personal Representative by this Deed does convey to Grantee all of the estate and interest in the Property which Decedent had immediately prior to Decedent's death, and all of the estate and interest in the Property whichthe Personal Representative has since acquired. Dated d f I ~d PERSONAL REPRESENTATI ly c~C.zi (JJAL) (SEAL) *Kath ine E. Stouvenel AUTHENTICATION ACKNOWLEDGMENT Signature(s) Katherine E. Stouvenel as Personal Representative of the estate of Karen L. Rapp, a/k/a STATE OF ) Karin L. Rapp ) ss. authenticated on Of COUNTY ) ice. Personally came before me on *Kristina O eland the above-named TITLE: MEMBER ST TE BAR OF WISCONSIN to me known to be the person(s) who executed the foregoing (if not, instrument and acknowledged the same. authorized by Wis. Stat. § 706.06) THIS INSTRUMENT DRAFTED BY: Notary Public, State of Attorney Kristina Oeland My Commission (is permanent) (expires: ) Hudson, WI 54016 (Signatures may be authenticated or acknowledged. Both are not necessary.) NOTE: THIS IS A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED. PERSONAL REPRESENTATIVE'S DEED © 2003 STATE BAR OF WISCONSIN FORM NO. 5-2003 JO off'/v To wn/ ,Qora A4 B7 ~ - 620.0 iE' ro East corner Q9°S/' 264•Q 90°0 Sec. 239T.31 N. R.19 W. St. Croix County, Wisconsin N N~ O Iron pipe stakes Scale 1" = loot 90°09 • B9 SY a.o AAA 7 ° 4/'W. I hereby certify that I have surveyed and divided the lands shown hereon and that the following is a true and correct description of the exterior boundaries of said lands Commencing at the East j corner of Section 239 Township 1 North, Range 19 West in St. Croix County, Wisconsin; thence North 87 degrees and 41 minutes West, 620.0 feet along the East and West j line of said Section 23; thence South 2 degrees and 10 minutes West 33.0 feet to an iron pipe stake the point of beginning; thence Sou h 2 degrees and 10 minutes West, 24.5 feet to an iron pipe stake; thence North 87 degrees and 41 minutes West, 264.0 feet to an iron pipe stake; thence North 2 degrees and 10 minutes East 214.5 feet to an iron pipe stake; thence South 87 degrees and 41 minutes East, 26+.0 feet to the point of beginning, I have complied with all the provisions of Chapter 236,34 of the Wisconsin Statutes in surveying and dividing the above described lands. The map shown hereon is a true a nd correct representation of the exterior boundaries of the above described lands. The surveying and dividing of the above described lands was dons by me at the order and direction of William Be and Lucille Baillergeon, owners of said lands. Dated September 24, 1956 Evan yner, Aand Surveyor ~\$CO NS/ A), 5-429 s' .a u. 4 Certified Surveys - St.Croix County, Wisc. volume Page - cr/b