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028-1037-20-001
~ i a o ~ Oo I C o I 3 0 3 o I M p ea p r» 1 M 0. 0 O M ~ C L\ li O N n O I C I tr C 'Q O 2 i I fp i N I N I ~ Z C Z LL LL C _ O C 0 C "O N 'O O Q E Q N N M D co V C N ~ 111 w E E " z o w o a l E ° E z > L v u`, m I-- N> d m d m li N F- Z c O O z d c d 2 d 2 c Z N F- r E a c v a N O N 0- 0 0) a. c .m O C~ Q Q Q O Z m Z O Z Z o N z y c M N N N O tI7 CL - R ~5---•` > Q y w N C o C) D ED 8 ~l co j d - a w `o G C] a c N o 'o 0 0 a- o E c m Q o to N N o LO FN- F- Z yam 333 aJ °o! z • o a 09 a a M "IVA ~v a CE 00 00 J cc E u-) LO rn rn E rn rn } I C n tD N N ~~l N O n ^ E - > rn C. Q O\ > 0 0 m) c LL L m f3) Q '6 m Q r" , 7 d Q}% d Q Z u7 ~N 'O N C 1~ ~O c 111 C LO !Ri r 3 o a E co C: O F- c a~ c N ~ 0 m 00 © E oN N U o a~oi E a c v O M > O C CO O C O N 4 Oob N ; N O Z n O '00 F- N r lry~'~ E O y O E U • ~h1 i~a O N CY 2 M 2 F- CO N O Z N Z U) E :E E r'S'\' w E d E d V~ c, m a y a ~ xt a a -il., L: L: CL 1 d C d y c E` -E j c 3 o in v A U a 2 0 N V 0 Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Pa \ of 3 Labor and Human Relations - Divisi-on of safety 8 euil6ngs in accord with ILHR 83.05, Wis. Adm. Code ► COUNTY ST t~ l x Attach complete site plan on paper not less than 81 ► e-1 ' e. Plan must include, but not limited to vertical and horizontal reference po ) odioI arty C f slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and di nearest roa . O Zs - 1037 Z.o _ 0 0 1 REVIEWED BY DATE APPLICANT INFOR TION- LEA ALL ,~~bMAT10 ti PROPERTY OWNER: 14 V_ ~ ~ ; , •.,':;:yJ ERTY LOCATION, 1/4 NF 1/4,S I1 T ?,FA N,R 1`i E (or)l~) PROPERTY OWNER'.S MAILING ADDRESS BLOCK# SUBD. NAME OR CSM # \13 sy t9s LI l 11 )1QL_. ~A* - cs~ ~t1t_ 6 , t~q ~s39 CITY, STATE ZIP CODE ❑VILLAGE MOWN NEAREST ROAD ~}A~twto►v~ w S u v s t ~N6 Y c~ ~,g ~tv~R ! 4~ T)f H)U [ j New Construction Use W Residential / Number o s 3 [ ] AdditiQ`n to existing building j~ Replacement [ ] Public or commercial describe Code derived daily flow 145o gpd Recommended design loading rate o •q bed, gpddt2 trench, gpolftl Absorption area required 3 -13 bed, ft2 3"1 S trench, ft2 Maximum design loading rate 13, S bed, gpd$ 0 • b trench, gpd/ft2 Recommended infiltration surface elevation(s) 1 1W. S It (as referred to site plan benchmark) Additional design / site considerations 'F't Wh_% w/ 8 ' YL 4 e p , h I AJ . 1 ' or- S AA-,b F= %~L- . Parent material _ 5 M 1 M evT oUen S at C H Flood plain elevation, if applicable ►v -A , ft S = Suitable for system CONVENTIONAL MOUND IN GROUND PRESSURE AT-GRADE SYSTEM IN RUL HOLDING TANK U= Unsuitable for stem ❑ S ®U ®S ❑ U ❑ S O U ❑ S ® U ❑ S Q$ U ❑ S 1011 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 retch 1 0-9 \o 11, V__zLZ Stl Z`~ Sb wt`F~ e_- S - o"S o_ ~k VA 0-S o• s u _ L Ground 3 26 -3D l0`-[ VZ 3 14 - S) \ cSbFz yh v `I,' d-5 elev. y FZ ~.S`iP_.S/g 100.3 ft. 30_y0 l rs'll 3l re 1b 6 S 1 \ ~gdk U CLI' Depth to S yp S I -).SIR Y /Y L t S l ~ *I U il. limiting factor 3 ►t Remarks: Boring # o-~ tio~R-ztZ S i l 2 `FSbh; r1~~. S 0. S (1.6 Z- Z ~-1g 10 2 Sty - Sl 1 Z`Fsdk w~'~►- cS 0.5 € o- L Ground 3 4_33 )-,3vk V/y sl-1s \cs~k vnv~I (n, _ o•y io•s f lev.(,ft 33-5Z -)•S 72 31Y ~l s'a- S/g Cwt. s1 CN 1h ril- L rTyv ru S ► v "~(_11 Depth to limiting factor 3 Remarks: T Name.-Please Print Phone: Arthur L. We erer 715-425-0165 egerer Soil Testing & Design Service-P.O. Box 74 River Falls,WI 54022 Signature: Date: o CST Number: 3-e_ -ct M00576 PROPERTY OWNER %Q-bST SOIL DESCRIPTION REPORT Page 01 PARCEL I.D. #t OZ8- 1A3~,z0- 001 • Depth Dominant Color Mottles Texture Structure Consistence Bour~y Roots GPD/ft Boring # Horizon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Tnch 3 I 0-9 W`12 313 51bk WLTy cLv a - -S o- 6 Z 19-U tio~`z 3J6 _ Si 1 Z.w►sbk rn~l- &wj - U.s o-b Ground 38-V(4 ti0`1 fZ 3/6 - S) \CSbk V~4- CS - 0 0'-s elev. ~o alb lF v,1 g I t~-Sbh ~ vil,- cs - ft. S`tR 3 Depth to -S 7y -S`ttR Y l~ J,L z 'SyR Sly S, SS o O - m 1 - - VA U limiting factor 5 S Pt S t S d S w k~ C~1 s POTS Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # <t3 Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(8.05/92) Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page 1 of Labor and Human Relations D'n4sion of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but ST X 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. O Z$ - 1037 - ZO _ 0 0 1 APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION (j, T-l tt L 1~ OJUU 1~- iZ V S 'r G=L -WT K**A-Q 1/4 N E 1/4,S Z-) T N,R 1-1 E (or V~ PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUED. NAME OR CSM # Sy v8 'C)t flU~ . I - CS)-) %-1„ ?9 NS39 CITY, STATE ZIP CODE PHONE NUMBER []CITY []VILLAGE [MOWN NEAREST ROAD ~-%MV 6k)b,Wl Sybks (71S) 68V- LIS99 lP.tv"ER I%ni HuN_ [ ] New Construction Use Residential / Number of bedrooms 3 [ ] A" to e*Iing buildng jtd Replacement [ ] Public or commercial describe Code derived daily flow 14 5O gpd Recommended design loading rate c • %4 bed, gpd/ft2 - trenai, gpolft2 Absorption area required a -13 bed, ft2 3-1 s trench, ft2 Ma>arnum design loading rate o • S bed, gpd/ft2 L. b french, gpolft2 Recommended infiltration surface elevation(s) 1 1W. . S ft (as referred to site plan benchmark) ' Additional design / site wrtsiderations "14Q>W w/ Et 'tC- 4 O C 0 • M 1 A, . 1 r Or- S Ati'D H 4t- . Parent material S M l M qvT auert S at C H Flood plain elevation, if applicable t-4 -A , ft S = Suitable for system cONVENiIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL. HOLDWG TAW( U = unsuitable for stem ❑ S ®U ®S ❑ U ❑ S ®U ❑ S (Z U ❑ s MU ❑ s ® U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bocrrav, Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed t nCh 1 1 0 10 ~z-lZ - stl Z sb wt h cg - o.S o.6 ~~f~ Z 9-Z6 1b `12-31y ` St1 Z~ s~k w►'~t- ~S p.S o-b Ground 3 Z6 -30 l0`( kZ 31 L - S) \ cS,MZ YA a-S - d Y o -S elev. y FZ >.S`jP S/8 111b.3 It 36-VO l0`91Z 3/L a /p 6 s \ ~-s~k W) I- C/.., - - - Depth to S y0-S 1>• S `l R V l Y 1 L S 1 0 u _ - limiting factor Remarks: Boring # 1 0--7 tio`~R Zt2 - s 11 2 `.FcSb►t m~~. ~S - o. s n. 6 13 Z 1_16 lOy.tL3ty - Sl I Z l s~k ~t'Fl- ~S 6 t 4-33 5,S11 k V/y s l -1s \ c 2 k vii y1-4. e.t" o Y o s Ground l lev,It 33-S2 >•S `1R 31X S~tR S19 C~►. SI 3h-, i rv S 1-v L-C.Qz-m Depth to limiting factor Remarks: T Name:-Please Print Plane: Arthur L. We erer 715-425-0165 egerer Soil Testing & Design Service-P.O. Box 74 River Falls,WI 54022 Signature: Date: _ CST Number: o~. GS-Z 3-`9 -g'S M00576 3 PROPERTYOWNER CZ-oST SOIL DESCRIPTION REPORT Page Z. of PARCELI.D.# OZ8- 1.~3~-ZO- 001 Depth Dominant color Mottles Texture Structure Consistence Bour>~y Roots GPD/ft Boring # Horizon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trer& 3 o-q W`i2313 - sit Z`~s~tT MT o-Lo a•s ~.b Z °1-38' ~~`~12 316 S1 , Zw►9b1t Vn`FI- dw - u.S 0. L Ground 3 38-140 1011 IL - S~ Zesbk Vit-• c-S elev. $ft. y o-v8 vo1-t rZ316 S`tR31y s1 lcsbh wivt-cS Depth to S 4$ -)y V AL Lti z s' C) VA U limiting factor i~ S S LLS © a~ S w 1z~ Cwt s Pol-S Remarks: Boring # ; Ground elev. ft. Depth to l limiting s factor ' i Remarks- Boring # I ; i Ground elev. ' ft. Depth to limiting t factor ' i Remarks: Boring # Ground elev. ft. Depth to limiting factor L6- Remarks: SBD-e330(R.05/92) Parcel 028-1037-20-001 03/30/2006 08:46 AM Alt. Parcel 27.28.17.2268 PAGE 1 OF 1 Current X j 028 - TOWN OF RUSH RIVER Creation Date Historical Date Map # ST. CROIX COUNTY, WISCONSIN p Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): 0 = Current Owner, C = Current Co-Owner CONNIE L,& GREGORY BYRNE BUELOW 0 - BUELOW, CONNIE L,& GREGORY BYRNE 1854 18TH AVE HAMMOND WI 54015 Districts: SC = School SP = Special Property Address(es): ' =Primary Type Dist # Description SC 2422 ST CROIX CENTRAL ` 1854 18TH AVE SP 1700 WITC Legal Description: Acres: 9.228 Plat:N-1 N/ 7W A-NOT AVAILABLE SEC 27 T28N RI 7W NW NE LOT 1 CSM 6/1539 Block/Condo Bldg: Tract(s): (Sec-Twn-Rng 401/4 1601/4) 27-28 Notes: Parcel History: Date Doc # Vol/Page 07/23/1997 Type 07/23/1997 1118/159 WD 07/23/1997 716/473 07/23/1997 716/ 697/301 301 2005 SUMMARY Bill Fair Market Value: Assessed with: 82989 Use Value Assessment Valuations: Last Changed: 08/30/2005 Description Class Acres AGRICULTURAL Land Improve Total State Reason OTHER G4 6.228 1,000 0 1,000 NO 05 G7 3.000 13,500 126,200 139,700 NO 05 Totals for 2005: General Property 9.228 14,500 126,200 Woodland 0.000 0 140,700 0 Totals for 2004: General Property 9.228 8,000 95,300 Woodland 0.000 0 103,300 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 136 Specials: User Special Code Category Amount Special Assessments Total 0.00 Special Charges Delinquent Charges 0.00 0.00 t S 41 FILED `T ~ JUN 19)985 ~Okfar ~f O~~i l/IVPLArrEO LANDS Ij, ww M6 h, CERTIFIED SURVEY MAP N 114 COR. SEC. 27, T28 N, Qr 6 R17W, / COUNTY SURVEYOR'S NE COq, SEC-27, FIDL LAND BANK ASSN. MON.1 R/7W, /COUNTY N89. 48'34"E 2639,9Y SURVEYOR'S MON.! Part of the Northwest 1/4 of the Northeast 1/4 of Section 27, T 28 N, 3/2.59' i R 17 W, Town of Rush River County, Wisconsin. St. Croix W 1 N LINE NE //4 2 ~ i Description: That certain i Northwest iparcel of land located in the \ /4 of the Northeast 1/4 of Section 27, T 28 N, R 17 W, Town of Rush z ; River, St. Croix County, Wisconsin, more i W W fully described as follows; at the North 1/4 corner of said Commencing Section 27, z the POINT OF BEGINNING, of the " ""be herein described; thence N $9b48e34,E L O r / ° o, ( assumed bearing on the North line of the 9.228 ACRES i Northeast 1/4 q 40/,962 SO,F7 i . of said S .e ti on 27) a distance NET= 8.969 ACRSES of 312-59'; thence S 00 0► 11 ` 390, 69 / SO. FT, i N q Z ~ ~ thence S 89°3$ ► 30~~W on the South ll ~e 3of 0 y h o a y the Northwest 1/4 of the Northeast 1/4 of ZI a ti a i W Q said Section 27, a distance of 306.89►• QI m k 3 thence N 00 18121"W on the North/South~1/4 c io f.l ° "-line of said Section 27; a distance of WI i o Q 1298.18 ► to the POINT OF BEGINNING, ~I I Iy ?I Q containing 9.228 acres, being subject to \ a easements of record and also being subject o easement over S 1 outherly portions of said 4 Q a parcel for Town Road P •pos jl ❑ I R ~ described as follows; es, more fully I kI O h Z c Easement Description: ;t OOO L? O I CI Commencing at the North 1/4 corner o Section 2 of said = FARMSTEA i QI 3 thence S 00°03114 E 1260.9o, toE 31 the POI; ~ 90 tNT ❑ i OSI OF BEGINNING,oof said easement; thence 1 WI ZI continue S 00 0311411E 36.40'; thence I S 89 3$'30"W 306.891; thence N00°18' 21"W W i10 ZI 41 37-03'; thence N 89°45'39"E 307.05' to the POINT OF BEGINNING. e• M N89.43 39 "E 7.05' 4)I O I i I OIndicates 1"x 4" iron $69•38'3O, ,1W 1.13 lbs./lin. ft.set.plpe weighing S L /NE NW114 NE //4 6' TOWN ROAD 306'8'9' UNPLArrED LANDS Dated: 11 March 1985 O 50,100, 200' 300' 400' 500' 6q0, State of Wisconsin) SCALE IN FEET County of Pierce) / • 200, it Laurence W. Murphy, Registered Land Surveyor, ,>>tttlttl~~~~~p certify that by direction of the Owner, r do hereby Bank . Assn., I have surveyed and divided thelands shown hereon in accordance with official records, Chapter ~~•••.••.•••••s/~,', 236 of Wisconsin Statutes and the Ordinances of St. Croix County; and that z r" 'sW UR the above map and description are a true representation thereof. and correct t M fY a 1 3 IVW'SC LS Vol. 6 Page 1539 i~~ F•• 'vQJ Certified Survey Maps~~~ ' LAND St. Croix County, Wisconsin JON 191985 ence W. Murphy Registered Land Surveyor 'J M.Iw 'r'►~Ci IFi , AS BUILT SANITARY SYSTEM REPORT__1 OWNER e. / nl f do e. it so Al TOWNSHIP u s WR W X. SEC-A7 T, , RZW P.O. ADDRESS / ST. CROIX COUNTY, WISCONSIN SUBDIVISION LOT LOT SIZE Vo '4e-0--es PLAN VIEW Distances & dimensions to meet requirements of H62.20 SHOW EVERYTHING WITHIN 100FEET OF SYSTEM IV 4 t 1 I l f ~ a A . 0 ~ I e~ 487 6'" Q Se p~• ~c.. _ T~ N K O L mac., ~L o 5C O4 L ~ N SEPTIC- TANK (S)lo0 MFGR. Glee e- e5 CONCRETE X STEEL N-67-67 rings on cover T R e Depth i2-11 DRY WELL o0 TRENCHES No. of width engt area BED no. of lines^ o width -,a ' 1 gth- o ~ area ~ p,ei-cue f/ depth to p of pipe AGGREGATE PERK RATE AREA EQUIRED AREA AS BUILT a Ae~ DISCLAIMER: The inspection of this system by St, Croix County does not imply complete compliance with State Administrative Codes. There are other areas that it is not possible to inspect at this point of construction. St. Croix County assumes no liability for system operation. However, if failure is noted the County will make every effort to determine cause of failure. GREASES AND OILS SHOULD NOT BE DISPOSED THROUGH T_HZS_,SYSTEM. INSPECT¢R~~. DATED l y - 7~ PLUMBER ON J0 LICENSE t REPORT OF IT1SPECTIO11--1.14M'JIDUAL SL;VAGE DISPOSAL SYSTEM Sanitary Permit r State Septic oa • I + w • 0 JIISHIP • t. Croix County SEPTIC TANK ' Size gallons. `umber of Compartments , Distance From: WeIl ft. 12% or greater slope ft Building ft. Wetlands f: Iiighwater ft. DISPOSAL SYSTF:1 _-4-Tile Field or Seepage Pit(s) Distance From: dell. 1A el ft. 12% or greater slone' ---ft Building f -r FIRLD HiFhwater ft. Total length of lines - ~0 B ft. Humber of lines :Z. Length of 1 . !Leach line J4 ft. Distance between lines ft. Width of the : ;xrench {i ft. Total absorption area sq. ft. Depth df rock below tile 1 1-. in; Depth of rock over the. in.. Cover _ -aver. rock,, Depth of tile below grade 0 n. Slope of trench min per 100 ft. Depth to Bedrock _ ft. Depth to ground water" ft. PITS Number of pits Out ar~eter ft. Depth below inlet ft. Gravel around `yes no. Total absorption area sq. ft. .Square feet of seepage trench bottom area required C-quars feet of seep pit;.area required . Inspected b},•',, Title': • Approved -,-Date s r 197'. Rejected Date 197. EH 115 1 WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES r DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH t P.O. BOX 309 MADISON, WISCONSIN 53701 REPOR ON SOIL BORINGS AND PERCOLATION TESTS te' ✓'~K LOCATION: Section, T , R L74E (or)_W iTownship or MFarti 7atity r it/ Lot No. , Block No. County GAL/N 'oa /10 VI ubdivoi~ Name Owner's Name: Mailing Address- 44L), t' ~a O 2 TYPE OF OCCUPANCY: Residence No. of Bedrooms a Other EFFLUENT DISPOSAL SYSTEM: NEW ADDITION REPLACEMENT X DATES OBSERVATIONS MADE: SOIL BORINGS 7k PERCOLATION TESTS 7 SOIL MAP SHEET ! 545 SOIL TYPE S v,9 s, i 'L g^'~' 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- 4 rf P- - It k ff It r S /V'D is" a! A 7~y P- 1411 17 A No 1:5 ell k, 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) r ,I L- se A0 4a y A- -L 72 ? a yc y I ZrO n c~ ~Z F~- 2 if B- t.~ j'Z ry y 1`1 / n o :72- It PLAN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.) Indicate on the plan the location and square feet f suitable areas. Indicate number of square feet of absorption area needed for building type and occupancy. 15~ p Indicate scale or distances. Give horizontal and vertical reference points. Indicate slope. f S b. t N e o I o I" Of I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin Administrative Code, and that the data recorded and location of test holes are correct to the best of my knowledge and belief.11 Name (print) ZE~ E /4a Certification No. Ste' ~~r Address W1 1C Name of installer if known 1- CST Signature COPY A -LOCAL AUTHORITY s i r 1 _Moe State and County State Permit # PLB67 Permit Application County Permit # for Private Domestic Sewage Systems County ~7~. Rca i X *DENOTES STATE APPROVAL REQUIRED Date Approval Received from State if Required State Plan I.D. # A. OWNER OF PROPERTY Mailing dress: V/_ /NTo,0 1V4 VER.5a^,, B. LOCATION: '/4 Section , T N, R Ct (or) W Lot# City _ Subdivision Name, nearest road, lake or landmark Blk# Village Township V /4' i d est. C. TYPE OF OCCUPANCY: Commercial *Industrial *Other (specify) *Variance Single family x Duplex No, of Bedrooms C t No. of Persons: D. TYPE OF APPLIANCES: Dishwasher YES ( NO Food Waste Grinder: YES X NO # of Bathrooms 47!-'e- Automatic Washer _X YES NO Other (specify) E. SEPTIC TANK CAPACITY /000 Total gallons No. of tanks (VnlP, *Holding tank capacity Total gallons No. of tanks New Installation Addition Replacement _ X Prefab Concrete *Poured in Place Steel Other (specify) F. EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1) 2► 71 3) 7 - :Total Absorb Area sq. ft. New Addition Replacement *Fill System Seepage Trench: No. Lin. Feet Width Depth Tile Depth No. of Trenches Seepage Bed: Length Width /,,-L/ Depth '11P Tile Depth ,24L'No. of Lines __:7~'_'4 If Seepage Pit: Inside diameter # Liquid Depth Tile Size Percent slope of land Distance from critical slope 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 Sol Tester, NAME Av e, e, 4- 4- 4 + C.S.T. # and other information obtained from 1AJ (owner/builder). Plumber's Signature MP/MPRSW# ~~pg Phone # 65 Plumber's Address PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with H62.20, including well). P oat kol t k~ o ~ a ao vo G t toy ` o Ott 00 3 Aga + /99~4 -7 'o WN 5f4;p Dl9-cl Do Not Write in Space Below FOR DEPARTMENT SE ONLY X 0_ - Date of Application 1-~ Fees Paid:d State O 6) County Date Permit Issued/$ejewed (date) - Dlssuing Agent Name Inspection Yes No Valid# Date Recd 1. county (whit copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701 2. state (pink copy) 4. plumber (canary copy) Revised Date 6/1/76 ST. CROIX COUNTY WISCONSIN ti~ ZONING OFFICE I IN P o n IN ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road Hudson, WI 54016-7710 (715) 386-4680 August 15, 1995 VIA FAX: 381-5817 RE: Certification of Inspection for Greg Byrne Property located at 1854 - 18th Avenue, Hammond, WI 54015 To whom it may concern: An inspection of the septic system for the above referenced address was conducted on July 25, 1995. This property is located in the NW 1/4 of the NE 1/4 of Section 27, T28N-R17W, Lot 1, in the Town of Rush River, St. Croix County, Wisconsin. At the time of the inspection, this septic system was found to be code compliant for a three (3) bedroom home. If you have any questions or if we can be of further assistance, please do not hesitate in contacting our office. ;in rely, s K. T omps n Assistant Zoning Administrator St. Croix County, Wisconsin db STC - 104 E AS BUILT SANITARY SYSTEM REPORT " f, AOWNER ADDRESS L ~ i SUBDIVISION / CSM# (/p C ~j 3~j LOT # SECTION j 7 T-2QN-R_-W, Town of )e us ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM f ~ INDICATE NORTH ARROW Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. BENCHMARK: ALTERNATE BM : m 4 ®L- Os 7- f O A. p L SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer: G ~cg Liquid Capacity: Setback from: Well House Other Pump: Manufacturer 7-2 4A ~-L Model#Size Float seperation 7 Gallons/cycle: ,y Q Alarm Location A6 :SOIL ABSORPTION SYSTEM Width: Length Number of trenches Distance & Direction to nearest prop. line: Setback from: well: ';?,©D House Other ELEVATIONS Building Sewer ST Inlet, 7 ST outlet 6 3y PC inlet PC bottom 3,Lz Pump Off g ? Header/Manifold Bottom of system 1-0 o Existing Grade Final grade 6 DATE OF INSTALLATION: 7 PLUMBER ON JOB:` LICENSE NUMBER: ~ M R y INSPECTOR:- 3/93 : jt Wisconsin Department of Industry, PRIVATE SEWAGE SYSTEM County: Labor and Huiild n Relations INSPECTION REPORT ST. CROIX Safetyand Buildings Division (ATTACH TO PERMIT) Sanitary Permit No.: GENERAL INFORMATION Permit Holder's Name: ❑ City ❑ Village Q Town o : State PI o.. BYRNE, GREG X CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: AG1d,40 „ 11 A95ee2±e TANK INFORMATION ELEVATION DATA 1S r TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic C~J P C3. Benchmark CW /D Dosing Aeration-_ Bldg. Sewer ~P Holdin St/ Inlet IF r TANK SETBACK INFORMATION St/ I t Outlet D, d 7, 3 i vent TANK TO P/ L WELL BLDG. A irito ntake ROAD Dt Inlet i .20 Septic SJ ' S,52' 12A NA Dt Bottom 7, Dosing r i NA Hgodev,/ Man. Aeration Dist. Pipe Holding Bot. System PUMP / INFORMATION Final Grade Manufacturer Demand zO~~' O y G Model Number 3 34 PM J, TDH Lift ~,~l Lricti8rl,,' SystemaTDH 0,d3Ft Forcemain I Length ,Cl I Dia. " Dist. To OA-I'w SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS DIMENSIONS SYSTEM TO P/ L BLDG WELL LAKE/STREAM LEACHIN anu a SETBACK INFORMATION TypeO tIQ , r 3 > CHAMBE Model Number: System: W,,., d / S~ l OR DISTRIBUTION SYSTEM r. HtadWr /Manifold Distribution Pipe(s) ,r d x Hole Size x Hole Spacing Vent To Air Intake Length Dia. Length Dia. Spacing / nr SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over r xx Depth Of xx Seeded/ Sodded xx Mulched Bed / Trench Center Bed / Trench Edges - Topsoil ❑ Yes aao ❑ Yes a",41 COMMENTS: (Include code discrepancies, persons pr'e`sent,,Rt~ 4k &ZA fiae 'l C * LOCATIO Rush River. 7.28.17W, NW NE, Lot 1, 18th Avenu ;;.✓~'~%~-'.rte Plan revision requir~d. ❑ Yes Mrl$o / Use other side for additional information. SBD-710 (R 05/9,1) Date Inspector's Signat re Cert No c.,o~.'-',upC'~ c~ ,o-~~:~~~ ~ „f:>3 ~S a-,:~,u-rr Q `J~~.,~ y bc~..~~;%; ADDITIONAL COMMENTS AND SKETCH ' SANITARY PERMIT NUMBER: ' V ter. SANITARY PERMIT APPLICATION In accord with ILHR 83.05, Wis. Adm. Code COUNTY 54- - C4_0 ` STATE SANITARY PERMI # -Attach complete plans (to the county copy only) for the system, on paper not less than 2410717 8% X 11 inches in size. 1:1 Check If revisi to previous application -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. PROPERTY OWNER Q PR, 9PERTYLOCATION f-- -w- D r e, / ►1'/4, S 2 7 T , N, R E (or~ PROPERTY O ER'S MAI G,ADDRESS LOT # BLOCK # S~y ' / P" ,4 / c CITY, STATE ZIP CODE J PHONE NUMBER SUBDIVISION NAME OR CSM NU?E fry ,3-yo ~5 3 2e7 (f% o CS r✓l il S' II. TYPE OF BUILDING: Check one CITY NEAR T_ROAD ( ) ❑ State Owned VILLAGE : /,0 i ~ , ,tj f~I ❑ Public M 1 or 2 Fam. Dwelling-#of bedrooms _ PARCEL TAX NUMBER(S) III. BUILDING USE: (If building type is public, check all that apply) 1 ❑ Apt/Condo 2 ❑ Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility 30 Campground 70 Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining 4 ❑ Church/School 8 ❑ Mobile Home Park 120 Service Station/Car Wash 5 ❑ Hotel/Motel 9 ❑ Office/Factory 130 Other: Specify IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable) A) 1. ❑ New 2. El Replacement 3. ❑ Replacement of 4.0 Reconnection of 5. ❑ Repair of an System System Tank Only Existing System Existing System B) ❑ A Sanitary Permit was previously issued. Permit Date Issued V. TYPE OF SYSTEM: (Check only one) Non-Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 21 S Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22 ❑ In-Ground 420 Pit Privy 13 ❑ Seepage Pit Pressure 43 ❑ Vault Privy 140 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 Z Y ( ~ lf~) 3 7~~ 7 to LLB 171- © Feet 1 ig Feet VII. TANK CAPACITY Site ' in allons Total # of Manufacturer's Name Prefab. Con- Steel Fiber- Plastic Exper. INFORMATION New istin Gallons Tanks Concrete structed glass App. Tanks Tanks Septic Tank or Holding Tank r4 wii "es [71- 1 Lift Pump Tank/Si hon ChamberE~© ! - _1+ 1_7 -0 1 El F-1 Vlll. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name (Print): Plumber's Signature: (No St mps) P PRSW No.: Business Phone Number: r Plumber's Address (Street, City, te, Zip de): IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved S itary Permit Fee (Includes Groundwater Date Issued issuing Ag nt Sig Approved ❑ Owner Given Initial Surcharge Fee) 171-4 Adverse Determination / X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-6398(R.08/93) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber PIP- INSTRUCTIONS p 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at the 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 & 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. II. 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 appropriate boxes that apply. IV. Type of permit. Check only one in line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested in ##1-7. VII. Tank information. Fill in the capacity of every new and/or existing tank, list the total gallons, number of tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete for all septic, pump/siphon and holding tanks for this systenn. Check experimental approval only if tanks received experimental product approval from DILHR. Vill. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County/Department Use Only. X. County/Department Use Only. Complete plans and specifications not smaller than 8'/z x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s).or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if required by the county; E) soil test data on a 115 form; and F) all sizing information. - - - - GROUNDWATER SURCHARGE i 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater, ground- water contamination investigations and establishment of :standards. SBD-6398 (R.11/88) . SAFETY & BUILDINGS DIVISION State of Wisconsin Department of Indu a d Human Relations April 6, 1995 26 Rose Street Crosse WI 54603 F't WEGERER SOIL TESTING 421 N MAIN STREET PO BOX 74 sy"~~ RIVER FALLS WI 54022 RE: PLAN S95-40205 FEE RECEIVED: 180.00 ROST, LON NW,NE,27,28,17W TOWN OF RUSH RIVER 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. 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. Note: The existing septic tank must be inspected for structure, soundness, size and baffles and must be replaced if necessary for conformance with ch. ILHR 83, Wis. Adm. Code. Inquiries should be directed to me at the number listed below. Please refer to the plan number shown above. pA Plan Reviewer Section of Private Sewage (608) 785-9348 SHDA-7997(8. 10194) Page of 6 MOUND SYSTEM C A 3 BEDROOMRRESIDENCE S 9 5 " 40 2 0 5 LOCATED IN THE Nw 1/4 OF THE NF 1/4 OF SECTION -n ,TZ8 N, R 17 W, TOWN OF XZZ-U S ~k V-1 V ST• e y?A i X COUNTY, WISCONSIN . INDEX PAGE l '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 PA GE 6 of 6 PUMP PERFORMANCE CURVE PREPARED FOR RECEIVED 1995 ~'6 stf I b I RQG. MAR 3 1~ A ~n~ , w s 01 s SAFETY & OL06S, MV. PREPARED BY WEGEF:R EFZ E3 C:) I L TEST I NG 0 C® AND. ~A A41 04 DES I GtV SZER~! I GE • .0I t 0 ARTHUR 1. b Z 69E5 PR E F.O. BOX 74 421 N. KAIK ST. g EuswORTK RIVET? FALLS. MI 54022 ' Wis. ~T 40 715-4~.,-016; ` J►~~~~~~~~yt,~ ~ y4~ isIG14 W meet 3-30-95 JOB NO. S ' Zy Page 3 Of 595-40205 t Approved Synthetic Covering AS'. M C -,3 S Distribution Pipe Medium Sand Topsoil _ H - F Elev. \0Z k - S 3 E D Pl=clil;ji: SE\NA b % Slope - ontoBed Of %2- 2 %2 Force Mbin Plowed y Aggregate From Pump Layer s rnY LABOR & D Ft. Den, of t~asw Of ~ suE~.~~s DIVI _ _ross ction Of A Mound System Using E ~~Z~ Ft. SFGND~ A Bed For The Absorption Area F O• % Ft. C G 1.0 Ft. A S Ft. H 5 Ft. Linear Loading Rate= q b GPD/LN FT B q-1_ Ft. Design Loading Rate= o. GPD/SQ FT I 1 6 Ft. J 15 Ft. K Ft. AK-e4QA&4e Position L ~4_ Ft. of Force Main W -3 Z Ft. L Observation Pipe $ K A I - w Ia ---------=-----------~I Distribution :Bed Of 2-2. 2 2 Pipe Aggregate Observation Pipe Permanent Markers (Anchor securely) Plan View Of Mound Using A Bed For The Absorption Area Page Of 6 Perforated Pipe Detail 895'40205 / 0 )Perforated End View End Cop. PVC Pipe Install permanent 'marker at end of each lateral Holes Located On Bottom, Are Equally Spaced Q S PVC Force Main P PVC Manifold Pipe 4 Distri ution Pipe Last Hole Should Be I Next To End Cop End Cap P Z Ft. Distribution Pipe Layout GS 5'551 0A S _ Ft. „ X 56 Inches P 0Y Y 56 Inches M condill Hole Diameter Inch Lateral I Inch s Manifold Z Inches %Dla Of Force Main " Z Inches # of holes/pipe c Invert Elevation of Laterals ~f Z.O Ft. S•85 Xq= Z3•up GP >y , ToML- Place lst hole from center of manifold with succeeding holes at S6"intervals. Last hole to be next to the end cap. PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS ' PAGE S OF (p '1"C. I. VENT PIPE J r -T VCWT CAP S95 " 4 0 2 5 WEATHER PROOF APPROVED LOCKING MANHOLE 10' FROM DOOR. JWJCTIOU BOX COVER WITH WARNING LABEL WIMDOW OR FRESH I2~/t11U• AIR INTAKE I GRADE ~ ETL LO ~ * ~ Y" MIl.1. _ 18' P11U. COtJDUIT 18"MIAI. 11~ R~1 PROVIDE IALET I tR. "er " ~AiKTI&HT SEAL ( I I APPROVED JOINT A 17ank con ~4~'"n all comply I APPROVED .IOINTS with approved w°th '3af~t `83 1•5 end LHR 83.20 I I~~ pipe extending ~I II ALARM 3 feet onto e tp; ,x la-00 solid soil. Both sides of~ ON C 5.cg~ tank. V 93.ZSFT Sp C ~•L• ~S~ ~1 / I PUMP OFF of L, pp' CONCRETE BLOCK RISER EXIT PERMITTED GkJLy IF TAWK MANUFACTURER HAS SUCH APPROVAL 3'•APARoVt:D SEOD I t+lr: SPECIFICATIOAIS DOSE TAKIKS 14AIJUFACTURER: iJUMBER OF DOSES: -S•yS PER D" TANK 51ZE: 50 GALLONS DOSE VOLUME a ALARM MMJUFACTURGR: S.Z • C' LI~C~CIZ-O St,STEI IS INCLUDING DACKFLOW: GALLONS MODEL NUMBER: CAPACITIES: A= 15 300-8 IIJCHES OR GALLOA13 SWITCH TYPE: kzy,QU B = 2' IIJCHES OR ~•D' I G,~LLO>,IS PUMP MAIJUFACTURE R: Z~e"ua ~I 11~1S1UY C: INLHESOR l~(0'3 GALLOWS MODEL NUMBER: 53 D- S IMCHESOR 300•g GALLOWS SWITCH TYPE: MOTE: PUMP AMD ALARM ARE TO 6E~.D MINIMUM DISCHARGE RATE Z3• tl0 GPM INSTALLED ON SEPARATE CIRCUITS VERTICAL DIFFERENCE BETWEEN PUMP OFF AkID_DISTRIBUTION PIPE., $'~S FEET + MIAIIMUM NETWORK SUPPLY PRE55URE , , , • • , , • . , . 2.50 FEET + 60 FEET OF FORCE MAIN X 1' IS F oo fLFRICTIOU FACTOR. D. 69 FEET TOTAL DYNAMIC HEAD = FEET DIAMETER IMTERAIAL DIMILUSIOWA OF TAUK: LFKIf_TU ..nnru -?LIUUIU DEPTH BOTTOM AREA - 231= _ GAL/INCH AS PER MANUFACTURER = ZO.O S GAL/INCH J U) W W HEAD CAPACITY CURVE 4% 61/4 041 G 0. 6 110. W "53-55" SERIES 456 25 e TOTAL DYNAMIC HEAD/ I 4% FLOW PER MINUTE EFFLUENT AND DEWATERING o HEAD CAPACITY + Q 6 20 UNITS/MIN -1 y2 W FEET METERS GAL LTRS 4316 111/2 NPT = 5 1.52 43 163 e V 10 3.05 34 129 15 4.57 19 72 15 19.25 5.87 0 0 Z S95 40205 ~ 4 p u .~y J _10- 0 ho H 2- 5- 9'5/16 0 US 10 20 30 40 50 3332 GALLONS LITERS Q 80 160 FLOW PER MINUTE CONSULT FACTORY FOR SPECIAL APPLICATIONS • Piggyback Mercury Float Switches • Available with special cord lengths of 151, available. 25', 35' and 50'. • Variable level long cycle systems • Alarm systems available. available. • Duplex systems available. Standard cord length - automatic 9 ft. Standard cord length - non-automatic 15 ft. SELECTION GUIDE M53/55 SERIES Control Selection 1. Integral float operated mechanical switch, no external control required. VOIthPh Mode Amps Simplex Model Duplex 2. Single piggyback wide angle mercury float switch or double piggyback mercury float M53155 115 1 Auto 8.0 1 or 1 & 7 switch. Refer to FMO477. N53/55 115 1 Non 8.0 2 or 2 & 6 3 or 4 8 5 3. Mechanical alternator 10-0072 or 11-0075. D53/55 230 1 Auto 4.0 1 or 1 & 7 - 4. See FM-712 for correct model of Electrical Alternator, "E-Pak" E53/55 230 1 Non 4.0 2 or 2 & 6 3 or 4 & 5 5. Sensor mercury float switch 10-0225 used as a control activator, with E-Pak (3) or (4) float system. 53 Series - Wt. 23 lbs. -.3 H.P. 55 Series - Wt. 25 lbs. -.3 H.P. 6. Four (4) hole "J-Pak", junction box, for watertight connection orwired-in simplex or duplex operation. P/N 10-0002. 7. Two (2) hole "J-Pak" junction box, for watertight connection or splice. P/N 10-0003. For information on additional Zoeller products refer to catalog on Combination Starter. FMO514; CAUTION Piggyback Mercury Float Switches. FM0477; Electrical Alternator, FM0486; Mechanical Alterna- All installation of controls, protection devices and wiring should be done by a qualified nator, FM0495; Alarm Package, FMO513; Sump/Sewage Basins. FMO487; and Simplex Control licensed electrician. All electrical and safety codes should be followed In addition to the Box. FM0732 most recent National Electric Code (NEC) and the Occupational Safety and Health Act (OSHA). RESERVE POWERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. MAK TO. P.O. BOX 16347 ~O Louisville, KY40256-0347 Manufacturers of . ZZ`/ / C Z77. SHIP TO.. 3280 0/d Millers 16 Lane `LL ` Louisville, KY40216 11 „ o (502) 778-2731. 1(800) 928-PUMP QUAL/TY PUMPS 9NCE 193 FAX (502) 774-3624 -Wisconsin Depart Human ment Relations Industry, Labor an SOIL AND SITE EVALUATION REPORT Page \ of -S Labor and visionaf Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach com ete site Ian on : ' Pl p paper not less than 8 x%11 `inches in t include, but not limited to vertical and horizontal reference .(aMj;`direction acale or PARCEL LD. # dimensioned, north arrow, and location and di Qis Ito near®`s1'ro b ZS 03 7- 2,0 - u o f APPLICANT INFORMATION-PLEASE ALI~`fNt~OWRENEWED BY DATE P PROPERTY OWNER: P TY LOCATION 1- ~N ~osT MU) 1/4 NF 1/4,SZlT ZS N,R I E(or~N PROPERTY OWNER':S MAILING ADDRESS `.s= ✓ L BLOCK# SUBD. NAME OR CSM # 185 18 f'sVF. , - - C9M Vov lot P9 X539 CITY STATE ZIP CODE P M)itf F1. . - - . ITY ❑VILLAGE WTOWN NEAREST ROAD ~►~t"wig W1 5VolS IULSR l~'nt AuN'~. New Construction Use [)4 Residential / Number of bedrooms `3 Addition to existing building Replacement [ ] Public or commercial describe Code derived daily flow LLSZI gpd Recommended design loading rate o bed 9PcW _ .trench, gpd1ft2 Absorption area required 3-1 S bed, ft2 3-15 trench, ft2 Ma>amum design loading rate 0.5 bed, gpd* O. b trench, 9pdjft2 Recommended infiltration surface devation(s) on . S ft (as referred to site plan benchmark) Additional design / site considerations _"Clur<b w / 8'y- q -1 ' S e . V-►uv . 1' of SAA, b F Parent material s ev) 1w1 o3v-T- ou ty- - S at Gi. Rood plain elevation, ii applicable N A~, It S = Suitable for SySU2m cowwriowu MOUND IN-MND PRESSURE AT TRADE SYSTEM IN FILL HOLDING TANK U =Unsuitable for Stem ❑ S ®U ❑ U ❑ S ®U ® S ❑ U ❑ S IN U ❑ S 9111 SOIL DESCRIPTION REPORT Boring# Horizon Depth Dominant Color Mottles Texture Structure Corlsisteln1ce ea iffy Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed tartar 1 0-~ tio~-t~ 3l3 - s i l Z f SbW Y,- o.s C)- _ Z 8-Z`I W `1.'R 3.16 - S t ~ Z,vn Sbk v►1 `F1.- ~ - o_ S o. Ground 3 2,7-loo ~.S9RVA. - SI41S 1c3bk ►+tv'fj. °'S elev. 1v VQ 1-1 ~1Z ~ft• GZZO - g rf . Depth to limiting factor 14 00 Remarks: Boring # ( o-$ xz~`ticL z-l.Z sL1 Zilbk ►n~H ew Z Z g-Zb Lo`ttZ 31c~ - S 1) 2rvr1 sbk MA cow - o. s v, b sl IS l t. h Wt v`-t,. cS 0_k-( o. S Ground ~_S~tt~-31 elev. su-b~( ~.sYcz alb ~cio~R 6tz y S1 alls `~Sbk WkUi. Depth ro fNfirw S W Y C_ L" D-j s limiting factor So" Remarks: CST Name:-Please Print Phone: Arthur L. We erer 715-425-0165 egerer Soil Testing & Design Service-P.O. Box 74 River Fa11s,WI 54022 Signature: p Date: CST Number: 6-9-4~ M00576 PROPERTY OWNER ~.uST SOIL DESCRIPTION REPORT Page of 3 PARCELI.D.# OZS'~~37'~~00~ Boring # ffD th Dominant Color Mottles Texture Structure Consistence Barry Roots GPD/ft Bed reach Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 9 vz S o•l~ `i lZ j6 S Ztin S blrL 5 Ground 2 3) b - S 10--s bk vn u `FV, e S 0N elev. t`F 1•SYR a /Y t 4 40-0 R S) a-Sbk m~ ~-S ao ft. ~O`1 3! re 1` 1 • S`t R Day S, is v e, Depth to S 14&--) y -3.S 4 CL 5l!(o it s o w~, w►U h limiting factory S 011_$ 1V1~ SL `~O S a uT's • ~ cam., S w L c Remarks: Boring # ' 0_9 10`'tCL 3 l3 S1 I Z'FSbIZ m`F► C1v - o,S Q. • I Zln - °`5 `O.6 4 Z q-Z7 lo~tR 3!~ St Sbk vn~ - 3 2~-y wK2 3!6 - s ~ 1 ~s~h r>,u`F+- es - o•`~ o.S a. s o• S d'p5 r, : o s g w► - -ro elev.nd c~3_~ •S `i tz 141(6 Nrl S I 6 s~ Depth to limiting i factor ~ SZ Remarks: Boring # Ground elev. ft. Depth to I limiting factor 3 Remarks: Boring # I 1 Ground elev. ft. Depth to limiting factor I -J Remarks: SBD-8330(8.05/92) PLOT PLAN Page 3 of 3 3~Z.S9' VW, o2$-t~37-20-001 SCALE 1 t 0 3p G/ V14 Q~tvrev-% a 4 °I 1 LshSe►'~p►JT POR J I o.R39 c-o~hnv~Z Lam. °lb. S' g•`f \ 8bT• %F wst , y, D o oT gam, s' D~s~ ~a'h-cT oit \ `RNs ~•~+i . al~ ~ ~ '.1 8.1 ~9.Z 4 83 31.3.' 3 3~' 4D t 011, rg~► . - IEL - lop. o Orv g P tkA--- 2.Z ffi$ouk~ Gko.#J tV" asp . wooer ~c~~ t'osT. D X33 0` Zv ~ L $ 'Ttt t'lU 1JO =ISTN G HUvSF > Ioo' Wtn-r OF hbW~ TI-M. o~.~ 6-G1-~! y ( 715 ) 475-0169 M00576 CST Signature Date Signed Telephone No. CST # • Wisconsin Department oflndustry, SOIL AND SITE EVALUATION REPORT Page of 3 Labor and Human Relations DivrSion of Safety & Buildings in accord with ILHR 83.05, WIS. Adm. Code COUNTY Attach complete site an on . plan paper not less than 81/2 x 11 inches in size. Plan must include, but not limited to vertical and horizontal reference point (Blu), direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. O 2,f3 03 7- Zp - Do / APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION LptV R,OS1' Gew-1~6~ MW 1/4 ME 1/4,SZZT _?-8 .,N,R Xj E(042) PROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK# SUED. NAhlEOR CSM # 18S 18 `n4 PjvF. _ CSM V o_ 6 t 1~1 tS39 CITY STATE ZIP CODE PHONE NUMBER QTY Fivll GE OWN NEAREST ROAD t 11N10Nb W 1 S votS n/S) 68y 14 S99 R.vg l~ LI~LsR `M Pei [ I New Construction use pq Residential / Number of bedrooms 3 AdMQn b ezlsling building La Replacement [ [ Public or oommerdal describe Code derived dally now %AS% 9Pd Reoomrr>ertded design bad'utg rate -2A-bed, 9PM1 jrertch, gXyft2 AbsorpGort area retired 3'LS #2 3- IS ftW, ft2 Matdmum design bads -rape - O • S bed, gpd/ft~ 0- 6 fterlc~t, Reoortrrtended infiltration surFace elevation(s) °l`1 • S ft (as referred b site plan bemlimarlo _ Addlffiondldesign /si CNIsideraCbns ~►-tou+ ki /8'Xq-70 are , w►tw ot= S1RA,O Fat Parent material S M tw1 eye- ou t5L_ - S at at- Rood pain detrafion, ti apps ft 1 /13-A, III S = Suitable for system CONVE11170 . MOUND N•GRO"PRESSURE ATONE SW W N FILL HOLDING TANK U =uns table rot: 0S IOU ®S ❑ U ❑ S (Nu ® S ❑ U ❑ S EffU ❑ S Ertl SOIL DESCRIPTION REPORT 80ring # `Horizon Depth Dominant Color MOWS Texture <SMjChtre _ GPD in. Munsell Qu. SZ. Cont Color Gr. Sz. Sh. woe Bouxby Roots Bed lentil 1 t °-16 3l3 'S Z'tSbk VK~N (_It-, - o_S a6 LO s ! 2:vn S bk m ~ - a S o. GGrnund 3 Z~-4,o ~.S4V_%J/6 - s19~s °1~-3bk ►xv~. _ qS elev. - Depth to limiting factor t~ 44 Remarks: Boring # sL 1 Z.'F~ bk ~ ew a_S 0..6 sI J -.,r• msbk rn ~ ~w - o,s o,t, So S ~s R' X76 s I S l 6k u cS o_ Ground `f a S elev. s~-by ~.s~.s~~-3~y s1 ~IIs kcsb - g-is it ac t o 4 P_ 6/z k 1n v Depth b , w S S factor SO" Remarks: Ca Nmc--PWw Print Arthur L. We erer Phase 715-425-0165 erer Soil Testing & Design Service-P.O. Box.74 River Falls,WI 54022 s~nature: °l~- ti0Z oats: 6-9-4~ csTNxn 00576 Page Z of 3 PROPERTY OWNER ~~ST SOIL DESCRIPTION REPORT PARCEL I.D. # OZ8 ' L p37 - ?1J- ° ° 1 Structure Roots GPD/ft Depth 7DominantColor Mottles Texture Gr. Sz. Sh. Consistence Bax~dary Bed Boring # Horizon in unsell Ou• Sz• Cont. Cola - o • S V • b S 1 z, sbtrt w~ h cw Cl. 9 1O`'lR- ~ 13 ~ ~ p. S 0.~ I Zrn S ~ ►Nl- ~ 1- rSlw SL 31t l O 1-tl2 316 Z 9-38 cs ~ o.~ o-S Ground 3 3$_t{p Ib`l 2 3 6 t`F ~.sYR s ~Y S) 1 a.sbk m~ `rc►- C-S elev. O - ~~`1 Q ~1 4o q~t ft ~ 1 1• S`tf~~ S, `FS s' vh ` - Depth to S ~!$1 y •S `l R- vl (o 1 ei 3 O w~ , limitin factorg 4 Sul L$ SL ~o c S a uTi Q e cam,, S w L Remarks: Boring # S Z'FSb1t m`FI.- c,w - r)•S ~ b_q 1O`~.tZ 3 l3 ~ ~ I 6 El Z q-7-7 lo~tR 3l6 3 "M-4 W`'I2 3/lo n•s o• Ground elev. c~3_6 •S K M 1416 a 3.I ft. S 1 G SL. Depth to limiting fact Remarks: S Boring # ' e' Ground ' elev. ft. Depth to limiting factor ` Remarks: Boring # 13 Ground elev. ft. Depth to limiting factor Remarks: SBD•8330(R.05/92) PLOT PLAN - Page 3 of 3 3~Z.s9. tvo. o2a_ to3~-2p_ oo I SCALE I"= t*tb 3p ' l✓ 2 UZ, R~ qT 3 /w o~ __gt • L S~p~lT Wk I \ C-ok.1'Su~nz ~3t_. °tb. S' C*L~i39 80?. aF 8N'D oo NoT T otz q~, s• ~~s`a ~ ~ Ott S 4nz~ . D1o ~ ~ 3 5-V 01 oil- rB~1 gPUk~-_ ZZ.jJ: 6ft#J~~ 1►J \ ~t" Ot R - W aoo F~c~~ MOST D e- Otis -r Lt. L101, 1`aS'r►f- ST. NNuSF- we'LL hTU-Z > WEST OF h0vx-t, St-M. ,p CN- tpZ 76 CST Signature rI005 Date Signed Telephone No. CST # ~ Fit ED 4p JUN 19]985 O sues O' CONNEEL v bOMhr Of Dpi h, IINPLATTED LANDS l•T wwarmh (b CERTIFIED SURVEY MAP DI 6 FEDERAL LAND BANK ASSN. N I14 COR. SEC. 27, r28 N, NE COR. SEC.27, , R/7 W, (COUNTY SURVEYOR'S RITW, (COUNTY MON.) SURVEYOR'S MON.) Part of the Northwest 1/4 of the N 89'48'34"E' 2639.92' Northeast 1/4 of Section 27, T 28 N, 7N R 17 W, Town of Rush River, St. Croix 3/2.59' r County, Wisconsin. ' N LINE NE //4 W ' Description: That certain parcel of land located in the Northwest 1/4 of the Northeast 1/4 of Section 27, T 28 N, R 17 W, Town of Rush ' River, St. Croix County, Wisconsin more m W fully described as follows; Commencing r 2 a at the North 1/4 corner of said Section 27, W z. M the POINT OF BEGINNING, of the p cel to be herein described; thence N. 8948'34"E I ~ LOT / o m (assumed bearing on the North line of the W m Northeast 1/4 of said Section 27) a distance m 9.228 ACRES I o y 2 o 0 401,962 SO.FT. M CI a of 312.59' ;o thence S 00 03'14"E 1297-30'; a NET= 8.969 ACRES In 2 z thence S 8938'30"W on the South line of 390,691 So. FT. Q IN Q k y the Northwest 1/4 of the.Northeast 1/4 of cq 3 ; I W Q said Section 27, a distance of 306.891; ZI N N N Iq W i 3 thence N 00 18'21"W on the North/South 1/4 RI m I !,I o 1-line of said Section 27, a distance of o IR -k 1298.18' to the POINT OF BEGINNING, C a I°o - W 2containing 9.228 acres, being subject to "D easements of record and also being subject QI 1 ~o~- to easement over Southerly portions of said 4I 1 ~ N parcel for Town Road purposes, more fully 4. 1 yl % 41 ,;described described as follows; •1. m y Z I`I k Easement Description: Commencing at the North 1/4 corner of said ? 000 1? 0 1 14 3I Section 27,0 thence N 89°48'34"E 312.59'; W 1 41 thence S 0003'14"E 1260.90' to the POINT FARMSTEAD I ~I o OF BEGINNING°of said easement; thence ❑ I ~.I continue S 00 03'1411E 36.40'; thence 1 1% ko W S 89°38'30"W 306.89'; thence N 00°18'21"W Q: I i 1 0 vl % 37.03'; thence N 89°45'39"E 307.05' to m °v I ~I j J the POINT OF BEGINNING. 'II M 1189.4539 "E 307.05'1 \ I h ZI `I ` 2~ 0 Indicates 1"x 24" iron pipe weighing - S89.38'30'/W 1.13 lbs./lin. ft. set. S L INE NW I/4 NEI/4 306.89' I I 6 TOWN ROAD UNPLATTED LANDS Dated: 11 March 1985 O so' /00' 200' 300' 400' 500' 600' State of Wisconsin) County of Pierce) SCALE IN FEET I "r 200' I, Laurence W. Murphy, Registered Land Surveyor, do hereby \cJC,Q/~S, ~'i•• certify that by direction of the Owner, Federal Land Bank ~ooo fit • Assn., I have surveyed and divided the lands shown hereon inr' 40 accordance with official records, Chapter 236 of Wisconsin V4UR Statutes and the Ordinances of St. Croix County; and that W M Y the above map and description are a true and correct 1 3 representation thereof. . ' IVERFALLS ~44: WISC. , Q► oo~ Vol. 6 Page 15391' ~~'.F~••LAND S ~~oo Certified Survey Maps St. Croix County, Wisconsin ence W. Murphy JON 1 ~ 1965 Registered Land Surveyor ST. C: `"A- r :t ~hI~D~Er131v.. • Rt ; If~,wneA rr~,,H,,n.rtr. ~~J STC-105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER •DQ MAILING ADDRESS PROPERTY ADDRESS (location of septic system) Please obtain from the Planning Dept. CITY/STATE yq"~,-o / , PROPERTY LOCATION _ 1/4, /V 1/4, Section T~ N-R > TOWN OF ST. CROIX COUNTY, WI SUBDIVISION LOT NUMBER CERTIFIED SURVEY MAP , VOLUME , PAGE -4= OT 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% o 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 ye /expi;~ Ile, SIGNED: tion date. f DATE: - - St. Croix County Zoning Office Government Center 1101 Carmichael Road Hudson, WI 54016 11193 B 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 Gat -e-, Location of roperty l/4 1/4, Section 2 7 T QZN-R_,L--2_W Township Mailing address 155 7-41 Address of site Lot no. / Subdivision name 5 , U • /5 q J Other homes on property? Yes No ---III"'--- Previous owner of property Total size of property F 9 c~.~. Total size of parcel "2, 2 Date parcel was created J4--,e Are all corners and lot lines identifiable? _ Yes No Is this property being developed for (spec house)? Yes No Volume and Page Number 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. 4-'a , and that I (we) presently own the proposed site for a ewage 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. lgna re of Ap lic t Co- pplicant Date of Signature Date of Signature ' S2'789 L tilah' Nar 0 V. i..+nl+m in 1482 WARRANTY DEED von 111~as=~f iZ k_isTt t OOCUM'NTNO. ST CRG;X r`) Rc^•d r~T . Lon A. Rost and LaVonne Rost, husband and APR 1. 9 1995 wife, 'd 11:15 AM 11eY+ and warrants it, Connie L. Buelow, a single }D~rU_d1 person and Gregory L. Byrne, a single - person, t,.i•:..~ AE N1'.T llyl', iH of .<n1.N,'. L~'A l N>MF A^n, !iC 1 i rPN nIJ` NF••ti EQUITY TITLE SERVICES 400 SOUTH SECOND STREET St. Croix HUDSON, WI 5400116 ' the following described real estate in • :w County, irate of Wisconsin: -"1 I Parcel ldcnuficahun Numherl J Lots One (1) of Certified Survey Map in Vol. 6 of Certified Survey Maps, page 1539, as Doc. No. 402831, filed in St. Croix County Register of Deeds Office on June 19, 1985, being located in the NorthwCst Quarer of Northeast Quarter (NWk of NEk) of Sec. 27, Township 28 North, Range 17 West, Town of Rush River, St. Croix County, Wisconsin. FED' homataaJ prorerty. This is, - I1,I I~a E.cenvon to warrantees: Easements, restrictions and rights-of-way of record, if any. [larch 19 95 day ,d Dated this ISE:\l.1 {~EALI Lon A. Rost • }CF ISE I1 LaVonre Rost ACKNOWLEDGMENT AUTHENTICATION STATE OF \%ISC ONSIN + Signature(s) St. Croix County .19 Per..,nalk came before me th,, l9 95 the atone name) authcnticatcJ thi+ day "f March ' Lon A. Rost and LaVonne Rost, husband and wife, TITLE: MEMBER STATE. BAR OF WISCONSIN who esrrutcJ the I If nut, to me known to he the persons authurireJ by §706 06. Wis. Slats.) fanr¢lune lmuu-1n•nt anJ .tcknu++icJJgc the +anle. THIS INSTRUMENT WAS DRAFTED BY Diane M. Barron X01 \\I+ Kristin Ogland Notary Pub0C Attorney C„unts. at Law State of W ISCQRA . PuNllc \Is permanent. III not. title espuatCnm date II-Y l~~d ' 1 Sicnamrc+ may he authcnucatcJ or acAnowlcJerJ. Bob arc nut Q,n1lnn ,m 1+ p I1eca•++3r\.1 s 1.\1 k~fl.\N 0F N IS( ()N,1% w,NN rs I/t.f.l) FON~1 \a. 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