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HomeMy WebLinkAbout018-1071-70-200 STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER JEW ale I2% ADDRESS C !A~ SUBDIVISION / CSM# ,20 LOT SECTION . ,:Z T N-R W, Town of u ST_ CROIX COUNTY, WISCONSIN 'LAY VIEW SHOW EVERYTHING ITHIN 100 FEET OF SYST a Z a Pb P~ r~ G INDICATE NORTH ARROW Provide setback and elevation informal ion on reverse of this form- I;~. to center o1 septic tang; manho le coVe? rov ide Z d i me ns BENCHMARK: ALTERNATE BM: SEPTIC TANK / PUMP CHAMBER / HOLDING.-TANK INFORMATION Manufacturer: d414 s T Liquid Capacity: p d ~`p Setback from: Well `t House Other Pump: Manufacturer , 0 Modell Sized Float seperation~_ Gallons/.cycle: Alarm Location s SOIL ABSORPTION SYSTEM Width: Length Number of trenches Distance & Direction to nearest prop. line: Setback from: we11: ,4 6 - - House l aOye- 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: a PLUMBER ON JOB: LICENSE NUMBER: 7 INSPECTOR: 3/93:jt County ST . CROIX SEWAGE sin Department of Industry, PRA NSpECT ON REPORT SYSTEM d Human Relations Sanitary Permit No Buildings Division (ATTACH TO PERMIT) _f State Plan o.. ' GENERAL INFORMATION ❑ City ❑ Village Town of: {cn*t P CROWL rj Narpe LE Parcel Tax No.: ll BM Description: Insp. BM Elev.: , CST BM Elev.: ✓ ELEVATION DATA HI FS ELEV. TANK INFORMATION CAPACITY STATION BS TYPE MANUFACTURER o da > Benchmark , 8.32 Septic ~f%~ i)r C it3• I ' Dosing Bldg. Sewer Aeration St / Inlet Ho St/* Outlet i TANK SETBACK INFORMATION o?. C1 ROAD 35~ dD WELL BLDG. VenttO ROAD 55 TANK TO P / L i NA Dt Bottom SepticNA /Man.. I 1 I I-J 3 Dosing NA Dist. Pipe 07 Aeration Bot. System Holdin Final Grade PUMP.INFORMATION / 3Co Dem o~d T ~ _74/ Manufacturer G GPM Model Number Ft Friction ~7 System ~ TDH TDH Lift, 0 • L H ' Dia. Dist. To Wei 4S~ Forcemain Length Of Pits Inside Dia. Li . SOIL ABSORPTION SYSTEM No No. Of Trenches PIT Length 9 DIMEN 1 Manu urer. Width 4/ BED / TRENCH / LEACHI DI EN 1 N P / L BLDG WELL LAKE /STREAM CHAMBER o e Num er: SYSTEM TO O~ SETBACK Oro 75 INFORMATION TvPe O ~ System: G+ x Hole Spacing Vent =nt DISTRIBUTION SYSTEM X Hole~z Header / Man I d Distribution Pipe/(s) / 9 ~ 7U lp Dia. SPacin Dia" Length Length xx Mound Or At-Grade Systems Only x Pressure Systems Only Seeded/ Sodded xx mulched SOIL COVER xx Depth Of xx No ❑ Yes ❑ No Depth Over Depth Over Topsoil C] Yes Bed /Trench Edges Bed /Trench Center s present, etc )y S COMMENTS: (include code discrepancies, person 17W NE, E , 17 0th Hammond . 3 2.2 9 r LOCATION: ~ ~ 4' , , bill E~ i OV B-l ISO Planision required? ❑ Yes Cert. No. Inspector's Signature Use other side for additional information. Date SBD-6710(R 05/91) ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: 'Oft leek are ` +~f _ CG)~J/J H~ SANITARY PERMIT APPLICATION Co o t~L In accord with ILHR 83.05, Wis. Adm. Code .~.,..,..,..,,,e. Cra-_ STATE SAN1TA PERMI -Attach complete plans (to the county copy only) for the system, on paper not less than p[) 9 8% x 11 inches in size. ❑ Check If revision to previous application -See reverse side for instructions for completing this application. STAIF P N I.D. MB R 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. ~bt PROPERTY OWNER PROPERTY LOCATION 4, S a T-247, N, R E (or PROPERTY OWNE S MAILING ADDRESS LOT # BLOCK # CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER d Gd .may Avi"I C.5 441 11. TYPE OF BUILDING: Check one VITM NEAREST ROAD ( ) State Owned VILLAGE : ! •1 ❑ Public k40RJ11 or 2 Fam. Dwellings of bedrooms PARCEL AX NUMB R(S) 111. BUILDING USE: (If building type is public, check all that apply) /6 71_ IPQ d1o p 1 ❑ Apt/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 in line A. Check line B if applicable) A) 1. ® New 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5.0 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 M Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22 ❑ In-Ground 42 ❑ Pit Privy 13 ❑ Seepage Pit Pressure 43 ❑ Vault Privy 14 ❑ System-In-Fill VI. ABSORPTION SYSTEM INFORMATION: 1. GALLONS PER D 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) / a ELEVATION YS' AY 3?C 3 ? /Q lllf- Feet , S Feet VII. TANK CAPACITY Site in allons Total # of Prefab. Fiber- Exper. INFORMATION New istin Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks Tanks structed Septic Tank or Holdin Tank g,,H014m I ( _at kJogf: 1 7 -rT Lj Lift Pump Tank/Si hon Chamber e~115~ 1 1-1 F1 I El r_1 F-1 VIII. RESPONSIBILITY STATEMENT 1, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name (Print): PR Plumber's Signature: (No Sta ) SW No.: rBusiness Phone Number: 7fS 3f' 3/zl Plumber's Address (Street, City, State, Zip Code): 40"7d s O IX. C TY/DEPARTMENT USE ONLY ❑ Disapproved San' ry Permit Fee (Includes Groundwater Date Issued Issuing gent a No 14proved El Owner Given Initial ~ Surcharge Fee) 1 1%92 A verse D termin tion O X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-6398 (formerly Plb-87) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber 1 INSTRUCTIONS 1. } /A sanitary permit is valid for two (2) years. 2. ty 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 revi$ion.s :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: installd'd. 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 13 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 system. Check experimental approval only if tanks received experimental product approval from DILHR. VIII. 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'f2 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 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 Industry, Labor and Human Relations June 6, 1994 2226 Rose Street La Crosse WI 54603 WEGERER SOIL TESTING PO 74 RIVER FALLS WI 54022 RE: PLAN S94-40417 FEE RECEIVED: 180.00 CROWLEY, DALE NE,SE,32,29,17W COUNTY OF ST CROIX TOWN OF HAMMOND MOUND SYSTEM The Department has reviewed the above-referenced submittal. Conditional approval is hereby granted for the sysl of submittal. islbased noted items must be corrected. The review and approval the system 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. Inquiries should be directed to me at the number listed below. Please refer to the plan number shown above. Sincerely, 4 ra r Swim Ian Reviewe Section of Private Sewage (608) 785-9348 `cy 4172R/ 1 SHD.6423 (R. 91/917 S94-40417 Page ~ of 6 MOUND SYSTEM FOR A BEDROOM RESIDENCE LOCATED IN THE 113E1/4 OF THE SE 1/4 OF SECTION 31,T79N, R 1'7 W, TOWN OF M COUNTY, WISCONSIN. ST• CZ:O LX P~~ 0►~~ • 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 PAGE 6 of 6 PUMP PERFORMANCE CURVE PREPARED FOR l 6 B 6 C,u~Qj jYy ' S \4 w l mk)Qz, 1A) I SLID1S PREPA= BY 011 % NO R.1-= SO I L . TEST I NG . AND. o ~ DES I Gam! Aq?HUR L. S~RiI ICE . w=GF"-p o II a Et.LW'vRiH, P.O. BOX li 421 N. WAIN ST_ RIVES MIS. YI 54022 j 715-4~ x4165 .SIG 11 O ~iN®N RECEIVED S - `g - MAY 2 6 694 SAFETY a KM. mv. JOB NO. 9 y~ 9 S94-40417 Page 30f Approved Synthetic Covering Distribution Pipe Medium Sand G Topsoil H a F Elev. O 3 E b ~O % Slope . (Force Main Plowed - Trench of '-2%Z" From Pump Layer Aggregate Undisturbed D 1~ O Ft. Soil E i• y Ft. Cross Section Of A Mound System Using F 0-b Ft. I Trench For The Absorption Area G Z.a Ft. A y Ft. H I- S Ft. B ot q Ft. I _4 Ft. Linear Loading Rate= 4.1BGPD/LN FT J 7 Ft. Design Loading Rate= o•ZbGPD/SQ FT K 11 Ft. L i 1 b Ft. Alternate Position of Force Main W Z S Ft. L d ~ --Feu.. B K A - uoi- „ t w W Distribution Trench Of 2 - 2 2 Pipe Aggregate Permanent 1 Observation Markers pipes (anchor securely) E SYSVDA .z ~o`~ _ f'iovrv~ is sLl6LiTt`T Co ~ ~v 3LW t Sn)E. S~ PRGE Z,oF ~ Ro g BEtASaK Mound Using I Trench For t)f r Aso& NUM ~tNGS` J EV57. ptVi OF , SP0 DEN E SSE G I.. . ~ - b 894--40417 Page Of Perforated Pipe Detoll 0 End View Perforated End Cop. PVC Pipe (S} J as~o ~I lY Install permanent-marker I i at end of each lateral Holes Located On Bottom, Are Equally Spaced Q End Cap Q * ti PVC Force Main Distribution Pipe Lost Hole Should Be Next To End Cap Distribution Pipe Layout P y / Ft. X Y8 Inches Px s~~ y~ Y LIB Inches U~lt Hole Diameter Inch Lateral l 1!y Inch(es) P R931o~s ous pL 9en~~s Manifold - Inches of Force Main Z Inches Dom' pwt # of holes/pipe VZ see R Esp Invert Elevation of Laterals RL50 Ft. Place lst hole from tee with succeeding holes at y8Y intervals.. Last hole to be next to the end cap. Combination Septic;Tank and PUMP CHAMBER CROSS SECTIOW AND SPECIFICATIOWS ' PAGE S OF ~p S94- 4041 7 VENT CAP WEATHER PROOF Ju1JCTiO1J BOX 4i C.I. VENT PIPE APPROVED LOCKING '-10' FROM DOOR, MANHOLE COVER w11% WIMDOW OR FRESH wARtJlIJG L•14QEL AIR IMTAKE IJ:"MIU. ac"DuIT r I L1. 1 S GRR i `f" MI W. le"MIIJ. iJ3"MIN. 4~ \ - - VID - IAJLE T AUW6 I E~'4.10N~ _ I ED JOIIJT AP OYED JOIIJTS APPROVE or W/C. . PIPE~f*C w/C.T. E PIPE Tank construction S.0 X% OF I EXTEUDIUG 3' EXTEIJDIW& 3 shall comply with OE Ise OWTO SOLID 601L OWTO SOLID SOIL ILHR 83.15 and 33.20 C,ORR I I ON S E I I 10 S.9 Z I LLEV• FT. PUMP-~ OFF D COLICKETE v- its . 0 1 OLDCK . 3" APPIRWEC RISER EXIT PERMITTED OAJLy IF TAWK MAWLlFACTURER HAS SUCH APPROVAL. BEDDING SEPTIC f SPECIFICATIOKIS DOSE TANK MANUFACTURER: TIMBER OF D06ES: 3'a PEIL DAY TAWK SIZE: 1.ObQS 6 SO GAL.LOUS DOSE VOLUME ALARM MAIJUFACTURCR: L S4ST~"l S GALLONS. MODEL MLIMBER' \0 O IIW CAPACITIES: A= J B INCHE5 OR 3~ 6 GALLONS SWITCH TYPE: ~L1Z-cuP-1f B = Z INCHES'Olt 3 4 G( LLOWS PUMP MANUFACTURER: Z'O eL LLZ.R Cu~l1~ Y C. = ,-7 IUCHES OR \\9 GALLOWS MODEL AJUMBER: S3 D- CLINCHESOR 187 GALLOWS SWITCH TYPE: ~~~CjjxZy MOTE: PUMP AMD ALARM ARE TO bE MI)JIMUM DISCHARGE RATE Z$ p PM INSTALLED OW SEPARATE CIRCUITS G ~ T'AFIK 0%- :'LI:.T wtvv tfavCE 110 Elvk;- VERTICAL DIFFERENCE DETWEELJ PUMP OFF AI,ID.. '~Z FEET X20 V~OI'O 1,4 qZ ~T + MIIJIMUM NETWORK SUPPLY PRESSURE . . . . . . . . . 2.5 FEET pLGFl~R19vcE 1pQ + 315 FEET OF FORCE MAIN Y, ! b` FYp►tFRICTIOI.I FACTOR.. FEET \2tM'0 ` S~ TOTAL Dt WAMIG HEAD = 9 FEET DIAMETER 1 Pump chamber 3S'1 IIJTERAIAL DIMLWSIOWf OF TAWKi LENGTH ;WIDTH -...;LIQUID DEPTH BOTTOM AREA - 231= GAL/INCH AS PER MANUFACTURER GAL/INCH S 9 4 41 7 ~I\GE 6 a 6 (r, W W W HEAD CAPACITY CURVE 61/4 LU "53-55" SERIES 4% 0 25 z e TOTAL DYNAMIC HEAD/ I Qr% FLOW PER MINUTE EFFLUENT AND DEWATERING m gk~ CAPACITY HEAD UNITS/MIN -1'~ - W 6 20 FEET METERS GAL LTRS Q3/ie 111/2 NPT = 5 1.52 43 163 e V 10 3.05 34 129 15 4.57 19 72 Q 15 19.25 5.87 0 0 fit)' SS~)"1lyU R S Y~ICT10lV Z 4 Lois fN ptp pt_~g z.5lo~ G r.~LZwatziz S ~4 [~R k~ s s~1tzE . J Fa- 10 9`~ 2 I O E. 2- za.o 5- 915/16 0 1 US 10 20 30 40 50 33/32 GALLONS I I I F Z_ i LITERS 0 80 160 FLOW PER MINUTE CONSULT FACTORY FOR SPECIAL APPLICATIONS • Piggyback Mercury Float Switches • Available with special cord lengths of 15', available. 25', 35' and 50'. • Variable level long cycle systems • Alarm systems available. available. a 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. Model Volta-Ph Mode Amps Simplex Duplex 2. Single piggyback wide angle mercury float switch or double piggyback mercuryfloat M53/55 115 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 & 5 3. Mechanical alternator to-0072 or 10.0075. 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 S. 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. s Four (4) hole "J-Pak", junction box, for watertight connection orwired4n simplex or duplex operation. P/N 10-0002. 7. Two (2) hole "J-Pak" junction box, for watertight connection orsplice, P/N 10-0003. For information on additional Zoeller products referto catalog on Combination Starter, FM0514; CAUTION Piggyback Mercury Float Switches, FMO477; Electrical Alternator, FM04K Mechanical A(tema- All installation of controls, protection devices and wiring should be done by a qualified nator, FM0495; Alarm Package, FM0513; Sump/Sewage Basins, FM0487; and Simplex Control licensed electrician. AN electrical and safety codes should be followed in addition to the Box, FM073?_ 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. UK T0: P.O. BOX 16347 LoWsv10b, KY40256-0347 Manufacturers of... . 3280 Old O/`'~/~~ O. SfpPTo l1h.KY40216 Lane ~ L LuLsv~e KY402 N N m (502) 77 -231 * 1(8036228-PUMP QUAL/TY t411MP9 FMCE lf3S (502) 774- Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page 1 of 4 Labor and Human Relations Division of Safety & Buildings in ac & d! W(th 1LHR f33.05, WIS. Adm. Code COUNTY St. Croix Attach complete site plan on paper not less than Sc 11 inckies in size. Plan must include, but not limited to vertical and horizontal reference (~M), direction and % of slope;'scale or PARCEL I.D. # dimensioned, north arrow, and location and dist nos to nearest rgad. APPLICANT INFORMATION-PLEASE PR KT'rALL IrNFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION Dale Crowley f0 LOT NE 1/4 SE 1/4,S 32 T 29 N,R 17 W PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM # 1686 CTHW "J" CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE [MOWN NEAREST ROAD Hammond, WI 54015 (715) 796-5314 Hammond 170th St. [X] New Construction Use rX] Residential / Number of bedrooms 3 [ ] Addition to existing building j ] Replacement [ ] Public or commercial describe Code derived daily flow 450 gpd Recommended design loading rate .4 bed, gpd$ • 5 trench, gpd/ft2 Absorption area required 1125 bed, ft2 900 trench, ft2 Maximum design loading rate .4 bed, gpd/ft2 .5 trench, gpd/ft2 Recommended infiltration surface elevation(s) 92.0 ft (as referred to site plan benchmark) Additional design /site considerations install 4' x 94' ro k hed mnund nn 91.n as qps1npP Pdge of rnrk had w/ 11 cand fill Parent material loess over colluvial till Flood plain elevation, if applicable NA ft S = Suitable for system CONVENTIONAL MOUND 71G'ROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U =Unsuitable fors stem ❑ S ®®S ❑ U ©U ❑ S ® U ❑ S 13U ❑ S ® U 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 Trench 1 0-4 10YR 3/2 - sil 2 m cr mvfr cs 2f/m .5 .6 X.X 2 4-10 10YR 3/2 - sil 2 m sbk mvfr as if .5 .6 3 10-18 10YR 4/4 sicl 2 m sbk mfr cs if .4 .5 4 18-25 7.5YR 4/4 - sil 3 m sbk mfr cs 1f/m .5 .6 Ground elev. 5 25-39 7.5YR 4/6 - sl 1 m sbk mvfr as 1m .4 ; .5 92.6 ft. 6 39-45 10YR 5/6 - fs 0 sg ml as 1m .7 .8 Depth to 7 45-48 7.5YR 4/3 is 1 m k mvfr Cs 1m .7 limiting 8 48-64 10YR 4/6 c2d 10YR 7/2 scl 2 m-c sbk mfr - - .4 .5 factor 1_49 39" at" Remarks: profile from east pit wall; west wall shows f2d R-Gy mots below 37" Boring # this it at top of hill shows very poorly sorted till: sl/s/gr/cob interspersed / Gy cl dense & resistant F 2 to pe etratio from about 12" on down Ground elev. K 125 ft. Depth to limiting factor 12" Remarks: CST Name:-Please Print Henry F. Grote Phone: 715-665-2681 Address: PO Box 57, Knapp, WI 54749-0057 Signature: ` Date: 3/21/94 CST Number: 3065 PROPERTY OWNER Dale Crowley SOIL DESCRIPTION REPORT Page 9 of 4 PARCEL I.D. # Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench This pit about half way down ill back towards r sidence; very similar to B-1 with mottling evi ent below bout 3C" Ground elev. 110 ft. Depth to limiting factor Remarks: Boring # 1 0-3 10YR 3/2 - sil 2 m cr mvfr cs 2f/m .5 i.6 2 3-9 10YR 3/2 - sil 2 m sbk mvfr cs if .5 .6 3 9-21 7.5YR 4/4 - sil 3 m sbk mfr cs 1m .5 .6 Ground elev. 4 21-32 10YR 5/6 - sl 1 m sbk mfr gs if .4 .5 89.6 ft. w/ occasional gr & occasional 7. YR 4/4 s inclusions Depth to 5 32-44 10YR 5/6 f2d 10YR 7/2 sl 1 c sbk mfr cs - .4 .5 limiting factor ~1 6 144-48 10YR 4/4 f2d 10YR 612 fls 1 m abk Ffr F - ,7 Remarks: Boring # 1 0-5 10YR 3/2 - sil 2 m cr vfr cs 2f/m .5 .6 2 5-10 10YR 3/2 - sil 2 m sbk vfr as 2f .5 ~.6 3 10-19 7.5YR 4/4 - sil 2 m sbk fr cs if .5 '46 Ground elev. 4 19-24 10YR 4/4 - sl 1 m sbk vfr cs 1m .4 .5 91.0 ft, 5 24-30 10YR 4/4 - sicl 3 m sbk fr gs - .4 ?45 Depth to limiting 6 30-46 10YR 4/4 3d 10YR 7/2 + sicl 3 m sbk fr - - .4 .5 factor 30" w/ common thi bands s & cl F7 Remarks: Boring # 1 0-9 10YR 2/1 - sil 2 f sbk vfr cs 2f/m .5 6 2 9-16 10YR 3/3 - it 2 m sbk mfr cs if .5 6 6 3 16-26 10YR 4/4 - it m sbk mfr cw if .5 6 Ground elev. 4 26-47 10YR 4/4 - 1 m sbk mfr s 11f 5 , 6 94.8 ft. 5 7-52 10YR 4/4 2d 10YR 7/2 1 m sbk mfr - - 5 6 Depth to limiting w/ occasional inclusions R cl factor 47" Remarks: SBD-8330(8.05/92) PROPERTY OWNER Dale Crowley SOIL DESCRIPTION REPORT Page 3 of4 _ FARM I.D. # r• Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munse►I Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trend Similar to B-61 from 0-32 but mottled below 32 Ground elev. 88.3 ft. Depth to limiting factor 32" Remarks: Boring # 1 0-4 10YR 2/1 - sil 2 f sbk mvfr cs 2f/m .5 i.6 8 ? 2 4-12 10YR 3/3 - sil 2 m sbk mvfr as 1f/m 5 6 3 12-26 10YR 4/4 - sil 3 m sbk mfr cs if 5 €.6 Ground gritty w/ s & w/ common f gr elev. 84.2 ft. 4 26-36 10YR 4/4 c2d R-Gy sicl 3 m-c sbk mfr - - .4 .5 Depth to limiting factor 26° Remarks: Boring # Note: -1 and B-6 are suitable for an at grade; this option no further explored ecaus sufficient area would req ire moving ath intended house location; soil profiles are particu arly variable on this """"""3 ' site arid a lon and narrow mou d will likely giv the best performance Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(8.05/92) i i r" nl~ C", ..tilt ~o w.. W1e-SF- 3Z-Z1-\'~!~+►~ ~e c.TN w 3 d Q I ~ I I ~ ~ ~ I ~ I ! I I ~ .,~•e~~ ~ ~ ! , ~ it t3 6&o I I , f 1 K b1 Mli t L OH m w ~F o O -b rF r ~ cal ~v.~.~:C sX No 'Lo ur-ve. S: -wo~ s..~~ v S FILED g APP, 2 7 1994 0 s 1.73 Cy JAMES giter of Deeds L St. Croix Co., WI / CERTIFIED SURVEY MAP EUGENE NEUENDORF Part of the Northeast 114 of the Southeast 114 of Section 32, Township 29 North, Range 17 West, Town of Hammond, St. Croix County, Wisconsin. UNPL A TT ED LANDS soUrHEAsr COR. SEC. 32, r29N, R17W, / I"IRON PIPE FOUNO/ E L/NE SE //4 3 170 rH ST. SOO.00'00"W 2629.50' R 6?7.39' _ /972. N 00 2' 33 " E 65 7. 4/' ~ q O q, er /00' O ri ALL 8EARIN6S REF, rO rHEEASr ROAD SETBACK LINE LINE OF rHE SE//4 OF SEC. 32, r29N,R17W, ASSUMEONOO.00'00"E W W h Y O y V C ~ O Z ~ Q J R 7 3 w o 3 ~ b o ° $ APPROVED C-) OI ° ° ~ N 3 • • a k N o g APR 2 71'94! b of Q I O O W O Q .J V N\ W h O Q O N Ij o h o 41 ST. CROIX COUNTY tu h O V T h. h N Q„ Z g Comprehensive Plannir I : J m° ° e Q Zoning and QI o a c o Parks Committee ~r 0 ~ m ~ O ~ O N Z a n if not recorded ~I J m o within 30 days of W approval date J h approval thad be 3 v titin $ vr>ici ~ h O R owner's Address: 2 a Route 1, Box 113 Knapp Wl". t4.7 % w, W W LINE NE 114 SE 114 \ elf ON8 ~ h 00 U 4 . ~'0 y N 00. 07'5/"E 658./2' . :'LAUREN % 0 UNPLATTED LANDS 'm ? WI~MU o tUf. RIVER FALLS,; • J~ 01 N This instrument drafted by WISC._.,.~ JQ ti n ~ % ~jet' t. A~~Q M Laurence W. Murphy 3 O Indicates 1" x 24" iron pipe Laur 1j.-.. eHd6,:if. Murphy Vol. 10 Page 274 eighing 1.13 lbs./lin. ft. set. Registered Land Surveyor Certified Survey Maps St. Croix County, Wisconsin SHEET 1 OF 2 Y • ' 1 CERTIFIED SURVEY MAP EUGENE NEUENDORF Part of the Northeast 114 of the Southeast 114 of Section 32, Township 29 North, Range 17 West, Town of Hammond, St. Croix County, Wisconsin. Description: That certain parcel of land located in the Northeast 114 of the Southeast 114 of Section 32, Township 29 North, Range 17 West, Town of Hammond, St. Croix County, Wisconsin, more fully described as follows; Commencing at the East 114 corner of said Section 32,.the POINT OF BEGINNING, of the parcel to be herein described; thence S 00000'0011W (assumed bearing on the East line of the Southeast 114 of said Section 32) a distance of 657.391; thence N 9000010011W 1311.011; thence N 0000715111E 658.12' on the West line of said Northeast 114 of the Southeast 114; thence S 890581061E 1309.501 on the East/West 114 line of said Section 32, to the POINT OF BEGINNING, containing 19.785 acres, being subject to easement over Easterly portions of said parcel for town road purposes as shown on this map and also being subject to easements of record. Note: The parcel shown on this map is subject to State, County and Township laws, rules and regulations (i.e. wetlands, minimum lob size, access to parcel, etc.). Before purchasing or developing any parcel, contact the St. Croix County Zoning Office and the appropriate Town Board for advice. State of Wisconsin) County of Pierce) I, Laurence W. Murphy, Registered Land Surveyor, do hereby certify that by direction of the Ownei-, Eugene- Neuendorf, I have surveyed and divided the lands shown hereon in accordance with officialrecords, Chapter 236.34 of the Wisconsin Statutes and the Ordinances of St. Croix County and that this map and description are a true and correct representation thereof. ,111111111 I / ~ y , , I v'COGO/V 00 • LAUR CE' This instrument drafted by Laurence W. Murphy S M W M V PH cc C F 'a RVE AILS,; F WISC...••' Q Dated: April 12, 1994 (~~Q f~ LANDS Laurence W. Murphy AN 2 7'94 9istered Land Surveyor ST. CROIX COUNTY :omprehenst'n Plannir Zoning WW Vol. 10 Page 2749 Parks C611tNtlee Certified Survey Maps St. Croix County, Wisconsin. tfnoQ~ SHEET 2 OF 2 . within NO IdayS of appfcval date -ipprovdl *N60 b o M / STC-105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County 04 OWNS UYER < Z' ff/ ~~q MAILING ADDRESS l Vr~ FC4 WUft 1~L Lop S4~U~S PROPERTY ADDRESS (42 A." (location of septic system) Please obtain from the Planning Dept. CITY/STATE 07010OLC~ " to PROPERTY LOCATION ~y 1/4,'45 F 1/4, Section 3 a T__R N-R W TOWN OF ST. CROIX COUNTY, WI SUBDIVISION W (°t LOT NUMBER CERTIFIED SURVEY MAP ,5/596 , 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: 1o J St. Croix County Zoning Office Government Center 1101 Carmichael Road 11/93 Hudson, WI 54016 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. A I Q Owner of property ~1 )GZ -e ` VrOLJ {U -IT ~ I Location of property 1/4S 1/4, Section _349,,T~9N-R-W e', Township CI,tMVY1 mailing address [ o,vo,vio Address of site Subdivision name N ( Lot no. Other homes on property? r' Yes_ _X No Previous owner of property, C Rii P a~Ltevt~v~ Total size of property g~ ` Total size of parcel ~ c1- /H I LI Date parcel was created (41 1 y Are all corners and lot lines identifiable? Yes No Is this property being developed for (spec house)? Yes _X_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. f~71PJ 3~ 3 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. 0 Signature of Applica Co- p i t 60 Date -f Signature Date of Signature JUN 14 '94 Oe:04 RIV VAL ABSTRACT 38e76b4AAAAAAAA P.1i1 DOCUMENT NO, WARRANTY DEED .•.us %RACC RESERYEO FOk REC0k0lt;4 DATA s' ( STATE BAR OF WISCONSIN FORM 2 1882 !ii , Eugene F. Neuendorf _ , , r;. L. ...1.i.Vv , ! Re"41`arecord is ~ 994 i+ conveys and warran.b to T.2a 1.e..,7.,....CZOw Cr.awley,...hus.band..and_.wi.fs-,...hol:dizig..as t c ~,i j; ..........suxui-vnx.ship...maritaL..prapexa.y-................................ ? p~rstrulws~d ri . REYJRN_••G e-.Iv'1►, . ;i the following; described real estate in St.,•••Czoix•• ..................County, i~ii 'tale of Wiseomin; i' Tax Parcel No Part of the Northeast Quarter of the Southeast Quarter (NEk of SE4) of Section Thirty-two (29) North, Aange seventeen (17)West 2described lasTfollows: ii Lot One (1) of Certified Survey Map filed April 27, 1994, in Volume 111011, page 2749. I i j By accepting this deed, Grantees agree to complete a residence on the premises in substantial compliance with building plans, which Grantor has approved prior to date hereof, within six months after visible commencement of construction and, in any case, no later than two (2) years from said commencement. In the event Grantees transfer the premises, said transfer shall be subject to the terms and conditions of this paragraph,, and the transferee shall be required to obtain Grantor's approval for transferee's building plans; provided, however, that all terms and conditions of this paragraph shall be subordinate to the lien of any mortgage obtained by Grantees or their transferees, which ;i mortgage shall x» for the construction of said residence and/or purchase of the prmises. the completion of the residence as called for in this paragraph, Grantor, for himself, his heirs, successors, and assigns, agrees to provide Grantees or their transferees with a quit claim deed and transfer return completely releasing the premises from this restriction, and this paragraph shall then have no further force and effect. i if This ....1.5 ,z1Q homestead property. ~i JdM Os not) Exception to warranties: Easements and i restrictions of record. - Dated this , 19..9... day of l (SEAL) (SEAL) i, Eugene F. euendorf • (SEAT,) f (SEAL) i~ I ~I AUTHENTICATION ACKNOWLEDGMENT i~ II " Signature(s). STATE OF WISCONSIN ~I • I as. ~t._....County. I authenticated this ........day of.................... 18...... Pr~.sonally camp before mu this . .1.... I ' .._b ....day of ~i - • 2.........._.... 19..94. the above nartiod jl . Eugene...E.....NAUezd3axf........................... TITLE: MEMBER STATE BAR OF WISCONSIN......... i { j{ (If not... ii authorized by § 706.06, Wis. Stars.) j to :me known to be the person who executed the foregoing 7trument and acknowledge the mama. THIS INSTRUMENT W45 DRAFTED OY jj Thomas A. McCormack . . . . i' f~ ......,..,..Balciw:in,..W1 54002 Pilr~i!~~..~~~...:1~ i ''•::~;~.~.V.:~.• t Notary Public ......fit.,..,.. f.G'.I.X........... jl n .ion (Sipaures may bo authenticated or acknowledged. Both My Commission is permanent. (If not, state Counts, expiratioIs, are not necessary.) :i date •NAMes of persons siatuing In uny capnelty should biz typcA or w,inted`beluw tilt-ir rlrr.nturcu. WARRANTY DkED n ~ J i a~ m I p Q) r f..., 0 2 d b rd U) so O O.-. ri U) rc$ 4 w ~4 a) it, F 4) ro w CIO u -C, -H p N U 0 -ri 4 via -P 0) tv >4 - -P En N N VI ) I ($4 $4 0) 4J H (n (0 a 0 P a0 0w P (0 0 bib w yio O M ~4 U a 0) ID4 (0 4 m 044(0( -W 0o Z~ u0 c b p -P 70 'o r. :z tp r. -4 0 -ri ra Q) U) N N •a p P4 co P 4J 4J > ~ 3 a~ a~ ►j1 Rj U (dA4 ro ) ~ x, 44 U = J Gv o a~4 0 N •rI r-r rl z 2 C) 4-) -j r-i U 41 li W W HHU~~ nOV a ~Z r-i N M 10 t!1 lC m U- 2 0 LL i 4- C U- ~ I o ~ U v u p a ~s