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008-1011-20-200
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division •~ ~ INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. county: St. Croix Sanitary Permit No: 420441 0 State Plan ID o: Parcel Tax No: 008-1011-20-200 Permit Holder's Name: City Village X Township Hofland, Allen Eau Galle Townshi CST BM Elev: Insp. BM Elev: ~ BM Description: ~ ~ r OD •a t~ •c~ ~ Q ~- ~ = ~ ~ i3 ~ " TANK INFORMATION u ELEVATION DATA TYPE MANUFACTURER CAPACITY Septic 6'l.5 t~_ S ,~ Dosing ~ ~ - L( Aeration Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic y~ y ~ I r 2 y~ Dosing tf •~ t. ~L! Aeration Holding PUMP/SIPHON INFORMATION Manufacturer ~ ~ S Demand GPM~~ Model Number (~~o~ / \ 2~ >' H Lift Friction Loss System Head TDH Ft .~i~P - 3 ~- Ce -So 30.23 Forcemain Length ~ Dia. u Dist. to well ~ ~~ L > ~ SOIL ABSORPTION SYSTEM y, ae~,~b.ss~a~ STATION BS HI FS ELEV. Benchmark ~. ~ f 1) S-~O r 1 a'U .O Alt. BM Bldg. Sewer ~ SUHt Inlet S,Ga ~- 5'.35 o.kS` ~~ •~S" r St/Ht Outlet Dt Inlet Dt Bottom G1• /S.3S Z.~f '1~S• ~•~Sr Header/Man. c~ 35 t ~ol•3t Dist. Pipe ~ ~y~~ (o ' O ~ • Z ~ r Bot. System s~ I S ~ ~~'~ Final Grade ~w.u ~ ~ I "+ -- St Cover IS3)' D • 3S~ lo. ?.D . (~, . ZO /i!~#MBH DIMENSIONS Width r Length ' No. Of Tfer+eFier 1 PIT DIMENSIONS No. Of Pits In ' ia. Liquid th ~ ~ } Lb ~ C.I I SETBACK SYSTEM TO P/L BL DG WELL LAKE/STREAM LEACHIN Manufacturer: INFORMATION MBE OR Type Of System: >Sp~ ~2 1 r > 1$"p Model Number: ~ DISTRIBUTION SYSTEM Header/Manifold Length ~~~ Dia Z•y Distribution Pipe(s) b Length Dia I'~ Spacing~_ x Hole Size ~ It ~ x Hole Spacing / ~, 3e Vent to Air Intake ---~ SOIL COVER x Pressure Svstems Onlv xx Mound Or At-Grade Svstems Onlv Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bed french Edges Topsoil ~ Yes ~ No ~ Yes ~ No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: D / o / D ,~ pInspection #2: ~-! Location: 2315 55th Avenue Baldwin, WI 54002 (NW 1!4 SW 114 4 T28N R16W) NA Lot 2 Parcel No: 04. 8.16. nn 1.) Alt BM Description = 5 ~T• ~~ `'~ CB'`~ S ~ ~ •~S 5~+~'- r 2.) Bldg sewer length = ~oj - amount of cover = ~ c~Z`` c~.~ lGcxycr 3.) Contour = ~~}, S-p r Plan revision Required? ICI Yes ~ No ~ ~ ~~ ~ ~ ~~ Use other side for additional information. i SBD-6710 (R.3/97) ~ at ~ `5 Insepctor's Signature Cert. No. C~~ Safety and Buildings Division County r ~ ?AS W. Washington Ave., P.O. Box 7162 C~O i JC.. ~~~~~S~a~ MaQlsoa, WI 53707 - 7162 Sine Addreu ~3l 5~ $S'~ ~~ De artment of Commerce /0 - 7 -0 ~ a 0 Sanitary Permit Application ~'' ~ oo y~,~ Ia accord wilt Comm 83.21, Wis. Adm. Code, personal information you provide ^ Check if Revision be utted for Privy Law aI3. 1 m I. Applkatlon information -Please Print Au Iaforawtioa RECEIVED State Flea I.D. Number ~~-~ Property Owner's Name Parcel Number ~9/1'~~ ,C~..~~1 SEP 2 3 Gb8- poi/- o - ~a d Property Owaor's MaiFiag Address T CRO Property Location .$ f~.-~~ . ~- ~ IX COUNTY /Q~ 2 J~T,~.rJS' ri- ~ d cam. ~'® 7 ZONI N~'" '~.s'W!4• S Tv~a N. R City. State Zip Code one u Lot Number Black Number Subdivision Natnc G ~~~/ CSM Number .S .l1 Y ,~~il4t- .S-D~/7y- ~ 3~n U 3 t II. Type of Bttl:tiiog t:slt all that apply) ,,} ~ 5,x,6,...: ~~, ^ 1 or 2 Family Dwelling -Number of Bedrooms ~ ~ - ~~~ ^ PubliclComme - Dascs;be Uae owmhi a,~ ,~, ^ State Owtred ~°''^~iO'"''' •~' 9`t-SO « ' Barest Road ~S ~ r ' k 6 ~ ~ inA eR.fGC ~~ `' . I , o (Z .SS7`~i Q -~ III. 'Type of : (CherJt only one box on line A (numbering scheme for internal tree). Complete lice B it appUcable) A, 1 New 2 ^ Rephuemeat System 3 ^ Repiacetaatu of b ^ Addition to For Cotntty tm stem Tattlt cal stern 8. ^ C4eck if Sanitary Permit Frevicusty ls:ned Permit Nutnbar Date Issued rV. Type of Permit: (Check all that apply}(atrmberiag scheme is for interne! tree) ~ . 44 ^ Non -Ptnssurimd Ls-0rouad 21~Moturd 47 ^ Sand Filar SO ^ Constructed Wetland 22 ^ Pressurized In-(around 41 ^ Holding Task 48 ^ Single Pass 51 ^ DrIp Line 45 ^ At-GrAde 46 ^ Aerobic Treatment Uais 49 ^ Recinvl 30 ^ Other V. t Area Iaformati oa: Design Plow (gpd) Dispersal Area Dispersal Area Soil Application Petwlaflaa Rate System Elevation Final Grade Required Proposed Raee(Ga1s./Days/Sq.Ft.) (Min./Iacb) Elevation / VI. Tttark Info Capat;ity in .Total Number Manufacturer Prefab Site Steel F'ber Plastic Qatlloas Gallons of Tsnks Coxrete Cottattucted Glans New 8xis~i Teolrs Septic or Holdiaz'fisnk _ ~ $~ ~ • S,C .N ~~ ~ ~S'O l GrJ .` C VII. b Statement- I, We tmde , assume r~pondbWty for of the POWTS tthotvn on the attached Phimber'a Name (Feint) Phrtnber'a Sigmttttro RS Ntunbor Busineaa Phone Number Plumber's Address (Street, City. State, Zip Code) t 6 ? .~ ~ s' ..rJ ~ ' l vIIi. Count /De ttrtment Use Onl Approved ^ Disapproved Sanitary Permit Fee (includes Groundwater Date Issued Tssuutg Agent Sigmture (No Stamps) Surcharge ) ^ Owner G'tven Initial Adverse 3~~_ O . /,~ T ~ Determination IX. Condit~ns of Approval/Reasons for D..ippsa~p~p~~roval t ^/~ n '~- ~ ` ~ar~'t-aeJ[. ~utio~-'~ S $~ ~~n.a'~~JIX~e'4a- ~ ~ ~ ~~Sw~ l ~ -~ s ~-~ ~~ ~ ( ,s •~.~~.~ .~,r ~~-~t;~,,.~y gYs-ice. 6 ~~.Q ~l~ ~ p~ s~ r~'~ „_ _ _ _ _ Q , Attach complete pleas tto the Couoly aaly) for the system au paper not iw than 8113 s Il iaehu {n sire SBD-6398 (R. 05!01) • PLOT PLAN Scale 1"=50~ SS`~1 flU~ _ _ _ 5 "~ S ~•~- 1-0 ` Z 33 ~ S T, O ~or~,~ 3bo ~ o ~- Z"eve F ~ , ., Page 3 of `~ L 2 J 0 J isconsin Department of Commerce n,,. ~ ~~ SEP 2 `~ ~~~2 ST' CR01 Z~1NG n OUNTy Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601-1831 TDD #: (608) 264-8777 www. commerce. state.wi. us/sb www.wisconsin.gov Scott McCallum, Governor Philip Edw. Albert, Secretary September 16, 2002 CUST ID No.267341 ARTHUR L WEGERER WEGERER SOIL TESTING & DESIGN SERVICE PO BOX 74 RIVER FALLS WI 54022 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 09/16/2004 ATTN: POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 SITE: Paul Hofland 55TH Ave Town of Eau Galle St Croix County NW1/4, SWI/4, S4, T28N, R16W FOR: Description: Four Bedroom Mound System Object Type: POWT System Regulated Object ID No.: 869319 Identification Numbers Transaction ID No. 785844 Site ID No. 650057 Please refer to both identification numbers, above, in all corres ondence with the a enc . The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: General Approval Requirements: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Private Onsite Wastewater Systems VERSION 2.0" SBD-10691-P (N.O1/O1) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems VERSION 2.0" SBD-10706-P (N.01/O1). • Per manual cited above, limited activities are allowed in the area 15 feet down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption area. chs. NR 811 & 812c ~1~~~~~y A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. ~~ • n i r fired. Arran ements for ins ection shall be made with the DF COMMERCE Inspectwn of the private sewage system tnstallatio s equ g p _Yie~ INC~ designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stat ~'~ ~- ;p~~~~~,~, Comm 83.22(7) A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. • The changes made to this plan on 9/16/02 by this reviewer were acknowledged and approved by the system designer. ARTHUR L WEGERER Page 2 9/16/02 Owner Responsibilities: • Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • Comm 83.55 The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/instal lation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, 7 ~~~~~~ Charles L Bratz POWTS Reviewer II ,Integrated Services (608)789-7893 , 7:45 am - 4:30 pm Monday -Friday cbratz~a commerce.state.wi.us Fee Required $ 175.00 , Fee Received $ 175.00 Balance Due $ 0.00 WiSMART code: 7633 L • 1 ~ • ' TITLE SHEET Page f of ~ I~OUND SYSTEi~i FOR A ~ BEDROOr1 RESIDENCE This plan has been prepared in accordance with the Mound Component Manual SBD-10691-P and the Pressure Distribution Manual SBD-10706-P (N.O1/O1) (N.Ol/O1) LOCATED IN THE ~1~1 /4 OF THE Sw l /4 OF SECTION ~, T Z ~, N, R 1 6 W, TOWi1 OF __ ~~PCV G`~_L~ ST~, `-~Z.~ LX COUNTY, WISCOPdSIId. INDEX PAGE 1 of 7 TITLE SHEET PAGE 2 Of 7 SYSTEr1 I~IA~dAGEi•4ENT PLAi~A -! /'~ PAGE 3 of 7 PLOT PLAN 91c~, 9(,~ ~+~ PAGE 4 of 7 PLAN VIEG7-CROSS SECTION PAGE 5 of 7 DISTRIBUTION PIPE LAYOUT ~~p ~~ PAGE 6 of 7 PU%IPIPIG CHAMBER CROSS SECTIO~G~ `~~~~ - PAGE 7 of 7 PUriP PERFORI4AiJCE CURVE, ~Ov t,~ PREPARED FOR O,~ -- - 2 0 ~3 ~-TS ~ ~ I s~oZ3 _._- PREPARED BY WEGE~SR Sp = L .TESTING AND . _ . DES = G~V SER'V = CE P.O. Box 74 421 N.~Iain St. ~~NlN River Fa11s, tdI 54022 ~~~,~~,~ Phone 715-425-0165 ~ ~M,......,,,yl~ Fax 715-425-6864 }~-,.+' ~~~ e ~TMUK V~GEAE~ ~ P813 - ~ fiI.LSWQg7M, w : wts. v~yww~~ ....: ~~ - C~rt a. SIGN ~~~ ~ p AR7MEN~ 8 , (~-O? 2 N OF ~' sEE co~RE: J O B N0 . OZ- ~.~ -b Mound System Management Plan Page Zof -7 Pursuant to Comm 83.54, Wis. Adm. Code - ' Septic Tank - The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Slats. The contents of the septic tank shall be disposed of in accordance with NR 113, VJis. Adm. Code. T o erating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The u et fill shall be cleaned as necessary to ens ro er operation. The filter cartridge should not be removed unless prows~ons 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 continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of sludge and scum in the tank exceeds 1/3 the liquid volume of the tank; If the contents of the tank are not removed at the 6me of a triennial assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. The addition of biological or chemical additives to enhance septic tank performance is generally not required. However, if such products are used they shall be approved for septic tank use by the Department of Commerce, Safety and Buildings Division. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. Al! switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution S tem - No trees or shrubs should be planted on the mound. Plantings may be made around the mound's perimeter, and the mound shall be seeded and mulched as necessary to prevent erosion and to provide some protection from frost penetration. Traffic (other than for vegetative maintenance) on the mound is not recommended since soil compaction may hinder aeration of the infiltrative surface within the mound and snow compaction in the winter will promote frost penetration. Cold weather installations (October-February) dictate that the mound be heavily mulched for frost protection. Influent quality into the mound system may not exceed 220 mg/L BODS, 150 mg/L TSS, and 30 mg/L FOG. Influent flow may not exceed maximum design flow specified in the permit for this installation. The pressure distribution system is provided with a flushing point at the end of each lateral, and it is recommended that each lateral be flushed of accumulated solids at least once every 18 months. When a pressure testis performed it should be compared to the initial test when the system was installed to determine if orifice clogging has occurred and if orifice cleaning is required to maintain equal distribution within the dispersal cell. Observation pipes within the dispersal cell shall be checked for effluent ponding. Ponding levels shall be reported to the owner, and any levels above 4 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. General - This system shall be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall maintained in accordance with its' component manual {& and local or state rules pertaining to system maintenance and maintenance reporting. s ~b ,1 ~ bq 1- ~ No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected far water tightness and soundness. Access openings used far 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 a tank or component. Continaencv 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. 1f the dosing tank, pump,- pump controls, alarm or related wiring becomes defective the defective component shall be immediately repaired or replaced with a component of the same or equal performance. If the mound component faits to accept wastewater or begins to discharge wastewater to the ground surface, it will be repaired or replaced in its' present location by increasing basal area if toe leakage occurs or by removing biologically clogged adsorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition, Questions about the operation or maintenance of this sgstem should be directed to: The County Zoning Office at ~ 1S_3~b_ ~ `jQjQ ~-• C~~-UlX • The system installer at The tank manufacturer at ~'u~-~j2;s _ ~-~ S(, W l ~ ~? The effluent filter manufacturer at _ RUO ~ Z-~I - S7~/Z Z1~-~3~2 The pump manufacturer at - - ~3Q_gzO=-~~ ~ 6UyL PLOT PLAN , Scale 1 "= 50' SS`t~! flV~ 5 `~ S -~- l~ ~ 33 ~ Sr, O '~ a D~~ ~-i-o r~ ~ ~ Zo' o ~_ y ~~ ~v G ~bO r O ~ Z"nUC F ~ ., Page 3 of ~] ~l ?_ J ~- 0 J Page t~Of ~ Approved Synthetic Covering F~STI~-) C 3 3 Medium Sand Distribution Pipe Topsoil - _ __;~ ___ _J t F. 3 E ~~ ~ /~~ ~ b 7 % Slope Bed Of 2M- 2 %2 Force Main. Aggregate From Pump Cross Section Of A Mound System Using A Bed For The Absorption Area a A ~_ Ft. Linear Loading Rate= ot~0 GPD/LN FT B (~7 Ft. Design Loading Rate=O.4 .GPD/SQ FT I ~ y Ft. J ~_ F t . K 1~ Ft. ~~a-t~;ron ~ . e~- L ~1 Ft. ~j W Z~ Ft. G Elev. 1.~0. S Plowed Layer L T- - . D 1. O Ft. E 1.63Ft. F o-~ Ft. G ~~ Ft . ~=' S H ~r Ft . G~ ~ Observation Pipe ~-- --- $ --- -------- ~ _K- A I - - - -~ o ----~--------------- ---------------------~I Force W ------------------ ~TL Distribution Bed Of 2p- 2 2„ dPPo Pipe Aggregate I Observation Pipe Permanent Markers (Anchor securely) in S ~"~" tom, ~~.,~ . Plan View Of Mound Using A Bed For The Absorption Area Distribution Pipe Layout Page of ~ Place the holes at the bottom of the distribution pipes- - at equal spacing. 8emove all burrs from the pipe and holes. Extend the end of each late-aI up with the use of long turn or 4~ ° f fling to a point within six inches of the final fade. Terminate the ends of the laterals with a valve,:threaded cap or . threaded plug. Provide access from final grade for the valve, threaded cap or threaded plug, ~-_ _~,cC`ss ao~ - T `i P-1 C'(~ L - ~„ZSJS S . S'`C~10 ~ FV C F\1C PV C Lateral Martifald ~ Lateral x x x x x12 x12 x x - x x ' Laterai Length - Lateral Length - p " P ~ ~ r~c~s ~x o- - ~ ` - -~ r+°su~w~ S a- -- ---0 pvC w2c~ ~~ a-- - `q ti~~~~~~ ) P 3 `~S Ft. ~ Hole Diameter ~/a Inch -~ -- S 3 Ft. - ~ Lateral ? ~ InchEes} X 3 ~, Inches Manifold Z Inches -- Force Main " ~ Inches - -- ~ of holes/pipe 1) - ` Invert Elevation of.laterals 101-0 Ft. - 1 l X v~ X1.1 = 4 -Sl X 6= 2~. ~ b G pry Combination Sept,3c~.Tank and PLI-MP CHAMBER CROSS SECTIatJ A~JD SPECIFICATIOAIS ' PAGE 6 ua 3P ~Gto>J ~ lPE w!-}1.cLTlsttT'r-rcp ' FI N LSk}© G~oE ALR UJ TA K E --i 6`xw. Q .~= UZ'~ ~ IuLET ~.. ., ., • 8~t-rLC ~n Approved Z>'~8~. u~~ joint w/ ~--t$00 PVC pipe CLEY.~S.OCfT ~L.~1. -1y_00' ~ . colaputr ~ I ' i . ' • `~_ ~ r~ ~~., j' . _ ~ ' PROVIDE i ~AIRTIGH7 SEAL ~ _. ,~ I I a -~, ~. c j I PUKP -~ --~ 0 C0IJCRETE ~` DLOLX -1 I l Y• xl~l. OF ~ ~ ~ ~ ~ 18• ~,lls. 11'~ _ _ _ III II ~~1 Approved III joint w/ I~. ou OFF 1 I ~- RISER EXIT PERM17fED O1.ILy IF TA).1K MAIJUFACTiJRER Hq5 SUCH APFfZOVAL 13~AAPR~sFD BEtx~: rv~ S1:PrIC f - SPECIFIGATfOt~1S oos>: Tn1JKS MAalUFACTURCR: wLI~ ~iZ ~~N Cb1,ti~~ i~JUMgER OF DOSES' ~'~ PER pA~ TA1JK SIZE : 1 S~ S I °t S ~ GALLOIJS DCSS< VOLUME z • ALARM MA1vUFACTURGR: _ SSL~-~~12.0 S`-LS`f~7+~IS IAJCLLlO11JG 6ACKFLOw: 1~9 •$ GALLONS MOOEL -,1UM8ER: 101 1~ W CAPACITIES: A=»' ~'S IAICHES OR N31~ 3GALLOtvs SWITCH TyPL: _ Y~1(~CU(L~/ 8 = Z IAICHES'OR ~b'O G~+LLOUS HUMP ~"~AtlUFALTURCR: __ GOVL-17 C: 6-~ S IutHES OR ~ 6$' $ GALLpl15 MODEL 1`1UMHER: ~~~~~ H' p= 1Z I~HEyS-pO~R_3Op'~GALLDY~75 SWITCH TYPE: ~1L~~=U\ZL/ IJOTE: PUMP AUD ALAfLM AttE TO ~SO. 1 Ml1JtMUM DISCHARGE RATE Z~ • ~ ~ CpM_ INSTAlLEO OA1 SEPARATE CtRCU1T5 yElZTICAL DIFFEREIJCE DETWCEIJ PUMP OFf AIJO..DISTRI8UTI0-J PtPE..Z_6_=~OFEET ~- htlAflMUM I.JETWORK SUPPLY PRESSURE , ~ , , 6- SO FEET ~S uX `• ~\\ ~- 3 d~ FEET OF FORCE MAINJ X ~' ~ ZF~o FLFRICTlOU FACTOR. LI•~ ~O FEET J •. TOTAL Oyt,IAMIC HEAO = 3~"~~FEET _ -VEIJ7 CAP WEATHER Pit00F JUJJCTIOU 90X . 'i~C.Z. VEt~1T PIPC ~ APPROVED LOCKIIJG ~ IO' FROM OOOR, ~MA~IHCILE COYER cUi~'t :i1fJ00W OR FitESH ~ wAp.r.111JG l.P.gEL, ALARM PVC pipe As per manufacturer 2S-OV gal/in. Liquid depth , 3 ~~`~ ~- ~. ~~'MP P~~-F~2}`'1 ~i C~. C l~ IZyE 1~`t-~~ 7 ~r- -7 '.~~L~IGS - - ~~1~~'l~~'S~~~~ ~~fl~~n~ P~m~ ~~ 3885 APPLICATIONS .~ ,` . Specifically designed for the following uses: • Homes • Farms • Trailer courts • Motels • Schools • Hospitals • Industry • Effluent systems SPECIFICATIONS Pump • Solids handling capabilities: 3/4' maximum. • Discharge size: 2"NPT. • Capacities: up to 128 GPM. • Total heads: up to 123 feet TDH. • Mechanical seal silicon carbide-rotary' seat/silicon carbide-stationary seat, 300 series stainless steel metal parts, BUNA-N elastomers..- • Temperature: 104°F (40°C) continuous 140°F (60°C) intermittent. • Fasteners: 306 series stainless steel • Capable of running dry without damage. to components. Motor Single phase:. •'/ HP,115 V, 200 V, 230 V, 60 Hz, 1750 RPM;''/x HP, 115 V, 60 Hz, 3500 RPM; '/x HP -1'/z HP, 230 V, 60 Hz, 3500 RPM. • Built-in overload with automatic reset. • Class B insulation. Three~phase: • %x HP -11(x HP 200/230/ 460 V, 60 Hz; 3500 RPM. • Class B insulation. ®1995 Goulds Pumps, Inc. • Over{oad protection must be provided in starter unit. • Shaft: threaded, 400 series stainless steel • Bearings: ball bearings upper and lower. • Power cord: 20 foot standard length (optional lengths available). Single phase: •'/a and'/x HP -16/3 SJTO with 115 V or 230 V three prong plug. • 3/-1 Yz HP -14/3 STO with bare leads. Three phase: •'/2-1'/z HP -14/4 STO with bare leads. On CSA listed models - 20 foot length SJTW and STW are standard. FEATURES ^ Impeller: Cast iron, semi- open, non-clog with pump- outvanes for mechanical seal protection. Balanced for METERS FEET 25 0 a W U a 15 Z 0 0 10 s 0 11 smooth operation. Silicon bronze impeller available as an~ option. ^ Casing: Cast iron volute type for maximum efficiency. 2° NPT discharge adaptable for slide rail systems. ^ Mechanical Seal: SILICON CARBIDE VS. SILICON . CARBIDE sealing faces. Stainless steel metal parts, BUNA-N elastomers. ^ Shaft: Corrosion-resistant stainless steel. Threaded design. Locknut on three phase models to guard against component damage on accidental reverse rotation. ^ Motor: Fully submerged in high-grade turbine oil for lubrication and efficient heat transfer. ^ Designed for Continuous Operation: Pump ratings are within the motor manufacturer's recommended working limits, 10 CAPACITY can be operated continuously .without damage. ^ Bearings: Upper and lower heavy duty ball bearing construction. ^ Power Cable: Severe duty rated, oil and water resistant. Epoxy seal on motor end provides secondary moisture barrier in case of outer jacket damage and to prevent oil wicking. ^ 0-ring: Assures positive seating against contaminants and oil leakage. AGENCY LISTINGS SP Canadian StandardsAssaciation ~~ Underwriters Laboratories 20 30 m~/h Effective May, 1995 83885 u 1v 20 30 40 50 60 70 80 90 100 110 120 130GPM ;.Yisconsirr Departrnent of Industry, l.at~r and Human Relations Derision of Safety & Buitdngs . .: Horizon Depth Dominant Color Mottles Texture Structure Consistence Bourr~ry Roots in. Munselt Qu. Sz. Cont Color Gr. Sz. Sh. g~ Trerxh o-°/ ~t,HR-3!3 - sit Z'F-5~k m'F-- c1.J zu~ ,s •6 2 ~ --~.o ~ d ~ ~ qty - s ~ 1 Z-~5 b1>: m~. ~,,~ - • s - 6 3 zo~.•6 ~,s ~tR~lt( _ L l ~s 61•>•_ m`F-- es - • ~ .5 ~) byou 5 ~l 1~--- 4<< ~ ~1-S y R S ~B ~- o --~ r» `Fi - ~ - y SOIL DESCRIPTION REPORT 11 Remarks: Boring # :.;r~;.; :~~ 1 y., ;k3 Ground elev. Q9.5 ft Depth to limiting factor -Lb. ~- Boring # Zx Ground elev. q~.o fL Depth to limiting f Z1 ~~ I d-9 ~0~1~ 3~3 - si J Z`~Sb1t m'F~- ~w zv~f- .s •6 Z ~, - I - o `Itz ~! y - S'; ~ Z'E~ bk vn.~t- ~-ki - ~ . S . ~ 3 ~y-Z~ ~ •s ~tZ ~/Y - ~ ~ ~sb1Z y~~-- ~S •y ~•5 y Z-~-~~ 5 ~11Z y~Y ~~.s4Q spa ~ o~ m~~ _ •3 ~ ~Y Remarks: ST Name: Please Print Arthur I,. WeQerer Phone: 715-425-0165 ' ~egerer Soil Testing & Design Service-P.O. Box 74 River.Falls,WI. 54022 signature: ~~~~~ Date• ~ CST Number:. X39-3~8 - Z ' I--l9-pp 220254 SOIL AND SITE EVALU,,~~'''A'~ffi1NREPORT in arrnrri with II NR R.'2.~(SK: 1)Vur ~~rlm (`nri6 ;' Page 1 of 3 ~ - ' Attach complete site plan on paper not less than 81/2 x 11 inches I ~tze` Plan ~u~~' e' ` but ~~,.- S r • C~?.U lX , '~" not limited to vertical and horizontal reference point (BM), drection !/o of slope, scale or ~ CEL I.D. # prj a- 1~ti1-Z.O. dimensioned, north arrow, and location and distance to nearest rod r r r; ~- ; €~ _.. APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION ~,° >,~ ;;: IE~ ~Y DA TE ) 'sa y PROPERTY OWNER: - ~ PE~INflII-t~~ ^ION ` G~p~ZGE B l iZ1rc~',TT ~, ~AL4--L-AT 1.~hJ 1/4~rW 1/4,S y T Z~ ,N,R 1 ~ E(or W~ PROPERTY OWNER':S MAILING ADDRESS• -IAT # BLOCKS-~ SUBD. NAME OR CSM # ZZ q~3 SS T!t- /~VF. Z. -- ~~jppg~~ C-S-''1 CITY, STATE ZIP CODE PHONE NUMBER ^CITY ^VILLAGE ®fOWN ' NEAREST ROAD BPr~-i~lifu, w~ S~Lozz. (~ts~ 60~l= Zq-~ E>~v C~Pr~ ss Tt1- 1~v~1, [x~ New Construction .Use [~J Residential I Number of bedrooms y [ j Addition to existing building [)Replacement [ ] Public or commeraal desaibe Code derived dalty flow bCxl gpd Recommended design loading rate • y bed, gpd/ft2 ~ • 6 trench, gpd/ft2 Absorption area required 5~ bed, ft2 SIB trench, ft2 Maximum design loading rate ~ 5 t?ed, gpolft2 • b trench, gpolft2 Recommended infiltration surface elevation(s) \ DO • S ~ ft (as referred to site plan benchmark) Additional design/site considerations MpV4vD w/B`x.'6~~ B~ - MtrulWiulti \Z" of St~/UD HL~- Parent material ~tJ~SS pV ESL 6lJ"cC11~. 'fl L~ ~ Flood plain elevation, if applicable N A ft S =Suitable for system U =Unsuitable fors stem CONVENTIONAL ^ S l~ U MOUND ®S ^ U IN-GROUND PRESSURE ^ S ~ U AT-GRADE ^ S ®U SYSTEM IN FlLL ^ S ~ U HOLDWG TANK ^ S ~ U G P D/ft • S' S~ .~ .. PROPERTY OWNER ~t R-kLTT ~ ~ SOIL DESCRIPTION REPORT ~ Page Z of 3 PARCEL LD. ~ C~ S - l01 l -Z.0 Boring # Depth Dominant C l Horizon in. o or Munsell Mottles Qu. Sz. Cont Color Texture Structure Gr. Sz, Sh. Consisbenoe Botx~tcRary 0 9 ~ ~ ~ - o ~~- 3 - s i I Z`F5 bFz ~~h cs~ 2 q-16 Io~tcZYly - Sil Z`~sbh r-~'fl- ~w 3 id z~ ,s~,~~ly - t ~~gb-~ mom- ~s y Z~-~!$ S yR Y!y 1.S~tRS!$ L Ow. m~ar• Roots GPD1ft Bed Trey zv~ •S .~ ~...~}sic ~~~ ~ <? Ground elev. l~0•0 tt. Depth to limiting factor z19 ~-~-- Boring # ..~~.`k~ .> <~ ~~ e~.~ tr•..t.:..t{.•:.•s v Ground elev. f t. Depth to limiting factor Boring # >::; r~<,.,:~A,:..~:~~ Ground elev. ft. Depth to limiting factor 3oring # a s'S :< .::} •:x:.> ~r a::::::• around ;lev. ft. )epth to imiting actor I'semarKS: . 5 .~ • ~1 .S -3 _.y j .~ .. _ • i i i i i ~ ~c~i~aina. I 1 ~ • I. n_ _~_ ~ . .vn~a~na. .,.,..a...~. PLOT PLAN SCALE 1"= ~~O ' Z 3 3 r ~. ST. ~ v -f Z --- _~ r ~ No-r ~~t~rt~cT oR ~q1~ -- 1 ~ is i ~ zs ~, i ~ OT 1 Page 3 of 3 31 ' ~,o~ot S ~' gs ~ etloo°_ 7°~ ~^8~~-Z - pt. 9g.3' o,~ 31y4 Drq . I.OT z -,~lo ~ P~+C t~tG~ WluY'r1}, oo*~lxi~z ~'L.°lR.$ ~wla-i -tsL ioo.o' ~--- E3 oT~'vr,-t o 3F ~ oN q ~' H~iGlF~ 3l u " Lam- I.l1p.S br 13- ~U °~- PIPS . ~ / L~'Tt! _~i0~-5_~ 1`9__@~'--r't'r_ ~~h3T._ZS'._F=i~t~wl_:1_tiQt1-~:_~-__'~_- Gti, ~ ~ .. l q-o~ CST Signature Date Signed qq-qua- Z zzozsy :: . c> > - _ Telephone No. CST # Uwner/Buyer Malting Address Property Address ST CROI3i COUNTY SEPTIC TA?~'K MAIIv'TENA~'CE AGREEMENT AND pVJNERS~iII' CERTIFICATION FORM ' to ~ ~ c~ ~t' ~ G (/1 O~ ~~S (Verification required fratn P?annin3 Department for new - .5a ~ 7Z 'C~ d10 ~JG ~ ~ -~~~ ~~~ 2~~ CitylState >~~.,~;,`.,~~ ~ ~,~%,~ Parcel Identification Ntunber O ~~ LE Property Location N~ ti., S'~ 'l., Sec. ,~.,, T ~ N•R.1,~..W, Town of ~~ ~~ `~?°- ,Lat# 2 Subdivision Certff[ed Survey Map # C~77/ ,Volume ~ ,Page # 3~~~ Warranty Detad # ,r, ~o ~ ,Volume 1~-, P&ge # /~ Spec house ^ Yes ~ no Lot lines identifiable ryes ^ no 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 ttuee years or sooner, if needed by a licensed pumper. What you put into the system caa affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit m St. Croix Zoning Department a certi~catian form, sighed by the owner and by a masterplumber, joymanplumber, restrictedplutnberor a licensedpumperverifying that (1) the on-sits wastewaterdisposal system is in proper operating condition and/or {2) after inspection and pumping (if accessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have road the above requircutsnts and agree to asaintairi the private sewage disposal system with the standards ser forth, herein, as got by the Department of Commerce and the Department of Nature! Resources, State of Wtscotxsirt. Certification stating that your septic system has been maiataiaed must be completed and rett:nted to the St. Croix County Zoaitng Office within 30 days of the throe year expiration date. ~ ~ ~~ ~ DATE SIGI'ZATURE OF APPLICA O'lll~'NE CSR ~A"T Ol~i I (we) certify that all statements oa 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, ~ ~'~ DATE SIGNATURE OF A I,I NI' +*+*+* Any information that is rnis-represented may result in the sanitary permit being revoked by the Zoning Department, """'"**" "* Iacittde with this application: a stamped warranty deed from the Register crf Deeds office a copy of the certified survey map if reference is made in the warranty deed U 1957P 172 STATE BAR OF WISCONSIN FORM 2 - 2000 WAKRANTY DEED Doeumem Number This Deed, made between Joseph M.P. Sepeda and Natalie J. Sepeda' his wife - Grantor, and Allen E. Hotland Grantee. Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate in St. Croix County, State of Wisconsin (if more space is needed, please attach addendttm:; Part of the Northwest Quarter of the Southwest Quarter (NW 1/4 of SW 114) of Section Four (4), Township Twenty-eight (28) North, Range Sixteen (16) West, more particularly described as follows: of (2) of Certified Survey Map recorded in Volume 14, Page 3814, as Document No. 618771, office of the Register of Deeds for 5t Croix County, Wisconsin. 668042 KATHLEEN H. NALSH REGISTER OF DEEDS ST. CROIR CO., MI RfiCEIYED FOR RECORD 08-26-2002 9:00 AM WANpFNTY DEED ExlarAt ~ REC FEE: 11.00 TRANS FEE: 119.70 COPY FEE: CER7 COPY FEE: PAGES: 1 Area Name and Retum Address 1 GJ/' 9~// S'- 908-1011-20-200 Parcel Identification Number (PIN) This is not homestead property. (is not) Exceptions to warranties: Easements and restrictions of record. Dated this .2 I S~ ~ day of ~ ek , 2002 r • oseph .P.Sepeda -_ r atalie J. Seped AUTHENTICATION(' 1S1f1~~l~, . S~ `rn - authenticated this ~' ~ -i `/ day of v~ a~ ~~ ~.- + ~Y TITLE: MEMBER STATE BAR OF WISCONSIN (If no[, authorized by § 706.06, Wis. Stats.) TIiLS INSTRUMENT WAS DRAFTED BY Thomas A. McCormack Baldwin, WI 54002 (Signatures may be authenticated or aclmowledged. Both arc not necessary.) ACKNOWLEDGMENT STATE OF WISCONSIN _^ ) ss. St. Croix _, _ County ) Personally came before me this _ day of 2002 the above named Joseph M P Sepeda and Natalie J. Sepeda _ to me known to be the person(s) who executed the foregoing instrument and acknowledged the same. ~- Notary Public, State of WISCONSIN My Commission is permanent. (If not, state expiration date] + Names of persons signing in any capacity must be typed or printed below wcu o.g,.w.u.~. STATE BAR OF WISCONSIN INFO•PRO (800)855-2027 w.wv.inroproforms.com WARRANTY DEED FORM Na 2 - 21100 a C;c'U--~;e attic ~)vt-is Bii•icctt „~ ~~ t'at'} C;I~t1'i~ ~'or'tf1~~r~t !r`-~} ~,f~t~tt Sc;tath~~e;1 lr'~1 il1~~;~,:?ttan -~, ~'v~1~ns~si}~ _'~ \~_u'th; Rans;~ }t, ~l'cst, Tutvn of ~3t? tt'3llr, ~1 ~-1'l?it ~~t?1i1111, ~~'t.j~t~RSi?]. W I: J LOR. SFC. d, T TBN, R /6W,. ?~.`7.~ JJL1Y t~Vt?, £ /./4 SOR. SEC. 4, TZ6N~ RIB++', ~P,k. N.Q/L Fpf 138~CI:4J1.SIr 11''i 54~(~i I./2"lR[~NPlPE FO.! UNR~.q T7'Ep LA1VpS AWNED 8r QTfrERS -+" S89~33't'J"f 5296.79' -~- 383. B9 "- - - _ O ?99.98` T`79.4.D: Dt@ T - - ' ~?Tt. 8f' ~--~p ~~_ ~ ~ h 398:. 63. ~~ p v,'~``B9'JT 'S3 t d7G:.'tf • a C ~ ~, ~~ ~ t w x __ f.0 ~ `u (It ~ ~... -ti~~ 5.793 RC RFS S. Ua4 .4GRfS S.OOI aCRFS I ~ `' ry ~ S• ~; z3o, ##r S.O~:FF. ?~9, F3~ 50: FT. TrT, 630 Sc7 FT, i.~ lQQ ~~ i W ~! n 3.OT3 4CRES FXC. ap v,ds'8 AGRF.3 Exc. - 4673 gQ17FS }.~ _ m R04D R. D: W: O~ Rt7Afi R, t?, w. Oi (~ ,"' ~l ~ O 4i FXC.R4AOR,0•w.°p ~ + ~i 4; h -TFO, 91'2 SC. Ff. ^ '4110, 330 30, iT, ~` ~1J,T.d~*3 SO, FT,.' y ga ~ 0 ' O J~ { ti 3g -v i n ~ `~i 3? ~' e @ ~~ t ~ so' 'sa' v M. n r,, ~ O ~ +, r. ~ wr ~. t ~ I Q .,1 h • , t ~ ~ r `Ri o ~ ~ 41f .Q7' 't t' f N ~ ~ w~ i ~ 4 {„ ~ N ~ `~~ 1,. rK Lta"F ~. _._~ •i I ~~- 14"!y 307.5/' g 92°4t' V N ~ W A ~` ~• 9 a ~ ~,q/~ ylGN_- _y M !N~" ~~~ , This instr'urc:~cli ±ir~fl.:rs 'ry La:rrc-s~c~. [~. `?~~7'?:,17F _ _ •-- -- ~. -. i ___-~ Z --_" .'~^.~ ~'~""_" LANO~ OWX~L! 8Y OrH~F~ ~~ 60' sa'~ l~ i e~urroH ~~~ ~:! N/GHW'4 r ~ETggC x RESTRlc TlOtY's` ~ROHr6rT rtd?r?Cv~ li4ErLi~ ~I INCERTar~V A.~E45`. SEF SKEET 2 FGR DETsi!(S. LPg~nd: ~ •1RiC:1tC:5 1" x ~~+" iTVr! E a ~t'y~16111t1J~kB ?~it;e erei•;i~in« 1..3 3 lbs. j11ii, fi, si?.l: yl ~; Inrtcatcs f~~nec. `~~~~ ~`\S~~ht•S'~~`~y~ 4 • ` ~ ... ~. •'.~•. ~ f z !t (}f').Q'} I~:rr~cates ~~re~ia~.a~l,' t'ec~?t:l~ci ~'ata. ~~ V":•• i o ~ Ir2t~1C3tes soil hc~rir~ fir. ;3rcipc:~3~:1 ~,~E~tiC 4 :"•LA 1~EtvC[_": sirF. ~ ~ tJRAHY ~ .. Vet w ~ 13at~ci: Llec. ? t~ rn ~. O •• R SCALF / '• r 20L" ~ ` ! ~ Qr~ r S '}~~~ ~ v w o 3d' ro0• y0'J' 3+7~' JOU' :A;J' r.• ~, ~.RIVER~AtLS,~;' ~ i ~ w ~ __ '- ~, ~- ''-., WISE. : ' Q` ~ C'e~•t~f ~c~c~ St,~v~y7 ~'f E~~~ Gent•bc, attcj T}t3ri~ 43it•~:c°t1 I';irt ciI Eli~:1'~)rtl3~i'esE (.'~ of tlrc Se~t~flii;cst I~`~t etif ~~,(ir)ri -t, Tc~~ctlSl[i~~ z~ '\,'~-~rtli_ IZrrrige th West, 7'ou'tt cif Eat: C1~3!l~,~St...C'r~<?i:~ Ccnrlltti'_ 1~~i_~~tii15ii1. 'I'Iiat certarrl t~t~rcel t~f 1:~nd fC~catctf irr th~'~:c}rtht~';,~st t'•t a! th~~ ~ciutiltti'~;t i~tc~s Sreti~>ti ~, T'c-~~,•r~slzi}~ 28 Nt)rth, Ratite l~ ~~~esi, ?otL~n of f=au Gtr(Ic•, St. C`rc,i_~ C•~rilt[I}. tt'~sc~}nsirl, ttlCirc; Iitf(y' descrihcd a~; fpll{?u-s; C'UTI1ttlCitttiZ~: tit t(7i il'C~t Iii ~4_iril><.C L)f said St~cGti[n ~1, th~:tic:c ~ Sit°>'i ~"E {i[~~ut~~~~1 f.~i;Ariilt; t~i1 the lr~s(~L1'~St l;~ litii, t:il';~itl Sec:tit)t~ ~? a dist,~[i~<+ crf'S} ~~?' tc~ the I'C)I'~T t:~F 1~F.Ci[~v(~C;, r~t'Ehe~ parcel t~ lac lit~rcin detielbed; tltctt~c «lntitiEi;; 5 ~#~~°55'tS"I ~F~3.?5` csrt ~tii{t lii)~. tl[cn~~, S t73°33'i i"t: ?X7.3f;' ~n the East fine c~fth~ ~tic7rtlllr~st (;•'( ~1f'tltc: S~~ut(2~4et Ir4 ~,f't[iz( 4cctiE~rt -I_ Lli~~tic~ S S3°U~'t1,4"~~r a?.U~; tllcn~:.e S Cll° S~',5~"1= =1I~t.S~` c~[r ttf~ ~tjest R.ei.L~`. cat is t~i~-a ris,iti: tl~~~n~:~: ~'l'Lstc~t-Ic• c~[~ this tic>rth~r[v It.CJ.t~'. c)f Interstate I-Ii~;lte~'a}° "tl~l" 0[3 ~ cilr'~-t cC3r[G~t~.'~ tr_r the Sc~[ith, 1,a2inti, a ra~~itr. rr!"~~il•~.5~'. u~l~c~sc cli~rd bears ~; 3S° i3'~(8.~"1t' tt tlistanre of ~~; ~C:~'; tti~nC~ S t3'"-#~t'I-4,.1~' ;G~.51' i,ri saic~l R.() ~~~ {rac'arcl~:cl as 5 87°37'CiU"~~4j;, thCrlCC ~ U~°33'3 I "1~~' 7&3.55'ttt tf1C PC(ri~~l~ QI~ I3(:C.i(~?vl~~C, c:cs[itEttniilL!: 15. i ~i; aLres C1r G~iS,t f 6 tiyuare fiet, (icing cl.rE~iet:t to cascrz}erlix cat record. ~r~ti>i.~~,. 4etl~ach 1Resrrictiaris {C?rily :~~~ji(ie~5 to intt i ~t<tic 1ligtit4:t~- "~~-t" SetCixcl~ Listty "No irtrl~rCivCrTlt~nt5 Lei' stnlctures art' r~Iit~~4'rcf l~et~+~eci) ri~lii-L~l=t~ati IinL ancJ the 11ig(r~~.~~i~• Setbacf line. In1pi•c~s•csncnts iiz~llyde, t~tit are 1102 (ii2lt~:--(~ I0, Sk~115, E~~rr(,irt' areit, ~Iri~~eua~'s, «.~e((5, septic: sl-sterns, drainage f'scilities, bu11c(iriE?S grid ret3iRing t~•atI It I.~ri1~~r eta}rGssf~• it?E:crldt~•f' tlt~ti t(ti; rcit~ic_iicrrl i:s (i1r the benefit ~t'tlic t)uhlic as f)ravideii in Secricii~ 3t:~,2~;, u'icc-rY.tiiri $t~it[ttGS_ ,=tnd 4(rii( Iic t'nfcit~cc~til~le L~}• tl3e Dt}?~[•tillent c?f Tr<itlStlc?rtatitlri car its ~~;tii4.:nS. Ct~rittit:t t11e tl'isct~liin Uca);ir'ttn~t~t ci3"('r~'iilcl:icartHiitin fvr lncire infc)rn'tatiort. 7~I1e {?li~nc tluti~ber ttlci}~' Ge obtairicd (~~, ci)ntrjc:lin~, t(?c Ccu+r,t~~ Hi~_=.Ii1i'ii~• D~}?ai'tllictlt." itnte: Car~I1 pan:~I sI~c~~i~n «it this ittap i, Srr(}jeCt tc} ~t~itz. C'ca[r}}t~•. anc~ ~I'ci~~rr?sf1'r~.1 latcs, nr(rs ~[nd regulations (t e. ~~~etlant{s, n1t[lttTitiitl 1C}t 5t7C, ttc:c~ess to ~ttrccl, etc.}. I3t~fc,i~e purc•I[risirtg i~r. cle~'elcrt~irig t[r,cl parcel, contact tliC SE. t"r'Cii~ C~(itilliS~ ZOtlitl' C?flic•s:~ atic~ Cite ;jT?I?['ri~lrittte 7~ot~.-r? E3~iard tint' adt~ic:c•. 4tatc of t~`isccinsiit} t'~u[ttV c?fi'irr4e,J I, Laiu-~~ricc 1'~`. _tlltrr~~)iy~, R~gist~°r~,d Land 5ur~,e~~or, t1o hcr~t~~~ cr:-tifi' t1r.~t h~~ dirc~civn c~f`tl~e C~~c•nt.rs, tietirge.int) Doris I3irkr_°tt, I ha~'e 4urr~ye~l and di~~i~lid tfi~ (rtndsiiiautt ir+;r~rcin in ~icci~rdant~~~ [~it(~ cffli~i,~l rc°cords, C'Itt~f~ter '';ti,;~~t csF't(7e'ri;'[SCQIJS[[15tat~3ies a:tits tier 4r{Ii[~at~c.Ls cif St. C,rczi~ Co~~nt}~ ail{( t113t t(us t23ap iir)i'~ dCSLi7~)titin ~ir~ ~ trli2 And ct~rf[t;t i'~lli'c'St~ilttitit>rr t(r~r4Ut ``~`tt~Eitt4ltftr~yjr''i ,~~~,ya1sG4NS '' .. t_A'J NCE =._ r _=m ~W,V~ RPHYF ~= "` ~' 'X ° 17 t 3 aa. . 't ~'' _ __ _ c.. t}ivir:M~ of &afety & Buildrx,~s - -~- __ ~~ - . a,,e~ ~ ~ in accord with ILHR 83.05, V1fss. Adm. Code • COUNTY Attach complete site plan on paper not Less than 81/2 x 11 inches in size. Plan must include, but- Ste' C~ Lx not limited to vertical and horizontal reference point (l3ivQ, drection and 9'0 of sbpe, scale or PARCEL 1.D. # Opa` 1111-2.p dimensioned, north arrow, and location and dsiance to nearest road. APPLICANT }NFORhtATlON-PLEASE PRINT ALL INFORMATION AEYIEWEDBY, DATE PROPERTY OWNED I PAOPERTY LOCATION G ~ tZ.G F B ~ lZin.tv`TT • T t~ u4 S W v4,S 41 T Z$ ,N,R 2 b E («~ PROPERTY OWNER':S MAILING ADDRESS. ~ LOTZ BLOCK,°. St~D. NAME OR CSM # Z Z ~ 3 S.S Ttf- PrUF . _ ~ ~opo3t~~ CAM CITY, STATE ZIP CODE PHONE NUMBEA ' BPr~-~iri~ ~ t~l S~O'Z-Z (risk 68y= Z~Ir ~ ~ ~GL~G~~~N NEARSSTROAD 1 . 7T1- 3'~Uf` . (x~ New Constructi~ Use [~ Residentia} ~ Number of bedrooms _ y [ [Replacement [ j Public or corrunercial desrxibe [ [ Add>~Qn ~ e'~~g buif~g Code derived daily flow ~C~J gpd Recommended desic~t toadarg rate~_bed e . 6 Absorption area required S~ bed n2 Spp 2 . ' t trexh, 9A~ trench, ft Maximum design Iaading rate ~ 5 bed, gpd/ft2 '' b lrertr~t gpdi~2 Recommended infiltration surface elevation(s) \ a0 • S ~ ft (as referred to site plan benchmark) Additional design /site considerations _ M(~ ry/ g'~~j,~ ~ ~ ; M 1 tut jet tJly \'L 4 of S tj-~ }-~ ~,c~ Parent material Ly'CSg OV tT_2 611~~! ~ `j-l ~..t Flood plain elevation, if appGcabfe N A R S = Suitable for System COM-8VT(ONfU_ ~ tAOtAVD 9~t-GAOtJND PAESSiJRE AT-GRADE U=unsuitable far ^ S~ U ~ S ^ U ^ S~ U D S ®U O g'3 U I~loLOnuc TAf~c ^ S ~U SOIL DESCRIPTION REPORT r------~ Boring ~ ~t1u\rv~.~E~Ci Wpa,~nd u^^yelev. 1 .. J fj. Depth to firniting factor Zb• Boring # 'Z Ground elev. q=ft. Depth to f+miting factor 2.1 ~, Remarks: ~ d-g ro~l~ ~t.3 _ si 1 z~sbk m~~<- - - ~w Zv,f- .s -6 3 )4 Z`t -, •S'-ttZ 4tIY - L t ~sb1z ~+1'~t- ~S .~j .5 y Z~-~t1 ~1 s ytz y~y ~-s~Q s/a ~ ~ o~ m~~ - _ -~ j •y ~.. Remarks: Name:-Please Print ' Arth ass: gerer Soil_ fiest ur L. We erer Phone:' _ 715-425-0165 ing & Design Service-P.O. Box 74 River .Fa11s,WI. 54022 ~• __ '~ ~1•~._ ~ q 9- 3 o A- 2 Data: 1 ~. f O n.. CST Number:. ~~ e • PRQFERT1f OWNER 8~ R-1zLS'TT SOtL DESCRIPTION REPORT ~ Page? of_ PARCEL. f:D. # 00 t3 -1011-2A Boring # .~rh r ~~ t 3 r ~~ ..: Ground elev. lbo-0 it. Depth to limiting factor Z~9 Horizon Depth in. Dominant Color Munsel4 Nbttles Qu. Sz Coat Color Texture Structure Gr Sz Sh Consistence t3otxtdaty Roots GPD/fi . . . Bed Tre 0-9 , o ~trz- 3 i ~ - s i 1 Z'f5 b~ ~~~- ~ cs~ z v~ . s .t 2 9-16 ~o~-tu-Yly - sil Z'~sbk rn'f'~- ~w ~ .5 .~ ~ ~b Z~ zs~t2-YIy - t ~c-sht~c m'ff- ~s -. .~t .s Z7-til$ S'-tRSllcf ;.S~tRSI$ L taw. m~~' -~:,y ~; r ! . Remarks: Boring # ~~:.. -~: x.~~`~-z Ground elev. tt. Lath to Limiting iactar Remarks: Boring # ~~~ ~'~:~a ~, ~.{ "~~ s ..:?;~~: r :;~:;:«tia:..~ Ground elev. ft. Depth to fimiGng factor Remarks: 3oring # :~. ,~.~ 11"'.fA''^~2 ~`•.C 7round ;lev. ft. )epth to uniting actor Remarks: '~ ~ ~T ~ .~..1~ Pa9eJ of 3 SCALE I"= ~l7 ~. SS ~ 1'~VE. SZ S' ~ ~ Z3 3 r~R. ST'. -~ ~. _ ~DO ti oT ~-0~'t~+~T OTC a1g7v~Z.~ T1~4~ l~~, ,_ - S.Z Z.5 ; ~zs ~ ~, 1 r 3 t ~ tl-°t~ 5 31 - ~ e.~ ~ OT 1 { ~ ~.DTZ. ~ ~ -~°!o ~L~pc _ '-_ ~a~L 't3 o~vw~ of eli'~ ON 9 K ~H-t 31 ~ " lam- LLIQ . S bl ~- ~ V ~°- P! P~` -V ~ L~'TM • ~ ~"!~Z - ~ _ 94.3 ~ ON 3~~F D~q . p~~ Pty w~«1rCtt-. _-~~5~E=~CO B~~P~i'_=l~gT=2 S_'_.Ft~~..~Jyov±~-,~ k ~ZL.._..4.---~ ~--- . ..... . ...... ... . . _ _ S ,_ ~_.__..__ --= `•-- ~ -•-- -`-- -- --- - 0--•-- ------=-- ~ -• 4°t 3ua- Z CST Signature `~ ~ . ~ CIS ~ ~ ~ 5 -f~ 1 h ~ . Date Signed Telephone No. CST # ~TEGERER SOIL TESTING and DESIGN SERVICE- SOIL TESTING - SEWER SYSTEM DESIGN ATTN: SUBJECT: DATE 1-~S ---2~a~ CC: ~1°l°1 THE FOLLOWING ITEMS -ARE ENCLOSED• ~~• ~' ~b w • o ~ Ems- c~..a~: 0. OF DESCRIPTION OPIES r ~-E. SENT TO YOU FOR THE FOLLOWING REASONS: FOR YOUR USE FOR REVIEW AND COMMENT INFORMATION DESIRED ~!? F- IUZT~ 1~~~- T~ Z~~ ~H-e.~~ -i~tt)~ ~ z-~'~~ DTs ~'~~ l2- - Z - `~ R ~y~ ~ L T L,~ rU ~ ~DC'~Tltv.) ~ ~~1`nUtt1'f~ !- l3D~J6S w ~~ `~U6 a 1~ ~.o1-g ~ ~ Z - ~~ ~~~ L~~iu a~ LaT 3 l-f~ B~ ~co~ ~~ S ~-l Gt~-~~ , - ~~ WEGERER SOIL TESTING AND DESIGN SERVICE ~--r- I~~L~~ ,/1.:. !". 'gin „, .~ _, ~ ~ -- r E ,~~: ~.CiU~i1f~GOrFICk ~ ~f - ~ . P.O.BOX 74 421 N.MAIN ST. RIVER FALLS,WI 54022 PHONE 715-425-0165 Wisconsin Department of Industry, SOIL AND SITE E V A L U AT~I'~ € P O R T, ' ~ ~ of 3 fab~r and Human Relations ua ~ t1,~,~~;P~@~. Divis+u7i of Safety & Buikfings in arr•nrri with II I-IR Az n~ ir. b~~;, r`n~lo ~ T'J~ffa r ~ ~ ° ~~~ S~• C.\W lJl Attach complete site plan on paper not less than 81/2 x 11 inches in size. lan~must include, buf- not limited to vertical and horizontal reference point (BM), direction and %;of'slope, scale o{ I PARCEL ~.D. # O o 8 _ ~ ptt , Z p dimensioned, north arrow, and location and distance to nearest road. ~ `LL°'~ .~ ~ APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION. REVIEW DBY DATE PROPERTY OWNER: RROPERTY G ~U 2C E ~3 l (Z 12 t'T'T' I.J 1/4. ~ h,l~ S UI T Z S ,N,R ) b E (or~ PROPERTY OWNER':S MAILING ADDRESS • LO K # • . NAME OR CSM # 2243 SS ~ I~Ut , - PR-oPOS~ c-SM CITY STATE ZIP CODE PHONE NUMBER ~~LOh1th1, k11 S~OOZ (71~ 6A~Y= Z.9l) ^VILLAGE ®fOWN ' ~ Gf~.L.F NEAREST ROAD SS `Rl- r~v~~ pCj New Construction Use [x] Residential / Number of bedrooms `/ [) Addition to existing building OReplacement [) Public or commeraal describe Code derived daily flow b ~ o gpd Recommended design loading rate -- bed, gpd/ft2 • 3 trench, gpd/ft2 Absorption area required 5 0~ bed, ft2 S ~~ trench, ft2 Maximum design loading rata - S bed, gpolft2 ~ 6 trench, gpd/ft2 Recommended infiltration surface elevation(s) L ~O.O ~ ft (as referred to site plan benchmark) Additional design/site considerations r~u~>.~ wlS'xlpp' T1Z~cH Mlrut wt~Wl LZ."dF SQNvD ~ ~ Parent material 1-1~~ o~ ~`R(jt_*~..ttfit. "'~~~~ Flood plain elevation, if applicable tUA ft S =Suitable for system U =Unsuitable fors stem CONVENTIONAL ^ S ~U MOUND ®S ^ U IN-GROUND PRESSURE ^ S ®'U AT-GRADE ^ S ®'U SYSTEM IN FlLL ^ S ~IU HOLDING TANK ^ S ;~ U SOIL DESCRIPTION REPORT Boring # ~~: :.;> I ~::z Ground elegy,. ~s_ 8 ~. Depth to limiting factor Z1 " Boring # ~F Ground elev. q-t. ~ ~ Depth to limiting factor ~~ M Horizon Depth Dominant Color Mottles Texture Structure Consistence Barlidary Roots GPD/ft in. Munsell Du. Sz. Cont Color Gr. Sz. Sh. g~ Trerldt 1 0-~ ~o~R ~t3 - sit Z'P9bk w,.~ ~-~v zv~ •s -6 Z ~-t~' lu`-tcz y! - S; ~ 2'Fsb1T bn`FI- C,,~ - S -6 3 ~~-Z~ ~•S YR y/~ - ~ . L `CSb12 hs'Fl- C..S •~! ,S Remarks: I o-9 to`tR ~t3 - •sil Z'~s1Dlz 1~.~fr ew Zvi •S •~ Z ~ -t y. t o ~ ~ y!y ~ sit Z~ sbk v-1'f't- cw ~ . S . 6 3 t U Z~ '- -S `t R Yl y _ L ~, ~s b~ rn~h ~-s - ,y S y Z~-ill S b t~ Vl y t ~~ ~-sti tz t ~~, t~t~F,~ - ,3 i.y Remarks: Name:-Please Print Phone: Arthur I;. We erer 715-425-0165 ' gerer Soil Testing & Design Service-P.O. Box 74 River.Falls,WI. 54022 ~ _ ature: 4 °1' - ~U 8 - Z Date: ~ CST Number: ~. _ tz-i-99 2202511 PROPERTY OWNER Q~ ~~-~rr SOIL DESCRIPTION REPORT PARCELLD.~ ~Da-l011-?-0 Boring # 4:'*'::.~ ...... a~ :::.;..::.::.:::< >;::: ::: ~« 3 Ground elev. toc,-O it. Depth to limiting factor Z-t '' r• y Page ? of ~ th De Domin t C l Horizon p in. an o or Munsell Mottles Qu. Sz. Cont. Color Texture Structure Gr S Sh Consistence Bour~ary Roots GPD/ft 0-9 !0~ .313 si 1 . z. . z~sbk wt's- ~- zu~ Bed Trerxh • s ,6 Z 9-i6 lO`ZR Sll ~ Si l Z~'sbk y„`(~ cw - . S . 6 3 16 -Z~ Z- S `t tz fir( - L. 1 cSb-z Wi'FJ- ~ g - • `l . S ~ z,-Y8 S~cZ Yly ; ti2S/g L ~•^~ r-1~,~ - .3; •Y i i nemarxs: Boring # t:~.:~,,..,,::::€ ~; ~ ;, ~~~ ~ _~ ~ :,., ..yk,.l}~ . ~iZ4: iii:J.t..~... j Ground ~ elev. ft. ! 1 Depth to - ; limning factor Remarks: Boring # ~,:.::;; ,;~.; }Y}`{{ i2 I Ground _ elev. f t. Depth to ( . limiting I factor ~ jr I Remarks: 3oring # ~A'k:Ci4jl.~i: Z ............... i ;round ;lev. it. )epth to inviting actor Remarks: `rl n•r •~Nf~ •.r ~, i, r PLOT PLAN Page 3 of 3 SCALE 1"= `l0 ' ~ SS T1t- P~U~ _ \~ ~u ~~'tuv~1 Sk-~Tc.l~i s ~r~.~ ~ -b(,o ~ ss ~ ~v~. 3 Z t IN fX 51`I'~ ' m !/1 -~- ~~ ~ ~- ~ _ ___ ~o -.~OT cor'iPf1-eT u2 ' "' -- O~S1ti-~z.R ,lf'I.S Prtiz~R . IN ~~~_~ i t'1- g"l o . ~ i Eti,q$ $ B.Z. ~ ~ N' 1ZZ~ NI ~~~ nv~ a~~~ ~ W / Lr't-t'14 _,_~ UoM'NVR NL '~ q - p' VJ r~ M, ~i C 6.3 ~-. ln0.p r • gKti~tGl}r 31y~ D1q PVC P l P L W/ L l1'I'1'F __}~~1....' ~~ __ ti. ... ~ ___. N..... ._ .k._ _.___ .__...._ .5~/. _ .. _ ..._!i.-._._~ 2-0-~~. Y~~~ s-qy q4-3o8-Z ,.p -i zo 2.5 y .[. I Z,-2-g9 _(715 ) 425-(1'I h5 CST Signature ~ Date Signed Telephone No. CST # Parcel #: 008-1011-20-200 04/21/2005 10:03 AM PAGE 1 OF 1 Alt. Parcel #: 4.28.16.58A-20 008 -TOWN OF EAU GALLE Current ', X_ ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): " =Current Owner * HOFLAND, PAUL D PAUL D HOFLAND 2315 55TH AVE BALDWIN WI 54002 Districts: SC =School SP =Special Property Address(es): * =Primary Type Dist # Description " 2315 55TH AVE SC 0231 BALDWIN-WOODVILLE AREA SP 1700 WITC Legal Description: Acres: 5.044 Plat: 1012-CSM 14/3814 SEC 4 T28N R16W PT NW SW BEING CSM Block/Condo Bldg: LOT 2 14/3814 LOT 2 5.044AC Tract(s): (Sec-Twn-Rng 401/4 1601/4) 04-28N-16W NW SW Notes: Parcel History: Date Doc # Vol/Page Type 06/10/2003 725167 2269/191 WD 01/06/2003 704611 2100/499 EZ-U 08/26/2002 688042 1957/172 WD 08/28/2000 628862 1537/537 WD more... 7Afld CI IMMARV Bill #: Fair Market Value: Assessed with: 45964 215,700 Valuations: Last Changed: 07/15/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 5.044 28,600 137,900 166,500 NO Totals for 2004: General Property 5.044 28,600 137,900 166,500 Woodland 0.000 0 0 Totals for 2003: General Property 5.044 28,600 124,500 153,100 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount 010-GARBAGE SPECIAL ASSESSMENT 138.00 Special Assessments Special Charges Delinquent Charges Total 138.00 0.00 0.00 ~ ./.e, v ---, ~ ,-^, ~e ~ ~, ~ r _._......-.-.~ ~. ~~ s `~ C~ ~ Q ~ ~ ~~ ~~ s FI~.ED ~o 1y MAY 102000 F E B 2 4 2000 - ,~ ~TM~H.wa~ lJ ~Croix~Co»~ ST. CROIX COUNTY ~? SURVEYOR'S RECORD ~ ~. Certified Survey Map George and Doris Birkett Part of the Northwest l /4 of the Southwest 1/4 of Section 4, Township 28 North, Range 16 West, Town of Eau Galle, St. Croix County, Wisconsin. Owner's Address: W //4 COR. SEC. 4, T 28N, R /6 W, 2293 55th Ave. E //4 COR. SEC. 4, T28N. R/6 W, / P. K. NA/L FD) Baldwin, WI 54002 / //2" /RON P/PE FD. ! l/NPLATTED LgNOS OWNED BY OTHERS -s S 89. 38'/3"E 3296. 79' „--- QQQ! ~ d ~. "~ ._S?_ T// ~ VE -~ ` E/W //4 L /NE 300.00' 'O 383.89' - 2 ~. 'R, o ~I ~~ Q J 4 ~I m O WI Z O ~I. 2 a JI W Q r 4 a J 0 0 M nor ~ 3. ?93 ACRES 230, 33/ SO. FT n 3.073 q CRES EXC. m ROAD R.O. W. r. 220, 972 S0. FT. 3 ~ ~ , q ~ M N co h M f~ ~ N O z ° ~ 3vo. vo• '- 928.23L- - 299.9T' bN89.37'33'E' 87/ 7B' 4 ROAD SETBACK L/NE LOT 2 ~ 3.044 ACRES 2/9,733 SO. FT. . ~ 4.828 ACRES EXC. ~ ~ ROAD R. O. W. ap ~ ~ 2 / 0, 334 S0. FT. ~` 3 ; 3 a \~ M ~ M ~ ~ ~ M rMr~ ~ N O O 2 z N O a A 0~ E55 ~- ~ 27/. 8!' J'O ~~ O ©® h W. _~ -_- - ~ -i~; ~tm M OT 3 " ~n~ _ 13 O" 3.00/A RES to h 2/7, 83 SO. FT, jig / 00' 4.673 CRES I ~~ a FXC. OA O R. O. ~ X203 43 S0. F7: ~ ~ . g~, ~ I ~~ ~ ' n I ~ ~ ~~ I a ~a^ / 00'N I „ o n ~ I I a . ! -~. T ACK L1Nf ..-- o ~~ .69' 3' 6.82' _ _-----3, -------------fi'g' 3, h 300 S82'44'l4"W 307.x1' D.U.T. A W/ pproval No. Rrs87.37'OO~ SS-94-2993-2000 t N TERSTJ -_'_ Nom--- ~-~ 3982.63' u'~ ~I S' ~ W ~~ 2 ~i ~o ~ W ~I W~ 0 M W "' 3I " " I O (~ hl Z 30' 30' RI /0 I v f` (11 ~I I ~ Q 4 I 2~ .` ~ ® APP VED ST: CROIX COUNTY Plan ing Zoning and Parks Camm~+~e F E 6 2 3 2000 0 a 0 0 M _------ If n~ recorded within 30 days of This instrument drafted by Laurence W. Murphy aPP oval date approval shall be nuU a oid ~- ~-'~ gy OTHERS I ~~ ANDS ~WNE~ -- "'-- so' 1 33' CAUT/ON ail ~~ M~ hl~ HIGHWAY SETBACK RESTR/CT/ONS PROH/BJT /MPROVEMEN7S N, /NCERTA/N AREAS. SEE SHEET 2 fOR DETA/LS. Legend: ~ oIndicates 1" x 24" iron pipe weighing 1.:i3 ,,,~~~~1111~II~h, 3 lbs./lin. ft. set. ``~~ CD ~ii~4 W -~k--~'- Indicates fence. ,`~ ~\s S/~ i~~ ~ 4 R (? 0.0') Indicates previousl}' recorded data. ~~~ ~ ~;••'••~••~• ~'••., ~{ ~~~ o g A Indicates soil boring for proposed septic ~ ;' LA FiENCE'•; ~ ~ site. ~ ~ C • ~D MURPHY °C • Dated: Dec. 21, 1999 w Q SCALE / ": 200' ~ S 1713 ;= ~ ` , y v "Revised this 11th flay of Feb . , Z000'S ' .' RIVER FALLS,,: J ~ ~ W O 30' /00' 200' 300' 400' 300' , ~•., ~, ~9 W1SC. Q ~ a ~~ W ~ „ '~.,~~ L A N ~~ SJ.',. ~ ~ SHEET 1 OF 3 ,a~~s~slsa~,, J ? ~ Q J ~ Vol . ~ 4 Page 3814