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014-1037-40-200 (2)
~d ~7- r9,vj,r .2/60 ~tp'9' c~ D&'eT P9it r ,Sy007 3 wisooratn Departrnent of 8 6 204 S IL EVALUATION REPORT Page l of Division of Safety and E ins with m 85. Wis. Arlen. Code County n Attach complete site plan pape$ RD - inches in size. Plan must s • 0! X- Attach include, but not WT*ed to: cal reference point (BM), direction and Parcel I.D. o / 7 • 163 7 1/d -206 percent slope. scale or di . north arrow. and location and distance to nearest road. . Please print all Informadon. Re Date P101141" 101-lion you provide may be used for secondary purposes (Pries cy Low. s.15.04 (1) (m))• I ~ _L . , , 7 Properiyowner HhRRit7T Fre, VK ~ Nlo ua sF 1/1,1 a s T3/ *JOA w 5 TF . t'roperty Owner's Maw es 57' • lot # Block # Sr* Name or CSFM r go dZ%, .138 .2 fillkm"6- 0-5,q City State Zip Code Phone Nth D C4 ❑ VMaW W Town Nearest Road p BIRK A)1. syo07 (7!S) 20 . toy p es 7- 7-g6 fft, 5 7. ❑ New Canab' WdM Use: It Residential / Number of bedrooms Code derived design flow rate D GPO 00 Replacement ❑ Public or commercial - Describe: Barlett material /,a-&5s n(zg2e PeA'SE" Flood Plain elevation if applicable ft. cenerN comrrrerds and recommendations: git' 7',~ST~D !S Sdi T/1/~GE" role 4 UAvD ❑ Boring Boring a # VL Pit Ground surface elev. Depth to rem factor in. Sal Ram i Hortzon Depth Dominant CA)lor Redox Descziption Texture Structure Consistence Boundary Roots GPQR~ In. Munsell Qu. Sz. Card. Color Gr. Sz. Sh 'Eff#1 'Etf92 / 49.3 1400 z/ L 2 nM s hK 411il-f CW 3~ .5 • S9 2- •12 /O /e 71 5/L 2-FShK n~+- P, CS .3M $ 3 ;t -4 /a R s S /Z- 2-f 5 e r~ fR c f 3f- . S G Z H oT S 51,C S /hA 5; 7)t f Boing # ❑ Boring ~j o S. S.S Pit Ground surface elev. " ~ft. Depth to liming factor in Sal Application Rabe ortzon Depth Dominant Color Redok Description Texture Structure Consistence Boundary Roots GPOW In. Mtnseq QU. Sz. Can. Color Gr. Sz Sh. 'Et!#1 •0412 / o • y /&Y/1 z- Z,m Shk /w► vf/2 CW M 57 FRs Z 3 /o /G 2 she M-A J"F /-A s f •z • 3 •l /G !fSh Amf~ cS .3 r- Z IRV I> Yle If S b k, -3 EtMuent #1 = BOD > 30 s 220 ffvk and TSS >30 1150 mg& • Effluent #2 = BOD < 30 rrQ& and TSS < 30 rrq& csr Name (Pf~ R 7- ZIG~(3iei GGf T- l' _ 2 CWMMtff Address Date Evaluation Conducted Telephone Number 'szc. 30' -2--00 3 715.77a • 3 yVZ Private Sewage Consultants 2812 10th Ave. Spring Valley, WI 54767 1\1 A L ~of#~l z. 3 Pmpegowner Panxi 1D # Page or n &MM ~I7 3Y 18 s.S.S . jg[ pit Ground sudaceetevft. Dew to WMOV tenor en. sea III Horizon Depth ZWTimar~tCd~lx Redox Description Textexe S9vdrxe CartsRSterxae @DAM Hate Bourxfary Roots C,puff in. Munself Qtr. Sz- Cont. Color Gr. Sz. Sh. -j - Y/? L 2f Shk ek.V~X Ck) 37- -.5 6 2- y• 40 Ye Yl (,p s~ 2 fShk R CS 3 f . s 3 • /o t/12 S~ a -F Shy f2- ~s 3 . s OYX CIA hors ~C~ l s sy F-1 0 Pit Ground surface elev. R Depth to kn&V factor in. Sod icatiott Rate Horizon Depth Dominant Redox Corr Texture Structure Cor)sience Sour ary Roots GPDff MunseN C L SZ COnt Cator Or. Sz. Sh. 'Eff# t '092 - i F-1 Q Pit Cxatndsuriaoee~~v, ft. Depth to ' ' factor in. Soil ppkWm Rate Hw1wn Depth D mt Calm Redox Description_ Texhme SO&Wre CaWdenoo Boundary Roots GPM ' in. Munse Qu. Sr- Cars. Color . Sz. Sh. •Eff#1 low r t 4-1 soft a tot Boring F=it G" staS`aoe elev. t# Depth to fader irr. Sal Rate I Horizon Depm Dor:N wft Redox Description. Tmcirae Sbucase ConsWenoe Boundary (toots t i31fF in. Munsd Qu. Sz Cont color Cr. Sz. Sh. T01 *SM I i Effluent #1 = BOD, > 30 < 2.20 arrd M >.V < 1rW Riga. " Effluent #2 = BUD6 < 30 ffV& and TW < 30 rrv& The Department of Commerce is an ttml opportunity service provider and employer. ifyou need assistance to access services or need material in an alt fotrnat, please contact the department at 608-26&3151 or 'i't'Y 609-264-8777. seaaisa } Pit~o/~OS~ .f1~kJ iU'O Go 7`" G~%u-~---- u ~?{r 1-O T 3'011 &57h' P APOW -Sy577. /.w r i a.v ru t g s,~~, 3y 3 erm) s an eslgning 4. r u ce o permits- Contact: Ulbricht & Associates Jf M . Registered private wastewater consultant and plumbers 2812 10th Ave. Spring VAlley, Wl 54767 ' 715-772-3442 i p G~E~L 13M 2- /DOS O ~ ~d fPAA Giiv,Q Ib I y© $ ,0 F~ ~b 30 (3 ► 3 -340 pie I/ • _ l~~~TS ~ ~ ► i 33 UN t ~N7eRM GJ I -011 CERTIFIED SURVEY MAP LOCATED IN PART OF THE NE1/4 OF THE SE1/4, SECTION 17, T31 N, R1 5W, TOWN OF FOREST, ST. CROIX COUNTY, WISCONSIN. OWNER PREPARED FOR SURVEYOR HARRIET FRANK JONATHON & LANM FRANK EDWIN C FtANUM 2138 280TH STREET 2160 280TH STREET NORTHLAND SURVEYING, INC. DEER PARK, WI 54007 DEER PARK, WI 54007 856 A HWY "65" ROBERTS, N 54023 N FEET 1,, = 100' 100 0 100 3 .2oyK4o E1/4 CORNER y Q~ SECTION 17 6.7 SEPTIC EASEMENT ~A 'x V 33' 3& Lo RECORDED IN VOLUME-, PAGE 'k? Jc~ o NOTE: 2s`~"`., ss9, - - - - - SEPTIC EASEMENT DETERMINED FROM 72j7g~l~g r I1~ Z59:.TSr w AS BUILT SANITARY SYSTEM REPORT. ~p [7i . _ ~a 47 _ cf) 212.55 PREVIOUSLY MAPPED _ Sg6°28'i6"W 195.46 0 C.S.M. NOT RECORDED w N Z DR EXISTING ~ ~l w Z( (al R all I B30 Lu Lu U'l o iwi z qt cr cc LL o LOT! 1 i© m z 2.43 ACRES INC FQW i r' < o /~m I 105,728 SO. FT. T J, m Q 0 O a ? x Z( r 2.00 ACRES EXC R/W 6 5 T- Z cc o u') 87,152 SO. FT. i C m c) to o Spit Z LEGEND ALUMINUM COUNTY SECTION 43.40' CORNER MONUMENT FOUND 212.56 LS86-'2616-W 255.96' W( 1"X 24" IRON PIPE SETWEIGHING DSO" 1.13 LBS. PER LINEAR FOOT V "PLATTED 1-!AN- E Nl w • 11/4" O.D. IRON PIPE FOUND BY P1-~`~ER ( T' o 0 col 100' ROADWAY SETBACK LINE SE CORNER N' X X - EXISTING FENCEL INE SECTION 17 THIS INSTRUMENT DRAFTED BY EDWIN FLANUM SHEET 1 OF 2 SHEETS / JOB NO. 03-68 DATE 8-7-03 c i I 03 6q oN 0. c ~ I I 0 ~ I o I I 0 o X r i M ~ y I U C ~ I i w ~ N Y C _N I N U 0 CL II z " LL c m d C, o a i N ZO yr 0 o z ~ y m Z'I am c o i c C7 O Z d U r 7 L- ~5 Le N Z et O` O iA E- r N Z C E -O N 'a 0) N m N M N_ Q 3 N y C N • N ~i ~ c p cvo ~ Z F- Z 'o Q N Z cc) E N N N CT 't d W MO) a) (D CL > G G L O IL 0 U) U) U) Z r H H H ~I E U ~w x19.333 a 0 •N 4) aaa N ou~i to C) L rn rn } 00 I', N O 0 O O E N - O CY) _0 I c y d CO N m ~1 O = N r-. + N CO 0 oU O E o "t Co 3 a a> a c 'L Q M c m NN C 0) t ' ►~~1 O M C N O E o n v ~ o o E s t • y?,,,' O r LL LL ~ M N 2 H Cn O y - E a #6 a m a d ;a r~ r A c0iaDjll0inC0 n