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008-1057-50-100
~nsin Depart lent of Cor merce PRIVATE SEWAGE SYSTEM .fety 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) Permit Holder's Name: City Village X Township Medes, Gerald Eau Galle Townshi CST BM Elev: M ~ Insp. BM Elev: BM De ription: ~ Q ~ r~ P ( #~ t ~ av ~I v~ , TANK INFORMATION V ELEVATION DATA TYPE MANUFACTURER CAPACITY Septic ~ Od /,~ C/ Dosing ~ Aeration Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic ~` l J N ~ ~ ~/ Dosing r O ~ ,~ l+ ~ eration Holding PUMP/SIPHON INFORMATION Manufacturer Demand (_ GPM ModeJ~ y,, er ~ I ~\~~ TDH Li~ t 3 Fncti oss ystem ead S U ~• TD Ft Forcemain Length Dia. Dist. to well o~ ~ ~~ SOIL ABSORPTION SYSTEM County: St. Croix Sanitary Permit No: 405134 0 State Plan ID No: Parcel Tax No: 008-1057-50-100 STATION BS HI FS ELEV. Benchmark +~_ `QS~ ~~ Alt. BM .~,~~ ` n~ ( j Bldg. Sewer ~ `~ G4 ~ p (} SUHt Inlet L-~'7 ! SUHt Outlet Dt Inlet , Dt Bottom 27t - Header/Man. ~[~~ I l W _~j Dist. Pipe ~ ~ ~ j ~~Dfi ' (/ Bot. System ~ ' `~ Final Grade St Cover ~ ( V /] ~ wQ / ~-.5 . b3 ~7. 3 3 ie, S -~ -/7 / BEDfrRENCH DIMENSIONS Width Length ~~ No. Of Trenches ~ PIT DIMENSIONS No. Of Pits Inside D' Dept SETBACKr INFORMATION YSTEM TO P/L BLDG ` WELL LAKE/STREAM LEACHING CHAMBE R Manufacturer: Type Of System: ~ ~ / Gam'/ ~~ ] JC/ r A/ DNI Model ber: DISTRIBUTION SYSTEM ~"` Header/Manifold w / Distribution ~ I ~ Pipe(s) ] / f ~ ~- x Hole Size I 1 ~ x Hole Spacing r ~ Vent to Air Intake th Dia Len Spacing t0 Len th ~ Dia I O ~~ g g - SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bedfrrench Center BedlTrench Ed es g To soil p 0 Yes ~ No ~ Yes ~ No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1:~/ ~~/~~ Inspection #2:~/~ Location: 2165 20th Avenue Unknown (S}~ ~1q/4~SE 1/4 19 T29N R1]6~W) NA Lot 3 1.) Alt BM Description = ~2 s1~i - "" I Q'~ ~ ` ` ~ ~' 2.) Bldg sewer length = .~ :J ~ -amount of cover = ~ ~~ . Contour = ~ ~ O , ~~n revision Required. es ~] No Use other side for additions infor n. ~ ' ~ ~ +~ Date In: SBD-6710 (R.3/97) /(~,• S 7.8 ~~ Parcel No: 19.28.16.287A ~-e. ~1oW1-e, ~, ~~~1/ t/ 1..+~ ~1(5~ ;tor's Signature Cert. No. D "- ... .. ~. ~:-- _. r ~.. ~;~:. e ~- .~ , . .. -' ! ` _ ~ `~ ~ ~. `i, ' 1 -_ .. \ ,- ~` ~. t .. ~ i3 low "l_ r~ ~~ ~` Safety ate Buildings Division ~ 201 R'. Washington A,-ve., P.Q. Box 7162 ` ,~~0~~,~ , ivladison, WI 53707 - 7152 De artment of Commerce L --~ -0 z- s`~/ 4~S Sanitary Permit Application In accord with Carom 83.21, Wis. Adm. Code, personal inforrnadoa you provide I. Property Qwzie s 3~ City, Srate s Name - Please Priat Aii ~,T2 Zip Code is r Stte Aoaress ~~ ai(~-~` .2o A-rk.- Sanitary Permit Number ^ Check if Revision - ' ~ "~ State Play I.D. Number ~ ~ ~~ n~1 ``~~~~ ~f? .off sw14S~14: S ~Q T~l~ iV> Rl Block Xi. 't'ype of But~tiixig (check all that apply) ~,/bi•o~ L~lcity or 2 Family Dwelling - Number of l3etlrooms `~ '~ 0 k ~~ [Village ^ Publi:.l'Coramercial--•D_ascr/sbe Lls~e~, L ownshiP ~ILGi ~ ~-° ^ State Uwtted M~ ~°'' w~~ ~ ~ ~ ~ ~ 0 x Kearest Road ~e2ev X19 0 ' t ,~„ . o s~vnd _ ~ a T~ y-~ IgI.'X~pe of Permit: {Check only one box oa line fattunbe scheme for lnteraal use). Complete lino B if applicable) A. For Cott~9 tree I ,~Tew 2 ^ Replaaunent System 3 Q Replacement of 6 ^ Addition to S stem Tank Cnl S atom Permit N•rmber Date Issued 8. ^ Check if Sanitary Peanit Previously Issued IV. 't`ype of Permit: (Check all that apply){numbering scheme is for internal use) 44 ^ Non -Pressurised In-Groin 21(~ivtourx~ 47 ^ Sand Fitter 50 ^ Constructed Wetland ~ ^ Pttssuxized ~~~ 4l ^ Floiding Tank 48 ^ Siugle Pass 51 C7 Drip Line 45 ^ At-Grads 46 ^ Aerobic Treatntest r7nit 49 ^ Recircula ~ 30 ^ Other V. aUlYeatment Arens Information: Design Flow {gpd) Dispersal Area Disprrsa! Area Soli Application Percolation Rate System Elevation Final Grade Required Prsposed Itate(Gals.lDayslSq.1"t.} (Min.lYnch} / Elevation LSD ~S`~ , 4%~~S X36 is ,vac. VI. Tank irseo Capacity m ^caffi: Number Manufacturer ~~f ~ Constructed Steil Glass plastic Gallons .ralloas of Tanks New ~~ ~- -7'~ ~/ Tanks Tanks . Septic or Holding Teak - 'e (/ Dosing t~b« ~ ~Sa C VII. R blU ' Statemextt- Y, the underslgaed, assume responsibility for lion of the POWTS shown oa the attached plans. Plumber's Name (i'rtnt) Pluumber's Siguatttre RS Number Business Photte Number Plumber's Address {Street, City, Stara, lap Code} vmi. cunt. IDs artment Use vat Sanitary Permit Fee lincludes Groundwater Date Issued Is ent Signature ;No Stamps) Approved ^ Disapproved Surchargy Fee)~~~.dJp J /, _ ^ Own~sr Given Initial A3verse ~~p/ ~ tl ,j ~ ~~~~'' Detertnis:ation IIC. Condltiotis of Approvai/Reasons for Disapproval ~~ ~ ~~ ~~ ~,~,L.~.emPA~z>x ~ ~~aJrwa~ 7d t-t~vsl: MAST ~r ~' ~W~t~rt~~"~r~ 30 ' 0,~ r~"`a~ M ~~n E~ Altarh /,~R- ~Lt r~.~~~r~~~~p"^'" - ~SL"1~s i !n SBI~-6'?~$ (~.. 05!01) (/"' ~ ~ ` isconsin Department of Commerce RECEIVED MaY o 9 ~ooz ZONING OFFICE May 06, 2002 CUST iD No.26734] ARTHUR L WEGERER WEGERER SOIL TESTING & DESIGN SERVICE PO BOX 74 RIVER FALLS W[ 54022 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: OS/OG/2004 SITE: Gerald Medes - 20TH Ave Subdivision: CSM -Vol. l2, Page 3458; lot I St. Croix County, Town of Eau Galle SEI/4, SEl/4, S19, T28N, R16W PO R: Description: Proposed Three Bedroom Mound System Object Type: POWT System Regulated Object ID No.: 850352 A7TN.• POWTS /nspector 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 ZONING OFFICE ST CRO[X COUNTY SP[A 1101 CARMICHAEL RD HUDSON W[ 54016 identification Numbers Transaction [D No. 732040 Site ID No. 644288 Please refer to both identification numbers, above, in all comes ondence with the a ene . 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((0), Wisconsin Statutes, is responsible for compliance with ali code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: General Approval Conditions: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Septic Tank Effluent for Private Onsite V4'astewater Systems" SBD-(0572-P (R 6/99) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treat-nent Systems" SBD-10573-P (R 6(99). • 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. • (nspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. • 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. Owner Responsibilities: Comm 83.$2(1)(a) -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). P.O.W,T.S, Conditionally ARTHUR 1. WEGERER Page 2 516/02 Owner Responsibilities Continued: • 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. • The owner is responsible for submitting a maintenance verification report per Comm 83.55, that is acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. [n 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, ~~ Gerard M. Swim POWTS Plan Reviewer - Integrated Services (608)-789-7892, Mon. -Fri. 7:30 am to 4: l5 pm jswim@commerce.state.wi.us Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 WiSMART code: 7633 cc: Leroy G Jansky ,Wastewater Specialist, (715) 726-2544 TITLE SHEET Page ~ of `Z BOUND SYSTEM FOR A 3 BEDROOlvi RESIDENCE This plan has been prepared in accordance with the Mound Component Manual SBD-105 7P and the Pressure Distribution P•Ianual SBD-10573-P CCZ. bl9.q CP. l~1`3q~ LOCATED IN THE SLJ 1 /4 OF THE S L 1 /4 OF SECTION ~~ , T Z.~ N, R 1 b 6J, TOWid OF ~~ 6141..E S~ . C~?UUC COUNTY, WISCONSIId. INDEX PAGE l of 7 TITLE SHEET PAGE 2 Of 7 SYSTEI.1 rIAITAGEi~IENT PLAN PAGE 3 of 7 PLOT PLAN PAGE 4 of 7 PLAN VIEW-CROSS SECTION PAGE 5 of 7 DISTRIBUTIOAI PIPE LAYOUT PAGE 6 of 7 PUI.2PING CHAIiBER CROSS SECTION PAGE 7 of 7 PU1~iP PERFORI.IANCE CURVE PREPARED FOR 3 ~"^~ .., ._~.. .. .__ .~, 9 __ _. S 3 Z_ .+iv . CCU-~yr _~ PSPT'_ ,Z m-~ _..,_ ~~-`ULZ F,A _LS, L`J1 _- SAO ZZ PREPARED BY LVEGE=E~EF2 SOIL - TEST 11~tG AND . . DES 2 Gil SERV = CE P.O. Box 74 421 Id.~fain St. River Falls, [dI 54022 Phone 715-425-0165 Fax 715-425-6864 ~v' . '~ `•. '~ /.RT7~!JI~ s o.n? 3 r 6LLSWORTw ~``W~ .~....s+" 7.. ,_ G ~ ^ ~ ~ '\ V' 11~ lr. I~./ DEPARTMENT OF COMMERCE D ION OF S E7 Q D UItDlNGS ~~ SEE CORRESPO. ENCE ~~~~dZ JOB N0. ~Z- S~ • Mound System Management Plan page Z of 7 • Pursuant to Comm 83.54, Wis. Adm. Code - Septic Tank /-G(~'1~,~JJt,J~~.~-- ~L~6 ~~ 3 The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code. The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filter shall be cleaned as necessary to ensure proper operation. The filter cartridge should not be removed unless provisions are made to retain .solids in the tank that may slough off the filter when removed from its enclosure. If the filter is equipped with an alarm, the filter shall be serviced if the alarm is activated 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 time 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. ump Tank The pump (dosing) tank shall be in verify proper operation. If an effluent filterdis installed within the tank it shall be inspe led and serve edpas necessary ted to Mound and Pressure Distribution S stem 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 GODS, 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 test is 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, mare frequent monitoring. General - This system shalt be operated in accordance with Comm 82-84 Wis. Adm. Code, and shall maintained in accordance with its' component manual [SBD-10572-P (R. 6/99)] and local or state rules pertaining to system maintenance and maintenance reporting. -~ No one should ever enter a septic or pump tank sinca dangerous gases maybe 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 for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8-inches in diameter shall be secured by an effective locking device to prevent accidental or unauthorized entry into 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. If 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 fails 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 system should be directed to: The County Zoning Office at ~, ~~j _ 3g b- ~6 Pj (~ S ~ _, C2U LX The system installer at The tank manufacturer at -1 t S = 3 The effluent filter manufacturer at S~i~v~-~ - 3 tZ) 0= 3ZS-~~LS6 wl~i_S'R _ __ . _ The pump manufacturer at -" ~- ~ (~ 30 - $'Z$= t-], ~~. ~ 6ci:v~ps -___ _ _ J PLOT PLAN • Scale 1 "= y Q' Page ,3 of ~ ~ , ca~-cn , ~ `~~~,,,, ~ ,po v`c'T'vv~ O~ cwt.. ~L,.lflu , p , ~ Stu ~ beq.~t9 'S' ~P ~T `00 ~1 ° ~ , ~w1~r ~ ~ . - _ ~•1 ,~ '~ U ~ v - ~.3 I _-` p~-7 r 3 a~ ~~ woT co~~~w~-T a 012 D ~STu ~ ~~ `its ~zs~ ,~ 0 m m W ?_ J L s ~~ ~~~ ~~. W'' a-p~ ~ -_--LTL£U• llX1.p` D1V 8"ly-t61~, 31i(aD11~ 1~VC _~4~, W L~-- _. 'w~~ -moo- a~ > s o' ~~~n%i . moue _~A ~ Z s ~ F,?u~, -rPo,1t-i . ~_ o.asmi ~, . v S~ b3 ~ Zo `7Zi- f1v F t- ~- ~,~-~.d ~ ~~i' ~~-y NOTES : ~ -" 1. Elevations shown are existing ground elevations unless otherwise noted. 2. Install 4" observation ipes with approved caps._ required). 3. Septic tank to be Loop 6SOgallon acture y w ~. ~L~-z eUti e.~z-~ w/ ~ ~ ~ oo zw~~.z.. ~-, ~-r~ 4. $ench mark ~ ~ S ~ t~SOU 5. Divert surface water around system to prevent ponding at the uphill side. Page ~; Of' ~ P_pprovec Synthetic Covering ASTi~i C33 ~ Cistributian Fipe ~h~ • ~ pO. S Medium Sand Topsail-~~ . ~ ---,...~ IG v. 10 .0 - --~~- F Ele 0 ~~ b y . % Slope ~. Distribution Cell of ~ ~ Force Main z" to 2Z" Aggregate From Pump CROSS SECTION OF A t~t"OUND SYSTE:i Linear Loadinc Rzte= ~l • ~GPBiLN FT Desicn Loadinc Rzte=p 3~6GYD/SQ FT 'i •~- . `°-~~- L A ~ Ft. ~j S ~ Ft B . I 1 ~ Ft. J ~ Ft. • i< q Ft. ~ 6 8 Ft. ~ W 3 Z Ft. Flowe d Layer ~ 3~ d ~~ ~ Ft. ~_ Ft. F o~~ Ft. & o. S Ft. H 1-~ Ft. ~ -Observation Pipe g ; K a--~ -- ---- -_-__ ----___~__ __-~ a o--~----~ 8---- --------- -------------- =----- - W o---~-- 6 ------ ------- ---------------------- Force Main s~ ;~ . Distribution ~ - ~ ~ ~ ,. ~~~ Cell of z to 22 Pipe Q re ate ~ a~g S Observation Pipe {J~achor securely) -- f _.. . _._ _._ ..------- ' ' PLAiZ PIErd OE A MOUND SYSTE;:4 Distribution Pipe Layout Place the holes at the bottom of the distribution pipes . at equal spacing. Remove alI burrs from the pipe and holes. Extend the end of each latezal up with the use of Iong turn or 4~ ° fitting to a point witlvn six . inches of the final grade. 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, ' Page S of 7 T`-t P 1 cta L - ~,ZnS S . 5~~1111v pvC FvC Latert Manifold ~~ C ~'-' ,-- Later{ x-.L ... x P L'PrN V \ E~ P t~CC~SS -'SOy~ ~ - L - -O h Y'stJ 1 FrJ ~ S Q- -- ---0 PVC wQC. ~ftsnl p- - _ ~q P ~ Ft, ~ ~ Hole Diameter J~ Inch ~~ _-- 5 3 Ft, - ~ Lateral ~_ InchEes) X Z 3 Inches Manifold " Z• Inches ' -- Force Main " Z Indies _ - ~- ~o-F holes/pipe ~3 Invert Elevation of.Latera1s10 Ft. - 13XO.~~I = S.33~ 6 3C.g8 Gp-~ . ~, -. _- • ,• ~ - Combination Sept,~c~Tank and - PUMP CHAMBER CRO55 SECTIOIJ AtJD SPECIFICATIOAIS ' PAGE C~j OF ~- k , • .. • f - ' -VELDT C11P ~~- WEATHER PROOF ' ,1u1JCT1011 90X . ti C.I. VElJT PIPC ~ ,lPPROVE-D LOCKIIJG Ala' FROM DOOR, M~l1JHOLE COVER svl~'I :IttV00W OR FRESH ~ wARtJ1UG LI~6EL,, ' ut39~101J PIPE AL I1JT~lKE ~ coraDutT ` - w /PfltZ~l s tt1- Gt'P ~ ~ t ' .' / F~ N Lst{p . Lsl. °tZ. ~ I GRK~E , ~ 18'Mlu. Ib'MIIJ. ~\ ---------- \~` ' - - ---- ~ ,- \ ~l - +-~ ~ PROVIDE I .~ IAILET c'.~• AIRTIGHT SEAL I III -____ '" I I ~v/r ~~~~~ ~ I Approved Z~~' ~`~~ --~ I III APProved joint w/ F}~l'~OU I III Joint w/ ppC ALr,RM PVC pipe pipe "I II I I • I I ou C . 'I I • gS-OU I L CY. f PuF'lP ~ --~ - ~ OFF D . C 0-JCRETE . ~Z,fs,V ~ 8~j-Oa ' ~ eLOCx S. •~ RISER EXtT PERMITtED O-JLy IF TA1JK MA>,lUFAGTUREK Has sucH APPROVAL~3NAA~~FC 8>rD0 t>v4 SEPTIC F SPECIF'ICATIOt\1S - DOSE w~ ~ ~ TA1.IK MA-IUFI-CTURCR:- ~ ~~-2-L~~~ IJt1MDER OF DOSES: S '~ PER OAS - TA1JK SIZC : - IOUrJ ~ (~ SO GALLOAIS OCSC VOLUME r ALARYI MAUUFACTURCR: - S' S ` ~-~-TTL() S~•'I~~T~"(-~ INCLUDIIJG OACKFLDW: - ~'~Z GALtON,S MODEL AIUMSER: LOS ~W t' CAPACITIES: A- ~$ IAICHCSOR 306 GALLOlJS SWITCH TyPC: - ~ ~~C-~--~7 g = /~ IuCHES'OR 3 ~ G~LLO~1S PUMP !"lA1JUFACTURCR: G N U L-DS C= b INCHES OR 1 ~ ~- GALLOIlS MODEL IJUMHER: ~~ 5 •~ - D= 1Z INCHES OR ZO GALLOAJS SWITCH TYPE: ~'~~~- NOTE: PUrtP AUO ALARM ARELTO 6L4"~ M1uIMUM DISCHARGE RAT ~ ~• a$ GPM INSTALLED OA1 SEPARATC CIRCUITS yERTICAL DIFFEREIJCE DETWCEl,I PUMP AIJO,-D BUT101.1 PIPE. 1S-SO FEET f K't-~l'IMCUM -~ETWORK SUPPLY PRESSURE ; ~ ~ - ~ ~ 'Sd FLET'~S•~ X 1, 3~ -I- I ~ S FEET OF FORCE f'1AItJ X ~` 1 ~ F~c FCFKtCTIOtJ FACTOR.. 3'1$ FEET TOTAL Oy1JAMIC HE:AO 25.18 ~ EET As per manufacturer ~Z •~ gal/in. Liquid depth 38 ~ . - . ,,. -, Goulds i~E~~ °~ Submersible Effluent Pump MODEL 3871 EP05 APPLICATIONS Specifically designed for the following uses: • Effluent systems • Homes • Farms • Heavy duty sump • Water transfer • Dewatering SPECIFICATIONS Pump: EP04 • Solids handling capability: 3/4"maximum. ,--~ • Capacities: up to 55 GPM. ,~ • Total heads: up to 24 feet. `~ • lischarge size:l'/2"NPT. • Mechanical seal: carbon- .. rotary/ceramic-stationary, BUNA-N elastomers: • Temperature: 104°F (40°C) continuous 140°F (60°C) intermittent. • Fasteners: 300 series stainless steel. • Capable of running dry without damage to components. Pump: EP05 • Solids handling capability: 3/`maximum. • Capacities: up to 60 GPM. • Total heads: up to 31 feet. • Discharge size:l'rz` NPT. • Mechanical seal: carbon- rotary/ceramic-stationary, BUNA-N elastomers. • Temperature: 104°F (40°C) continuous 140°F (60°C)intermittent. • Fasteners: 300 series stainless steel. • Capable of running dry without damage to components. Motor: • EP04 Single phase: 0.4 HP, 115 or 230 V, 60 Hz, 1550 RPM, built in overload with automatic reset. • EP05 Single phase: 0.5 HP, 115 V, 60 Hz, 1550 RPM, built in overload with automatic reset. • Power cord: l0 foot standard length,16/3 SJTO with three prong grounding plug. Optional 20 foot length,16/3 SJTW with three prong grounding plug (standard on EP05). METERSIIFEET 10h O a w x U a z 0 J 0 y 3i s 2 7 ~ 21 5 4 3 2 0 1; 1( 00 iu ZU 3U 40 50 GPM 0 2 4 6 8 10 12 m~/h CAPACITY ®1995 Goulds Pumps, Inc. • Fully submerged in high grade turbine oil for lubrication and efficient heat transfer. Available for automatic and manual operation. Automatic models include Mechanical Float Switch assembled and preset at the factory. FEATURES ^ EP04 Impeller: Thermo- plastic Semi-open design with pump out vanes far mechanical seal protection. ^ EP05 Impeller: Thermo- plastic enclosed design for improved performance. ^ Casing and Base: Rugged thermoplastic design provides superior strength and corrosion resistance. ^ Motor Housing: Cast iron for efficient heat transfer, strength, and durability. ^ Motor Cover. Thermoplas- tic cover with integral handle 'and float switch attachment points. ^ Power Cable: Severe duty rated oil and water resistant. ^ Bearings: Upper and lower heavy duty ball bearing construction. AGENCY LISTING SP• Canadian Standards Association (CSA listed model numbers end in "F" or "AC".) ~ I ~ ~~- ~ ~~ ~ ~ - .~"- I _ -_ 2.5.1' !._ 1 .d~~~ _~i ! i ~ ; ._ ~ ~ i ~ j _3 1.g1 ~- ~ ~ _ _ i ' I i I EPOS' i i ----;--- - ~ ~ ~ ''= ~ I ~ 1 _. i~ Effective May, 1995 83871 wiscos~sinDepartmentol-ndustry, $OIL AND SITE EVALUATION REPORT Labor and Human Relations Divisis'T of salary d, Builddngs in accord with ILHR 83.05, Wis. Adm. Code ODB~ '' COUP Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but not limited to vertical and horizontal reference point (BM), drection and °!° of sbpe, sca{e or P dimensioned, north arrow, and location and distance to neazest road. APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION IE ~~ ~ Page ~ of 3 757- ~- lIJ~ - ~/ s~• C,~~ lX 008-1p5~-ZU-~lbp 4. PROPERTY OWNERS : PROPERTY LOCATION ~C~'~ `Pti~ `~ ~j ~j vL~ OT S i~ 1/4 S t, 1/4,S 1 ~T 2 ~ ,N,R 16 E (~W PROPERTY OWNER':S MAILING ADDRESS. LOT # 6LOCK # SU90. NAME OR CSM # t 11 ~~~Utv ~'f'• 1 - CSC) V~~ ti, ~9 3`15Yo CITY, STATE ZIP CODE PHONE NUMBER VILLAGE (MOWN ' NEAREST ROAD ~~.Dw1/v w 1 S OZ.2.. (~tS) 68~{ _zi, os ~~ G,~t_~~ Z~ l1~ Rv'E . [)Q. New Construction Use [~Gj Residential ! Number of bedrooms ~ [ ] Addition to existing bus g ~ iC `~ (]Replacement [ ] Public or commercial describe Code derived daily flow ~L SO gpd Recommended design loading rate • ~ bed, gpd/ft2 ~ trench, gp ft2D 2 Absorption area required 3~S bed, ft2 3-tS trench, ft2 Maximum design bading rate __~bed, gpd/ft2 - ens~2 20G Ad~d'ih'onal design fits to considera6eons a'h'1ttX~1~> w ~ g' U. ~ IW /e~ferred to Zp4a~benchsark~ fir" pFF~jCFTY Parent material LA ~ s c~y try ~, ~ ~-t.L, t_ Flood plain elevation, if applicable ~ ~ ft S =Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FlLL HOLDING TANK U =Unsuitable for system ^ S ~U ®S ^ U ^ S ~ U ^ S ®U ^ S ®U ^ S ,~'U SOIL DESCRIPTION REPORT Boring # ~.y 'til C - I Ground elev. a9 • Sft Depth to limi ' 3 t `' Boring # Z Ground elev. ~o~ ft. Depth to limiting or Z ~J y Horizon Depth Dominant Color Mottles Texture Structure Consistence Barrlaryr Roots GPD/ft in. Munsell Ou. Sz Coat Color Gr. Sz. Sh. g~ rerxh o- ~o~~z 3 t z - i z~ sbh w~~h es z . s • ~ ~. ~o~~Z~~ stet 3~~bk ~n~i. ~Lv ~v`Q •`/ •-S 3 t ~Z 10`~.~ ~u ~ ~.s~t2 S~~ cl o'er `M`fr ~ - f.-p •2 Remarks: 1 0-6 ~o~t.~- J 1 z. s 11 Z,~sbS~ ~.`fr ~S z.~ • s , ~ 2. $ i~. ~ owl 2 yl~ - sl~c.1 Z`~sb}z m'~ c.Lv 1 v ~ ` ~ . , 5 3 °t SS ~b~>z yl e~ S~-tf2. S~8 C ~ c~~., j'>2'{~- - 1vp ' ,? Remarks: STName:-Please Print Phone: Arthur I;. Wagerer 715-425-0165 ' ~egerer Soil esting & Design Service-P.O. Box 74 River.Falls,WI 54022 ~' signature: /~ l Date: CST Number: . C ~G-~' ~ - ~~~.`~-~• ~ ~~ - h3 7 -19 ~-- ~l rj 2 2 0 2 5 4 ~~~ ~~ Hwy D ~--~ ,~ PROPERTY OWNER t\1 ~ L ~ PARCELLD.~ 0~~,145~-Zp_ LO Boring # Horizon Depth Dominant Color in. Munsell 3' ................ Z ~ -z-Z 1 c~ ~z 3/ ~ Ground 3 2.Z ~ l0 `-t Y2. y/ elev. q-r. s rt. ..S o tU ~ (Z y/ Depth to limiti r 2.~ Boring # .~,,„ ~::,.:' ti~ .+~.~~ cif ?~ Ground elev. ft. Depth to limiting factor Boring # i3< Ground elev. it. Depth to limiting factor Boring # r} «t '> Ground elev. ~ ft. I~' Depth to ~ limiting factor Remarks: . ,~~~~u~~~. 301E DESCRlPTlON REPORT Mottles Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. `' s'1 ~ Z`PS~ s i ~ Z~'sbk s 1 c I Z..~('sbF~ ~ -Sy2 sip c ~ r,~,_ Page?- of 3 Consistence Borx>~y Roots G P D/ft B Trench ~ ~ Z ,~ "~~ ~S ~v~ ,5 ,~ 1~`F~- es 1 v ~'. . ~/ . S i t t • .•n oo•~n~n .,~ „ ........,. - ' ~ PLOT PLAN SCALE 1"= tip' ~ `~ \R.oti ! 00 ~ P tP r a X10 j'ra~N. 69~ 3Z• ~ • ~~ n~4~S ~ 3 ~ ~ ~-._ BY°t ~Z ti 69' ~; ~ ti ~ 1Z5 ~ O _ ~ ' ~-~t13 s _ "=` ~~ ~ ~ ~S1i .~~zF.~ ° ~i14 ~'rtL"A c` '~ I °. I ~i ml J 0 Page 3 of 3 ~ o~- Lt~v~ b~~.~f9 COQ ~v~Z ~L.W , 9e} , o ~ .~~`t~'1 U F 8`~ ~o~L ~l ~ _ ~TtQV. 1X.0` Oti 8"C{-(6'l~{, 31~(uDl-~ 1~VC ~tp~, W l LPr`i3~ . ~}oUS~, ~'o B~, fl7 L``~1sT Zs' soon} of v~ounlp, w~..~ 4 ~ ~ ~ sd K - ~ -- -- D.~s+~i TO` v SYl h_', ~ ~ `ht- 1rVE. RQ- ~ ~ 3 /'~, -„ j~ ~ j ~~ ~ zzozsy C-ti~1~2. ~~~"3~ ~ - ~ ~ - ~ `~ (715 ) 4 2 5 - n ~i n s CST Signature Date Signed Telephone No. CST # WisconsinDepartrnentoflndustry, SOIL AND SITE EVALUATION REPORT latSor and Human Relations Division of Sajery 8 Builr~ngs in acrnrri with II NA av ns wt~ e.~,,, r~~i~ Page ~ of 3 - ---- COUNTY Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include but Ste' e-~~~ 1X. , not limited to vertical and horizontal reference point (BM), drection and % of slope scale or PAACEL I.D. # , dimensioned, north arrow, and location and distance to neatest road. ' 00 8 -10 57 - Zp - •l ~p APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPEATY OWNEAS : ~ PROPEATY LOCATION ES ~~.E7~~ 'PrUy~ ~,~N ~j ~`, ~ Gam. LOT S w 1/4 S t 1/4,S \ ~T 28 ,N,A 1 6 E (a W PROPERTY OWNEA':S MAILING ADDRESS- LOT # BLOCK # SUED. NAME OR CSM # `11p ~~~vh~N ST• 1 - CSr7 V~~ lZ, Pj 3ySY~ CITY, STATE ZIP CODE PHONE NUMBER ~>~Dwi,v w 1 S~}oZZ, (71S) 6S~f_ Z~oS (]CITY 01/ILLAGE TOWN ' ~ G~L,L:. NEAREST ROAD Zu T>} av~ . (~, New Construction Use [X~ Residential / Number of bedrooms 3 [) Addition to existing building [ J Replacement [ J Public or commeraal describe Code derived daily flow Ll. SO gpd Recommended design loading rate • ~ bed, gpd/ft2 ~ trench, gpd/ft2 Absorption area required 3"~S bed, ft2 3-t5 trench, ft2 Ma:amum design loading rate _~I bed, gpolft2 •S trench, gpd/ft2 Recommended infiltration surface elevation(s) ~.`> ~ , h ' ft (as referred to site plan benchmark) Additional design /site considerations _ 'N1 tl.~L~..±> w / g'x u.1 ' ~.. 1^-t !~v 1 ~ wt LZ `' e~ 1= ~t~,~.p Fr r`c.. Parent material _ L o ~ s c~v pct. e, t 1--~ t_ ~ Flood plain elevation, if applicable ~ ~ ~ ft S =Suitable for system U =Unsuitable for stem CONVENTtOtJAL MOUND ^ S ~U ®S ~ U IN-GROUND PRESSURE AT-GRADE ^ S l~U I ^ S ®U SYSTEM IN Flll ^ S ®U HOLDING TANK ^ S ~'U SOIL DESCRIPTION REPORT Boring # .:,•:u v< .~ ~ x Ground elev. ~.9 • S ft. Depth to Gmi6ng factor 3 t `~ Boring # -. ~ .. ~ ~~- ~~ Z Ground elev. ~o~ ft Depth to Gmi6ng factor Z, d! 9 Horizon Depth Dominant Color ~ Motfles ~ Texture I Structure I Consistence ~ Eauxdy I Roots GPD/ft in Munsell Du. Sz Cont Color Gr. Sz. Sh. tied re<~d1 D-a ~4`1.~Z 3 (. 2 ~ ~ ~' t ` Zip Sb1-z -'vL~h L°.S Z +5 Z g•~I LO`-ttiZ~lLU slC1 3`~-~bk ~n~;- ~.v lv`~ •U -S Rcm~rtrc• 7 D'8 101, r~-- 3 ~ Z _ 51 ~ Z,`TSb ~ 1v1.~'r L°-S Z.'t • S , Z ~ z4• ~ ~`~ 2 ylc~ - st'~~ Z`~'sblz ~rl.~,- c.t,4, 1 v `~ • ~ ~ . 5 3 O! SS L~~ 1Z Y! ~~ J LI` J^ U l.. 1 ~~ ~ I /~ ~ ~up • w~ Remarks: STName:-Please Pnnt ~ Phone: Arthui L. Wegerer 715-425-0165 ' ~eeSerer Soil g besting & Design Service-P.O. Box 74 River~Falls,WI 54022 ~• . gnature. /~ 1 ~f: 3` 1, ~~ ~ Date: .~ CST Number- tiJ ~ ~ ~scons~n Department of Commerce R CE EIV ED MAY 0 6 2002 ST. GROIX COUNTY ZONING OJ May 06, 2002 OUST ID No.267341 ARTHUR L WEGERER WEGERER SOIL TESTING & DESIGN SERVICE PO BOX 74 RIVER FALLS WI 54022 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 05/06/2004 ATTN: POWTS Inspector Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601-1831 TDD #: (608) 264-8777 www. commerce. state.wi. us/s b www.wisconsin.gov Scott McCallum, Governor Philip Edw. Albert, Secretary ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 SITE: Gerald Medes - 20TH Ave Subdivision: CSM -Vol. 12, Page 3458; lot 1 St. Croix County, Town of Eau Galle SE1/4, SE1/4, S19, T28N, R16W FOR: Description: Proposed Three Bedroom Mound System Object Type: POWT System Regulated Object ID No.: 850352 Identification -Numbers Transaction ID No. 732040 Site ID No. 644288 Please refer to both identification numbers, .above, in all correspondence with the agency. 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 Conditions: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Septic Tank Effluent for Private Onsite Wastewater Systems" SBD-10572-P (R 6/99) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems" SBD-10573-P (R 6/99). • 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. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. • 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. Owner Responsibilities: • Comm 83.52(1)(a) -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). ~, ARTHUR L WEGERER Page 2 5/6/02 Owner Responsibilities Continued: • 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. • The owner is responsible for submitting a maintenance verification report per Comm 83.55, that is acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. 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 maybe 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, Gerard M. Swim POWTS Plan Reviewer -Integrated Services (608)-789-7892, Mon. -Fri. 7:30 am to 4:15 pm j swim@commerce. state.wi.us Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 WiSMART code: 7633 cc: Leroy G Jansky ,Wastewater Specialist, (715) 726-2544 ST CItOIX Ct~UN'TY SEPTIC TANK NiAINTENA1vCE AGREEMENT f~ND GWNERSHiP CERTIFICATION FORM t~meriHuyer ~u-~'' e.s Mailing Address Property Adtkess a 0~ u-e , (Verificatioa required from Pianucag impartment for now r9o Y - !~ 57 - ~ /~ CitylSrate Parcel Identification Number Sw y/~, ~ '/., Sec. l ~ ,, T~ -RL~ W, Town of ,~Q~ Propw~Cy Locatioa _~__., Subdivision Certified Survey 1Viap V~'arran-ty Deed # Spec house ^ Yes ~ Yes ^ no ~~~~M~ATN'~'L11'!. ~~ ~- y _ ,a~intwunc~ unproper use and maintenance of yo•,~r se c s ~ o s ~er~ zf need d by a Lc ns~ pu~mpe~i. ~Wlx~t you pinta to rho system consists of pumpia$ out the :optic teals every' three ye a stela. can affect the function of the septic ~~ as a tzeataaeat stage ~ the waste disposal y ent a certification fotin, signed by the owner and by a The property owner agrees to submit to St. Croix Zoning Departus umber, rostcictedFlumber or a licensed pumper verifying that (I) the oa-site wast+ev~-atar disposal system masterplttmber, jouraayz~pl series sad pumping {if necessary), the septic tanfc is less thaw 113 full of sludge. is is proper operaxhtg condition and/or (2) after iasp eats ands a to cnaintaia the grivato sewage dispoaal system with the standards Ilwa, the usiderai$nod have read the above roquiroac 81'0 set faath, herein, as sot by the Departcneat of Commerce sad the Degartmoat of Nataral geaoutces, State of Wiscouao~ce within 0 stating that your septic ayatetn has boon maiutaiaed must be completed and returned to the 9t. Croix County Zonin,$ days of the three year expiration date. ~. /~ © Z DATE ~A OP APPLICANT .~,e~,,.st~a rFixTiFls~A1'ION are the owner(s) of I {we) certify that sit statements on this form are scut to the best of my (our)1raowled$e. i {we) arts the property described abave~ by virnte of a warranty deed recorded in Regiatat of Deeds Ofi'fce. DATE SIGNA OF ppPLIGANT rts.~~ Any iat'eimatian that is mis-represented may r0eult in the sanstary pesauc being revoked by the 7.oaitt8 DOpartrll°nt. w~~•t* w+ ~zaiude alth this appiiutloA; a stamped W~nry does from the ~nfe~ren~ Diset~de ~ the warranty decd a copy of the cer~.ified survey map Lot # ,~_. 3 `r~~ Volume_ ~ ___= page V ' VolumQ Page # ` ~ U 1899i' 580 STATE BAR OF WISCONSIN FORM 2 - 1999 Document Number WARRANTY DEED Thia Deed, made between LeRoy J. Carey and Beverly J. Carey, husband and wife Grantor, and Kenneth D. Noll and Dawn M. Noll; husband and wife 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 addendum): Part of tae South Haif of Frac[ional southwest Quarter (S lr2 of trl. S W li4) of Section Nineteen (l9), Township Twenty-eight (28) North, Range Sixteen (16) West, St. Croix County, Wisconsin, described as follows:_Lot Three f31 of Certified Survey Map filed May 28, 1998, in Volume 12, Page 3458, as deed is given solely to correct the legal description in that cerZait Warranty Deed recorded in Volume 1868, Page 89, as Document No. 675590. Exceptions to warranties: Easements and restrictions of record. Dated this 24th day of _ ~y ~ 2002 AUTHENTICATION Signature(s) authenticated this day of TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by § 706.06, Wis. Stets.) THIS INSTRUMENT WAS DRAFTED BY Thomas A. McCormack Baldwin, 5 (Signatures may be authenticated or acknowledged. Both are not necessary.) Names of persons signing in any capacity must be typed or printed below thei WARRANTY DEED 66025@ XATHLEEH H. NALSH REGIS?ER OF DEEDS ST. CROIX CO., MI . ~~d (~ RECEIVED FOR RECORD ~d'~ /,~LK. 05-29-2002 10:20 AM IfARRiW1Y DEED EXE?pT i 3 REC F£E: 11.00 TRANS FEEL COPY FEE: CER7 COPY FEE: PAGES: 1 kecording Area Name and Return Address ,¢j s ooitaos7-salon _ ___ Parcel Identification Number (PlN) This is not homestead property. ji;l (is naQ + Le ,KCare + Beverly J. Car t T ACKNOWLEDGMENT STATE OF WISCONSIN ) ss. St. Croix County ) PersonaNy came before me this 24th day of _ Mdy 2002 _ the a!-, ve named Lego J. Care and Beverl J. Carey _ ~ ` v, ___ ; _- to me known to be the person(s) ,`,• ' ii~et) rlte~,fAre~c rg instrume/SyIU, a't-r Ir---~,~he =~'-~SOi}e j ; ~~ ~; + Sttyven H. Perry ` ., •.. ~ y. Notary Public, Smte of Wisconsifti~p.. S~ ° ,.~~~ My Commission is permanent. not, stet p rtttl n" a~- Septt~nber 15th X002 J nature. intamaem Proro,aionms comp,m•. Fond du LaG VM STATE BAR OF WISCONSIN FORM No. 2 - 1999 Document Number U 1899P 581 STATE BAR OF WISCONSIN FORM 2 - 1999 WARRANTY DEED ~ This Deed, made between Kenneth D. Noll and Dawn M. Noll, husband and wife Grantor, and Gerald R Medes, a single person and Christopher R. Medes, a single person 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 addendum): Part of t,9e South Half of Fractional Southwest Quarter (S 1;'2 of frl. SW 1/4) of Section Nineteen (19), Township Twenty-eight (28) North, R n (16) West, St. Croix County, Wisconsin, described as follows: of Three of Certified Sttrvev Map filed May 28, 1998, in Volume 12, Page , as Document No. 579915. Exceptions to warranties: Easements and restrictions of record. 6 8~ HSIiALSH REGISTER OF DEEDS ST. CROIX CO., MI RECEIVED FOR RECORD 05-29-2002 18:20 AM WAR0INTY 1)EEI:D EXEMPT # REC FEE: 11.00 TRAAS FEfi: 105.00 COPY FEE: CERT COPY FEE: PAGES: 1 Recording Area Name and Return Address (v FIRST NATIONAL BAN+C OF BALDWI~I ~ 9S0 ~~n St '~ PO Pax 2060 Baldwin, WI 54002 008-1057-50-100 Parcel Identificatio ZrG SOLO ~' ~~ ;r (PIN) homestead property. (is not) Dated this 23rd day of ~~ ~ 2002 ~ ~~~ * * Kenneth D. Noll * * Dawn M. Moll AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ) ss. St. Croix County ) authenticated this day of , Personally came before me this 23rd day of r , 2002 the above named Kenneth D. Noll and Dawn M. Noll * TITLE: MEMBER STATE BAR OF WISCONSIN - ~ ~~ to me known to be the person(s) who exec.~E g~ (If not, instru t d wledged the same. r Q ~ V ;' authorized by § 706.06, Wis. Stats.) ~~~~~~ i s~ ~ ~ J, THIS INSTRUMENT WAS DRAFTED BY * ~t~n H P~r~/ '' ~ ~ Q ~ ;,a.. Thomas A. McCormack Notary Public, State ofd i 1'. ~ Q Baldwin, WI 54002 My Commission is permanent. not, scat .~it~r~t~ ' ~ (Signatures may be authenticated or acknowledged. Both are not necessary.) (>A 15_n2 ~~'~!~ 5~~~`' ~Uluu,uu~~ * Names of persons signing in any capacity must be typed or printed below their signature. ~~+~^ a.orusanau ca^o~+x c«w ~+ ~• ~ STATE BAR OF WISCONSIN ~~~ WARRANTY DEED FORM No. 2 - 1999 1/ SCHEDULE A Commitment No.- 02A-9028 Effective Date of Commitment - 4/29/2002 8:00 AM Prepared For: FIRST NATIONAL BANK OF BALDWIN Inquiries Should be Directed to: River Valley Abstract & Title, Inc. 1200 Hosford Street -Suite 201 Hudson, WI 54016 (715) 386-7772 I. Policy or Policies to be issued: Amount (a) ALTA Owners Policy 1992 $120,000.00 Proposed Insured: GERALD R. MEDES AND CHRISTOPHER R. MEDES (b) ALTA Loan Policy 1992 $120,000.00 Proposed Insured: FIRST NATIONAL BANK OF BALDWIN its successors and/ or assigns 2. The Estate or interest in the land described or referred to in this Commitment and covered herein is a Fee Simple 3. Title to said estate or interest in said land is at the effective date hereof of record in: KENNETH D. NOLL AND DAWN M. NOLL ,HUSBAND AND WIFE 4. The land referred to in this Commitment is located in the County of ST CROIX, State of WISCONSIN, and described as follows: PART OF THE S '/ OF FRACTIONAL SW %4 OF SECTION 19, TOWNSHIP 28 NORTH, RANGE 16 WEST, ST CROIX COUNTY, WISCONSIN DESCRIBED AS FOLLOWS: LOT 3 OF CERTIFIED SURVEY MAP FILED MAY 28, 1998 IN VOL. 12, PAGE 3458, DOC. NO. 579915. ` ~ . 5`79915 U J Y ~- .~ t :TM ,li F •!} ,~ ~ p t~ i ,.. :i :' P ~ .,A ,~ it ~ THIS INSTRUMENT DRAFTED BY ED FLANUM JOB N0. 98-39 "' ~ ~~ z 00 z ~ r ~ UNPLATTED LANDS, Z o ~ _ Z co ~ "b'3 " WEST LINE OF THE FRACTIONAL S T H r `O ~ - --L . . . SWtj4 OF SECTION 19 - ---_ --------------- - CENTERLINE N00'33'41 "E 1269 88' - -_ o Noo•33'41"E o ~ . ~~ 0 367.74' S00'33'41 "W -~-•-•---• 577.83' 0 1365.64 ~- ~^~ - - - - - - - i tncn ~ N00'23'45'E 332.94' 324.31- 'i, N -~-------- ~, ' ~o a, (~ Z v ~ ~I(00'23'45' E 572.44' rn 1 ogp ~ ~ ~ ~ i,N 3 ~ I ~ --- O r 33 3' V :...... .................... _. ~ .....................~............................................................ ~ N ~ ~~' N~ N O ~N ~ 'I _ ~~ ~i~ ARN ~ 0 n I N n y-~ v W (VO 0 Z rn c°Dn ~` ~ ~Z Q w z'+~_ ~ cu'n- p m I cnn m v W N p ~ n~ N 33.0 ,: ~v, '~ ~ 00 ~ ~ I '~~' ~c 0~ ~ Cj~s 0 CT! CD a ~' N ~ 317.79' N ~ • ~~Z ~ 9~'gZ' fTl z_ ~ ~ ~ __l. I v w~ NCO ONO ~ C v ~' ~ w ~ I ~i v~ `- ~ w t o -'~ I ~~ y N N al ~~~~ b ~ `~° I ~ o ~ ~ m~ ~m rn0 ~ v~ ~ 2836 _W ~~H~ Q~ ~oco~ 50.81 S I ~ a x x ~J ,y ~~ ~~ ~ ~ I I ~ ~ b v a' ~ ~ ~ ~ ti ~~ ~ O b rn m ~ D v~ ~I D ~ v D r m I O D m N~ fJ m N -- -' N v ~~ I w~ or ~ ~I z ~ mmI66' ~ ° ~ 01'52'38" o ~z E 362.29' Z ~ ~ ~ 334.06' m ~~ 128.23': f° '~ j tr ~ I , ~ ~ I N ~ oN ~~ ~ Iv I N C7 N CO ~~ ., rJ m ~' `' b ~ ' D ~ y ~ ~ ~ ~~ ~I ~ ~ '/ W p o ~ X m N 5 ~ O Z N O ~ Z a ~ Z o m m 0 D o ~ D D ~~ y b 0 Q ~ ® ~ 8 N m v n ~ ~ :il m D O c Z 0 N m r N C D m O z D N O Z m 0 z v D O D VI -~ m '*1 0 C z 0 O 0 O D O D Vf m r Z m O O1 ~x W N (~ ~ %C1 Z r -~ z~ mm :U N o~ O Z °°^'m O ~°N'~Z Z O D -,-, y ~~ ~~~~ o'o'y ~ ~~~~ ~ ~.~~~ H Z G~ ~! ~ o aa~d ~ o\~ ~~~~ :yN-°~~ o~'~~ \~ ~'C rA ~ O~~ ~~~' ~d yea ~yb , ~GOULDS PUMPS Submersible ..~ Effluent Pump ~, t 'Jx , d ,~f ~ f t~ 885 PROSURANCE AVAILABLE FOR RESIDENTIAL '~} APPLICATIONS. ~, ~W ~.. APPLICATIONS Specifically designed for the following uses: • Homes • Farms • Trailer courts • Motels • Schools • Hospitals • Industry • Effluent systems SPECIFICATIONS Pump • Solids handling capabilities: 3/"maximum. • Discharge size: 2"NPT. • Capacities: up to 140 GPM. • Total heads: up to 128 feet TDH. • Temperature: 104°F (40°C) continuous 140°F (60°C) intermittent. • See order numbers on reverse side for specific HP, voltage, phase and RPM's available. FEATURES ^ Impeller: Cast iron, semi- open, non-clog with pump- outvanes for mechanical seal protection. Balanced for smooth operation. Silicon bronze impeller available as an option. ^ Casing: Cast iron volute type for maximum efficiency. 2"NPT discharge. ^ Mechanical Seal: SILICON CARBIDE VS. SILICON CARBIDE sealing faces. Stainless steel metal parts, BUNA-N elastomers. ©2000 Goulds Pumps Effective February, 2000 83885 ^ Shaft: Corrosion-resistant, stainless steel. Threaded design. Locknut on three phase models to guard against component damage on accidental reverse rotation ^ Fasteners: 300 series stainless steel. ^ Capable of running dry without damage to components. ^ Designed for continuous operation when fully submerged. MOTORS ^ Fully submerged in high- grade turbine oil for lubrica- tion and efficient heat transfer. ^ Class B insulation. Single phase: • Built-in overload with automatic reset. • All single phase models feature capacitor start motors for maximum starting torque. •'/ and Y2 HP-16/3 SJTOW with 115, 208 and 230 Volt three prong plug. • 3/-2 HP -14/3 STOW with bare leads. Three phase: • Overload protection must be provided in starter unit. •'/2-2 HP -14/4 STOW with bare leads. ^ Designed for Continuous Operation: Pump ratings are within the motor manufacturer's recommended working limits, can be operated continuously without damage when fully submerged. ERS FEET 40 130...._.... " ~ WE15HH 120 35 110 1NE2oH 30 0 25 U z 20 c F 15 0 10 5 0 100 90 we4sH 80 10H 70 ' Ep7H sol ao i--~*~ 30 20 ~ vui=aa~ 10 0 0 10 0 =~ ^ 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. 20 foot standard with optional lengths available. ^ O-ring: Assures positive sealing against contaminants and oil leakage. AGENCY LISTINGS S ~ ® Tested to UL 778 and CSA 22.2108 Standards By Canadian Standards Association C US Flte AIA38549 Goulds Pumps is ISO 9001 Registered. ~., \\ \ \ 20 3 40 50 60 70 80 90 100 110 120 130 140 150 160GPM 5 10 15 20 25 30 35 m~lh cnPaciTv Goulds Pumps ITT Industries _, - SERIES 3885 SIZE:'/: SOLIDS fr RPM' 3500 & 1750'. ~~5GPM 5 FT 5 a Submersible Effluent Pump 3885 ~, ~ ~ r 1 ---'-'fir ["~"1 2~- MODELS PERFORMANCE RATINGS (gallons per minute) ~, GOULDS PUMPS COMPONENTS '~, ~' '~{ Item No. Description 1 Impeller 2 Casing 3 Silicon carbide vs. silicon carbide Mechanical seal 4 Shaft 5 Motor 6 All Ball bearing heavy duty design 7 Power cable 8 0-ring Order Na. HP Voits' Phase Max. Am . RPM Solids Wt. Ihs. Heaters WE0311 L 115 9.8 WE0318L 208 5.5 WE0312L , 230 4.9 WE0311M /3 115 9.8 1750 56 WE0318M 208 1 5.5 WE0312M 230 4.9 N/A WE0511H 115 14.5 WE0518H 208 8.1 WE0512H 230 7.3 WE0538H 200 4.1 K34 WE0532H 230 3 3.3 K32 WE0534H 460 1.7 K23 WE0511 HH /~ 115 14.5 60 WE0518HH 208 1 8.1 NIA WE0512HH 230 7.3 WE0538HH 200 4.1 K34 WE0532HH 230 3 3.6 K33 WE0534HH 460 1.8 K23 WE0718H WE0712H 208 230 1 11.0 10.0 N/A WE0738H '/° 200 6.2 , „ K49 WE0732H 230 3 5.4 ~0 K39 WE0734H 460 P.7 3500 K28 WE1018H 208 1 14.0 70 WE1012H 230 12.5 N/A WE1038H 1 200 8.1 K50 WE1032H 230 3 7.0 K43 WE1034H 460 .5 K32 WE1518H 208 17.5 50 A WE1512H 230 1 15.7 N/A WE1538H WE1532H 200 230 3 10.6 9.2 K54 K52 WE153AH , A60 4.6 8 K36 WE1518HH 1 ~z 208 17.5 0 N/A WE1512HH 230 1 15.7 N/A WE1538HH 200 10.6 K54 WE1532HH 230 3 9.2 K52 WE1534HH 460 4.6 K36 WE2012H 230 1 18.0 N/A WE2038H 200 12.0 K55 WE2032H 2 230 3 11.6 83 K55 WE2034H 460 5.8 K41 EFFLUENT EJECTOR SYSTEM Effluent ejector system ( ~ Package Includes: offers ease of ordering ~ Submersible Effluent Pump WE0311L, and installation. A single 12L or WE0311M, 12M, WE0511HH, 12HH Ordering number Specifies -__ Mechanical Level Control Switch A2-5 (115V), A2-6 (230V) a com lete system desi ned P 9 Basin and Cover A7-1830P for most residential and ` Check Valve A9-2P commercial sump and ~ Order No.: SWE0311L, SWE0312L, effluent pomp appllCatlonS. SWE0311M, SWE0312M, SWE0511HH, SWE0512HH. Order No. wE03L WE03M WEOSH WEO7H WE70H WE75H WE05HH WE15NH WEZOH HP ~~3 ~~3 ~~2 3~4 1 1 Yz '/z 1'/z 2 RPM 1750 1750 3500 3500 3500 3500 3500 3500 3500 5 86 - - - - - - - - 10 70 65 78 94 - - 56 95 140 15 58 58 70 90 103 128 53 93 138 20 30 35 60 85 98 123 50 90 136 25 5 15 76 94 117 45 87 133 30 - - 35 67 88 111 40 84 130 3 35 - - 57 82 103 35 82 126 ~ 40 - - 12 45 74 95 30 77 121 d 45 - - - 35 64 86 25 74 116 ~ 50 - - - 25 53 77 18 70 110 55 - - - 17 42 67 12 66 104 ~, 60 - - - 9 30 56 3 63 97 65 - - - - 20 46 - 58 90 70 - - - - 11 35 - 55 83 75 - - - - 4 25 - 51 75 80 - - - - - 15 - 47 66 90 - - - - - - - 37 51 100 - - - - - - - 28 30 110 - - - - - - - 17 10 120 - - - - - 8 - DIMENSIONS (All dimensions are in inches. Do not use for construction purposes.) KICK-BACK Goulds Pumps lTT industries PRINTED IN U.S.A. SPECIFICATIONS ARE SUBJECT TO CHANGE WITHOUT NOTICE. WisconsinDepartrnentoflndustry, SOIL AND SITE EVALUATION REPORT L.abo# and Human Relatans Divisron of Safety & Buildras .....,a ...:u. n t m nn nr .. r.. w ~..~ n_~.. Y Page ~ of 3 ......vw......u. .~. .. a w.vv, .. v. •w.... wvv COUNTY . `~•. ~ but Attach complete site plan on paper not less than 81/2 x t 1 inches in size Plan must irx:lude , . not limited to vertical and horizontal reference point (Bfil~, direction and % of sbpe, scale or PARCEL I.D. # © ~ ~~ dimensioned, north arrow, and location and dstance to nearest road. . APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION f D Y ~ ATE: . ~3~ ~ . • ! ` ` ff7 PROPERTY LOCATION B`1~'L~S: ~'PO~N R ~~'-1.1 fUOLI I~d.~s 6818-LDT SE 1/4 SW 1/4,S ~~ T Z~ ,N,R 6 E(o yy PROPERTY OWNER':S MAILING ADDRE # BLOCK # SUBD. NAME OR CSM # s GTY, ST TE ZIP CODE PHONE NUMBER ^CffY []VILLAGE ®fOWN NEAREST ROA ~ 8f'~rl_17yU1N,W1 S~f00Z nfs) 68y,Z.6o S ~~v GfK-LF ZO ~. [pQ New Construction Use [ctJ Residential / Number of bedrooms "3 [) Add' to existing building 3 j) Replacement [) Public or wmmeraal desaibe Code derived dairy flow y.S~ gpd Recommended design loading rate bed, gpd/ft2 ` 3 trench, gpolft2 Absorption area required 37S bed, ft2 31 ~ trench, ft2 Maximum design loading rate ~ `~ bed, gpd/ft2 ~ S trench, gpolft2 Recommended infiltration surface elevation(s) ~ OZ, O` ft (as referred to site plan benchmark) Additional design / site wnsiderations `r'1 ova w / 5'X 7 s '1iZ~'rv e.l~ • Y~ lt~ • ~Z-" o'i` SAID Fl t,f;., Parent material `.o ~"s ~ ov~~t'~ ~-1 T-ll. Flood plain elevation, if applicable ~ A ft $ = Suitable for System CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN Flll. HOLDING TANK U = unsuitable br stem ^ S C~ U ~ S ^ U ^ S ~U ^ S ®U ^ S C+d U ^ S ~ U SOIL DESCRIPTION REPORT Boring # kph ' 4 n Ground elev. °1$•S fL Depth to limiting factor 31'` Boring # Z- Ground elev. goo . l fL Depth to GmiUng fa? y Horizon Depth Dominant Color Mottles Texture Structure ~~ ~~ Roots GPD/ft in. Munsell Chu. Sz. Cont Coke Gr. Sz. Sh. Bed Tench J o-8 10:1,8.- ~1 Z - sit 2m sbk vvt CS Z~ • 5 •b z $-3~ 1,0`~l,R-~l~y - sLel 3~sbk ~~~ c>ti tv~ ,y, •5 3 3t -~z. Lo ti. tzuly ° ~.su ~ s 1g ~ ~ o~ 1~t,'F~ - -.~p . z G vf,~ S f}G fJ0 7t'f ~Z• 4 .} Remarks: ` O -Pi tib`11~ 3 t2 ~ stl 2`FSbk 1v1.'Fi- C Z~ • S ~, Z 8 Z-9. 1.~`-t~.-~1/ - si~l 2~~sbh ~`Fh ~.w 1.u`~ ~y .S 3 q SS 1 ~ tf tZ-Y~ c~•S ~I~S !>; e l o~ ~~--- tvP • z ~ .^.. ~ tea. .~ r ~~~ ~ ;, . ~. Remarks: ~ ~~, ~` ~ ` %oF ~ ~~'' Name:-Please Print Phone: % ~ . _,_ .. ,r ~ Arthur L. We erer 715-4 X1.65 gerer Soil Testing & Design Service-P.O,. Box 74 river Fa11s,W 2~' ` afore: ~~~ ~~j__, i/ ~a Q5 Date. >/ zZ y~ ~CSTNumber: ~'!~', 7 ~GY ~ n /, 1 i 1~ >s8 ~I ~ _ --~~. - - M00 5 76 ~ PROPERTYaWNN~ER~~ ~ Yy ~ 1-~- SOIL DESCRIPTION REPORT PARC EL LD. #I QE~~ l iy G Boring # 3 Ground elev. toZ.3 ft. Depth to limiting fa~r~, Page L' of 3 Horizon Depth in Dominant Color M ll Mottles Q . C S Texture Structure Consistence Boundary Roots GPD/ft . unse z u. ont. Color Gr. Sz. Sh. Bed nit ,o-~ ~~~tz BIZ - s • z`~s~k wt c Z~ .s .C z ~ ~ to ~lfL-~~ - sl~e~ 3`~-s~k w-~- cw 1v~ ~ ~1 •s 3 zg sz ~~~.R ~I! c,. sYl~s/g e.1 ` ow+ ~~Ft- - N>> ~ Z I Remarks: I i i 1 i Remarks: `Boring # Ground elev. ft. Depth to limiting factor .~ Boring # Ground elev. ft. Depth to . limiting factor i I i smarks: i Remarks: SBD-8330(R.05/92) • PLOT PLAN SCALE 1"= ~~ ' lt.lb Z B B-3~ o~v Page 3 of 3 `~~e 25 ~ 1 ~ FTL1.00 , ~~• `` 'L`a g.Z 8. ~ ~ ,~' tTl.~l$S ., ~~2S' ~' ~M~~- ~L,~u0.0` oN 1~,,,~ ~' °1~' ~'tlGHi ~!y• DMA. PuC $"~6 H, 3!y ` Dirt ~ e ~ ~ p~ w / ~nsr~1 P t PF w/~~,} ~ ~ ~ o~ ~oM,1~ e~-cT oR. {7Cl`'C~5-'' ~~sg1U 8E P~' LET '2.S` SOl1T1j DF w~OVhJp -y w ~~ k k 4 Y .5u' K_ t 4 m L.~3T 5 ' ~ZOr"l P'! ~v1n~D . q. ~~ ~~ ~ ~: ~ ~. ?!. . ;~ 9 ~ z0"1i -F PNr , q~-8S C~!~~-~~~~~y-.- ~J__z Z-`j~' _(715 ) ~5-n7~5 I400576 CST Signature Date Signed Telephone No. CST # WisconsinDepartrnentoflndustry, ~ SOIL AND S1TE'fVALUATION REPORT tabor and Human Relatans Divis'son of Safari d~ Buildnas __r ..:ri n ~ m e:n wv u~_ : w ~_. 'n_~_ ' Page ~ of 3 ,, ; n. ca ................~.... w.vv, ....,.................. _ . COUNTY ,- . ~ , . .. `v ~~`~ Plan nxist include but lete site plan on paper not less than 81/2 x 11 inches in size Attach com , . p not limited to vertical and horizontal reference point (BM), direction and % of sbpe, scale or . ~ PARCEL lD # .. dimensioned, north arrow, and location and.distanceto nearest road. ~~?~hl)h)6=~- - APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION EWE BY ` : ~ D ,~ 3~ a~ PROPERTY OWNER: L~4~t e-t'1'R-~tj' ~ PROPERTY LOCATION . BU`1,~5 . I~I''O~tJ R~ \~1.1 Not_l 6A1F~9T SE 1/4 SW 1/4,S ~~ T Z~ .,N,13 16 E(ar~W PRO ERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUED. NAME OR CSM # 1`1~`C'DN ST. - - ~u.oWus~ esr~ CITY, STATE Z1P CODE PHONE NUMBER QCITY (]VILLAGE ®fOWN NEAREST ROAD "" 8t'~.1~Yvt,N,~1 S~OOZ (71S) f,$y_Z6o S acv GfYc..l..F ZO `f~ ~. [6Q New Construction Use ID(] Residential / Number of bedrooms 3 [) Add'~n to e~assting twilding I 1 Replacement [ ] Public or commeraal desaibe - Code derived datTy flow uSD gpd ~ Recommended design lo~'mg rate -bed, gpd/ft2 ' 3 trench. gpolft2 Absorption area required 37 S bed, ft2 ~~ ~ trench, fit idabmum design k-adirg rate ~ `~ bed, gpolft2 ' S trerxth, gpolft2 Rewmmended infiltration surface elevation{s) 1 OZ. O' ft (as referred to site plan benchmark) Additional design /site considerations `t'Zovw~ -~ / 5 ~JC Z s 'rtz..t~, eta . 1~11w • ~ZY o~ Sh~.p R ~, Parent material `., o ~ s o ~`''~ ~- l 'Tl ~ Flood plain elevation, 'd applicable ~ A ft S = Suitable for System ~~~- MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM W f1LL HOLDWG TANK U = Unsuitable fof Stem ^ S ~ 11 ~ S ^ U ^ $ ~U ^ S ®U ~ ^ S Q U ^ S ~ U SOIL DESCRIPTION REPORT t%.Boring # %v~~~iQ4'< . y~h "a ?; Ground elev. °18.5 ft. Depth to rmifing factor 31" Boring # Z~, Ground elev. toa.( ft 6mflirg Z N H ri n Depth Dominant Color Mottles Texture Structure ~~~ ~,~ Rood GPD/ft zo o in. Munsell Qu. Sz. Coat Color Gr. Sz. Sh. Bed renctt [ 0-8 t0.1,R- 312 _ sit ZmgU1T v,n CS Z~ • S .b Z $-3l ~O`-L2~lly - st~l 3`~sbk wL`~I~ CL., tv~ •~l -5 3 ~~-~z ti~~.~u~y c\ ,.sum s ~~ ~~ o~ >ti,.~c~ - NP .Z ~ ~ `"~- s R Imo t't'r' Utz 4 Remarks: t O -~ . ti0`tiR- 3 l2 ~ sit Z~sb-~ m ~.. c Z~` • S • ~ Z 8 Z-9. 1.t)`1.R-~! / s t: cl Z~-S bh ~M.`~'h C. W lv `F `~( . S 3 q SS lpL{Iz-y! c~..g~t2.s~g e~ o~ 1M.'~- _ Np 't Remarks: STN~ne:-Please Print Arthur L. Wagerer .715-425-0165 ~ - ~egerer Soil Testing & Design Service-P.O. Box 74 xiver.Falls,WI~54022.~'. `:~ ignature: a ~ X18 8 5 Date- CST Number: _ . _,~~ °~ ~F~Z~z- ~ ~ - ZZ 9~ M00 5 76 PROPERTY OWN~fR~- ~ YV ~ LL PARCEi_ I.D. # PE1~ O l A/ G Boring # ., '3. '~, _ ~:,. Ground ~ ' elev. IOZ~.~ ft. Depth to limitlng„ f Ztorg, SOIL DESCRIPTION REPORT page `~-pf_ 3 Horizon Depth in Dominant Coior Munsell Mottles Qu Sz C l t C Texture Structure Consistence Bar~dary Roots GPD/ft . . . on . o or Gr. Sz. Sh. Bed Tn~xh Z. $ ?-~ .1,0 ~rL~r~ ~ - st•c.~ 3`Fsbk _. ~~ ' c~, 1v~- ~ ~1 :s 3 Zg-sz to`~ R. ~!Y ~' , . 3 Ylzs/13 e,1 0~ ~'F-- -~, ~ rt ~~ . z Remarks: • Remarks: rtemancs: ;,,.: Boring # ~ ~~~ .. 1\ 4 t y• I ~~~ ~ ~ > ,. °a,3'~ Ground ~; ~ elev. - h , _~ it. Depth to .,limiting factor ` Remarks: SBD-8330(R.05/92) ., .. ~ PLOTPLAN J ' SCALE 1"= ua ' Page 3 of ~ 3 o' L l.lO Z 3 ~~•~~,~~~~e'il o, B -3- c~~O~ of ~-~~~, :. p bolo , _ 28 /_ {lam// ?> ~ ~-1~0 i o~'1' `~~ '~~ g.Z 8. ~ i ', ~ , ~ • ~,ZS' , . gM~-~ - fit., ~u0.0' oN 1`,, , - ' ~ q `` ~~-UGH, .~ ly` DIA. P~ C e"4i'16H, 3!y` Du} Svc a ~ p~ w/ ~.n'r~J ~ ~ pF w/~~r~U ~ ~ ,a~-~ ~.nh-cT oR o~slv~z.8 ``tYls ~~ o_3~~i ly ~s1i b3 `ctOVSE"10 8F A'I" L.~T 'LS' SovT1~ of w~oUtvn . w ~_ k k 4 Y 5~~ K '~ 4 ._ ° iv~T PR.~2~.'r'f U~uE ~ BE ITT ~ zbil-4 ~r ~; q~-8s ~~~~~.,~~i,C y --Z-z--`l ~~ 14005 76 CST Signature Date Signed Telephone No. CST # ~ -