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STC - 104
AS BUILT SANITARY SYSTEM REPORT
OWNER C I er, ts,✓
ADDRESS q( g? Q A,-
SUBDIVISION / CSM# LOT # r1/
SECTION 3 T~ N-R W, Town of tea, , c
ST. CROIX COUNTY, WISCONSIN
PLAN VIEW
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
56I
(iv
i
r
'V
INDICATE NORTH ARROW
Provide setback and elevation information on reverse of this form.
Provide 2 dimensions to center of septic tank manhole cover.
j
r ,
BENCHMARK: S~i1Lt ~`w Cog 7~ `5 coti; 100, 00
ALTERNATE BM: (5 0 -f < ; 1 C o ~ c y
SEPTIC TANK / PUMP CHAMBER /-HOLDING TANK INFORMATION
Manufacturer: Liquid Capacity: / CO O ) 800
Setback from: Well 1.5o House other
l
iF Pump: Manufacturer Model# 3J? Size r,
S
l
Float-..seperation Q.. Gallons/ cycle:
q I
Y Alarm Locaton'4 f
-:SOIL ABSORPTION SYSTEM
' t Width: Length Number of trenches
f" h5
Distance & Direction to nearest prop. line:
Setback from: well: 71 oo i House ro . Other
ELEVATIONS N C1G c z
Building Sewer g, S ST Inlet. q, I z ST outlet. 3.
4.:. PC inlet PC bottom 90,
3.~ Pump Off_
Header/Manifold Q, 12 Bottom of system q 5
Existing Grade Final grade
a: 4''
DATE OF INSTALLATION: L4 /l ;!4
PLUMBER ON JOBS l G~i I 1~~,
r~'S i{,.
7
' I_C,ENS UMBE
w#~'INSPECTOR
3/93:fit
a~
fit,
Wisconsin Department of Industry, PRIVATE SEWAGE SYSTEM County:
Labor and Human Relations INSPECTION REPORT ST. CROIX
Safety anc~ Buildings Division
(ATTACH TO PERMIT) Sanitary Permit No-:
GE,NERAI;. INFORMATION
Pgtm (V er'sLV~w ❑ City ❑ Village Town of: State Pan W
WW 11 jj,,t~;;11VV
war=en
CST BM Elev.: Insp. BM Elev.: , BM Description: Parcel Tax No.:
TANK INFORMATION ELEVATION DATA
TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV.
Septic oci Benchmark 9 0.9~5
Dosing BUD WL, 4 !►'l. S S/~ 5~
Aeration Bldg. Sewer
Holding St/)iR Inlet
TA SETBACK INFORMATION St/ Outlet '17 go TANK TO P/ L WELL BLDG. Ventto ROAD Dt Inlet
Air Intake 7/02 3, /
Septic p NA Dt Bottom
Dosing IM 0, NA -/Man.
Aeratio NA Dist. Pipe
Holding Bot. System
PUMP/ SIPHON INF~O~R~MAATIO ~ r ' Final Grade
Manufacturer i~ Demand l /l~, U OS~
is .
Model Number J
TDH Lift. `ri
oss ction Systems TDH 1, t
[Forcemain Length iv / Dia. Dist. To Well
SOIL ABSORPTION SYSTEM
BED / Width Length / No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth
7 1
DIMENSIONS
DIM N
SYSTEM TO P/ L BLDG WELL LAKE/ STREAMLEA M acturer:
SETBACK B
INFORMATION Type O CHAM i Moe Number:
System: /7,S '>1,49 9 OR T
_60DISTRIBUTION SYSTEM
L~19 t / Manifg)d i~ Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake
Length Y Dia. a Length ~a Dia. Spacing t C }L
SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only
a Depth Over Q~ i Depth Over xx Depth Of xx Seeded/ Sodded xx Mulched
Bed /Trench Center /U Bed /Trench Edges Topsoils ❑ No E3-"s ❑ No
COMMENTS: (Include code discrepancies, persons present, etc.)
LOCATION: Warren.33.29.18W, NE, SE, 890th k,v~~ue 195
~
1~1.-P f~~.It ,/~.T ~ = ` c~ ~ . G(~ C'~~i~?-e~f /lt oG~P • ~,w
Plan revision required? C] Yes Q-NO-
10/ ~ /
Use other side for additional information.
,19
SBD-6710 (R 05/91) Date Inspector's Signature Cert. No.
~J'' -
ADDITIONAL COMMENTS AND SKETCH
SANITARY PERMIT NUMBER:
; G"~~ij rj/ + . e..-yl ,-r-~ T/',.L~f_.~'''?'~ l:y . j~L(-~ ~ _ • r, + cf: k
- SANITARY PERMIT APPLICATION
ff1LHR In accord with ILHR 83.05, Wis. Adm. Code 77
STATE SANITARY PERMIT #
-Attach complete plans (to the county copy only) for the system, on paper not less than (00 _
8% x 11 inches in size. 1:1 Check if revision to previous application
-See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER
1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION.
PROPERTY OWNER PROPERTY LOCATION
G l eh W sc Iv E% S 3,3 T , N, R l or) W
PROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK #
W i vG J1 K/ A
CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER
in`wcf r tcl 15,401- 7 15 ) 'N If
11. TYPE OF BUILDING: (Check one) State Owned CITY NEAREST ROAD
VILLAGE
Qrrtrt T Aw s
❑ Public 1 or 2 Fam. Dwelling-# of bedrooms PARCEL NUMBER( S)
III. BUILDING USE: (If building type is public, check all that apply)
1 ❑ Apt/Condo
2 ❑ Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility
3 ❑ Campground 7 ❑ Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining
4 ❑ Church/School 8 ❑ Mobile Home Park 12 ❑ Service Station/Car Wash
50 Hotel/Motel 9 ❑ Office/Factory 130 Other: Specify
IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable)
A) 1.0 New 2.,N Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5.0 Repair of an
System System Tank Only Existing System Existing System
B) ❑ A Sanitary Permit was previously issued. Permit - Date Issued
V. TYPE OF SYSTEM: (Check only one)
Non-Pressurized Distribution Pressurized Distribution Experimental Other
11 ❑ Seepage Bed . 21 19 Mound 30 ❑ Specify Type 41 ❑ Holding Tank
12 ❑ Seepage Trench 22 ❑ In-Ground 42 ❑ Pit Privy
13 ❑ Seepage Pit Pressure 43 ❑ Vault Privy
14 ❑ System-In-Fill
VI. ABSORPTION SYSTEM INFORMATION:
1. GALLONS PER DAY 2. ABSORP. AREA 3. ABSORP. AREA 4. LOADING RATE 5. PERC. RATE 6. SYSTEM ELEV. 7. FINAL GRADE
rr r~ REQUIRED (sq. ft.) PROPOSED (sq. ft.) (Gals/day/sq. ft.) (Min./inch) ELEVATION
J 6 37 :39L [.S h) 9 Feet '?9, 9 ( Feet
VII. TANK CAPACITY Site
INFORMATION in allons Total # of Manufacturer's Prefab. Fiber- Exper.
New istin Gallons Tanks Name Concrete Con- Steel glass Plastic App
Tanks Tanks structed
Septic Tank or 1000 1000 (,J tcT% , i,Lift Pump Tan 900 1300
VIII. RESPONSIBILITY STATEMENT
I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans.
Plumber's Name (Print): Plumber's Signature: (No Stamps) MPS o.: Business Phone Number:
,Owl 9. u't 13 9 ~rS a 0 5
Plumber's Address (Street, City, State, Zip Code):
t 04 s7.
IX. COUNTY/DEPARTMENT USE ONLY
❑ Disapproved Sa taryPermit peonCIud es Groundwater Date Issued Issuing gent S No
Approved ❑ Owner Given Initial urcharge Fee)
Adverse Determination
X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL:
SBD-6398 (formerly Pib-67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber
INSTRUCTIONS ti
1. A sanitary permit is valid for two (2) years.
2. Your sanitary permit may be renewed before the expiration date, and at the time of renew I any new
criteria in the Wisconsin Administrative Code will be applicable.
3. All revisions to this permit must be approved by the permit issuing authority..
4. Changes in ownership or plumber requires a Sanitary Permit `ransferil~,erl : W~ ! f7er tj +:SBF 6399) to be
submiT,ed to the county prior to installation.
5. Owiitc; se-rage systems must be properiy maintained. The tank(s) mu. -.-t ~Qe pu ; ,,d a licensed
pumper vuhenever necessary, usually every 2 to 3 years.
6. If you have questions concerning your onsite sewage system, contact your local cccl .administrator or the
State of Wisconsin, Safety & Buildings Division, 608-266-3815.
To be complete and accurate this sanitary permit application must include:
1. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of
where the system is to be installed.
II. Type of building being served. Check only one and complete of bedrooms if 1 or 2 Family Dwelling.
111. Building use If building type is Public, check all appropriate boxes that apply.
IV. Type of permit. Check only one in line A. Complete iiine B if permit is for tank replacement, r connection, or
repair
V. Type of system. Check appropriate box depending on system type.
VI. Absorption system information. Provide all information requested in ##1-7.
VII. Tank irforrna,ti,. . Fill in the capacity of r•ew and/or exist;,,;„ tt-.nk. ist the total j= -vrr?ier of
tanks and am 'ac;°,Urer's name. indica,e pro ab or site constnj,: t-u and -.ank material. COrPf. for all
septic, p:1mplisiphon and holding tanks tar this system. Check er erirnen al approval cniy if tanks received
experinr; n,°.a product approval frown DILI-IR.
VIII Responsibility statement. Installirr r plumber is to fill in name, license rit--lbr . with approprie e prefix (e.g.
MP, etc.), address and phone number. Plumber must sign application fear
IX. CountyiDepartment Use Only.
X. County/Department Use Only.
Complete: plans and specifications not sma!lar than BYz x 11 inr;t -,r r-ost be sutmittee t^ the c4Unty. The
pians nr195` iirclude the following plot pian, drawn to scale or it!,-i- iple.e di - ?fi'?n of
holding tank(s), septic tank(s) or :-frier treatment tanks; buildir +ie'ls; orate: =titer service;
streams and lakes; pump or siphr : -auks; distribution boxes sr= ; 'IQ, ,--`;(,(l systPfrl•> ,t system
at as, and t1he',)cation of the bur;., Xg served; B) horizontal an,c r lr_;:i. I ,a'i n _ 1h) - ;
C) complete specifications for pumps and controls-, dose volume; ehwat'.()n differences; frictic;n loss; pump
performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if
required by the county; E) soil test data on a 115 form; and F) all sizing information.
' GROUNDWATER SURCHARGE
I
rrt, r`~~ar r~f
1983 Wisconsin Act 410 included the c-'eation of surcharges (re,,s) for it
regulated practices whic!1 can effEct c; oundwat =r
The monies ~:~'ected'hrciii : tt'I ,:3e sllr:harge':a ;~i,ed r,,r o
water coritarnirallor'i invesfigatinns and estahli shn f i_nrr 1~P ~r
SBD-6398 (R.11/88)
-S94.40Q9
I MOVE THE EARTH
CARL HEISE EXCAVATING,
1i
s - ° 1042 South Main _
RIVER FALLS, WI 54022
CARL P. HEISE (715) 425-2175
Owner MOUND SYSTEM
FOR
3 BEDROOM RESIDENCE
LOCATED IN THE YV E ll OF THE $F_ OF SECTION 3q , T,-~j N, RIB W,
TOWN OF WcLyutm , S7 Cbpt 14, COUNTY,WISCONSIN.
INDEX
PAGE 1 of 6 TITLE SHEET
PAGE 2 of 6 PLOT PLAN
PAGE 3 of 6 PLAN VIEW-CROSS SECTION
PAGE 4 of 6 DISTRIBUTION PIPE LAY-OUT
PAGE 5 of 6 PUMPING CHAMBER
PAGE 6 of 6 PUMP PERFORMANCE CURVE
PREPARED FOR
U E~4 W t ES
~ v ar ~a`~5 W 1
PREPARFD BY
Ca-:Y ` P//. Heise
CST 3314 MPRS 3378
1042 South Main Street
River Falls,WI 54022
RECEIVED
MAR 1 1 1994
SAFELY a BLMS. 01V.
PLO~ FLAN S94-40090
13'7 A C R S FAR V\
I Err AY` cT e,. ;r Seven a~~SS ~h 71+ 1 a-
0'.,0
e bS0
t~r~vc~u/
i
sloll
Norse.
(31rIs
~~'t•u bC
4sFi46 Qom"")' Ta.xlq'y'~Ng "ram
L
s loco (►1~1 ~ ~ ` ,
w~EKs Sci'nc
Q00 Gal ~vec (,.S r
341
x
175 " ~
~ ~2 ~erre vh~.;,
( DO N o~9t57ccRa
M1:sV
Corwpgcr
. ITOM { Jl)
d TV
CE {w t ^N~ !u
a~l ro«,C0 c19
O~~ a sy 8~
~QR SL
W o~~y Spr~wp `rbe~i' ~lewFs
Swrwll uel4,roL
q~E C' gM rjad r~ SEca...Fa,T
ASS-4 El,tca,oo
Scala 40 `
TES J~ h' `a y s`re rn rn Ry b t Gl o Sl r TU T4 , S S P, ^i Aa -r
`rU Srt ~OVtJt✓ CT ;5 -T4t only
Su;T461c a.,1 pr~tr,: E 171.cz, o• -4-4 we ksz.b~.j
-r4'. So 'avca. To rd-te-
"f'~ lln~+w1 l0al..ny rw`f~e,
~~G''~ aYc gu•rie S+nalti Y*eea ~r rr~ewr,.~ a.Yaa T1,aT'w~ 11 be rc~ovc.~
,kT jntAe_ a...t. 14K i s also Song jL,,,Kk,-rh&+ peek., ro bx rtravvc~
fvuw S~7L, b!9-fr..c~ Va.;/), br..-.4, La-Abtrt`+t
St•row° Morsh Hoy, Or , j 94-40090
Fj~,PLZOVED Synthetic Covering +
Distribution Pipe
Medium Sand I
• -may v r 1 G
Topsoil F
--J t I. - D
3 rE
'6 % Slope
Bed Of 22 %Z Force Main Plowed
Aggregate From Pump Layer
D I. F-r•
E 1-.
Cross Section Of A Mound System Using F
PtaeV JFE SEWAtE EYSTE M' • A Bed For The Absorption Area
G r-T.
B_ Ft.
PROIR"
Y
Ft.
Aw". NDUSTRY. LABOR 3 NUO~AN hr~3~4FiS
D BUiLDi; a J J. 3 Ft.
DEPT. OF I
SAf
Div DN OF
K ..LQ~ Ft.
SEE C RE POP~}_; _ L_ Ft.
~l Ft.
~~vtt ~CL\N
L
Observation Pipe-~
} B K
, Ir
Distribution - Bed Of Zr- 2 !Z
-Pipe Aggregate
Observation Pipe Permanent Markers
Plan View Of Mound-Using A-Bed For The Absorption Area
Forlorolcd Pipr oololl g4 - 400 a
0
pa g e. 9 CA 6 .
r NI ~!~t7 0 7
~4y}' * t"~' ` 'I,` . .~t 4 + ~ ~t ~ ~"l' f~ ~ ~y ~ 1.;'• ."I~~N'l!,7R ~ _ 2
roi~7r ;'SN • , rte: y E C l~~ ! t~ ~fl
End VIP
r
fl Aly
~^~p~ + 4 z : PEA 1'~j1~J °UY, m I%Rl,~
a:
I *(clod to
+~rr E cuauy Spoccd
PvC F6rca VOI
r.. From Pump
r: !s PVC
•F . Y~ MonllolG Flp~ ~ ~ M
1z. 1~
t II t,
A : y Giil11ou11Dt. k SIM, Ily
pipt a.cl;f Holt Shovld,,59 d
10 it~
} ~ End Gop;' r CQA t
ind Cm, 10~g .
} 5; hictrlbuflon FIDt 1. N Mpl1 K~L~. .
y~~r' r q f
X + SE p r 4
k .e y4- tr ,C~,n';• i a (t c ' t.
' Igo a Diameter x, Y" k
H inch. y ,
Mani of Inch
t Fo ce Main'.~~ k 2 a
~Tnches v
L4t
@$
0 !Pei ~ 0 al
1 ~ " 4 '
f: I., ' r~ IrfjZ 120 /L` `
.15
I:
'14 T!
,tf
t r4, fi 7
s y ~ fj l rrt ~ ! ~ 16 .I~111, `I~..~~ ~ I. ! ~~A 3f it f i~k 1 •~5' u" `
121
rrlir !Y i, A rl 7. If ~7~ ! I ' W', i t;; y'C •c~ .
4i!'tu.. rl 7 ~ ~ ~ Ii. 1 I' ~ t ~i 6•
~ M1 7l J y r 1 I ti~-}(,;,~' , f ~ h ~ ~fC , y. l R ' 7'.
,r+}a * !~i *r ~ r •.••~y u ti i ~I ~ ~1 r- ~ ~ 1~ .~i~• r .~Y
.r e I ~ i. t 1 V L
q , ( L r tit t,
n z x> all , r.i ' t
rP LI rl ~ t {y 4
} + ~ ,Iws't, ~ ~-a _.•.l ~i''~' lS:. t'„ ~~-t~' t 1t7 ~~I ~.1 tp a
i (r :,j•r.~...... - 7 1. ,~~~rn w1.~.. .:;;:'qr 7
7
~ r Y r•. ~r. : ri ' i~l,pup I Il.~r4" 1, i 1 ,:}`~~r, r7in 1'
t„ t}: •°~!I f r '111 .1'. 1 ~.~Y
2*f~Y:~ ; ,i G~' •J f) t I ~lV ,r` ~ j~r _i
PA~e . 5 of
PUMP CHAMBER CROSS SECTIOIJ AND SPECIFICATIONS '
VEIJT CAP 54-400Q
'9 9
'i".C.Yr.VEfJY PIPC
WCATHCK PKOOF APPROVCD LOCKING
JUIJCTIOW BOX MANIiOLE COYER
,,25 FROM DOOR,
WI,JDOW OR FRCSH IL'MIU.
AI 'IINTAKE I '
GRADE
y• MIN.
?i• 19~ MI
co, D
U I T
- ut WAIN,
r fr PROVIDE IJLCT
x' AIRTIGHT SE'A1. I I
• .
3 rr;' u
t' I III
AP-PROVED J0,I1J7A
V" q. I I APPROVED JoluTs
w/c:z: r,PC W ; ~o~s : ' a
r CXTCNDILJ6 3, H ~E~ I I I w/c.r. r,Pf
0) gpR V tiSD1C~S - , I I I ALARM EXTEUDIIJG 31
t40601,1D 4016
cA` ~S~J o , I ONTO SOLID COIL
ON
s
'CLGY......CFT, I
r 7 p,. a c GOR P U IA P -Orr
COLICRETO BLOCK,
h rM 1
RISEKEXIY PERMI'TTEp OIJLy IF 1'AUK MAUUFAGTURER H^S SUCH APPROVAL 31'/IPARoV
' 5tPTIC f!!;--: SPEc,IFICATI
DOS>r~~4t~.r, a 1 .
`j~1►►JUFACYURce.R: " W GPk 5 Co►,t,
~ i
IJI1MdER OF DOSCS: PER DA4
R TAIJK =c4 1~ Roo GALLOWS, DOS%.VOLUAc
!'tAfJUFALTU CRS 1 )Cc 1 "O✓; Iuct.uolu(; 6ACxP..L0W: ! Z ---G1►LLONS
~"IODCL IJU 'D V ` ItCH 2-
CAPACITICSi A,.P-l INCIICS OR ~0._-0- 1 GALLOIjy
y IUCHCS o
` NIJMPI:sM1l1JUFAG7UR: nE I 0 4 RLIZ, 4 GIlLLO1JS
......MODEL IJU. B1CR: IUCHES OR ~q GALLOUS
N-
D IUCHES OR 218-4 GALLOIJ6
°I ITCH ' 7y
u TE,
f, 1'NG Gut , ,'PUMP A1JD ALARM ARC 70 6C
z3~~sas MIUIMUM DISCNAR~~ RATE GPM INSTALLED OW SEPARATE CIRCUIYS
VERTICAL DIFFEILELICC"pETWECU PUMP OFF AUD.DISTRIB4TIOU Pipe.. &'06 FEET
!•IIIJIKUM NGTWORK• SUPPI.y PRESSURE 2.5
Fr-CT
;.:....,.fEE7 OF FORCe MJ~IN X 1^~F~o frFRlt7tolJ FACYOR..- z g , FEET
TOTAL D~WAMIC ` LAp r,.~~ FEET
~ ; IIJTERIJAL DIMEIJSIOIJ OF TA►JK: L-EKIGTH I.B.2 GJR1A
fir:. ;w I DT H, • LIQUID
DEPTH q
510ME0s , 11cr-)j se uuMDER;
594.40090
cc w
6 0~.
W
' 115
34
110 Z O G L LEI C,d•
32 105 _
30 100 -
95
28
90
26 85
• 24 80
MODEL
O 75 MODEL 189
W 22 165
Q
= 70
G
U 20
~ 65"
Q
Z 18 60
55
"I 16
FQ- 50 MODEL i
O 14 163 MODEL
45 188
12 40.
35
10
M DEL
30 13 , 139 MODEL
8 185
25
MODEL
15 _.MODEL. 161
10-
2 MODEL
5 53, 55
0 ,
57, 59
GALLONS 10 20 0 40~ 50 60 70 80 90 100 110
LITERS 0 80 160 240 320 400
F OW PER MINUTE
a$.o$
SAFETY & BUILDINGS DIVISION
State of Wisconsin
Department of Industry, Labor and Human Relations
May 6, 1994 2226 Rose Street
La Crosse WI 54603
HEISE, CARL
1042 S MAIN
RIVER FALLS WI 54022
RE: PLAN S94-40090 FEE RECEIVED: 280.00
WIESE, GLEN
NE,SE,33,29,18W
TOWN OF WARREN COUNTY OF ST CROIX
MOUND SYSTEM
PETITION FOR VARIANCE TO CODE SECTION(S): ILHR 83.10(1).
The Department has reviewed the above-referenced submittal. However, it
cannot be processed until the following additional information is provided:
The results of the St. Croix County onsite verification that was requested on
May 4, 1994. Plan information was faxed to Tom Nelson, St. Croix Zoning Adm.
on May 4th for his use during the onsite.
Submittals to this office that require additional information will be held for
3 months. If the requested information is not received during this time,
a determination will be made on the information received.
Attached you will find a second copy of this letter. Please retain one copy
of the letter and return the second copy with the materials we have requested.
Unless otherwise noted, please return two (2) sets of the additional
information that has been requested.
Inquiries should be directed to me at the number listed below. Please refer
to the plan number shown above.
Sincerely,
gttl~
Gerard Swim
Plan Reviewer
Section of Private Sewage
(608) 785-9348
3689R/ 1
SBD-6423 (R. 01/81)
SAFETY & BUILDINGS DIVISION
State of Wisconsin
Department of Industry, Labor and Human Relations
May 27, 1994 2226 Rose Street
La Crosse WI 54603
HEISE, CARL
1042 S MAIN
RIVER FALLS WI 54022
RE: PLAN S94-40090 FEE RECEIVED: 280.00
WIESE, GLEN
NE,SE,33,29,18W
TOWN OF WARREN COUNTY OF ST CROIX
MOUND SYSTEM
PETITION FOR VARIANCE TO CODE SECTION(S): ILHR 83.10(1).
The Department has reviewed the above-referenced submittal.
Conditional approval is hereby granted for the system plan submittal. All
noted items must be corrected. The review and approval of the system is based
on chapter 145, Wisconsin Statutes, and chapters ILHR 83 and 84, Wisconsin
Administrative Code, and is contingent upon compliance with any stipulations
shown on the plans. This system has not been reviewed for the code
requirements set forth in chapter ILHR 82 or in chapters ILHR 50-64, Wisconsin
Administrative Code.
This plan submittal approval will expire two years from the approval date, or
if a sanitary permit is obtained, plan approval will expire on the day the
initial sanitary permit expires. The licensed plumber responsible for this
installation shall keep one set of plans with the Department's stamp of
approval at the construction site. The installer shall notify the appropriate
inspector when inspections can be made.
All of the statements and supporting documentation included with the petition
were considered. Since your request is similar to other petitions approved by
the Department (S93-20340), the petition is approved.
The variance requested was to allow the installation of a replacement mound to
be approximately 40 feet from an existing spring.
This petition approval is granted conditionally with the understanding that
all of the petitioner's statements included on the variance application form
and any other documents submitted to the Department will be carried out. This
variance is specific to the subject petition and cannot be used for any
additional modifications.
All permits required by the city, village, township or county shall be
obtained prior to installation.
SBn-6423 (R. 01/91)
SAFETY & BUILDINGS DIVISION
State of Wisconsin
Department of Industry, Labor and Human Relations
HEISE, CARL
Plan No. 594-40090
May 27, 1994
Page 2
i
Inquiries should be directed to me at the number listed below. Please refer
to the plan number shown above.
SiPerard l..
m
Plan R eviewer
Section of Private Sewage
(608) 785-9348
4012L/ 2
SBD-6423 (R. 61/91)
PETITION FOR. VARIANCE APPLICATION
Wisconsin Department of Industry, Labor and Human Relations
OFFICE ONLY Safety and Buildings Division OFFICE USE ONLY
amount Pa, 201 East Washington Avenue, P.O. Box 7969 Petition No.
Receipt No. Madison, Wisconsin 53707. E-Number
608/266-3151
Name o Owner/Petitioner Building or Project Agent, Arc itect or Engineering Firm
Company Tenant Name, if any Street & Number
S_~
Street & Number Location, Street & Number City State Zip Code
W1 qqi rr~ _ F- 32 1'g W 'c~w ( 1 0 'l
Cit State Zip Code City County Telephone Number
Fwl 1 " '2 ar T s T, ,rd' rJtl. 42,S- 20 5
Telephone Number Plan Number, if known Name of Contact -Person
1. The rule being petitioned reads as follows: (cite specific rule number and language)
711~R 3.LQ SiTt 4,6s ynri6, S:1--c I6cZri Ucv 9) 1 ccc-/ fyyen aye A)d l<
vu cit rrs[o ~1 rvm 7/' 1, i. Ovate, vria . 4 e-' a,% La- TS 7 ea -n t) r 07h er l,L' ~Fb r!1 yse
t7 . M rn Q 1 t' , ~e , r___.~Q (Z t ) U~ta w J_y,~_ ~
Z. The rule being petitioned cannot be entirely satisfied because:
0+ Sitipc, A 6171. feiticrtteeul (lr.' a) uyhtu 7 A,uG ~rLDO~e.~l Ike ma.,,J CS 7-4ft
0 Pt I y ,S L c"Tt s, 'rt L `r is !p r .-t-t i a l o t '1•!1
I
3. The following alternative(s) and supporting information are proposed as a means of providing an equivalent degree
of health, safety or welfare as ad-dressed by the rule: rp
To 90- YY)!` r Tilt wyLL-f0 6 ,T 0-*1 y 14,5 .5#-tc atil h,1rrp& Ili'lk'0 1e; 1~
Ue_ 1R-Je,..1,Q lit U egg 4gkog`t 4 Tot. JookQ ►«Te 4~~> ~r~ 1be 7!S CSy~v ..-U-1,14 ~
~r 1 Qn TI / Ia
CC-.J,'-r,,., oh -'>Li Stle `F' Q 1oeLy w ty~- / Y/. -J- 4Q4 74 e, STS eflt l.c7B>_ ~(il -C(. U iM L LI
S or~ Tme.'laic", 7'~re 57~vh }a rit -to 4o j efflkewt .'rckU Ser1a -rro,r y~4•c 7-Of
0'F'~~t
t'Y C+IY, Tk-et W&Tv 1v..,` LO ~r~r tt ef79-C/7PJI~i /Dr Q loxygov 624r[G4 Ci\ T,,,e 17C Ca cL.
I~t f~~nt ✓ Ihu~.n.. Y.:-t2_ O 'U bt ITQ _yG~7u['?~1
Jote: Please attach any pictures, plans, sketches or required position statements.
VERIFICATION BY OWNER - PETITION IS VALID ONLY IF NOTARIZED AND ACCOMPANIED BY REVIEW FEE
See Section Ind 69.15 for complete fee information
Jote: Petitioner must be the owner of the building or project. Tenants, agents, designers, contractors, attorneys,
?tc. may not sign petition unless a Power of Attorney is submitted with the Petition for Variance Application.
`
~ L EJy' /yi, I) 1'~Sz , being duly sworn, I state as petitioner that I have read the foregoing
(NAME OF PETITIONER, Please type/print)
retition, at I believe it to be true and I have significant ownership rights in the subject building or project.
l' i ,Subscribed and sworn to before me this date: S
i
Signature o Petitioner
CAL' My commission expires:
P tart' Public
~6-8(R.09 88)
Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page -Z of
tabor axf'Human Relations
Division cf Safery 8 Buildings in accord with ILHR 83.05, Wis. Adm. Code
COUNTY
Attach. complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but °5 st-~
PARCEL I.D. #
and % of slope, scale or
not limited to v y
ertical and horizontal reference point (BM), direction dimensioned, north arrow, and location and distance to nearest road.
APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE
PROPERTY OWNER: PROPERTY LOCATION
G ( y GOVT. LOT X140-- 1/4sG 114,533 T 2 9 N,R l® Xs(or) W
PROPERTY OWN2R4 MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM #
STATE 12- ( ZI PCOD PHONE NUMBER ❑CITY [-]VILLAGE OWN NEAREST ROAD
C 1
13-New Construction Use Residential / Number of bedrooms 3 [ ] Addition to existing building
I ] Replacement [ ] Public or commercial describe
Code derived daily flow-4-D_ gpd Recommended design loading rate _-bed, gpd/ft2 trench, gpd/ft2
Absorption area required -3 7.5 bed, ft2 3 75 trench, ft2 Maximum design loading rate :b bed, gpd/ft2trench, gpd/ft2
Recommended infiltration surface elevation(s) z s It (as referred to site plan benchmark)
Additional design / site considerations _T /F¢
Parent material oC, ~n~ s E Grp/si✓s Flood plain elevation, if applicable N ft
S - Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK
U= Unsuitable for s stem ❑ S 41J [as clU ❑ S U ❑ S U ❑ S '1t ❑ S RU
SOIL DESCRIPTION REPORT
Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft
Boring # Horizon in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trench
/'z z~ 472 a 'Y1 s o/-\ m ~c~ a 5 . Co
2- y, 'IV S"/ La W S ej-t M 4t_ I C., _6
Ground G- 3& /a Vrz- Y'/ % ~X- 6 /10/4 d/l;~' Z
elevz or
a
ft. 2 Sy ~ At4 rtJ~ AvP
ion
.G IY"_ S
Depth to
limiting
factor
z~
Remarks:
Boring #
:Jn'ry`t•
Ground S ON $ C~
/mss
elev35 /U /L7/ F s/d h'l K1 Nr0
Depth to
limiting
factor
7j
Remarks: c o
CST Name:-Please Print phone IyT y
Address: ,
Signature: 2 `Date: /I'I z 58
PROPERTYOWNER(4h 1011-i SOIL DESCRIPTION REPORT Page Z- of,
_
PARCEL I.D. #
Boring # Horizon I Depth Dominant Color I Mottles Texture
I I Structure Consistence Barry Roots
I GPD/ft in. Munsell Du. Sz. Cont. Color Gr. Sz. Sh. Bed ITrench
Ground 4- 7,C9
elev,,?f
Depth to
limiting
factor
Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
Boring #
;:::4nvn.v
4.4• iii:{
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
SBD-8330(8.05/92)
STC-105
SEPTIC TANK MAINTENANCE AGREEMENT
St. Croix County
OWNER/BUYER G ILE N M• ME S E
MAILING ADDRESS ! S` 9~ U' R L V E K FA-l~ 7 I 1 S C Sy p~
PROPERTY ADDRESS l C A W A.Y 1 5 B IS E k T5. k 2 SG SAC p z i
(location of septic system) Please obtain from 4he Planning Dept.
CITY/STATE R A B R't- 5~ Lo ! r~
PROPERTY LOCATION NE 1/4, SF 1/4, Section 33 T 21 N-R__LL_W
TOWN OF 1AJ'l-RJe E fj ST. CROIX COUNTY, WI
SUBDIVISION 1~I`Dp w4E LOT NUMBER
CERTIFIED SURVEY MAP W , VOLUME , PAGE , LOT NUMBER
Improper use and maintenance of your septic system could result in its premature failure to handle
wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed
by licensed septic tank pumper. What you put into the system can affect the function of the septic tank
as a treatment stage in the waste disposal system.
St. Croix County residents may be eligible to receive a grant for a maximum of 60% of the cost
of replacement of a failing system, which was in operation prior to July 1, 1978. St. Croix County
accepted this program in August of 1980, with the requirement that owners of all new systems agree to
keep their system properly maintained.
The property owner agrees to submit to St. Croix Zoning a certification form, signed by the owner
and by a mater plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1)
the on-site wastewater disposal system is in proper operating condition and (2) after inspection and
pumping (if necessary), the septic tank is less than 1/3 full of sludge and scum.
I/We, the undersigned have read the above requirements and agree to maintain the private sewage
disposal system in accordance with the standards set forth, herein, as set by the Wisconsin DNR.
Certification stating that your septic has been maintained must be completed and returned to the St. Croix
County Zoning Officer within 30 days of the three year expiration date.
SIGNED:
DATE:
St. Croix County Zoning Office
Government Center
1101 Carmichael Road
Hudson, WI 54016 11/93
1
S T C - 100
This application form is to be completed in full and signed by the
owner(s) of the property being developed. Any inadequacies will
only result in delays of the permit issuance. Should this
development be intended for resale by owner/contractor, (spec
house), then a second form should be retained and completed when
the property is sold and submitted to this office with the
appropriate deed recording.
Owner of property L 1d' NI Li,' l E S F
Location of property ILE 1/4 5f 1/4, Section 3 3 ,T 29 N-R I W
Township W A-)? g E~J Mailing address w i z 9 9l
RIVER WIS s'tteii
Address of site j 3 Y¢1G,*kA~v 5 _ ~d8E/c*9 k~)5c 5"+~ ® 2-3
Subdivision name NON'E Lot no.
Other homes on property? Yes___,)( _No
Previous owner of property A-ME- S S C,~Lxt~1 L~ l►~
Total size of property 0,4' 'Er Is I—) i e-
Total size of parcel 59"STFM OA4 r M
Date parcel was created ARogt- / ,rS
Are all corners and lot lines identifiable? - _rtes S o~
)FEpL~,y ~s this property being developed for (spec h u e)? Ye ~No
S'rS&x Volume OS and Page Number 35.3 as recorded with the Register
of Deeds.
INCLUDE WITH THIS APPLICATION THE FOLLOWING:
A WARRANTY DEED which includes a DOCUMENT NUMBER, VOLUME AND PAGE
NUMBER AND THE SEAL OF THE REGISTER OF DEEDS. In addition, a
certified survey, if available, would be helpful so as to avoid
delays of the reviewing process. If the deed description
references to a Certified Survey Map, the Certified Survey Map
shall also be required.
PROPERTY OWNER CERTIFICATION
I (we) certify that all statements on this form are true to the
best of my (our) knowledge that I (4~te-j am ) the owner(s) of the
property described in this information form, by virtue of a
warranty deed recorded in the office of the County Register of
Deeds as Document No. .33c?, , and that I (tee-) presently
own the proposed site for the sewage disposal system or I (w~)
nLt,-.,e,a oa~AmPnt to run t eper-ty-y-fer-the
c ecor a in
the €€i ge a€-t}Ye-FeaA4----Register ef Deeds - cumen
I
I
Signature of Applicant Co-Applicant
Ile, 1 f'N-
Date of Signature Date of Signature
1055
" ogcuMEr~T NO. STATE BAR OF WISOONS[N O 111-1982 THIS SPACE RESERVED FOR RECORDING DATA
BI ~7i
• LAND CONTRACT
r Iodlvidaal and Carporate -
Iro III, USED F'OR ALL TRANSACTIONS WHERE OVER
,$2.,000 IS FINANCED AND IN OTHER NON-CONSUMER
r
ACT TRANSACTIONS)
REGISTER'S OFFICE
ST. CROIX CO, W1
Contract, by and between _._Jame.s.. H., chwa-lenl_______ Rec'dforRecord
I~ -
("Vendor", JAN 3 1994
whether one or more) and--•-- Ii
at 12:15
F.
("Purchaser", whether one or more).
li Vendor sells and agrees to convey to Purchaser, upon the prompt and full per- II ft0ft Of Deeds
formanee of this contract by Purchaser, the following property, together with the I, jj
rents, profits, fixtures and other appurtenant Interests (all callgd the "Property"), ;i
• County, State of Wisconsin: I RETURN To
~ j
The East 90 feet of the SWk of NWT all
of the SEk of NWk and S~ of NEB and the j
NEk of SEk EXCEPT that Bart lying Fast of Tai Parcel No .
i. State Trunk Highway 65 and North of road,
all in Section 33-29-18; also th- East 2
rods of the W~ of NWk of NWk and that part
of the SWk of NWk lying Northerly of Interstate Highway "94", all.,
in Section 34-29-18.
This is homestead property.
(is) (is not)
Purchaser agrees to purchase the Property and to pay to Vendor at such place as reasonably di_ rected
the anm of $....1SQ,QOO., ~Q......-•---------•. in the following manner: (a) $...~O1000._b
at the execution of this Contract; and (b) the balance of $--.1Q0. 000 00.......____ together with :Interest from date
hereof on the balance outstanding from time to time at the rate of........... 7~.......................... per ce1.t per annum
until paid in full, as follows:
$699.22 per month, beginning February 1, 1994, and continuing on
the 1st day of each month tbereafter.
Seller to remove all underground tanks at Seller's expense prior to final
payoff and deed transfer.
Provided, however, the ent' outstanding balance shall be paid in full on or before the...... Wth.......... day of
.Ts~1ClLl-Y 19. ( the maturity date).
Following any default in payment, interest shall accrue at the rate of ~ % per annum on the entire amount
in default (which shall include, without limitation, delinquent interest-and, upon acceleration or maturity, the entire
principal balance).
Vendor ac
ta*es, assessments RMJ iMAIIHM-A.-Pe wi4l be depeetted into eat escrow itind at bitiql-e-_ sheM net beat interesb
I'! Payments shall be. applied first to interest on the unpaid balance at the rate specified and then to principal.
A-my
-VAG;' -1 may. be prepaid withaot prernium or fee open prineipal at tifly io (OR)
t-me after
- y•
there may be its prepaaleet el prineipal
II In the event of sny prepc.yment, this contract shall not be treated as in default with respect to payment so long
i as the unpaid balance of principal, anti interest (and in such case accruing interest from month to month shall be treated
as unpaid principal) is less than the amount that said indebtedness would have been ),ad the monthly payments been
made as first specified above, provided that monthly payments shall be continued in t, event of credit of any procee is
of insurance or con.lemnation, the condemned premises being thereafter excluded herefrom.
Purchaser states that Purchaser is satisfied with the title as shown by the title evidence submitted to Purchaser
for examination except: None. r
Any redatings of abstract shall be Purchaser's obligation.
The provisions of the Offer and Counter-offer are incorporated by
i reference herein and shall survive closing unless otherwise specifically.'
stated herein.
Real estate taxes shall be pro-rated as of date of closing.
Purchaser agrees to pay the cost of future title evidence. If title evidence is in the form of an abstract, it shall
be retained by Vendor until the full purchase price is paid.
Purchaser shall beentitledto tRke possession of the Property on.... d£.• ~._-C1-OSln
g__-
•C•oee Out One. -
LAND CUNTRACT -Individual and srATF. BAR OF WISCONSIN ( Wisconsin Leval Blank Co. Inc.
Corporate FORM No. 11 - 1982 ~bdil-ukee, Win.
• • Purchaser promises to 1 :MS'S - ~Ph if 3~4
pay when due all taxes and c: smenty evle on the Property or upon Vendor's interest
Aar it'andJo deliver to Vendor on demand receipts showing such payment.
Purchaser shall keep the improvements on the Property insured against loss or damage occasioned by fire, ex-
tendei coverage perils and suca other hazards as Vendor may require, without co-insurance, through insurers approved
by Vendor, in the sum of ul1-"_i"nsJk►s-bl.e._~'.d~ 116811 Vendor shall not require coverage in an amount more
than the balance owed under this Contract. Purchaser shall pay the insurance premiums when due. The policies shall
contain the standard clause in favor of the Vendor's interest and, unless Vendor otherwise agrees in writing, the original
of all policies covering the Property shall be deposited with Vendor. Purchaser shall promptly givf notice of loss to
insurance companies and Vendor. Unless Purchaser and Vendor otherwise agree in writing, insur a proceeds shall
be applied to restoration or repair of the Property damaged, provided the Vendor deems the restor9t)un or repair to be
economically feasible.
Purchaser covenants not to commit wasta nor allow waste to be committed on the Property. to keep the Property
in good tenantable condition and repair, to keep the Property free from liens superior to the lien of this Contract, and
to comply with all laws, ordinances and regulations affecting the Property.
Vendor agrees that in case the purchase price with interest and other moncvs shall be fully paid and all conditions
shall be fully performed at the times and in the manner above specified, Vendor will on demaz.d, execute and deliver to
the Purchaser, a Warranty Deed, in fe- simple, of the Property, free and clear of all liens and encumbrances, except
any liens or encumbrances created by the act or default of Purchaser:%ad except:
.-V.endor...w.arr.an_t e---to..P_urchase_r _..t<ha.t..no_.haz.ardous...wa-stQ..bas...beea .disposed
Qf..ono..-s-xQxed..vi...-bummed---on...... r...apill.ed---ari_the---inv_olvad..prlapexty....••-----
__which.-mug--r.ecluix e.._CQ_are.a.t.i xe..mod.dux.ea.._unde_r. .existi.ng--F.ederal... or...S-fate
..stotutes__ aad___l~egul_at_LOaS._"__-yeado-r"-agrees.-_t-o...hol_d .l?urchas.er..barfnless...in**
Purchaser agrees that time is of the essence and (a) in the event of a default in the payment of any principal or
interest which continues for a period of _N_ days following the specified due date or (b) in the event of a default in
performance of any other obligation of Purchaser which continues for a period of.10.-- days following written notice
thereof by Vendor (delivered personally or mailed by certified mail), then the entire outstanding balance under this contract
shall become immediately due and payable in full, at Vendor's option and without notice (which Purchaser hereby
waives), and Vendor shall also have the followirg rights and remedies (subject to any limitations provided by law) in
addition to those provided by law or in equity: ti) Vendor may, at his option, terminate this Contrast and Purchaser's
rights, title and interest in the Pr,perty and recover the Property back through strict foreclosure with any equity of
redemption to be conditioned upon Purchaser's full payment of the entire outstanding balance, with interest thereon from
the date of default at the ate in effect on such date and other amounts due hereunder (in which event all amounts previously
'paid by Purchaser shall be forefeited as liquidated da nages for failure to fulfill this Contract and as rental for the
Property if purchaser fails to redeem) ; or (ii) Vendor may sue for specific performance of this Contract to compel
immediate and full payment of the entire outstanding balance, with ?nterest thereon at the rate in effect on the date of
default and other amounts due hereunder, in which event the Property shalt be auctioned at judicial sale and Purchaser
shall be liable for any deficiency; 3r (iii) Vendor may sue at law for the entire unpaid purchase price or any portion
thereof- or (iv) Vendor may declare this Contract at an end and remove this Contract asacloud on title in a quiet-title
action if the equitable interest of Purchaser is insignificant; and (v) Vendor may have Purchaser ejected from possession
of the Property and have a receiver appointed to collect any rents, issues or profits during the pendency of any action
under (i), (ii) or (iv) above. Notwithstanding any oral or written statements or actions of Vendor, an election of any
of the foregoing remedies shall only be binding upon Vendor if and when pursued in litigation and all costa and expenses
including reasonable attorneys fees of Vendor incurred to enforce.any remedy hereunder (whether abated or not) to the
extent not prohibited by law and expenses of title evilence shall be added to principal and paid by Purchaser, as in-
curred, and shall be included in any judgment.
Upon the commencement or during the pendency of any action of foreclosure of this Contract, Purchaser consents
to the appointment of a receiver of the Property, including homestead interest, to collect the rents, issues, and profits of
the Property during the pendency of such action, and such rents, issues, and profits when so collected shall be held and
applied as the court shall direct.
Purchaser shall not transfer, sell or convey any legal or equitable interest in the Property (by assignment of any
of Purchaser's rights under this Contract or by option, long-term lease or in any other way) without the prior written
consent of Vendor unless either the outstanding balance payable under this Contract is first paid in full or the interest
conveyed is a pledge or assignment of Purchaser's interest under this Contract solely as security for an indebtedness of
Purchase*. In the event of any such transfer, sale or conveyance without Vendor's written. consent, the entire outstanding
balance payable under this Contract shall become immediatelydue and payable ' . full, at Vendor's option without notice.
Vendor shall make all payments when due under any mortgage outstanding against the Property on the date of
this Contract (except for any mortgage gra-ed by Pu;-ehaser) or under any note secured tnereby, provided Purchaser
makes timely payment of the amounts then due under this Contract. Purchaser may make any such payments directly to
the Mortgagee if Vendor fails to do so and all payments so made by Purchaser shall be considered payments made on
this Contract.
Vendor may waive any default without waiving any other subsequent or prior lefault of Purchaser.
All terms of this Contrast shall be binding upon and inure to the benefits of the heirs, legal representatives,
successors and assigns of Vendor and Purchaser. (If not an owner of the Property the spouse of Vendor for a valuable
consideration joins herein to release homestead rights in the subject Property and agrees to join in the execution of the
deed to be made in fulfillment hereof.)
Dated this 31st--------- - - day of ._.-_-December 93
i9
**the event such corrective
measures are required and
agrees that -thi-s--warranty (SEAL) sL)
shall be included in the
J_ me-s_"H."--Schw .Ie.n.........
Warranty Deed to run from
V-endor--to-Purchaser (SEAL) /!l . ~JtiP.2F~. (S L>
Glen. W*
ese. a
AUTHENTICATION ACKNOWLEDGMENT
Signature (a) STATE OF WISCONSIN
as.
St_... CrO1Z ----_-----County.
authenticated this -".--...day of--------------------------- 19--.... Personally came before me this •.31811 day of
December 9 19..93-- the above named
•
James - H... SchwaleII
TITLE: MEMBER STATE BAR OF WISCONSIN (;IPe j!'j_ Idiese
(If not-
authorized by § ?06.06, Wis. Stats.)
authorized me known to be the perso 8_ who executed the
foregoing ' meat aped n I dge the same.
,PA THIS INSTRUMENT WAS DRAFTED BY i
A t torney-,.--.•_----.
"-Roger_.L_. Karshbaum"----------------- -
R-ver._-Fa.lls,_-W~__._ 54022
Notary Public ..St._-CroiX----- ---------------County, Wis. ~
(Signatur-s may be authenticated or acknowledged. Both My Commission is permanent. (If not, state expiration '
are not necessary.) .a
date- ----------------------1March_30.----------------• 19__97.-.) v
ONarnes of persons signing in any capacity should be typed or printed below their signatures. ,
LAND CONTRACT - Individual and Corporate state Bar of Wisconsin, Form No. 11 - 1982
e
JSTEEL'S SOIL SERVICE 1.64r ~ zoos e9- ar,
Gary L. Steel e
C.S.T. 2298 E ✓ 1 w New Richmond, WI 54017
MPRSW-3254 A -5 &F 12 h9cd (715) 246-6200
U)." rr
#l
~M
/b,7-
/0 - z.l- 15~ 3
z1/-
FILEI)
0
O
994 a-
T~ JAMES O'CONNELL 2
52 433 9 Resistor of Coeds
SL Croix Co., Wf
CERTIFIED SURVEY MAP c,
Located in part of the NE4 of the SE4 of Section 33, T29N, R18W, Town of
Warren, St. Croix County, Wisconsin.
SCALE IN FEET
OWNER
Glen M. Wiese 100 50 0 100 200
W12491 890th Ave.
River Falls, Wi. 54022
Land Contract From: U JPLAI ICJ LA"JDS
James H. Schualen - - - - - - - - - - - - /
S89°50'53"E 517.24'
_ gga6~`~~@t
LOT 3 shed
ALL
0 6.18 Acres -
8 Sq. t. t.
rt t-1407 y
_ i
Z ~tl~1Py HUDSON, d
WIS.
L SU R•t$c1`~3~
!@QIQ~iO~ 20'
>
sil barn
~U corn to
Z cribs ti
0 0
0
0 ~O / w m CO
0 CD
O 0) /C'q w N
N
she d sn z N ~ `o
C 7 N
! N
d O
-f, N
bins O
arage ,O O
m ro
14-
00 0
~ house 6V) v y rt
au O o
N -
rt- C4.
O m
IF-
i~
r
o • 0
Ivy S ~
❑ Z
1.- 10
T _
co x rr s
sheds ~ 1. :3
o c' r o c
i• /
❑ OJ a a, !
OI v -7 '0 O
1c m o fY C
6 v-' ' T r'r
E} Corner ° O
Section 33 v ° 'D ° w
d M ° d N
-3 n
7P '7 N rt
N r.
cn r
0 0 0
O N rt t
w _ CD 0
/ o T
- to c
N S !
r ~m
_ to 7
N89051126"W "r
0
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This instrument drafted by Ed Flanum Job No., 93-64 SE Corner, Section 33
Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page _L_ of ~3
Labift and Hv,nan Relations
Divisiio -a:.6Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY
Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but
not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. #
dimensioned, north arrow, and location and distance to nearest road. Z a jO
APPLICANT INFORMATION-PLEASE PRINT A NFO ATION [REVIEWED BY DATE
PROPERTY OWNER: 0VV PROPERTY LO
3~ w GOVT. LOT CATION/1 4 .SC 1/4,S 33T Z 9 u,f or) W
PROPERTY OWNER':S MAILING ADDRESS / 4Z_ BLOCK # SUED. NAME OR CS?NE
Ave, CITY STATE ZIP CODE PHONE NUMBER ❑VILLAGE ,SOWN EST ROAD
~fv~
1 l 5 ko z z (71s) iL2%5r z q u~,o+^ r 1-41
MNew Construction Use ( Residential / Number of bedrooms [ ] Addition to existing building
j ] Replacement [ ] Public or commercial describe
Code derived daily flow o gpd Recommended design loading rate : bed, gpd/ft2 - & trench, gpd/ft2
Absorption area required 3 75 bed, ft2 F7 $ trench, ft2 Maximum design loading rate / 5 bed, gpd/0 I trench, gpd/ft2
Recommended infiltration surface elevation(s) 94 ft (as referred to site plan benchmark)
Additional design / site considerations 41K
Parent material xl_rm Flood plain elevation, if applicable /V/1- ft
CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK
S =Suitable for system
U = Unsuitable fors stem ❑ S ,67 U [5&1)- ❑ U ❑ S 19 ❑ S U ❑ S ~21j_ ❑ S
SOIL DESCRIPTION REPORT
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft
in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trench
C -5
I l ~i:`{`:<3 W
Ground - 75 /O L s~ r✓> Sr YYI 1 u~ "V 5
elev9
P 55 164 r;';,o57 _S A,' 01F IVA- /V
Depth to
limiting
factor
Remarks:
Boring # I
a
r71 5&f
a'? Or u~ &A
Ground
9ge,b - Z 5-Y a- M."', ft.
} _Q_
Depth to
limiting
factor _
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Remarks:
CST Name:-Please Print ~f Phone:
-a (v lPzlyO 7.• IINGopF IG6~
Address: 525-4~
Signature: Date:
O . z/- 9' 3 L~ v X96'
PROPERTY OWNER C16 Y7 SOIL DESCRIPTION REPORT Pagel_?-' of 3
PARCEL I.D. #
Boring # Horizon) Depth Dominant Color Mottles Texture Structure ConsistencelBoaxxay Roots GPD/ft
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed ITnnch
/ 3/ 12 s cJ a , S , 6
XXX
Ground
elev. 1 /v
Depth to
limiting
factor
Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
Boring #
Y+:,4
Ground
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Depth to
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I
Remarks:
SBD-8330(8.05/92)
Lr
STEEL'S SOIL SERVICE 15 Zoo
Gary L. Steel l1 e
C.S.T. 2298 c-, w 1 E S New Richmond, WI 54017
MPRSW-3254 a yf 5,6 "/.,L $ 3-3 .-]~29AJ ^12 1Bt~ (715) 246-6200
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WY.acorMW.)epartmentofIndustry, SOIL AND SITE EVALUATION REPORT Page _Z_ of
tabbr and Human Relations
Division of Safety 8 Buildings in accord with ILHR 83.05, Wis. Adm. Code
COUNTY
Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include ` CO I.D. #
not limited to vertical and horizontal reference point (BM), direction and % of slope, scar, _ b
dimensioned, north arrow, and location and distance to nearest road. J ~2 ' d 9
~ - ~D,~-
APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY ATE
S "
'
PROPERTY OWNER: PROPER Y LOCATION
SG- GOVT. LOT 1/4 SC-" 1/4,S3 3T Z 5 N,R j~ f(or) W
Off,, 0 t r?
PROPERTY OWNER':S MAII.ING ADDRESS LOT # BM!] SUBD. NAME OR CSM #
60, i yv~ 52 33
C STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE [SOWN NEAR~,sT ROAD
I l 5 9-o7,(74, -Ii-Z ~ 5 z ~ r - ,S~
New Construction Use j~tJ Residential / Number of bedrooms 3 [ ] Addition to existing building
j ] Replacement [ ] Public or commercial describe
Code derived daily flow !K67'0 gpd Recommended design loading rate _,5 bed, gpd/ft2 trench, gpdtft2
Absorption area required -3 75 bed, ft2 3 7 5 trench, ft2 Maximum design loading rate + f bed, gpd/ft2 -'G trench, gpd/ft2
Recommended infiltration surface elevation(s) l C~ ft (as referred to site plan benchmark)
Additional design / site considerations N
Parent material W)4 Flood plain elevation, if applicable _141- 44 ft
S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK
U = Unsuitable fors stem ❑ S MS El U [I S C3 S .Nu E3 S X11 ❑ S JRU
SOIL DESCRIPTION REPORT
Depth Dominant Color Mottles Texture Structure Consistence Bojnd3y Roots GPD/ft
Boring # Horizon in. Munsell Ou. Sz. Cont. Color Gr. Sz. Sh. Bed TT
d / z- D 7 17 0 02
Ground _ D s vt~
elev.,,so,
Depth to
limiting
fa _ Ctor
Remarks:
Boring #
°a•;:: d -~v~ "Z Z Z nom/ S 4i'f ~K o? o~ 5 ~o
Z F2_ 3 Z G a m 5 ~o~ - .
is $hv+S:::•'i'.
cD A xJ 4
Ground
elev.-G - Z 5 2 y
Depth to xd
limiting gZ)
factor - J
Z
Remarks:
CST Name:-Please Print Phone: '
ei~ 2
Address:
2aO _
Signature: Date: CST Number:
Q z - -0-
1
emu/ ~s~
PROPERTY OWNER Gy/ SOIL DESCRIPTION REPORT Page?,' of
PARCEL I.D. #
Boring # Horizon I Depth Dominant Color Mottles Texture
I Structure Consistence I BaxXimy i Roots GFID/ft
I
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed ITmrch
3 '
Ground 7• syi2 S a /w 6" j ,
p elev
ft.
Depth to
limiting
factor
Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
Boring #
ri
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
Boring #
rr
Ground
elev.
ft `
Depth to
limiting
factor
Remarks:
SBD-8330(R.05/92)
I '
K .
STEEL1S SOIL SERVICE s.
Gary L. Steel e
C.S.T. 2298 ~p G see- New Richmond, WI 54017
MPRSW-3254 N 715) 246-6200
G S, 3 3- 7~1 ~'f1i lZ/8~
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I,,o~- l 3 ? ~~s
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Al
, sco:DepartmentofIndustry,
SOIL AND SITE EVALUATION REPORT Page _Z_ of 3
labor and Human Relations
Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code
COUNTY
Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but PARCEL I.D. #
not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or
dimensioned, north arrow, and location and distance to nearest road.
APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE
C
PROPERTY OWNER: PROPERTY LOCATION
W GOVT. LOTIV6-- 11450 1/4,S 3 3T Z% N,R 18 Igor) W
PI~oPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUED. NAME OR CSM #
/z, Q/ 81D w, rv
Cl TATE 2I,P CODE PHONE NUMBER ❑CITY []VILLAGE [MOWN NEST OAD
ctl ~ t I q/ -C402z Z.s-- 5& zs (.~AZ1Z rl/ "'Y'a S
[ J New Construction Use [~J Residential / Number of bedrooms 3 [ J Addition to existing building
( Replacement [ J Public or commercial describe
Code derived daily flow ;&L O gpd Recommended design loading rate z bed, gpd/ft2 trench, gpd/ft2
Absorption area required /,/,o bed, ft2 37.5 trench, ft2 Maximum design loading rate . Z-- bed, gpd/ft2_L,5_trench, gpd/112
Recommended infiltration surface elevation(s) ft (as referred to site plan benchmark)
Additional design / site considerations /1'IO Cv Gr~i 116"_
Parent material &10- Flood plain elevation, if applicable AIA ft
S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK
U= Unsuitable fors stem ❑ S C❑ U ❑ S VW ❑ S iii ❑ S ❑ S U
SOIL DESCRIPTION REPORT
Depth Dominant Color Mottles Texture Structure Consistence Bouncd y Roots GPD/ft
Boring # Horizon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Treridt
Ground ,y~iP Sy~~~ I
elevt7
Depth to
limiting
factor
Remarks:
Boring # ,
'qg
-
YV0 /V C, .5,1 o? r77 _W
3 .S v C arms
elev Ground Z S~.~V•i i _ ` ~
Depth to n
limiting Ij IVE
factor T I f:~ S t P L N
Remarks: ST CROIX
CST Name: Please Print ? « 2_Phone:ZONINGOFFICE "
Address: ~S S Q S lJ/ 9 ! ..c 1
Signature: Date: T Nu1n er:
PROPERTY OWNER ~1~ w ~S SOIL DESCRIPTION REPORT Page_of_
PARCEL I.D. #
Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trends
a p 1
Ground 3 T 3
Depth to 67 40. J17 0
limiting
facto r~ ~O T{ b' l C~ s s Lo 'Yet 4Z -a,,2S- Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
SBD-8330(8.05/92)
STEEL'S SOIL SERVICE
Gary L. Steel
C.S.T. 2298 New Richmond, WI 54017
MPRSW-3254 ~~OO (715) 246-6200
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