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HomeMy WebLinkAbout008-1061-20-400 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division, 4 INSPECTION REPORT Sanitary Permit No: 488034 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: 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 Parcel Tax No: Martin, Jules I Eau Galle, Town of 008 - 1061 -20 -400 CST BM Elev: Insp. BM Elev: BM Description: Section/Town /Range /Map No: 21.28.16.314A40 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing Alt. BM Aeration Bldg. Sewer Holding St1Ht Inlet St/Ht Outlet TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic Dt Bottom Dosing Header /Man. Aeration Dist. Pipe Holding Bot. System Final Grade PUMP /SIPHON INFORMATION Manufacturer Demand St Cover GPM Model Number TDH Lift Friction Loss System Head TDH Ft Forcemain Length Dia. Dist. to Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/L JBLDG IWELL LAKE /STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type Of System: UNIT Model Number. DISTRIBUTION SYSTEM Header /Manifold Distribution x Hole Size x Hole Spacing Vent to Air Intake Pipe(s) Length Dia Length Dia Spacing 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 Bed /Trench Center Bed/Trench Edges Topsoil f Yes _J No ] Yes L,] No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / / Inspection #2: Location: 233 230th Street Woodville, WI 54028 (NW 1/4 SW 1/4 21 T28N R1 6W) NA Lot 3 Parcel No: 21.28.16.314A40 1.) Alt BM Description = 2.) Bldg sewer length = - amount of cover = Plan revision Required? I Yes 'i No I J i Use other side for additional information ____J Date Insepctor's Signature Cart. No. SBD -6710 (R.3197) i! Safety and B i tb . on County 201 W. Washington e., x 7162 C l'0 I X Madison, WI S 07 - I621 Sanitary Permit Number (to be felted in by Ons�l � CoJ �+ (608) 266-3 1 0 SD 3 Department of Commerce Sanitary Permit Application ,State Plan I.D. Nn ,M,s . /° In accord with Comm 83.21, Wis. Adm Code, personal information you provid N0 I t 1 0 3 7 5 -`tc T 17 : a, ?l a 7 �) may be used for secondary purposes Privacy Law, sl5.04(1)(m) Project Address (if different than mailing address) { I. Application Information - Please Print All Inform ion RECEIVED T � 53 d 3 0 Th 5 ) Property Owner's Name (� S W Parcel # Lot # Block # Tvl` eS /Yl u�t� h DEC 13 2005 99- 3 Property Owner's Mailing Address Property ig 5 aqvehe ,, . G1C V CROIXCOUNTY �`W - ty L 2 ! `Il � - , section � Cit state zip e I - ! / n !^4, e, 1-,q n rJ�J a 3 to I 0 �5 7j/ T o�'g N oo& 1" . a R circle one} E II. Type of Building (check all that apply) a,, S °� 0 1 or 2 Family Dwelling - Number of Bedrooms Kai - , SM Number �� P a� 636 qss El Public/Commercial - Describe Use YeG�t e^ ❑ State owned - Describe Use 644UALC ❑City_❑village Township of 9q,U le III. Type of Permit: (Check only one box on line A. Complete line 19if applicable) 0 - ) 0(p/ - W - uD . 3/ A. ® New System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of ❑ Permit Transfer to New List Previous Permit Number and Date Issued �- Before Expiration Plumber Owner .( IV. Type of POWTS System: Check all that appbJ X 0 M = ❑ Non - Pressurized in -Ground El Mound > 24 in. of suitable soil Mound <24 in. of suitable soil ❑ At -Grade ❑Single Pass Sand Filter ❑ Constructed Wetland ❑ Pressurized In -Ground ❑ Holding Tank ❑ Pat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter ❑ Leaching Chamber ❑ Drip Line ❑ Gravet -less Pipe ❑ Other (explain) V. D1s rsaVrreatment Area Information: 1 i s Dis rsal Ara Pro s S stem Elevation Design Flow (gpd) Design Soil Application Rate( Disperses Area R red ( pe (f) y �sv 900 �� _ 3Y Y�s� 1 D/ rd3 p VI. Tank Info Capacity in Total umber Manufacturer Prefab Site Steel Fiber Plastic '+ Gallons Gallons of Units 6,l A- -iaV � Concrete Constructed Glass New Existing or Tanks Tanks Aerobic i t 160 1000 wi e Sew C o c Treatrs�enr Unit DosingCham1w ( (.t. env CortCkei Y VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS sltovro on the attached plans. N Plumber's Name (Print) PI 3i s MP/MPRS Number Business Phone Number i tt v lam/ au 107 Plumber's Address (Street, City, State, Zip Code) A( 6 4 -(q .hv, l(e wt 00 j VIII. Conn /De artmeot Use Only Approved 11 Di Sanitary Permit F eludes Groundwater Date Issued uin Agent St a (No Stamps) ❑ for Denial Surcharge Fee) <P �2 2/ 3 1 r IX. Conditions of Approval/Reasons for Disapproval 3` SYSTEM OWNER: s- - ) -6 - � �M a ;t�a t ie C�•t 5 t 1 Septic tank, effluent filter and dispersal cell must all be serviced / maintained — as per management plan provided by plumber 2. All setback requirements must be maintaine( `I) A QU0-.,"Z_A &A vu tT w be as per applicable code /ordinances. Attach complete plans (to the County only) for the system on paper not less than 81/2 111 inches in siu PATS . SBD -6398 (R 01/03) �6 OS: 03a HUBBELL EXCRVRTING INC p.4 Ajw w 11N 5 2 r r2$nt /� l bw 11 e w PvwG r l -v c e 01 11 , 4 i f e O b t' t rs'r ►� 134 Ur.S c a' rt H I - 81 r> 1 13 4 2 y ¢, fte + r e ("we /fi ✓�'oVS f�r''rf Amy ( "we 14ou Se Q . �Pusr 2S' Frame- � PR.op yr CO P vw/ tit /?r c u 7 S 09:,03a HUBBELL EXCRVRTINC INC P.4 f1�w�l'� sw�lH sir r2 A f6� New AivvekPlat • .4 t E of evi «I: O ji �r 3 J.yrrR- g3 o �,•rcH �u�'� Cohra�� Fc R � •S , a f3 w2 ,�P r -« ,-5-f � t e P..p_ G - SL0r nP Irefs C � PJA2 MW' I y, 3 FK tvP �f T e�y , �df Te Safety and Buildings f 4003 N KINNEY COULEE RD commerce .Wi.gov LA CROSSE WI 54601 -1831 TDD #: (608) 264 -8777 isoonsin www.wisconsin.go isco n sin.go iscosin.gov Department of Commerce Jim Doyle, Governor Mary P. Burke, Secretary March 08, 2005 CUST ID No.221073 ATTN: POWTS Inspector DARRELL K HUBBELL ZONING OFFICE ST CROIX SEPTIC SYSTEMS ST CROIX COUNTY SPIA N6490 US HIGHWAY 63 ST 1101 CARMICHAEL RD BELDENVILLE WI 54003 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 03/08/2007 Identification Numbers Transaction ID No. 1114037 SITE: Site ID No. 663107 Schawn & Nell Schradle Please refer to both identification numbers, 230th Street above, in all correspondence with the agenc Town of Eau Galle St Croix County NW1 /4, SW1 /4, S21, T28N, R16W Lot: 3, FOR: Description: Proposed Three Bedroom Mound System Object Type: POWTS Component Manual Regulated Object ID o.: 1006661 Maintenance required; 450 GPD Flow rate; 10 in Soil minimum dep t 1 ng factor from original grade System(s): Mound Component Manual - Version 2.0, SBD- 10691 -P (N.01 /01), Pressure Distribution Component Manual - Version 2.0, SBD- 10706 -P (N.01 /O1); Biofilter 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. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: • This system is to be constructed and located in accordance with the approved plans, and the "Mound Component Y PP P P Manual for Private Onsite Wastewater Systems Version 2.0 •SBD- 10691- P(N.O1 /O1). • The pressure network is to be constructed in accordance with publications SBD- 10706- P(N01 /01) "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems - Version 2.0" and/or the sizing methods of publication "SS WMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01/8 1)". • 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. • The area within 15 feet horizontally below the system shall remain undisturbed. Vehicular traffic or soil compaction in this area is prohibited. • A state approved effluent filter is required. Maintenance information must be given to the owner of the tank explaining that periodic cleaning of the filter is required. Access to the filter for cleaning must be provided per Comm 84 product approval conditions. P O.W.T.S. c�nd�t�on�z�y DARRELL K HUBBELL Page 2 3/8/2005 • 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: • The current owner, and each subsequent owner, shall receive a copy of this letter including instructions relating to proper use and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or owner's manual for the POWTS described in this approval. • 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). • 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. In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. • The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. In granting this approval the Division of Safety ,& Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 Gerard M. Swim POWTS Plan Reviewer - Integrated Services (608)- 789 -7892, Mon. - Fri. 7:30 am to 4:15 pin WiSMART code: 7633 jswim @commerce.state.wi.us cc: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544 R MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGR INDEX AND TITLE PAGE �s Project Name: Schawn & Nell Schradle Owner's Name: Schawn & Nell Schradle Owner's Address: 350 Ace Av Clayton WI 54004 715 948 2110 Legal Description: NW1 /4 SW1 /4 S 21 T 28N R 16 W Township: Eau Galle County: St Croix Subdivision Name: CSM Vol. 14, PG. 4020 Lot Number: 3 Block Number: Parcel I.D. Number: 008- 1061 - 20-400 Plan Transaction No.: 895970 Page 1 Index and title Page 2 Data entry Page 3 Mound drawings Page 4 Lateral and dose tank Page 5 System maintenance specifications Page 6 Management and contingency plan Page 7 Pump curve and specifications Page 8 Plot Plan Page 9 Zoeller Quik Box specifications Page 10 Drainage Detail Designer: DARRELL HUBBELL License Number: MPRS 221073 Date: 02/U/05 Phone Number: 715 273 -6360 Signature: Designed Pursuant to the Mound Component Manual for POWTS Version 2.0 SDB- 10691 -P (N. 01/01), and SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST -SAS (01181) Version 4.0 (R. 04/03) DEPARTMENT OF COMMERCE Page 1 of 10 A DIVi S ' EF si 0 SAFETY AND BUILDINGS COR SPON DENCE E Mound and Pressure Distribution Component Design Site Information R Residential or Commercial Design Note: Sand fdl (D) calculations assume a 300.00 Estimated Wastewater Flow (gpd) Table 83.44.3 in -situ sod treatment for fecal 1.50 Peaking Factor (e.g. 1.5 = 150 %) corlorm of - 36 inches. 450.00 Design Flow (gpd) (p 440n0 Site Slope ( %) 99.50 Contour Line Elevation (ft) 8.00 Depth to Limiting Factor (in) A C f vu L d e &)% 10 g'` u S e,4 t- 0.50 In -situ Soil Application Rate (gpd/ft) 2 Distribution Cell Information 90.00 Dispersal Cell Length Along Contour (ft) = 5.00 Cell Width (ft) 1.00 Dispersal Cell Design Loading Rate (gpd/ft 1 Influent Wastewater Quality (1 or 2) Are the laterals the highest point in the distribution Y Pressure Disribution Information network? c Center or End Manifold 2.50 Lateral Spacing (ft) If N above, enter the elevation (ft) 4 Number of Laterals of the highest point. 0.156 Orifice Diameter (in) (e.g. 0.25) 2.50 Orifice Spacing (ft) = 6.25 ft /orifice 2.00 Forcemain Diameter (in) 150.00 Forcemain Length (ft) Does the forcemain drain back? y 80.00 Pump Tank Elevation (ft) 4.55 System Head (ft) x 1.3 24.47 Forcemain Drainback (gal) 21.67 Vertical Lift (ft) 56.42 5x Void Volume (gal) 4.67 Friction Loss (ft) 80.89 Minimum Dose Volume (gal) 30.89 Total Dynamic Head (ft) 38.77 System Demand (gpm) Lateral Diameter Selection Manifold Diameter Selection in. dia. options choice in. dia. options I choice 0.75 1.25 x 1.00 1.50 x x 1.25 x x 2.00 1.50 x 3.00 2.00 x 3.00 x Gallons /Inch Calculator Treatment Tank Information Total Tank Capacity (gal) 1000.00 Septic Tank Capacity (gal) Total Working Liquid Depth (in) WIESER CONCRETE Manufacturer gal /in (enter result in cell B49) Dose Tank Information Effluent Filter Information 650.00 Dose Tank Capacity (gal) Zabel Filter Manufacturer 17,00 Dose Tank Volume (gal /in) A100 Filter Model Number WIESER CONCRETE Manufacturer Project: Schawn & Nell Schradle Page 2 of 10 Mar 08 05 07:38a HUBBELL EXCAVATING INC p.2 Mound Plan View Observation Pipe _ 3❑ K A W i . . ... ........ . .. .. ....... . ... ......... .......... ...... ...... ........, .. :.....: < '.. B ❑ . . ... »: >: >:: �- L Mound Component Dimensions A 5.00 ft E 34.00 in H 1.00 ft K aft ft B 90.00 ft F 9.25 in 1 17.60 ft L ft D 28.00 in G 0.50 ft J B,So ft W 450.00 (ft) Dispersal Cell Area 1 203 (ft`') Basal Area Available 5.00 (gpd /ft) Linear Loading Rate I 9.00 (ft) 1110 B Obs. Pipe Placement Mound Cross Section View Aggregate Dispersal Area Finished Grade 103.60 (ft) —► G I H F 102 33 I Dispersal cell ( ft) Lateral 101.83 (ft) �► Invert Dispersal Cell 3 t Elevation E D s ..................... . - � 4 99.50 (ft) Contour Elevation 10.0 %Site Slope Geotextile Fabric Cover Shading Key _Q Dispersal Cell See lateral details on iQ Topsoil Cap c 1.5 ft Page 4 for number, size. Subsoil Cap w o 1 ❑ 0 F and spacing of laterals. f ASTM C33 Sand Laterals are equally ® [�] Tilled Layer = 0 – .5 f Typical Lateral f spaced from the []5 Aggregate v o 5❑ ( distribution cell's A -{- centerline in the distribution cell (AxB). Project: Schawn & Nell Schradle Page 3 of 10 Center Connection Lateral Layout Daigram Force main connection via tee or crass to maniioid at any port. Laterals are identical i P s •= Turn -up udbs ll velve or P- X- -�'Esr2 s12� Laterals 8 force main of PVC Sch �O d�rtarlplu4 per COf?✓FA Table 81.30 -6 Holes drilled an the bottom of the lateral. Number of Laterals 41 Orifice Diameter 0.156 in Lateral Diameter 1.25 in Orifice Spacing (X) 2.50 ft Lateral Length (P) 43.75,ft Orifices per Lateral 18 Lateral Spacing (S) 2.50 ft Orifice Density 6.25 ft /orifice Lateral Flow Rate 9.69 gpm Manifold Length 2.50 ft System Flow Rate 38.77 gpm Manifold Diameter 1.50 in Total Dynamic Head 30.89 ft Forcemain Velocity 3.96 ft/sec Dose Tank Information Looking cover vrrtt►vraming labs and locking device am sealed WdwOgM Elechical as per NEC 300 and -b Comm 16.28 WAC 4 m. min. Tank component is properly vented E-- ARemate otrtlat location Forcemaln diameter WIESER CONCRETE Manufacturer —T— 4 2 in. Ca acit 650.00 Gallons Volume 17,00 gal /inch A Weep role or anti - Dimension Inches I Gallons 1 B t device A 0D 37k•� B 2.00 3 4. oaf C P off elevation (ft) C 6'00' 102 -co -f 80.67 D 8. 00 136 OU D Total 3$.Op 650. IF Dose tank eievationi (ft) 3" Bedding under tank. 80.00 i Alarm Manuafacturer Zoeller Quik Box Alarm Model Number 10 -0053 OZ? 9 G 11 o M f p✓ •� �c yu � pra�'h 64 C Pump Manufacturer ZOELLER Pump Model Number 140 77.53 yGl -L"" 005e- Pump Must Deliver 38.77 gpm at 30.89 ft TDH 5 bases /d u Y Project: Schawn & Nell Schradle Page 4 of 10 i Mound System Maintenance and Operation Specifications Service Provider's Name Darrells Septic Phone 715 425 -1025 POWTS Regulator's Name Pierce County Zoning Phone 715 273 -6747 System Flow and Load Parameters Design Flow - Peak 450 gpd Maximum Influent Particle Size 1/8 in Estimated Flow - Average 300 gpd Maximum BOD5 220 mg /L Septic Tank Capacity 1000 gal Maximum TSS 150 mg /L Soil Absorption Component Size 450 ft Maximum FOG 30 mg /L Type of Wastewater Domestic Maximum Fecal Coliform >10E4 cfu /100 mL Service Frequency Septic and Pump Tank Inspect andlor service once every 3 years Effluent Filter Should inspect and clean at least once every 3 years Pump and Controls Test once every 3 years Alarm Should test month) Pressure System Laterals should be flushed and pressure tested every 1.5 years Moundl Inspect for ponding and seepage once every 3 years Miscellaneous Construction and Materials Standards 1. Observation pipes are slotted and materials conform to Table Comm 84.30 -1, have a watertight cap, and are secured in as shown in the mound component manual. p t 2. Dispersal cell aggregate conforms to Comm 84.30 (6)(i), Wis. Adm. Code. 3. All gravity and pressure piping materials conform to the requirements in Comm 84, Wis. Adm. Code. 4. Tillage of the basal area is accomplished with a mold board or chisel plow. 5. The mound structure and other disturbed areas will be seeded and mulched to prevent soil erosion and help reduce frost penetration. Lateral Turn -u p Detail Finished ............... Grade 6 -8" Diameter Lawn Threaded Cleanout Sprinkler Valve Box Plug or Ball Valve Distribution Lateral Long Sweep 90 or Two 45 Degree Bends Same Diameter as Lateral Project: Schawn & Nell Schradle Page 5 of 10 Mound System Management Plan Pursuant to Comm 83.54, Ws. Adm. Code General This system shall be operated in accordance with Comm 82 -84 Wis. Adm. Code, and shall maintained in accordance with its' component manuals [SBD- 10691 -P (N.01/01) and SSWMP Publication 9.6 (01181)) and local or state rules pertaining to system maintenance and maintenance reporting. No one should ever enter a septic or pump tank since dangerous gases may be present that could cause death. Septic and pump tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tanks are no longer used as POWTS components. Septic or pump tank manhole risers, access risers and covers should be inspected for 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. Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the 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 fitter 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. Pump Tank The pump (dosing) tank shall be inspected at least once every 3 years. All switches, alarms, and pumps shall be tested to verify proper operation. If an effluent filter is installed within the tank it shall be inspected and serviced as necessary. Mound and Pressure Distribution System 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 as protection from freezing. Influent quality into the mound system may not exceed 220 mg/L BOD mg /L TSS, and 30 mg/L FOG for septic tank effluent or 30 mg/L BOD 30 mg/L TSS, 10 mg /L FOG, and 10 cfu /100 mL for highly treated effluent. 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 6 inches considered as an impending hydraulic failure requiring additional, more frequent monitoring. Contingency 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(s) 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 absorption and dispersal media, and related piping, and replacing said components as deemed necessary to bring the system into proper operating condition. See Page 5 of this plan for the name and telephone number of your local POWTS regulator and service provider. Project: Schawn & Nell Schradle Page 6 of 10 Mar 07-05 09:03a HUBBELL EXCAVATING INC p.4 f/q S 2 f T 2 6 16w • SCaLe 1= �O :a Af a �✓ y�vwE y !'vt �° ' r5 7G f t P t o t t uY ► 4 n C6hTovr Ece ag.s r: L e ,S V Pe p Pipe ----�" 4 /art ✓rout 13y,► - oa.tcr ppte ke'— r , M 6. C� s LAVO 11 T V be- r 2S' FroY wet(, l� PRoP T,r. 3 SR. Ggva�.2 �? SECTION: 4.10.117 , L( l A9 SI CE If `I FM1420 0903 Product information presented 0 Supersedes here reflects conditions time /l/1 /p /"j�` 0901 of publication. Consult f a c - LJ /Y /l _ L f✓ tory regarding discrepancies or inconsistencies. MAIL TO. P.O. BOX 16347 • Louisville, KY 40256-0347 visit our web Site: SHIP TO. 3649 Cane Run Road • Louisville, KY 40211 -1961 http: / /Www.zoetter com (502) 778 -2731. 1(800) 928 -PUMP • FAX (502) 774 -3624 Z oeller Qwik -Box mp Control and Alarm systems a The Qwik -Box is a junction connection box designed for easy hookup of pumps and alarm systems used in septic effluent, sewage, or dewatering applications requiring a connection outside the building or residence. The Qwik -Box eliminates the need for junction wiring boxes inside sewage and septic tanks, and consists of UL Listed components. The sealed receptacle also eliminates the need for a separate outdoor disconnect. The pump and piggyback float control switch plug directly into the sealed receptacle. The plug and receptacle meet all require- ments of the National Electrical Code for a disconnecting means for fractional horsepower motors. The sealed enclosure meets requirements of the National Electrical Code and simplifies removal of pump and float control switch for service or repair. The Qwik -Box allows you to open the cover and have the pump unit serviced with no high voltage exposed. STANDARD FEATURES • No need to cut plugs off. •® ° Sealed watertight enclosure. • Available in 115 Volt or 230 Volt design. Corrosion resistant PVC construction. Easy hookup of indoor alarm with terminal strip exposed for low voltage wiring.(. ° Rated for NEMA 4X. „ ° • w e. Incoming power and alarm cable are perma- nently sealed. Epoxy seal kit included. Gas -tight rubber seal for pump and switch cables. - Optional indoor tank alert alarm with silence OPTIONAL COMPONENTS switch and LED indicator. 1. Watertight LB conduit box • Installation and wiring instructions included. 2. Receptacle terminal plate • Meets NEC requirements for a Disconnect. 3. Cord seal 4. Pump control switch Pumps and /or alarms wired -in or connected in the field 5. Alarm must be installed according to the National Electrical 6. Alarm float switch Code (N.E.C.) by a qualified licensed electrician. 7. Epoxy seal kit. ASSEMBLY DESCRIPTION PIN COMPONENTS 10 -0566 Qwik -Box -115V -1 Ph -15 amp Receptadell3 amp Piggyback Switch/Sealing Accessories 1,2,3,4,7 10 -0568 Owik -Box -115V -1Ph -15 amp Receptade/13 amp Piggyback Switch /A- Pak/Sealing Accessories 1,2,3,4,5,6,7 10 -0579 Owik -Box 115V -1Ph -15 amp Receptade/Sealing Accessories 1,2,3,7 10 -0592 Qwik -Box -115V -1 Ph -15 amp Receptade /A- Pak/Sealing Accessories 1,2,3,5,6,7 10 -0567 Qwik -Box - 230V -1 Ph -15120 amp Receptacle/1 3 amp Piggyback SwitchlSealing Accessories 1,2,3,4,7 10 -0569 Qwik -Box - 230V -1 Ph -15120 amp Receptacle /13 amp Piggyback Switch /A- Pak/Sealing Accessories 1,2,3,4,5,6,7 10 -0580 Qwik -Box - 230V -1Ph -15120 amp Receptacle/Sealing Accessories 1,2,3,7 10 -0593 Qwik -Box - 230V -1Ph -15120 amp Receptacle /A- Pak/Sealing Accessories 1,2,3,5,6,7 10 -0576 Qwik -Box Sealing Accessories/A -Pak r 7 n ,,.,n,,. / - nu �� a 1 Qd / Zoeller Qwlk -Box Pump Control and Alarm. Systems ZOELLER 24' DIA. — 3 SEPTIC TANK RISER AND LID ,r HOSE CLAMP OWgC$OX / SPLIT CORD SEAL. PUMP DETAI.'A' r_.z TNIN WALL CONDUIT �-- CONTROL SWITCH � TPCONOIItTAN00.BDW5 ALARM SWITCH SUPPLIED BY OTHERS uSE TO SEAL WATERTIGHT GASKET 1 = FtlGII WATER REMAINING HOLES) IT MIN, OR PER STATE AND LOCAL CODES ALARM IF RLQUILED. �� COVER ALARM CABLE -- P PIMP FLOAT CONTROL POWER CABLE EPTACLETERRBNAL PLATE 0 CABLE, SUPPLIED BY OTHERS FROM POWER SOURCE.) CIRCUIT BOX ALARM FLOAT CONTROL DETAIL SK1537 �— HOSE CLAMP PUMP SPLIT CO1m SEAL CONTROL SWITCH HOSE CLAMP ALARM TWA WALL PVC CONDUIT SWITCH j COVER USE TO SEAL ED IF R EDLIF2E �( REQUI D. I i ALARM GASKET CABLE ZOELLER 2A' OUP. 1 - _- SEPTIC TAW RISER 1 1 AND LID ( OETAIt'A° 13' MIN FROM CELdTERLYE OF HOLE 7HR11 CNW -84X RECEPTACT E7TERMOM PLATE - -J RISER TO INSIDE SURFACE OF COVER - -� _ "PVC CONDUITAND _ ELBOW S UPPLIED BY OTHERS CABIE 111' MIN -- t - OR PER STATEAN 1 GH WATER CODES HIGH DETAIL ALARM ) p ALARM CABLE _ -.. s g ----. -- . _ POWER CABLE— v ... .. i (LIF CABLE SUP PZ6 BY ) OTHERSg` FROM POWER SOURCE S' PUMP FLOAT CONTROL- -- _ —_ CIRCUIT BOX ALARM FLOAT CONTROL I - I ORDERING INFORMATION ASSEMBLY ALARM & PUMP CORD EPDXY SEAL PIN VOLTAGE QWIK -BOX FLOAT SW CONTROL SW SEAL SEAL KIT TAPE 10- 0568 115V 010142 10 -0053 10 -0034 010081 008897 010079 10- 0569 230V 010143 10 -0053 10 -0035 010081 008897 010079 10- 0566 115V 010142 NIA 10 -0034 010081 008897 010079 10- 0567 230V 010143 N/A 10 -0035 010081 008897 010079 10- 0579 115V 010142 N/A N/A 010081 008897 010079 10- 0580 230V 010143 N/A N/A 010081 008897 010079 -- 10- 0592 115V 010142 10-0053 NIA 010081 008897 010079 10- 0593 230V 010143 10 -0053 N/A 010081 008897 010079 _ (1) For use with pumps rated 112 HP, 115V, 13 AMPS or 1 HP, 230V, 13 AMPS. (2) For use with pumps rated 13 -15 AMPS, 1 % HP, 115V or 13 -20 AMPS, 2 HP, 230V. order switch separately. See FMO477. (Pumps must have 15 amp plug cap to be used with piggyback switch.) f3er+ned to e o h rtf o!t S s - 0E,6 7Lp X Cuu vm fled �,,,• •th G i y� oak L Gov - F _ 36 ,r > 2y „ To 3 -Y' � u �r�C re — � washed r ock u 0 2 G f ' Peido"L Led Vfyb(4t1>' VeF-iVed cv L eko/ i9 Ire ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer T V L S 144 a /- /-,, n Mailing Address /135 Q V e b e C k A 1/< S L e4 K e L a n d 1 14 N 62W3 Property Address o2 3 3 d � 30 Ni 57` (Verification required from Planning & Zoning Department for new construction.) City /State 54 1 d w t'h w ( Parcel Identification Number Q 0 $ -10 6'1 ' O - y00 C 3 LEGAL DESCRIPTION Property Location 411 1/4 , w 1 /4 , Sec. 21 , T ,29 N R_L Town of FQ 6 l e Subdivision nl , Lot # 3 Certified Survey Map # 6 3 c l s , Volume 1 L/ , Page # L10 Warranty Deed # 66 Volume 2138 , Page # Spec house yes Lot lines identifiable (29 no SYSTEM MAINTENANCE AND OWNER CERTIFICATION 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 a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §Comm. 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Planning & Zoning Department within 30 days of the three year expiration date. I/we certify that all statements on this form are true to the best of my /our knowledge. I /we am/are the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. Number of bedrooms 12 / 10 / OS SIGNATURE OF APPLICANTS) DATE ** *Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department. * ** Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV. 08/05) �...__.� I I tf + r f I i 2938P 110 813`41 • KATHLEEN N. WALSH STATE BAR OF WISCONSIN FORM 2 - 2000 REGISTER X D Document Number WARRANTY DEED WI RECEIVED FOR RECORD This Deed, made between Shown Schradle an Nell Schradle. 12/05/2005 08:00AN husband and wife Grantor, and L Tules Martin ud Lacy N. Larson, husband and wife as survivorship marl property Grantee. WARRANTY DEED Grantor, for a valuable consideration, conveys and warrants to Grantee EXENFT # the folio described real estate in S Croix County, State of Wisconsin (if REC FEE-. 11.00 s ne ed, please attach addendum): TRANS FEE: 246.00 LOT THREE, 3) OF CERTIFIED SURVEY MAP IN V OLUME COPY FEE — CC FEE: (14) OF CERTIFIED SURVEY MAPS, AGF E 4020 AS PAGES: 1 6CUMENT NUMBER 6955, FILED IN ST. CROIX COUNTY VEGISTE9 OFD E ON JANUARY 17, 2001, BEING LOCATED IN THE NORTHWEST QUARTER OF THE SOUTHWEST QUARTER (NW 1/4 OF SW 1/4) OF SECTION TWENTY ONE (21), TOWNSHIP TWENTY EIGHT (28) NORTH, RANGE SIXTEEN (16) WEST, TOWN OF EAU GALLE. Subject to 230'" Street right of way. Name d Return Address �,..� LEA rlffTi Q y�� A l �•¢,c'FC� ti� , Ail 008- 1061- 20400 Parcel Identification Number (P" This iLgZ homestead property. (is) (is not) Exceptions to warranties: easements, restrictions and rights of way of record, if any. Dated this I f of November. 2005 * * Shawn Schra * * Nell Schradle AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ) )Ss. PIERCE County. ) authenticated this day of :i Personally came before me this day of November , 2005 the above named "n Shawn Schradle and Nell Schradle T I- r ST BAR OF WISCONSIN (I(not, + CHARLENE A. CAR SON to me known to be the Derson(s) who executed the foregoing •••• authp> j�e Ili+ §'f. 06, Wis. Stats.) St�Nootnary Public ins and acknowl eed same. THIS INS'. NT WAS DRAFTEd'SY i wtscunsiA Joseph D. Boles - Attorney at Law River Falls. WI 54022 Notary Public, State of My Commission is pe Qf not, state expiration date: (Signatures may be authenticated or acknowledged. Both are not necessary.) :91h 11 f7 ) • Names of persons signing in any capacity must be typed or printed below their signature. INFO -PRO (800)655 -2021 wwwAnfoproformt.00m STATE BAR OF WISCONSIN WARRANTY DEED FORM Na 2 - 2000 r i so N _j�3 S �0 � W C) W aaype OfIfIfO lUW 1*10 ti A W�F p S L � L-Ci � : Y � ' located in the NW V4 of the SW 1/4 of Section m, T 28 M, FIL 2 R 1 6 W, Town of Eau 6ali St. Croix County, Whconsln. s JAN 1 7 2001 b. Prepared for Arthur Batho ti EAST I/4 f APPROVED ST. CROIXCOUNTY SECT /ON 2/ Planning Zoni"� -a�_�• �e Q JAN 1 7 2001 BEARINGS REFERENCED TO THE WES T L I NE OF THE I SW I/4 OF SECTION 21 a . V qot rae f" wlupn sU oays of ASSUMED AS N 00 ° 00'00 "E '*ProvM datr8pMoval shall be fa V. 0 t O I "X 24" IRON P /PE SET WEIGHING /. 13 LBS. /LINEAL FOOT 3 Q J :� • n '�' �` 1 0 FOUND I" IRON PIPE FOUND COUNTY MONUMENT i•.Ir�... -.. 1 � ♦ � r'i v ._ / r� A SOIL BORING 5I7E Ct ti = —S00 0 00'00 "W — — 944.63' — — — " 294.ss' 233. 24' / Y07634 SO. FT. 0 207, 534 50. FT. - ?07,634 SO. OR OR l 0R M V 4. Ac 764 AC. / . '"/ 1 t O h 4. 764 AC. O 4. INCL. R /10' b Q; /NCL. R/W /NCL. R/w M b O O V 'd b ft to O Q b m LOT / b° LOT 2 LOT /97,/4/ SO. FT. /9T, 7 SO. FY. /96, SO. OR FT. I oR 3 >v N c r 66' q, 326 AC. h 4. 540 AC. 4.S // AC. to ' ,a 3 N p EXCL. R/W N h EXCL. R/w M y EXCL. Re cD 1i oo °o e : N O A ` I / OD' 2 N SETB ACK ? 1 " LI o w Q 4 1 SW COR WEST f/4 O _ N00 00'00 "E 944. 63' --�� Z SEC. 21 7 COR. SEC_ 2I b H 0 l 0 • 3/4. s 1 2 BB �,1� { 3387'_ ,a[, IB40. 46' -.-_- - C/L 3/4. Q ' fj 294: e7' �� 334.5' — ___ - — 2.3 p ` _ STREE 8 T E T Z�' Noo° oo' 00" 265/. /s' -- �•A•gQR 6. 9WM[!/IfftflJ7 AP AIlA24lf1 IfC go 6MWAWIN AWff,, li7rli+1fp; tq • No suA @' M7 A` 3 l o _ Z o Vol. 14 Page 4020 Safety and Buildings 4003 N KINNEY COULEE RD LACROSSE WI 54601 -1831 TDD #: (608) 264 -8777 N *isconsin www.commerce.statemims /sb Department of Commerce www.wisconsin.gov Jim Doyle, Governor Cory L. Nettles, Secretary October 2, 2003 CUST ID No.224832 ATTN.• POWTS Inspector ZONING OFFICE MARY JO HOLLISTER ST CROIX COUNTY SPIA W9875 690TH AVE 1101 CARMICHAEL RD RIVER FALLS WI 54022 -4011 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 10/2/2005 Identification Numbers Transaction ID No. 895970 SITE: Site ID No. 663107 Arthur & Sharon Batho Please refer to both identification numbers, 230th Street above, in all correspondence with the agency. Town of Eau Galle St Croix County NW1 /4, SW1 /4, S21, T28N, R16W FOR: Description: Seasonal Soil Saturation Determination Object Type: Soil Saturation Determination Regulated Object ID No.: 915008 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: • Approval is hereby granted to use the groundwater levels observed during the study as the high groundwater level in lieu of the depth to soil mottling for designing soil absorption systems in accordance with chapter Comm 83, Wis. Admin. Code. The groundwater elevation monitoring data was submitted in accordance with section Comm 85.60(3), Wis. Admin. Code. The results in this study indicate that there is 10 inches of unsaturated, natural soil above visible high groundwater in the tested area. • The approval shall remain valid unless the site or sites are altered in such a way that the depth to groundwater would change or if groundwater is observed for seven consecutive days at depths less than three feet below the infiltrative surface. • This approval is only for the depth to seasonal soil saturation on the site noted above. Each individual lot that is developed must obtain a sanitary permit according to chapter 145, Wis. Stats. and chapter Comm 83, Wis. Adm. Code. 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. �!<drm�Eal #�ix�cEMy f MARY JO HOLLISTER Page 2 10/2/03 i Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. Sincerely, Fee Required $ 100.00 Fee Received $ 100.00 Balance Due $ 0.00 Gerard M. Swim POWTS Plan Reviewer - Integrated Services (608)- 789 -7892, Mon. - Fri. 7:30 am to 4:15 pm WiSMART code: 7633 jswim@commerce.state.wi.us cc: Leroy G Jansky, Wastewater Specialist, (715) 726 -2544 Arthur Batho i PRIVATE ON31TE WASTEWATER caeartr v1sconsin TREATMtNT VISTEMS ( POWTS t X Department of Commerce SOIL SATURAT3QN St, a''''y and " ° ' a '"s' DN DOR MlNATION REPORT PO sox 7162 Madbon, WI 63707 Parent Tax Purauent to S. Comm 8460 (3), Wis. Adm. Code GENERAL-INFORMATION i pog - r 1-- 20 - 4o0 PWRQW iefon"doe may be used for woan r Laiv"Y ww, a IS-04 1 ■ + Property Owwes Name- Ownse's Addrow AKTHU - SkA* bA "o W IS 179 3 RA C111, W1 514 -1(o F tAt Neanber. !liodt tvenibsr. 3 0 CRY 0 Vtnape )KTown of F_-Att GA LL 1 M Subdlvfston I CSM Nam{: CSiyl VOL.lt1 PG.40ZO Govt. Lot -- NO 1/4, S 1/4, S at ,T 2$ MatltoAr>QZ,one: t3M Elsvatlan }: tSAt Dsscltptbn: `. OA 6 a C 'rap 16f /''lovC PIPE $ ~ ABOV G ICO UAtD SCAR r ' N OBSERVED WATER ELEVATIONS FT OBSERVATION PIPEEL EVAT10 DATA OBS. OBSERVATION OBSERVATION OBSERVATION OBSERVATION TOP OF GRADE BOTT M GRADE EL PIPE MINUS BOT DATE PIPE NO: ,� PIPE NQ: 2 PIPE NO: '-ter NUMBER PIPE AT PIPE OF PI OE PIPE EL e , 0 o t ' 0100 4 , 00 M z5 Y �•�� B F : F 03 D. ode O.00r a:oQt r z (n. Ij 47: 16 2.0 o 0.0 0.00' 0.00 -;I3 49 Q5.Y3 l '/1 I z2 0.00 I 0, 25 0. 83' COMMENTS / CONCLUSIONS�`��' " a zq 1 05 1, 25 0. Z 0.193 s , 11 LE7wt6 - kQL.Wn Y` g-A& !CgUI.Q �N 5'tAt Lq yJt1 H ir) r rt E 2 / 0.00' 0. Lie 0- g 3' - s L t fe z i . T E R Dt 1JE,s >ra 0 �* 3 /. DO �• �� ' / 1N UICAZ - Tt}�t?� 1r, l D Ta t:hk'UU A) 0A 0 Q g � Q� {7.00 Wfi1;I IN eTt1 Tt1oSE - tu PCS. O 3 0 3 0.00' 0.00 0.17`` 05 0.33' D•0o a 0 6.0 •` 5 2 D S'/;51 l o 0-00 0.00 t I MONTHLY DATA k Station(s) Precipitation ' Data Obtained From: 8ALDWIl } VJAS'Te u !Ax s -e - T,,eA -CMEmT PL-A)4-r c�wtN t.at Monthly Precipitation Amounts in Set Oct Nov Dec Jan Feb Mar Apr ma lol 10.59 3 , 2 . t 3 , LI Total Amount Sept - Feb (Need 8.5 inches): 141 15 inches Total Amount M • May (Need 7.0 inches): Q 6S inches CST Name (1 CST Address: _ 3 CST Telephone: M aRY Z10 I- {ot-LI, sTer1 w9g75 ( V F-. � Rwe FA tre L,-m C715 4� -17"aS DOW of St netwo: CST Sfpnawre: CST Credential Number b required to be submitted pursuant to e. Comm 65.60 (3)(1}, Wts. Adm. Code. Fdluro to complete this tam mwf nsutt in denial of the approval request Information to be submhtad in addMon to this roars Includes, but Is not limited to: Data on ,rtffidel drainage, a completed Sail and Sits Evaluadon Report (SSD 6330). regional weber table Infamedon, deity predpitallon totals for February through Mary, any previous site specific observelon resufb, governmental unit or deperumt report an obomadon pips comtruction or water levels, end a dts plan shovrtng observation pips locations. M Wormabbn mot be subnftd Y Mn 00 days of ft caWsdon of observations. When rears than ft" (3) observation pipes n Imt§lted, use Pape 2 of this form to report observation date results, end con wWconclusions. SSD-0412 ( R. 0601 } P / of Z I A it Ci:JfL V1:1ir5 'POND! .a ' Leroy G. Jansky State of Wisconsin I NSPECTI N RECEIV Department of Commerce Department of Commerce 'E 1 3 E Spruce Street Safety & Buildin gs pp ewa Fal Safe Division REPO C t a is. W! 54729 Bureau of Field Operations APR 0 4 2003 (715) 726 -2544 Inspection Date / (31 d� Personal information you provide may a us daaQ(�gs [Priv cy Law, s.15.04(1)(m)]. Name of Premises Address or Legal Description hip County ! y Nv i S u� Z 1 zg t (o c.J 5 T. COP-6 I jC Master Plumber Name and Address Master Plumber Firm Name and Address Plan I.D. No. Sanitary Permit No. /Soil Tester Licensed Person's Name(s) and License Number(s) Owner's Name and Address ?.d..A`!...._ E i f b�f 4 _ co 1 '±'i.N., ...d 5P 7'J.� M i ` .. _ . SzJa. �. SR Tv( l3 tTTCA. �..P. '1 JZ jet r .tR T1 a , -A4P .T�? PfZ e t`. tjt / `�tJ i-�? J XS 1 14 ?l/E .. Ji- . t��l� falrc.ti- _.._. _. +►_ / 1 ►S Cllr 5M A.L .Qef ziGN5 s k it AP r pass txat Alz- ^.... ..> _.... .. . .... Ca � s' � i ` _ . s u �a�o+e -tK.. 1.,�,.. �,t i�►w a. A►��.. AFt'atr� sc�4 't L?ArA (t T` %S : P t PV; w AS. tx 't` !`�EAQt I t: -- fAPL 1 t 1 ; 1-�e�+a. P4 tJ . { S' 444 .St r Pi- (. ANt1:0 '4'r F5 w . ., o.t ems- Pter .500"two 8iv T _Ta r� +ts. Page Of Signature of Responsible Licensed Person (only one needed) Check all Sign ure Plumbing Consultant/Private Sewage Consultant 1 Original: Copies to: ( `that apply tsz tR.12Fw) District 0 S &B O Plumber O Owne' Coun oral nsp. , Other Y ' f PRIVATE ONSITE WASTEWATER c,ar�ntr 1 kol,sconsln TR"TfANT OUSTEMS (POWTS) v Department of Commerce sr` r— 0k SaWy snd auUdrngs DMslon SOIL SATURATION 0I! 0 TIQN REPORT Paroet Tax No: Po sox 7162• Msdlson, Wl 53707 Pursuant to ar. Co aESO ( ), Wi GENERAL-INFORMATION pers=&I inforoution do sus used d for reoan %so v a 1 .04 1 m Property Owner's Name: Owner's Address � 0 UL �,Z�.Q AKTRlue SFlfltc -D1J 13sm W is�19 3 �II� W C:1 �'I UI 5, 41(o � t Number Block N © City O wiage T ! CSM Name: CSM VOL,1Q Pc— LIOZO Govt, Lot Nv l 1/4, 5 1/4, S Z J Z$ N, 1R !!6 X/ W N4n etaii Zone: 8M Elevation (R): am Desomption: A p(B o C 103,4 Tap 01= j " PIPE $ A800f~ GKD b SuRFAcE OBSERVED WATER ELEVATIONS FT OBSERVATION PIPE ELEVATION DATA FT OBSERVATION O OBSERVATION 0 BSER I 0IPE T PIPE A G RAD E MINUS 80T DATE E OF PIPE GRADE EL PIPE NUMBER OAF PIPE EL 03 D1 0100 .00 #L q7.01 74v' z.1 g 3 D. 00' 0.00' 0.00 ylq . 105 47:23' 'S ' 2.07 o 0 00' 0100' _415 92. kL l Q5. Y3' 7 z.5' 1, `11' z� b 0.0 0,25' 0 $ COMMENTS ! CONCLUSIONS 03 2q 03 1125 0.2.5' 0.83' A COULC� 81= . Z4 0,35 6 ,75 - ' T+.) _ � vJt Z H I I N EF LAW" 1 2 0 oso o _ � / 0.(30 0,tiz' 0, 'C3 IPr:7-s (Pi PC t rte , Trt u�-Ab ,__ 0 9 l, uv ' J. / ,/'7' _ tr�y�c�1� -Ttt�1�� ) ►D' � ctikp�r o � '5 'o-61 0.vo' 0.00 ` wfl t � 11J CDT kt Ttkos>✓ t l K-S. 05 0.00 , 0 .00' 0. 1 7' 05 0 /.oil 1.0 $ 1.0c) — OS :5 0.33` DO 0.00 — 5 0.00' MONTHLY DATA + , Stations) Precipitation Data obtained From: 1 bALDWIN VJA'51sW Teo - MeA7, "T PL'A'T LOWiN WE Monthly Precipitation Amounts in Set Oct Nov Dec Jan Feb Mar r Ma .I3 .y9 .9io z.39 6 •t3 Total Amount Sept -Fab (Need 8.5 inches): /y, 13 Inches Total Amount Ma - M ay (Need 7.6 inches): Q (�, S inches CST Name (Print): CST Address: 3402-Z Ural Telephone: /Vti AfiY Z0 (-t0t -lA STEM W�{�75 1o g0 44 AU E. R \)E KFA ILLS, kA.XT' (715 ) 1 426- 1 Date of Slgneturo: CST ftnature ! CST Credentlsl Number U6•- ZG -O-'S �`r � 2248 This torn Is required to be submitted pursuant to s. Comm 85.60 (3)(I). Ms. Adm. Code. Failure to compiNe this form may result in denial of the approval request tnformalkin to be submitted in addition to this form Includes, but Is nd Amited to: Date on ar'"cial drainage, a completed Sail and Site Evaluation Report (SBD 8330), rogiooel water tmbls information, daily predpite6on bDWv for February through hWy, ury previous rite specific observation results. povsmmerrtal unit or dpartrnent reports on observation pipe construction or water isvels, and a sits plan showing obwvrAon pipe iocsdorrs. 1111)n"adon must be subn tsd within 80 days of the completion of obswatbns. When more than three (3) observation pipes are Installed, use Pape 2 of this form to report obssrw6on data, results, and commontiocondusions. St36f3Al2 ( R. 06/01 j Pape I of 2' I SOIL SATURATION DETERMINATION REPORT Nfl PARCEL TAX NO.: 00$- - z0 -LO ' OWNER: T�t�O�7t# W' � S � AR EL !0 ' OBSERVATION PIPE ELEVATION DATA OBSERVATION TOP OF PIPE GRADE AT PIPE BOTTOM OF GRADE EL MINUS PIPE NUMBER PIPE 130T OF PIPE EL y 40,71. 9�. f I' 3 10 9 ' i r 5� G3. 9z g - 7. (X (07 � 1 1 .+ f Y' I 7 Y I' I OBSERVED WATER ELEVATIONS (FT)i ! { OBSERVATION OBSERVATION O ERVATION OBSERVATION OBSERVATION OBSERVATION OBSERVATION OBSERVATION DATE PIPE N0: PIPE N0. PIPE N0: PIPE N0: PIPE N0: PIPE N0: PIPE N0: 5 3 .00 Ii 3 Ofd 03 0.00 0.00 5 0� D•oa' .40' f 03 2z 03 ,DO 0.00 i 0112) pg n3 oloo 0.00' i { OS I D b3 z. 5il' D.sc'3 ` f • �� o. 0 z' 9 0,00 COMMENTS 1 CONCLUSIONS 1 ;d P&P 2 of SBO.8412 (R. 08101) z ; i [ FL3' IVED i�oli'i5fe�'S poi/ 7`e5finq 0 200 00UNTY !'logy Jo t"lolli5fer OFFICE W9875 690/h Avenue Piver Folls, Wi--,conSin X4022 2-0 LEgoy �IAnISKy 7) 47 rscr v ��tio , J W G ►...�- 3 (� ' '��P. bozo - �` �) I r i �6 ��rtl ' 1 F�Of P�AN pAL "' p�(�p�R1Y0WNER: �T TH .L�G�Np• /�� JD 4 DM- NA r D - 5O1L BRING W1 Dff-Q a NO COMM 83 Sl TK-K PR0(3LeM5 0Yx5T-0'.'-JP-'tO" PIPES - TAYSrA C K Coto^ $5.60 AND L�tz1'l :L-A/v 1 5.f^ - c - F- W1i Zw ' ► vJ�'��fL SPE�.iAI_tiST } zy �� rs ®t8" r j 1 r 30 �� z DO x 51CAW C5t z z r 2 LA J zo�u Pia. VAS: 2Z -OZ i SAFETY AND BUILDINGS DIVISION �" � Field Operations 13 East Spruce Street Chi pewa Falls, Wisconsin 53729 i a (715) 726 -2544 �- - ST a 70 p/www.commerce.state.wi.us _ : r , . Scott McCallum, Governor Department of Commerce Philip Edw. Albeit secretary October 17, 2002 Mary Jo Hollister Hollister's Soil Testing W9875 690" Ave River Falls, WI 54022 Dear Mary Jo: Re: Arthur Batho — Soil Saturation Determination Lot 3 CSM V. 14, P. 4020 NW, SW, 21, 28,16W Town of Eau Galle, St. Croix County I have received your site plan and owner's permission to enter onto the property for the above referenced site and have the following comments and recommendations. 1. Please provide the drawing scale used on your site plan. If I were to assume it to be 1:30 then the observation pipes are approximately 80 feet apart east to west and 25 feet apart north to south. I highly suggest that the east -west dimension be increased to 135 feet and the north -south spacing to 35 -40 feet if possible. This longer dimension will accommodate a longer, narrower mound design that can incorporate a low linear loading rate. Check contour length to make sure adequate length is available. 2. Although we are trying to cbServe the water l e vel at a shallow depth, I'd like t 0 Suggest the following observation pipe depths: two pipes at 18 inches depth, two pipes at 24 inches, and one at 36 -42 inches. It would be helpful to learn if the water is perched above the substratum material. 3. This site has a good chance to perch water above the critical depth of 6 inches during a normal spring season. If it does so for 7 consecutive days no soil absorption component may be installed. Site modification might improve surface and subsurface drainage characteristics to help insure perched levels stay below the 6 inch depth. A surface water diversion ditch could be constructed up slope of the proposed mound area to help improve drainage. Adequate width must be planned between the lot line, ditch and mound. A 20 foot width would not be out of line. The effects of the diversion would be discussed in the final report submitted to the department for review. In addition, I'd recommend that at least one observation pipe be located outside (possibly up slope) of the area drained for comparison. I SBD- 5524 -E (R. 4/98) File Ref: C:IJANSKY FILESUNSPECTION - INVESTIGATION \SOIL ONSITESIBATHO - LETTER.DOC I Page 2 Please contact me if you have and questions about this project. Sincerely, 2 ak er4yJy, SS Wastewater Specialist (715) 726 -2544 Office (715) 726 -2549 Fax Ljan sky@ com m erce. state.wi. us Enclosure: Copy of site plan cc: St. Croix County Zoning SBD- 5524 -E (R. 4/98) File Ref: C:UANSKY FILESUNSPECTION - INVESTIGATIONWIL ONSITESIBATHO - LETTER.DOC I f�ollisfe�'S Soil TeSfinq 110(y Jo tlo11i51er W98 65)0fh Avenue Fiver falls, Wi5con5in �OZZ DACE : o�Toa�� Iy, Z002 LE Roy SP•.�sc y - W�sttw�� En. SPr S1- pR0. �c r 1O A nqT-- : $ A'T r+ p yt-� r1 u (-OT 3� N U` ��f sVJ y 5 Z I T 2 tf U. 0 {- 1E12ES'tHE LoCA1,p� pF Tf}E OgSEtCVPcZtp� ?ICES Onl P ,, j 4 ON - TVIZ mAl 21� 2001 SOIL �,1/A Ll ��k TtO�J ZC su P M + T'T 8�/ A vTL Ye- w 6 6E-W, K, ZkAE �ROPOScD DEPT4t vJ1LL N107' LESS 7H NA) Zy I PER COMM Ts -Go ANY QU.ESTtoNS OR COMMG,�'g P CALL, JRR�.vA t`�rcfit X S,� rpotjP � JJO(j ? Vk WZ Lt�J Lam 3 RECEIVED � OCT 1 7 2002 CC S T. C" x CO - ry z� � � SAFETY & BLDGS. DIV. arSnDep8rtrilentof6ommerce SOIL EVALUATION REPORT Page I of 3 : °sipn,of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code _ Attach w complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. f 6 percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all information Reviewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Prop F Property Location fi �} D Genf: -dot K-�V.)1 /4 SW 114 S Z l T Z8 N R Z 6 E (or nW Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# W 1S 9 330 `1�F 1�U _ - 1'�Z -c►�? 0 S•k':�b City State Zip Code Phone Number i` ❑ Village ® Town Nearest Road rf I IAJ1 6U- 3ob6 New C [5� onstruction Use: Residential 1 Number of bedrooms �_ Code derived design flow rate Ou GPD ❑ Replacement ❑ Public or commercial . Describe: Parent material t, t_ Flood Plain, elevation if applicable N31 ft, General comments and recommendations: OF S *KA:) FL LL, a Boring # ❑ Boring ® Pit Ground surface elev. c L �(• ft. Depth to limiting factor 1 ' In. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft in. Munseli Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 o - �o — S�1 z`FSb►2 w�`�. �s z� . s �4s Z - 1 -V7 4 — S i) Zw� Sbk Sh CS 1v� -S ti� ,S `Z R 3 l L 01v, `Mfi -� Boring # Boring ❑ Ground surface elev. l -S ft. Depth to limiting factor 1 ® Pit O 1 p g in. Soil Application Rote Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots I IPPDW in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1' ° I 'Eff#2 7 0 - V. 'V a — 2 - SI I Z`E'SbV?- wL` - 0-2s 1 'S :8 10 Y2 3 vi -3 t VrL VA 'F1& Q-ab • (4 ' Effluent #1 = BOO, > 30 < 220 mg/L and TSS >30 _< 150 mg1L ' Effluent #2 = BOD < 30 mg/L and TSS _< 30 mg/L CST Name (Please Print) Sign ture CST Number Arthur L. Wegerer 00 - Z- 3 220254 Address W e g e r e r Soil Testing & Design Service Date Evaluation Conducted Telephone Number 421 N. Hain St. River Falls, WI 54022 �- �'2 -Op 715 -425 -0165 Property Owner �(� _ Parcel ID # Page Z of 3 3 Boring # ❑ Boring © Pit Ground surface elev. 1 Ob - 5 ft. Depth to limiting factor 1 b in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /n2 In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 i •Eff#2 1 0 -� IoINZ3 / -- � i i Z`Fs�k r� �� e s Z�' - s • $ uyl rt, V[3 — si 1 Z`�s ��Z m `F1- � S 1 U�' - S • g 3 3 1� `( ❑ Boring # ❑ Boring ❑ pit Ground surface elev. ft. Depth to limiting factor in, Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 ❑ Boring # ❑ Boring ❑ pit Ground surface elev. ft, Depth to limiting factor in. Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Rood Soil GPp�°" Rate In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 7 • Effluent #1 = BOD, > 30 < 220 mg/L and TSS >30 < 150 mg/L • Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608- 266 -3151 or TTY 608 -264 -8777. M -6330 (RAW) � F` PLOT PLAN Page 3 of 3 Scale 1' _p ' =L FU'ry lg I.OT U kjQ '02 bolo, �vc'towi M= e°ZL Lam LO Z. -' . CA I �g i tY"2 P n-c.T OR 1 art ► 'D- . \ i�l S1vRg Ttt1s �'(ZL•1 O a r�1 ! l� i i / �L 1or) 0'w Sp11r �Z" ft0UeGR. U �D_ fti �': StDN CF .Ft))-J-e- r-�aLt - Uj 8' 4 31y "b!A PV C: PIPS IIJ LIVTY1 - -� L p 7-42016 ' 220254 00 -c1 Z - 3 CST Signature Date Telephone No. CST No. Job NO. Wis.consin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3 Divi.�ion of Safety and Buildings in accordance with Comm 85, Wis, Adm. Code County ST�e.�jlX _ 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 Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all information Reviewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location F U l— ��D 6 t�-A3S Gaut. -Lot N1�11 /4 S W 114 S Z! T Z N R L �, E (o Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 8 Z q 1 �� l� v 3u 3 - O-S" l tv UQL, - ' P5 City State Zip Code Phone Number ❑ City ❑ Village ® Town Nearest Road - \ r u L MN SS ! B I ( ) - L PN G Z 3 b n4 S, (� New Construction Use: ® Residential / Number of bedrooms Code derived design flow rate - S O GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material G t_ CC Y TZLL Flood Plain elevation if applicable , General comments and recommendations: Yom, l k�J L"U" L(4 Or- S - PI I r , to F E Boring # Boring Ground surface elev. l� )• S 1 3T ❑ Pit ft. Depth to limiting factor n. TV placation Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDlfiz. in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. i` :. 'Eff#1 - Eff#2 is Lz. - �I 1 Z�Fs b 4z - cS t�Lttz — s t I Z s bk yy�'Fy. CS 3 lz -l� I L)LI2 31 r' -F)'p S 31'f si I z 2�0k hu. r e s _3 - i S` 2 2V!6 -�tk S -i r 31 L L��b F Boring # ❑ Boring ® pit Ground surface eiev. S ft, Depth to limiting factor I S in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 3 Z - ' C.S i Z 1 t3 Iu`12 yl3 -- Si � Z Yvl`�r C.S �v� • S - � 3 13 - lb ) o Lire- 1/13 s le- 31Y li lb -3 � �.S� e � 1 � `� lc� S � 2 31 v � 1 cSb► -t �n `F�. - . � - � S�-9A 3 I Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L • Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) i nature 9 CST Number Arthur L. W egerer OL- ll 3 220254 Address W e g e r e r Soil Testing & Design Service Date Evaluation Conducted Telephone Number 421 N. Hain St. River Falls, tdI 54022 S- 1 S -v) 715 -425 -0165 I Property Owner P��` ` i �Z.l� 4 Parcel ID # — 11A 1 ZO — q6 0 Page �- of Fa-1 Boring # Boring ❑ pit Ground surface elev. IW q ft, Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 a - l0`l'R 31 Z'Fsb1-z l�vt f -• -l? Z` - 3 12 wl'F►- C FYI Boring # ul Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor y in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /11: In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 1 0 - t04i2 -31 - Si Z` --1 6Vz !�t`FH c g Z� •S , Z -� Lod � 316 - s i � Z�'slirr ►'►�,`�►� e.S 1 V � • S • � ❑ Boring # ® Boring S ❑ pit Ground surface elev. l S - 0 fL Depth to limiting factor 1 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 I •Eff#2 j o � 7 1 O`G YZ 3l2 . 1 g 1 , Z` b� 1'✓1`F1^ C-S Z`� . 5. , , $ , .. L - t o�r2 316 - s i �. 'Fsb k h��� �� 1u.F- , s 3 12 -LS tD`'1231 SKQ 3 V S11 � 5 b k MF` • .$ • Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L • Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608 - 266 -3151 or TTY 608 -264 -8777. SBD -8330 (R.6100) I Property Owner P�� 12 l�R Q Parcel ID # coo — 1D& 1 Page Z of a Boring # Boring pit Ground surface elev. )V1 q ft. Depth to limiting factor Z in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots I GPD /ft In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 "Eff#2 D -7 t0`i. R 3IZ — st Z'Fsbl-c l�vlr- CS Z� S - � -�z Lu�Ry13 f ,, - sty Z�s k mfr �.s 1v� • s -8 3 1 z -Z`� �•Sy /6 l� S �!(L 3l eSbk m•F'i- - • - S � G 2Z F-Y] Boring # Boring pit Ground surface elev. t 3 ft. Depth to limiting factor y in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 •Eff#2 It,4P -- - 3 l z — Si � - L+: - 6 V rh�- CS 1-�p • S , $ Z - ti Lp�i tZ 316 — si 1 ��'sbk v>7,`f1- eS 1 • S • � Lt7- 31;6 S 1 R 3 I Y MI F -1 Boring # ®Boring s Pit Ground surface elev. 1 S -� ft Depth to limiting factor Z in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots . GPD /ft In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff #1 "Eff#2 0 - 1 z, YL 3 tZ `• S l L` b1z YVI `Fh C S Z`� S • 8 Z - r -LZ tl�)'JQ- - sib Z�gbk hjJ IU4- °s -� 3 1z —LS tDl -tTL 1 �1� S 3I sib Z�'s4, �`�, - •S •$ Effluent #1 = SOD, > 30 < 220 mg/L and TSS >30 < 150 mg/L " Effluent #2 = SOD, < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608 -264 -8777. SOD -8330 (MM) r, Wisconsin Department ofCommerce SOIL EVALUATION REPORT Page 1 3 Division of Safety and Buildings ' { in accordance with Comm 85, Wis. Code of Adm. . . Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County ST e 1 :Z431. X Include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. 008 -) Q 6 Please print all information Reviewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location FPru L I�QvD�tZ6 G04 -Lot_ NiQ1 /4 SW 1/4 S Z T Z L N R a $' L 6 E (o Proper rty Owner s Mailing Address Lot # Block # Subd. Name or CSM# 8 Z 0 1 laltLU�� UE, 2 SM ) XJ \)OL iq Pq L4 City State Zip Code Phone Number ❑ City ❑ Village ® Town Nearest Road W S -� w , NJ I SS ( 3O New Construction Use: ® Residential / Number of bedrooms 3 Code derived design flow rate _ �! S 0 GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material G L W - rl LL, Flood Plain elevation if applicable Iy R ft General comments and recommendations: VJ/ q rx S p` 1�t STS aV`n (vJ d-eZ.0 _ ZQ�_ iO3 -o' D Boring # ❑ Boring ® Pit Ground surface elev. 1 ft. Depth to limiting factor �Z, in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ tz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 ►tit,'- Z 7 - 3l 6 3 1Z - 1 b 1 -IR3 1 S`i t - 31Y -Si I Z-� sbk rvt'�,- e S _ • S ,� _3 - s Y!6 � 1.�. S� rz 3ty a Boring # ❑ Boring ® pit Ground surface eiev. O O • S ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 I"rz.31 Z — Si 1 Z4a6 T, `�• � - Z�' -5 • $ Z - Io`lr2y[I — sit Z�S6k hi `Fl CS IQ -S - 8 3 13-110 JbVQ 3 �l S`�2 3iY Si( Z`�Sbk hi f1- CS SKrz s tt`pore t~ 14-T Zo Effluent #1 = BOD > 30 < 220 mg/L and ,TSS >30 < 150 mg/L • Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) - ignature CST Number Arthur L. We e g rer ,�. 01 -113 220254 Address W Date Evaluation e g e r e r S o i l T e S t i n¢ & D Conducted Telephone Number D esi gn Service p 421 N. Bain St. River Falls, WI 54022 S- 1 S —L1 J 715 -425 -0165 PLOT PLAIT Page 3 of 3 4 Scale J 3 3 5 ( oa N 0 1 .o �l�`[U�II `T2fiZS Pry I ,l �, SIz �,:f�z o' o 8 "t�3r'ptA_ = ci1_ PE .- 3 Q�lt1 �S =3' Ori!• 1_�� lt?..tl�J p! _ LuT C_0R7JLs2. - -- 0 715 -425-0165 220254 p� _Z 3 CST Signature Date Telephone Ito. CST No. Job NO. PLOT PLAN Page 3 of 3 Scale 1' c- otircov� fit . ►ml.. o ,o � . `a01Z�► 0A- d -CLL Lc3T L V '� t l p 6 \ r6 0 I N fJ N� WX / i - — � / � � 'NUZ' C.�1►` -LP RAT' OR 3 �lSjtil�p `rtfZS 7 J _— - �_L 6��'_ov= S�ltii.E.�'E_ �`.�LB �1EGS� - ►�:Y Iry �c��� I -IaF�Z 3 QIii 3.'_on1'. a 715- 425 -0165 220254 2.1 I of - 1�3 CST Signature Date Telephone No. CST No. Job No. • "� SAFETY AND BUILDINGS DIVISION Field Operations Bureau 13 East Spruce Street INSPECTION REPORT Chippewa Falls to 54729 N V Iscons i n www.commerce.state.wi,us Scott McCallum, Governor Department of Commerce Brenda J. Blanchard, Secretary Date of Inspection: June 18, 2001 Plumber Name and Address: Unknown Project Name: Pendergrass Property Use: New Residential Legal Description: NW, SW, 21, 28,16W Site Number: Certified Soil Tester Name and Address: Subdivision: Lot 3, CSM Vol. 14, Page 4020 Arthur Wegerer, CST 220254 Municipality: Eau Galle 421 N. Main St. County: St. Croix River Falls, WI 54022 (715) 425 -0165 Plan Transaction Number: Sanitary Permit Number: NA Owner Name and Address: Paul Pendergrass Wastewater Flow: 450 gpd 829 Allen Ave Persons Present: R. Eslinger, K. Grabau, W. St. Paul, MN 55118 and Mr. & Mrs. Pendergrass (651) 224 -7902 This onsite investigation was prompted by a county onsite verification at which time very high levels of seasonal soil saturation (free water) were observed in shallow excavations on the property. These observations were made in one of the highest areas on the lot. CST Wegerer reevaluated the soil and site conditions and proposed a new mound location slightly up slope of the original site. One soil boring was evaluated in the area of the most recently proposed mound system. T -1 A 00 -05 10YR 313 sil, 2mgr, mfr, cs. AE 05 -07 10YR 3/3 and 5/3 sil, 2mgr, mfr, cs with f1d 10YR 5/6 redox pore linings. E 07 - 12" 10YR 5/3 sil, 2msbk, mfi, cs, with f2f 10YR 516 and 6/3 redox conc.& depletions. Free water at 7 inches and very moist above. Other soil borings and areas were small trees had been dug out were literally filled almost to the surface with water. These conditions were located only a short distance down slope of T -1. Soil conditions at this site are not suitable for any type of septic tank -soil absorption system due to a very high level of seasonal soil saturation (less than 5 inches). The level of saturation was observed as free water and as redoximorphic features in the AE and E horizons. The redox features observed in the AE horizon were as iron concentrations lining small root channels /pores. Both iron concentrations and depletions were observed in the next lower horizon. Both conditions are indicative of saturated conditions. The redox features were not outstanding or easily observed in the soil profile and thus it may have been possible for the CST not to see these contrasting colors under certain light conditions. The CST did report redox features as shallow as 12 inches in his May 15 report, but the depth of those conditions would have qualified for a mound system. The only option for this site is to conduct soil saturation observations pursuant to Comm 85.60(3), Wis. Adm. Code. This would be in addition to installing drainage tile to lower the seasonally perched water to an acceptable level. This option may take several years to be completed depending on fall and spring rainfall amounts needed to qualify for a normal recharge period. ,T eFox C'*UNTv ZONING OFFICE June 18, 2001 n �" Pendergrass Site • Page 2 of 2 If there are any questions regarding this report, please contact me. "_ �'Z4�A_ Ler G. sky stewat r Specialist 0 Ljansky @commerce.state.wi.us E -mail 715/726 -2549 Fax 715/726 -2544 Voice cc: WCounty ❑ Plumber ® CST ® Owner ❑ Other SAFETY AND BUILDINGS DIVISION Field Operations Bureau 13 East Spruce Street N v i INSPECTION REPORT Chippewa Falls, to 54729 www.commerce.state.wi. us scons n Sett McCallum, Governor Department of Commerce Philip Edw. Albert, Acting Secretary n� y° Date of Inspection: October 31, 2001 Plumber Name and Addres NA o Project Name: Batho Property F D Use: New Residential Legal Description: NW, SW, 21, 28,16W Site Number: Certified Soil Tester N "I _ nd r ": 2001 Subdivision: Lot 3, CSM Vol. 14, Page 4020 Arthur Wegerer, 22 �Rax Municipality: Eau Galie 421 N. Main St. oO River Falls, Wl 54 2 7ots County: St. Croix s tM�aFF ` (715) 425 -0165 Plan Transaction Number: NA Sanitary Permit Number: NA Owner Name and Address: Arthur Batho Wastewater Flow: 450 gpd W 1579 330th Ave Persons Present: A. Wegerer Plum City, WI 54761 (715) 647 -3066 This onsite investigation was requested by the owner for the purposes of reviewing soil conditions under a potentially more favorable condition than those encountered on June 18, 2001, when the original visited the site. Certified Soil Tester Art Wegerer met me at the site. Soil conditions at two different locations in the NW corner of the lot were reviewed. In addition, one soil boring was dug at an elevation about 5 -6 feet down slope of the tested area(s). Based on my observations during this investigation it is my opinion that my conclusions of June 18 are correct in that soil conditions are not suitable for a mound system because of an unacceptably high level of seasonal soil saturation ( <6 "). It was also apparent that conditions are variable across the property. At elevations 5 -6 feet lower than the tested area, redoximorphic features (iron concentrations) were easily observed the A horizon. In the north end of the area tested by Wegerer it was more difficult to observe the iron concentrations, but a few were noted in the AE horizon and both depletions and concentrations could be readily seen in the platy E horizon directly below the AE horizon. The A horizon was generally 5 -6 inches thick and the AE horizon 1 -2 inches thick. In an existing soil pit near the town road and road ditch conditions were better than elsewhere on the lot. However, the available area is insufficient to install any type of system at this location. The range of conditions at this site leads me to believe that modification of the soil's subsurface drainage characteristics is possible. If a soil saturation determination, pursuant to Comm 85.60(3), Wis. Adm. Code, is conducted after completion of a drainage improvement project the level of seasonal soil saturation may be expected to be low enough to allow mound system installation. Prior to observation pipe installation and drainage modification the soil tester must submit a proposal to both the county and department for review and the owner must allow county and state access to the property for inspection purposes. The soil tester should establish a 150 ft contour length and concentrate observation efforts up slope of that line. Four to six observation pipes will be needed to adequately monitor conditions. I recommend CAREFULLY filling in the many small pits on the site to limit entrapment and injection of surface water directly to the subsurface within the area being tested. Contact the county, the soil tester or myself regarding proper filling of these pits so as not to destroy favorable soil characteristics (e.g. good soil structure) by compaction. Satho Property October 31, 2001 I Page 2 of 2 If there are any questions regarding this report, please contact me. roy G. onsky, Pr4fessionaltoil Scientist Wastewater Specialist Ljansky @commerce.state.wi.us E -mail 7151726 -2549 Fax 7161726 -2544 Voice cc: ®county ❑ Plumber ® CST 21 Owner ❑ Other I� ' Leroy G. Jansky INSPECTION 6abp &R44 h A- �o Department of Commerce Safety & Buildings Division C� \� REPORT 13 E Spruce Street Chippewa falls, Wl 54729 Inspection Date � , (715) 726 -2544 Name ofPremises Legal Description 644V41-Township County i t " � �•- �l��.U:�.. S i� c:: f2£� tX Master Plumber Name and Address a Master Plumber Firm Name and Address Plan I.D. No. [ Sanitary Permit No. rfSoil Tester Li ensed Person's Name(s) and License Number(s) - - _ ,. ,G1Q SOL -- ..... Owner's Name and Address AS7 G�b -. - - cEV� /���" V.f%t/'� ;? 3i +tN,�. k 7.. w/ CuuN 1 N.�.•._ f P uk 1 4 Mr E l 4- t4�117 art. 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('l�vla.1 X 14,0 j 4t ?AA� N67 /'� ` ;LlJ% , 7 7 - IS 15 %chi :� r.#�t i°�- '� `. u, ; reu¢� _ l Dual L i✓ 61 f.40, Page Of _� Signature of esponsible Licensed P (only one needed) SignatGre of Plumbin ons ant/Pr' a Sewage C k ultant Co to: Check all l p Original: that applyl 1 c C 4 Pj �iQt� Y > 04i# .Q � ,4 � r. ,G�� '��-Q6 1 ,� ��, {thgr '" - k , 44k;.:. a} i#}#, 1;:.#+;♦}. t};;; t%} f'# i' ffYS f; }at +i; # # +,4tt. ;# # # # #4}.3 } ;}`V IYs}Y ? }S}+ ,♦f4y9t1} ±.'f ;a. - Raw Wisconsin Department of Commerce SOIL AND SITE EVALUATION Divisi6n of Safety and Buildings Page of Bureau of Inteiarated Services in accordance with s. ILHR 83.09, W' _ 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 �, t✓1�dt percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. # APPLICANT INFORMATION - Please print all information. d-by Date / Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). - (0 / y Property Owner Property Location Govt. Lot 1/4 1/4,S T N,R E (or) W Property Owner's Mailing Address Lot # Block# Subd. Name or CSM# 3 City State Zip Code Phone Number ❑ Ci g Town Nearest Roao, ❑ village ❑ New Construction Use: ❑ Residential / Number of bedrooms Addition to existing building ❑ Replacement ❑ Public or commercial - Describe: Code derived daily flow gpd Recommended design loading rate bed, gpd/ft trench, gpd /ft Absorption area required bed, ft trench, ft Maximum design loading rate bed, gpd /ft trench, gpd/ft Recommended infiltration surface elevation(s) ft fasreArred to site plaA benchmark) Additional design /site considerations Parent material Flood plain elevation, if applicable ft S = Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank U = Unsuitable for system ❑ S ❑ U I CIS ❑ u ❑ S ❑ U I ❑ S ❑ U ❑ S ❑ U ❑ S ❑ U SOIL DESCRIPTION REPORT Boren # Horizon Depth Dominant Color Mottles Structure GPD /ft 9 Texture Consistence Boundary Roots in. Munsell Clu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench l 0-(. 1 o e, 3 - ---- 51 l FA C Ground J9 z' 5 712- 4 - 4 S 2 S 8 S ^ G a << 40 roll u ns elev. Depth to , limiting e� 3 ✓S ors( 1 factor in. Remarks: Boring # Lj Ground elev. ft e) ct Gl � S r^+ f w.. Depth to ( limiting factor in. Remarks: CST Name (Please Print) L � V Y- — ignature 4 w i Telephone No. CL S r�nF2. 4 f g t w Address Date CST Number Wisconsin Departmtrnt of Commerce � /61 Division of Safety and Buildings SO {L AND SITE EVALUAT {ON Page of Bureau of Intggrated Services in accordance with s. ILHR 83.09 r Attach complete site plan on paper not less than 8 112 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I. D. # APPLICANT INFORMATIAM - Please print all information Reviewed by Date Personal information you provide ma be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Loli on f kTyc" Govt. Lot 1/4 1 /4,S T N,R E (or) W Property Owner's Mailing Address 7 Lot # Block# Subd. Name or CSM# 3 City State Zip Code Phone Number ❑ City ❑ Village T91 Town Nearest Road ❑ New Construction Use: ❑ Residential / Number of bedrooms Addition to existing building ❑ Replacement ❑ Public or commercial - Describe: Code derived daily flow gpd Recommended design loading rate bed, gpd /ft trench, gpd/ft Absorption area required bed, ft 2 trench, ft Maximum design loading rate bed, gpd/fi trench, gpd/ft Recommended infiltration surface elevation(s) ft (as referred to site plan benchmark) Additional design /site considerations Parent material Flood plain elevation, if applicable ft S = Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank U = Unsuitable for system El ❑ U El ❑ U EIS ❑ U [Is El El ❑ U C] S ❑ U SOIL DESCRIPTION REPORT Bonn # Horizon Depth Dominant Color Mottles ure t GPD /ft2 9 Texture Consistence Boundary Roots in. Munsell Qu. Sz. Cwt. Color Gr. Sz. Sh. Bed , Trench , LAO k Ground elev. f 3 lT — �l� Depth to limiting factor in. Remarks: AM IV Boring # r ply 141, ; d . s e✓ s �� Ground elev. ft. i Depth to limiting factor in. Remarks: CST Na (Please Print) Signature Telephone No. ° Address t :� $ / / �� O � ber—, " A';,.iwnsin JDepartment of Commerce SOIL EVALUATION REPORT Page of bivisioh of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code _ County Attach complete site plan on paper not less than 8 112 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all information. Reviewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location Govt. Lot 0 kJ 1/4 54x/4 S T Z N R f6or) W Property Owner's Mailing Address Loo Block # Subd. Name or CSM# City State Zip Code Phone Number ❑ City /❑ Village Q3 Town Nearest Road ( ) is c" Ga,l n flow rate GPD New Construction Use: Residential / Number of bedrooms Code derived design ❑ Replacement ❑ Public or�° mmercial - Describe: Parent material r7:t :Jk :::& l _ Flood Plain elevation if applicable ft• General comments and recommendations: a Boring # [Boring Ili pit Ground surface elev. ft. Depth to limiting factor in t1 I lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 `Eff#2 O-(o t Q 312 2 uqj r_ �t u 7.s �J� z�( s� I s�►� B !g" �k�o loaw. 11 a fa b Ar a� 60- t4 � b Boring # pit Ground surface elev. ft. Depth to limiting factor In. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 *Eff#2 T d 1 lid V44?- 44( 1 lllwmi2i &' 1, * Effluent #1 BOD > 30 < 220 mg /L and TSS >30 < 150 mg L I " Effl ent #2 = B 5 < 30 mg /L and TSS < 30 mg/ CST Name (Please Print) Signature ' . ` � ( T N)jn'ber umber Address Date Evaluation Ccoducted ( Telephone N MAY- '22 -0,1 - 03 :07 PM P.81 1 - WEGERER SOIL TESTING and DESIGN SERVICE SOIL TESTINg - SEWER SYSTEM DESIGN -- pfd 8� ATTN • �.�_ DATE S 2 ( 0 L'J V SUBJECT: THE FOLLOWIN tTEMS ARE ENCLO 0. OF DESCRIPTION COPIES S G I L i"'U Al, V SENT TO YOU FOR THE FOLLOWING REASONS: v FOR YOUR USE FOR REVIEW AND COMMENT INFORMATION DESIRED ►'� v �z-C `Ro rzt �G� , wiov,� s, E-o �� Go v P 41 Qc h� S4( t�!Z - TL lit) S s 1UQ I ZZ MbS U LL C3b�Z� ry U I T OM 3 %rnP • � 1�N l.� WEGERER SOIL TESTING AND DESIGN SERVICE F.O.AOX 74 421 N.MAIN ST. RIVER FALLS,WI 54022 PHONE 715 --425 -0165 MAY-22-01.03".07 PM P.02 r a • inns ►n QypaRrnoM eiCemm.rce tOIL EVALUATION REPORT L 3 - Q�"ISlon of Safety and Buildings Page of In accordance with Comm 85, "s. Adm. Code Attach complete Site plan on paper not leas than a 1/2 x 11 Inches In size. Plan must County Include, but not limited to: vertical and horizontal referanCe point (SM), direction and percent Slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel 1.0, P/aase Print all Informatlon. Reviewed by Date Penbnal infannaNCA you provide may be used for secon4sry purposes (pAvaW Law, 9. 16.04 (1) (m)). Property Owner Property Location FP'rU L �� 6 3 -5 GOA-L&t. IIZV-1114 SW 1/4 S Z! T N R Property Owner's Mailing Address Lot # Block # 1 Subd. Name or CSM-o ►4I-�� AtU�vue 3 - c_SM DU VUL. N �3 4oz.o I fate )p code PhOAG Number ❑ ci ❑ Village ® Town Nearest Road �c,.r„ti• o T�' sue. ® New Construction Use: 50 Residential / Number of bedrooms Code derived design now rate _ (4-SID QPD ❑ Replaeament ❑ Public or commercial - Describe; Parent nraterial G l..YN Y�- L .'T'1 LL, Flood Plain ilevatlon if applicable ^,A A e General comments and f4o0mme ndetlons: V"1U � thll S 17t STtigT6tj' '1a0j VII. Iry 1► U w! 2,q or- S At� FILL Qft) - Bonne # ❑ Boring ® Pit Ground surface elev. 10 �• S p, bepth to Ilmidng factor (n, Soh Application Rate Horizon Depth Dominant Color Redex Deeaiptlen Texture Structure Consistence Boundary Roots GPOW In. Munsoil • � Cu. Sz. Cant Color Or. Sz. Sh. 'EM#1 'EIM it R' �%& Lz. - 91 Z'� h1'�1►- C-S Zs' . S .1 3 11 171 l U -lrt 316 5`i t 31 si I Z. P dr w1. • ' • S>r'"�Pt � Pr•� Z2 " Fifl Boring fi ❑ Boring ® pit Ground suAeoe eiev. L 0 0 - S tt Depth to Umltlnp factor 1 3 In. Soil leatlon Rate Horizon Depth Dominant Color Redox Description n Yextura $Inledue Cons(stanCe Bou ndary Roots t GPI?fi= I Mansell Qu. Sz. Cont, Color Or, Sz, 8h, 'EftN►1 'Ef8U2 0 - l R J 17. +t^ s1 Z'�- b k wi S $ � z� S s1 3 m'f >r cS l��' • s - 8 3 13 -16 1 D R b -PL•F S -M 3 3l l -S -� lb -l1l SKe �!(, t� S�rz 3l�/ �- 1 c.Sbk M`F S Z 'r Effluent ri1 ■ 600 a 30 a 220 mg/L and TS$ b 41110 melt. ' Effluent 42 w SOD,! 30 mart. and T89 a 3e mdt CST Name (Pl.rtas Print) - Arthur L. WeRerer area 01- �t3 220254 r Address R e g e r e r Soil T e s t i n & Design . S e r v i C e Date Evaluation Conducted elephone r 421 U. pain St:. River Falls, WI 54022 S- 1 S -01 715- 425 -0165 MAY -22- 01.03:08 PM P.04 y PropertY Owner Parcel ID 0 cos - 1061 _ ?-0 p 0 P Z Boring ff Baring gs of 3 Pit Ground surface elev. 100 (t Depth to Umlting factor Z in, Soil l"eaf"y' Rate Hartzog Depth Dominant Color Redox Description Texture Structure Consistence Boundary ;Ro"9 GPD /ftV In. Munestl Qu. oz. Cont, Color Gr, Sz. 9 h. • Eff#1 'Effr112 0 - 11�y. ti 312 5 1p R y1 1 U • S -� 3 tz -Z'f S yfL /6 t rL .3t c wlff - y S ZZ� © Boring # 131 Baring . ❑ Fit Ground surface slay, IL Depth to limiting (solar l yy In. Norlxan Depth Dominent Coivr Redox Description Texture Structure Consistence boundary Roola Sol Ilestlon b GPDRI; In, Munsell Ou. Sz. Cont. Color Or. Sz. Sh. •Efwl •EHIN1 9t � �'�'Sbyt �S 1V� • S • � 3 1 11 Iri Lip— 31b ® Boring r Boring ❑ pit Ground surface slay._ - S 0 ft, Depth to ilmltlng factor leatt Hprizon Depth Dominant Color Redox Desorlplion Texture Structure Consistence Boundary Roots OPDVtN In. Munsell Cu. Sz. Cant, Color Gr. Ea. Sh, •StYrltt o C _� 1 o`t R 31.2 — j 1 Z`�'9 b►t: hr1 `F f- Z`11 • S - 8 Z � . t-Z m 316 — 5 i ► Z�{' abk h��i- � � l - 5 4 3 to rz,l 1 %4 S t y g i 1 �'sb Vvl`� • S , I lk I " Effluent 01 = BOD > 30 220 mgd. and TSS b-30 160 mglL " Sflluent #2 ■ BOD 30 mg/L and TSS < 30 myL The Department of Commerce is an equal opportunity service provider and employer, If you need asslstattee to 000etis setvloes or treed material it► an alternate format, please contact din department at 608 - 266.3151 or 77Y 60$ - 264 - 8777. csasuotlt� . MAY -!22- ®1'63:08 PM P.03 PLOT PLAN P aSc 3 Of ' Scale V -30 ' .AA CahttvuR !�, X03.0'': � C \e� 6oZ WT . 3wi* 3 �Jg��11U / ti i 0 r` N eH t1-Z r C4K? AdrI O R 6-1 J mow► � ' :.k.L':. a:o o s. kE'_ — �z=L� — . • o i S. Z,t.,p � 715 -425 -0165 2 20254 CST eture Date Telephone Ito. CST No. Job N0. e Te] Wisconsin Department of Commerce SOIL EVALUATION REPORT Page I of 3 Divilion of Safety and Buildings • in accordance with Comm 85, Wis. Adm. Code • Attach complete site plan on paper not Less than 8 1/2 x 11 inches in size. Plan must County include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D. C percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all information Reviewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location � per H-o Gent -60t )-3VJ 114 SW 1/4 S Z 1 T 18 N R l b E (or nw Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# L-) L S 9 320 I A} j E . 3 - �z-c� �? o S �'� C-S wl Ciiy State Zip Code Phone Number ❑ City ❑ Village ® Town ' Nearest Road ►" C""f I,vI I 5 4. - )6) ( I LS ) 6q( - ' EPsv GI LL Z30 ` ST. R New Construction Use: [g Residential / Number of bedrooms L 4 Code derived design flow rate 6 Ou GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material CGI P t pr(, L L Flood Plain elevation if applicable iU 1� ft. General comments and recommendations: M cti . 1.. OF FcLt__ a Boring # ❑ Boring ® Pit Ground surface elev. c l o[ - 'CJ fL Depth to limiting factor � : in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Z -t`7 1p `� 4/�3 — Si) Z Sh C S \L \)i 3 1 -uu -2•sLYz VA ''P'Lc9• L oti,-, y4-f2.' •3 .5 D Boring # ❑ Boring ® pit Ground surface elev. VZ \ , S ft. Depth to limiting factor 1 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 C)- \,o Li uZ 3 L Z -�� to 72 31L - s t l Z�s� lz vvL �S lv -S 3 11 -3 Kr? VA 5`2 3 l L 1 es Y q'f - • � - b ' Effluent #1 = BOD, > 30 < 220 mg/L and TSS >30 _< 150 mg/L ' Effluent #2 = BOD, < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Sign lure CST Number Arthur L. Wegerer C) Z_ 3 220254 Address W e g e r e r Soil Testing & Design Service Date Evaluation Conducted Telephone Number 421 N. Bain St. River Falls, WI 54022 q -IZ -OO 715 -425 -0165 Y Pcn4O � lN G Property Owner Parcel # Page Z of 3 Boring # ❑ Boring © Pit Ground surface elev. I (3 - 5 ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 10`t NZ- 3 / — s l S Z -1� >C)\ R y 13 — a l l Z` Y►'1 �S 1UP -S •E3 3 l� 3y Sy2 �A `FI& S'1 3%y L a Boring # ❑ Boring ❑ Pit Ground surface eiev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 'Eff#2 F-1 Boring # Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soii Application Rate Horizon Depth Dominant Color Redox Description Texture Structure I Consistence Boundary Roots GPD/ft' In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 •Eff#2 I I " Effluent #1 = BOD > 30 < 220 mg /L and TSS >30 < 150 mg/L • Effluent #2 = BOD 130 mg /L and TSS < 30 mg/L i The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608 - 266 -3151 or TTY 608 -264 -8777. SBD -6330 (R6/00) PLOT PLAN Page 3 of 3 Scale 1' _ Ltp FJ`N 1Xr UKA 0 2 \ �� - b0 ►JO}` 0--� P 'MT o2 � Qls1URg r3r� � 1 v �fi19 �- �ZL3'�1 o �'3U�. 31 "D tA PVC pIP�- - l2-UO 715- 425 -01b5 220254 CST Signature Date Telephone No. CST No. Job NO. ♦ I •28N " R 1 Eau W 019W Cloud Conalpaphicr. 1-. Sr Claud. MN 5630. SEE PAae 38 � Gerald & 1M RR Daniel • peY • � • 60 BALDWIN Charles 70.4 • 9.7 9.7 77 • Petesm • •M ll �5 40 IO0u B Marvin • ichola 96 Mary Ann 36.4 • fluke 9 R Solum , Carey Anderson Peterson James &Sharon Arthur Donald � � WOODVILLE Zillmer Kerr oa NeEO Widiker 63 Jon Timothy 40 Jen &Judith • e wad np 35 n r Alan &Anita 120 � 76'4 140 Moulton 90 &Pamela 100 Dean gg Trust Rodel Dawn 6p 1 Dennis & Justen rrwr* rp I t I Stave Dobrenz • 3 Anderson . Christine • .. Larry • e.r..+.kr�a z z Jq ak..*a • ;u. w„a 5 • G D & 21 CSolstad 15. • • eT� TL 95 Snbda VanRiper 66.2 • • 151.8 Dmt Hillstead Harvey 94 e o 30.5 Birkett 1 - MP . &Badrara . Halderson 54 1, 17.7 to : 210.5 • 137.3 14 7 94 Donald &Judith 21 0 z 68.5 z ` 8 . 2 4p Robert & Richard Michael & ]oy 1 &N Mklke 16: David &Trudy saw. �! a a e eg Arthur Trapp r g 0 w s.z 3= el 148 Tcrgerson z ostlie 94 • • �n si • Reinsch 87.7 tt J "` • 60 yep xx i Roruld V Richard Eugene anet Mid Carl lr 3 R^nala Mid-' Terry• • G 4 t[. : &loan & • J t�K >,i &Debre SM • ash,ary &Olive &snamn Glenda &Lyle Laurence Greg 9 5q lz.: sohota crlde Euiin 1- Ieebink P 36.7 s,..e Lund • Vandien• &Mary 80 80 Terpstra a0 • 36.'z W ertz 39�,.. J 4o etal 46 .�30n &Nancy Jacobson• • p wa lerome • • Harvey C+ pavid • Makrylr 60 6ss &Marvell 4 lzo.s Peterson & Nnla Moll 'Chris &Arlene Donald . 2 Larson &IoYR wager . G • C ' a Wynvee T &p Moni<ken olson Wangen &ludith �_ 159.5 & Darene Estates 266.9 44.7 Serier 1cvtM ZO • 1 SR.B 40 78 Rodel • 74.7 Jacobson 1 G /'� Randy Sandra 'i Arthur J RB 74 . Donald & Davia 1 ' S ulie wood & >e • James &Elinor Roquette c • ng Carton C&C Harm J -ger Re ° - Wilma • : a. Margaret • Nelson • 0 Lelah m Gera M 158.7 R & Kevin 72.5 Sevier Schwab g a.7 Si1eg : Johnson 120 K1Oefn ^8 Fam 60 � 9.4 R car x a M ,r ; 3z • N 154.8 Trust a c 61.2 117 40 •� • 150 • i 80 Hag n �i ¢1t5 80 00 60 • Z 5 19.7 0 • • • 1 w • • � � • N i9 • • R &D Lee M 1 • 70 Roland i Tet(md �" tin Trtnothy • victor & Rar�dy 50 2° Kevin Janet Lund • 40 �: N a Mann a & Sylvia Everso 60 1. <roening J i on 47 60 lie ��76 . sanavig 73 Elizabeth • a o -T u 572 an • 54 Trinko oar�e pa los 102.6 M ie a on 38 O ' . William & i c Lee 98.4 Elmer • °�� Blo a x6ra • • 2g o : Jean Peavey C7 142 Eerier sr • 14 Mac to Rasmaseen sal 14 ' 2U • O • 152 • John • 80 • Moller 3] ,ve.zm DK7 rr • • C - • 1 .9 Ion a B, Gloria Ra^dY R • cams Phillips • __ John De Farm a Glen & Herma er*Y 40 62 th Leer and • 140.5 oM zi • � Ch 39 tz z Hensley Johnson • Dennis Duckworth Pe 4^as :+ 9 N 45 • 'W41 Be Robert & Donald Roy & Lyle Brian y30.4 & Alice way'• a a25 • 3 • 40 No & Rebecca s.9 Kunberly Roma 100 saamgatmer 77.8 S0 Earl &Mary 40 & Shelk • 69 bsePKirie Ku" True • Hei Larson "enPe[e • 116 G d " u • Bertelson A °"g & D- 74.5 g 79 32 35.1 40 40 • • • 4o z Giezendarmer 76 • 36 a • so swnwn m • Fldoo • Bruce • • Ta 40 • Town Marvin 18 i Bran[& - n • IRirlard R •„�, Gary • u"3 Leslie &Karen R� g LE R & l to Peter g • j of Eau & B Paul & 14.6 • 102.7 �y N ela� • _ •,�!,,, x5 c da[aa c as 1005 C 1° En - Duane T Gaue Ja • 3 d !D 38 co a .• l racson 40 &Lucinda Stene George •36.5 40 P P S : la Wdh m 32.7 • `Garland 40 x • J E Ramhrrg Bauer & Grace David Donato & )r & Ran" & &Sharon u ABUigtson Ten Lee �P 4] ,y 6 Tamara a &Tac T& • 100.6 Lokken Hansen q„ -o • Fre e • g 815 • o Ramberg wm6erg r 142.5 • 40 40 77.5 • 4o etal 240 1 � 40 • • b 1031 1 reat am e r Thomas g a, & • 3A Thomas & • ethern so • Jo Clark Batho & Jon I . alde F trivia 41 = �''�^ • MKnete A Casey Qn 131 m t • 96 75 Ellefson o . . 80 • ' 3z Dry 110 74.g James & s g0 2W John & r Chris &Dianna 'I John ilorow 80 Donald Jon Johnson Rickey & 5 4 Linda Wayne & ' e 90 Walter & Thomas & lanes Marilyn 2 `e Sandra mER10 Euefson J acobson Dittman alna Lee 80 c Sturtevant Josephine . TH• ,Ra o • Kusilek ,.c • Larson • Larson • D • 45 p F • 80 Albrigtwn 80 8 •. r Fenst[a • N r 4DOnald s a.00M • • 5 Orville RC 13.2 au s 1 &IP J &IL ? • Tracy & 49 • Scott & Q+erles Larso oolong. &Darlene • x • • 01 la., Trudy Bentley 31 Gerald Larson Lien 1 • Helgesat K0 'eh Kr sNn • 30.7 60 •Rev Lg 46 Berkseth Kevin & Verlyn &, m• • s2.s DewiB Delmar &Jean 120 Kielmey, • Robert Io • R Wmel �.a Trust & Kay 59.43 Barbara Patrida Brian Zieba Mary 8o &Ian Donald & Hovde Falde 120 • & Pe Steven I Gedatus Fu ate t, mat x i"R`r • e 10.6 Larson 8gY . g lvn &Manshk. C&N m 29 Witbam • L uc "' Douglas Lynum *. 2 190.5 Or 74 Lyle &Sonja 95 N ^u• 246 & Elena Quarn 2 • Werner .A :• Orville • • Ted I 1 115 DJ6un Sco ,p Gunderson Mel- • °%i 10 • & Darlene B Zzl s. 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F 62.7 99.7 32 66.4 Leonard Randy Steven & Jon hrthw Ames Irvin 6� 3g • Bruce & Judith Wolfe rimes a �' • Brooke o p & ge„da Baines s1.5 ) &Doreen Anderson • Kenpal '�'• 100• •off Vanasse M 8 g0 Family Trust Kent & Ann Merth Marjorie g s &I L u.5 Keck 75 120 •Peggy w 40. Rud Rode 80 40 : g 2 & M esill Gibbs aaren<e y = i st ° 80 Richard R Ander g o & Harry & Audre A a a • w r 110.5 N Marsh rY- R • T�rty B 40 sw aenwlen Btue . x' "' • �C A • °seP kR,ren• Jeremy t� r� o m 3 z •F P g m o • 3 40 • rr • Lansing • 4° 80 •a 3, : & T Namphrey Johnson 2 139.2 0 2100 2200 2300 2 TOO PIERCE COIJIYTY 2500 2600 i Stampings • Subassembly f � o opt ~"c Phone: (715) 698 -2471 Fax: (715) 698 -2335 JACOBSON INC. MUNS 1860 10th Avenue l Baldwin, WI 54002 SONS TOOL INCORPORATED (715) 684 -4600 460 THOMPSON ROAD WOODVILLE, WISCONSIN 54028 20 Walter & Greg Jacobson ' T.281Y. • K. l W. t � SEE PAGE 39 � "'' � 01 999 Cloud C.—,g phj , Inc Sr. Cloud MN 56101 m BALDWIN In 60TH AV •• 63 � • B 80TH AV WO 6ILLE SSTH AV 94 98 •• ° o` � B 9 4 3 • N 94 O SOTH AV • • ` AV N 47TH AV A • 7 4 :• SANDPIPE LN y 9 46MM 10 1 1 12 ,� Ru z m N 42ND AV o <° N • 40TH AV • • • • 3380 AV 1 17 16 1'•- 5 ---• : 14 j d• AN • LN 32NO AV N • • mo o ° 30TH AV w • t N e a` 19 r 20 AV l i 23RD AV 22 t : 2 • $ '~" 20TH A y 30 29 28 15TH AV 27 ••� 26 • 25 •• 12TH AV i • o 10TH AV • • 10TH AV 4 - 63 • d 5TH AV 31 32 33 � 34 � �g • B J 2770 BEI PIERCE/ST CROIX RO 2100 2200 2 00 • PIERCE/ST CROIX RD 2 00 PIERCE COt1tYt7 2500 2600 VILLAGE BAKKE EXCAVATING TING A 3 • EXCAVATING • TRUCKING • GRADING V c COMPUTERIZED PRESCRIPTIONS • SEWER SYSTEMS For Your Record Keeping Needs • TOPSOIL •FILL* GRAVEL We Honor Most Insurance Plans HALLMARK CARD & GIFT SHOP FREE ESTIMATES RUSSELL STOVER CANDY Monday- Friday 8:30 -6:00 �" CRAIG BAKKE Thursday 6:30-7:30 Q4A&k 684 =3583 Saturday 8:30 -5:00 Sunday 10:30 -12:30 (715) 684 -2674 ��• 840 Main • Baldwin, WI 10 /tQ ATLJ A \/ AAA niwrrw. T Wisconsin Department of Commerce SOIL EVALUATION REPORT Page )i of 3 • Division of Safety and Buildings f in accordance with Comm 85, Wis. Adm. Code County ' 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), direction and Parcel I.D. W G percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all information. Reviewed by Date Personal infomratton you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location F Z-1a` u R ap �o Ge%4. 6e! 1QiLQ 114 SW 1/4 S ZI T Z N R E (or W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# W 1S 9 330 - n+ �v� , 1 N 0-sm City State Zip Code Phone Number E] City ❑Village ®Town Nearest Road CA-r`{ I w i Sq 61 (-) L S G LC Z 3 O ` R1- S7' [R New Construction Use: Residential / Number of bedrooms Code derived design flow rate 4 3 0 GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material LPG L P'CL - n - LL Flood Plain elevation if applicable General comments and recommendations: w1C /d 1 AJ/ g rx So' ) i�lS) - NUSk ,'T,0 Q d° L(_ , M 1N • ) •9 r Or S Prl' J F/ L(-.., F-1 I Boring # ❑ Boring ® pit Ground surface elev. 0 M. O ft Depth to limiting factor ? 1 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft' in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. - Eff#1 - Eff#2 Z lO Z-�i l0`2 iZ .�1 S 1 Zrn sb k s 0- w 3 z.g 3s , s 'l Iz Y l� F z] Boring # ❑ Boring$ -" pit Ground surface elev. S ft Depth to limiting factor 1- 7 in. • Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. -Eff#1 ° -Eff#2 o_g to`�IL3 sil z�sb s q -l1 t07i2_ 31b - �•� Z'FSbFz oQSh 3 tit 3S Z.S A IL yl f' 2-9 S rz--V y L o--n - w,. t • Effluent #1 = SOD, > 30 < 220 mg/L and TSS >30 _< 150 mg/L - Effluent #2 = BOD, 130 mg/L and TSS _< 30 mWL CST Name (Please Print) Siggature O C) CST Number Arthur L. Wegerer 220254 Address W e g e r e r Soil Testing & Design Service Date Evaluation conducted Telephone Number 421 N. Bain St. River Falls, WI 54022 �!- -�Z -OV 715 -425 -0165 �e�J1►�G Property Owner Parcel ID # Page Z- of F —11 Boring # ❑ Boring Pt t S%1 © pit Ground surface elev. O L b -1J ft. Depth to limiting factor l�_ In. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 I 0-9 t nP_ - SI I sviz- 3 1y L ❑ Boring L I Boring # B � 6.5 1>3 7 [� pit Ground surface elev. ft. Depth to limiting factor in. Sol[ Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 •Eff#2 Z 8 -lg 1b�21Z 3l� - s!'1 Zm sblr sh cS .s .P, - 7 .5Y2 Vl6 ��� S�rL qty L o-� -, rn`Fi • 3 . 5 F-51 Boring # Boring QS_ ❑ 0 © Pit Ground surface elev. it. Depth to limiting factor t y tn. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture I Structure Consistence Boundary Roots GPD /ft In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 0- 9 )6 R 31 ni I Z-�tbk /0 )Z 31 � 3 l� Spa y�6 'fit S�rz �� L 1esVkr L • Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L • Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608 - 266 -3151 or TTY 608 -264 -8777. SBD•8330 (R.6/00) PLOT PLAN Page 3 of 3 Scale 1' Z ivltt37 DoT UnJL,_ ELq.b 5 co�rtv�Z�. -s' s• 33• 13z OF C n Q , 9 8- u ` m ot- \ �n q 44 £ TL q _ Ln 8 �• ` E �� op ).113T "hiH-eT 0vt N � J Ql U 3 'bl 00 I �C3 LZ- _1- 00 C7y l6lfF -''1 �j bD! jq. PUC_1�11P _ =L�111 I ry 2 715- 425 -0165 220254 b0 -92 - 1 CST Signature Date Telephone No. CST No. Job PTO. Wisconsin Department of Commerce SOIL EVALUATION REPORT Page 1 of 3 Divicioln of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code ST- C Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must County include. but not limited to: vertical and horizontal reference point (BM), direction and �� EK,'kD1A1 C Parcel I.D. percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Please print all information Reviewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner _ Property Location tTviQ> z Z pff W3 Gent: -Let MIAJ 1/4 SLV 114 S Z, Z T 2.8 N R ! 6 E (o W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# V')\.S 33p`rli- frUe. Z 1>MP5 s e.S City State Zip Code Phone Number ❑ City [)Village 0 Town ' Nearest Road Pt_l>l'" � CL`Cy WI S�Z61 (llS) 6�7 -3066 �U GP�.t,� Z 3o `T) ST New Construction Use: ® Residential / Number of bedrooms 3 Code derived design flow rate LI.S a GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material ��LPce I pct- -11 LL Flood Plain elevation if applicable General comments and recommendations: Mr vy_f w /cl XSp r �ST� ZL13U�1 t)JV ° Ll� -�- . MAJ • l0 9 gF SAh.D Ft LL a Boring # ❑ Boring Pr t pit Ground surface elev. ® �I�7 - it Dep to limiting factor L4. in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft in. Munseli Qu. Sz. Cont Color 13r. Sz. Sh. 'Eff#1 'Eff#2 lotiz�312. - s i 0-,S 11� .S . 5 Z - I D'2 1L VL3 n ( - S! I Z'4 -Csb � • S • 8 3 1 3Z 7•SLYP- yob FLOC S-1P-31y L 1csbk P,-,�H a Boring # ❑ Boring " ® pit Ground surface elev. a I - 3 ft. Depth to limiting factor � 7 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft" in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. 'Eff#1 •Eff#2 D -b 11) Li Z 312 Z 'k-L lT `2I2 3 n 37 - )-s 'PiA Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 _< 150 mg/L ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Name (Please Print) Si ature CST Number Arthur L. Wegerer ��' - � 220254 Address W e g e r e r Soil Testing & Design Service Date Evaluation Conducted Telephone Number 421 N. Hain St, River Falls, III 54022 �' — IZ --0O 715- 425 -0165 - — r - Property Owner 1� Parcel ID # Page Z of 3 Boring # ❑ Boring R 01 4 ® pit Ground surface elev. 3 • L ft. Depth to limiting factor b in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 1 0 -7 �o� ��z - �; S Z�s mph z � 16 ,o�t►� �/� - ' � z�sb� sh cs Lug' .s . 3 J b3 3 �.S - 1R-VA SLIit-1/v L csbk w •� .6 Boring # ❑ Boring ❑ Pit Ground surface eiev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 So + , (o Boring # ❑ Borin 1D 4 V 4 ❑ Pit Ground surface elev. ft. Depth to limiting factor in, Soil Application Rate Hori on Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 I • Effluent #1 = BOD, > 30 < 220 mg/L and TSS >30 < 150 mg/L • Effluent #2 = BOD < 30 mg /L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608 - 266 -3151 or TTY 608 -264 -8777. roo) PLOT PLAN Pa;e 3 of 3 t Scale rrv'rvJ VLZ UT L )AJ L WA*z IX (A S 44 -1 ^T O Iv � RS.Q I F / oZ b 3.Z X113 i 8.3 / ��� / • � 'L., 'gyp 1.loT eo►'1,1� P.s� 012 0 O'ACKE- SFIkQ!� _ "C2y;P_raoulz-7 --- -G 44 V-" "JAJ-e _ZZtDL`6F t� . C1 tZ_ 3► y�� _L't ;� $'.'F}T "8A3�..C)F' `� 't BE� 2 - 4 `_ s lG�1 : po sr � ^ 715- 425- 0165 "220254 CST Signature Date Telephone No. CST No. Rod Eslinger From: Rod Eslinger Sent: Wednesday, August 08, 2001 9:09 AM To: 'Jansky, Leroy' Cc: Kevin Grabau Subject: RE: Sword (Batho) Onsite Sorry for the confusion. Kevin and I both recall seeing redox features in horizon 2 ( 6 -16 inches), not just at the plowed interface. I believe when I wrote "redox features exists" with an arrow pointing to the redox description column I was merely relating it to the horizon and that the plowed layer began at 6 -7 inches. Kevin and I discussed this matter and agreed that horizon 2 on lot 2 (Batho) had the same soil characteristics as horizon 2 on lot 3 (Pendergrass). Maybe a second onsite is needed to re- verify the soil conditions before we continue with this matter. How does the County's report affect your review of this lot? It was our understanding that Art Wegerer needed to explain why the platy structure and redox features were present and why they were not indicative of soil saturation [ Comm 85.60 (2)]. Rod Eslinger Zoning Specialist Zoning Department 1101 Carmichael Road Hudson, WI 54016 Phone: (715) 386 -4680 Fax: (715) 386 -4686 mailto :rode @co.saint- croix.wi.us - - - -- Original Message---- - From: Jansky, Leroy [ mai Ito: ljansky @commerce.state.wi.us] Sent: Wednesday, August 08, 20018:36 AM To: 'Rod Eslinger' Subject: RE: Sword (Batho) Onsite I'm still a little confused, and should have been more clear in my message to you. Please look at the comment made directly below (with arrow pointing to) the redox features found in horizon 2. It appears to me that the redox features may be for a depth of 6 -7" and there were none from 7 -16 inches. I recall seeing redox features in the AE horizon (transitional horizon) that was platy. However, I don't recall if there were redox features or not directly below. I had assumed that maybe there were none and the platiness at the bottom of the plow layer was were the redox features were. Please get back to me on this. Thanks. i • - - - -- Original Message - - - -- • From: Rod Eslinger [ SMTP:Rode @CO.Saint- Croix.WI.US] • Sent: Tuesday, August 07, 20014:19 PM • To: ' Jansky, Leroy' • Cc: Kevin Grabau • Subject: RE: Sword ( Batho) Onsite > Hi Leroy, > Response to your earlier email: • Lot 2 Batho Onsite • June 18, 2001 • Present: Rod Eslinger, Kevin Grabau, Leroy Janske > > Horizon Depth Color Redox Descrip Texture > Structure Consistence > 1 0 -6 10yr 3/2 N/A sil > 2mgr mfr > 2 6 -16 10yr 5/4 7.5 yr 5/6 f1f sil > impl mfr > 3 16+ > • Notes: • The boring was hand dug using an auger. • Horizon 1 was an Ap (plowed layer) • We observed weak platy structure in the bottom 4 -6 inches of horizon I. • The redox. features in horizon2 were similar to those discovered on Lot 3 • (Pendergrass site). I believe that Art's test did not reflect what we • observed on the June 18th. Kevin and I both recall redox features • occurring • throughout horizon 2, as noted. • The biggest difference between lot 2 and lot 3 was the change in • elevation. > > This site would have to qualify as an A + 0 with Dcomm approval. • Interpretative Determination under 85.60 (2) states the CST must explain • why the redox. colors in the 2nd horizon are not indicative of soil • saturation and why the platy structure exists. • It is a good idea that we have our own county onsite soil verification • form. • In the interim, I will cut and paste the notes above to our letterhead and • mail you a hard copy for your records. > Thanks and call me if you have questions regarding this matter. 2 > Rod Eslinger > Zoning Specialist > Zoning Department > 1101 Carmichael Road > Hudson, WI 54016 > Phone: (715) 386 -4680 > Fax: (715) 386 -4686 > mailto :rode @co.saint - croix.wi.us • - - - -- Original Message - - - -- • From: Jansky, Leroy [ mai Ito: Ijansky @commerce.state.wi.us] • Sent: Tuesday, August 07, 20017:49 AM • To: 'Grabau, Kevin' • Cc: ' Eslinger, Rod' • Subject: Sword (Batho) Onsite > Need one clarification regarding your onsite at the above property. • You indicate a soil horizon from 6 -16 inches and note redox features exist • at 6 -7 inches. I recall this too, and assume that you did not note any • from • 7 -16 inches which fits with Art's report (and I believe my recollection • too). • Please review your report and confirm the above assumptions. In addition, • it would be nice if someone would sign and date the report. Right now • anyone could have written the report since there is no signature on it. • Lastly, I would suggest that you do not use the Soil Evaluation Report • form • for county onsites. It gets a little confusing as to what role you're in • when that form is used. You should develop a report form of your own to • distinguish it from those used by CSTs. > Thanks. 3 Hi Leroy, Response to your earlier email. Lot 2 Batho Onsite June 18, 2001 Present: Rod Eslinger, Kevin Grabau, Leroy Janske Horizon Depth Color Redox Descrip Texture Structure Consistence 1 0 -6 10yr 312 N/A sil 2mgr mfr 2 6 -16 10yr 514 7.5 yr 516 f1 f sil Imp/ mfr 3 16+ Notes: The boring was hand dug using an auger. Horizon 1 was a Ap (plowed layer) We observed weak platy structure in the bottom 4 -6 inches of horizon 1. The redox. features in horizon2 were similar to those discovered on Lot 3 (Pendergrass site). I believe that Art's test did not reflect what we observed on the June 18 Kevin and I both recall redox features occurring throughout horizon 2, as noted. The biggest difference between lot 2 and lot 3 was the change in elevation. This site would have to qualify as a A + 0 with Dcomm approval. Interpretative Determination under 85.60 (2) states the CST must explain why the redox. colors in the 2 nd horizon are not indicative of soil saturation and why the platy structure exist. It is a good idea that we have our own county onsite soil verification form. In the interim, I will cut and paste the notes above to our letterhead and mail you a hard copy for your records. Thanks and call me if you have questions regarding this matter. Rod Eslinger Zoning Specialist Zoning Department 1101 Carmichael Road Hudson, WI 54016 Phone: (715) 386 -4680 Fax: (715) 386 -4686 mailto:rodena,co. saint- croix.wi.us - - - -- Original Message---- - From: Jansky, Leroy [mailto:ljansky @commerce.state.wi.us] Sent: Tuesday, August 07, 20017:49 AM To: 'Grabau, Kevin' Cc: 'Eslinger, Rod' Subject: Sword (Batho) Onsite Need one clarification regarding your onsite at the above property. You indicate a soil horizon from 6 -16 inches and note redox features exist i at 6-7 inches. I recall this too, and assume that you did not note any from 7 -16 inches which fits with Arts report (and I believe my recollection too). Please review your report and confirm the above assumptions. In addition, it would be nice if someone would sign and date the report. Right now anyone could have written the report since there is no signature on it. Lastly, I would suggest that you do not use the Soil Evaluation Report form for county onsites. It gets a little confusing as to what role you're in when that form is used. You should develop a report form of your own to distinguish it from those used by CSTs. Thanks. I Rod Eslinger From: Jansky, Leroy [Ijansky @commerce.state.wi.us] Sent: Tuesday, August 07, 2001 7:49 AM To: 'Grabau, Kevin' Cc: 'Eslinger, Rod' Subject: Sword (Batho) Onsite Need one clarification regarding your onsite at the above property. You indicate a soil horizon from 6 -16 inches and note redox features exist at 6 -7 inches. I recall this too, and assume that you did not note any from 7 -16 inches which fits with Art's report (and I believe my recollection too). Please review your report and confirm the above assumptions. In addition, it would be nice if someone would sign and date the report. Right now anyone could have written the report since there is no signature on it. Lastly, I would suggest that you do not use the Soil Evaluation Report form for county onsites. It gets a little confusing as to what role you're in when that form is used. You should develop a report form of your own to distinguish it from those used by CSTs. Thanks. 1 1101 Carmichael Road, Hudson, WI (715) 386-4680 (715) 3864686 - fax St. Croix County Z oning O ffice Fax To: kT W Fro fy rn1 G v� AVAAI Fax: (a 8P6 y P 1 Phone: Dat Re: CC: ❑ Urgent ❑ For Review ❑ Please Comment ❑ Please Reply ❑ Please Recycle • Comments: T F s artmentofCommerce SOIL EVALUATION REPO P of iir pep age -- nrisron of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County 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), direction and Parcel I.D. nt slope, le or dimensions north arrow, and location and distance to nearest road. b� b r perce pe,sca 1 6 ZU 0 Please print all information. Reviewed by Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property Location P — Govt. Lot 0 uj 1/4 S43 S 2,A T Z N R t! Qb(or) W Property Owner's Mailing Address Lo Block # Subd. Name or CSM# City State Zip Code Phone Number o City ❑ village Q] Town Nearest Road ( I L v GQ.1 f-A New Construction Use: ❑ Residential / Number of bedrooms Code derived design flow rate GPD ❑ Replacement ❑ Pub or mmercial - Describe: � Parent material t l . 7�1��.tJP Flood Plain elevation if applicable ft• General comments and recommendations: t�q Boring # o-Boring U 1 ❑ 0 Pit Ground surface elev. ft. Depth to limiting factor i i ication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Efl#1 - Eff#2 0- (e:> t e 31 ' Z w. r Z ► nos SI I sI. k- KJ.4- i �ocxt� -, amt ' (o b 9. ad Iqlle Leo � bsey - fv,r�� Gts(�s ooz� �..1 42 ri # A H s urface a ev. Depth to limitin i Soil lication Rate zon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 `Eff#2 r t� Effluent #1 BOD > 30 < 220 mg/L and TSS >30 < 150 m L #2 = B < 30 mg/L and TSS <W CST Name (Please Print) Signature W qST � T/rl . I Address Date Evaluation Cooducted Telephone Number I 1101 Carmichael Road. Hudson. WI (715) 386 -4680 � (715) 386686 -tax Cr oix Co unty • • O ffice Fz To: c l�i ►rt From: Fax: LI �a8" r� Page t Phone: ©/ /o S— Date: t5 f ❑ Urgent ❑ For Review ❑ Please Comment ❑ Please Reply ❑ Please Recycle • Comments: V A N �� l S 1-84 �T Pe- A4al i R1 O Q R 17 W O N W A •R i w e� cl /l 'Li II Ilt. p0 II p } _ I It ,111 if z 11 II I I CID \ �, I l \ Ot t � I � I 092� i��� I <• Nj 0 I _ 11 c it I • -��_� N l L9 OZ - T L a —� f — \ J j, 1 1 ivy —_ -- ' '' i \ b� II II \ /' / ;� • II �i 0 I� ✓✓✓--- ���L��� �.'4-'\ II it � O 11 Oil .I Rod Eslinger From: Jansky, Leroy [Ijansky @commerce.state.wi.us] Sent: Wednesday, August 08, 2001 9:52 AM To: 'Rod Eslinger' Subject: RE: Sword (Batho) Onsite If the redox features were only in the 6 -7" range, we will negate their significance as a zone of saturation, if plowed to remediate the condition. This means less sand in the mound because we can count the entire 16 inches not just 6 -7. > - - - -- Original Message - - - -- * From: Rod Eslinger [ SMTP:Rode @CO.Saint- Croix.WI.US] > Sent: Wednesday, August 08, 20019:09 AM > To: 'Jansky, Leroy' > Cc: Kevin Grabau > Subject: RE: Sword (Batho) Onsite > Sorry for the confusion. • Kevin and I both recall seeing redox features in horizon 2 ( 6 -16 inches), • not just at the plowed interface. I believe when I wrote "redox features • exists" with an arrow pointing to the redox description column I was • merely • relating it to the horizon and that the plowed layer began at 6 -7 inches. • Kevin and I discussed this matter and agreed that horizon 2 on lot 2 • (Batho) • had the same soil characteristics as horizon 2 on lot 3 (Pendergrass). • Maybe a second onsite is needed to re- verify the soil conditions before we • continue with this matter. • How does the County's report affect your review of this lot? It was our • understanding that Art Wegerer needed to explain why the platy structure • and • redox features were present and why they were not indicative of soil • saturation [ Comm 85.60 (2)]. • Rod Eslinger • Zoning Specialist • Zoning Department • 1101 Carmichael Road • Hudson, WI 54016 • Phone: (715) 386 -4680 • Fax: (715) 386 -4686 > mailto :rode @co.saint - croix.wi.us 1 > • - - - -- Original Message---- - > From: Jansky, Leroy [ ma i Ito: Ija nsky@com merce. state. wi. us] • Sent: Wednesday, August 08, 20018:36 AM • To: 'Rod Eslinger' • Subject: RE: Sword ( Batho) Onsite • I'm still a little confused, and should have been more clear in my message • to you. Please look at the comment made directly below (with arrow • pointing • to) the redox features found in horizon 2. It appears to me that the • redox • features may be for a depth of 6 -7" and there were none from 7 -16 inches. >I • recall seeing redox features in the AE horizon (transitional horizon) • that • was platy. However, I don't recall if there were redox features or not • directly below. I had assumed that maybe there were none and the • platiness • at the bottom of the plow layer was were the redox features were. > Please get back to me on this. Thanks. > > - - - -- Original Message---- - > > From: Rod Eslinger [ SMTP:Rode @CO.Saint- Croix.WI.US] > > Sent: Tuesday, August 07, 20014:19 PM > > To: ' Jansky, Leroy' > > Cc: Kevin Grabau > > Subject: RE: Sword ( Batho) Onsite > > Hi Leroy, > > Response to your earlier email: > > Lot 2 Batho Onsite > > June 18, 2001 > > Present: Rod Eslinger, Kevin Grabau, Leroy Janske > > Horizon Depth Color Redox Descrip Texture > > Structure Consistence > > 1 0 -6 10yr 3/2 N/A > sil > > 2mgr mfr > > 2 6 -16 10yr 5/4 7.5 yr 5/6 f1f > sil > > 1mpl mfr > > 3 16+ 2 a f > > Notes: > The boring was hand dug using an auger. > > Horizon 1 was an Ap (plowed layer) > > We observed weak platy structure in the bottom 4 -6 inches of horizon 1. > > The redox. features in horizon2 were similar to those discovered on Lot >3 > > (Pendergrass site). I believe that Art's test did not reflect what we > > observed on the June 18th. Kevin and I both recall redox features > > occurring > > throughout horizon 2, as noted. > > The biggest difference between lot 2 and lot 3 was the change in > > elevation. > > This site would have to qualify as an A + 0 with Dcomm approval. > > Interpretative Determination under 85.60 (2) states the CST must > explain > > why the redox. colors in the 2nd horizon are not indicative of soil > > saturation and why the platy structure exists. > > It is a good idea that we have our own county onsite soil verification > > form. > > In the interim, I will cut and paste the notes above to our letterhead > and > > mail you a hard copy for your records. > > Thanks and call me if you have questions regarding this matter. > > Rod Eslinger > > Zoning Specialist > > Zoning Department > > 1101 Carmichael Road > > Hudson, WI 54016 > > Phone: (715) 386 -4680 > > Fax: (715) 386 -4686 > > mailto :rode @co.saint- croix.wi.us > > - - - -- Original Message - - - -- * > From: Jansky, Leroy [ mai Ito: Ijansky @commerce.state.wi.us] > > Sent: Tuesday, August 07, 20017:49 AM > > To: 'Grabau, Kevin' > > Cc: ' Eslinger, Rod' > > Subject: Sword (Batho) Onsite > > Need one clarification regarding your onsite at the above property. 3 4h ur - - -- — g�v•__r"_rn ►sS_� -- kc3 --- �_ ©_ccctC(,ht_i_ -_._c „rld - - -- — - . .... pe e_gc� -, - - - - q rou;ncl -44 - -� - -- -- - - - - -- — - - - -- - - ---- - - -- Ac� ), 4-03 - - - - o f % T Q bsex v a4-i Un j E 7-e I I` Nolli�fer'S Soil Te� finq Mory Jo l�oilisler W987� 0901h Avenue Piver Folly, Wi 5con 5 in (54022 DA ly, ZOD Z L� SANSe, WAS��w�'S Erg. SPEc1si� ST �R EC-r NAME : P, f1 s ra p ^V, H u 9, ( LOT 3� ).P1J {4 � SW ��y 5 2 t T Z T m Lr--4RON %A cam, �� ) Qgo+° one - rW€ Ml+y z +� Z.00t sots SVALLLAT(OA) ` C-PorZT ! AKT jc W w�_6t K� , 'TNE �ROPO D D�PTN t,J1Lt Nom 3� LAS ZKn� 2y �+ gee CON \^ '915. Go , ANV Qu ESTICNS p+2 r- 0mmr.,jT PL.E-f1sT-- -C A LL, , e rA.O'gvtt WT k-tNe M- MS ViPE] UT 3 t r� r ST. CROIX COUNTY 11e4` ., 42:� iyvft� WISCONSIN "'�" `� _ _. __ `' ti ZONING OFFICE ■ M oll" ■ r ■ ST. CROIX COUNTY GOVERNMENT CENTER - 1101 Carmichael Road �.,. o -i-- Hudson, WI 54016 -7710 - - (715) 386 -4680 FAX (715) 386 -4686 August 15, 2001 RE: Certified Survey Map 14/4020 To Whom It May Concern: In agreement with the Town of Eau Galle, the St. Croix County Zoning Department has agreed to enforce a 50 ft. building setback on Lot 1 of the Certified Survey Map recorded in Volume 14, Page 1420. The recorded map shows a 100 -ft. setback. yo -q o Record of this agreement will be kept in the parcel file records kept at the Zoning Office. The Parcel Identification Number is 008.1061.20.2009 Should you have questions or concerns, please contact the Zoning Office. Sincerely, Mary J. Jenkins Assistant Zoning Administrator C: Clerk, Town of Eau Galle Arthur Batho, Owner Kevin Brathol, Realtor Robert Lannan, Surveyor File 1 4 tt & k� - �o OIL - CID "Iwo. G (a6vy. r t w dx, r_ ______ ______ _ __ --- +� - -`L-`_ --- �_____� ?� __°_--°___----__--..__-_.--_-°___---__°°------______---_-_-_----------- _--- _--- _- _---- __-- _- - -_ - -. o a , ; �fRflf /fD IUR�fI' M,4P , located in the HW 1/4 of the SW 1/4 of Section v, T A H, N i6 W, Town of Eau Galle, St. (roix (ounty, Wimmin. Prepared for Arthur Batho EAsr 114 COR. SEc r /ON 21 O 0 BEARINGS REFERENCED ro rHE WES r LINE OF THE SW 114 OF SECT /ON 21 ASSUMED AS N00 "E 1 �7 41 cTl N l- _X -x 1 Z � I �• O EGEN® I \ u I ; 4 I "X 24 IRON PIPE SET WEIGHING !.!3 LBS. /LINEAL F r FOUND I" IRON Pl t FOUND COUNTY NU ENT ;,';_ %� �� OIL BORING S O I�- O — Soo ° 0000 W — — 944.63' - — — ' I ° 4: ' 294.88' , 314. 88' ' /0l. 63' 233. 24' / 334. �> SO. FF. 207, 534 SO. Fr. , 207, 534 SO. FT q 207, 534 0R OR N m OR I f I 4.764 AC. „� O 4.764 AC. I � 4.764 C• O � lNCL. R/W 1p O INCL. R/W INCL. R/W O b 00 O � Ob d m e b LOT 2 LOT LOT l I W y 197,14/ SO. Fr. 197 OR 9 SO. Fr.' � 196,514 r. SO. F OR ku d. OR N �� I 66' 4.511 AC. t0 3 4.526 Ac, i) 4. 540 Ac. N EXCL. R/W o o EXCL. R/W M M EXCL. RI M lU r O o o N ' O ill p A ) 2 H SETBA `� � LI o O - I l 00 * I SW COR - -- SEC. 21 _ g ° Na r �M 1 � ^ �► AN O cn Located in the MW 1/4 of the SW 1/4 of Section ti, T I8 N, FILIEp 2 R 16 W, Town of tau 6alle, St. (robs (ounty, Wisconsin. s SAN 17 2001 ► 3 ¢ ��ALSN Prepared for Arthur Batho ti EAST 114 COR. APPROVED SEC T/ON 21 ST. CROIX COUNTY Planning Zoninn „a n - -+ - r',—ittee 00 a JAN 1 7 2001 BEARINGS REFERENCED TO THE WEST LINE OF THE SW I14 OF SECTION 21 /. �. ggofr"jeppwj(rpA jUcays0f I ASSUMED AS NOO °00'00 "E r • �'• /*Proval c 2&cIpdroval shall be / -` Old O r;G, .�•,,., l�r�f er,� r It r - /1��I�i ` r. .. .. 1 . 1 O r. 0 \ 4� 4 LEGEND o J O I "X 24" IRON PIPE SET WEIGHING 1.13 LBS. /LINEAL FOOT • FOUND /"IRON PIPE lV FOUND COUNTY MONUMENT �. I�� v is %� I :� ♦ SOIL BORING SITE O 'a � r r I •- r..'• iii M � N -SOO ° 00'00 "W - - 944.63 - - - .`. J 4 294. BB' ^ c� O ' 14.08' /01.83' 233. 24' I r I h r I 334. e7' �a I 12 07 534 SO, FT. 207, 534 SO. FT. 207, 534 SO. FT. C OR ' OR ry m OR I 4. 764 AC. q 1.764 AC. ,; O 4,764 AC. I I %NCL. R/W b O /NCL. R/W INCL. R/W O to ^) O O U O b b O b m LOT l e LOT 2 LOT 3 h e l•i� 197,141 SO. Fr. 197, 6 SO. FT. 3 196, �� OR s s' S0. Fr OR 3 W a N c l tp O 4.526 AC. M 4.540 AC. a 4, 5/i AC. 3 N O EXCL . R/W N N EXCL. R/W M EXCL. RI W N � w 0 O .1I o ♦ 1 00' = h SETB ACK ? '^ LI ♦ ♦ 4 .. .It - 0 SW_ COR -7 t Safety and Buildings Division County m an 201 W. Washington Ave., P.O. Box 7162 5T } r"J �seons�n Madison, WI 53707 — 7162 Sanitary Permit Number (to be filled in by Co.) — Dep artment of Commerce (fig) 266-3151 Sanitary Permit Application State Plan I.D. Number In accord with Comm 83.21, Wis. Adm. Code, personal information you provide may be used for secondary purposes Privacy Law, s15.04(1 Xm) Project Address (if different than mailing address) 1. Applica Information — Please Print All Information 233 2 3 d rh S Property 0 er'sxme Parcel # Lot # Block # 5'h�u.� chia�l e Property Owner's Mailinlilli Property Location 3SV rh V N w %, %, Section 2 City, State Zip Code Phone Number r'1 / LV� �d0t S�C�Oy �c ��j (c E N; R o ) C� Ll, j T E o lt' II. Type of Building (check all N, apply) division Name CSM Number Cd I or 2 Family Dwelling — Number orN7 ❑ Public/Commercial — Describe Use ❑ State Owned — Describe Use ❑City_❑Yillage Township ofFA u 4 1/ I III. Type of Permit: (Check only one box line A. Complete line B if applicable) A. 1j New System ❑ Replacement Sys te ❑ Treatment/Holding Tank Repla ent Only ❑ Other Modification to Existing System B. ❑ Permit Renewal ❑ Permit Revision Change of ❑ P Transfer to New List Previous Permit Number and Date Issued Before Expiratfon tuber O IV. Type of POWTS System: Check all that appl ❑ Non — Pressurized In -Ground ❑ Mound > 24 in. of suitable sot < 24 in. of suitable soil ❑ At -Grade ❑ Single Pass Sand Filter ❑ Constructed Wetland ❑ Pressurized In -Ground ❑ Holding Tank eat Filter ❑ Aerobic Treatment Unit ❑ Recirculating Sand Filter ❑ Recirculating Synthetic Media Filter ❑Leaching Chamber ❑ D t ❑Gravel -less Pipe 25 Other (explain) w '? �. `pun twi Nrah• }+ V. Dispersal/Treat - ent Area Information: Design Flow (gpd) Design Soil Application Rate(gpdsf) spersal Area quired (sf) Dispersal Area Proposed (sf) System Elevation t46-0 ,,5- fo0 0 2031 1 ol<63 VI. Tank Info Capacity in Total mber Man cturer Prefab Site Steel Fiber Plastic Gallons Gallons f Units Concrete Constructed Glass L Existing Tanks Septic or Holding Tank Q W �� 5 e e a -� Aerobic Treatment Unit Dosing Chamber VII. Responsibility Statement I, t udersigned, assume responsibility for installation of the PO S shown on the attached plans. Plumber's Name (Print) Plt er's Signatu MP/MPRS Number Business Phone Number U az��73 �ts 6J?o Plumber's Address (Street, City, te, Zip Code) N 6 g l 0 67 VIII. County/Depa Use Onl ❑ Approved ❑ pproved Sanitary Permit Fee (includes Groundwater Date Issued uing Agent Signature (No Stamps) Surcharge Fee) wrier Given Reason for Denial I7�. C'onditio f Approval /Reasons for Disapproval Attach complete plans (to the County only) for the system on paper not less than 81/2 :1I. inches in size SBD -6398 (R. 01/03) t ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND �'J w OWNERSHIP CERMICATION FORM Owner/Suyer h w 4 ��- c h h a d L e Mailing Address 3 ' 5 - 0 t/ L a y "alI tv i 5_q 0 0 Property Address a 3 0 rh S T CQ (Verification required ;from Planning Department for new construction) Cio4tnte 134 L (d t_v 1 1 Parcel Identification Number O_ a g - -1 L 614 a - cl o U G AL P Property Location w 1 /t, i�w %, Sec. T 2 9 N Rj!�_W, Town of (!Ftc O Subdivision 111A Lot # Certified Survey Map # 3 6 Volume f q . Page # Od o Warranty nod # 7 7 -- 'Volume 2S 3 S . Page # 12 s Spec house 0 yes 0 no Lot lines identifiable 0 yes 0 no S'm`T`EIVX l4f'.AnaTI NANC"E Improper use and maintrnanceof your septi systems could result in its premature failure to handle wastes. Pniper maintenance consists of wing out the septic tank every three years or sooner, if needed by a licensed pamper. What you put into the system can affect time fimctiou of the septic tank as a treatment singe in the waste disposal system. The property owner agrees to submit to 5t. Croix Zoning Department a certification form. signed by the owner and by a amastcm p%nibe '.j ymmplumber, msWwtedpl ara hcawed event m dw(1) dm on -site wactewaterdieposal system is in pr+cwpex operating condition auWor (2) after inspection and pumpmg Cif FYl the septic tank is less than 113 toll of sludgge . f1we, the undersigned have mad the above requirements and agree to maintain the private sewage disposal system with the stsrulards set forth. hemria„ as set by the Department of Commeree and the Deputment of Natrnal Resources, State of'Wiscamin. Oattificat ion mating that your septic has been maiftined must be completed and returned to the SL Croix County Zoning Office within 30 systew days three yeah gyp' . date. 6 4Y A PLICANT DATE ON = .CEF.TI CATI N I IFY that all statenmonts an this form arc true to the best of my (our) knowledge. t (we) am (are) the owner(s) of the p by virtue of a warranty decd ream in Register of Deeds Office. AfF APPLICANT DATE r *��.rr 1�imy mformsation that is mi"apresentesdmay result in the sanitary permit being ravotmd by die Zomag Departrawt- w" # * *• Include with this application: a stamped warranty deed firm the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed ST CROIX COUNTY SEPTIC TANK MADITENANCE AGREBMENT AND OWNBRSHIP CERTIFICATION FORM OwaerBnyer S h a w vl G CA h a d L e Mai ' Address 3 SD -� /I Ve C L a Y S , 4 0 0 Property Address a 3 o r h S T (Verification required from Planning Department for new construction) Cit34tate &a L IN ( Parcel Identification Number O 0 g ^ (06 j-. 2 0 -Lj oo LEGAL DESCRIPTION Property Location A - 0 - 1 %,, S W %, Sec. --21-t T a 9 N R-L�—W, Town of c C 6c d ! e Subdivision /I/A Lot # Cerfititexl Survey Map # 0 Volume , Page #� Warranty Deed # Volume . Page # Spec house ❑ yes QI no Lot lines identifiable ® yes ❑ no 90= M23 Improper use and maintenance of your septic system could result in its premature fidure to handle wastes. Proper maintenance consists of wing out the septic tank every three years or zoom, if needed by a licensed pumper. What you put into the systom can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a ca tification form, signed by the owner and by a umwplumiw„journeymauplumber, restactedplu tuber ar a hcenood plumper verifying that (1) the on -site waatewaterdisposal system is in proper operating condition and/or (2) after inspection and pumping (if uexessary), the septic tank is IM than 113 full of alutige. W e, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as sett by the Department of Commerce and the Department of Natural Resources, State of WisconshL Certification stating that your septic has been maintained must be completed and returned to the St Croix County Zoning office within 30 days throe yea" N date. ATURB PLICAN'T DATE R CULME[CATTON I (we) coijay treat all statements on this form are true to the best of my (our) larowledge. I (we) am (are) the owner(a) of the desediied by virtue of a warranty deed recorded in Register of Deeds Office. 3 /� Io 5- A f �UF APPLICANT DATE information that its mis- repanentedmay result in the sanitary puma ben revolted by the Zoning DepartmenL ** Include with this application: a stamped warranty dead from the Register of Deeds office a co" of rho certified survey map if reference is made in the warranty deed 757'763 U 2 5 3 5 P 1 2 5 KATHLEEN H. WALSH REGISTER OF DEEDS ST. CROIX CO., WI DOCUMENT NO. WARRANTY DEED RECEIVED FOR RECORD 03/26/2004 10:00AN WARRANTY DEED This Deed, made between Arthur H. Batho and Sharon Batho, EXEMPT t REC. FEE: 11.00 husband and wife, Grantor, and Shawn Schradle and Nell Schradle, TRANS FEE: 174_00 COPY FEE: marital roe CC Fes' husband and wife as survivorship proper rty, Grantee, PAGES: 1 WITNESSETH, That the said Grantor, for a valuable consideration conveys to Grantee the following described real estate in St. Croix County, State of Wisconsin: RETURN TO: Estreen & Ogland 304 Locust Street Tax Parcel No: 008 - 1061- 20-400 n That part of the Northwest Quarter of the Southwest Quarter (NW 1 /4 of SW1 /4), Section Twenty Se ven (27), Township Twenty Eight (28) North, Range Sixteen (16) West described as follows: Lot Three (3) of Certified Survey Map recorded in Vol. 14 of Certified Survey Maps, page 4020 as Document No. 636955. St. Croix County, Wisconsin. This is not homestead property. Together with all and singular the hereditaments and appurtenances thereunto belonging; And grantors warrant that the title is good, indefeasible in fee simple and free and clear of encumbrances except easements, conditions and convenants and will warrant and defend the same. Dated this 22nd day of March , 2004. (SEAL) yi�iDds� °� (SEAL) C A r . Batho (SEAL) L �(SEAL) Sharon Batho AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN } authenticated this _ day of } ss. 20 COUNTY OF ST. CROIX Personally came before me this 22 day of _ March , 2004 the above named TITLE: MEMBER STATE BAR OF WISCONSIN Arthur Batho and Sharon Batho (If not, to me known to be the persons who executed authorized by §706.06, Wis. Stats.) the foregoing instrument and acknowledge the sa THIS INSTRUMENT WAS DRAFTED BY LOBERG LAW OFFICE Adi Bach Robert L. Lobera Nbrary Public _St. Croix County, Wis. My (Signatures may be authenticated or Commission is permanent. (If not, state acknowledged. Both are not necessary) jb / expiration date: 9 -19 -04 .) v i