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004-1074-80-000
c~ STC - 104 O~~Q AS BUILT SANITARY SYSTEM REPORT Gr) OWNER i ~7- F CP.,L • O' I 4P ADDRESS ~51~ hng~ -~I- 2 . SUBDIVISION / CSM#~A) LOT # SECTION__3_J_T_.2__~,_N-R ( s W, Town of 4q l B ST. CROIX COUNTY, WISCONSIN VIEW SHOW EVERYTHIN W HIN 100 EET OF SYSTEM to, R, P l oo.0c6 ~ L%kr ~I 1I11 N~ (to INDIC T NORTH A OW Provide setback and elevation information on rever 4 f th' orm. two, Provide 2 dimensions to center of septic tank manhole er:°toil o(u 4r r6- O I ~'2 T BENCHMARK: K r+ ALTERNATE BM: I • S,oi~,~~ov~, . i~~ bf~ fly.. T r~~ SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION ~ ~Dao tea/ °3 Manufacturer: Liquid Capacity: 4. C) p 621 SA' Setback from: Well-=b- House Other Pump: Manufacturer Model# G>~pSb~F~ Size °L P Float seperation lo'' Gallons/cycle: Alarm Location _7rv,,- :SOIL ABSORPTION SYSTEM Width: Length ~l Number of trenches Distance & Direction to nearest prop. line: 3O0 /ljoa Q~ Other Setback from: well:- House__,;X3 ELEVATIONS Building Sewer ST Inlet.- -7(,,,.l)) ST outlet 7< -7 PC inlet 5.~ PC bottom '1, 2jg Pump off -73 Header/Manifold q6 M Bottom of system ~COuw: 7 Existing Grade Final grade i DATE OF INSTALLATION: _ a~~ I PLUMBER ON JOB: i LICENSE NUMBER: INSPECTOR:~- 3/93:jt ~I s~reattmttttnd~t 28.15.487T~i1~, SYM County: Labor an4 HumanlWations INSPECTION REPORT Safety and Buildings Division ST. CROIX (ATTACH TO PERMIT) Sanitary Permit No.: GENERAL INFORMATION 193449 Permit Holder's Name: ❑ City ❑ Village ❑kown of: State Plan ID No.: CADY ST BM Elev.: ` Insp. BM Elev.: BM Description: Parcel Tax No.: /GYM. 60 -r e QS 004-1074-80-000 TANK INFORMATION ELEVATION DATA A9300108 117 3 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark 0, 0/ 4 'to / TZ~/ ,p D~Ce ~ Dosing 649946, r3. ✓M. t-Z, Z_ ZD VX 30, Aera on Bldg. Sewer ' N Holding St/H4 Inlet Q~ TANK SETBACK INFORMATION St/ W Outlet TANKTO P/L WELL BLDG. Ventto ROAD Dt Inlet Air Intake Septic NA Dt Bottom 14 /Z' D. A Dosing NA 4hsacba r/ Man. Aeratigrr- A Dist. Pipe Holding Bot. System , a g PUMP /3l INFORMATION Final Grade Manufacturer mid Demand T mss' T. jp~ 45 V T' Model Number o ( GPM TDH Lift Lri oss ctio c~ System Head TDHFt • Forcemain Length Dia. ~t Dist. To Well SOIL ABSORPTION SYSTEM BED / TRENCH Width Leng No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSION /9 DI N I N SETBACK SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION Type O Gaai CHAMBER Model System: -Crd • 74 OR UNIT DISTRIBUTION SYSTEM Uawdtrr / Manifold Distribution Pipe(s)/ x Hole Size x Hole Spacing Vent To Air Intake ~[n~ Length- Dia- I Length 7U'G Dia. Spacing I 36 I .310 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 Yes ❑ No ❑ Yes ❑ No i COMNItNTS: (Include code discrepancies, persons present, etc.) 69 LOCATION: CADY 31.28.15.48 BNW,NW,BOSTON ROAD91P _ `-(G~~IgI 10,0 a~ Ul~°~l ,a _ his :moo ~'7. 913.r~t e Plan revisi quired? ❑ Yes o Use other side for additional information. 1711 SBD-6710 (R05/91)~~ n ►1~~~ Date ~i~ Inspector's5ignature Cert. No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: -6 .ef SANITARY PERMIT APPLICATION TDILHR In accord with ILHR 83.05, Wis. Adm. Code COUNTY ST. CROIX STATE SANITARY PERMIT # -Attach complete plans (to the county copy only) for the system, on paper not less than ❑ ~J~ L~ LGj 8% x 11 inches in size. Chec f revision to pre oua application -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. S93-20286 PROPERTY OWNER PROPERTY LOCATION MIKE LOBITZ NWY4 NW S 31 T 2$ N, R 15 E (or R PROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK # 2122 COMMERCIAL STREET N/A N/A CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER HUDSON WI 154016 N/A II. TYPE OF BUILDING: (Check one CITY NEAREST ROAD ❑ State Owned VILLAGE CADY BOSTON ROAD PARCEL TAX NUMBER(S) ❑ Public ©1 or 2 Fam. Dwelling-# of bedrooms ? . 111. BUILDING USE: (If building type is public, check all that apply) 004-1074-80 1 ❑ Apt/Condo 2 ❑ Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining 4 ❑ Church/School 80 Mobile Home Park 12 ❑ Service Station/Car Wash 5 ❑ Hotel/Motel 9 ❑ Office/Factory 130 Other: Specify IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable) A) 1.0 New 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5. ❑ Repair of an System System Tank Only Existing System Existing System B) ❑ A Sanitary Permit was previously issued. Permit - Date Issued V. TYPE OF SYSTEM: (Check only one) Non-Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 21 ❑ Mound 30 ® Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22 ❑ In-Ground AT TRADE 42 ❑ Pit Privy 13 ❑ Seepage Pit Pressure 43 ❑ Vault Privy 14 ❑ System-In-Fill VI. ABSORPTION SYSTEM INFORMATION: 1. GALLONS PER DAY 12. ABSORP. AREA 3. ABSORP. AREA 4. LOADING RATE 5. PERC. RATE 6. SYSTEM ELEV. 7. FINAL GRADE REQUIRED (sq. ft.) PROPOSED (sq. ft.) (Gals/day/sq. ft.) (MNn/Anch) ELEVATION 300 51no Feet 5777,1 Feet VII. TANK CAPACITY Site in ailons Total # of Prefab. Fiber- Exper. INFORMATION New istin Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks Tanks structed Se tic Tank or Holdin Tank 1000 1000 1 Wieser Concrete Lift Pump Tank/Si hon Chamber 600 600 1 Wieser Concrete VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name (Print): Plumber's Signature: (No Sta ps) MP/MPRSW No.: Business Phone Number: BENNIE HELGESON 3215 715 772-3278 Plumber's Address (Street, City, State, Zip Code): W1229 770TH AVENUE, SPRING VALLEY WI 54767 IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater a e ssue Issuing Agent Signature o Stamps) Surcharge Fee) 4 Approved ❑ Owner Given Initial o get) / Adverse Determination c X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-6398 (formerly Plb-67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber INSTRUCTIONS s ' 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at the time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer/Renewal Form (SBD 6399) to be submitted to the county prior to installation. 5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety & Buildings Division, 608-266-3815. To be complete and accurate this sanitary permit application must include: 1. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. II. Type of building being served. Check only one and complete of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is Public, check all appropriate boxes that apply. IV. Type of permit. Check only one in line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending an system type. VI. Absorption system information. Provide all information requested in ##1-7. VII. Tank information. Fill in the capacity of every new and/or existing tank, list the total gallons, number of tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete for all septic, pump/siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County/Department Use Only. X. County/Department Use Only. Complete plans and specifications not smaller than 8% x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; close volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if required by the county; E) soil test data on a 115 form; and F) all sizing information. - GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater, ground- water contamination investigations and establishment of standards. SBD-6398 (R.11/88) LSc~r~ er 11] i L, 1 0lo fz ~)D~~-. ~cr~5 qI r A 1 I'n` _ tJG N,~t W,o 4.a.k> ' I o, c, p k e R,bb~ i la i ~kov') l~ b00~ ~ ~C_ JLVI PRIVATE SEWAGE SYSTEM Conditionally ~D ' Y LABOR & HUMAN RELA'hGNS \ DEPT. OF IND ,F SAFETY UIl01NGS 17{!(1 3 - ,NGE M gE 3 s,,.4, oA - - S93-20286 Owner's Name : Plumber/designer Signature: i •~.,1.~..~~ Date: License Number: `3a1~ L cod > 21 51 IA 1 04-W ppNpEN Q ~ ~ Es o o EE 5' 1/6 B 1/6 B 1/2 B A = ft G = _ ft B = ft H = ft W = ft D = ft I = z ft B/2 = y.1 ft F = _ ft L = ft B/6 = ft Fabric Distribution Lateral Observation --Soil Cover Well 12 7777~1 ~Fig. 8a.. Plan View and Cross Section of Wisconsin At-grade Unit with a Single Absorption Area on a Sloping Site 893-20286 E-?VC P1?.E. =f.+7t~ cha ~ ~~''-cF't% e=~iJST►*~.L PE2t-~A1JEN; f~1RR1-,.`'TL AT CUD OF EIS CH 1.hTl~tAL ~eND to Q ~}QI.ES W: i"•~ OQ aJT'DFf Or + -.L1.PL R1.~D ~R< t"O~UPL~Y SPAC:h~ . Q / Pv C 7 FORCE H A i 1.1 • / pRprl Tau Fl P 'PVC' ' I.P,Trn~J4t3 Pt:AaE L1cS-T lt0~ 1J'Ex.T Zb E1aD CJ+cP "D~STt2a$uT]C1J: P1PE .:L7?►4DCiT~ P 11 a FT. F^,,MVATE SEWAGE SYSTEM onditionally Y 3 19 »J. y \loL~ ~~dd 0 E D -LABOR & HUMAN RELATIONS ~Otic~ f'1A1►J ~r- ~N_ Y, F AFET N ILDINGSoti= 1~vtES/pl P° I _ 11313. F-l£V. OF LA7GZA . RESPONDENCE ~G•Sy ST TEE 1V17N Sv cc.oEbm) G HDLEZ :4'r.. 4 )1J U . LAcST ~-1Ol-E ~TO ~E IJEXT' TO -pie t~ D CJt P- S93 202 8 6 SEPTIC TANK 8 PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS 4" Cl VENT PIPE 12" MIN. ABOVE GRADE r; WEATHERPROOF 25' FROM DOOR, WINDOW OR JUNCTION BOX APPROVED CCV I FRESH AIR INTAKE WITH CONDUIT MANHOLE W/ PADLC~.:; FINISHED GRADE 4 CI RISER WARNING 7 ~4" 18" IN 6" MAX. r INLET I' F47 WATER, GAS- T ' ~,o s TIGHT ~\/APPROVED A SEAL O~`A~ N6s ; JOINTS WITH APPROVED ALM APPROVED PIPE PIPE 3'' -T- ON 3' ONTO ONTO SOLID ~~a F'sP AGE C SOLID SOIL SOIL 0 T~~ 3-6 FT. OFF RISE; EX n R~ D PERMITTED G:: IF TANK MANUFACTURE?. HAS APPROV.-._ 3" APPROVED BEDDING UNDER TANK CONCRETE PAD SPECIFICATIONS SEPfiIC / DOSE _ TANK MANUFACTURER : 1t)e5er NUMBER DOSES PER DAY: TANK SIZES: SEPTIC GAL. DOSE VOLUME INCLUDING DOSE 4100 GAL. FLOWBACK: 149 GAL. ALARM MANUFACTURER: 51 1-51"o cdl~~erns CAPACITIES: A = 15.E INCHES = o7y~, / 5 G•-.: MODEL NUMBER: !or 14W r` SWITCH TYPE: YY1 _ru.~uta0. B = 2 INCHES = a PUMP MANUFACTURER: C-,o,4_td C = to INCHES MODEL NUMBER: EZ_CW15b5;,q SWITCH TYPE: vZktp YYIe v lv D = 14.5 INCHES = REQUIRED DISCHARGE RATE 2504 GPM PUMP ~ ALARM WIRING AS PER ILHR 16.23 4..= VERTICAL DIFFERENCE BETWEEN 'PUMP OFF AND DISTRIBUTION PIPE 5,5~ FEET + MINIMUM NETWORK SUPPLY PRESSURE . . . . . . . . . . . . 2.5 FEET + FEET FORCEMAIN X FT/100 FT. FRICTION FACTOR .(o.YFE=T T.OTAL DYNAMIC HEAD = INTERNAL DIMENSIONS OF PUMP TANK: LENGTH WIDTH DIAMETER LIQUID ISO= 0 0 Lo L Pe. `7-- - / • 893-20286 CENSE NUMBER: -3215 DATE: SIGNED J 1/88 I c N P r1 k L 1 1 / l -IQ i 1 Y 'J Ibti 8S AM I pE~ 1 p~ S • p1V1 %D SEE RR~~ FF LL TANK SPECIFICATIONS CAPACITY: 1000/600 GALLONS' INLET AND OUTLET: CONCRETE STRENGTH: 5000 PSI 4" BORE WITH STOP FOR TYSEAL OR REINFORCEMENT: FERNCO GASKET COVER - #5 REBAR INLET AND OUTLET BAFFLES: TANK - 6 X 6/10 GA. WIRE MESH P.V.C. 'MEETS WI. D.I.I.H.R. AND DIMENSIONS: MN. M.P.C.A. SPECIFICATIONS WALL: 3" LENGTH: 150" O.D. LIQUID CAPACITY: BOTTOM: 3" WIDTH: 84" O.D. 27.88 GAL PER INCH (SEPTIC) COVER: 5" BELOW INLET: 42" O.D. 14.90 GAL PER INCH (PUMP) HEIGHT: 55-1/2" O.D. MANHOLE: 24" I.D. WEIGHT: 14,795 POUNDS MODEL WLPCT-1600 sf * MIESER 1000/600 Combination Tank . W3716 U.S. Fhny 10 Box 148 Maiden Rods, WI 54750 (800) 925.8456 (715) 647-2311 ~t a ormanc s zp~' Submersible Effluent. Curves Pumps + METERS FEET 90 MODEL 3885 25- 80 SIZE 3/4" Solids WE15H 70 _ 20- WE10H 60 WE07H 15 50 i WE05H 40 10 WE03 30 WE03L i 20 i 5 10 0 0 ! 0 10 20 30 40 50 60 70 80 90 100 110 120 GPM I L I I 0 , 10 20 30 m°/h CAPACITY [gGOULDS PUMPS. INC. sEwcA FALLS ww Ym 13148 METERS FEET 120 VI I MODEL 3885 35 110 WE15HH SIZE 3/4u Solids 30 100 n F 90 ; y 25- 0 I '1 7 7- 70 . OF N B R M S Ull X 20 Oi J H 60 0 _ l- WE05HH 15- 50 40 10 30 I 20 5 l / 10 -f+ 0 0 0 10 20 30 40 50 60 70 80 90 100 110 120 GPM I 11 1 U 10 20 30 m'/h ~ ~ A3~ CAPACITY 01985 Goulds Pumps, Inc. 202 86 Effective July. 1985 AT-GRADE SYSTEM CALCULATION WORKSHEET Owner's Name: •,/~!1;P_ - ~_Ok~ 1 IZ Parcel Tax Number: ~1,t~ Legal Description: S 3~_, _N, R W Lot Number: Block Number Subdivision/CSM Name: Town of: J" County, Wisconsin r At-grade Structure 1. inches. Limiting Factor Depth 2. percent.- Land Slope 3. gal/day. Daily Design Flow Rate (DDFR). 4. gal/ft2/day. Design Loading Rate (DLR) 5. O feet 2. Effective Absorption Area (EAA) = DLRR A x B 6. feet. Effective Absorption Width (EAW) = A 7. feet. Effective Absorption Length (EAL) = B = EAA EAW 8. 3 . S Tgal/ft.. Design Linear Loading Rate (DLLR) = DDFR c~ EAL 9. feet. Total. Arggregate Width = A + C` f ~J_"V,tAGE SYSTEM 10. feet. Finished Width (W) A + C* +.D + E** 11. feet. Finished Length (L) = 2(1) + B ~,...'Ond banally 12. a'! Finished Height (H) = F + G R P 130. I feet. 1/6 B ) DEPT. OF I J TRY, LIBOR & HUMAN RELATIONS ) Observation Well LocationW I 0 SAF Y AVABUILDINGS 14. 72:. feet. 1/2.B )Z 15. ~ • I Texture of Soil Cap Material. SEE RRESPONDENCE Notes:, * C is 0 if the slope is 0%, otherwise C is 2 ft. On level sites, substitute another D for E. Plumber/designer Signature: License Number: Date: rj=.-CA S93-20286 Page of t ` ~a l S' de system t e Pressurized Distribution Network Design 16. Distribution Lateral Sizing. Q inch. Hole Size. .feet. Hole' Spacing Q 3 feet. Lateral Length 1-g. inch(es). Lateral Diameter feet. Lateral Spacing feet. Lateral Invert Elevation 17. Distribution Pipe Discharge Rate. Number of Holes per Lateral gpm.. Flow Rate per Lateral Total Number of Laterals 0~7~ gpm. Total System Flow Rate 18. Manifold Sizing. ManifoldType (center or end) feet. Manifold Length * * If only a tee fitting is used as the manifold, the manifold inch(es). Manifold Diameter * length and diameter may be reported as not applicable (NA). 19. Forcemain. inch(es).. Forcemain Diameter Gov feet. Forcemain Length PRIVATE SEWAGE SYSTEM gpm. Minimum Dosing Rate (system flow rate -7onditionally gallons. Forcemain Liquid Capacity 20. Total Dynamic Head (TDH) Calculation ppR 0-11ED DEPT. OF STRY, LABOR & HUMAN RELATIONS System Head = 2.50 feetU N SAF~Y t" BUILOIN Vertical Lift = / . - ofeet V •r~ • E GF;PESPONDENCE Friction Loss et 6,qa. S TDH ._S 1 feet 3dY~ S93-20286 Page of Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page _ of _ kabor,and Human Relations Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCELI.D. # dimensioned, north arrow, and location and distance to nearest road. 004- 14)74 C) APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION Al t it L GOVT. LOT k}t„) 1/4 1/4,S3T D 0 N,R IS E (orxl~D PROPERTY OWNERS MAILING ADDRESS LO # BLOCK # SUBD. NAME OR CSM # j t/ ~:ownrnere-2 T A ~)A CITY STATE IP CODE PHONE NUMBER ❑CITY VILLAGE WN N REST ROAD [ q--Kew Construction Use [ L-YResidential / Number of bedrooms 2 [ J Addition to existing building j J Replacement [ ] Public or commercial describe ,411;.l ,29 Code derived daily flow OC' 9pd Recommended design login rate o 1 _bed, 9pd/ft2 trench, gpd/ft2 Absorption area required bed, ft2 _ trench, ft2 ximum design loading rate gibed, gpd/ft2 - trench, gpd/ft2 Recommended infiltration surface elevation(s); %4.0 u v.dp r (u ~t .A ft (as referred to site plan benchmark) Additional design / site considerations S,Y)DO Parent material 511 6501eF +'l1 Flood plain elevation, if applicable V4- -ft S = Suitable for system CONVENTION MOOUW IN-GROUND PWURE AT-qMeE SYSTEM IN FILL HOLDING TAN stem ❑ S Bs ❑ U ❑ S 5313 fS ❑ U ❑ S L41:r ❑ S U =Unsuitable forsystem' SOIL DESCRIPTION REPORT '~aaco' for- Boring Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots PD/ft k in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Trttdi Ground l b` r,~ S w (0F elev. ~a C LA) 3L, c Depth to (c~ ~ ~ 5~ s c limiting factor,, Remarks: t- v Zo i s L U4, ( C f Boring # 3 i I Val Ground --38 10 \1 tZ P~ S S ~,J t 6 9 elev. cf c y o 4 s c b C Depth to ~ _6 7. S $ s c C :SLk li limiting factor Remarks: 4C o et-vi -Pc CST Name:-Please Print j Phone: _ ,7 Address: ) 76 U ~1w 1 l I r vir 51 11c:_ (-Ji,. Signature: ~1 Date er. PROPERWOWNER M; Le- L(JLi fz SOIL DESCRIPTION REPORT Page of PARCELIM4 OO Lt - 107(- 80 Depth Dominant Color Mottles Structure GPD/ft Boring # Horizon in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boun~ry Roots Bed Trench ggt??:}4 i I P: -R- 9 t. I(< k Ground y I.O 7 y 5 1 3 L 5 r l v elev. 6- ft. Depth to limiting factor 7T7 5 I Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # ,tx 'F.•i Ground elev. ft. Depth to limiting factor Remarks: Boring # 4:}: i} }lii yin?ti}}}:.?ii.•}l Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(R.05/92) Std -C ~ 6.-~ - loot ~ ~r,Q - ~uky - Orq. S~w 51 K J -1 Vt ~l l~ t C- ~J N ~ 1"~-(~ y ~ ~ bo~7 c. r r ~~w r o-o ~b i Pt- Seal l" -r vrvey ske Q.til g1.3 \ 5p~ L%OV~ R►lo6o~ recd - In 14 G ~4 c t I I ?,e CL Sec- 3 1 }-o Gcc~~ ov. APPLICATION FOR SANITARY PERMIT STC - 100 This application form is to be completed in full and signed by the owner(s) of the property being developed. Any inadequacies will only result in delays of the permit issuance. Should this development be intended for resale by owner/contractor, ("spec house"), then a second form should be'retained and completed when the property is sold and submitted to this office with the appropriate deed recording. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Owner-o.f:.Property MIKE LOBITZ 1 T W :.Location of Property NW 14 NW 14, Section 31 28 N-R Township CADY Mailing Address 2122 COMMERCE STREET, HUDSON, WI 54016 Address of Site ,Subdivision Name. Lot.Number Previous Owner .of Property '~d~1~'~ L!✓~°S' Total: Size- of` Parcel .Date Parcel 'was C-reated !ire all corners and lot lines identifiable? Yes No Is this property being developed for resale (spec house) ? Yes No Volume" and Page Number ~.as recorded with the Register of Deeds. INCLUDE WITH THIS APPLICATION THE FOLLOWING: A Warranty Deed which includes a Document number, volume and page number, and the Seal of the Register of Deeds. In,addition, a certified survey, if available, would be helpful so. as to avoid delays of the reviewing process. If the deed description refer- e.nces.to a Certified Survey Map, the Certified Survey Map shall also be required. - - - - - - - - - - - - - - - - - - - - - - r - - - - - - - - - - - - - - - - PROPERTy OWNER CERTIFICATION I (we) eent,%6y that att statementh on this 6onm wee hue to the best o,6 my (oeve) knowledge; that I (we) am (ane) th.e. owneh(s) o6 the ptopeA,ty- desenibed in this .i,n6onma~Uon 6o;ar by v-ZAtue oD a waveanty d ..cd neco~,,dcd in .the O~ ce o% the. County Reg.csten q Deedaas Document No. and that I (We) pneaentZy own the pnoposed site bon the sewage dispo~tem (on I (we)' have obtained an ecaement, to nun with. the above de uLibed pnope) ty, bon .the,eonst)Lucti.on o6 said s ystem, and the same had been duty %eco&ded in the U 46.ice''o 6 the County Regi,6ten. o Deedb, as Document No. GN RE OF 0 ER SIGNA' RE OF 0- E F APPLICABLE) ~A ;ATE . GNED DATE SIGNED ST C- 105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER MIKE LOBITZ ROUTE/BOX NUMBER Fire Number CITY/STATE Z EP , PROPERTY LOCATION: NW 1L, NW 16, Section 31 T=2$_N, R_]„5___W Town of CADY St. Croix County, Subdivision Lot number Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance con- sists of pumping out the septic tank every three years or sooner, if needed, by a licensed septic tank pumper. What you pUt into the system can affect the function of the septic tank as a treat- ment.stage,in the waste disposal system. St. Croix County residents may be eligible to receive a grant for a maximum of 60% of the cost of replacement of a failing system, which was in operation prior to July 1, 1978. St. Croix County accepted this program in August of 1980, with the requirement that owners of all new systems agree to keep their systems properly maintained. The property owner agrees to submit to St. Croix County Zoning a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper vert- fying that (1) the on-Rite wastewater disposal system is in proper operating condition and (2) after inspection and pumping (if nec- essary), the septic'tank is less than 1/3 full of sludge and scum. Certification form will be sent approximately 30 days prior to three-year expiration. I/WE, the undersigned, have read the above requirements and agree to maintain the private sewage disposal system in accordance with the standards set forth, herein, as set by the Wisconsin Depart- ment of Natural Resources. Certification form must be completed and returned to the St. Croix County Zoning Office within 3 days of the three year expiration date. SIGNED 7 _ 1) ATE - - St. Croix County Zoning Office P.O. Box 98 Hammond, WI 54015 715-796-2239 or 715-4,25-8363 Sign, date and return to above address. . WAGE 528 r DOCUMENT NO. STATE BAR OF WISCONSIN FORM 11-1982 THIS SPACE RESERVED FOR RECORDING DATA LAND CONTRACT iI Individual and Corporate (TO BE USED FOR ALL TRANSACTIONS WHERE OVER j l"ASTER`S OFFICE i! 826,000 IS FINANCED AND IN OTHER NON-CONSUMER ACT TRANSACTIONS) -_9896 - - - - -_=il ST. CROIX CO., WI 'i HOWARD J. WEST and MEREDITH 4 Of Record Contract, by and between _ I MAY 121993 WEST,..husband__and-.wife-_as..joint. tenants_-___•_________________________ I~ ("Vendor", :50 P. whether one or more) and----- MICHAEL D LOBITZ and MARY A KOPP, - unmarried individuals as joint tenants ("Purchaser", whether one or more).iS10f 0ES Vendor sells and agrees to convey to Purchaser, upon the prompt and full per- formance of this contract by Purchaser, the following property, together with the rents, profits, fixtures and other appurtenant interests (all called the "Property"), in -------------•-----._-t_.__CSS?A_X County, State of Wisconsin: RETURN TO i Tax Parcel No- (SEE ATTACHED LEGAL DESCRIPTION) This is.-not-___.._- homestead property. (}i (is not) 'i Purchaser agrees to purchase the Property and to pay to Vendor at the sum of g 37 900 00 6 000 00 at or rior = In the following manner: (a) $ ' ._....._•-•••--•---p••••----••--... the execution of this Contract; and (b) the balance of $_31_ MQ.QQ--------------_-.-, together with interest from date hereof on the balance outstanding from time to time at the rate of_____________ 9.' 5-.-_-.._-.._._-.....___ per cent per annum xmkk:pxkbdmxfu11;..as follows : i Equal monthly installment payments of principal and interest in the amount of Four Hundred Twelve and 00/100 ($412.00) Dollars commencing June 11, 1993 and on the,llth day of each successive month thereafter with the final payment of all remaining principal and interest due and payable on or before the May 11, 2003. Provided, however, the entire outstanding balance shall be paid in full on or before the 11th day of .....May.,..2003 );XXXX--_ ( the maturity date). Following any default in payment, interest shall accrue at the rate of..9 _.5.... % per annum on the entire amount in default (which shall include, without limitation, delinquent interest and, upon acceleration or maturity, the entire principal balance). Ij Ij Purchaser, unless excused by Vendor, agrees to pay monthly to Vendor amounts sufficient to pay reasonably antici- pated annual taxes, special assessments, fire and required insurance premiums when due. To the extent received by Vendor, Vendor agrees to apply payments to these obligations when due. Such amounts received by the Vendor for payment of taxes, assessments and insurance will be deposited into an escrow fund or trustee account, but shall not bear interest unless otherwise required by law. Payments shall be applied first to interest on the unpaid balance at the rate specified and then to principal. Any amount may be prepaid without premium or fee upon principal at any time. XXXX In the event of any prepayment, this contract shall not be treated as in default with respect to payment so long as the unpaid balance of principal, and interest (and in such case accruing interest from month to month shall be treated as unpaid principal) is less than the amount that said indebtedness would have been had the monthly payments been made as first specified above; provided that monthly payments shall be continued in the event of credit of any proceeds of insurance or condemnation, the condemned premises being thereafter excluded herefrom. Purchaser states that Purchaser is satisfied with the title as shown by the title evidence submitted to Purchaser for examination except: I NO EXCEPTIONS. ~I Purchaser agrees to pay the cost of future title evidence. If title evidence is in the form of an abstract, it shall be retained by Vendor until the full purchase price is paid. Purchaser shall be entitled to take possession of the Property on__-c_losing,________________________________•xxx gXXxX j -Cross Out One. LAND CONTRACT -Individual and STATE BAR OF WISCONSIN Wisconsin Legal Blank Co. Inc. C'nrnorate FnR 11 Nn. II 11la^ .'vli w;. ; r,•,, wi:, •saan;suSts ataq; motaq Mupd ao paddl aq ptnogs d;coaduo Sua uc 8utu2is suosaad ;o sawvN. - algp S 1,6T (•Sagssaaau IOU a, I, uotlgatdxa 04V -~W ~ jI4 #aTluutaad st uotssttumop Sy11 glog •pa2palmouilog ao pa4gotluag4n-6 aq Sleut saan4uu2tS ) s?m `AIunop; x(YinS o?Ignd daglorl 9rT'079 r uospnr; i~aaz~S Puo~ag OTT a~ > *[)*S `NKIGNfl'I '4 XHI'I0d '210G M iiaapiiri7."~~"" zzsg aiiaoy !.i AS t731=IVHC3 SVM LN3v4nh11SN1 SIHl auiss aq ee~el ~v .$u Iuautn.1lsut 2u1029.1o; agj. p.4noa oqm Suo ~ql aq o3 umoux aut of I ('94'34S s? `90'90L § Sq paztaog4n8 • ~1 ~ft,-------------------- '4ou 3I) ~~zgol 'G T@Vi1~tyi IQISrIOOSIM 30 2ivg aZvZS 2iggNaw HISIZ ~saM q~ Tpaai; l CiSaM •r p.zEMOH - petueu aeogg 91q4 ---£fi 6T t-------------------------'f,Eyj g atugo SIIguos.1ad ------6T ------------;o gp-------- st.q4 Pa3gatIuaql - st a.1o a nle 10 Sep--- auz Slunop xz 010 • -qS •ss (s)aanlgu2?S MISNOOSIAA .d0 HZVZS 1IIIC3L10aH'IAA0NX0V 11 IOiLVDIINHH111V - - ddON •v X11.1 ZSdM HZIGH2daw - - - - - * sSHM • r ravm0 £6----6T )W14 p -`-1----------------- stgl P04le(j I•;oaaag Iuatullgln; ut apeui eq oI paep aqI ;o uotlnoaxe aqI ut utoC oI. saa.12n pug S4.19doad Ioafgns aqI ut 94g21a pga}sauioq asualea oI utaaaq sutof uotlgaaptsuoa algenlgA a .10; aopuaA ;o asnods agI &4aadoad aq; ;o xaumo us Sou ;I) .iasvgDand pug aopuaA ;o s112198e pug saossaaons 's9e14g4uasa.1d9a lg2al 's.1tag aqI ;o slgauaq aqI of a.1nut pug uodn 2utputq aq llugs Iae.1IuoC) stgl ;o sw.L04 11V •aassgoand ;o llne;ap aomd ao Iuanbasgns aagl0 SUB 2utnt8M Inogltm llnulap dtte ant-6m AMU aopuaA Iaga4uo0 still uo apmu sluatuSed paaaptsuoa aq llegs aassgoand Sq ap-6ut os sluautdgd llu pug os op of slt8; aopuaA J! ea2g24aow agI of SIloa jtp sluautSgd gons Aug 9311am Aum aassgoand •Ioealu oD still aapun anp uagl slunoum aql ;o IuatuSed Slaunq saslum aassgoand paptnoad 'Agaaagl paanoas alou Aug aapun .1o (.19sggo.1nd Sq pa4uua2 a2u2l.1out Aug ao; Idaoxa) I3galuo0 stgq ;o alep aqI uo S4.1adoad aqI Isutg2g 2utpug4slno 92824.1otu Sub aapun anp uagm sluatufud Ilu ailutu I1-eqs aopuaA •aotlou Inogltm uotldo s,aopuaA l8 111n; ut alg8d-6d pug anp Alalgtpauttut autooaq Ilsgs I3galuo0 still aapun olquAud aauuleq 2uipu8Js;no aaqua agI 'Iuasuoo ua4411m 9,16PuaA Inog41m aaue Santioo 1o alas 'aa;sue.1I gans Aug ;o Juana agI ul .1asggoand ;o ssaupalgaput ug ao; Sltanoas su dlalos 4Dva4uoC) stgl aapun Isa.1alut 9,.1asug3and ;o Iuatuu2tsse .1o 92pald -6 St padanuoa Isa.1a4ut aql so lln; ut pt8d Ism; st l3galuoD still aapun alg8S8d aouglsq 2utpue4s4no agI aaglta ssalun aopuaA ;o luasuoo ualltam aotad aqI Inogltm (Sam aaglo Aug ut .1o asgal utaa4-2uol 'uotldo tfq so Ios.1JuoD st11l aapun sJg2ta s aas-6g3and ;o Aug ;o Iuatuu2tss-6 Sq) Slaadoad aqI ut lsaaalut algg4?nba ao 1-6201 Sub Saeuoa 10 llas 'a0;su73a1 IOU 11legs .1asag3and Joaa.p llugs lanoo aq4 sa patiddg pug plaq aq 11egs paloalloo os uagm slgoad pug 'sansst 'sluaa gons pug ' uotlog gans ;o Sauepuad aqI 2utanp Slaadoad agI ;o slgoad pug `sansst 'sluaa agI 139110D of 'Isaaalut plealsatuoq 2utpnlout 'Alaadoad 0111 ;o .1aetaa91 s ;o IuaLu4moddg egJ of sluasuoa aassgoand `IaealuoO stgl ;o eansoloaao; ;o uotla-6 dug ;o Souapuad a11I 2utanp ao luatuaauouttuoo aql uodn •Iuattt2pnC Aug ut papnlaut aq ll8gs pug 'paaana -ut su 'aas-6tloand Sq ptgd pug lgdmutad of pappg aq 111614s aauaptna all?I ;o sasuadxa pug mill Sq paJtq!goad Iou lualxa agI oI (Iou ao pa4gq-6 aaglagm) .1apunaaaq Spautaa dule•ao.1o;ua of pazanout aopuaA 3o sag; sd0uaoll-6 algeuosgaa 2utpnTaut sasuadxa pug slsoo llu pug uot4-62t;!1 ut pansand uagm pug ;t aopuaA uodn 2utputq aq Sluo 118gs satpamaa 2uto2aao; agI ;o Aug ;o uotloala u's 'aopuaA ;o su61438 .1o sluautalgls ualltam ao 18.10 Aug 2utpulelsg4!m40N•9nogg (At) .10 I(!) aapun uotlos Aug ;o Souapuad aqI 2utanp slgoad ao sansst 's4ua.1 Aug Ioalloo oI palutodd13 .1antao0.1 -6 aAuq pule Slaadoad aq ;o uoissassod utoa; paloafa aas-6gaand aARq SRUI aopuaA (A) pug :4ueat;tu2tsut st .1asutl3and ;o lsaaalut algg;tnba aql ;t uotlo-e 914!l-lamb 8 ut a1414 uo pnolosslelo-6aluoO stgl anotUaa pug pua u8 48 408.1IuOD 81111 aaglaap Sgcu aopuaA (Al) ao ';oaaag4 uotJaod due ao aotad as-6gaand ppedun aatlua agl ao; mill lie ans dgtu aopuaA (??t) so '.Souatot;ap Aug ao; algletl aq 11ggs .1asggoand pug ales Igtotpnf 4-6 pauotlang aq lllegs Slaado.1d aqI Juana gotgm ut 'aapunaaaq anp slunowu aaq;o pug ling;ap ;o aJ-6p aql uo Joa;;a ut alra aq4 I-6 uoaaagl lsaaa;ut tl4lm `aougluq 2utpuglslno aatlua agI;o Iuatudgd Tln; pule a4utpaunut ladtuoa of JogaluoD stgl ;o aou-emao;aad of;toads ao; ans Sleut aopuaA .1o (tuaapaa of sltle; .1asugoand ;t Slaadoad a11I .1o; lu4uaa sg pug Ioualuo0 still IIt3In; of aanltle; ao; sa2-6ump paleptnbtl su paJta;aao; aq TlBgs aassgoand Sq ptled dlsnotnaad s4unout-6 Tlg Juana go111m ut) aapunaaaq anp slunoutg.1aglo pule al-ep qons uo Ioa;;a ut al-ea aql l-e 4In-6;ap ;o algp aqI u10.1;uoaaagl Isaaalut q4!m 'aounlgq 2ulpuglslno aatlua aq; ;o JuatuAed lln; s,aasggoand uodn pauo?4!Puoo aq oI uotldutapaa ;o Sltnbe dug ql?m aansolaa.1o; 4ot.1;s g2noag4 31Deq Slaadoad aqI aanoaaa pug dlaadoad agI ut Isaaalut pug 014!1 `slg21a s,.19ssga.tnd pug Ia-6.1IuoO still algututaal `uotldo stq 4e 'Saul aopuaA (t) :Sltnba ut ao mill Sq paptnoad asogl of uol4!PPg ut (m8l Sq paptnoad suo?lgl?uttl Aug o4 Iaafgns) satpatuaa pub slg211 2utmo1lo; aqI 0AVq os119 Ilggs aopuaA pug '(santgm Sga.1aq aasggaand gm1m) aotlou Inogltm pug uotldo s,aopuaA lu 1IIn3 ut alggd8d pule anp SlaJglpauttut atuooaq ll-6qs Ioealuoo stql aapun aougleq 2utpu-6Islno aatlua aq4 uaql ' (T?8tu pat;tlaao Sq papieux ao 911guosaad p919nt19p) aopuaA Sq ;oaaagl aatlou ualltam 2utmollo; sAvp 2[~R S-;o pot.1ad 8 .1o; sanutluoo ilotgm lasggoand ;o uo?4-62t1go .101140 dug ;o aoustu.1o;.1ad ut Ilnu;ap g;o Juana aq4 ut (q) .1o a4gp anp pat;coeds aq 2utmollo; sdgp fij,~tfs;o pot.1ad g ao; sanutluoo gott)m Isaaalut .1o lsdtoutad dub ;o IuatuSgd aq4 ut 41ne;ap -6 ;o Juana aql ut (8) pug aouassa aqI ;o st amp 4ggl saaa28 aas-6goand • Aum ='~K'~±p' ate ""toy "s soy a iu iia ii sui aid- uo azEgs o-3 uot3P$ Tao pus Slzadoid aaaCgns auj x~1So' t3alii~s2a""XBMaii zp :Jdaaxe pug 'aassgoand ;o Ilns;ep so Jos aqI Sq palgaao saout..1gtunaua ao suwq Sur Ideaxa 'saousagtunoua pug suatl Itle ;o 08010 pug aaa; 1S4aado.1d aqI ;o 'aldtuts aa; ut 'paaCl Slug.1agtA g '.1ase43and 9114 0I .1ae110p pug a4mexe 'puntuap uo IM& aopuaA 'pag!oads anogg aeuumn aqI ut pule saunJ agl Ile patuao;sad Sljn; aq Tlggs suotllPuoo Ile pug pted STTn; aq llegs sdauout aaglo pug lsaaalut gltm aatad asggaand aqI asgo ut 3gg1 saaa2g aopuaA •Slaadoad aqI 2utlaajja suotlsln2aa pug seou8utpao 'smsl 118 ql?m Sldwoo 0J pug `IoBaluoO still ;o uall aqJ of aot.1adns suall utoa; aaa; dlaadoad aql 6931 of '.1tgdaa pug uot4!puoo algglugual pool ui Slaadoad atll daasl o4 1l.1adoad ago uo pall!unuoa aq of alsgm m01113 .1ou alsem Jtunuoo OI lou sluleuanoa .1as-6113and •algtsga; dllgottuouooa aq oI .1t-6da.1 so not{Gaolsal aqI stuaap aopuaA aqI paptnoad 'pa2gump dlaadoad aql ;o .1t-6daa ao uoi4vaolsaa oI paildd-e aq I1-egs spaaao.1d aongansut 12u?I?am ut aaa2-6 astmaaglo aopuaA pug aassgoand ssalun •.1opu9A pug satugdtuoa a3u-6ansut oI ssol ;o aotlou ae12 Slldmoad 118gs aassgoand •aopuaA gl?m paltsodap aq llsgs dlaadoaa aql 2u1aanoo satotlod 118 ;o lsu12tio aqI Tutltam ut s9e.12V aslmaaglo aopuaA ssalun 'pug Isaaalut 9,.1opu0A a11l 3o aoAVJ ut asnulo paupulels 9741 mialuoo Ilggs satotlod aqj, anp uagm stuntutaad aouleansm agI Sled Ilegs aassgoand •Iogaluo0 still .1apun pamo aou-6lgq aql u-6gl a.1om Iunotue ue ut a2e.1aeo3 aambaa Iou Ilsgs aopuaA Inq '-•anTEa'-aT-gvans•a-C'•77nj--k, jo tuns aqI ut 'aopuaA Sq panoaddg saaansut g2noagl 'aouuansut-oa Inogltm 'aatnb0a Saul aopuaA s8 spagzgq .1ag1o gans pug sT!aad 92g.1aeoa papual -xa `a.1g Sq pauotsgooo 92vump .1o ssol Isut82g paactsu! Slaadoad agI uo sluatuaeoadtut aqI daayl 11-egs .1as8gaand •luatuSBd gons 2utmogs sldtaoaa pugtuap uo aopuaA of aantlap 04 pug 4! ut Isaaalut s,aopuaA uodnao Slaadoad aqI uo patnal sluatussassg pug saxgl Ile anp uagn Sud of sastuioad aassgoand OO H 0011, _.l'': - 1 tbmnencin at the Northwest corner of Section '19ii_rty-one (31) , ~ Township Twenty-eight (28) North, Range Fifteen (15) West, Town of Cady, St. Croix County, Wisconsin; thence on an assumed bearing of South 00132'22" West along the West line of the Northwest 4 (NW'a) of said Section Thirty-one (31), a distance of 717.85 feet to an iron pipe for the point of beginning of the parcel herein described; thence continuing South 00°32'22" West along said West line 601,48 feet to the Southwest corner of the fraction Northwest 4 (NW-,) of the Northwest 4 (NW;) of said Section Thirty-one (31), said Southwest corner being in the center of Coulee Road; thence South 88017'06" East along the centerline of Coulee Road 216.39 feet; thence South 82°24'05" East, 317.59 feet along the centerline of Coulee Road; thence South 72°47'45"East along the centerline of.., Coulee Road 230.51 feet; thence South 55°38'09"East along the centerline of Coulee Road 307.24 feet; thence South 64°24'55"East along the centerline of Coulee Road 105.73 feet; thence South 84048130"East along the centerline of Coulee Road 108.03 feet; thence North P,6°39'30" East, 110 plus or minus feet to the Fast line of the fractional West st' h of said Section Thirty Cne (31) ; thence Northerly along the said Eash the At;whh burs South 8G°30'41" East from the tf line to 1':.~~~ North 8G°30''41" test to an point of beginning of the panel herein i J r iz Pik; thence continuing North 86°30'41" V 11~.94 'fi~t tv, U16 a,)Ifit of 1x~gijuiiI►g. i SUBJECT to an easement for ingress and egress over and across the above described parcel for Richard and Barbara Lambert, their heirs and assigns, David and Catherine Woodworth, their heirs and assigns, said easement being described as follows:* A 66 foot wide easement for ingress and egress over and across the fractional West ~ of the Northwest 4 of Section Thirty-one (31), Township Twenty-eight (28) North, Range Fifteen (15) West, Town of Cady, St. Croix County, Wisconsin, the centerline of said easement being described as follows: , commencing at the Northwest corner of the Northwest 4 of Section Thirty-one (31), Township Twenty-eight (28) North, Range Fifteen (15 ) West Tocan of Cady, St. Count Wisconsin; Croix y, thence on an assumed feet to a point in the centerline oee Rr~ad (said 33'19'02" East, 1980.52 beginning of the centerline herein described; thence North 42'21'05" west,n299.74 feet to a railroad spike; thence North 33°21'15" West, 402.53 feet to a railroad spike; thence North 43°39'30" West, 156.07 feet to a railroad spike; thence North 53°56'25" West, 126.70'feet to a railroad spike; thence North 66024'05" West, 295.92 feet to a railroad spike; thence North 34045105" West, 87.99 feet to the North line of the above described parcel and said centerline there terminating. The sidelines of the 66 foot wide easement are to be prolonged or shortened to commence at the centerline of Coulee Road and to terminate at the North line of the above described parcel which bears South 86°30'41" East. i The bearings of the above description are based on the assumption that the West line of the Northwest 4 of Section Thirty one (31), Township Twenty-eight (28) :North, Range Fifteen (15) West bears North 00°32'22" East. • SAFETY & BUILDINGS DIVISION State of Wisconsin Department of Industry, Labor and Human Relations PRIVATE SEWAGE PLAN APPROVAL Northwest Regional Office 209 West First Street Route 8, Box 8072 Hayward, Wisconsin 54843 HELGESON EX W1229 770 AVE SPRING VALLEY WI 54767 RE: Plan Number: S93-20286 Date Approved: May 27, 1993 Gallons Per Day: 300 Date Received: May 25, 1993 Project Name: LOBITZ, MIKE - RESIDENCE Location: NW,NW,31,28,15W Town of CADY County: ST CROIX The plumbing plans and specifications for this project have been reviewed for compliance with applicable code requirements. This approval is based on Chapter 145, Wisconsin Statutes and the Wisconsin Administrative Code. The plans are stamped 'conditionally approved'. This approval is contingent upon compliance with any stipulations shown on the plans. All items that are noted must be corrected. All permits required by the city, village, township or county shall be obtained prior to construction. The licensed plumber responsible for this installation shall keep one set of plans with the department's approval stamp at the construction site. The installer shall notify the appropriate inspector when inspections can be made. This approval will expire two years from the date approved or if a sanitary permit is obtained, it will expire the day the initial sanitary permit expires. The Section of Private Sewage has reviewed these plans for private sewage system code requirements only. These plans have not been reviewed for the code requirements set forth in Section ILHR 82 for general plumbing or in Chapters 50-64 of the Wisconsin Administrative code. This approval is for the following components only: - NEW AT GRADE SYSTEM Inquiries concerning this approval may be made by calling (715) 634-3026. Since ly, STANLEY E. AVIES, JR. Section of rivate Sewage Division of Safety and Buildings PPP200/0009n/24 cc: Private Sewage Consultant SBD-64231 B. 01/91) CROIX COUNT ST. Y ;aYy7.ti.t WISCONSIN ZONING OFFICE 4:, ST. CROIX COUNTY COURTHOUSE 911 FOURTH STREET • HUDSON, WI 54016 (715) 386-4680 'ice: sn,, April 29, 1993 Division of Safety and Building Bureau of Plumbing P.O. Box 7969 Madison, WI 53707 To whom it may concern: An onsite soil investigation of the Meredith West property, located in the NW'-,NW,, S.31, T.28N., R.15W., Town of Cady, St. Croix County, WI., has been conducted with the assistance of Bennie Helgeson, CSTM# 3094 . This onsite revealed suitable soil for onsite sewage disposal to a depth of 36" while meeting the requirements of the A + 4" rule. This site should be suitable for new ocnstruction utilizing either an At-grade or a mound septic system having 12" of sand fill. Should you have any questions, please feel free to contact me at this office. in erely, mes K. Thompson Assistant Zoning Administrator cc: file ti DEPARTMENT OF REPORT ON SOIL BORINGS AN N cr~i & LDINGS 4NDUSTRY, o o C111) VISION LABOR AND PERCOLATION TESTS (115) X 7969 HUMAN RELATIONS n 15U 153707 D C CZ co LOCATION: SECTION: TOWNSHIP/ LOT NO.:BLK NO. DIVISI NA AI J) / 2 /T2$ N/R 6 '(or) W CQL1 COUNTY: OWNER'S BUYER'S NAME: M ILING ADDRESS: u_%* har wf-!; t 1115 S USE DATES OBSERVATIONS MADE NO. BEDRMS.: COMMER :lAL DESCRIPTION: r~-~// OFILE / PERCOLATION TESTS: ~'L-residence ISGNew ❑Replace I r RATING: S= Site suitable for system U= Site unsuitable for system UNE~PR CONaVENTIONALP' MOUNDaA IN-GLOJS E] URE:SY❑STEM-IN-FILLHO❑LDING TANK R t MENDEDSYS~T`E~ (optional) If Percolation Tests area NJJOTT required DESIGN RATE: SYS EX If any portion of the lot is in the under s.H63.09(5)(b), indicate: I Floodplain, indicate Floodplain elevation: PROFILE DESCRIPTIONS BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN, ELEVATION OBSERVED EST. GHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- rr S. ~s S 8.1 S F<~ .mac f S/ 5;1 B- 2 6o 51 B- 3 (,o ` 5< -1 _2 5 115;1 rs 11 "6_7 3t~" 13- L9 6~ ~5- B- " J / 5; / 6 f 5f ~;1 17•t 8 . •1 ra 17 / 6_~3 12" ScL s'C< .y G 8/ S;/ r B- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TESTTIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTER SWELLING INTERVAL-MIN. PE OD 1 P OD 2 P R PER INCH P_ '7433 _30 1- 53 P- /G r. C P- P-. P_ PLAN VIEW: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent of land slop. SYSTEM ELEVATION _WCJe~S" ul,~~ r , I l Tcf, 4ey ► mw ~frr t zn e ~..R. _i.. i . I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures methods specified in the Wisconsin Admimistrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. NAME (print): TESTS WERE COMPLETED ON: ReAnl'e AD RESS: CERTIFICATION NUMBER: PHONE NUMBER (optional): CST SIGNATURE: z4-4- DISTRIBUTION: Original-Local Authority, 2nd page-Bureau of Plumbing, 3rd page-Property Owner, 4th page-Soil Tester. DILHR-SBD-6395 (N. 03/81)