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008-1095-70-000
Parcel #: 008-1095-70-000 04/02/2007 10:05 AAA PAGE 1 OF 1 Alt. Parcel #: 34.28.16.5096 008 -TOWN OF EAU GALLE Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O =Current Owner, C =Current Co-Owner O -ADAMS, GREGORY R &TERI L GREGORY R & TERI L ADAMS PO BOX 165 BALDWIN WI 54002 Districts: SC =School SP =Special Property Address(es): * =Primary Type Dist # Description SC 0231 BALDWIN-WOODVILLE AREA SP 1700 WITC Legal Description: Acres: 20.000 Plat: N/A-NOT AVAILABLE SEC 34 T28N R16W 20A E1/2 OF NE NW Block/Condo Bldg: Tract(s): (Sec-Twn-Rng 401/4 1601/4) 34-28N-16W Notes: Parcel History: Date Doc # Vol/Page Type 01/30/2002 669695 1825/295 WD 01/30/2002 669694 1825/294 WD 04/19/2001 643210 1621 /326 LC 2007 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 07/06/2006 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 2.000 27,000 243,100 270,100 NO PRODUCTIVE FORST LANDS G6 18.000 24,000 0 24,000 NO Totals for 2007: General Property 20.000 51,000 243,100 294,100 Woodland 0.000 0 0 Totals for 2006: General Property 20.000 51,000 243,100 294,100 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: 04/17/2001 Batch #: PRGRM Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Div~,ion ,. f INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)i. Permit Holder's Name: City Village X Township Adams, Gre Eau Galle Townshi CST BM Elev: Insp. BM Elev: BM Description: gs'_/ ~'~. t, ~T t3m H.~ TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY Septic LJ E~ (~~~ jst~ Dosing W ~~ .~ Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic ~ OV r r 1~ppl 52 / -`_, Dosing ( ~ l t7'D r 1 t uc ~ z t ~--~• 1 ~ `?(()t)r ?'fir r Holding PUMP/SIPHON INFORMATION county: St. Croix Sanitary Permit No: 404980 0 State Plan ID No: ~ `~ rOtlAS~ ~ . Parcel ax No: 008-1095-70-000 STATION BS HI FS ELEV. Benchmark csr ,Byr+ ~ r J'~~ /~6 • / ~ / Alt. BM , u I ~5.~~- Bldg. Sewer St/Ht Inlet f '~ r3" g ZS `~2-~', St/Ht Outlet r, / Ut Inlet G ~ Q rr I ~ y~ / Dt Bottom rt Z' r ~ ~ ~. S„1 ~o Header/Man. LF r 6 q 1.~.,S~C Qb • ~( Cist. Pipe i / r/ y / `~ • 20 Bot. System r~ .~ ~ N S zYZ s. z~ r 4s.si F'nal VI w~ ~ ~ ~-F ~ ` St ver ~n~~...- s' , s~ c~ ~~ I .by ~~;; l~o~z' S: ~~' ~ St'' "" Z v~~d-/~~f- R' SOH (~1.~) `1Z. 05-' Width Length No. Of PiT DIMENSIONS No. Of P'ts Inside Dia. Liquid Depth SI NS ~ t t O ~ ~~ ACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LE CHI Man rer: CHAM OR ORMATION Type Of System: r h S f ' SD t T Mo umber: , l~ I ( , nISTRIRIITION SYSTEM / anifold Header/M n ~ / Distributio x Bole Size x Hole Spacin` Vent to Air Intake 2 2„ •~t Di M ~ ~ia ~t~Z- S acin 3• C th v L 1j 3/'~ ~• ~ ~~ a Length 7 p g eng J • Cnll rn\/l=R ., n....~~...e c..~•e..,~ n.,~., w Mnnnrl rlr ~t.G`rarla Svctams Only Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center Bed/Trench Edges Topsoil ,Yes ii ai No j Yes I j No COMMENTS: (Inc`LIufJ~ co~e~ iscrepencies, persons present, etc.) Inspection #1: I / ~~/ 0 /~ Location: 2449 10th Ave. Woodville, WI 54n028 (NE 1/4 NW 1/4 34~T~p2~8~N~R~16W) NF('~ot. ~C 6~~"~ ` L) Alt 8M Description = t oQ o ~ \! 2.) Bidg sewer length = .. 55~ - amount of cover = >~IIZ"'•+''I t~ Inspection y I ~ / ~-tv / ~ (- Parcel No: 33 .28.16~9B /~ 3.) Contour = ~~, ~Jl' ~ - - ~ -. ---F-~-- ,~ ~ - - --- -- -- ---- -, - - Plan revision Required? ', ~ Yes No ~ ~ ( ~ ~ ~ 0 ~ t 3 ~~ ~ Use other side for additional information. I__Da~ ~_~ - In Actor' nature J I J Cert. No. SBD-6710 (R.3/97) SOII 06SORPTION SYSTEM Sanitary Permit Application Safety & Buildings Division + In accord ~ti-ith Comm 83.21. WiS Adm. Code 20l G4' Washington Ave iseo si See reverse side for instructions for completing this application PO Bo.~ 7302 n n Department o+ Commerce personal mformauon you provide may be used for secondan purposes Madison. WI 5377-730' (Submit completed form to County if r h~ ]~ [Privacy LaH. s. 15.04(I)(m)J V ! state ovine. Attach tom lete lans (to the county co ~ only) for the system. on a er not less than 8-1/2 ~ 1 I inches in size. Count}' ~ S~ Cczo State Sanwa Pe it Number ^ Check tf revision to previous application S e Plan I D Nu bey ~ , ~ ~-/ o0 I. A lication Information -Please Print all Information ation: Proper y Owner Nam e Pr perty Location j ~, o Property O ner's Mailing Address Lot Num e b r Block Number /- - °~" ~ U ~` /~'G~e ST. CROIX COUNTY ~ / ~ ' " Cip, State Zip Code ICE Subdivision Name or CSt`1 Number ~ ~ ~ ~~'' c r )~35~ Q~rz ~~ II Type of Building; (check one) / as~a ~ o.f ^Ctty 1 or 2 Family Dwelling - No. of Bedrooms-~__ ~ ` ~" qs: ~ D Public/Commercial ( escribe e) ^ Villa e g ~ Town of : us J State-owned ~ (o~.{t ``4 . O~S/~ `r.t ~it-~-<- ~~ III Type of Pers^.it: (_.. cl•: on!y ene box on line A. Check box on line B if applicable S Nearest Road S~- A) 1. 'New System 2. ^ Replacement 3. ^ Replacement of 4. ^ Addition to Parcel Ta~N u er{sZ .$~ S stem Tank Only Existin S stem ~ ~ ad G7 `- U~/ ~7 -~ B) Permit Number Date Issued ^ A Sanita Permit was reviousl -issued IV. Type of POWT System: (Check all that apply) -~ '- ~ ^Non-pressurized In-ground ,~ own ^ Sand Filter ^ Constructed Wetland ^ Pressurized In-ground o ding Tank O Single Pass ^ Drip Line ^ At-grade ^ Aerobic Treatment Unit ^ Recirculating ^ Other: V Dis ersaUTreatment Area Information: 1. Design Flow (gpd) 2. DispersalArea 3. Dispersal Area 4. Soil Application 5. Percolation Rate .System Elevation 7. Final Grade Required Proposed Rate (Gals./day/sq. fl.) (Min./inch) Elevation i~~7 8 ~ , 3~ X5,8 ~~ ~3 VI Tank Capacity in Total # of Manufacturer Prefab Site Steel Fiber- Plastic Information Gallons Gallons Tanks Con- Con- glass New Existing Crete strutted Tanks Tanks ^ ^ ^ ^ ~L~d ~~ / / ~ ~ ^ ^ ^ D VII Responsibility Statement I, the undersi red, assume yes ensibilit f^r ir.sial!ation of the POWTS shown on the attached laps. Plumber's Name (print) Plumber's Signature (nos ps): MP.'MPRS No. Business Phone Number Plumber's ddras (Street, City, State, Zip Codc) ~I ~ ~ ~ '~ ~4~e 2~, ~~ ~ ~fGv Z VIII County/Department Use Only ^ Disapproved Sanitary Permit Fee (includes Groundwater Datc Issued Issuing Agent Signature (No stamps) Approved ^ Owner Given initial Adverse Surchar ce) t~ ~- ~ Determination ~JZ Z ~ IX~Con 'h'ops of Approval eason~f~ isapprov~ ~ ~ ~ ~ ~~/ n. , u.r..f~. ~¢Oi ~2.1 otdc-c~.a+ ~,nnug7C- tMG~ ~'~'t~t•~ 40 ~ tnt0.-tA.c,`F~t~""`"~ ~~t-C-t'tsco~t~k.S, B} SBD-6398 (R. 07100) ~t ~~ I ~` V ! N 3 ~ ~ + ~ ~ ~ •; 77 o~ ~' ~ ~ ~ j ~o~ /1 V O ~ r-~ ~o 7 / i ~ ~ ~ ~ b {' ~ 3 d P~ ~~ 0 C .~ x f `~~ ~ 0 s 6 n~ --~N 9 /, ~f +'~ d~ ~I ~I ~I a ~ y ~ J ° ~' .~ r 3~ d ~~ ~~ 9 ~~ J -~ r i ~ S~ ~ i I f i I 3 0 r+ . ,. `~ J ~ -~~ ~ ~ .9 N ~ J ~~ v I~~~ a i 4 f ~ ~+ -~ .~ J ~ 0 0 ~. J ~1 C E ~, ~ ~ ~1 y M' ..3 r ~ ~ g ~` ~ r , .~ ~ ~;, ~, ~ a ~ i ~ ~' ~~ ~, o J ~. ~. ~ ~ { ~° ~ i ~ s .3 : ;~ /~ ~ ~ ~ 3 ~ ~~- .~ ~ d ~~ ~' V+ e~ ~~ / __ 3 '~` f' f rf ~ r~ ~" ~h V Q' s~ ~~ ~ ~~ .1 ~ :~ . ~ i~ ~ ~ r -d- ~~ ~ ~~ ~ ~~ j ~, s ~~ ' f 3 3 J ~ d s 0 •._.± d r ^ ~ iii C.+ _C M ~, ~; a ~ ~ ~ ~~ 0 ~ ~ v ~ ..~ J~ `'.t .e ~~ ~~~ ~~ : ~ ~o~~ ~~, ~o ~d ~~ ~ ~.~ c ~ ~ Hi ~ 9 o~' ~r ~~ ~ ~ ~~ ~ ~~ 1 ~, ~~ ~. ;, ~i~ n - ,__~~_ ~,'- ~ ~ iscons~n Department of Commerce March 08, 2002 Scott McCallum, Governor Philip Edw. Albert, Secretary I~fivttally ~o ~~CO ~~ • ~1MA~lEJ,~ ~PpNDE `,. aGE CUST ID No.226524 ROGER L TIMM 3128 20TH AVE WILSON WI 54027 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 03/08/2004 A7TN: POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 SITE: Greg & Teri Adams 10TH Ave Town of Eau Galle St Croix County NE1/4, NW1/4, S34, T28N, R16W FOR: Description: Four Bedroom Mound System Object Type: POWT System Regulated Object ID No.: 831747 Safety and Buildings 4003 N KINNEY COULEE RD LACROSSE WI 54601-1831 TDD #: (608) 264-8777 www. commerce.state.wi. us/sb www.wisconsin.gov Identification Numbers Transaction ID No. 711400 Site ID No. 641833 Please refer to both identification numbers, above, in all comes ndence with'the a"enc . The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: General Approval Requirements: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Private Onsite Wastewater Systems VERSION 2.0" SBD-10691-P (N.O1/O1) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems VERSION 2.0" SBD-10706-P (N.O1/O1). • 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. Per manual sited above, limited activities are allowed in the area 15 feet down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption area. chs. NR 811 & 812c 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. Stat ROGER L T[MM Page 2 3/8/02 • Comm 83.22(7) A copy of he approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. Owner Responsibilities: • Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the PO WTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.55 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. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. ' 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, ~ ~ ~ ~~--. ~i ,~ i Charles L Bratz µ POWTS Reviewer II ,Integrated Services (608)789-7893 , 7:45 am - 4:30 pm Monday -Friday cbratz@commerce.state.wi.us Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 WiSMART code: 7633 Greg & Teri Adams -Mound Transaction # Construction Materials and Techniques All materials must comply with Comm 84 and be installed in accordance with manufacturer's specifications. Construction methods must comply with the following Component Manuals: Mound, SBD-10691-P (01 JO 1) Pressure Distribution, SBD-10706-P (O1/O1) Location: NE 1/4, NW 1/4, Sec. 34, T 28 N, R 16 W Town: Eau Galle County: St. Croix Date: March 8, 2002 Owner: Greg & Teri Adams Address: E. 5870 683rd Ave. Menomonie, WI 54751 Plumber: Roger Timm Signature: License # ,. MPRS 226524 Attachments: 6748-Plan Approval Application SBD-8330 page 1: cover 2: design criteria & calculations 3: plot plan 4: system cross section 5: plan view, lateral detail CUn 6: pump tank exit detail 7: s: APP pump curve s stem a t - y man gemen DFPARTINEN (ON OF ~~ SEE CORRE: .~~` ~~ ~ ~~~ ~' ~~ ~ ~~ ~ O~ ®~~ page 1 of 8 ~~ Design Criteria YgS Residential Wastewater Contaminant Load: 30 mg/I, < BODS < 220 mg/L Anticipated septic tank effluent 30 mg/L < TSS < 150mg/L Fecal Coliform > 10,000 cfu/100 mL Fats, oils, grease < 30 mg/L Bedrooms x 100 gal/bedroom/day x 1.5 ~' `~'° gallons/day hydraulic load Design Calculations In situ designed loading rate ~,Z b gallons/sq. ft. per day Depth to estimated high ground water ~ ~' in. Depth to bedrock ' V n in. Cross slope at system ~ ~° % w~ x Force main length ~ ° ft. of Z in. Manifold/header length ~ ft. of Z' in. Drain-back ~' ~ gallons Lateral length @ ~'' ° ft. of ~' 1 z in. Lateral elevation `~ ~• 3 ft. @ bottom of lateral Lateral hole size 3~tb in. @ ~-~ in. ( ~'• `~ ft.) Spacing ~ 3 holes/lateral S^ Z holes total Lateral volume 1 ~ •~ gallons Total lateral discharge rate 34'.32 gallons/minute @ ~ • ~~ ft. head Network pressure compensation losses ° •~'~~ ft. Elevation difference ~`5 S~ ft. Friction loss °•Z~ ft. @ 3 ~~ gallons/minute Total dynamic head t 1•~ b ft. Pump/siphon 3 ~ gpm @ ~ ~~ ft. of head Manufacturer G' °'~` ~ 3 ~ } t Model # fr~~ ~ Gr' Dose volume i ~ S gallons Lift/si~on tank W Q-a.~ ~ wo gallons Septic tank ~ ~'`~ ~~-~ ~ ~'i° ~ ~'~ gallons Effluent filter ~" ~ (~- - ~ ~'° ; N ••u+-~ a L 2"~' ~*~'~' Measurement pump on and off ~ •y' in. Height alarm from tank bottom ~Z•~' in. Reserve capacity S 3 ~' + gallons specs.calcs.res Page ~- of 3 I d' r/' 1 i ry a ~J ,,, J 9~ 9 8 s s n~ _~t' 9 ~f 1 a s ~~ ~~ I M I ~E~ a 3 C` ~ ~ '~ ~ qJJ// ~ M ~ } ~ G~j 1 t P7T~ J K ~ O ~ s i ~~ ~ a ,~ ~~ u ~ ~y~~ s 3 ' ~ d ~ ~~ Y 0 x .~ f ~ M ~ cJ` o ~; ~ ~~ v ~I ,~ ~~ -. / ..~ J ~ 1~ I ~ 9 ~~ i ~ I ~~ v J ~ J Job°~I. y --Y r 3~ d ~~ ._,3- d 9 ~ N d 5.--• j A t ~~ ~~ J ~ 0 d ~ o E -;~ i -~ r~ U ~ d 1 ~~ ~' (.j1 ~ J ..r ,. ~ ~~ 3 _s .~ 9 ;~ ~ --~ ' ~ ti J ~ ~~ 3 ~d 3 ~ ~ ~- ~- 1n U ~~ ~ _ - -~ se ~~ f r ~,~ ~ r ,;, d v ~`"'~ ti ~' j ~o ~~ ~ ,~ I~ ~~ ~~ r ~ b~ t ~ ~~ ~ ~~' t ~~ d 3 j d s 0 ~~ J J d ~ ^ ~ ie ~ ~ M ~~ ~~ ~ ^ y v -~ ~ o~ a' ~ ~~ ~ ~ `° ~ ~ ~ + ~~ J ~ ~ : ~p~ h ~ a J~ ~ ~ ~ ~ ~ ~( 7 ~~ ~ ~~ ~ ~~ ~. ~,~ ~ ' 9~ ~ ~~ ~ ~. J ~~1 -=~.~-: k- ~~>_ ^_»n_ ~.Q a„~ , ~ V • 3 ~~,. as.~ „ ., t`~+~1 ww.Z~aQ i ~~,v~l t` O. Vt wit ~~~ ~pi\ow Z'~ r 0~.~ 9 ~ V~ `( n ~ w~ ~~OV~ ~~.4w~ L~vMr~ Cd~tz~ a`o~ ~~~.,~ l~r ..~..,.~.~ 3 M Sl \ , b s..b~o: a.,...~ g 5, 3 ~ b ~ H, ~ k za.~ ~, r, 4- ~ g ~~ ~ o I P` aH V : ~w~. s. ~ ;- I~ ~ ~ ~.r' ~ ~ 3.m~ y I ,~~ - y ~~ .,'~` -} N 1Z3. Z.i~' n 1~ , ` ` ` ~ ~ o r Q ,,.11~ S O ~ v-e c. ~~ b ' I v o ~ e '. 1 a 't P~ c1 ` ~ ~ Qom. ~., : ~• a ~ c O~. 4° Cr4~U•~. nit otoSn-v~v~~:oti ...a~1~ ~O ~O•~~o... o~ rock ~~ `! h t I : ('v ~ t tel. 4•~ ~ ~ D~ ..ft n.~-o LZ...:.. ~.. l ....1~ ` ~ ~ ~..` S ..ta•r..1i Z.. PvC tc~4~ ....., lY / / / ~ ~ 3.0 ~ } / ~ ~ /, / ~ / 5..,,,o~ ~-~.~ - 4 7 r o~ ~a: ~ ~sX "''/ v ..~ v L ~e 6 ~ w:v ~.~ a.a`''7 • 3~1 b~~ In o\ t.1 0 •. 1 •'4' ~ t a.` L~~ S''r ~G 0 ~ o w \ ~ -~ ~ ~ { `D • l7 ~ ~~ y. ~ ( ~' . c'~ ~ \ T `\ `\ ` t `\ \ ~- 1 ~ ~~ ~ ,, y' C.I. VENT PIPE ~ 25~ FROM DOOR, WIIJpOW OR FRESH AIR INTAKE ~-VEIJT CAP WEATHER PROOF JUAICTIOAJ BOX 1 ~'~ x ~~ s~o w~ ']'row.. ~ .2.2 ~~(~~~ ~d-~`~ `~ z~, . ~o~~ ~.~:h APPROVED I.OCKI~7G MAAIHOIE COVER `^'~~ w as H~..- I L. A Q Ci t-. GRADE ~ a\e~,,,...q~ COWDUIT ~-- ~~: ~ ~ ~~ ~l~ PROVIDE I AIRTIGHT SEAL „ ~ ~ I S~ 4-.8 ~-ra~•s , cs,es ~av ~ Z4.b ~ ~ ~ I II~ ~ ~ ~ ALARM ~„ ~ ~ I -._.~.~ 12.4" ~ I I 4" ~~~ APPROVED JOIuTS Wf PIPE EXTE-JOIUG 3' OWTO SOLID SOIL. ,` OFF ~ g•~S' ~.~ " e w DLOCK S6Y.~ ` ~ ~aV . - ~ _. ... -~ ~g.O i . .. ~ ~~~~~ ~~-~ (~ Z .. ;. i ~~~a ~I.-a-~ ~ 1.~ ~~ . ~1 ,~~ Pump Specifications f-1 v ~p ~o ao GPM ~~l~scharge size 1 ~i, NPT ~J''~:~5'e 111dXIn1Un1 Motor _ .. ~ u~~:ase~ 115V IVIalerials of Construction .. ._ . _~~no~iastlc Features and Benefits • ~~_. ~_:<<~~on el~mmates .~~~r~ ~'~oy9ing'. • _~ ~ .~~I•, reslstanl GOULDS .;4: J. ~ ` MODEL DUP03 ~. ., ~ 20 25 50 JS -10 U S GPM _.._-_~. _ a h a iom'm~ CAPACITY ~l; Mo~'els are designed for continuous MEEEf7S SEE' i 0,i 9t 30~~~_ _.. "I! 0 a ,~~. '' ~o .$~-f a .lt a ,. ,G. _ . a 2, ~; oo_ ,~ .. . J CAPACITY 3~ ~. Pump Specifications Features and Benefits ~~ and'z HP • t. "a'~, _- U[~ro60GPP~~~ ..~~: Mawnulm !~ea~i to 32 ~~ _ Dlsctiarge sloe 1' : ~~dP ~ ~ ~~ ~ ~~ _ SOIdS'~~ IllaXllllulll - ~ -~-~~ ~- ~~ Motor • tiE ~ _ ~~ ~~ Afi motors 1ea~ure bai~~ - ~ -~" -- ~ - _ ~ - beanng constr~~E~~~,;,~,, ~ :_ _ ;Ingle phase t ~ ~~_ _ _. _. Materials of Construction ~ , C1S( If 011 , ~_ ThenT~oplas!~~c ~ '~~ ~'" ~ Stainless stee' ~ . ~~~~ - - • ,; ~, _ . . ~ation and ~earure stainles s sree~ ~~.:~~~.~.~~ c5 " -~- System Management Management of this system is critical. As a condition of approval of these plans this system management section must be reviewed with the owner, and the owner must be provided with a complete set of plans including this management section. If problems develop with the adsorption system or any other system components, the installing plumber, Timm Excavating, 715-772-3214, or the St. Croix County Zoning Office, 715-386-4680, should be contacted for assistance. General Proper functioning of an on-site disposal system, "septic system," is significantly dependent on the volume of water wh ich flows into the system and the level of contaminants in that volume. The lower the volume of water and the lower the level of contaminants, the better and longer the system will function. Typical system components include a septic tank or compartment to settle out solids and contain greases and oils, a filter on the outlet of the septic tank to retain small particles of the same density as water, a pump tank or compartment to allow a dose to be accumulated, a pump and controls, and finally some type of soil adsorption cell to recycle the water in a manner to protect ground water quality and public health. 1 . [f the septic tank is installed prior to sheet-rock and/or painting, pump the septic tank before normal use begins to ensure adherence to contaminant load design criteria. 2 Install water-saving appliances whenever and wherever possible. 3. Repair even small water leaks as soon as possible. 4. Never pour grease or oil down any drain or stool. 5. Garbage disposals are not recommended; if you must have one, use it sparingly. 6. No paper products other than tissue should go into the system. 7. No chemicals should go into the system. 8. Avoid surge flows of water; try to spread laundry throughout the week. Maintenance I . The septic tank must be inspected every three years by a properly licensed person. 2. If necessary, the septic tank must be pumped to remove solids and scum; pumping is required if the combined scum and solids volume equals one third of the tank volume. 3. When the septic tank is pumped, any solids in the bottom of the pump tank must be pumped, and the filter must be back-washed into the septic tank to remove accumulated material. 4. Periodic observation pipe inspections should be made by the homeowner to examine the state of the in-situ soil adsorption cell. Quarterly inspections are recommended; a licensed plumber should be notified if effluent is consistently ponded in the adsorption cell. 5. if this system contains specific treatment components other than those mentioned here, maintenance requirements will accompany their specifications. ,. 6. The pumping components for this system include an alarm which must be installed and remain on a separate circuit from the pump. If the alarm is activated, minimize water use and notify a licensed plumber for service as soon as possible. The system allows reserve capacity to accumulate some necessary flow until normal service can be restored; this volume is minimal, and no more than one or two days should pass before any necessary repairs can be made. 7. Avoid compaction such as vehicle traffic within 15' down-slope of the adsorption system. 8. Avoid disturbing the system itself such that might encourage erosion or disturb the required seeding of the system. 9. Particularly avoid winter traffic such as sliding or snowmobiling which might compact snow and lead to increased frost depth. 10. Surface drainage must be diverted around the system; avoid landscape changes which might send surface run-off into the system area. 11. Warning: Do not enter septic, pump or other treatment tanks; death may result because they may contain lethal gases or insufficient oxygen. Contingency Plan Wastewater monitoring of volume and quality is not a normal requirement for low effluent strength systems; such monitoring may become necessary if problems develop. Any necessary monitoring shall be done in accord with the requirements of Comm 83.54 (2). Pumping and hauling of wastewater may be necessary while analysis and repairs are implemented. Additional testing, designing, and/or installation of additional treatment components or conversion to a holding tank may be necessary. Page 8 of 8 Wisconsin Department of Commerce SOIL EVALUATION REPORT Division of Safety and Buildings in artrnrclsnr~ with Cnmm R5 Wise Ar1m Cnrfa 1487 Page 1 of 3 Certified Soil Testing County Attach com ete site anon pl pl paper not less than 8%: x 11 inches in size. Plan must St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimemsions, north arrow, and location and distance to nearest road. parcel I.D. 008-1095-70 Please print all information. R viewed B Date Personal information you provide may be used for secondary pu .15.04 ) (m)). ~_ Z Property Owner Prop y Location Adams, Greg & Teri Govt. L t NE 1/4 NW 1/4 S 34 T 28 N R 16 W Property Owner's Mailing Address MAR 1 of # Block # Subd. Name or CSM# E. 5870 683rd Ave. City State Zip Co Pho~Ng FFI ty Village ~ Town Nearest Road Menomonie ~ WI 54751 71 Eau Galle Tenth Ave. /' New Construction Use: /' Residential ! Number of bedrooms 4 Code derived design flow rate Replacement _ _; Public or commercial -Describe: Parent material outwash from till Flood plain elevation, if applicable General comments and recommendations: install 6' x 104' rock unit mound on 95.3 contour as upslope edge of rock w/ 0.5' sand fill 600 GPD NA Boring # Boring Pit Ground Surface elev. 93.3 ft. De th to limitin factor 40 in. p g ~- Soil A pplication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP DNt' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 "Eff#2 1 0-5 7.5YR 3/2 - sl 2 m gr mvfr cs 1f/m .5 .9 2 5-18 10YR 4/3 - sl 2 f sbk mvfr cs 1 m .5 .9 3 18-40 10YR 4/6 - Is 0 sg ml cs 1 m .7 1.2 4 40-60 10YR 416 f2f 10YR 6/2 Is 0 sg ml - - .7 1.2 r occasional gr 8 cob below 18" Boring # - Boring V! Pit Ground Surface elev. 95.3 ft. De th to limitin factor ~ 60 in• p g Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/fte in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. "Eff#1 "Eff#2 1 0-5 7.5YR 3/2 - sl 2 m gr mvfr cs 1f/m .5 .9 2 5-16 10YR 4/3 - sl 2 f sbk mvfr cs 1 m .5 .9 3 16-60 10YR 4/6 - Is 0 sg ml - 1 m .7 1.2 considerable gr & cob below 16" "Effluent #1 = BODS> 30 < 220 mg/L and TSS >30 150 mg1L 'Effluent #2 = BOD < 30 mg/L and TSS _< 30 mgt. CST Name (Please Print) Signatur : CST Number Henry F. Grote ~ 222774 Address Certified Soil Testing Date Evaluation Conducted Telephone Number E. 4366 353rd Ave., Menomonie, WI 54751 3/1/2002 715-233-0398 Property Owner Adams, Greg & Teri Parcel ID # 008-1095-70 ~ Page ' 2 of 3 Boring # ..:.~ Boring Pit Ground Surface elev. 95.3 ft. Depth to limiting factor 55 in. Soil Application Rate Horizon Depth in. Dominant Color Munsell Redox Description Du. Sz. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots 'Eff#1 'Eff#2 1 0-5 7.5YR 3/2 - sl 2 m gr mvfr cs 1f/m .5 .9 2 5-15 10YR 4/3 - sl 2 f sbk mvfr cs 1 m .5 .9 3 15-55 10YR 4/6 - Is 0 sg ml cs 1 m .7 1.2 4 55-65 10YR 4/6 f2p 7.5YR 5/8,5/3 Is 0 sg ml - - .7 1.2 occasional gr & cob below 15" ^ Boring # --i 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 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 ~ i I i 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 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 I i I 'Effluent #1 = BODS> 30 < 220 mg/Land TSS >30 < 150 mg/L 'Effluent #2 = BODS <_ 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. [f 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.07/00) Certified Soil Testing . ~ I r I~ 1 Z ry ~J ,,, J r 9 8 s d l-- Cli, -~ 9 ~f dS~ 3 ~. ~I s. c.~ ~ ~, ~ ~( M d .1 fhd V S d JJ i 0 J` F V ~~~~ 0 J n z ~---- J ~~ J J ~ J 4~ .~' 3L d ~~ ~~ ~ 9 of ~ N d r S.-~ 3 N .s `.r A M o ,~ v f ~ V ~~ I ~d o of ~ ° C i1 N~ i C ~ .r ~~ ~ I u ~'"l~ ~~ ~~ r~ t ~~ l" (' ~i { .~ r '~ i ~ i 1 ~" ~ s s t ~ J a 3 j ~ . d f 0 ~ ~ ~ ~ ~ ~ ~~ ~ ~ ~ o~ ~.. g ~ ~` ~ ~ ~ ~o ~ 3 ~ ~~ ; ~ ~ .s ~ ~ J ~ '~ ~ ~ d ~ ~ ~ • ~~ ~..~ 0 ,,/1~ ~~ ~. - ~ ~ ~ . -N °~ ~=1 m 3 __>_ ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM OwnerBuyer Mailing Address ~ ScQ`70 ~~ 3 r~ ~~ p Property Address ~' h (Verification required from Planning Department for new CitylState _ ~~d o`~ `{ ~f r, L~~ Parcel Identification Number D~ ~ -- Zd~S -- 7c~ LEGAL DESCRIPTION _ Property Ldcahon ~ '/4, ~ '/., Sec. ~ T ~ N-RAW, Town of 1~'~. ~~c. Subdivision ~~' ,Lot # Certified Survey Map # /~' ~ .Volume .Page # Warranty Deed # ~--=+a ~,~ ,Volume ~ Page # ~ ~.~ Spec house ~ yes 18j, no Lot lines identifiable 1~J yes O no SYSTEM MAINTENANCE 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. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restrictedplumber or a licensedpumperverifyingthat (1) the on-site wastewaterdisposal 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 Drrpartment 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 Zoning Office within 30 days of the three year expiration date. 3 /Z£3/ oz SIGNA OF APPLICANT DATE OWNER CERTIFICATION 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. C~z,S~~ ~ ~ Z$ ~ d 2 SIGNA OF APPLICANT DATE ****** Any information that is mis-represented may result in the sanitary permit being revoked by the Zoning Deparment. ****** ** Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed Y~118?5P~~E 295 ,, r - Document Number STATE BAR OF WISCONSIN FORM 2.1999 WARRANTY DEED This Deed, made between Douglas B. Mendyke and Rhonda M. McGaver, a Rhonda M. Mendyke, n k. .-. _husband and wife,. Grantor, and Gregory R. Adams and Teri L. Adams, husband and wife, __ _.._ .,. --- ---- Grantee. Grantor, for a valuable consideration, conveys to Grantee the following described real estate in St. Croix County, State of W isconsin (if more space is needed, please attach addendum): EI/2 NEI/4 NWl/4, Sec. 34-T28N-R16W, St. Croix County, Wisconsin. Recording Area 669695 i:A`fHLEEiJ H. WALSH ly't".GTSTEFi OF DEEDS iT. CkO:f:X i:.U., WI RECEIVED FOk RECORD C~1-s4-200c ID:30 An iiAkRAHTY DEED E>';~npT a CERT CORY FEE: CGDY FEE: TkAMSFER FEE: 201.00 kECGRDit•G FEE: 11.04 r:~ASES: 1 Name and Return Address David J. Estreen 304 Locust Street ~S ~ y4~(~ Hudson, WI 54016 3u ) oos-logs-7o-o00 __-- ~ . ~bZl ~~. Pazcel Identification Number (PIN) This - is not - homestead property. OEI (is not) ,/, ~O Exceptions to warranties: Easements, restrictions and rights-of--way of record, if any. Dated this ~J l ~ day of October AUTHENTICATION Signature(s) Douglas B. Mendyke and Rhonda M. McGaver n/k/a Rhonda M. Mendyke, husband grid wife _-- ---- _--- au[hentic ted t is~1 ~ay of October _ 2 - '- « Kristina Ogland 2001 001 TITLE: MEMBER STATE BAR OF WISCONSIN ([f not, _ _ authorized by § 706.Ofi, Wis. Sta[s.) THIS INSTRUMENT WAS DRAFTED BY Attorney Kristina Ogland Hudson, I iti (Signatures may he authenticated or acknowledged. Both are not necessary.) • Do I B. Mend ke _ _ ~ ~ • Rbonda M.McGave~n/k/a Rhonda M.. __ ndyke ACKNOWLEDGMENT STATE OF WISCONSIN ) ss. - .__-- - County ) Personally came before me this day of - _ _., ___ the above named to me known to be the person(s) who executed the foregoing instrument and acknowledged the same. «_ __ Notary Public, State of Wisconsin My Commission is permanent. (If not, state expiration date: (~ 3 _ ~~~_J~ C .. ~ bJ~ ~~ ~~~ 1 1 ~~ « Names ot'persons signing in any capacity must be typed or printed below their signature. imormetan Pmtasslona~a Company, Fond du tae, vm STATE BAR OF W ISCONSIN eoosss-ZOZi WARRANTY pF,4:U FORMNo.2-1999 ~7GG iAUG JO :B A L D W I N ChaL1eS Gerald & 70.4 . ~ ;; 77 . P n .~.;• n ~Y 5 a Laetr g M m'n • ~ ' . 96 Mary Ann 36a • Duke ~ R Slum G9aaet Carey Ziltmer Andel5on pelerson 1arnW ~Slkraron A,t},up Donald ; ~ LarL7 WOODVILLE Kerr 3 Ne Jon Timothy 40 1e"fir' & Judith : Wadg ~ ,va„ & A,,;ta 3i °eA,`.~~,,, b 76.4 140 Moulton 90 & Pamela 100 1& AN gg rust Rodel • Dawn 6a 1 Dennis &'> )rrscen 120 ,,,,,,, 7 z 1 • a • • Stave Dobrer~z • • • 3 • Anderson • ChrlStlne • ~~, a 9.i ~~ «`na z }A s~..hcnr •r l~v` Ml.h.u•u~ ~ 5~ ,. • GErD 21 Csolsgd ls• ~ TL 5obi"a Harve to vaaaae,n ~ o.. - ~ t5L8 s~ea~e,ra ~~ Hillstead 95 MG Pi^P VanRlper ~~ Y • ~ o 30.5 BirkeH Halderson 54 r. rr.r • teim~ ~ 210.5 137.3 7s ~ Donald & Judith 21 JJ a.^da ~``'"` 68.5 % ~ Rodel 8. ~ 40 Robert & Richard Michael & Joy ~ 16H Midke 16: David & Trudy i«.,n ~!~ scree Arfhur Trapp w ~ z w e.z a s 148 orsh 2D 1 Torgerson z Ostlie 94 • • `'Ai m.i ^ • Reinsch 87.7 ~ " n lacob+^^ • ~ D`Rt z s le.ry Ronald Richard Eugene Grl Jr • • • • m a PhM tit xeebink • 61oan k l.eo • 3 Ronald arret Michael • Terry • Gre w 65A~a,•v & Olive 6 y,amn Glenda J w.c n A Dena S M • 8 59 12z ~°ta G^^M' ~ni H«hiak Pete n erLy~a Laurence 31b ~ Heebink ~ Terpstra 40 36.7 • ~ ve Wertz L 9d • 1•K Jones• eWldl46 ~•larson & Mary 1J2 ] • xrkxw an 30 & Nancy Jacobson• • H a` • nz Inome • • Harvey A~ 120.5 Mersov • &aNolzr ~ Molly •Chris & Arlene Donald • 2 Lar$Dn • ~ ~ 67^Yre bes Walter a w ~' & Marvell 4 r6s Momcken Olson Wangen & Judith . 159.5 & Dorene ~~ 266.9 • Serier ~°i^e 20 • l 58.8 '~ 78 Rodel ~ 74.7 Jacobwn i /~ Arthur R61 ° Wood & ~ ~ • Donald & David 1335 1 G Randy & Sandra ~ Julie v ames & Elinor fO¢n'"g Carroll C&C Harry Langer 9.z Wilma • Mar aret & Diane 1 s Lelah Roquette c ~ • ~ arxevm ns Serier Schwab 3S Re :„ Nelson ~~ JDhnson m eerala 158.7 Hageseth i 47 Zignego o`gpn" • • ~ t2o Kroening Fam 60 m^gws 9.a R ~ B ~ a r • 150 • $Q BO ~ ~w~ery Ru It 154.8 ~ Trust ~re+ am 61.2 117 40 • j sz • s • • • 100 as • ~ ~ ~ ~ ~ ~ ~ 19.7 N M5 a Don • • y • Roland • Telford &1 Yn Timo Y u1CtOi Br 19 • • ~rD lee • 70 Rand 50 20 xevin 47 Janet Lund L¢e ~ • 40 ~: N a M ~a'~n t ar syl~ia Everso bo 144.2 ss xr•ening 60 ~.76 w sandvie ~ Elizabeth yl Jo • aMp M6T 102.6 Mary i 17 F&R $. William & Lee s7.2 "' ~l • Trinko Wae sad 10J Leon 38 ~ • • Stace Q 98.4 x„ Eimer `ems,,,,' as RM 6 Deed • • 28 p • Jean Peavey J ~ 142 • r • 19 M6C 10 Rasmussen 561 19 • ~ • ~ 152 Dhn • Serier Moiler u lr¢sson 20 oK7 R • • p.• • )mr • Rarry6 ~ Gloria Randy R • Glen & Hernia erty ~ 62 ~ ~eut laonard Phillips ~ . __ John De Farm . Heather ~ san 140.5 se.iar ~RP'^ Roquette ; s Hensley )ohrkwn Dennis Duckworth Yeci40 ri WK N o' •~a 41 Elc ao • 9 a0 • Re Rolxrt dr Donald Roy & l.,ae Egan 230.4 • Lavern Wayne 6 azs • 3 • No & Rebecca 8.9 Kimberly Ronda 100 aaw~garo,er 77.8 80 Earl & Mary 4o 6 stwi~a ~ bq & Alice loseph;^e Burt Tru¢ • Hei Larson ri5e„peter • 116 ~a"° Bertelson ~°"'SeR"°" 6 D+^a 7as 0 79 32 35.1 • ~ 90 • • • ao Giezendarmer 76 • ~ 4 Swanson ~ ~ • • Brine • • T6 .. 102.7 • `~' • a egad "' Leslie & Karen Rav berg LE Q & Jane lu Peter ~ d Eau & B Mn ub 18 : V ~ ~I,a, v i Ke,~~ 3a.5 ~ R6 v ~ 100.5 g Cynthia Erickson Duane - • ~ Galls Iahr Paul & ~ .Q Randal & rson Ra,neerg ~ 40 & Lucinda gtene ~~¢ • 36s ao P~~ wdEam 327. "Garlend 40 x Gary • ~ p3t d ~ E Ramhers E Ramberg Bauer & Gra David ~~a6 GJ`.s ~dr.e • & Shazon $ Apu;gtson Teng Lee ~' prl ~ E Tamaza 1r.6.r6c 1F6r61 ~ • 100.6 I.okken Haman Anderson Godwin ~ Fregine ~~ • 81.5 O Ramberg wmbe~g Ram r 142.5 • 40 ao ns • • a0 etal 240 K 103.1 6 • sa Thomas & a A~ 19 ~••~ Great ames & Lorayrke r Thomas fy ~ Verl & PaMaa • Michael rmem • Johnson Clazk Batho & Jon m all • Yn al Anderson • Michele pmy Casey ~ 131 t 40 ~ 75 EBefson "i Falde • '~ sz ~ a 110 74.8 JarrleS Br r 200 • • %.75 ~ • • BO Chris & Dianna JMarilyn R`oN P g0 Jon Johnson Rieke & °rs Linda Wayne & ; v e ~ ~ wafter & Thomas 6lanet Marilyn olmk ao Doriald Y hhe • rFi• ~a Sandra A6ER10 ~~ n Jacobson Dittman Donna Lee Sturtevant JoSep o • Kusilek rc • VrsO1 • 1-arSOri • 80 • 45 p ~ • gJ) Albrigtson ~ g ~r Fenstra • N a Donald 5 AmoM • • 5 Orville RC l32 ax 161p 16M1 o = Tracyk 40 • Scott, Chazles DulRnga k Darlene • Rx • • ~ toz ra l " • Trudy Eenuey ~TSOn 31 Gerald Larson Len Kristi. • 30.7 60 • Rev Living 40 ~ Berkaetla Verlyn & sMeu m • .•He~geson Kenneth Delmar & Jean 120 Kielme • Ro),ert Inc Kevin & °e""" Zieba 'md • $ s € r>anirl aR.a ~ Trust Patricia Mary eo & xaY 5943 Barbara palde Steven ; Brian ~ p ~ € _ E . )en Donald & Flo9ae 120 . _ Paz "a D"II'"R" • ,Lucille 2 lo.b Larson &Peggy ~ Gedatus Fugate ,.e6 Mary sch cAN 20 2,9 William 7 Douglas Lynum • 2 190.5 O 74 Lyle & Sonja '>s N'd1OE • & Elena Quam • W emer• ~ ~ Orville • • led 115 Sc Gunderson Melvin 2`~ Dagner ~ i & Darlene s~¢B<I I l; olwn 306.2 279.1 • John & • 2g.2 172.6 eter & Sheran ~ ndaue i P Lien 101 'w Dennis John & Linda Gerald & Stanaitis Rosww ~ c _ Wayne h Paul • Marlen¢ Robert 6 ~ Marsha • ~ ~ E _ J~PI^`w ~ Jams Adnlph & Shirley I Weber Woltman v;ck w~. EL Campbell 80 °3 •Z? .6 Mk • 6Rvm /~ 166 sa.b 06K • =gb Albrigtson Nel. Roch¢ i, O GO 60 253 c5a 2 12 • 40 9D6 ~y~ld • : 40 40 ,0 O •laura P&o lame:6 rani~a 115 • 1fi0 Wald is 150.2 • 40 Friedges ~ E 10 Mafrd(IaM • Jo 52 ~ • 40 h 2 c (i3 lack John • Ie Pax ~• ~ '~ s r.m< a • w61 P ~ • Da^e 6 z9 & Reber a • 50 Lavelle Licknes5 • • & Ruth Debra Raamusse^ Rasmussen `~ Don & Yewb^rg z • 98.5 Ierome ~ Clark • • Ross & crease o _ i Brunlc° « Wildwood vaw~~ Anderson El' beth ~ bo o• s~ John Sc JOAN 7U 170 Johr, Bernice Inane Hardwood view Inc 80 • Kee P6s ldu Lavelle n ii 78.5 • 3L Davis• ~ BergeT GyV1C • Corp g0 • 6z.7 • 99.7 e 66.4 Leonard Randy Steven & Jon Arthar lames Irvin b1 ~ • Rr,roe ~ waim ames ' ~ • Brooke w^i+e zo a ere^da 5 g games Bt.s 1 S & Doreen ~ Anderson • xempen • • 6 A^rr $ E 3 80 Family Tlvst • `~: 100 0.~ Vanasse g yl Kent & Ann Merth Marjorie g s6I L Izs xeCk 75 120 Peggy Rode 80 ~ ao ~ ~ a 402 ~ RudesiB Gibbs m ~ ¢ & Clarence Harry & Audrey c 9 a ~ t- ~ 51 ao g • ao ° & 80 wchara ~ ; Rog r & Harley E Y . Midsaei - Ande _ m ""^I 110.5 FPierce ~~ Marsh ~ ,~-.'? • Terry gg 40 Swenson Blue • z"~ ~ ~ • ~ O • bTe~resa 6Katt^• Ier~Y 20 = O ^ Km z • t8 0 • 3i 40 • ` i Lansing a0 >30 •o~O. ~ z'' ~ a • Humphrey lohrson 3 139.2 0 2100 2200 2300 2 04 p1ERCE C.Ollri'1'Y 2500 • 2600 IF P~taC JACOBSON INC. 1860 10th Avenue Baldwin, WI 54002 (715) 684-4600 Walter & Greg Jacobson 20 Stampings • Subassembly Phone: (715) 698-2471 Fax: (715) 1598-2335 ®~~ SONS TOOL INCORPORATED 460 THOMPSON ROAD WOODVILLEe WISCONSIN 54028 Wisconsin Department of Commerce D;vision of Safety and Buildings SOIL EVALUATION REPORT Page ~ of~ _. in accordance with Comm 85, Wis. Adm. Code •~ Attach complete site plan on paper not less tpr;~R t3 1/2 11 in es in size: Plarf must vuw uy 1 C- ~ ~?~ include, but not limited to: vertical and hori rltal:refere ~ (BM), dire percent slope, scale or dimensions, north 9Nt, ancfEi~f~ and di si~:ice ction and to nearest road. Parcel I.D. 008 - ~ O q S --7 ~ ~ ~ Please print ~{{.information;,.. "`°u Reviewed by Date ~ Personal information you provide may be used ~or secondary purpos sQy GV s: 15.OA (1) (m)). ~t-~Cl 2 Property Owner , ~ ~ property Location ~. J 1 Z ~ ~~'F~-~ '- ~` ~evt-1_e6 ~..~ t_ 1/4 NW 1/4 S 3~ T L~ N R ~ Ej E (or~W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# City State Zip Code Phone Number []City ^ Village .® Town Nearest Road ~1.lSwo~zT~-E ~vl S~.oL) (~.lS) 2."~~- 4.38 2 ~-~v Au-~. 10 'Tl~ q VE ®New Construction Use: ® Residential / Number of bedrooms _~_ Code derived design flow rate b 00 GPD ^ Replacement ^ Public or commercial -Describe: Parent material ~f R21 ~'S Flood Plain elevation if applicable ~ ~ ft. General comments and recommendations: ~) aUt~ W`q 'X 6 7' c7 lS T'1~-L B v TL O t~J ~-° C.~- C- ., ©Boring # I^~ Boring + 1~ pit Ground surface elev. ft. Depth to limiting factor 6 in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 Z 6..~$ to~c',ztit -~!~ ~.S~fzs1s sil lesb~c vyt~A- ~S - _ z - 3 3 l8 = ~ ~.s~trz.3t +~ c 1 o w, rn ~f~- ~ , o . o a Boring # ^ Boring ® pit Ground surface elev. ft. Depth to limiting factor ~ in. Soii Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 0- 6 ~a~l ~Z 3 1 z s c{ Z-f'Sb>z ~ ~i" 0..9 1 V`~ , S . 8 2. 6 _ 1.9 t o ~ lz ~!y e l-~ 1 • S~f 2 s ~ ~ si I 1, e. s~ c~ wy. ~>•- cg .~ • Z. - 3 'Effluent #1 = BODS > 30 < 220 mg/L and TSS >30 _< 150 mg/L ' Effluent #2 =GODS < 30 mg/L and TSS _< 30 mglL CST Name (Please Print) Signa CST Number Arthur L, ~degerer ~ ~ ~~-tZ 220254 Address ({ e g e r e r S o i l Testing & Design Service ate Evaluation Conducted Telephone Number 421 iJ. Bain St. River Falls, [dI 54022 ~~ 2.2•p~ 715-425-0165 Property Owner ~ LTA l 3 Parcel ID # ~ ~ ~ - ~ ~ ~ S "~ Paae C.• of 1 a Boring # ^ Boring _ ~- -- - Pit Ground surface elev. ft. Depth to limiting factor 7 in. Soil Application Rate Horizon Depth Dominant Colo Redox Description Texture Structure Consistence Boundary Roots GPD/ft' in. Mansell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 1 a - 7 t.ok 2.3~ z - s t I z'Fs b>z ~n-~r a.s ~ v~ . s .. ~~ Z. ~ _33 L~YR- ~L~t{ C~ 1..5 `tt2 S!~ S~ 1 ~. CShi~t -'~?~1- C.,S , Z , 3 -3 3 3-~L Z ~.S'~2 ~ ~ ~ .1 S ~ csbk m u fit,. - • '1 ~_ Z Boring # ^ Boring Pit Ground surface elev. ~~• ~ ft. Depth to limiting factor 3 Z in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Mansell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 ~ ~ - $ 1 y R 3~Z -- s L) Z'~S 6 vrt'FI~ CS ~, ~ . S . ti3 z 8-t~ 1~Y12 ~l3 ~ si ~ Z bk ~ ~N eS 1v-4~ • S 3 17- 3 2 ~.S `t 235/ is C3 S ~ Q, g - . ~t t. Z 2-~0 ~.s~~-.~t - is o cE - .-~ . o Boring # ^ Boring rr ® Pit Ground surface elev. ~~ ~ ft. Depth to limiting factor 3 b in, Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft' in. Mansell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 n -6 tai R-31 ~, s11 Z-FS b 1z m~i, e.S 1 ~ , s . ~ Z b -z~ ) o ~ R Y l3 - s 11 ~~-'ls bk vrl,~- ~S ~ ~ • S . ~ 3 Z~:3~ ~•sylZyl6 - sl ~~sbt Y,, ~ ~S - •~ .6 m 1 cam, ~-~- s 'Effluent #1 = BODS > 30 < 220 mg/L and TSS >30 < 150 mglL `Effluent #2 = BODa < 30 mg/L and TSS < 30 mglL 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-8730 (R.6/00) Property Owner ~ ~.-T ~ S tr Parcel ID # 0~ ~ - l ~'"L S `~ ~ • p,,,o ~ „r L~ Boring ^ ©Boring # r ~ 1~J Pit Ground surface elev. l~0- S ft, Depth to limiting factor 3 3 tn. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDlft2 In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •E(f#2 o_ S t e ~ fZ 3 ~ z _ s ~ l z`F ~ b rn`~L- a. ~ 1 `~' . S • $ z s _~:, , o ~z ut3 _ s' I zm.shk mac- c s ~ t.,-Q . s _ ~ 3 L P -3 3 ~<S~ItZ j C _ _ S ~ ~ L° S b ~z !~s'I U'(~L. c- g - • ~ . (~ y ~ 3 -~17 ~ - S ~-i'. ~ 3~y - ~ ~ g Z~ 9 ~ - , c~ . v ~- ~ wl c..~r~. J ~ LPG ~. ~-S Boring # ^ Boring ac- Ground surface elev. - rr nan+h E.. ~i.,,Sinn ate....,, L~' :_ ----- ~~~~ Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots Soil Application Rate GPDlft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. '~ 'Eff#1 •Eff#2 ©- .E~ l,pH rL 3 t i -- ~ s t, I ~-`~'sb k wt~~ c--S 1.~ . 5 . . , e Z 8 - l~ tb ~ Lz ill - s l ~ Zrn Sh ~Z vn~f1. e.S \ ~'F ~ S ~ ~ 3 1~` 3 2 ~. S4[ R Yl 6 `FL'F ~ • S`I i2 S ~~ C O ~ W~ `Fl~ - • ~ . O l Boring # ^ Boring . ~_J (1 ptr ~ Ground surface elev. ~ ft. Deofh to limittno factor tn_ Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots Soil Application Rate GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 .. • • Effluent #1 = BODa > 30 < ZZO mglt. and TSS >30 < 150 mg/L • Effluent #2 = 6006 < 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. ...,. ..._.. ....,:......_. ._ ,.~_. .. ..... .....n .. .. , . ,;~., _„~ seaa»o tR6/o0) ,- ~ PLOT PLAPd Scale 1' _ CIO' Page ~ of -_~pC9~'Sl~t~LS_-Q~c=~81,:~t3Z- L33___~._,~-Z-.-per-__ :~'~l~R.:TM~I:V'k-`rL-: `'!'1CNS CtiF: _80R-~~GS------- 8?'_'f 3~=-j =:=L2.:-:--L~~ O'__ ~' ~.`'l-t-IG l~ ~ :31 ~`-' ~i i9 :~ ._ __ -- -- - t~wl tFZ - L'Z. -ot'1;~ ' otV S'' t`i• tGN- t 9lgN ~~_~ bo uuT oo-~p~-r oR ~ ~ S1L~Z.t3 `T~tt g mz~~ ~~ -, .5 ~ ~ f~ ag ~ ~' Z6 3 ~ ` ~,g ~~w, ~ i 1b ~ ~ /~ l00 ~/ ~ t.~°` G.q _o Cdr.~N ~ o~R- ~,~o g'6 Bow `st' B1 a.~~~1~ i -z.z.:o1 715-425-0165 220254 s~ J ~ ~ N }- 0 ~Z 2 a3 JI d ~ ~ ~ ~ O N !L 0 ~ ~ J~ Ol- lZ CST Signature Date Telephone I•do. CST A1o. Job PTO. wsconsin Department of Commerce Division of Safety and Buildings SOIL EVALUATION REPORT Page ~ of~ in accordance with Comm 85, Wis. Adm. Code __ ~,. ~ti. Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must vvV ~ ~~- C-~ ~X ~ include, but not limited to: vertica{ and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. 008 - 1 O ~ S -~? 0 Please print all information. Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Reviewed by Date Property Owner ~ ~~'~~ ~ LT ElS ~ Property Owner's Mailing Address Z 6 Z S . G tZ /~,~- sT . Property Location ~ 1 ~ Z O ~ 6evt-bet' N E va NW va s 3~ T ZS N R 1(-, E (or~W Lot # Block # Subd. Name or CSM# - - - City State Zip Code Phone Number i~..l.S1~O1Z.-Tb( wl S~LoIJ (-1lS) Z~~- 4/,382 ^ City ^ Village .® Town Neare;;t Road ~~fv PrL~~ Ip 7N- AVE• ® New Construction Use: ® Residential /Number of bedrooms ~_ Code derived design flow rate b 00 GPD ^ Replacement ^ Public or commercial -Describe: Parent material V Ft2/ t°`S Flood Plain elevation if applipble ~ Q ft, General comments and recommendations: ~) f)Uty~ Wj~c1 rX. 6 7 ~ ~ ~ rlZl. B u Tt V t.J °L-C.~- C.- ., v~-tlti~M~~ 6" 6F S~ '~~~~. a Boring # (^~ Boring ~ _ _._ . 1~ pit ~ Ground surface elev. ft. Depth to limiting factor b in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftz in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 'Eff#2 r - 0-6 _ to~,fz3LZ - sal z~sb~ ~~ 0.,s 1v~ • S .~... Z 6~~$ l~~-ttiitiC -~I~F ~ •S~tcZS18 si l l eSbk wt.~l- ~S ~ - i. - 3 a Boring # ^ Boring ._.. pit Ground surface elev. fL Depth to limiting factor ~ in. Sal P.ppligBon Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 1 0- 6 ~ oy ~Z 3 1 z - s i t Z-f'sb~i ~1'~l^ 0., ~ l V'~ . S . 8 Z b_ t.9 t.o~t~ ~Ly C 1~' 1 •Scl2 S ~ ~ Si I L eSb~ m~- cS - Z - 3 3 1q -3 ~ ~. ~R Yl G 4 S 2 c.1 ~ h., ~ `Qt. ~ - ~ . o - ~nwen~ ~, = esVUS > su < Imp mgt and T55 >30 < 150 mglL • Effluent #2 =GODS < 30 mglL and TSS < 30 mglL CST Name (Please Pnnt) Signal ~ CST Number Arthur L. _ ~aegerer. :[ , ~?- t2 220254 - AddrBSS W e g e r e r Soil Testing & Design Service ate Evaluation Conducted Telephone Number 421 ~~T. %iain St. River Falls, (dI 54022 J. Z.Z..Q) 715-425-O1b5 Property Owner t"~'~ Lr~'l g a Boring # ^ Boring Pit Ground surface elev. ~' Parcel ID # ~~ ~ - ~ ~~ S "~ 0 ft. Depth fo limltinp factor 7 in Page ~ of _~, Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots Soil Application Rate GPD/ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 ~ a - 7 LO`t 12..3E 2 ~ S 1 ~ Z'f'S 6rt ~rY-' f h a.S \ V`~ ..S •. ~~ Z ~ -33 LOYR- ~~~ C l "1 .S ~ti2. S~8 S1 l 1 cSh~c -'r1`~}- c-S - ~ Z - 3 -3 33-JCL ~.S'~ri.3C ~~ '~ S ~ csbk mU~1.. - - `1 ~_ Z a Boring # ^ Boring ® Pit Ground surface elev. ~~• ~ ft. Depth to limitinn f~efnr 3 Z ~.. Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots Soil Application Rate GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 'Eff#2 ti O - $ 1 `a R 3~Z -- s l / Z S b vv~'FI~ CS ~, ~' . S . 43 z 8-~~ IDY2 ~l3 - si ~ Z bk ~ `~h ~S tv-P- • s - 3 l~-3 2 ~.S`t23~y is ~ S ~ c~, S - .""? 1. Z 2_yp ~.S~t~.~! - ~S d CENT - --v . u Boring # ^ Boring f S ®Pit Ground surface elev. ~~ 3 ft. Depth to limiting factor __ 3 b in. Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots Soil Application Rate GPD/ft' in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. •Eff#1 •Eff#2 Z 6 -Z? l o~ R Y ~~ - g 1 1 Zyt1S b k rrt'Pl-- cS. ~ ~. • S . ~3 3 2~ 3~ ~<sylzylb - s l l~s b! ,n ~ ~~ - . ~( - 6 ~-~.1 /~~ ~ s U • Effluent #1 =BODE > 30 < 220 mg/Land TSS >30 < 150 mg/L • Effluent #2 = BODa < 30 mg/L and TSS < 30 mglL 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. SB0.8330 (R.6/00) tn1, Property Owner ~ ~..~"" ~ g ~ Parcel ID # 0~ ~ - ! ~'1 S `~ ~ Page ~ of Ll Boring # ^ Boring XI~I Pi- Ground surface elev. 10(>_ S ft ne.,et, f.,;;,,,;~;..,. ~.,,.•,.. .3 3 :_ Horizon pepth Dominant Color Redox Description Texture Structure Consistence Boundary Roots Soil Application Rate GPD/ft2 (n. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 O_S tb'ZZ3lZ - S(.M Z~-~~j Wl~ °V~ ~,`~ S •$ Z 3 5-LS l P -3 3 lO~R.~l3 ~.,5~(iZ j L - ~ SL1 S l ~2S~12 ~. ~ S b ~z n2'~ L1? t/'fi,. CS c S ~V~' - - S • ~! -~3 . (~ y 33-17 Z-S`ZR 3[y - h a g a 9 ~ - , c~ . . v ~ ~''~ w1 ~ L ~S a Boring # ^ Boring - l~ Pit Ground surface elev. fr na~~r, r„ rR,~r~.,., r~.w„~ :.. • Horizon Depth Dominant Color Redox Description Texture Structure Consistence Bounda Roots Soil Application Rate GPDlft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ~ 'Eff#1 'Eff#2 o- ~~ ~O~ cz3 ~z - ~ s i I -z;~sb -~ Z ~ - ~b' ~~ ~. cZ ~~ - s i. ~ Zrn sb k vr,~fl- es ~ U ~ • S ~ ~ 3 ~ 32 ~.5~lRYL6 'FC'F '~.$KfZ S~~ G Ow,~ y~n.`F~. • O . O ^ Boring # ^ Boring _.. n p(~ Ground surface elev. ' ft Death to limitino factor ~ in Horizon Depth Dominant Color Redox Description Texture Stnseture Consistence Boundary Roots Soil Application Rate GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 •Eff#2 . _.. Effluent #1 = BODs > 30 < 220 mg/1. and TSS >30 < 150 mglL • Effluent #2 = BODa < 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 ,__._,.~.~.. w .,.-.,..,..-...._~..._.,~ ., .._. .,Y ... ~ _ ...,-.. ~°'yi11'r ~t.2'i~t .~•*:s~f~t~+~ _ )ic'Y .` t. ~} `Za,-'f ._ ,. ~.C t 3C>. SBD~d130 (R6/00) t .,t nm nr n ~r Scale 1' = Flo' .. Zp _T1~- 'f~V ~~ i _:_C'~'.~?1~?CI~C~-`~: t:t~`'r)WS OF::..BofZLL~/.GS;.,.---- - t~wl~E-Z- ~`t:~-a`~;~.,..oti ..5 ".tt~lGN-i 9Jg`~~~jiq:--__ ~ uuT Cow~pR~T oR ~ 1 S1'v12.43 'Ri1 g l1tiZl~ ~5 ~ ~~~ i ~ ~ ~ f,/ 26 1jv"1 H-Z~ ' ~@.S ~ ~ ~ 3 .y $ `I s~ q8 \ / ~ • \Bwi ~ Lb ~ f `0o e_.. ~~ U°~ /~ C1~-'~ Ccr7~° ~ of o~q S ~~o e • 6 $o~ ~`' _ a~ II,G~~~~y~~~ ~ -ZZ--0~ 715-425-0165 220254 Page ~ of s~ y J ~ ~ N ~- 0 t3Z ~ 2 a3 ~- d n ~ ~. ~ ~ V O N tL 0 y J ~ .~ 7 ~ ~ J •. ~' Ol- lZ CST Signature Date Telephone Ito. CST I~To. Job PJO.