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HomeMy WebLinkAbout026-1067-40-000 D, ~oG~ ~ A O,u X06 r a J' t 482212 CERTIFIED SURVEY MAP Located in part of the SEa of the SEh of Section 22, T30N, R18W, Town of Richmond, St. Croix County, Wisconsin. 3 OWNER o John E. Schommer Q Corner of N c 239 Monroe Street N., Section.22 Hudson, WI 54016 a' y _ ; i ..LOT AREAS M M 0 ''NPLA ED LANDS I - ° o Lot 1 Including R/W: •J a I 1.59 Acres o y North line of the SEJ of the SEJ 69,261 Sq. Ft. i0 0 65' ' 50' N89056'05"W 334.64' 11 - N 299.99' Lot 1 Excluding R/W: C- C 4' 34.65' - 1.43 Acres W o W a, 33' 40' 62,196 Sq. Ft. L U d b loo' _ Lot 2 Including R/W: y o _ _ 1.77 Acres c N N ; o c_ I 77,144 Sq. Ft. r U)I _ o N o_ Lot 2 Excluding R/W: 40 .i., Q I O N I U 00 C•]I 1.52 Acres QI ~L4 M <I 66,215 Sq. Ft: N 309.671 liJ~ 3 N8905610511W 344.27' N 3 01 F - I w o = L1J I--I o c'LI o ) G~ Z d <I I M / r+ Ln Well& o o Z- N _ L y ~I ' =-51 ° a 2 House C' r` z O N N89°47'18"E N ° f~ 47.00' s N _ ED 100' N ° l"i1R..~1 0 80' 40' o o 273.14' 2: 81.55' .S89056' 05"E 354.69' =I ~'I;:: 1.::! . •p ,-JNPLATTp-~ LANnS Cn ~ $T CAM COEMf'1'1F LEGEND .ooxatsM Pkmkv Masonry Nail Found at Section Corner Perks Cotat MOV 0 1" Iron Pipe Set, weighing 1.68 lbs. per linear foot. nbe g ~ ON" Existing Fenceline Co wltWn30d%-*OV spprov~i.dis,tl Roadway Setback Line Existing Drive, ,x,3ivvi fi•' ,.t • y SE Corner of Section 22 FILED SCALE IN FEET p`'•'''`'7;,-:..,•:.`, APR2 0199 E's 0i 0 50 100 200 C;O" VOLUME 9 PAGE 2474 This instrument drafted by Fran Bleskacek Proj. No. 92-10 STC - 104 ter" AS BUILT SANITARY SYSTEM REP r OWNER foG a~r~ 6~, ADDRESS Cz , w.t ~ /old I `+22 tll SUBDIVISION / CSM# LOT # SECTION 2 2 T-io N-R_2~f W, Town of ,f, ~i~.r urrrd' ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM, r_ \ v y S.' 31 r w I~ INDICATE NORTH ARROW Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. c w av~'~r~s~c /Ode 0 BENCHMARK: ALTERNATE BM: SEPTIC TANK / PUMP CHAMBER / HOLDING-TANK INFORMATION Manufacturer: 4-ele-e4r Liquid Capacity: 5 ,7, /ore LS.. Poo t s:7- 9 eI Setback from: Well House 4. Sa Other Pump: Manufacturer Model# Size Float seperation Gallons/cycle: o Alarm Location .SOIL ABSORPTION SYSTEM Width: Length yj Number of trenches / Distance & Direction to nearest prop. line: o Setback from: well: House d-? Other '7f !l ELEVATIONS Building Sewer y'1~ d 2 ST Inlet. y~, 9 ST outlet 916 PC inlet J 7. 7 PC bottom 9~i6 Pump Off yam/-76 Header/Manifold I e2 Bottom of system Existing Grade Final grade I DATE OF INSTALLATION: o PLUMBER ON JOB: LICENSE NUMBER: 1 d INSPECTOR: 3/93:jt LWAnWeAX4 404.22.30.18 PFWWTE SEWAGE SYSTEM County: "Labor Ar,4 Human Relations INSPECTION REPORT Safety and Buildings Division (ATTACH TO PERMIT) Sanitary ermit o.: GENERAL INFORMATION Permit Holder's Name: ❑ City ❑ Village © Town of: State Plan o.: CRYI2M Elev.: Insp. BM Elev.: BM Description: 1i Parcel Tax No.: 60 026-1-067-40- TANK INFORMATION ELEVATION DATA A9300272 //d TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. < Septic Benchmark Dosing Aeration Bldg. Sewer St / Ht Inlet TANK SETBACK INFORMATION St/ Ht Outlet Vent TANK TO P / L WELL BLDG. A ir Ito ntake ROAD Dt Inlet Air Septic- NA Dt Bottom Dosing NA Header/ Man. Aeration A Dist. Pipe Holding Bot. System PUMPN INFORMATION Final Grade Manufacturer Demand Model Number GPM TDH Lift Friction System TDH Ft Forcemain Length Dia. Dist. To Well SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches PIT No. Of Pits Inside Dia. epth DIMENSIONS DIMEN SYSTEM TO P/ L BLDG WELL LAKE / STREAM L nu acturer: SETBACK INFORMATION Type O eA.-I CHA R Moe Number: System: ~►t<..~.d UNIT DISTRIBUTION SYSTEM Header/Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length Dia. Length Dia. Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded/ Sodded xx Mulched Bed /Trench Center Bed /Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No 36 Co IMENTS:, (Include code discrepancies, persons present, etc.) y>t 3.75 3.? LOCAT I : RICHMOND. 2 2.3 0.18 LOT ~iv4, a7~ . 96 Cv v' Plan revision required? ❑ Yes ❑ No Use other side for additional information. SBD-6710 (R 05/91) Date Inspector's Signature Cert. No. { SANITARY PERMIT APPLICATION ZJ ILHR In accord with ILHR 83.05, Wis. Adm. Code COU-BTY -tea V- STATE SANITARY PERMIT # -Attach complete plans (to the county copy only) for the system, on paper not less than ❑ f(a 7 8% x 11 inches in size. Check i revision to previous application -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. J 3 3 Q~ PROPERTY OWNER PROPERTY LOCATION 6 cr S. '/a f '/a, S 2Z T3a , N, R 11.9 E (or)dp OPERTY OWNER'S MAILING ADDRESS LOT # BLOCK # .Z /ftf eo a- ST 4of '9/ - Cl STATE ~1/0 P CODE JPHONE NUMBER SUBDIVISION OR CSM NUMBER w a 6,41 ~y . TYPE OF BUILDING: Check one CITY NEAREST ROAD II ( ) ❑ State Owned ❑ VILLAG E : s N OF: ❑ Public [Z 1 or 2 Fam. Dwelling-# of bedrooms -3 A AX N III. BUILDING USE: (If building type is public, check all that apply) 1 ❑ Apt/Condo 2 ❑ Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility 30 Campground 70 Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining 40 Church/School 8 ❑ Mobile Home Park 120 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. ® New 2. ❑ Replacement 3. ❑ Replacement of 4.0 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 300 Specify Type 41 ❑ Holding Tank 120 Seepage Trench 22 ❑ In-Ground 42 ❑ Pit Privy 13 ❑ Seepage Pit Pressure 43 ❑ Vault Privy 14 ❑ System-In-Fill VI. ABSORPTION SYSTEM INFORMATION: 1. GALLONS PER DAY 2. ABSORP. AREA 3. ABSORP. AREA 4. LOADING RATE 5. PERC. RATE 6. SYSTEM ELEV. 7. FINAL GRADE REQUIRED (sq. ft.) PROPOSED (sq. ft.) (Gals/day/sq. ft.) (Min./inch) ELEVATION 0 37s d1W 37.E 6 3J Feet - Feet CAPACITY VII. TANK Site in allons Total # of Manufacturer's Name Prefab. Con- Steel Fiber- Plastic Exper. INFORMATION New lExisting Gallons Tanks Concrete glass App. Tanks Tanks strutted Septic Tank or Holding Tank _ 4a9212 G(J« F1 1 F1 Lift Pump Tank/Si hon Chamber aD e e S VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name (Print): Plumber's Signature: (No stamps) idP/MPRSW No.: Business Phone Number: jf r 7 16 5~ c1t Plumber's Address (Street, ty, tate, ip Code 6'~ s IX. COUNTY/ DEPARTMENT USE ONLY Disapproved tary Permit Fee (Includes Groundwater Date Issued Issuing A ent Sig naiwallig-Omm Approved El Owner Given Initial 0~ Surcharge Fee) / Adverse D rminati n ` I 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 Q 3 1 SAFETY & BUILDINGS DIVISION State of Wisconsin Department of Industry, Labor and Human Relations September 17, 1993 201 East Washington Avenue P. 0. Box 7969 Madison WI 53707 ULBRICHT & ASSOCIATES CO ROBERT ULBRICHT 655 O'NEILL ROAD HUDSON WI 54016 RE: PLAN S93-03098 FEE RECEIVED: 180.00 SCHOMMER, JOHN SE,SE,22,30,18W TOWN OF RICHMOND COUNTY OF ST CROIX MOUND SYSTEM The Department has reviewed the above-referenced submittal. Conditional approval is hereby granted for the system plan submittal. All noted items must be corrected. The review and approval of the system is based on chapter 145, Wisconsin Statutes, and chapters ILHR 83 and 84, Wisconsin Administrative Code, and is contingent upon compliance with any stipulations shown on the plans. This system has not been reviewed for the code requirements set forth in chapter ILHR 82 or in chapters ILHR 50-64, Wisconsin Administrative Code. This plan submittal approval will expire two years from the approval date, or if a sanitary permit is obtained, plan approval will expire on the day the initial sanitary permit expires. The licensed plumber responsible for this installation shall keep one set of plans with the Department's stamp of approval at the construction site. The installer shall notify the appropriate inspector when inspections can be made. All permits required by the city, village, township or county shall be obtained prior to installation. Inquiries should be directed to me at the number listed below. Please refer to the plan number shown above. Sinc rely, n th Stiemke Plan Reviewer Section of Private Sewage (608) 266-8230 7:00 to 3:45 Mon. thu Fri SBD 7997 tR. 01/91 j S 93 -030 38 PROJECT INDEX SH"-!',FT T©~N B~ttza sctioM~ ~ 7~.5 3Pa- 'X5'7 OWNER: ADDRESS : /O!3 ST ceo~;r S T yvOSo~ !.c>i'S . S ~~G SITE LOCATION: GOf / GS~J Sr, s,1 , S&-c . z z, T 3 o,v F R i' o PROJECT DESCRIPTION: ST GiPOi'X C,00-u r / PEEP .Soi G AEPO e l 3- 2Ci - i Z .Soy/S /lrPE (~~~2y lo4p.'v~ /s . ~ ~,Q/SLJ . ~'4 ~ a~~4t✓ . f~ ,V~~v ~ ovvp S S Tt'~1 ~ S ~c q v~;pt !7 FOR w t-W ce), S Tie vc 7-Id --J 3 13t M . i-b,.~ E i s, pp-opos&D e5Ti',ti•47-,--D oA,~y 4:j AS Tei'/ow - y5~0 baps PAGE 1. PLOT PLAN VI4 WS i PAGE 2. MOUND CROSS SECTION & SYSTT,M PLAN VTEWS `PAGE 3. PIPE LATERAL LAYOUT PAGE. 4. DOSING OR SIPHON CHAMBER CROSS SECTIONS H i PAGE 5. PUMP PERFORMA?dC"' SPECS OR SIPHON SPECS I' PLUMBER: DESIGNER 1 mfr ~ti ~ ~ UIfT ~ 01160 DATE: ~~5 Wmis. a SIGNATURE : ~~~~i' hF~l GN~~1►'a'~ ~Mt11t i 0-1 r'1 i I it . ~ X33 030 9 8 Zoo/. L O 'O. b y i ~ • ~ 019 ~ ~ \u, r ova O a LW N Itz, Q N w H ~ C ~ olially ` 417 -k UL VA" OIA 00) NI wa,bmza3- o H. m p1 rr pi 0 0+ n n 'b m I -J. r°l o oa~'• m 0110 mm n ~►0°n o ID m n 11 CL a) vcmNOl~ ~I Z 0) 00 to 0) ct :,I P. m m0 mN• L' U o 0 -Its o• N W W wH,a►i00 H ` C►►_ m m O C m l~D _ I M P. 0) :3 rj co G (DD F~-~ /fzc~y. r r 7-47- -c- - INVERT" Of /7~ ~/tTC/P~1 /S 164 0 05- ~GEUr~-Ti on~S To P OF R O C K Page ? Of S Top OF //_IAT•EP6L-5 acs r.0►3098 Synthetic Covering Distribution Pipe Medium. Sand :y sreM a E~av~tn•w Topsoil t LL Ar~0a '2. % Slope uNt -R s O Bed Of it Force Main Plowed Aggregate Layer /00• S Util ipM ToE !-r•NE p lO Ft. - E 1 • Z Ft. . Cross Section Of A Mound System Using F • J'0 F± , A Bed For The Absorption Area G /,p Ft. ~Ifi ~'Ib 0~'0~e dowaslopo ! of A Ft. H S Ft. $oil DSO 100 s~~~`~D Used. B ~ Ft. K /0 Ft. pR`v P+~ ditioll L G Ft. ,of N W J 9 Ft. Ft. sous gF s~ W 29 Ft . Gv/~cE 1014W Observation Pipa J 6 K r . Distribution - Bed Of i Pipe Aggregate Observation Pipe Permanent Markers y ~ pdG ct~PEO s/ESL Roos Plan View Of Mound Using A Bed For The Absorption Area r4ale O ~Sa sQ. 1r ~~Popos~0 ~~s~-L _ s. ©yT' yQ x P fi l l 112, Page 3 Of 0/ 12 U 0 /vM E fob i S F~' ~F z. /wc FORCF f/i44e A T XD /E Perforated Pipe Detoll ISO o3098 2c~,ei ~rti r FD~° I/i14v~tE t~3 vAc v 4 7-1'#A-) 0 End View Perforated End Cop PVC Pipe Hobe Located Oa Bolcom, Are Equally Spaced R w f Q PVC ( Manifold Pipe DisltiDulion Isr , .r. Pipe ~ Hole Should Be Neat To End M~,foID/ Distribution Pipe Layout P / Ft. 2 ~ . S/l~f 4JAl/f R Fo,PcE NI'~~ . e~Fr. f'vG X y~ Inches ~ -e j2 'So t - Y Inches le Diameter Inca, Ho co, Lateral Inch(es) ~ ®e~ p~ ` Manifold " 2 , Inches LV SAS SaF Force Main " = Inches j s?4II of*: holes/pi pe! z R~ Invert Elevation of Laterals • Dt'ST9i150-r%0xZ 31SGt-A-R&E RATE FOR CACIi. L,aT R AL PAr OTis rp ~.-7 fly M,N TOTAL-- -DisTR%eurloAi 'DISCHARG E RATE Fog, Me Two k .K Z g . .~2 . ' J4 ~'N I'M U t~t £ h D 'De S f 6-A 3 FOR M i' AJ/',M U A t 0,c 3 / Di .SG~t-an GE' , . S93-03098 ,1 • PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS )0/414 OF S VE WT CAP `'.C.I. VENT PIPE WEATHER PROOF APPROVED LOCKING /MANHOLE COVER JUNCTIOW BOX fa►/ 25' FROM DOOR 4vfv lb0(! IAMI ~ , I2•MIU. WINDOW OR FRESH I AIR INTAKE I y~ADt. ,x- & bAT/pN GRADE I 4" MIN. 7 s ~ lam" I ~ 1B" MIAI. CONDUIT-- , ~ IEv~noti ~ lh _ _ _ IWLET PROVIDE I - AIRTIGHT SEAL ( ( I t~11 L V Cj5. o V 6 I III APPROVED JOINTS APPROVED JOINT A S I I I I WIC.I. PIPE WIC.-J. PIPE IN QOM/ I I EXTEWDIMG 3' EXTENDING 3 ~O (J ALARM ONTO SOLID SOIL OWTO SOLID SOIL t. ~ \ I I I . B / .I ZS / (3. I I ow ELEV. FT. 1 PUMIP-~, --Y I I ~ OFF ' D ►3 ' K ~~DOh I BLOCK III)j IEv>fi f * RISCR EXIT PERMI1TED OWL4 IF TAWK MANUFACTURER HAS SUCH APPROVAL SEPTIC E SPECIF CATIOAIS DOSE lyEEkS CD~uG,Pt TANKS MANUFACTURER: IJUMBER OF DOSES: PER DA.i ~°D Lp' //2--57 TAIJK SIZE GALLOWS DOSE VOLUME 40.5 /33 INCLUDING BACKFLOW: GALLOWS ALARM MANUFACTURER: MODEL WUMBER: L V CAPACITIES: A= INCHES OR ' b GALLON5 SWITCH TYPE: M6R(0'2 FlOA7- g= Z INCHES OR GALLONS INCHES OR /33 GALLOWS PUMP MANUFACTURER: Cm 6'5 MODEL WUMBER.1 to ~GD y D= ~S 9 INCHES OR 32(p GALLOWS SWITCH TYPE: 116-(,ypAGk. MEIN ,4y floArMOTE: PUMP AND ALARM ARE TO BE MINIMUM DISCHARGE RATE3 _GPM - INSTALLED OW SEPARATE CIRCUITS VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE.. 0 / FEET -rAA)L PEGS " + MIWIMUM WETWORK SUPPLY PRESSURE . . 2.5 FEET EAO~. O~ P-'I- + FEET OF FORCE MAIN X ~.sy F/oo~FRICTIOU FACTOR..FEET p-40A - TOTAL DtIWAMIC. HEAD = ~3' 3 FEET I IWTERAIAL DIME►JSIOWS Of TADK: LENICPTH / llsif:H ' ;LIQUID DEPTH " 4 Ity ~n ci, sE~a~~o~s la()v lAso vsul us Hu ,Von ~vrs~tiN of sA po RESN~~N~~ 00 S € .j tj S 93 030 9 8 HEAD CAPACITY CURVE 3.7/11 6A/4 MODEL "98" 30 4 5/8 a -f- 25 t3 3 5/8 m 3: 6 20 { H O 4 3/16 q 15 S%v 14 4 O 10 1 1/2-11 1/2 NPT .l 2 5 'k ~Y U.S. GALLONS 10 20 30 40 50 60 7G 80 LITERS _ 80 160 240 ? 0 FLOW PER MINUTE ti1y _ (TOTAL DYNAMIC HEAD/FLOW PER M1r,UTE EFFLUENT AND DEWATERING r- CAPACITY 12 • h`tJ UNITS/MIN FEET METERS GALS LrRS 5 1.52 72 2 10 3.05 81 231 31 15 4.57 45 170 - 20 6.10 25 95 3 5jj/16 I Lock Valve CONSULT FACTORY FOR SPECIAL APPLICATIONS • Electrical alternators, for duplex systems, are available and • Mercury float switches are available for controlling single and " supplied with an alarm. three phase systems. P Mechanical alternators, for duplex systems, are available with or • Double piggyback mercury float switches are available for tE+ without. alarm switches. variable level long cycle controls. ly„ SELECTION GUIDE 7 1. Integral float operated 2 pole mechanical switch, rip, external control required. Standard all models -Weight 39 lbs. - r H.P. 2. Single piggyback mercury float switch or double piggyback mercury, float 98 Series Control Selection switch. Refer to FM0477. Model Volts-Ph Mode Amps Simplex Duplex 3. Mechanical alternator 10-0072 or 10-007. M98 115 1 A ao 9.0 , 1 or 1 p. 7 - 4. See FM0712, for correct model of Electrical Alternator, "E-Pak". N98 115 1 Non 9.0 2 or 2 & 6 3 or 4 & 5 5. Mercury sensor f10at switch 10-0225 used as a control activator, jecify duplex (3) or (4) float system. D98 230 1 Auto 4.5 1 or 1 & ? - 6. Four O 4 hole "J-Pak", junction box, for watertight connection or wired-in sim- plex 98 230 1 Non 4.5 2 or 2 & 6 3 or 4 & 5 or duplex operation, 10.0002. } 7. Two (2) hole "J-Pak", for watertight connection or splice. CAUTION x For Information on additional Zoeller products rear to catalog on Combination Starter, FM0514; All installation of controls, protection devices and wiring should be done by a qusli- Piggyback Mercury Switches, FM0477; E:ectricai ndarnator, FM0486; fv'schanical Alternator, tied licensed electrician. All eleclrieal and safety cods* should be followed includ. FM0495; Alarm Package, FM0513; Sump,'Sewage Biasins, FMO487; and Gimplex Control Box, ing the most recent National Electric Code (NEC) an/. do Occupational Safety and FM0732. Health Act (OSHA). RESERVE POWERED DESIGN For unusual conditions a reserve safety factor Is difi~ineered into the design of every Zoeller pump. MAIL T0: P.U. BOX 16347 Manufacturers o/ . K 4 ' 7 O~ Y G1Mi Millers SHIP P TO T0 : 3280 0%:' .1?1 0 L Lane v LOb'i viilc', KY 4G216 QUAI/TY PS /Alff (502) 778-2731 w FAX (502) 774 3124 i DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRY, DIVISION LABOR AND PERCOLATION TESTS (115) MADISOP.O. BOX N WI 539069 HUMAN RELATIONS (H63.0911) & Chapter 145.045) LOCATION: SECTION: TOWNSHIP/I (CITY: LOT NO.:BLK.I SUBDIVISION NAME: SE 1/4SE1/4 22 Ao N/R 18&or) W Richmond ra./ o,'F, -n/a COUNTY: OWNER'S Bl{NAME: MAILING ADDRESS: St. Croix John Schomer 1013 St. Croix St., Hudson, Wi. 54016 USE DATES OBSERVATIONS MADE NO. BEDRMS.: COMMERCIAL DESCRIPTION: PROFILE DESCRIPTIONS: ER A ION TESTS: 1Mpesidence 3 n/a Mew ❑Replace 3-25-92 3-26-92 RATING: S= Site suitable for system U= Site unsuitable for system CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILL HOLDING TANK: RECOMMENDED SYSTEM: (optional) ❑ S® U t~M ❑ U ❑ S E] U ❑ S Mo ❑ S DU mound If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the under s.H63.09(5)(b), indicate: n /a Floodplain, indicate Floodplain elevation: na/ decimal' PROFILE DESCRIPTIONS page 36 DU BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- 1 4.92 100.35 none 2.67 1.25,10yr2 2. 1., 1. 2, 10yr si 1.00 1 3/4, mot. l.s., 1.25, 5yr4/3, mot. massive's.l 2 4.17 100.35 none 2.64 1.17 10yr2 2 1. 1.0p 10yr4/3, s.l. j50'10yr B- 4/4,'l.s., 4.~0, ~yr3/4'mot. massive s, .l. B- 3 5.25 99.80 3.50 2,75 1.25,10yr3/2,1., 1.50,10yr4/4, s.l., 2.50,10yr- B- B- B- PERCOLATION TESTS TEST DEPTH, WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER III AFTERSWELLING INTERVAL-MIN. PERIOD 1 PERIOD2 PERIOD PER INCH P_ 1 2.00 none 30 4 z 4 4 8 P_ none 30 z 211, 21-4 13 P_ none 30 2 17 18 1718 P-_ P- L PLOT PLAN: 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 slope. approval pending St. Croix County Zoning ON-Site evaluation SYSTEM ELEVATION 101'35 c I N l r ~ i ~ ~ I i ~ ' 1 ~d E ~ { _ ~tt c~ U} ~kY~, E t t I ,f I _ 3 3 1 i I I TN } I 3 E r i i t t t i cc. _ III Vp' [ i 3 t I 1 [ i i ti ( i ~ gT I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin Administrative 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: Gary L. Steel 3-26-92 ADDRESS: CERTIFICATI NUMBER: PHONE NUMBER (optional): 1554 200th. aVe., New Richmond, Wi. 54017 2298 7 -246-6200 CST N RE: DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR-SBD-6395 (R. 02/82) -OVER - - { CERTIFIED-SURVEY MAP F U Located in part of the SEA of the SEh of section 22,,T30N,,218W#. Town of Richmond, St. Croix County, Wisconsin. j OWNER i John E. Sehoamer E} Corner of 239 Monroe Street N. Section 24 Hudson, MI 54016 ~j Nl M E UNPLA717EU LANDS + a Lot i gala/ ins Url CD I loss Aeraa I s Y , Fti North line of the SE} of the SE} „ 1!,111 ii. ft. + N89056' 05"W 334.64' 65~ 501 tat 1 Isoladia! A/tls ; a 41 54.55 1.4~ Aaraa ,i ; 331 401 1!,111 :4. rt. , 1~i lot'! tnoladias Alin: loll Aare' ILI &IV . M M ti C4 ~1~14~ 11~ fi• V)1 o V) I let ! txaladlasi • r~ 01 C31 loss Aefea . 7 ?I ZI 11,!1.1 840 Ft. ' f _J1 _3._ 80! N a •i. -A 309.67 H N89058L05"N 344.27 - 3 r j~ -I ::::J ^ s~ 0-I 0 Mel l-o 0 0 o zl ill c a 2 House ^ ~ ~3 e ° N89041118"E N r4O 47.00 100 a 101 f t M 273.14 81.55 i:, 889056' 05"E 354.69' n. :6 -1.' 4fr UNC'L.AT'~D LANDS r,x f vij4' c, #.:uryys'fi,; n t rr !fi. .+r~~rr Alttlj q r w UkGOP Ratenry Nail found at Section Corner y~ 4 blren pipe Seto weighing 1668 lbs, per linear font: , •~~r1 Existing Oeaceline Aoadway Setback Line a "r ;Y.1i•ir-►'.'Ekletlnl Orive - + ? ..y t iir f ( fi'gtl t°S n 'fj :.4, r ` ` Z "r 4 a .~t.i~~~' r•~yL . t R it +SE Corner of , 'y :•r' a ` _ , Station a22"'T r{ t,y g'^1. j 1 r-, I 1 j„4.,. . 4l iCJK: ..Li . s''•: i T _ _ . . E~' ~t8443;:~'•~L ' ; IIC= 7,11_P2 !!q ft N" t is c~*ar` Y .~Y1 AXF+d>C P? a ¢ % t 0 SO r 100. 200 'dYt. r7 r x'°F p, Jrz• r 1t°P t 41 i w r , this instrdnent drafted by iraa.8leskacek: Pre,~►SNoj,92&10 ;?nr-AI c~c iri~r,ep~ :i . 4; S T C - 105 Y SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County , f OWNER/BUYER ADDRESS FIRE NUMBER CITY/STATE ZIP PROPERTY LOCATION: S 1/4,-~C 1/4, SECTION , T_2,L0_N-R_L0_W TOWN OF~~ , 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 consists 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 treatment stage in the waste disposal system. St. Croix county residents may be eligible to receive a grant for a maximum of 60% of the cost of replacement of, a failing system, which was in operation prior to July 1, 1978. St. Croix County accepted this program in August of .1980, with the requirement that owners of all new systems agree to keep their system properly maintained. The property owner agrees to submit to St. Croix Zoning a certification form, signed by the owner and by a mater plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge and scum. I/We, the undersigned have read the above requirements and agree to maintain the private sewage disposal system in accordance with the standards set forth, herein, as set by the Wisconsin DNR. Certification stating that your septic has been maintained must be completed and returned to the St. Croix Co. Zoning Officer within 30 days of the three year expiration .d e. SIGNED: DATE: St. Croix co. Zoning Office 911 4th St. Hudson, WI 54016 S T C - 100 This application form is to be completed in full and signed by the owner(s) of the property being developed. Any inadequacies will only result in delays of the permit issuance. Should this development be intended for resale by owner/contractor,(spec house), then a second form should be retained and completed when the property` is sold and submitted to this office with the appropriate deed recording. Owner of property Location of property=~_e 1/4 SAO. 1/4, Section]D-7-, T 30 N-R~W Township Mailing address Address of site Subdivision name Lot no. Other homes on property? yes No Previous owner of property Total size of parcel '~~~`~~~i _ 7 _v Date parcel was created Are all corners and lot lines identifiable. Yes No Is this property being developed for (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 & THE SEAL OF THE REGISTER OF DEEDS. In addition, a certified survey, if available, would be helpful so as to avoid delays of the reviewing process. If the deed description references to a Certified Survey Map, the Certified Survey Map shall also be required. PROPERTY OWNER CERTIFICATION I(we) certify that all statements on this form are true to the best of my (our) knowledge that I (we) am (are) the owner(s) of the property described in this information form, by virtue of a warranty deed recorded he office of the County Register of Deeds as Document No. 2-i and that I (we) presently own the proposed site for the sewage disposal system or I (we) obtained an easement, to run the above described property, for the construction of said system, and the same has been duly recordedn thP~ office of County Register of deeds as Document No. c3 Z / ~1 ~ Signatu o'f applicant Co-applicant 9 - Date of Signature Date of Signature DOCUMENT NO. WARRANTY DEED THIS SPACE RESERVED FOR RECORDING DATA • STATE BAR OF WISCONSIN FORM 2 -1982 s t;. I I I EGSTERS OFFICE S7. CR(t Co., wis. i Rm'd. for {ti'.•-,r'r, . ;";s 3rd If James_._K-.._.ltundy-F---a--_sa .ng_a..e___Pe.rsp11 00y of a,jA r' .0. 1 S 8:30 A~ James O'Connell conveys and warrants to _._Brarbara_.A....Echorme:>~........................... II Ralk1pK of Do `177 j Li a9•d Deputy ;I RETURN TO the following described real estate in S.t..___Cr.oiX ...................County, State of Wisconsin: Tax Parcel No:......... i i The East 330 feet of the South 395 feet of the Southeast Quarter of ~i the Southwest Quarter (SEa of SA); the Southeast Quarter of the Southeast Quarter (SE4 of SE4); the Southwest Quarter of the I' Southeast Quarter (SWQ of SEa), EXCEPT the West 825 feet of the i North 925 feet, all located in Section Twenty-two (22); the Northwest Quarter of the Northeast Quarter (NA of NEa); the Northeast Quarter of the Northeast Quarter (NEa of NE4), EXCEPT the East 413 feet of the South 288.6 feet, all located in Section Twenty-seven (27), all of the above in Township Thirty (30) North, of Range Eighteen (18) West. I r I This l.s------------------- homestead property. (is) (is not) Exception to warranties: Dated this 3_lst------------------------- day of J-u_jy---------------------------------------------- , 198.7.... (SEAL) k (SEAL) ',J.?B►es ~S. Lundy -•-------•--•----------•----(SEAL) ........(SEAL) AUTHENTICATION I ACKNOWLEDGMENT Signature(s) .01_ameS_-jKA___Limd-y STATE OF WISCONSIN Ss. i~ County. authenticated this _312.11ay of aUly__, /,19 8_7 Personally came before me this ...........day of f:. / 19 the above named i *Hendrik W - u> _.Ayk TITLE: MEMBER STATE BAR OF WISCONSIN ~I (If not, authorized by § 706.06, Wis. Stats.) ii to me known to be the person who executed the foregoing instrument and acknowledge the same. THIS INSTRUMENT WAS DRAFTED BY Reilzsa. Van DYk & a~ie~dha S.G.,_ f Mew_,_1?ichmond_,_._WI..... 54.Q1-7_........................ Notary Public --•--..-.County, Wis. (Signatures may be authenticated or acknowledged. Both My Commission is permanent. (If not, state expiration are not necessary.) date- 19......... ) *Names of persons signing in any capacity should be typed or printed below their signatures, i! H.C. liferConpxry~ STATE BAR of WISCONSIN Stock NO. 13002 r,.•..••• wa....m FORM No. 2 1982 1 ~m + v y v~ ~ ~ ~ P 1~`~ r o ~ ~ N ~ G ~ a° ,N