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HomeMy WebLinkAbout028-1050-40-000 -0 0 Q o (1) o c+ O ao wo ~ o n r. I 0 I N I I ~ I e I I I ~ I p I N a z co c _ LL C O_ co a N E Q O U N N v ~ I o° L Z a (D LO N m H U) 0 o z ~r o z in tZ- c ai ~ m I N ~ I c Q o Q Q O w I z z N z C E N N y m U U 4 L o p N a 'w N c (D Q) Y N L y o a C N y- N m O c O LO co U) U) E D 11 U_ w_ _O O ~ z w•t .3 a a a ~ I o 'i co a) rn U fn -i U } m rn 0 N N N O O a ao co E M a) :3 CN c m N U m - .a m Q J m I ~l o Z O o 3 L w e I ~ N ~i r N °o N O m ° c E co a> O ~"r O O H C a) c +n 0- rn o Lo I.- c ~I N O N N F- 7 a) ►1 7 N j E co • 7a N In W Q1 S2 O dt8 U O co d' H O - F U .r r~^ L - I E G> n L V d a 5 a!, L a w c3 Q z a) E ° ? c r.~ y r A u as O (n U FORM - 9TC - 104 wAS BUILT SANITARY SYSTEM REPORT OWNER__ TOWNSHIP_ ll! 3'C t it SECTION T-V - ADDRESS_ ST. CROIX COUNTY, WISCONSIN R ~h SUBDIVISION •`,'i l~,J ; LOT LOT SIZE PLAN VIEW SHOW EVERYHIN WTHIN 100 FEET OF SYSTEM 1 K. G . i J ~ M V • r - - y ! 41 INDICATE NORTH ARROW BENCHMARK:Elevation and description:- Alternate benchmark SEPTIC TANK:Manufacturer: J,1 f 15-E' Liquid Cap. 1 `,C Rings used: Manhole cover elev: Final grade elev: Tank inlet elev.:--11,0 Tank outlet elev.: No. of feet from nearest road: Front~v; Side, Rear! './Ft. From nearest prop. line:Front'. , Side v , Rear Ft. No. of feet from: Well- , Building: 10 . , (Include this information in the above plot plan) (2 reference dimensions to septic tank) , SEE REVERSE SIDE cb~~F`W" C C T 3 9 ST C~',f ~p t'7(C 7 - % 1 C-) 3 PUMP CHAMBER Manufacturer:_ 0tr,.,(~ I,-- Jn pa - Liquid Capacity: o e, Pump Model' Pumpp/Siphon Manufact. Pump Size ~O:l,o3 Elevation of inlet-:Bottom of tank elevation Pump on elev.. CQJ3Pump off elev.: ;Gallons/cycle: 0/07 -1 Alarm: Man.: Switch Type: Location ~r Distance from nearest prop. line: Frontt*r SideReam Ft. Distance from: Well _ZJb ~S Building (.~w SOIL ABSORPTION SYSTEM Bed: Trench: Seepage Pit: Width: Length Number of Lines: Area Built Exist. Grade Elev. Proposed Final Grade Elev. o" 't'. Fill depth to top of pipe: No. feet from nearest prop. line:Front Side Rear Ft. No. feet from well: No. feet from building HOLDING TANK Manufacturer: g5 A-i,t Capacity: No. of rings used: Elevation of bottom tank:_ Elevation of inlet: /01;~ , p No. feet from'nearest prop. line:Frontzt?, Side SE, Ream; Ft. No. feet from: Well, building nearest road Alarm Manufacturer: INSPECTOR: ' DATE : PLUMBER ON JOB . 44 , ~ LICENSE NUMBER;: 6/90:cj Ilk T Wisconsin Department of Industry, PRIVATE SEWAGE SYSTEM County: Labor and Human Relations INSPECTION REPORT Safety and Buildings Division ' (ATTACH TO PERMIT) Sanitary Permit No.: GENERAL INFORMATION Permit Holder's Na ❑ City age ❑ Town of: State Plan ID No.: CST Elev.:' Insp. BM Elev.: BM Description: Parcel Tax No.. TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER urn/ CAPACITY STATION BS HI FS ELEV. Septic Benchmark lKd, / Dosing Aeratio Bldg. Sewer Holding St/ Inlet P' I TANK SETBACK INFORMATION Outlet TANKTO P/L WELL BLDG. Ventto ROAD Dt Inlet Air Intake Septic _ 3D -7' NA Dt Bottom 51~ 9Z. 7 Dosing NA Header 36 NA Dist. Pipe /Q D A( Aeration Holding Bot. System PUMP 1114NFORMATION Final Grade Manufacturer, Dem and z2 9 Model Number GPM d j; / ,Q L C; TDH Lift 1% Friction U~- System,_ TDH ~~Ft Loss -Head Forcemain Length / Dia. h " Dist. To Well 3S / SOIL ABSORPTION SYSTEM PIT -NO-01-pits Inside Liquid Depth I BED /TRENCH Width p Lengt~ / No. Of Trenches DIMENSIONS D DIMENSIONS LEACHING nufadurer: SETBACK SYSTEM TO P/ L BLDG WELL LAKE / STREAM Nu _ INFORMATION Type O CHAMBER Model System: OR UNIT DISTRIBUTION SYSTEM Header Distribution Pipe(s) x Hole S~z x Hole Spacing Vent To Air ntake Length Dia. Length Dia. Spacing 7O >25 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/TCenter Bed/1r~iEdges~L Topsoil Cp p Yew El No B-'Fes' El No COMMENTS: (Include code discrepancies, persons present, etc.) ' i - / / , C i Plan revision required? ❑ Yes [S~1'0D / p Use other side for additional information. v? fir-- 4 SBD-6710 (R 05191) Date Inspect is Signature Cert. No. ADDITIONAL COMMENTS AND SKETCH v SANITARY PERMIT NUMBER: a z } 3 3 we SANITARY PERMIT APPLICATION 70ILHR COUNTY ^ In accord with ILHR 83.05, Wis. Adm. Code s-r e / je, STATE SA TARY PERMIT -Attach complete plans (to the county copy only) for the system, on paper not less than 8% x 11 inches in size. ❑ Check if fevision to previous application -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. I- PRM OWNER PROPERTY LOCATION W %,ST -29 N,R / E(o W PROPERTY OWNER'S MAILING DDRES~s ' / LOT #14 V / L L X LOCK # CITY, STATE ZIP CODE PHONE NUM`BER~ SUBDIVISION NAME OR CSM NUMBER r p0 da 7 J~ 11. TYPE OF BUILDING: (Check one) CITY NEAREST ROAD ❑ State Owned O VILLAGE RaS4J~ ~,St G.~ RCEL TAX ❑ Public KJ1 or 2 Fam. Dwelling- # of bedrooms A NUMBER(b) 111. BUILDING USE: (If building type is public, check all that apply) 6S-0 O O Qw a 1 ❑ Apt/Condo 2 ❑ Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility 30 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 13 ❑ 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. ❑ 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 El Seepage Bed 21 25 Mound 30 ❑ Specify Type 41 El Holding Tank 12 ❑ Seepage Trench 22 ❑ In-Ground 42 ❑ Pit Privy 13 ❑ Seepage Pit Pressure 43 ❑ Vault Privy 14 ❑ System-In-Fill VI. ABSORPTION SYSTEM INFORMATION: 1. GALLONS PER DAY 2. ABSORP. AREA 3. ABSORP. AREA 4. LOADING RATE 5. PERC. RATE 6. SYSTEM ELEV. 7. FINAL GRADE REQUIRED (sq. ft.) PROPOSED (sq. ft.) Gals/day/sq. ft.) (Min./inch) //f • 9 aaELEVATION eet V Feet VII. TANK CAPACITY Site in allons Total # of Prefab. Fiber- Exper. INFORMATION New P-xistingi Gallons Tanks Manufacturer's Name Concrete structed Con- Steel glass Plastic App Tanks Tanks Septic Tank or Holdin Tank Lift Pump Tank/Si hon Chamber 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 Sign ture: (No Z18) MP/MPRSW No.: Business Phone Number: Plumber's Address (Street, City, State, Zip Code): IX. COUNTY/DEPARTMENT USE ONLY Disapproved Sanitary Permit Fee includes Groundwater ate ssue issuing Agent Signature (No $mpf X❑ Surcharge Fee) Approved ❑ Owner Given Initial . ✓DL/ Adverse Determination X. CONDITIONS OF APPROVALIREASONS FOR DISAPPROVAL: SBD-6398 (formerly Pib-67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber INSTRUCTIONS 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. Ail 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 on 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; rrel:s; 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, S) 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 X.Nisconsin Act 410 included the creation of surcharges (foes) for a number of regulated practices which can effect groundwater. The monier. (;ollected ihroughE these surcharges are used for r1onitoring groundwater, ground= water contamination investigations and establishment of standards. S6 D-6398 (R.11/88) r SAFETY & BUILDINGS DIVISION State of Wisconsin Department of Industry, Labor and Human Relations August 10, 1993 2226 Rose Street La Crosse WI 54603 WEGERER SOIL TESTING PO BOX 74 RIVER FALLS WI 54022 RE: PLAN S93-40758 FEE RECEIVED: 180.00 TALFORD, KEN SW,SW,35,28,17W TOWN OF RUSH RIVER 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. Sincerely, ennis orenson ti<.; 1 Z~ Plan Reviewer Section of Private Sewage -oGE 4\ (608) 785-9336 d> SRD-6423 (R. 01/91) Page 7 of b MOUND SYSTEM FOR A Z- BEDROOM RESIDENCE LOCATED IN THE S W 1/4 OF THE SW 1/4 OF SECTION 3 5 , T Z~ N , R 1`l W , TOWN OF r'll U e-R 5T- CZO UC COUNTY, WISCONSIN. INDEX PAGE 1'of 6 TITLE SHEET PAGE 2 of 6 PLOT PLAN PAGE 3 of 6 PLAN VIEW-CROSS SECTION ; PAGE 4 of 6 DISTRIBUTION PIPE LAYOUT . PAGE 5 of 6 PUMPING CHAMBER PAGE 6 of 6 PUMP PERFORMANCE CURVE PREPARED FOR -~.c llru~'2~ TR L F p lZ D 34 cl ST PFWARED 13~'slpw~lV,lul S~loOZ BY ~,N~`tlttt4 ~i ~56~ WEGEFtER SOIL TESTINGr~~~'c®.NS/~ ,•N AND AND. ~ ~ ~~.•r• 't DES = G!V Sl_=RV I CE _ ARTHUR L. WEGERER -915 p 0.915 P . ' P.O. BOX 74 421 K. MAIN ST_ 6U.SWORTH, RIYEF. FALLS. MI 54022 1 715-4~.,-01b5 ♦ •••.....•••A~ aa~r sIG1; L7-93 3_4'58 JOB NO. X13 _ 137 PLOT PLAN Page Z• of Scale 1 30 ' I- vz~3 ,~tS A$a►,10~+J P~ ~ ~ ~3,n3 p: s~T di , a~+~T~LI 2 Z 'Vkt TL "1 - x- 4+~0W ICI J \Z~c`310IF" ce N 36 1or-4Lf PVC- -MFWAJ to W%I*A. LLL`)c utm dues wt~L~to gRSE79~)~ PtAE N-Frft 1 ST 13p Fem. V- L ksu-r lbXg-NRg 0,7 Bit - . t o S• S g$ , d~ Ors o4r-1Pr~LT ~lFt$ iq eni a o~c2~r~ 2 M~w~_ S~-R8. Np ; W"Ti Dw-►P cliRhell~[L klN6 RT L~RST Lp' t 0' i v 94t6m a Lv G_ T, ) 05 - L-h-Q N Zrtwilz TO 9q kT S 2 ( /V t L~kBT ZS'F*" KJ LL, it's aL. mo - ez \23 ."1S'~ tzo~Yy L wH ti~o`c C-1Zb4S~RI~Cl1l~D Pt~R-T o1 `r1+(-z 1PpvxkIN (S prp-e~1 . 9 r_ ~b 8t Cl~IS~ ~1.Ow 02 ~UfT(_ -N ~-)r )A rrTe ~ r7 fJ.5' r '2w~ih'4' bf, a i", E~iv q 11z" P t, cp 0Aj S ev\ Lm~ ft-)-,b F-elZ1'7 L 21D P l ,1 C 1 ?1.1 1 fRf fin, DEP l' ')1 ~ Ni I H~ '1 ~ ? 11ril,dtr ~~~Lf',IrV1V Jlui~! . Jr P' : Yfii ~L) Lt Jf~'a J S93-40758 NOTES : 1. Elevations shown are existing ground elevations unless otherwise noted. 2. Install permanent markers at end of each lateral. required) 3. Install 4" observation pipes with approved caps. ( Z required) 4. Septic tank to be Lpoo Soogallon capacity manufactured by wLeS k~R C', sAJ0-V-L7'G P►2U1~L1e-TS. 5 . Bench Mark 5~ noUE PLAN. 6. Divert surface water around mound to prevent ponding at the uphill side. Page 3 Of Approved Synthetic Covering Distribution Pipe Medium Sand H G Topsoil . F Elev. 1 b ( - 3 E ~P ~1 b ° flRe yd l ; ! > ' it s .,a a_ ~ v ~ t ti w « Bed Of 2 Force Moin Plowed ' From Pump Layer Aggregate E> U N - 0 Ft. A( E v •i Ft. UEFA Y NT O ' Gras Oon Of A Mound System Using ` A Bed For The Absorption Area F b•g Ft. G Ft. A H x. S Ft. ' 8 Ft. Linear Loading Rate= 9 GPD/LN FT B 3Z Ft. Design Loading Rate=a,39 GPD/SQ FT 1 16 Ft. J °d Ft. K ko. S Ft. L 53 Ft. Force -P4~in W 3Z Ft. L Observation Pipe--,,, d B K r---------- -------_i A I - - -1 - •I Force Main oPP3S 1 Tie Distribution Bed Of 2 - 2 2 ~Ll Pipe Aggregate 'Observation Pipe Permanent Markers (Anchor securely) P ate' . , T7 5 8  Plan View Of Mound Using A Bed For The Absorption Area • o~ of 4Y 7% U) 6% C W TOTAL DYNAMIC HEAD FEET/ 0 HEAD CAPACITY CURVE METERS 4% MODEL137-139 CAPACITY GALLONS/LITERS 30' CAPACITY _ 1'/x11 Ye + HEAD UNITS/MIN 0 00 8 FEET METERS GAL LTRS NPT 25' 5 1.52 104 394 517/, a 10 3.05 79 300 0 x 15 4S7 64 242 t1 20• 20 6.10 36 136 1 a 6 t 41. t(3 25 7.62 8 30 26 7.92 0 0 0 T 15' / .12 li O r 4 IT 2 5' 1 1 12% 0 100 110 0 • U.S. 10 20 30 10 50 60 7t80 GALLONS 1 4 LITERSI 80 160 240 320 400 0 FLOW PER MINUTE CONSULT FACTORY FOR SPECIAL APPLICATIONS I • Three phase pumps are available in 200/208V or 230V. • Mercury float switches are available for controlling single \ • Electrical alternators, for duplex systems, are available and and three phase systems. supplied with an alarm. • Double piggyback mercury float switches are available for • Mechanical alternators, for duplex systems, are available variable level long cycle controls. with or without alarm switches. • Long cords are available in lengths of 15-25-35-50 feet. • Combination starters are available. • Over 130°F. (54°C.) special quotation required. Standard All Models - Weight 47 Ibs.'h H.P. SELECTION GUIDE SELECTION GUIDE 1. Integral float operated 2 pole mechanical switch, no external control required. 137/139 Series Control Selection 2. Single piggyback mercury float switch or double piggyback mercury float Model volts-Ph Mode Amps Simplex Duplex switch. Refer to FMO447. M137/139 115 1 Auto 10.4 1 or 1 & 6 - 3. Mechanical alternator "M-Pak" 10-0072 or 10-0075. N137/139 115 1 Non 10.4 2 or 2 & 7 3 or 5 & 6 4. Combination Starter. Refer to FMO514. D137/139 230 1 Auto 5.2 1 or 1 & 6 - 5. See FMO712 for correct model of Electrical Alternator "E-Pak". E137/139 230 1 Non 5.2 2 or 2 & 7 3 or 5 & 6 6. Mercury sensor float switch 10-0225 used as a control activator, specify H137/139 200-206 1 Auto 8.2 1&S - duplex (3) or (4) float system. '1137/139 200-208 1 Non 8.2 2&7 3 or 5 & 6 7. Four (4) hole "J-Pak", junction box, for water tight connection or wired-in 'J137/139 200-208 3 Non 2.2 2&4 3 & 4 or 5 & 6 simplex or 2 pump operation, 10-0002. F137/139 230 3 Non 3.0 2&4 3 & 4 or 5 & 6 'G137/139 460 3 Non 1.5 2&4 3 & 4 or 5 & 6 g. Two (2) hole "J-Pak", for Watertight connection or splice, 10-0003.. No molded plug Three phase units require a control switch to operate an external magnetic or combination CAUTION starter. All installation of controls, protection devices and wiring should be done by a qualified For information on additional Zoeller products refer to catalog on Combination starter, licensed electrician. All electrical and safety codes should be followed including the FM0514; Piggyback Mercury Float Switches. FMO477; Electrical Alternator, FM0486; most recent National Electric Code (NEC) and the Occupational Safety and Health Act Mechanical Alternator, FMO495; Alarm Package, FM0513; and Sump/Sewage Basins, (OSHA). FMW87. ' RESERVE POWERED DESIGN 11 For unusual conditions a reserve safety factor is engineered into the design of rLoeller pttfip. 3280 Old Millets Lane Manufacturers of . P.O. Box 16347 ® ZZ71Z-ZFjff O. Loulsvllle, Kentucky 40216 (502) 778-2731 `,OL6ZITY PUMPS SNCT IMS • Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page of 3 Lobor and Human Relations M vision of safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code ~r COUNTY ST. cczo LX Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. o Z8 - b SO - ~f O APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER PROPERTY LOCATION. Lz~j~ - `r}~L>~ GOVT. LOT S lJ 1/4 SWt/4,SBS T ZS .,N,R 1`1 E ( tN PROPERTYOWNER':S MAILING ADDRESS LOT# BLOCK# SUED. NAME ORCSM# 3 sr r. 5 b P~kS o jztNi CITY, STATE ZIP CODE PHONE NUMBER OCRY []VILLAGE OWN NEAREST ROAD $ LpWjAj W[ S ooZ (-AS) 68y- 3-)1Z R,uSH Rlv 4~ sr ST. New Construction Use (>(j Residential / Number of bedrooms Z [ 1 Addn b e>lis ing budding p~ Replacement [ ] Public or conmedall desaibe Code derived daily lowO .d Recommended design badang rate o - 3 bed, gpdi'ft2 ~ ~ trench, gPd1ft2 0 6 trench, gpolfl2 Absorpim area required Z So bed, f12 Z-S.O trends, g2 Maxiaanm design loading rate o . S bed, 9AV Reconmended infiltration surface devaflon(s) 10 it (as referred to site plan bendmado Adtf bial deslgrt I sfe misideratiIins v-&unub : Lv i'hF "8' >C 3Z ` is ep-. ►"11 igi m im 1 r q r- -s R1t;p Ft L- . Parent material L„o %-;;s s a u cxi: Tt t.L. _food plaint elevation, i applicable M - a . ft S = Suitable for yam; CaNV WION& M=V IN41:10U I) PRESSURE AT- 3WE SYSTM N FLL HOLING TANK U=Unstihabb for D S ®U la s o u ❑ S (Au 0s, Mu ❑ S ImU [I S eu SOIL DESCRIPTION REPORT- Depth Dominant Color MoWes - -S"Cture GPD/ftz Boring # Horizon in. Munsell Qu, Sz. Cott Color Texture Gr. Sz. Sh. Consslenoe BmIlby Roots Bed IC'(t<f1 Call p- 9 \-DI?_ 3/Z Z 5lovt y • h a.S I0.z q-Z(O lu`tR 3/G _ SL' Z'FSbk m~~ as - °•S Ground 3 26 3Sd !D`i[t y/6 - sl 1 csbkv~i. cS - o ~l o-S elev. _ LOS-O ft '6y 1L1 R 31 b GS''I Q 3 Set - a~ c' m tivt Depth to limiting factor 3b" Remarks: Boring # ) o Lb`tR 3~Z st ~ z ~z bk >n~tir arS )v~ o.So,6 o•so.6 Z 9- t0 ~-I R 3L6 S 1 Z-~ low vniv as - 3 Z.3-~9 L6'ZR v/6 - s 1 l csbk y»u~~ eg u Y S Ground elev. y z9-6Q 10~t It 316 s Li 2 31 Sol -c, Q~v"`~ i yos. o Depth to limiting factor a Remarks: TName:--MeasePrint Arthur L. We erer Phone: 715-425-0165 egerer Soil Testing & Design Service-P.O. Box 74 River Falls,WI 54022 Sgnature: 93 ` l 3~ Date: - ) - 93 CST Number: 1 M00576 PROPERTY OWNER TfLFo21~ SOIL DESCRIPTION REPORT Page ' _►oi• PARCEL I.D, # a Z8 - 10 SO - 10 Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GP /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench ti<> 1 0 _ g ~otiQ 3tz - SIN Z -~sbm r. ~.S Ivy' ~.s o,6 Z -ZZ, ~o`tR 3!6 - a1~ Z Soh ~►`Fh cs - o,S o 6 Ground 3 Z2~) l0`!R Y/L - S~ ~0-15bk YnUT ~ cS - 6,V v•S elev. 1b6•I ft. 14 z)-So lo`tIZ SLvz -3 SeA - C' (Z:, 1M I _ - ` Depth to limiting factor Remarks: Boring # - Ground elev. ft. Depth to limiting factor Remarks: Boring # v4 Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(R.05/92) Y PLOT PLAN Page 3 of 3 SCALE 1"= 30 jt3 xt vz8-MS0-`Lo <1 TH `f - - vz3 5 F- SEO'ttc ~ iy ~ N o u~'~t_L x- QLVb%Z Z Z t3~'R 1" 1 ~cT310 qv,3 C-e N tj wt~l to 9hSd1®Jl~ fil ~ ~R1 A10~ ~~.$'~l►R$ OR @ri9 - ~ 1. LOO. p' i ~ C14Y_ 1P11TtT 7)M q+2rq o N e.o 2+zT~ / 5 ~-►~8. Lcl N 6 ~ ~ ~ ? I P g Z N c,~ 3 z s3 , <~~vR OS. ~ • L. lpS ~o EL IQ( - ~ Nom: ~~E CR.csS~p,TCN~D p~-T oFTTF~ At~itkl~u G ►~-E~1 N 9! CltlSl'Z 1~Ww o~ QrQvlrc, lU L-L_ ) )AjPrP '&'M 124 11-1 P h c-T) lIAj , s Qr~ 0)"s RED PellZ,n meD II °l 3- t l/ ~~~7-g3 (715 ) 42A-0165 M00576____ CST Signature Date Signed Telephone No. CST # 1 • DOCUMENT NO. TSTATE BAR OF WISCONSIN FORM 1-1981 i TNI{ llwcg e[{[NV[D row e[co"mNa DATA WARRANTY DEED 90FAA 339 REGISTERS OFFICE i~ DURAND FEDERAL SAVINGS r ST. CROIX CO. WISi I This Deed made between ............................................GS , ND..LOAN._A§SOCIATION ~i RRe-c'd. for Record this 2nd Grantor, I~ dOy of iun ~r..A.D. 19.&7 . i 8:30 A. JL and.... Kenneth..L..... T_alf.axd--- nd..Joy-..CA.. A,...TAUo_rd........._. husba0a...end..W?.e...41S...~v.?int..t.~nant.~? ' I~ yMw Grantee i Witnesseth, That the said Grantor, for a valuable consideration....-. This.teen..Thousand..Dollars..and..not.I.4-Q...HaTu M»;o------ conveys to Grantee the following described real estate in Durand Federal S&l County, State of Wisconsin: lOj JO• 2nd 3t. River Falls, Elie. 54022=-- Lots 4 and 5 in Block "D", Plat of the Town of TazParcel No: I New Centerville. r This deed is given in completion of that certain land contract dated July 23, 1984 and recorded on August 8, 1984 in Vol. 694 of Records, Page 97, as Document number 395430. F I. This ...._i.s...not......... homestead property. (is) (is not) Together with all and singular the hereditaments and appurtenances thereunto belonging; j' And......A.uxand._)'edeXa],..S wings '---I o4n..A.as.oc.i_at.i.on----------- li warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except ,i ~I ii li and will warrant and defend the same. 19.87... Dated t 22nd............ - day of MaX ~t U ND D SAVINGS & LOAN ASSN. .......-•-.---.(SEAL) BY:.- (SEAL) _Ro ld.-H Y ----(SEAL) - ................(SEAL) , Sony...J. ansen, Secretary ----1 - AUTHENTICATION ACKNOWLEDGMENT I; Signature(s) STATE OF WISCONSIN l as ep-i ll....-•-----°---.._County. !I authenticated this day of 19.----- Personally came before me this --22??a.... day of ------May 1917... the above rained Ronald _Hemmv. President- Sonya J' Hansen, SecretarY.. both. of I TITLE: MEMBER STATE BAR OF WISCONSIN Durand Federal---Savings & Loan Assn. (If not, - - authorized by: ¢ 708,06, Wis. State.) g I , to me known to be the person ..A who executed the 1 foreg 'ng instrument and acknowledge the same. THW INSTRUMENT WASPRAFTED BY a &-Be v.'V - cf DURANW- 1 I RVIN S., &.•LOAN•,ASSN. Deborah • hel (JAL) ~~~.....r..~: Notary Public Pepin County, Wis. (Signaturdiia.*; ayb``tienticated or acknowledged. Both My Commission is permanent. (If not, state expiration are not necessa date- -------------Au ust.--27- 198.9.....) -Name of persons signing in any capacity should be typed or printed below their signatures. STATE BAR OF WISCONSIN - - - FORK No. 1-1962 Stock No. 13001 Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page I of 3 Labor and Human Relations Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY ST- C2 0 LX Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must include, but not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. o z8 - L O S (3 - v O APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION ETA TNL GOVT. LOT S W 1/4 SW1l4,S35 T z-8 .,N,R 1`1 E { W PROPERTY OWNER':S MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM # 3 k4 C1 I s r qv E. 4 4 S D P'_h i or_ ~ t~11 c-~`Cticz L-) L L e CITY, STATE ZIP CODE PHONE NUMBER []CITY []VILLAGE ®FOWN NEAREST ROAD $ ~pkJt~1 bJJ 5 oo-L (_ISMV- I Z. RCS to Rev 9 ) sr 37 [ ] New Construdon Use Residential / Number of bedrooms Z [ J AddiQn to etasting building D< Replacement [ ] Public or commercial describe Code derived daily flow 3~'113 gpd Recommended design loading rate O - 39 bed, gpd/ft2 : trench, gpdV Absorption area required 'Z So bed, ft2 ZS O trench, ft2 Maiamum design loading rate o S bed, gp(W 6 trench, 9pdjft2 Recommended infiltration surface elevation(s) 1 O ft (as referred to site plan benchmark) Additional design / Site considerations "'~,VN'D k► i nt a x 32-' D (~b , " 1 AJ t M Urn 1 r O 5 R ku'Q Fr'- . Parent material Lo e s S' 6 U ez Tt t.t- Flood plain elevation, if applicable a - ft S = Suitable for System CONVENTIONAL MOUND "ROUND PRESSURE AT-GRADE SYSTEM IN FILL HOLDING TANK U Unsuitable for system ❑ S ® U OS ❑ U ❑ S [RU ❑ S 91 U ❑ S [NU ❑ S U SOIL DESCRIPTION REPORT Depth Dominant Color Motoes Texture Structure Consistence Boundary Roots GPD/ft Boring # Horizon in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed tench o- q ~n~tlZ 3!Z - ~L z sbK m~~. a-s I~~ s o.6 I 1 1 cl--L~ 1 L) `iFL 3/C o. s o- L Ground 3 Z6-3S3 1D `1R y/(, - sI cSbkv~, cg - o•~ o-S elev. do S - o ft 3S-by LO `'L 31(, sLf Q 3 sc l - c l a m wt - Depth to limiting facia., Remarks: Boring # ri Z?< Z 9- ~O`~IZ 3L(. s~ Z `F~bk CS _ o, S a. 6 3 2-3-29 L(N 4 R y/6 s 1 1 csbk my u Y S Ground elev. y 29-W ~ 0 `2 R 316 S Ll e 3 / Scl -e-\ QNM 105. o ft. Depth to cy , , limiting ' q fact q , It,~s -~'Remarks: T Name: Please Print Phone: Arthur L. We erer 7` - egerer Soil Testing & Design Service-P.O. Box 74 River Fal s, 54022 Signature: 93- ' Date: - 93 CST Number: M00576 PROPERTY OWNER TNLFo121J SOIL DESCRIPTION REPORT Page Z of 3 PARCEL I.D. # a Z13 -10 50 - I'D Boring# Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench BQi:~ti:::`4\:q w 1 o_S ~o~ttz 3!Z - st1 "Z-~5b m ~-s lv~' c~.s o . ZZ. L l~ LtR 316 - 311 Z 3'6k `~t^ C -s - 0 S 0. 6 Ground 3 22-3J ItYl 2 Y/L 3) ~ e ~10k Yn UTV, cS 6,V (S- S ele. 1 1136.1 ft. if 31-so Irz iI 3J6 s~Q3l Se~-C' w~ Yvl ~i Depth to limiting factor Remarks: Boring # : Ground elev. ft. Depth to limiting factor Remarks: Boring # ti w x.:.: Ground elev. ft. Depth to limiting _ factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks`. SBD-8330(8.05/92) PLOT PLAN Page 3 of 3 ewe N `m h=oe D SCALE 1"- 3O ' ~o x vZ-8-LoSU-~lo 5 2 2. TL 1`'1 xoqvv cue rn ~ ~ wc~.L~~ 11.E 0ASE1'1~7T, Oa +unT U~SIuRB oR @ - `1' e t . tpo• o fn W ~AY'1PRC`~ ~}-~S ~~1 O N CA~C~ZL~Th ~t lnS- / 1-R'-vN sz u N ceV 3z' S3. OS. ~ • Lt. I p S ~ et.lo6 - Tft@t ~Zj.'15 ~Ro~ ly Umie N n - C..' Z2 S V- -ATc"QD P M- LT o1= T1+ L lz~ FAR k 1+U G prp- A 'TU et C`e~IStTL \~Ww 02 L~UIYt_ -l k~Llw„ivRTe ~'►M.t o- w- p R c-D UN , s ~La~ A n ,p FaelZ.77 k- meD i L °13 -137 (715 ~ 425-0165 TrI00576 CST Signature Date Signed Telephone No. CST # Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page of 3 Labor and Human Relations Oivision of Safety & Buik6rgs in accord with ILHR 83.05, Wis. Adm. Code COUNTY ST. C,t2A LX Attach complete site plan on paper not less than S 1/2 x 11 inches in size. Plan must include, but not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. o Z$ - O S O - O APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION. GOVT. LOT S kJ 1/4 SWIM.S3S T Z8 :,N,R 1`1 E { W PROPERTY OWNERS MAILING ADDRESS LOT # BLOCK # SUED. NAME OR CSM # 3'4 211 21- q45 b PkkZT crV,,j ei4j cA~.TNZL vf.Ue CITY, STATE ZIP CODE PHONE NUMBER []CRY []VILLAGE OWN NEAREST ROAD sT: 5 ooz CASMv- 3-11Z W SH FZtQ 41 Sr t ] New Construction Use (~Q Residential Number of bedrooms Z- [ ] Ad*'Q l be*5rlg W MV aesaibe p~ Replaosment [ ] Public or cornowdai Code derived daffy flow 3no gpd Rmmmended design loading rate O - 3 -bed, gpolft2 trertdt, Abswpom area required ZSIC~ . becl, ft2 2,5 0 trench, ft2 •Modmuln design loading We bed, gpd* 0.6 trench, OW Reootwnended 'Nillration slJ bw elevation(s) l b.-1 ft (as referred b site plan benchmark) . Addiaral deSgn / sfte catsideaais "'&U1W J J il- ' W K 32' t3 I AJ I PI UPI .1 t D E= S Nvu f i Lt. Parent malterd L%-es s a U ez Ti u, Flood plain elevation, If al#icabie a • It S = Suitable for system - MotM N("tO M PRESSURE AT-GRADE SYSTEM N RLL HOLDNG TANG U =Unsubtle ror ❑ S Mu JOS ❑u ❑ S au ❑ S W U ❑ S Ggu ❑ S ~v SOIL= DESCRIPTION REPORT-"- De Dominant Color L40111es -Structure GPD/ftZ Boring # Horizon in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. W Roots Bed lelKlt 0.9 tiD`•ttZ 3IZ - ail Z sbK m~h a-S I) 1 _ o Z q_Z(, luk2 3/(- _ SLR Z,'FSbk >n-~v S G6 Ground 3 26 -39 t D `1 R Y/(, s I c s bk v c S o V o.S - w s o ft. -651 L~ `12 316 GSA f a 3 S'A- c.l o m )VI - Depth to limiting 3a`' Remarks: - Boring # 13 Z 9-a3 lo~trZ 31ro ~ S~ ~ Z ~~bh ~n'f ~ cS - 3 23-29 L~ R Y/(o S 1 C-3bk YnU,'V aS u, _ n. S Ground elev. Z9-60 0 `-t IZ 316 S t9 2 3 / A _c., Q~Vvl VV 4- I tio5< O ft. Depth to limiting factorq a Remarks: TName:-Please Print Arthur L. We erer Ph(. 715-425-0165 egerer Soil Testing & Design Service-P.O. Box 74 River Falls,WI 54022 Si nat ue: Date: CST Number. 1 l3~ 17-93 M00576 PROPERTY OWNER Thy-Fo1Zl~ SOIL DESCRIPTION REPORT Page Z of PARCEL I.D.# 6Ze-1(3S0-10 Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bourxiary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench vz `-tQ 3! 2 - SO Z 1n'F 1 u'~R - l Z S~lz vn Z - ZZ 316 `F~ C s O S o Ground 3 27 1kYlZ Y/L - S~ °LZ)bk Yr) v cS - 6,V O•S elev. 1o6.1 ft y 31-S~ 1~`iIZ 3~i, SL -LQ 3l Se.~ - C- p wN Depth to limiting factor Remarks: Boring # - Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD-8330(8.05/92) PLOT PLAN Page 3 of 3 SCALE 130 ' iD , oz.8-Soso-~to i ~z3 ."15 = x QLPVT Z 2. QURM 0 XzWs voexa c e ~ wca,~, lu 8hse~rr~ . rn bs ~►e`- U~,3TyR8 aR BM Ems. ~oo.o' ~ ~ ~Y'1P j -VMS "A O N CA~L~ki t*LI.oS © LhW N . .y sz N coV 32 S3 R oS,~ ci Its i V7_1 -1 S ~ tzo PCT~~Y`l t Nom: C.lz.c~gSt~TC44tD Pt~rtz-T o~`l?~~ AARkI~u 6 P~ 1v Bt. ~ C~tSETt. ~WW@4 oR.. ~vyt•~ ZU ~-lry~rvr'T'ti~ cuM P cp too s vvt, Ot!, A~uD Fern n 1-17,LvD (715 ) 495-07169 M00576 CST Signature Date Signed Telephone No. CST #