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HomeMy WebLinkAbout040-1133-80-000 104 STC AS BUILT SANITARY SYSTEM REPORT OWNER el'1 e /~a G' yI ADDRESS 17 l T/( N ~w► n4-' MQ q- (L . F SUBDIVISION / CSMJ LOT SECTION. 3 L T 00 N-R/~qW, Town of ~Q ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTn M JOV Top pleq~ lA YI1 Lt S 7 S'L~ ' r o k SUlY1l1~CLl~ ~INDICATE NORTH ARROW Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. BENCHMARK: ALTERNATE BM: 70 n / ~l I -r" n P; o e SEPTIC TANK / PUMP QCHAMBER / HOLDING..TANK INFORMATION Manufacturer: P j ~ WeSy Liquid Capacity: Setback from: Well House 3C~ Other Pump: Manufacturer Q a1d Model# Size Float separation Gallons/cycle: Alarm Location :SOIL ABSORPTION SYSTEM j ~ Width: /'j Length c~ Number of trenches Distance & Direction to nearest prop. line: 1~ fd, Setback from: well: y House ~ ,C) Other I ELEVATIONS Building Sewer ST Inlet: ST outlet PC inlet PC bottom Pump Off Header/Manifold Bottom of system Existing Grade Final grade DATE OF INSTALLATION: J/ PLUMBER ON JOB: LICENSE NUMBER: INSPECTOR: 3/93 : j t ia6) ait ktof r yes C.35,T28NPRIVA+E'SEWXU% f 1 ) County: Labor and Human Relations ,C`~" GE S Safety and Buildings Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Perm itNo.: 19348-95 Permit Holder's Name: ❑ City ❑ Village ❑XTown of: State Plan ID No.: T-AR,qO NE TROY CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: m /,~)j . Ulf PKCV` TANK INFORMATION ELEVATION DATA A9300147 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark iCGc1l!~}~ x/17 `ic'1: , Dosing Aeratiop~ Bldg. Sewer --mss Holding St/ Inlet TANK SETBACK INFORMATION St/iOf Outlet TANK TO P/ L WELL BLDG. Ventto ROAD Dt Inlet Air Intake Septic 3 _~o NA Dt Bottom ,z 6,0 Dosing NA Header 5 9. 5,3 Aerati n A Dist. Pipe Hold Bot. System 60 ' 9Z / PUMP/ SIPHON INFORMATION Final Grade Manufacturer Demand 70Zq--', ~ cf 0.0 -17 5 2D , Model Number # 3X71 Lo GPM 'eclo 6;. ' . 3 ,9G ~G. TDH Lift% 04 Friction 11 System TDH&Z Ft Forcemain I I Length 10( Dist.Towell SOIL ABSORPTION SYSTEM BED/TRENCH width r Lengt No. Of Trenches PIT No. its Inside Dia. Liquid Depth DIMENSIONS ~e DIMENSIONS SYSTEMT P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: SETBACK CHAMBER INFORMATION Type Of Q v , M um e . -w System: /o~o U ,~T OR UNIT--r DISTRIBUTION SYSTEM Header old Distribution Pipe(s) „ / , x Hole Size x Hole Spacing Vent To Air Intake Length 1~ Dia. Length r~ Dia. Spacing 4 SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Onl [Bied pth Over it_, (t Et Depth Over xx Depth-Of•°°-Y_._,_- eeded / Sodded xx Mulched /;Center ~"(4 Bed /TA054A-Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: NE,SE,SEC.35`,,T28N-R19W (SUNVIEW DRIVE) Plan revision required? ❑ Yes Q- 4a ODate; Use other side for additional information. SBD-6710 (R 05/91) Inspector's Signature Cert. No. i ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: °-m-SANITARY PERMIT APPLICATION TDILI"IR In accord with ILHR 83.05, Wis. Adm. Code COUNTY STATE ~NITARY 1 P # -Attach complete plans (to the county copy only) for the system, on paper not less than /J r / 8% X 11 inches to SIZ@. ❑ Check if revision o previous application -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. PROPERTY OWNER PROPERTY LOCATION F ti, L° 6,y1 F% S 3S T N, R / E (o CW PROPERTY OV ER''SMAILING ADDREW LOT # / BLOCK # CITY, STATE y fi i . ZIP CODE E PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER [ZI II. TYPE OF BUILDING: Check one CITY - NEAREST ROAD ( ) ❑ State Owned VILLAGE ' ❑ Public ®1 or 2 Fam. Dwelling-# of bedrooms ~ PARCEL TAX NU/MBE ) III. BUILDING USE: (If building type is public, check all that apply) 3 1 ❑ Apt/Condo 2 ❑ Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining 4 ❑ Church/School 8 ❑ 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 5.0 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 /a'xS a'~ed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ 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) ►'7 ELEVATION ~v 6/15, `'o Z/O 9/% / Feet W. Feet VII. TANK CAPACITY Site in allons Total # of Prefab. Fiber- Exper. INFORMATION Manufacturer's Name Con- Steel Plastic New istin Gallons Tanks Concrete strutted glass App' Tanks Tanks Septic Tank or Holdin Tank 4,00 0 f S r $7 Lift Pump Tank/Si hon Chamber 5,6r h VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name (Print): Plumb r' Signature: (No!yamps) MP W Business Phone Number: ~ 3 r as s Plumber's Address (S reet, Ci , State, Zip Code): 9 91) 4 ,i- e Q l~s oat IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sa itary Permit Fee (Includes Groundwater Date ssue issuing ent sign Approved ❑ Owner Given Initial Surcharge Fee) ~q )rse Determination 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 i INSTRUCTIONS 1. K-6anitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at the time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer/Renewal Form (SBD 6399) to be submitted to the county prior to installation. 5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety & Buildings Division, 608-266-3815. To be complete and accurate this sanitary permit application must include: 1. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. IL 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. i Complete plans and specifications not smaller than 8% x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if required by the county; E) soil test data on a 115 form; and F) all sizing information. GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater, ground- water contamination investigations and establishment of standards. SBD-6398 (R.11/88) 7&as iOo k0bi 9 3 LLVL fsS ge ed Juao 59 la`x~a' lea ; sIs. E1eo, o', ~e~•~ ~ Area I S 64 G I S PAGE OF " PUMP CHAMBER CROSS SECTION ARID SPECIFICATIOWS VENT CAP 'i"C.I. VENT PIPE WEATHER PROOF APPROVED LOCKIN JUNCTION 90X MANHOLE COVER W/ LI)'Gir►)ifl~ I al 25' FROM DOOR, IZMMIfJ. „ctbr_ WINDOW OR FRESH I AIR INTAKE I GRADE I a 4 MIN. r! 18" MIAI. CONDUIT 18"MIN. I INLET PROVIDE ~ AIRTIGHT SEAL I III / III v 7 APPROVED JOINT A I III APPROVED JOINTS W/C.I. PIPE I I I( W/C.I. PIPE EXTENDING 3'Y" ALARM ONTONSOL D SOIL ONTO SOLID SOIL B I 1 I I ON C ( I ELEV. FT. PUMP---- OFF r D CONCRETE BLOCK a 5 io 3" APPROV -RISER EXIT PERMITTED Ly IF TANK MANUFACTURER HAS SUCH APPROVAL ggpplN~ SEPTIC E SPECIFl CATIOUS DOSE TANKS MANUFACTURER:YJJruN51 L f'Q ' NUMBER OF DOSES: PER DAy TANK 51ZE: GALLONS DOSE VOLUME ALARM MANUFACTURER: "411 ILL t INCLUDING BACKFLOW: ~ GALLONS MODEL NUMBER: N.A, CAPACITIES: A=O1~'4 INCHE50R 3aGALLO1Js SWITCH TSPE: A ire )A U t 8 =INCHES OR GALLONS PUMP MANUFACTURER: Col, U C = INCHES OR P&/ 7 GALLONS MODEL NUMBER: _ _?p7/ D- /01/ INCHES OR 6 GALLONS SWITCH TYPE: b"r~ NOTE: PUMP AND RONSEP RATE CIRCUITS MINIMUM DISCHARGE RATES-GPM INSTALLED VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTION PIPE.. 215 FEET ♦ M1INrIMUM NETWORK SUPPLY PRESSURE . . . . . . . . . . . 2.5 FEET ♦ =YEET OF FORCE MAIN X L9? FjoFLFRICTION FACTOR.. '6 FEET TOTAL. OtiMWIC HEAD = le` L FEET INTERNAL DIMEWSIONS OF TANK: LENGTH ;WIDTH r ;LIQUID DEPTH SIGNED: LICENSE NUMBER: DATE: v PAGE OF PUMP CHAMBER CROSS SECTION ARID SPECIFICATIONS VENT CAP 4"C.I. VENT PIPE WEATHER PROOF APPROVED LOCKING JUNCTION BOX MANHOLE COVER W/ 25' FROM DOOR, r no'i(i ;~tlbr-I 12 MIU. WINDOW OR FRESH I AIR INTAKE I GRADE I 'i"MIN. r- I I6"MIAI. CONDUIT INLET PROVIDE I , ~ AIRTIGHT SEAL I III ~ I II v APPROVED JOINT A I I I APPROVED JOINTS W/C.I. PIPE I III W/C.I. PIPE EXTENDING 3' I II ALARM EXTENDING 3' OWTO SOLID SOIL B i ; I ONTO SOLID SOIL I ON c I I ELEV. FT .--4-- OFF D CONCRETE BLOCK S il 0 3" APPS OV. RISER EXIT PERMITTED Ly IF TANK MANUFACTURER HAS SUCH APPROVAL gE001NQ SEPTIC 6 ~~SPECIFICATIOKIS DOSE TANKS , MANUFACTURER: J Y'~ ( INNSl L' coo S IJUMBER OF DOSES: PER DAy TANK 51ZE : 7~n GALLONS DOSE VOLUME ALARM MANUFACTURER: 14A k 1'PY fi INCLUDING BACKFLOW: GALLONS MODEL NUMBER: N•fl CAPACITIES: A= 96"1 INCHES OR 3a, S~GALLOW5 SWITCH TYPE: /q, U B= 2 IWCNE5 OR 35 GALLONS PUMP MANUFACTURER: CO L4 C = IWCHES OR P9, GALLOUS MODEL NUMBER: 7F>/ D= INCHES OR Al / GALLONS SWITCH TYPE: beyC`lwU NOTE: PUMP AND ALARM ARE TO BE MINIMUM DISCHARGE RATE 23 GPM INSTALLED ON SEPARATE CIRCUITS VERTICAL DIFFERENCE BETWEEN PUMP OFF AND DISTRIBUTIOM PIPE.. FEET + MINIMUM NETWORK SUPPLY PRESSURE . . . . . . . 2 5 FEET + ~`rEET OF FORCE MAIN X F 00FT.FRICTION FACTOR.. FEET TOTAL DYNAMIC HEAD FEET c c ii i/ INTERNAL DIMLWSIONS OF TANK: LENGTH ;WIDTH I~;LIQUID DEPTH SIGNED: LICEOSE NUMBER: DATE: tiubmersible MODEL: 3871 SIZE: 3/4 SOLIDS Effluent Pump RPM: 1550 HP: 0.4 METERS FEET 8 25 7 D 6 20 5 15 a Z } 4 i0 - J 0 3 10 I- 2 5 1 I 0 00 10 20 30 40 50 GPM 0 2 4 6 8 10 12 m3/h CAPACITY [QGOULDS PUMPS. INC. SENECA FALLS IOW YOW 13148 Effective October, 1988 DIM Goulds Pumps. ktc. SPECIFICATIONS ARE SUBJECT TO CHANGE WITHOUT NOTICE PRINTED IN U.S.A. C3871 STC-100 This application form is to be completed in full and signed by the ot.;ner(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 Pro ert t 1/4 P Y y C 1/4, Section , T N-R~W r Township Hailing address T k~ Address of site .,41~ U Subdivision name_ G5✓11~~ 7 a? /Lot no.- ---I other homes on property? _yes_ No Previous owner of property Total size of parcel Date parcel was created f.`Y 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 Dee s . INCLUDE WITH THIS APPLICATION THE FOLLOWING: A WARRANTY DEED which includes a DOCUMENT NUMBER, VOLUME AND PAGE NUMBER & THE SEAL Or 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 in~ the office of the County Register of Deeds as Document No. ~ 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 record t e office of County Register of deeds as Document No. C~ Sig ature of ap¢1 cant Co-aP~lica t r Date of signature Date of Signature C DOCUMENT NO. WARRANTY DEED THIS SPACE RESERVED FOR RECORDING DATA II L 8 ~`i j STATE BAR OF WISCONSIN FORM 2-,198211 9r"9PAGE 5"-" 65 REGISTER'S OFF-ICE Waldemar E. Zastrow and Doris L. Zastrow, husband and ST•CROIX G©a WI/ wife as survivorship marital property A.- R@Cd for R6!Af - - - SEP 181992 , - - - - conveys and warrants to _Eugene 0. Larson and. Carol J. Larson,. Gt 8:30 A. M husband and- wife. as-.suryiyprshi-p mfr-Ltal--propery W.. - - - - V I ge9isterof Deeds RETURN TO - - the following described real estate in _.._..St,-_-~qZ---------------- County, State of Wisconsin: Tax Parcel No: i I. Lot 1 of Certified Survey Map recorded in Vol. 7, page 1993; being a part of the NE 1/4 of the SE 1/4 of Section 35, Township 28 North, Range 19 West. I FEE This is not_________ homestead property. (is not) Exception to warranties: easements, restrictions and rights of way of record, if any. Dated this day of September--------- 19_92- (SEAL) (SEAL) ~ * E. Z Waldemar trow - (SEAL) - (SEAL) * Doris L. Zastrow AUTHENTICATION ACKNOWLEDGMENT Signature (s) STATE OF WISCONSIN SS. - - --------County. authenticated this ________day of 19______ Personally came before me this 15.--'-day of September---_----•------------- 19..92•_ the above named * _--Waldemar E. Zastrow TITLE: MEMBER STATE BAR OF WISCONSIN Doris L. Zastrow (If not, - authorized by § 706.06, Wis. Stats.) to me known to,b~-t `f enUp -9 who executed the foregoing 'n tr' x' Rand cknQvReoge the same. THIS INSTRUMENT WAS DRAFTED BY - U~_ Joseph D. Boles - Attorney at Law * River Falls, WI 54022 Notary Public County, Wis. ~s t (Signatures may be authenticated or acknowledged. Both My Commission - is^pe anent. (I~~ ot; state expiration are not necessary.) date: 1. 19__Q ) *Names of persons signing in any capacity should be typed or printed below their signatures. WARRANTY DEED STATE BAR OF WISCONSIN Wisconsin Legal Blank Co., Inc. FORM No. 2- 1982 Milwaukee, Wisconsin If - 105 STC SEPTIC TANK MAINTENANCE AGREEMENT . St. Croix County OWNER/BUYER kr'~ti' FIRE NO. ROUTE/BOX NUMBER CITY/STATE MFG ZIP I 1/4 1/4, Section T , R PROPERTY LOCATION: N Town of St. Croix County, Subdivision 7 Lot No. 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 $3000 of the cost of replacement of a failing system, which was in operation prior to July 1, 1978. St. Croix County accepted this program in August of 1980, with the requirement that owners of ALL NEW SYSTEMS agree to keep their systems properly maintained. The property owner agrees to submit to St. Croix County Zoning a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper 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. Certification form will be sent approximately 30 days prior to three year expiration. I/WE, the undersigned, have read the above requirements and agree to maintain the private sewage disposal system in accordance with the standards set forth, herein, as set by the Wisconsin Department of Natural Resources. Certification form must be completed and returned to the St.Croix County Zoning Office within 30 days of the three year expiration date. _ SIGNED L DATE St. Croix County Zoning Office St. Croix County Courthouse 911 4th Street Hudson, WI 54016 (715) 386-4680 Sign, Date, and Return to above address DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS ItVDUSTRY, C DIVISION LABOR AND PERCOLATION TESTS (115) MADISOP.O. BOX N WI 539069 HUMAN RELATIONS (H63.09(1) & Chapter 145.045) LOCATION: SECTION: TOWNSHIP MUNICIPALITY: LOT NO.: BLK. NNOy' SUBDIVISION NAME: NE ~SE ~ 33 j2B N/R /9 C L (Or T TROY L 07 / / C. S. M. COUNTY: OWNER'S BUYER'S NAME: MAILING ADDRESS: ST. CRO/X MARV/N RASMUSSEN ROUTE 3 SUNV/EW OR. RIVER FALLS, W/ 34022 USE DATES OBSERVATIONS MADE rile NO.BEDRMS.: COMMERCIAL DESCRIPTION: (PROFILE DES RIPTIONS: PERCOLATION TESTS: LJResidence 3 N. A . New ❑Replace 4 - /8 - 08 4- /S - 88 RATING: S= Site suitable for system U= Site unsuitable for system roIns ENTIO❑NAL: MOIpNDJND-PRESSU RE: SYSTEM-FI LL HOLDING TANK: RECOMMENDED SYSTEM:(optional) UU ~S I ~S ❑u S U S [DU CONVENTIONAL If Percolation Tests are NOT required DESIGN RATE: I If any portion of the tested area is in the under s.H63.09(5)(b), indicate: CLASS / Floodplain, indicate Floodplain elevation: NO PROFILE DESCRIPTIONS BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN, ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- / 6.9' 100.6' NONE 6.9' Bn / 3'1 an ri1/0.6')8n r/ to. 69 Bnr and yr/4.2') 6. 2' /00.4' li 6. 2' B- 2 an I'1!/.3'1 an ril 10.39 an r//0.3') on r and yr/ 3.9'1 7.4' /0/.0' 7.4 Bnl //.911 an r1110.79 BnIO.49 an r and yr/ 4.4') B_ 3 7. 4' 100.7' a 7,4 ' an I f/. 8') an s/ /0.9'1 8.9 r and pry ( 4, 79 B_ 4 B- 3 7. 6' IOO.9' II r 7.6 B/ 12.6') an r/ /0.3'1 an r 017d gr14.3'J B- SOIL MAP SHEET 9o PERCOLATION TESTS TEST DEPTH WATER IN HOLE TESTTIME DROP IN WATER LEVEL-INCHES RATE MINUTES PER INCH IOD NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD 1 PERIOD2 PER P_ 1 2.9' 3 3//2" 3 //4" 3" 2 P_ 1 P2 3, 2 q 3 4" 3 111161, 3 3/4 ' P-_ 0 P_ 3 yP 3 3 7116" 3 9116" 3 314" 1 P 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 a ^ t891 tion on the plot plan. Show the surface elevation at all borings and the direction and percent of land slope. 1 /9f SYSTEM ELEVATION co 1 P7 P k AC HOE /T_SS MED 120' O PfRC__H,0L j 5 ' • PIPE Na:je2 P CALE Y 60 t I i f i I 3 O _ 1 l L I Q h tN SU/ T. ~REA! 3, 3 60 f 83 42 B4 s i SO, FT , i i I F I TI 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: LAURENCE W. MURPHY 4 - /B - BB ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER (optional): R/ BOX 36 A RIVER FALLS, W / 34022 CST SIG ATURE: ~r DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. - j DILHR-SBD-6395 (R. 02/82) OVER 1 INSTRUCTIONS FOR COMPLETING FORM 115 - SBD - 6395 • To be a ~)mplete and accurate soil test, your report must include: 1. C ial description; 2. TF u° action must clearly indicate whether tl-is is a residence or commercial project; 3, MA} M number of bedrooms commercial use planned; 4. Is this - replacement sys` 5. Cor ; ity rating 1- A SITE IS SUITABLE FOR A HOLDING TANK ONLY IF ALL OTHE r RULED -iUT BASED ON SOIL CONDITIONS; 6. PLEA. € reviations shown here for writing prohie descriptions and completing th plot plan; 7. MAID- _E diagram accurately locating Your test locations. Drawing to seal is erred. A ~ used if desired; imark and vertical elevation reference point are clearly shown, and ar ~rmanent; 0. ap)riate boxes as to dates, names, addresses, flood plain data, percolation test exemp- priate; 10. r rtion (such as flood plain, ' tit i) does nr ~:.ly, place N.A. in the appropriate box; 11. L - m and IDIace your current ar _i _ Z-. J your car tion number; 12. M61)le copies and distribute as aired. ALL SO". TESTS MUST BE FILED Esl1ITH THE LOCAL AUTHORITY WITHIN 30 DAYS OF COMPLETION. ABBREVIATIONS FOR CERTIFIED SOIL. TESTERS Sail Separates and Textures Other Symbols - Stone (over 10") BR - Bedrock Cobble (3 - 10") SS Sandstone Gravel (under 3") Limestone, s - ..r=? H, - High Grr cs Percoiatio, mi-A s - d - 'Veil fs ? gilding Is ~;y Sand sl 'y Loam "l in Bn l' vn `sil Silt Loam BI Si - li Cry C iY L )am y Clay Loan) R si - Clay Loarn mo.t t , y Clay Irv: sic Clay fIf x z, cr: pt s T 1T3 y, i7' rn <f c. p prominent HWL High vv - ~ve, 1, Six so" -il for I:_Iu._ : al F E...ic,. Verti: t TO THE OWNER: . CEfiTIFIED SURVEY MAP MARVIN P. RASMUSSEN AND REBECCA M. RASMUSSEN E//4 COR. SEC. 35, Part of the Northeast 1/4 of the Southeast 1/4 of Section 35, r28N, R19 W (COUNTY Township 28 North, Range 19 West, Town of Troy, St. Croix SURVEYOR S MON.) County, Wisconsin. \I UNPL A rTED LANDS = O NI 589.44'20"E 32 8.00'R/EAST! p 6 6 1 ^I LOT /1 i 44,279 SO. F7. O ` n a N M . 0. i-. • b M M I ( 3396.9-3 i [wIQ~ DI M \ /~~~1~ . j.~i•~~v i Iivif,•_ _ N W O 5 89. 44 '20" E 328.00' y, y ? ~ ~ I 2 Q o h O • ~ N OI ~ W b 2 Q O LQ~ 2 0 Q~ W W O 13 b N W I I J ~ h 703 (ACRES h O O 3 (v O N 74,26d so. Fr. N O I I..I q O DWELLING W/rH ATT. GARAGE ~b~ I o 1 °o 1 RI ~a OI MI ~I O MONO WJA rED W L IN£ APOLLO RO. 31.98 R / 3.QIl Q 6 6 328.'00' J W ~I ~I VI I Q4 N 89. 48'38 "W 339. 98 ' I V1 Q 0 ' R /WEST 361.001) ~j R O V CX.I4 i 4O r C. S. M. VOL. 7, E LINE SE114 1 PA GE 1952, DOC.#435878 1 SE CDR. SEC. 33,T2BN, i R/9W, /COUNTY SURVEYORS MON.) SCALE /"=100' Owner's Address: O 30' /001 /JO' 200' 300' Route 3 Sunview Dr. Dated: 3-28-88 River Falls, WI 54022 • Indicates 1" iron pipe found. O Indicates 1" x 241, iron pipe weighing C/rYOF RIVER FALLS 1.13 lbs./lin. ft. set. APPROVED BY r/ r L E ~~.•`````~gC O N S~ 7ESii • •...41 DATED . LAURENC••~ :,.r,jWMU P % o: N ALLS,~ • NW NE ~'~IE~D C.T.H." M" ~11~11 Laurence W. Murphy SU VI W --b A POLL 0 RD. gistored Land Surveyor D R. `C .S. M. SW Vol. Page L O C A r/ON SKETCH Certified Survey Maps SEC. 33, r 28 N, R 19 W St. Croix County, Wisconsin SCALE / =3000 SHEET / OF2 CERTIFIED SURVEY MAP MARVIN P. RASMUSSEN AND REBECCA M. RASMUSSEN Part of the Northeast 1/4 of the Southeast 1/4 of Section 35, Township 28 North, Range 19 West, Town of Troy, St. Croix County, Wisconsin. Description: That certain parcel of land located in the Northeast 1/4 of the Southeast 1/4 of Section 35, Township 28 North, Range 19 West, Town of Troy, St. Croix County, Wisconsin, more fully described as follows; Commencing at the East 1/4 corner of said Section 35, thence South (recorded bearing on the East line of the Southeast 1/4 of said.Section 35) a distance of 534.21' (recorded as 535.00'); thence N 89048'38"W 31.98' (recorded as West 33.001) to the I'OINT'OF BBSINNING, of the parcel to be herein described; thence continue N 89048'38"W 328.00' (recorded as West); thence N 00°07'05"W 361.61' on the East R.O.W. of Sunview Drive (recorded as North 362.001); thence S 89044'20"E 328.00' (recorded as East); thence S 00007'0511E 361.20' on the monumented West R_. O.W. of Apollo Road (recorded as South 362.001) to the POINT OF BEGINNING, containing 2.722 acres, being subject to easements of record. Dated: 3-28,88 State of Wisconsin) County of Pierce) I, Laurence W. Murphy, Registered Land Surveyor, do hereby certify that by direction of the Owners, Marvin P. Rasmussen and Rebecca M. Rasmussen, I have surveyed and divided the lands shown hereon in accordance with official records, Chapter 236.34 of the Wisconsin Statutes and the Ordinances of St. Croix County; and that this map and description shown hereon are a true and correct representation thereof. ``,`~IH/1l Il q~h i CSC NSA ~ iii rLAURENC•.• 'All W M P r' = S 71 a 4i. ~N~ _ 'PA •LLS, • SC. :.~Q co LANG Laurence W. Murphy !Registered Land Surveyor i SHEEr i OF2 tiN FDL D UUNte JAMESOCONNELL 438950 Register of Deeds ~ ~ .Q~ C ~7 CERTIFIED SURVEY MAP MARVIN P. RAS1&3SEQ ~ - . E I14 COR. SEC. 33, Part of the Northeast 1/4 of the Southeast 1/4 of Section 35, r2eN, R19 w /couNrY Township 28 North, Range 19 West, Town of Troy, St. Croix suRV£roR s MON./ County, Wisconsin. \ UNPL A 77E9 LAND S of NI S89.44'20"E 328,00'R/EAST) p 6s 66, Z 'k I [7L 44,279 S0. FT. O 1,~I I 1 J \ I O O .r . v . If'J. ~r I~ ~ .r.J. IS%. ~ L) O O v1 ~ I~I M I • F 3 6 M M ~ ,133_s; ry.y3 N 1 vl~lOOl ( i a I , Z 589.4420"E, 328,00' y,y ~ I ~ I 2 Q o H ~j L 0 705 264 SOEFT. LOJ 74, 111, 2 Q- R W O OWELL /NG W/TN A rT. GARAGE to ~I o QI Q N OI M O MONUNimrEO W LINE APOLLO RO. Z \ I I Z 71,98 6 328.00' RI 3:00 j` VI I ( N89. 4838 "W 339.98 h ^Q Q I ( R ! wF S T 36 00'/ .j VI o.I (S) t Q O 407-/ C, S, M, VOL,71 E'LIN£ SE 114 I 1 ' PA GE 1952, DOC.#435878 I s£ cOR, sEc.3s, rz8N, - R19 W, /COUNTY SURVEYORS MON.) SCALE /"-/00' Owner's Address: 0 30' /00' 130' 200' 3" Route 3 Sunview Dr. Dated: 3-28-88 River Falls, WI 54022 Revised : 6-29-88 • Indicates 1" iron pipe found. O Indicates 1" x 24" iron pipe weighing C/TYOF R/VER FALLS 1.13 lbs./Tin. ft. set. APPROVED BY- • ``IIIIIIII DArED do LAURENC MU P C) M S 1 y 4ft N • ALLS,,: • NW NE H.'% ,N" ,,e~/f11f1I~~~~, - - Laurence W. Murphy suNDVRI APOLLO RO, gistered Land Surveyor .S. M. SW APPROVED Vol. 7 Page 1993 JUN Z 9 M8 L 0 CA T /ON SKETCH Certified Survey Maps amCOUNTY sEC. 3s, r 28N, R 19 W St. Croix County, Wisconsin Dal LANNM. SC A L E 3000' ~C SHEET IOF2