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HomeMy WebLinkAbout042-1077-80-300 STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER . J,Y,o Z~5 JC_ k C1 N~ (.t9 Y Cv ADDRESS. SUBDIVISION / CSM# LOT SECTION~T 56 N-RrJ W, Town of Wa- 8: K u ST. CROIX C04wy, FIISCONSPLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM O 4~ATE JNC TH ARROWy A Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center- of septic tank manhole cover- - BENCHMARK: S, ALTERNATE BM: SEPTIC TANK / PUMP CHAMBER / HOLDING..TANK INFORMATION Manufacturer: Liquid Capacity: Setback from: Well// 90" - -T House Other Pump: Manufacturer Modell ~-----size Float seperation - Gallons/.cycle: Alarm Location SOIL ABSOMPTION SYSTEM Width: ~5 Length '7S 4y4 S.~l Number of trenches ~ Distance & Direction to nearest prop. line: 3.c ) Setback from: well /j / House Other ELEVATIONS -7,56 Building sewer 9 5 ST Inlet: /01 I SST outlet 6© PC inlet PC bottom Pump Off Header/Manifold /,CL lec. j Bottom of system 3 P 7~ i Existing Grade Final grade s, Sj /03 ey 02 DATE OF INSTALLATION: ~Q(J PLUMBER ON JOB: ~~J,f,/~ LICENSE NUMBER: INSPECTOR: 3/93:jt I,(}GSATI N: W 28.29.18.4 ~TVisconsin 6epartmen o n ustry, NATE SEWAGE SYSTEM County: Labor and Human Relations INSPECTION REPORT Safety and Buildings Division (ATTACH TO PERMIT) Sanitary rnit GENERAL INFORMATION Permit Holder's Name: E] City E] Village Town of: State Pla CHWALEN JAMES H WARREN CST BM Elev.: Insp. BIVI Elev.: BM Description: Parcel Tax No.: /0( /001 m,5 Ct~ CEO rY t' TANK INFORMATION ELEVATION DATA A9300342 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic 9-6--0 Benchmark ,o(. /DU- Dosing ft J03 .~y /60 Aeration Bldg. Sewer /0 /.57 Holding St/ Ht Inlet 161,19 TANK SETBACK INFORMATION St/Ht Outlet et TANK TO P/ L WELL BLDG. Ventto ROAD Dt Inlet Air Intake Septic '750' fL y~L~ NA Dt Bottom Dosin NA Header / Man. 3 S f g g,73 I~d33 Aeration NA Dist. Pipe q,(/ 3 qq. 0 Holding Bot. System 1".(. 1 q q. 14 5 PUMP/ SIPHON INFORMATION Final Grade S'so~ I~oa;oc/ <C~So~fd Manufacturer Demand Model Number GPM TDH Lift Friction System TDH Ft Loss Hea Forcemain Length Did. Dist.ToWell SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches L PIT No. Of Pits Inside Dia. Liquid Depth DIMEN I N 5 "75 ~d a-- DIMEN I N LEACHING Manufacturer: SETBACK SYSTEM TO P / L BLDG WELL LAKE / STREAM INFORMATION Type O Aj -XI y^ OR UNBT R Model Number. System:,,P)t w7/1 3 A,)1,111 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 El No COMMENTS: (Include code discrepancies, persons present, etc.) - 5 5 y LOCATION: WARREN 28.29.18.442A ,~5 7 ~j ~1,tol /s ~ u ~ Jo r Plan revision required? ❑kYes ❑ No i } r' j 6 Use other side for additional information. ;?SBD-6710 (R 05/91) Date Inspector's Signature Cert. No. SANITARY PERMIT APPLICATION L1 HA In accord with ILHR 83.05, Wis. Adm. Code COUNTY / s ; STATEMIT PER T # -Attach complete plans (to the county copy only) for the system, on paper not less than 8'/z x 11 inches in size. Ch on revious application -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. PROPERTY OWNER l PROPERTY LOCATION ;Q A -S c./ LEA / '/a _Sr S T , N, R g E (O PROPER OWNER'S_Iu~AILING~D LOT ~ BLOCK # 5- A (ODD t,~',~CCJ CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER p0~3 7!5" 7~9-338 II. TYPE OF BUILDING: (Check one) CITY NEAREST ROAD ❑ State Owned ILLAGE ll~a~~~ W ❑ Public LJ 1 or 2 Fam. Dwelling of bedrooms --A PARCEL TNUMBER() 111. BUILDING USE: (If building type is public, check all that apply) U'' i~ 10 7 7 - 7 v9 1 ❑ Apt/Condo 20 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 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. EffNew 2. ❑ Replacement 3.E1 Replacement of 4.E] Reconnection of 5. ❑ Repair of an System System Tank Only Existing System Existing System B) ❑ A Sanitary Permit was previously issued. Permit - Date Issued V. TYPE OF SYSTEM: (Check only one) Non-Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 Seepage Trench 22 ❑ In-Ground 420 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) yt%jk '79"r v ELLEVATIO~II 11 l;rg~L tm3 ~l 75D 7 5-C D "Co Y8,90 Feet ca,wNet VII. TANK CAPACITY Site in allons Total #of Prefab. Fiber- Exper. INFORMATION New lExisting Gallons Tanks Manufacturer's Name oncret Con- Steel glass Plastic App Tanks Tanks struc ed Septic Tank or Holding Tank D0~ Lift Pump Tank/Si hon Chamber AIA- Vlll. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name (Print): Plum er's Signature: o Sta ps) PRSW o.. Business Phone Number: NF- ~c~iv~k 2yQ-33~ z Plumber's Address (Street, City, State, ZIP Code): IX. COUNTY/DEPARTMENT USE ONLY A Disapproved Saa itary Permit Fee (Includes Groundwater a e ssue ssung gengnare o SlAmps) Approved Owner Given initial ;r Surcharge Fee) Adverse Determination Jv( v X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-6398 (formerly Plb-67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber INSTRUCTIONS - 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 and, 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. f 5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed pumper whenever necessary, usually every(:) 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. ill. 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; 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. GROUNMAYER SURCHARdE 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) 17, a ~ay~ j U UtN~ e r ~3s ,a .T ~I~~NG ~l' C. o cu 7`~,.Ar ~k y ~ Su Es1't'D ltd N _ *1 CA 8,19 \ 113 gy i~ - ~ ~v a ~ib!►1S lu, ©,,o 'TPA ue-k 13 I i n y' y 3 /daa 6 l ,~~7"rs~Nc C":p ~ y i ~ u F ~ ~yoFs 1i ~A [LAIi dot r` I ~r tab" and sin Human R Departmentelatitions Industry, bor tab" SOIL AND SITE EVALUATION REPORT Page of 3 Divi n of Safety & Buildugs in accord with IL.HR 83.05, Wis. Adm. Code COUNTY ST Attach complete site plan on G.eorJ~C paper not less than 8 1/2 x 11 inches in size. Plan must indude, but not limited to vertical and horizontal reference pant (BM), direction and % of slope, scale or PARCEL I.D. dmensioned, north arrow, and location and distance to nearest road. APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER M ES Sc A L PROPERTY LOCATION GOVT. LOT /1.,,r- 1/4 SE 1/4,S Af T Z N,R le E (or)o PROPERTY OWNER .S MAIUNG ADDRESS LOT i BLOCK # SUBD. NAME OR CSM 8 & 3 8 !-fw Ca 5 2- ; /e Aqx oplv 6- cs.y CITY, STATE ZIP CODE PHONE NUMBER ]CITY ONIL GE UMN NFAEIEST ROAD S Ro e>&-a T5 L0/S- (1,5) 7Vf-3382- y New Construction Use [ Residential / Number of bedrooms . 3 itg j) Replacement Addition b existing building [ ] Public or commercial describe Code derived dally flow y gpd ~'ae j ?33_ fS y _ 3 5 Recommended design loading rate . S bed, gpd/ft2 trench, gpd/ft2 Absorption area required 1100 bed, ft2 710 trench, 02 Mabmum design loading rate bed, gpd/R2 trench gpXVft2 Recommended infiltration surface el S P~ . 3 @VabOn(s) ft (as tefeRed b Si08 plan bertctxnark) Additional design / site considerations CEP/f}CE~lE,tr7- sue.,-,,.e ice- ew4y -,ob,e .40"'O.0o 5;P,-57-- parent. material 5'e-S 7- 'D r C ef~-l 4 N 5 L Flood plain elevation, I applicable tip- tt cmWnom FILL HOLO S = Suitable for system t!d'S MOUyA ❑ U 21_O U PRESSURE AT_ D~ U _ ~I U ❑ StNG TMIK U a Unsuitable br 1>enn M- En ~ ['~';O 11 U I 04- SOIL DESCRIPTION REPORT Boring #f Horizon Depth Dominant Color Mottles Texture Structure Gorwsfenoe Bard3y Roots GPD/ft in. Munsell Qu. Sz. Conn Color Gr. Sz. Sh. Bed R'nch 0-1 iv V12 -a-/Z- 15 0 W, f *M s 6 ~-f? VR 31y 1S .7 . Ground C , Is. 3` / O yp v/y S O, uf, I P, ~s S , S L elev: ft C2 36•f0 / ° ~'e C` 7 's' 3 s o, U I A,- NAT lath } limiting bow Remarks: ffo~e ~ zo.~ ez ► s cv£AK LY C E~Le~ Tc'-z7 Boring # A O - l io Yk 2/Z 51 -F, S A& 4v, -Ao2 S ~,w S /3, 0 67/ 2-t 5" Ground y 75-Yoe ~'1 s e , yr' S /w, u-f7Z S • S 5- elev. Cz 7~ /0~2 lo`~ a 7'c5 ©,f s r~,trfr2 > % , tL Depth to smiting factor z~ Remarks: /9 GTi yE h` SE~i~~t t>r~ A T GO " • T Na, is.'se Print Phone: 71f-.3 Po ~l g 5 r ss: loSS O~ NQrc (~D , l~vDSoN GcuS. Sy0/~ id - CSrI41 i5'P.*-- Signahxe: Date: 1 lbw CST Number: LEAS E o r c s o./s T3 I- (3z j3s t s Su rT~AL E 4-y . This test site APPROVED ra rt_ M O v u fl TYPE S y S 7 e AY for a conventional WOO system. - I ~ S w :11 (k i? Lp 1 fit- e A.4 & Nom. 5/sr£M /3i4CK yo SaevEflO~t° 'S -~/o Zoe No . Gor [ . yp' w' s U G•C9 ~s TAD S y S TFM - - ~ l~ v 7-r.0 N S X8.80 N Law TP-C'N GG•- -Tp e- 3' 9y3g, '3 OO Vi c~` i \ kli ~ ~ SuSc~ESTfD . S1t t11 ~ ~ ~ \ .r~J T"lR t N 110 VI Z W \y P Z g y C L•EV~4T~0+.) S ~1 pyBZ, 93 /O Z •eZ' P 3 (3 y /o 2- c • f3 103.9-, ~5S so . "T l- f'ovv0, SveOe ya.Q S P" -Z7p ,f7- SF Lo r co.P,~ cam' , r STC - 105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER ROUTE/BOX UMBER 3 g 1y4e--/ ~ FIRE NO. 1 3 T-. CITY/STATE ZIP Q j- ~.,GsLd PROPERTY LOCATION: 1/4 1/4, Section ;2T_;?IN, R-Al Town of , St. Croix County, Subdivision , 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. 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 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/cohtractor,(spec house), thenla 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 J Location of property A!F-114 SF- 1/4, Section Township 11/11.~n~. - Mailing address 5 e,- d t~ ~~~X®~ 3 Address of site Subdivision name Lot no. other homes on property? yes- No Previous owner of property ~4 d=J Total size of parcel Date parcel -was created / 9l Are all corners and lot lines identifiable? ~-yes No Is this property being developed for (spec house)?yes !/No Volume Y/3 and Page Number /5~/ 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 in the office of the County Register of Deeds as Document 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 recorded in the office of County Register of deeds as Document No. i ature of applicant Co-applicant Date o Signature Date of Signature DOCUMENT NO. n WARRANTY DEED STATE OF WISCONSIN-FORM 9 2801-06 t THIS SPACE RESERVED FOR RECORDING DATA HISGSTERS OFFICE THIS INDENTURE, Made by_- Wilfred A. Baker and Florence RT. CROIIX CO.. WIS. Recd for Record thls__18th Baker, his wife, . day of_---Da A.D. i 9A5 ---11 :J0 A M of ..............St. Croix CountY. Wisconsin, hereby conveys and warrants to / Dsedt James H. Schwalen,__a__eingle_man, grantee of.......... .._St._. Croix-............. -.County, Wisconsin, for the sum of Fifteen Thousand Eight Hundred Twenty-five_-(- 1.5,.825 ********~**-*_Dollars, the following tract of land in ....St. Croix _ County, State of Wisconsin: The property conveyed to be described as follows: Southeast Quarter (SEy) of Southeast Quarter (S*) and Government Lot Four (4) except the North twenty-five,(25) feet of the East 720'; also, beginning 720' West of the Northeast corner of Government Lot Four (4) thence South 60' thence Southwesterly to a point that is three hundred twenty (320) feet South of the Northwest corner, thence North to the Northwest corner, thence East six hundred (600) feet to point of beginning all in Section Twenty-eight (28), Township Twenty-nine (29) North, Range Eighteen (18) West. Subject to Roads, rights of ways of record and easements. (IF NECESSARY, CON"l'INUH DLSCRIP'IIUN ON RINFIRSit SIDr) In Witness Whereof, the said grartLor_.. ha....._. hereunto set_.._-their. hands...a seal _.s.-this ...17th........ day of May... A. D., 19....b6...----• ..(SEAL) - - - Baker 1 AND SEALED IN NCE Of ,~C 2 C:a t f.......13CZ ------.(SEAL) Florence Baker Leonard LaBuvi --__--------(SEAL) Grace M. Amun d Is on - -----------(SEAL) State of Wisconsin, ------ft.:.__c"IX....... County. Pei p j before me, this ._.1'i'thday of MBy.-_............. A. D., l9_.f 5_. the above named W >M ~d,_Florence-,Bakers--.his• WiYex--------------•------••- \ ,=•~~V~.r«~~!ti ik ~~IK _ to me known to be the person. w94 f~ip~going instrytij t a acknowledged e a e. J: M e Buwi ~IL O Y ' 4 c LeOII rd THIS INSTRUMENT WAS DRAFTED e = NotaryPublic,........... St....Cr-olx----- County, Wis. Leonard LaBuw17 441 My commission (enpiFes) (is).......mellt.. qn.~u (Section f9.f1 (1) of the Wisconvin Statute8 provndes that all instruments to be recorded shell have plainly printed or typewritten thereon 4 _It39 the name of the grantors, grantees, ditnesses and rotary. Section $9.511 similarly rcquirrs that the name of the person who, or govern- mental agency which, drafted such instrument, shall be printed, typewritten, stamped or written thereon in a legible manner). WARRANTY DEED-STATE OF WISCONSIN - FORM No. 0 •K.t~•■•,xn R „,a mar-:mw~~ . _ A ku;con Hu Department of industry, bor n' Mayor and Human Relations SOIL AND SITE EVALUATION REPORT Page ~ of 3 Division of Safety 8 8uildinps in accord with ILHR 83.05, Wis. Adm. Code COUNTY ST Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must kclude, but not limited to vertical and horizontal reference point (Blot), direction and % of slope, scale or PARCEL I.D. i dimensioned, north arrow, and location and distance to nearest road. q - /0 7 "l~D APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REW DATE PROPERTY OWNER: PROPERTY LOCATION TA H ES SC (-1 w A L E- . LOT NE 1/4 SE 114,S a T ;T N,R /e E (ur)o PROPERTY OWNERS MAILING ADDRESS BLOCK; SUBO. NAME OR CSM e &.3 9 Cfw y. &5 r12 I Fo,R 101022 CITY, STATE ZIP CODE PHONE NUMBER UAGE GOWN NEpFIEST ROAD 90 6E P TS 601j, , 5+"02-3 (~~'S) 7~1y-3382 ~~P~~.V h~f/ G S New Construction Use [ Residential / Number of bedrooms 3 [ ] Addition to exb*V bui ft i 1 Replacement [ 1 Public or commercial describe foie ~9- Code derived daily flow y gpd ~,P~ 133-13 v _ 6 s Recommended design h dmg rate • s bed, WW trench, WW Absorption area required fo D bed, 0 -710 trench, rte W)dmum design loading We bed, tl trench, WW Recomrthertded inflllratiori surface elevation(s) Se'- 3 It (as referred to site plan berhdxnarl~ Additiorial design) / site considerallOnS ~E~ /AtEfsE.tJT /¢~E,9- St~~TrY4 /F a vc y yb,e 14'e4wp SyST. Parent material vr-S 4 ,7- 'D C Aw 4N 5 L Flood plan elevation, I applicable 4,71- ft MDE $ - Suitable for systSystem M-5, em CONVwnONAL 0 UU ❑ U 9I5 7PRESSURE AT o U LY5 ❑ U 0 SgVG TAN( U a Unsuitable for SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture SVu ir'a Cars SWxe BouritWy Roots D/ftz in. Munseii tau. Sz. ConL Color Gr. Sz. Sh. Bed 17liench again= '40 0-q /p Y12 y/Z /5 0"W' , f 'WX S n .10 U Q t /o yR 3/Y /S yy~~&jay ~s 7 des s _ , s Ground o s o, Uf, 9 P_ eleev. ft. C~ 36- fO ! o yle 3 / s' o, Uf, y ae . tiIP i Dept, to Imiting factor 3 Remarks: ~°i~i ZD`' C2 i 5 Cc)E~il1 L~/ CE~'t>cNTZ7 Boring # /o y/2 Z/z 51 -f, Sbe x-602 s a~ s ~ , 11Z -zy 1 o y~ 3/ s/ d f~ ,►~,-~e s f , y s C, zq y~ 7-5-yle y/ s 'Sim s v, -F s U- s _ y S Ground elev. c2- 72- fL Depth to limiting factor, GD " • _ Remarks: i4 CJ/ UE /t(W S )d F i4 7- V5 T Na7,, -Please Print ',OMC- Q 7- Z(L S P t G k7- Phone - 3 ~~0 - S, S 1d;'rFss: &5'S 01 NQ+L (4D I~UDSON LW$. xv0/6 22.-43 Signature: Date: CST Number: I 7~ U'~/1 kA (G1JA~ 7 Jr'`L s ~N ~ti4. l~LEAS E- tior~ so./s p/ 1 ~ 3 - ~ N r ~ S SAN 6 E- ~3~P v/~TL}/ ~ ~ £ A (3 - I S Su (TAALt Q y L i z` 13 3 y This test sits APPROVED for s conventionall seride System. T11, s w ; ~ i' `tom ~ ~p 1 qc I~ M ~ vT PROPERrYOWNER Sc~ tt~i4 I ~'J SOIL DESCRIPTION REPORT Pape? Of 3 PARCL IA t Depth Dominant Color Mottles Texture Structure Corgi Bwifty Roots GPDflt2 Bo" # Horizon In. Munsell G1u. Sz. Coat Oolor Gr. Sz. Sh. Bed l3 Z-zy /o Y"e .0 Ground 2~ ~v ~0 Yie ~/y -f s o, f, s d e- . s . elev. Depth to biting bdor Remarks- Boring # J'- , /o Yoe Z/ Sht • Y S slow iPAut// C S -1 U 30 /`D /o Yle !o/f/ S C~, nM , sci- ax Ground elev. ~ Depth to MAN Remarks: Boring # D l3 / yQ Z/2- - ~S O, MA, le r~'f 2 S 3f . ? 8 73 113-)-& /DVR 3/3 C -7, 5 Ye Gmund It Depth to facler Remarks: Baring # E3 Ground elev. tL Depth to IM" factor Remarks: con 0"Alm nC,n•f% 1 n<co 51.3264 CERTIFIED SURVEY MAP JAMES H. SCUMALEN N Part of Government Lot 4 of Section 28, Township 29 North, Range 18 West, Town of Warren, St. Croix County, Wisconsin. This instrument drafted by Laurence W. Murphy E114 coR.SEC. 2e,r29N, UN-PLA TTED LANDS R/8 W,/2 IRON PIPE FOUND; N 88 • 30' 05 "W 5284. 74 E/W 114 4/NE 5209,73' S 88.301051'E 319.90' 75.0/' 2 I W114 COR-. SEC. 28, O T 29 N, R 18 W, ' ence /COUNTY SURVEYOR'S 9' 1 • MON.; `~S~tlliilll~~~y I I 75' \500/vg A 7 45' OIndicates 1" x 24 iron pipe weighin N • I LAUR C•. 1.13 lbs./lin. ft ZI ^ o set . rn W M P, C 401 ki o N 13 a. IVER ALLS,. y F WISC. X' Q. • x Dated: 10-26-1993 ~i 9~. •''•SJ D LAiJO Co W a L uren VN urphy I y ° Reg tered Land Surveyors 51. cy l Q N of n f I 3 N h N m ~ I x r• O I h O K 3 2 LO :t 3 T DI a i N I W y 3. 470 ACRES i, 4r Q W /s/, 14a $O. FT. I 2 I C) 2 Q J % J. 440 ACRES EXC. JO/NT Z ~ O N DRIVEWAY I O° v Q O tu Cc n / 49, e28 So. FT. See. 051'E ti I J W `Uj a 4.0.00.1 I Q k 2 h q It - (Zi t b ~ 2 N Q = S 88. 30 05"E d 9. 90' I ' ^o...M IiI Q~ QJ Z79.9 W a 40" ~ I N W m p ~6 Q O N ° p; _M % W J W ~I ~0,1 Qy N BB •30'05"W Owner's Address: 140,00' 3 0 J 638 Highwey "65'' Z-0 ~ I ' °o Roberts, WI 54022 ° I o $ a 2 2,019-AACRES Phone No. I h h 87, 966 SO. FT. 1, 2 1-715-749-3282 ^ I ED N 1.989 ACRES EXC. ✓O/NT NN O ORI VEWA Y 86,,64'0 So. FT, I 45' Ea P -74'] L., / o o ' 75' x . y1 .(.XX. COUNTY 1. N ea • o 30' 03 W 319.90' "n^nsive Piannir " UNPLA TTED LANDS 3 ^a''ng and SCALE /00' -Grnrnlttee O q 50' /00' 150' 200' 300' Q :i" recorded SE CO R. SEC. 28, T 29N, :30 days of R 18 W, 1`2 "IRON PIPE ->--,)val date Vol. 10 Page 2733 FOUND; `!-'ip°-}va!!shatl be Certified Survey Maps void St. Croix County, Wisconsin. SHEET 1 OF 2 N rj- G~4LE t ~ 3 I_ 133;4cff4o,=, Pi'TS SaevE~op 'S ~p 20` No . Go r- L . y0 s UG-C~ ~ST~D S y S TAM lE 0 ~ Ti'OAJ S 58.80 a~~^" d LoW 'TP?£Aj C C lb ~2 l-~ r~k. TR ~ u G,Gv 99. So 3 V3 s o- ~ ~ ~ \ ~ Su E6TEG y ...emu T-P Aj Qle7S f6--j 9 3Qg z ~y t LEUATtO&,~ S /o/.oz 83 t31 fySzf3 3 io z.B~' L) . ~ S io 3, 9Z ~5~ so. c.oT ~ - l- Fovuo, Sv,PvE yo.P S / =f ,f r $F Lo T cO.p~ C`~ • C L E~jh 7-40 /0 o • 0