Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
022-1099-30-000
-0 Co M 0 .r M o 0 ° N 0 ~e N m o co N N M E N 0 (D N (V :9 a O O .O C fl O CL (D vi c ,(Do 'n V) r O c Z j Q N O LL C M >1 E 3 0 Da 0a~mc'ci I Q U 00 z z o z a m co M I o z v o N d 2 c no 0) 2 1 hh~~ d E a) m :3 `r+J ca m y ca N 0 0 0 C'4 a l w 0 z H z O Z z N I N _ E f0 v or- IT - O c o a a E Z M> tl) N N j v al (n v m •N 0aaa a ~ I ~ c o v~ cn J U U 0) a) } LO M N O d 0 0 O O N ~ r co V 0 N N E n I 0 0 7 N a N cn (D < ca ° `6 00 0 m `0 -o E O O Q H 'O N C 7 (O co N_ O M U N C N V a 0 0 0 N r 'C m € a C V N CD c6 E (D V 40 O Y O co C O O y 3 \ 0 o °O U d d v H c y v v 00 N N C • N V f6 O N O E (0 U O c) Y 2 O Z T Zi Q w U C ik = € I m IL L a • ~ a m a~ I E c c r A ciao Oav AS BUILT SANITARY SYSTEM REPORT OWNER~/a TOWNSHIP. SECTION T 2 3 N-R_rW ADDRESS ST. CROIX COUNTY, WISCONSIN SUBDIVISION .l~ LOT,:j,-/e2-LOT SIZE uer¢.s PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM 2 hoc, 5 e~ M U ~x INDICATE NORTH ARROW ~'"`C 4 1 l S BENCHMARK: Elevation and description: Alternate benchmark SEPTIC TANK: Manuf acturer : f~'Jf~e Q 7` Liquid Cap. 90614 Rings used:;Z Manhole cover elev: Final grade elev: Tank inlet elev.: Tank outlet elev.: No. of feet from nearest road:Front , Side , Rear Ft.,4Z42 From nearest prop. line:Front , Side X- , Rear Ft. P No. of feet from: Well Building: lS (Include this information in the above plot plan) (2 reference dimensions to septic tank) SEE REVERSE SIDE 1 a r PUMP CHAMBER Manufacturer: Liquid Capacity: Pump Model: Pump/Siphon Manufact.: Pump Size Elevation of inlet: Bottom of tank elevation Pump on elev.: Pump off elev.: Gallons/cycle: Alarm: Man.: Switch Type: Location Distance from nearest prop. line: Front_, Side_, Rear_Ft. Distance from: Well Building SOIL ABSORPTION SYSTEM Bed: Trench: Seepage Pit: Width: S Length Number of Lines: 3 Area Built Exist. Grade Elev. Proposed Final Grade Elev. Fill depth to top of pipe: h No. feet from nearest prop. line:Front , Side , Rear_A_Ft.__Z/ No. feet from well : VDU y- No. feet from building_ a o d HOLDING TANK Manufacturer: Capacity: No. of rings used: Elevation of bottom tank: Elevation of inlet: No. feet from nearest prop. line:Front , Side , Rear Ft. No. feet from: Well building , nearest road Alarm Manufacturer: INSPECTOR: DATE : 9.y PLUMBER ON JOB LICENSE NUMBER : 6/90:cj (4 y S40 e ~o ~,td0 S e~tA L rsr A. 1 0"• 7 / • V to i~ L CATIgN: KINtI~tINNIC 34.28.18.535A SW NW CO. RD. M isconsiA epartmento In ustry, PRIVATE SEWAdE SISTEM County: Labor and Human Relations INSPECTION REPORT ST. OI Safety and Buildings Division (ATTACH TO PERMIT) Sanitary Permit No-: GENERAL INFORMATION 171518 Permit Holder's Name: ❑ City ❑ Village [Town of: State Plan ID No.: HARISON BRAD KINNICKINNIC CST BM Elev.: Insp. BM Elev.: BM Descri ion: Parcel Tax No.: d~~ c -rn(aj 022-1099-30-000 TANK INFORMATION ELEVATION DATA A9200285 /,?/92 3 ; .30 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic 7~~}t S c r°~ ('cr } Benchmark 0 /Dd, CYO DosiRg- Aeration Bldg. Sewer Holding St / V~ Inlet TANK SETBACK INFORMATION St/ F*f Outlet 7J~ Vent TANK TO P/ L WELL BLDG. AirIto ntake ROAD Dt Inlet Septic cpr ' NA Dt Bottom Dosing NA Header/ Man. Aeration NA Dist. Pipe Holding Bot. System PUMP/ SIPHON INFORMATION Final Grade Manufacturer Demand e14- S. , % r Model Number GPM I Loss Friction Syste TDH Ft TDH Lift Forcemain Length Dia. Dist. To well Fi SOIL ABSORPTION SYSTEM BED/TRENCH Width _ Length , No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSION 5 75 DI EN I N SETBACK SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACHING ufadurer: INFORMATION Type Of CHAMBER . Mode Num System: -4 > A OR UNIT DISTRIBUTION SYSTEM Header tham „ Distribution Pipe(s) x Hole Size r 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 ,r ti xx Depth Of xx Seeded/ Sodded xx Mulched /Trench Center 3 ~ _ K Z Sag/ Trench Edges 3q - (14;2 Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS (Include colt' discr panties, persons present, etc.) kFC, C1E /Z ICI! /S't~"O K~% "l.~ (~lr u, -v %c. r~r:P ».4 j ~~`j` • / Z/Z%, „ /V' VIOSI 60 c~_. Plan revision qul ❑ Yes 9-11o Use other side for additional information. Q~ 23 s---° 1 Oil Z 1A SBD-6710 (R 05/91) Date Inspector's Signatur Cert. No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: ` QILHR SANITARY PERMIT APPLICATION In accord with ILHR 83.05, Wis. Adm. Code COUNTY STATE SANITARY PERMIT # -Attach complete plans (to the county copy only) for the system, on paper not less than El ecrt J / 8% x 11 inches in size. ev s o to 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 PROPERTY LOCATION N, R F E (or) PROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK # / ;20 if 11C G CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER gejg- 6-730 11. TYPE OF BUILDING: (Check one CITY NEAREST ROAD ❑ State Owned ❑ VILLAGE ; . . ~d/,41 , .9& OF ❑ Public Al or 2 Fam. Dwelling of bedrooms ~ PARCEL AX NUM ER( ) 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 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. Jam' New 2. ❑ Replacement 3. ❑ Replacement of 411 Reconnection of 5.E] 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 9 Seepage Bed 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) , Q F1,,E~ ION IhQ ~~Q • S D'-- Feet 07E s"f Feet 0og"4- C, VII. TANK CAPACITY Site 0 Pf in allons Total of Prefab. Fiber- P4U. S f Exper. INFORMATION New xistin Gallons Tanks Manufacturer's Name oncret Con- Steel glass astic App Tanks Tanks structed Septic Tank or Holding Tank l , wes Lift Pump Tank/Si hon Chamber VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system show on the attached plans. Plumber's Name (Print): Plumber's Signature: (No Stamps) PRSW No.: Business Phone Number: 1___1 rI;-_ Plumber's Address (Street, City, State, Zip Code):: 1,0761 IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued `//~~4P I g Agent Signat re Stamps) Surcharge Fee) 7 Approved ❑ Owner Given initial Adverse 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 INSTRUCTIONS s 1. A sanitary permit is valid for two (2) years. 2. Vobr,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 pave questions concerning your onsife sewage system, contact your local code administratof 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; 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. required by.the-county; E).soil test.data on a M form; andY)`all`sf informatior~ GROUNOWAVEl SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The monies cq1lected through these surcharges are used for monitoring groundwater, ground- water contamirfation investigations and establishment of standards. . 1 =a SBD-6398 (R.11/88) i I + APPLICATION FOR SANITARY PERMIT STC-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 _ A W E~~ v lsok) Location of property ~~1/4 1/4, Section T a v N-R W Township 110 is r', loc Mailing address < COLH CT I 7 ~ lvErL, AL Ls c;~! s~loaa Address of site 5f1r'►~ r Subdivision name Lot number Previous owner of property h ~/y t ~M F Total size of parcel 1 q u &s Date parcel was created Are all corners and lot lines identifiable? X_Yes No Is this property being developed for resale (spec house)? Yes NO Volume % nd Page Number 90 as recorded with the Register of Deeds. r INCLUDE WITH THIS APPLICATION THE FOLLOWING: A WARRANTY DEED which includes a DOCUMENT NUMBER, VOLUME AND PAGE NUMBER, and 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 r orded in the Office of the County Register of Deeds as Document No. y 1 f 37 ; and that I (We) presently own the proposed site for the sewage disposal system (or I (we) have obtained an easement, to run with the above described property, for the construction of said system, and the same has been duly recorded in the Office of the Co my Register of Deeds, as Document No. Signature of Owner Signature f Co-Owner (If Applicable) -~a- / I - 7 ).,7 el b ^ , Date of Signature Date f Si net e L!ua y.15PAGE 26'7 DOCUMENT NO. STATE BAR OF WISCONSIN FORM 11-1982 THIS SPACE RESERVED FOR RECORDING DATA LAND CONTRACT j Individual and Corporate (TO , BE USED FOR ALI, TRANSACTIONS WHERE UMOVER _1 I $25l5 Ol)0 IS S FINANCED ACT AND I OTHER NON -CONSUMER. l I REGISTER'S OFFICE ACT TRANSACTIONS) i Sr. CROIX CO., WI Contract, by and between........ Eugene,.... C....... E er.s-on ...a-nd........... ~ ~ Reed for Record M-axi.ell.... A....... Fm.e.rs.on.,....husban.d.... and. ...wife, I APR 15 1992 ("Vendor", ! Ot $:45 A. M whether one or more) and B.ra.dley_..,.1.......Ha.rr.i.sA-n.... an~j W.emd.y..... a.r.r.i.sa.n.,.... hu.s.b.and.... and.... w.i.f e.,..... as.... su.r.-.... v.i.va.rshi.p....mar.i.ta.l..... p.ra.per.4rurchaser", whether one or more). Vendor sells and agrees to convey to Purchaser, upon the prompt and full per- of Do@& li formance of this contract by Purchaser, the following property, together with the ! rents, profits, fixtures and other appurtenant interests (all called the "Property"), in .S.t.~.....CY O1.X...................................................... County, State of Wisconsin: RETURN T(o: M Gaylord i Attorney At law M_~- Lot 3, Volume 9, Page 242, of Certified 113 L El W1 54022 Survey Maps, as Doc. No. 480730, Register of River Falls, II Deeds' office, St. Croix County, Wisconsin, Tax Parcel No being part of the Southwest k of the Northwest k of Section 34, Township 28 North, Range 18 West, Town of Kinnickinnic. ~r- i~ 15.... T10t....-...... homestead i This property. (is) (is not) Purchaser agrees to purchase the Property and to pay to Vendor at .SL1C.....p1aC2..3S.--r $OTleb~y-..(l eC- the sum of $ .--..3.2.,.0.00-0.0 in the following manner: (a) $ 5-.,-000...Q.Q at the execution of this Contract and (b) the balance of $ .(:.,.1,1:1U...00..... .g .together with pinterespfram date i hereof on the balance outstandin from time to time at the rate of ei h.t. per cent per annum I until paid in full, as follows: I Payments of interest only in the amount of $180.00 shall commence jl i~ May 10, 1992, and continue on the 10th day of each month thereafter. l i~ II ii Provided, however, the entire outstanding balance shall be paid in full on or before the 1O.tY1...................... day of Kay . 19..97.. (the maturity date). Following any default in payment, interest shall accrue at the rate of 8.......... 'lo per annum on the entire amount I in default (which shall include, without limitation, delinquent interest and, upon acceleration or maturity, the entire principal balance). it 1_11 __4 bsw Payments shall be applied first to interest on the unpaid balance at the rate specified and then to principal. Any amount may be prepaid without premium or fee upon principal at any time a;Wv , i9-- s there may b@ Re prapayffiant of priffaipal 'A"thout i j I In the event of any prepayment, this contract shall not be treated as in default with respect to payment so long as the unpaid balance of principal, and interest (and in such case accruing interest from month to month shall be treated as unpaid principal) is less than the amount that said indebtedness would have been had the monthly payments been made as first specified above; provided that monthly payments shall be continued in the event of credit of any proceeds of insurance or condemnation, the condemned premises being thereafter excluded herefrom. Purchaser states that Purchaser is satisfied with the title as shown by the title evidence submitted to Purchaser for examination except: Vendor shall furnish Vendee with abstract of title to the property when final payment is made. Within 20 days after examination of abstract, Vendee shall give Vendor written notice of any objection to title and Vendor shall correct the same within a reasonable time. Vendee is purchasing property "as is". Purchaser agrees to pay the cost of future title evidence. If title evidence is in the form of an abstract, it shall be retained by Vendor until the full purchase price is paid. Purchaser shall be entitled to take possession of the Property on........ .a.t.e..... of.... Land Gan-t.ra-c-t...... 4.9 Out One. ~►lC fY1Mlm STATE HAR OF wisrONSIN FORM No. 11-1981 Stock No. 13011 LIBER J4uFAGE 266, , Purchaser promises to pay when due all taxes and assessments levied on the Property or upon Vendor's interest in it and to deliver to Vendor on demand receipts showing such payment. Purchaser shall keep the improvements on the Property insured against loss or damage occasioned by fire, ex- tended coverage perils and such other hazards as Vendor may require, without co-insurance, through insurers approved by Vendor, in the sum of $ ._..T1ane.... land ..--Q-n-~ Y.... , but Vendor shall not require coverage in an amount more than the balance owed under this contract. Purchaser shall pay the insurance premiums when due. The policies shall contain the standard clause in favor of the Vendor's interest and unless Vendor otherwise agrees in writing, the original with notice o in all policies covering ad the Proety Vendor. UnlesslPurcha ertand Vend r othe wisehagrees nawritig, insurance proceedsoshall Vendor deems the restoration or repair to be insuranc panics Property damaged, provided the be applieed co to o restoration or repair of the economically feasible. keep the Property Purchaser covenants not to commit waste nor allow waste to be committed on the Property, to in good tenantable condition and repair, to keep the Property free from liens superior to the lien of this Contract, and to comply with all laws, ordinances and regulations affecting the Property. Vendor agrees that in case the purchase price with interest and other moneys shall be fully paid and all conditions l on deliver to eman the shall be of the times in fee dsiin the mple, of there oabove perty, freeeand clear of fall liens and encumbr nces, except any liens or encumbrances created by the act or default of Purchaser, and except: ea-semen.ts_,__.res.tr.lc.t.ions.,....and.... rl.ghts.-.of.-way...-of...r.ecord_,..... if Purchaser agrees that time is of the essence and (a) in the event of a default in the payment of any principal or interest which continues for a period of ..........................days following the specified due date or (b) in the event of a default in performance of any other obligation of Purchaser which continues for a period of 0..... days followindg written notice y or mailed un this ndin the ent contract thereof Vendor (delivered psllpayable in full, artified t V ndor's t option a dl without noti eb(which Purchaser her by shall become immediately due and waives), and Vendor shall also have the following rights and remedies (subject to any limitations provided by law) in addition to those provided by law or in equity; (i) Vendor may, at his option, terminate this Contract and Purchaser's rights, title and interest in the Property and recover the Property back through strict foreclosure with any equityy of of the nterest ance din entire thereon redemption to be c the rate dineffe t ourchaser's n such dateland o her amount due hereunder (in wbal h ch event all amounts prey o sly the date of default at at the paid by Purchaser shall e forfeited as liquidated damages for failure to fulfill this Contract and as rental fort the Property if purchaser fails to redeem); or Vendor may sue for specific performance of this Contract to compel immediate and full payment of the entire outstanding balance, with interest thereon at the rate in effect on the date of default and other amounts due hereunder, in which event the Property shall be auctioned at judicial sale and Purchaser shall be liable for any deficiency; or (iii) Vendor may sue at law for the entire unpaid purchase price or any portion thereof; or (iv) Vendor may declare this Contract at an end and remove this Contract as a cloud on title in a quiet-title action if the equitable interest of Purchaser is insignificant; and (v) Vendor may have Purchaser ejected from possession of the Property and have a receiver appointed to collect any rents, issues or profits during the pendency of any action under (i), (ii) or (iv) above. Notwithstanding any oral or written statements or actions of Vendor an election of any of the foregoing remedies shall only be binding upon Vendor if and when pursued in litigation and all costs and expenses including reasonable attorneys fees of Vendor incurred to enforce any remedy hereunder (whether abated or not) to the extent not prohibited by law and expenses of title evidence shall be added to principal and paid.by Purchaser, as in- curred, and shall be included in any judgment. Upon the commencement or during the pendency of any action of foreclosure of this Contract. Purchaser consents to the appointment of a receiver of the Property, including homestead interest, to collect the rents, issues, and profits of the Property during the pendency of such action, and such rents, issues, and profits when so collected shall be held and applied as the court shall direct. Purchaser shall not transfer sell or convey any legal or equitable interest in the Property (by assignment of any of Purchaser's rights under this Gtontract. or by option, u)ng-term !case or in any other way) without the i)rior written consent of Vendor unless either the outstanding balance payau►e under this Contract is first paid in full or the interest conveyed is a. Purchaser. In the event. of any assignment transfer, ale or conveyance without Vendor's written consent, the entire outstanding balance payable under this Contract shall become immediately due and payable in full. at Vendor's option without notice. Vendor shall make all payments when due under any mortgage outstanding against the Property on the date of this Contract (except for any mortgage granted by Purchaser) or under any note secured thereby,ppovided Purchaser make makes timely if Vendr of fathe amounts ils to do so and allepaunder this Contract. Purchaser yments so made by Purcha.er~shall be considered payments made on the Mortgagee this Contract. Vendor may waive any default without waiving any other subsequent or prior default of Purchaser. All terms of this Contract shall be binding upon and inure to the benefits of the heirs legal representatives, erty the Ven valuabl successors and slere n t ereleasenhomestead rights in the subject Property and agrees to jointin the a ecution of he herein consideration joins deeds to he made in fulfillment he of.) ~~I I",v Al ellPed this ...................................day of 09.1..L . . 19.9.2.... (SEAL) _ (SEAL) Emer.s.. •...B.rad.... ey J......H.aacra.snn • E- en.e...C.*. LI (SEAL) ......'!..~'iY1.~C~....!.7~UL~LL.Z1J~ 1 (SEAL) r Wendy..... J.~.... Har.r i s.on. .Marcell A. Emerso.n... AUTHENTICATION ACKNOWLEDGMENT Signature(s) . ~P.ge r►.e._.C.. mer.s-o n-.,_.... Ma.r i.e l l STATE OF WISCONSIN A. Emerson, Bradley J. Harrison, ss. O County. .and...Wendy.... ...arr-so.n Personally came before me this day of ' .92.... ,19 _ .....the above name authenticated this.. 2.ndday of.... )j21C.?...... , 16. . * ..K:aren_.M,.. Engel . rnent anrson ..owledge.the who same.' executed the TITLE: MEMBER STATE BAR OF WISCONSIN toregoinknown to be (If not,:. No.tar.y... Public authorized by § 706.061 Wis. Stats.) My commission expires 7-4-93 V THIS INSTRUMEN WAS DRAFTED BY . ~.ayaor-d.,._ A-t-t.o.r.ne.y . . River F.al.1S..)....WI..... _5.02.2 Notary Public County, Wis. My Commission is permanent. (If not, state expiration (Signatures may be authenticated or acknowledged. Both are not necessary.) 19 date:. . . *Names of persons signing in any capacity should be typed or printed below their signatures. STC - 105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County d OWNER/BUYER R Rb `A W ~N+b Y t 141 X 1:5 ROUTE/BOX NUMBER C TY T& FIRE NO. CITY/STATE f'pLC!5> (,c>( ZIP S7dd1o~ PROPERTY LOCATION: 3U)1/4 N ) 1/4, Section, T&,L0_N, R / a W Town of IS%ak)K,KI ALICr , St. Croix. County, Subdivision Lot No. Improper use and maintenance of your septic system could result in its premature failfire 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 I, treatment stage in the waste disposal system. St. Croix County Residents MAY be eligible to receive a grant for a MAXIMUM of $3000 of the cost of replacement of a failing system, which was in operation prior to July 1, 1978. St. Croix County accepted this program in August of 1980, with the requirement that owners of ALL NEW SYSTEMS agree to keep their systems properly maintained. The property owner agrees to submit to St. Croix County Zoning a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge and scum. Certification form will be sent approximately 30 days prior to three year expiration. I/WE, the undersigned, have read the above requirements and agree to maintain the private sewage disposal system in accordance with the standards set forth, herein, as set by the Wisconsin Department of Natural Resources. Certification form must be completed and returned to the St.Croix County Zoning Office within 30 days of the three year expiration date. SIGNED DATE 2-A c7 / St. Croix County Zoning Office St. Croix County Courthouse 911 4th Street Hudson, WI 54016 (715) 386-4680 Sign, Date, and Return to above address DES°f,~MENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS DIVISION LABOR AN P.O. BOX 7969 • HUMAN RELATIONS PERCOLATION TESTS (115) MADISON, WI 53707 MA (ILHR 83.090) & Chapter 145) LOCATION: SECTION: ttzfX-7" UNICIPALITY: LOT NO.:BLK. NO.: SUBDIVISION NAME: sw1/ Nw'/ /Tz.bN/RY$E (or LCD IA-3 .JIC 1-) -11 c 1 ,ZI1X COUNTY: MAILIN ADDRESS: b-7 N vauV_:y Ur S~ • C~l-D\ ~UCG~IJE ~'1''1~1"t S4h~ 1< iu c~ 2 ~1t~~S i•J) zY02.2 USE DATES OBSERVATIONS MADE NO. BEDR : COMMERCIAL DESCRIPTION: L DESCRIPTIONS: PERCOLAT)ON STS: residence ($New ❑ Replace RATING: S= Site suitable for system U- Site unsuitable for system CONVENTIONAL: MOUND: IN-GROUND PR : SYSTEM-IN-FILLHOLDI~+NG TyAN~ K: RECOMMENDED SYSTEM: (optional) ®S ❑U ❑S Es ❑U ❑S ®U ❑S 0IY - '(~c ~~Jc:IS~?~ CH SrK ~?Sr LO+J6 Ova ~xcFsS1U~ SLnpE s If Percolation Tests are NOT required DESIGN RATE: If an GN T 5 S I Y Portiomof thB tested area is in the under s. ILHR 83.09(5)(b), indicate: Z Floodplain, indicate Floodplain elevation: PROFILE DESCRIPTIONS BORING . TOTAL P H T R UNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN, ELEVATION OBSERVED EST. HIG TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- 1 8y qZ,g 6k,1~_ > $y s pa: Z ~r B- Z g3 O ? g3 B- 3 $ S ~t 3.0 > 8 S B- 8 q q• > B- B-__T i~ PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DR I WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTER SWELLING INTERVAL-MIN. PERIOD PERIOD PERt PER INCH P- P- P- ~J S er bU AJS L Ut - 7~ U K P_ V-1 %TftI"_ P- 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 and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent of land slope. Q $S.O $ol•~ f~ vL q ~l~~Y''!`L~ SYSTEM ELEVATION 8~.0 ~ Ill _ i `r i I i _ loo y~ S E 3 RT ij1` - ' ~ . i.._3 t. Cl~_ I ~ _r_,, `,_-'ter-__•~q I , i of _ _ L vcl~jC10►->I S _TCH 010 j - , I I r~ .I ' T scr~ ► kl Z, 5 3~ 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. WEGERER SOIL TESTING NAME print : ANU TESTS WERE COMPLETED ON: DESIGN SERVICE S- 3_qj ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER (optional): P. O, BOX 74 421 N, MAIN ST. C S'r 0 o c~ S b Z l S- L1 ZS Ol b S RIvER FALLS; 1 54022 CST SIGNATURE: 715-425-0165 DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR•SBD-6395 (R, 10/83) - OVER SOIL DESCRIPTION FORM (Attach Sold Prohlo LoCatign M40 00 a Su ara Sheet) G RATE: LINEAR L SLOPE: Dsc W~~TL Y - nlrl [ON eY ~}R~fl-}UR • w EGA nsrr•CT S I 19 c l) CURRENT LIWO USE- lc~) ~--Q T oATr COUNTY/STATE ST' G~~ ~V~ 1 /iJ VEGETATIVE COVER: ~GTZA S S S 14 ~ `1"1 MZ LOT DESCRIPTION:.W.OF Sp ly-W 5W_:3,4, ZAM, P-ZBLv G !~`}C 31 Uel'y ;R. K) )v4A J IUD cNrj&w I C ALLONS• PER FT. PER DAY: O ' p LOCAT ON. PARENT TE TAL s / EPT 1: SO SERIES: Hy! .ALL= HORIZON DEP111 MATRIX COLORS MOTTLES TEXTURE STRUCTURE CONSISTENCE CLAYSKINS/ PORES ROOTS PII •BOUNDARY REMARKS in• nn st Gr. St- Sh COATINGS ztmd c, 1 G°_ 9 • Z 5_ zy 10`YR 3 I S 1 Z m bl t 3 ZV- 84 f0`-tI 3J6 s o s M 1uG Z c S Z 1u`2R ~ 1i - } Z1h biz m `~i- c r 3 33=83 1o~tR 416 - S o m ~o /~G 3 -In U Z 7 Z~ 1\)4R 31Z 4<S" Yh J~ b, a S 3 21' gs 1o~t c~. l6 - S o s C-S 'n 1 wsw N G ~S } o-~Z ~v~ z-l - 1-- Z`Fgh U 'F- Z 1Z-'3y ~o`~.R 31 - 5 ~ 1 ~m Sb1c rn'Fh ~ s 3~{- ~ l b`2 CZ 316 S O s OTHER SITE FEATURES/NOTES: 00os-),6 LIMITING FACTORS/DEPTH: Signature Date CST B i ~D&PA'FiTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS .,NbUSTRY, DIVISION BOX .HUMAN REDLATIONS PERCOLATION TESTS (11J) MADISON WI 53707 LABOR (ILHR 83.09(1) & Chapter 145) LOCATION: SECTION: OW MUNICIPALITY: LOT NO.:BLK. NO.:SUBDIVISION NAME: sw I/ ~1/ -_w /TzgN/R)aE (or N -1 IU1(Ij tC_XJJki )a COUNTY: MAILING ADDRESS: S7. c_)zo 1x 4~k't' Cz (v~`~ FA L-L.s S USE DATES OBSERVATIONS MADE NO. BEDRMS.: COMMERCIAL DESCRIPTION: I R DESCRIPTIONS: PERCOLATION TS: Residence 3 New El Replace Il b - 9 6 _ 11 _ cl e~~t'm S 8-e TM -T"lvSs6J O>u RATING: S= Site suitable for system U= Site unsuitable for system S-15- - ) 6 - / o- 9 / CONVENTI NAL: MOUND: IN-GROUND-PRESSURE: S STEM-IN-FILLHOLDING TANK: RECOMMENDED SYSTEM: (optional) o s Zu ®s au Os ®u ❑ s Ou EIS ®u 1~D v w~ s' x , S' -TRrzxi C_H If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the under s. ILHR 83.09(5)(b), indicate: ( Floodplain, indicate Floodplain elevation: PROFILE DESCRIPTIONS IBORING TOTAL P H T R UNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN, ELEVATION OBSERV D TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- 1 3 a~ y Ivo►~ Z S S L`~ t~~ L/ B- 13- 9 q~.g Zq 3 Ct, zg 3 Z S B- y L/ C1 B- B- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP I WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTER SWELLING INTERVAL-MIN. R D I D PERIOD PER INCH P. 7-D 1V0 1D 3iy 3/y ~ 1 116 1-11 y P_ 7A YVO 3tJ 7/g x3J1L 13/14. 3-7 P- 3 -ZO Ivp 3 -1/9 3/y 3/y y~ P- P- 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 and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent of land slope. cj $ . Fi ~~6 C 9 Z ldV~}~1 Vl fT S j I SYSTEM ELEVATION ! Cl h-1 7 olc v ! j 7_1 r _ ~..lw.. 4 4 4 1 ~ I I o~l ~ i _ P I ~ I ' t9h» u ~ 9P ~ ~ ~ ~ ~.o ~1ZO►1 . Sk Tc rT° y i G CIF 41 s+°r~F ► - Ll o s• 3 Y 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. WEGERER SOIL TESTING NAME (print : AND TESTS WERE COMPLETED ON: DESIGN SERVICE 6-11-91 ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER (optional): P.O. BOX 74 421 N. MAIN ST. CST ()oo57b 7i S L/ 2•S-0)65 FOVER FALLS; WI 54022 CST SIGNATURE- DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR-SBD-6395 (R, 10/83) OVER - SOIL DESCRIPTION FORM i to Sol.) Prohlo Location a 0 e so or a shoe 1 E,V C~ ~c !V 3RSO N LINEA G T : toes l GIJ T C~ . O LIE 7., L 38,) C J STjl.QCM0kJ SLOPE' s 0A PURPOSE, sov~4 w~~ t- b _ a scRlPllon sY QrR21±' )R L • W E6 ASPECT: L 'SSE DATE: 1991 CU RE LAND USE: G~cZU1X C.l1VJU VEG TIV VER G TLA S S TY STA LOT DESCRIPTION-* PT 3~{,TZWJ,RT$l."-JDRAI GE CL SS So 7~1 I~C~2L y U ~e~„_ dam! ~C/AJIJ LCk//UR11C GALLONS PER S FT. PER LOCATION DAYi DeSIGI.) PYT 3d 71 PARENT MATERIAL s / PTH: _ SOIL SERIESt A-yo. ~ Vn1 -w r S • Egg4RA 14y! HORIZON DEPTFI MATRIX COLORS MOTTLES TEXTURE STRUCTURE CONSISTENCE CLAYSKINS/ PORES ROOTS PH •BOUNDARY REMARKS in rw s G SL, h COA INGS ~D G 1 o - $ 1o~iR - s i I Z.Th sb rn v'F+^ c s Z -1 ~ 10 ~•t ~ 3 1 _ 5 ~ Z S ~Fe. ~+"i `Fh " C S 3. _ Cs-t's loy[~ 31y -s~) Zmshk m'Fh a. s vz-1R si Sb~ hZ`~h Z S "7;s4?-5/a Mo i$-30 5Y S/3ZrA sic o m'~I ~o~1RS!` hob S 80 G Z s' muv. c s 31 - s~ 1+n sbn '~F ~S Z g 113`06 3 1g..-4 tio4g 31 Li Zmsb a.s 1u~t~3 \3 Vv?- m~. cs 5-11Z Z/8 Ava: w`tR slb kNbr is -3q S y S /-b >n z~ s i b o »•N Z301?1 NG ~ b-8 10`i R Z t Z: - s 2 l Z M'L 3~ Ta, V Th C ~'Z $ 16 1u X12 31~ i 1 ZTrI Sbk ' Yr cg 3 j{: Z 1b~R ~1~ _ +"sl~I ~In Sbk a.4 Z-8-3S loVR. 31 l 5 ' ZM Sb Yn t, cx~, S -Syrts)a )nv S 3S-3 Sy 3/3 ~ -LA_ sic c W\ mtt4% sit hor ~o s L( ~ p-t). ~o`12.2~Z. - st~~ Zth sb~c v'f~ c " Z i\-zo lu`tp- 31z' - s i l Zri, sb S 3 7e-Z s 1o~c~ 3/}~ - s1~ Z m Sbh ~n 1~+- o,-,s y : • Z's. J t vQ- s j 2:yn s d Yn -f6 c.. S -1 -1 r?- s/g N6 S 3y-yd _,5 s/ 3 I )n 2aQ sj c O ~n 'fi'r' 1~7R 3!L Jstar I OTHER SITE FEATURES/NOTES: . _ ..L LIMITING FACTORS/DEPTH: 5 ynature s.. 6Date '_9 0005", ~/1GL* I. REPT131 KINNICKINNIC ST. CROIX COUNTY ZONING PAGE 1 08/18/92 09:29 REQUESTS FOR INSPECTION WORK SHEETS FOR: 8/18/92 AREA: JT Activity: A9200285 8/18/92 Type: CONVSEPT Status: PENDING Constr: Address: KINNICKINNIC 34.28.18.535A,SW,NW, CO. RD. M Parcel: 022-1099-30-000 Occ: Use: Description: 171518 Applicant: HARISON, BRAD Phone: Owner: HARISON, BRAD Phone: Contractor: SCHUMACHER WILLIAM C. Phone: 386-3121 Inspection Request Information..... Requestor: SCHUMAKER, WM. Phone: Req Time: -16z4g-Comments : 00 Items requested to be Inspected... Action Comments Time Exp 00012 FINAL INSPECTION Inspection History..... Item: 00012 FINAL INSPECTION RRr INDUSTRY, OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS DIVISION LABOR AND P.O. BOX 7969 PERCOLATION TESTS (115) MADISON WI 53707 'HUMAN RELATIONS (ILHR 83.09(1) & Chapter 145) LOCATION: SECTION: OWNS UNICIPALITY: LOT NO.: BILK. NO.: SUBDIVISION NAME: sw1/ Nv31/4 3y /Tzb N/R1?1(or [~1~~~ LC kr-IAJ "Ir - j COUNTY: MAILING ADDRES : b-7 t J~ZSON Vi~u~y 10W. LX ST. C ox ~vG E ~M~12S~A~ C c to t~m F'AL" w) syoz-z USE DATES OBSERVATIONS MADE NO. BEDRMS.: COMMERCIAL DESCRIPTION: I R I PERCOLATION STS: EB esidence rp A New ❑ Replace 5 _ _ 0) I ~j, RATING: S= Site suitable for system U- Site unsuitable for system ONVENTIONAL: MOUND: IN-GROUND-PRESSURE; S STEM-IN-FILLHOLDING TANK: RECOMMENDED SYSTEM: (optional) ®s ou os au GIs ou ®u os Ou -ti. -M C~je5 -~H S'x ~S-LWr. Ova siix `0_e:5S)Q( SL4pes If Percolation Tests are NOT required DESIGN RATE: I If an Q S Y Portion of the tested area is in the under s. ILHR 83.09(5) (b), S indicate: Z Floodplain, indicate Floodplain elevation: ' PROFILE DESCRIPTIONS BORING TOTAL DEPTH T R UNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN, ELEVATION OBSERVED EST.HIG H TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- 1 8 y qZ, g r~o,~e > gy s Z mar= B- Z 83 8 o > g3 er B- 3 C-i3.0 gs > gs B- 8 y q ' Y B- B- PERCOLATION TESTS EST DEPTH WATER IN HOLE TEST TIME DROP N WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTER SWELLING INTERVAL-MIN. PERIOD 1 PERIOD 2 PERIOD PER INCH P- P P- P- (d,--) 1. 1 S er D IJ ! J S L O GS' P- 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 and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent of land slope. © aS.O ci) 89 •O SYSTEM ELEVATION © 2-l-0 _ - . - fs--. T_ f) Or>~ S 1 1 o f --T--- Av I IV s o~~ o E N-13 cro Qj E E r i _.E.T. S uy 17 N OL f~ ~ I I ! I i j ! I .__l.. _A.. sct~~rv I ,r= 4 o I s~z 3y 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. WEGERER SOIL TESTING NAME (print : AND TESTS WERE COMPLETED ON: DESIGN SERVICE 5-3-17) ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER (optional): P. 0. BOX 74 421 N. MAIN ST, C ST- 0 o U S-~ 6 Z 13- L/ ZS- W6, S FALLS, KIVER WI 54022 CST SIGL/URE: 715-425-•0165 ..t, ~l- BIZ DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. j \ 1 OF DILHR-SBD-6395 (R. 10/83) -OVER - ' 6iE 1 t SOIL DESCRIPTION FORM 10 Ca 'o Ma On a Su ara a Shoe Attar SO 1 o EU6L1JE ~Y1SON LINEAR LOWING- RATE; gtlEdl, PURPOS OEscRIPT ION BY A R~'}UR L W EG G-%Z~~ _ ASPECT. OATf. 1.5 T 1991 CURRENT LAND USE: `'v OOl LOT : COUNTY/STATE ST Gk:~J3lX Cpt ,%j Z Y ; IA J) VEGETATIVE COVER. (sxZA S S , Rv S 1f `t-R_~ C3 J =~XL-~`=SSIUE{L.~( LOT DESCRIPTION:'PT OF)/Y-~.u~)It $~:3L{,1Z81`1~1Ll8w DRAINAGE CLASS: wIJ ~LJ/L1/U) C}L1l~ill) Z G .LOCATION GALLONS- PER $9. FT. PER DAYt • E'er ; ► U PARENT MATERIAL s /DEPTH: SOIL SERIESt F~ k?~-b ) S II HORIZON OEPT11 MATRIX COLORS MOTTLES TEXTURE STRUCTURE CONSISTENCE CLAYSKINS/ PORES ROOTS PH -BOUNDARY REMARKS in. nn St Gr. St. Sh COATINGS ~S 1 p_g 1pyZ zI - L Z,.~ tnv'FH Z S - Zy 10`iR 3) S } ZM S ~h 'F~- cry 3 Z~!- 8y ro~tR. 3J6 s o s M~ } o l pyR 7. - L Z M g r )m u 3 33-83 1o~R 4~6 - S O rn 'emu /uG 3 L 7- Z~ 10` tR 3 !Z ~ S l Zm J~12 M ~i- c s ~ S o s ~Il 3 2,1- 8s 1o~ttz y/6 I 8o1Z1 N G L Z'F9h u cs _Z IZ.- 3y ~~`1~ 31 - 5 ~ Zm Sb1c rn'Fh C s 3 3~{- g lb`2Ct 3J6 - S O s ~n~ OTHER SITE FEATURES/NOTES: _ ~,11f[?_,Y1v~~. 5- 3-91 0,0o s-),6 n~se?oF~ LIMITING FACTORS/DEPTH: Signature Date CST M i .DEOABTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS DIVISION LABOR AND PERCOLATION TESTS (115) MADISOP.O. BOX 76 N WI 53707 HUMAN RELATIONS (ILHR 83.0911) & Chapter 145) LOCATION: SECTION: OWN MUNICIPALITY: LOT NO.:BLK. NO.: SUBDIVISION NAME: sw Jt~w1/ 3i /TzBN/RvaE (or `cc1lU/Utc1>:1~Ju - COUNTY: MAILING ADDRESS: 6-7 ~1~1 `ON VPtiU.Ey J Ue ST• e-lZAlx RKt t;R FANS S~lo'~ Z USE DATES OBSERVATIONS MADE ~ NO. BEDR COMMERCIAL DES R PTION: PERCOLATION TESTS: 2FIesldence - 9 'New ❑Replace M6- 6-11-R1 o~ s 1'm S 3 Y T M `jT~O►1,;!'s tYIJ o Pv RATING: S= Site suitable-for system U9 Site unsuitable for system S-115-91 ~h1`d 6-/0-9j , CONVENTIONAL: MOUND: IN-GROUND-PRESS STEM-IN-FILL HOLDING TANK: RECOMMENDED SYSTEM: (optional) ❑ S ZU ®S ❑U ❑ S ®U ❑ S 2A ❑ S ®U If Percolation Tests are NOT required DESIGN RATE: I If any portion of the tested area is in the under s. ILHR 83.09(5)(b), indicate: ~ • N. Floodplain, indicate Floodplain elevation: PROFILE DESCRIPTIONS BORING TOTAL DEPTH T GR UNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN, ELEVATION OBSERVED E E TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- 1 3~ q7.y No►,j e ZS s~ PAJ~ Ll j~7 B- 2. 39 qn.g It ZQ B- 3 R8,0 Zg B- y WD 1:~i L IS B- B- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTER SWELLING INTERVAL-MIN. PERIOD 1 PERIOD PERIOD PER INCH P. )l ZD NO ~D ~y 3/y 11 [I6 '4 V P_ 2.0 11uD 30 7/g %3116 13/1/_ 3"7 P- 3 Zo N30 -10 -J/S 3/y 3)y VID P- P- 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 and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent of land slope. q $ . 6 ' ~~G C 3Z NbERJ,ti t) \ V A' T S } SYSTEM ELEVATION P 2-01 4 t I Aj I 1 l ; T N P ~ f -z! - - -i- ! ~ ~ettivl S E I ~ ~ fi r ~ . + L-E. i s 3 E __x 1s~,0 i uQ!9 W~o►J S1~ Tc I 'o r _ i 11 T77 i_t _L - - - - r _ Z; 73 7 f i { f SALE l ~O' sic., 3y 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. WEGERER SOIL TESTING NAME (print : AND TESTS WERE COMPLETED ON: DESIGN SERVICE 6-11-4 ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER (optional): P.O. BOX 74 421 N, MANN ST, CST 13OOS-76 L/ 2•S-0)6S RIVER FALLS. WI 54022 CST SIIGNATURE- 715-425-0165 DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR-SBD-6395 (R. 10/83) - OVER - C ~E 3 OF L f r j { r SOIL DESCRIPTION FORM a Location Ma On a Su amts Shoot) (A flat SO d r CLIENI EV G4E- N Cpl ~~RSON LINEAR LOAQING RATE: DLS 161-1 .kT ~i• O PURPOSE gUkLVATM R 6R 3 %A-) Sl S2ruCT7011J SLOPE' S OAQ RcscRlrr ION Br A R'T1-11~F2 L • l.y EG ~2.~ ASPECT. Soy`r14 VU(9S 7-eTz L '1 DATE 3 ffi~►~ 7 , 1991 CURRENT LAND USE' !mot ~t.p ` /,STARE COUNTY/STATE ST G~`-U ~VAJ I I~(J J VEGETATIVE COVER: GT2~tSS LOT DESCRIPTION R~T OF Sw'/y-kylJfly SK 3y,T_V 3'Rt$w DRAINAGE CLASS' S0M '7 111 T 1~0~12Ly UR/a41 LOCATION: 1 N +t._j CDH ~c /AJIJ LCk rAJt.► C GALLONS- PER SO FT PER DAYS DDS 1 G~ 14fT O ' 3 O PARENT MATERIAL(WDEPTII SOIL SERIESt L (~~k V I T S) POTOG 114y! a 11=00' HORIZON OEPIIE MATRIX COLORS MOTTLES TEXTURE STRUCTURE CONSISTENCE CLAYSKINS/ PORES ROOTS PII -BOUNDARY REMARKS jn. mo sl G Ss. Sh COATINGS $dRl 6 I O-$ lo`iR zlZ. Sl ZV. S'b M Z es - t S \o~-t 3 1 Z - 5) Z hT S bk )►7 1~h c S 3 tS-ZS loytz 31y s;) Zmsl~k niH a. S zs-Z$ tio`t~~1 f oo• §i -zm3bz Nt't S ~.s~~sle mor- S i$-30 S`t S/3 '^►Z~ Sic o w, mkt - ~o`tRSl6 for So G Z C S 0 -8 l Ct1 ~ 2r / 2 - S ! f Zhu S~ ht u -f(, Z $-~g votQ 31 - s~ +nsbn m -~k- cs . 3 ~g-z4 to~ti Sly - si 1 Zmsb rn'F~ aS _ Z9-3 S I l2 3 t f l dZ s t) Z ►n s b\2 ►n `~f C S. S ~sR s/8 hror 5 3S -39 s s /3 Z s i o ~n wYR SA )VeT god 3 0-8 1oK tZ z t z - s t) Z ►n s P~t Yn Q fv, C S Z 8-16 11~Y2 31 - si 1 zm Sbk Yh cg st. l Z..wI S~k yn 0413 --Z$-3S tl~~-123~ IA S1. ZmSb Yn`~h a-s -S`i2s1e ~r S 3S_3 5 `r S~3 YYE ZaQ sic v 1r Yn'~I• tote s1b filer L/ - ~ ~-t1. to`z2 Z-~Z - St~~ Zn'I Sb12 V'F'r L° S Z 11-ZV I VR31z S) I Zen Sly YrI ~S 3 7A-Z S I~~iIZ 3/~ - Sf • J Z)rt S A1't jPI `~I- `71'S y 2S-3 ►~~~3J tnQ Si( Z.mSd 1n~'~ ~S `112S/gft,r S 39- Vo s s / 3 n~ 3 i c- O » + m ►~`1R s!~ )s oT OTHER SITE FEATURES/NOTES: ` 00(3 Fj/16~~ oF~ LIMITING FACIORS/DEPTH: S gnature Date CST M J ATMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS JSTPY, C DIVISION 8OR AND PERCOLATION TESTS (115) MADISOP.O. BOX N WI 7969 JIMAN RELATIONS (ILHR 83.0911) & Chapter 145) LOCATION: SECTION: u TOWNS UNICIPALITY: LOT NO.:BLK. NO.: SUBDIVISION NAME: sw1/ mwV4 3y /Tz6N/R1$E(or lC- -INA>)C COUNTY: MAILING ADDRESS: 6-7 C17e$LS10N . \ALLE`/ ©RI lX1 ST-C ~~C UGE~JE ~~t25'~►~a CZWtER R-hu.S w) SY02-2 USE DATES OBSERVATIONS MADE NO. BEDRMS.: COMMERCIAL DESCRIPTION: I ROFI E DESCRIPTIONS: PERCOLATION TESTS: ~iesidence 3 I~l A New ❑Replace 5 _ s RATING: S= Site suitable for system U= Site unsuitable for system 91 ONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILLHOLDING TA : RECOMMENDED SYSTEM: (optional) 2 S ❑U ❑S ®U NS ❑U ❑S ®U ❑S kU `a- 'M es -eKN S'x ~s' Loi6 Dove 'Tt ~X.0~e3sw( SL4pis S If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the under s. ILHR 83.09(5) (b), indicate: C P\- S -S Z ( Floodplain, indicate Floodplain elevation: N PROFILE DESCRIPTIONS BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN. ELEVATION OBSERVED EST. HES TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- 1 8L/ qZ,g 1~0~,~ > s Ph6~ Z OF B- Z 83 Q $3 B- 3 $S 03.0 > $S B- B- PERCOLATION TEST TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTER SWELLING INTERVAL-MIN. PERIOD 1 PERIOD 2 R PER INCH P- P- P- P- n ~r`1 us v Gti . P- 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 and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent of land slope. © gs.0 89 ,Q ' p~ CAL C) Z 1`P~ P~IIUtI~Ll> S SYSTEM ELEVATION © IR _ I SO~T?~j O ~ [ N ..-T1fe o , I i I , 4 it I T 0, [ t~lw~ _ - a _ i ! lr S I I € I : 3 0 ~lL`(2 4~►a - ► SCTC 3~ SCP~L I u_ to 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. WEGERER SOIL TESTING NAME (print): ANU TESTS WERE COMPLETED ON: DESIGN SERVICE S-3-411 ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER (optional): P. O, BOX 74 421 N. MAIN ST. C S -r 0 0 0 S_)b 1 Is,- Ll ZS W 6 S RIVER FALLS., WI 54022 CST SIGNA URE: 715-425-0165 d . R 1- ~l Z DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. ` DILHR-SBD-6395 (R, 10/83) - OVER - INSTRUCTIONS FOR COMPLETING FORM 115 - SBD - 6395 To be a complete and accurate soil test, your report must include: 1. Complete legal description; 2. The use section must clearly indicate whether this is a residence or commercial project; 3. MAXIMUM number of bedrooms or commercial use planned; 4. Is this a new or replacement system; 5. Complete the suitability rating boxes. A SITE IS SUITABLE FOR A HOLDING TANK ONLY IF ALL OTHER SYSTEMS ARE RULED OUT BASED ON SOIL CONDITIONS; 6. PLEASE use the abbreviations shown here for writing profile descriptions and completing the plot plan; 7. MAKE A LEGIBLE diagram accurately locating your test locations. Drawing scale is prefered. A separate sheet may be used if desired; 8. Make sure your benchmark and vertical elevation reference point are clearly shown, and are permanent; 9. Complete all apropriate boxes as to dates, names, addresses, flood plain data, percolation test exemption, if appropriate; 10. If the information (such as flood plain, elevation) does not apply, place N.A. in the appropriate box; 11. Sign the form and place your current address and yur certification number; 12. Make legible copies and distribute as required. ALL SOIL TESTS MUST BE FILED WITH THE LOCAL AUTHORITY WITHIN 30 DAYS OF COMPLETION. ABBREVIATIONS FOR CERTIFIED SOIL TESTERS Soil Separates and Textures Other Symbols st - Stone (over 10") BR - Bedrock cob - Cobble (3 - 10") SS - Standstone gr - Gravel (under W) LS - Limestone 's - Sand HGW - High Groundwater cs - Coarse Sand Perc - Precolation Rate med s - Medium Sand W - Well Is - Fine Sand Bldg - Building Is- Loamy Sand > - Greater Than 'sl - Loamy Sand 'C - Less Than 'I - Loam Bn - Brown 'sil - Silt Loam BI - Black si - Slit Gy - Gray cl - Clay Loam Y - Yellow scl - Sandy Clay Loam R - Red sicl - Silty Clay Loam mot - Mottles sc - Sandy Clay w/ - with sic - Silty Clay Ill - few, fine, faint 'c - Clay cc - common, coarse pt - Peat mm - Many, Medium m - Muck d - distinct p - prominent HWL - High water level, surface water Six general soil textures BM - Bench Mark for liquid waste disposal VRP - Vertical Reference Point TO THE OWNER: This soil test report is the first step in securing a sanitary permit. The county or the Department may request verification of this soil test in the field prior to permit issuance. A complete set of plans for the private sewage system and a permit application must be submitted to the appropriate local authority in order to obtain a permit. The sanitary permit must be obtained and posted prior to the start of any construction. v SOIL DESCRIPTION FORM Attach Soil Prof Is.- Location Na On a So amts Shaat uGQFJ ~viGzSON LINE L IN RATE: 3.0 Cl E T• ' PURPOSE: SLOPE: OE RIPT ION BY A R714UR. 1- L A.3 E'G MZ(CR ASPECT: DATE: 1 S T 1991 CURRENT LAND USE: O LO T : COUNTY/STATE ST' G~~ 1x CaJVIy I GJ J VEGETATIVE COVER G~1 S S , 13 R.V S 1 ~'R-~ G LOT DESCRIPTION:PT•0F,)Jy-►J~ 3~,Tz~31~IZ1$w DRAINAGE CLASS i")[.CSSII)~L4' C~R~~~ ' b jwl~ YcJti1 A.) I C~-~. AJAJ) C GALLONS-PER SO. FT. PER DAY t LOCATION: \ SOIL SERIEStP~lu Fl q-b )S PARENT MATERIAL s /DEPTII: HORIZON OEPTII MATRIX COLORS MOTTLES TEXTURE STRUCTURE CONSISTENCE CLAYSKINS/ PORES ROOTS PH -BOUNDARY REMARKS in. moist Gr. Sz. Shp. COATINGS Sb G ~ c g p_S tbyZ ti- mv~~ Z 5 - z`I lvfp- 3) - s 1 Zn 1 s ~k f 3 zv- 84 ro~tR 316 s o s o lo~R z!Z - L Z ~g>, Yn U ~H c S Z - 33 lu`-tR 3lz - S) Zrn ~k rq 'Ei- 3 33-83 1o~R 4 ~6 - S o Yn 'gu IL~G 3 o--i 10 ~7 i2 a! - L Z L. ht v s- c s Z Z) 10`-tR 3 ~Z - S) Zyn J~ h1 cS 3 ZI - 8 s 1 o~t R Y/6 gpl~NG cS _Z IZ- 34 ~o`1R 31 - 5 Zm Shk rn'Fh s 3 3y-~ lb`1CZ. 316 - S O s rn~ i OTHER SITE FEATURES/NOTES: 5-3-9/ 000 S-)'6 PnGe?of LIMITING FACTORS/DEPTH: Signature Date CST N DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS 9NDUSTRY, DIVISION LABOR AND PERCOLATION TESTS (115) P.O. BOX 7969 HUMAN RELATIONS MADISON, W1 53707 (ILHR 83.090) & Chapter 145) LOCATION: SECTION: OWN MUNICIPALITY: LOTNO.:BLK.NO.: SUBDIVISIONNAME: Sw 1/4 1~ 1/ /TZ1a N/R18E (or ~ctiU/l)!Clct~~J I~° - - COUNTY: MAILING ADDRESS: 4-t" ON V6LL~-y '1Z,_>Q..1 Ve -ST-t)mlx EUGIEDJE ~N~'1'LSQi1V RIUL'R Fatui_S S<LOZZ USE DATES OBSERVATIONS MADE NO. BEDRMS.: COMMERCIAL DESCRIPTION: PROFI S R TIONS: ATION TESTS: 2pesidence New ❑ Replace 5 - 71- 9) 6- 9) 6-ll-R/ ev-j iz' 1'm S ~ Y j t -Tv d 1 ';~'S vu C3" RATING: S= Site suitable for system U= Site unsuitable for system S-115-C)) 6 - 10- 91 ONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILLHOLDING TANK: RECOMMENDED SYSTEM: (optional) ❑S L17-/is, U ®S ❑U ❑S ®U ❑S r"U ❑S ®Uoro w/ s'1~~s'~cta If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the t~ under s. ILHR 83.09(5)Ib1, indicate: NI) I N- I Floodplain, indicate Floodplain elevation: r` 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- 1 3'o q~ tvo,~ Z S S E)E~ PkG Li op B- z 39 a~•~ ZQ B- 3 3$ °t8,0 zg B- y L4 q~ 3 IS B- B- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD 1 PERIOD 2 P R PER INCH P- N ZO NO ID 3iy 3/y IV AL '4 \1 P_ I ZZ, Yvo 3 U 7 /g %3)11. 1311/. 3-7 P- 3 Zo !v0 -1 3)y y0 P- P- 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 and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent of land slope. -TS ~7p`6C gZ SYSTEM ELEVATION ~+-11N • 1' o~ s~w~\ t~ T U'~ wl►r2 - 0 0 0' X10 }7 P L1 ~ ~.~1.." L r ----t l7FtC 1/~- IJL.J / R~3 I ~"U,~ r 3 is v . we ' sty tc C11. L li - O ( fi gmIr _ f : S~ joF )A-) rTi Pt i i a 3 S Gtr C.E l q() sic , 3 y 1, 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. WEGERER SOIL TESTING NAME (print): AND TESTS WERE COMPLETED ON: DESIGN SERVICE x`11 `4~ ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER (optional): P.O. BOX 74 421 N. MAIN 8T, CIS7 0t, C) 5-7 6 71 S- LI 2.5-0);5 RIPER FALLS; WI 54022 CST SIGG~~ E:d. 715-425-0165 q1-yZ DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. p,c DILHR-SBD-6395 (R. 10/83) -OVER 3 dF INSTRUCTIONS FOR COMPLETING FORM 115 - SBD - 6395 To be a complete and accurate soil test, your report must include: 1. Complete legal description; 2. The use section must clearly indicate whether this is a residence or commercial project; 3. MAXIMUM number of bedrooms or commercial use planned; 4. Is this a new or replacement system; 5. Complete the suitability rating boxes. A SITE IS SUITABLE FOR A HOLDING TANK ONLY IF ALL OTHER SYSTEMS ARE RULED OUT BASED ON SOIL CONDITIONS: 6. PLEASE use the abbreviations shown here for writing profile descriptions and completing the plot plan; 7. MAKE A LEGIBLE diagram accurately locating your test locations. Drawing scale is prefered. A separate sheet may be used if desired; 6. Make sure your benchmark and vertical elevation reference point are clearly shown, and are permanent; 9. Complete all apropriate boxes as to dates, names, addresses, flood plain data, percolation test exemption, if appropriate: 10. If the information (such as flood plain, elevation) does not apply, place N.A. in the appropriate box; 11. Sign the form and place your current address and yur certification number; 12. Make legible copies and distribute as required. ALL SOIL TESTS MUST BE FILED WITH THE LOCAL AUTHORITY WITHIN 30 DAYS OF COMPLETION. ABBREVIATIONS FOR CERTIFIED SOIL TESTERS Soil Separates and Textures Other Symbols st - Stone (over 10") BR - Bedrock cob - Cobble (3 - 10") SS - Standstone gr - Gravel (under 37) LS - Limestone 's - Sand HGW - High Groundwater cs - Coarse Sand Perc - Precolation Rate med s - Medium Sand W - Well Is - Fine Sand Bldg - Building Is- Loamy Sand > - Greater Than 'sl - Loamy Sand < - Less Than '1 - Loam Bn - Brown 'sil - Silt Loam BI - Black si - Slit Gy - Gray cl - Clay Loam Y - Yellow scl - Sandy Clay Loam R - Red sicl - Silty Clay Loam mot - Mottles sc - Sandy Clay w/ - with sic - Silty Clay fff - few, fine, faint 'c - Clay cc - common, coarse pt - Peat mm - Many, Medium m - Muck d - distinct p - prominent HWL - High water level, surface water Six general soil textures BM - Bench Mark for liquid waste disposal VRP - Vertical Reference Point TO THE OWNER: This soil test report is the first step in securing a sanitary permit. The county or the Department may request verification of this soil test in the field prior to permit issuance. A complete set of plans for the private sewage system and a permit application must be submitted to the appropriate local authority in order to obtain.a permit. The sanitary permit must be obtained and posted prior to the start of any construction. SOIL DESCRIPTION FORM Attach Soil Pro lc Location Nap On a Su scat- Shoot) EUGCNE ~hLSRSON LINE L INGRATE: ~°~6N T C,•~ CL , uc (Y-J stop S ~1b PURPOSE' 6-aV L-V ~ X %M,-) , u S-' DEU.nlrlloN eY ~R-T1-1-uR L LAG-GGNZ-=T--' nsrrcT• DATE: Pm :2 1 1941 CURRENT AND US ~'S1URE GR CULX W u i bt J I VEGETATIVE COVER: G 1L/R S S COUNTY/STATE: !~;r' LOT DESCRIPTION'"PT OF. SwI/y7JW 1!y SK 34, 1-Z8 ►J,jZI$wDRAINAGE CLASS: Soy) Wf,*T- P16u[2Ly DZ/.Nik4b ' `rWJ" (I)f= NcJAJQ VQ.~tJAJiJ )L° GALLONS-PER SO. FT. PER DAY: a~TSl_Ca~.1 ~T 30 LOCATION SOIL SERIESs ~JP'cR1P~UT $1 I PARENT IATERIAL(s)/DEPTH o W--.- ROOTS PII -BOUNDARY REMARKS HORIZON OEP111 MATRIX COLORS FIMIOTILES TEXTURE STRUCTURE CONSISTENCE CLAYSKINS/ PORES in. nbist At. Sz. Shp- COATINGS $Dlz 1 6 I o - ~ lo~i2 J Sj Z.1nsb rnUi~ cs Z -15 1o `t l~ 3 1 i - S 1) Z S b,m hi `fir S 3 I:S-z5 1.oyR31y - si) Z~nSbk 1ri'Fh a'S ZS-Z$ tio`IR -!1 09. Sa 7~m Sb1z ~'t.`~h Z S ig 30 SLY S N- I~T~I W4V-5l6 Nor O S -/3 z Bo G Z 0 -8 1 ct-k:z Z s t I Z)" Sb m u c s cs Z 8 _ Ng tio`ttz 31 - s~ ti Zen Sbn ` as - st l Zmsb '3 ~g-z4 w~cR Li 2,9-3S luy~23 ! ~ l ~ s t•) Zms~~2 m`~. CS ~.s~2sl~ tiioT S 35-39 5 `f 5/3 h'I 2~ Si ~ o m M.`~ (1u`iR slb ~VbT d-8 lo`ttZ Zl z - s t) ZmSb1rc rnof),, CS Z $-16 1u~t2 3/ - si ~ Z,rn Sbk Yn ~ c•S 3 !b-Z lpKtZ 31 - 51~ 2wt 31~k 3'r►'~~' a,4 Z,$-3S ll~~-1R 31 ~'ta~ SA 2m Sb °~-5 s~trzsJe )n~r Lp~Q S `r D m 516 Mar S 3S_3$ S/3 1v1Za~ sic rn~)• IRM, 6 Li - -l) Lo`IR 2!Z - SI Zn, Sbk U fr C S Z. 11-ZO 1vYR 312 - S) ~ Z>n Sb e`S 3 7D- 2 S t 1~) Lt tZ 3/}~ - Sl.~ Z m S bn 1rI a-S L/ ZS-3y I tlZjl t~ sl Zh9Sd m " 0-s ~-S`125/gyior luyR• 5!L DoT yo s v 3 zQ S i c >r+ •rr I- OTHER SITE FEATURES/NOTES: LIMITING FACIORS/DEPTH: S gnat.re Date CST 0 r/ J~'"_. i~~~.tom ~ / C.'~ ~ / All/ ~o MAR 2 01992 480`730 2 Reg t;-S ° o DOW L CERTIFIED SURVEY MAP EUGENE AND MARIE LL EMERSON Part of the Southwest 1/4 of the Northwest 1/4 of Section 34, Township ?8 North, Ran.re 18 West, Town of Kinnickinnic, St. Croix County, Wisconsin. O Indicates 1" x 24" iron pipe weighing UNPL,4 TIED LANDS 1.13 lbs./lin. Ft. set. 0 Indicates 1" iron pipe Found. 91 N LINE sw/it NW 114 -1 Irnd.icates Fence. H89118 151 "E 60/. IV V7 Q~f 1- E L /NE SW 114 NW 114 Owner's Address: 67 Emerson Valley Drive WA T R URSE River Falls, WI 54022 M W 7 Z A PROVED a _ ` of IU O 2 h. 2 Q '92 N N O ~ y i q m QI :R(DIX COUNTY ? -4 W ;4fllj)ztth*nsiv# Planning 4I Q o LOT 7 o rya / ✓ a O ?oning and III N h /9. O/ 2 ACRES \ W ~I Fu 'il(S (i0lT1{Ylltt@@ Q 828, 184 SO. FT, b ~ (1/I 19.373 ACRES EXC. ROAD R.O. W. W not recorded ~I W BOO, 3/O SO. FT. 4 v N t wi.roin 30 days of apgoval date o c ~j ct h Q M +yproval shall be W W null 8 voki m h N 2 ~j o . SCALE /'1 a 200' O 50' 100,150,200, 3o0' 400' 500' _ BUILD/NCSE_TB_AC_A' LINE E114 COR. SEC. 34, T2BIII R/Bw, 1 COUNTY SURVEYOR'S MON.J 2, ~ a N89 • 38'59 "E 654.2 /If / S 89 40'EJ t 66.1.25' - - - 3960. 14 ' N89•24'31"E 5277.44 Sw E/W 1/4 LINE 4041 uNPLA T1•ED L. ANDS w`\SG 0 NS`~ ~0,~ W 114 COR. SEC. 34, T2ON,R/BW, 'Y r /COUNTY SURVEYOR'S MON.J r LAUR C This instrument drafted by m W PHY °C Laurence W. Murphy 13 Vol. 9 Pane 2462 RIVER ALLS,,: F9 W ~Q ♦~ft Certified Survey Maps , ~ • St. Croix County, Wisconsin LAND 5,,~ tta/11/1►1 Dated: Nov. 13, 1991 Laurence W. Murphy Revised: March ?0, 1992 Registered Land Surveyor SH EE r i OF2 o~z MAR Z 01992 1 480730 2 Rog t° o°o~s L CERTIFIED SURVEY MAP ~ CM EUGENE AND MARIELL EMERSON Part of the Southwest 1/; of the Northwest 1/4 of Section ?4, Township ?8 North, Ran^e 18 West, Town of Kinnickinnic, St. Croix County, Wisconsin. O Indicates 1" x 24" iron pipe weighing VNPLA rrED LANDS 1.13 lbs./lin. Ft. set. • Indicates 1" iron pipe Found. 9 N 4/NE SW 114 NW 114 - Indicates Fence. N89•/6' 51 "E 60/. /3' r r 7' E L /NE SW 114 NW 114 Owner's Address: 67 Emerson Valley Drive WA rER couRse River Falls, WI 5110?2 W M W t a q r' 1►P R Y EV iu \ m O ~ 2 2 Q '42 o N Oi 3 ~ 1\. h y 2 o m a Q :RoiX COUNTY 2I o M LOT ? ,:,o qpz.,hnnsive Planning o ti a 1 N O i 0 ?coring and III N ti l9. O/ 2 ACRES \ W ~I O Q Fal-Ks Comn*Jttee Q 828, 184 SO. Fr, b ~ ~I 18.373 ACRES EXC. ROAD R. 0. W. Q W lot recorded kI W 800, 31o so. Fr. V` J N a warm 30 days of Q 4t1` o j approval date o ° Q M +pproval shag be I v W nul. void N r4 h SCALE 111 : 200' O 50' /00' 150'200' 300• 400' 500' BU/LDIN_O SE_TB_ACK LINE E//4 COR. SEC. 34, r28N, R/8 W, 5 91 r ` !COUNTY SURVEYOR'S NON.1 ~ A'y00 \ 2~ V N89 • 38'59 "E 854.9 PR / S 89 40'E1 66.1.25' ` _ 3960. 14 ' C. T. N. IE M " 36.03 A NB9. 24'31"E 5277. 44 E/W 1/4 LINE UNPL,4 rl•ED L ANDS % SSG ~NS~~~i~ .C W 114 COR. SEC. 34, r28N,R/8W, ;•'••4'S" i /COUNTY SURVEYOR'S NON.1 i LAUR This instrument drafted by m W PHY 40 Laurence W. Murphy 13 Vol. 9 Pane 2462 :,RIVER ALLS k/ Z WISC. , Q CertiFied Survey Maps , F St. Croix County, Wisconsin LANO'c'J~~~~♦ 4880th!! N114, Dated: Nov. 13, 1991 Laurence W. Murphy Revised: March 20, 1992 Registered Land Surveyor SHFE r i OF2 P/,wiMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS USTRY, DIVISION 7969 L BOR AND PERCOLATION TESTS (115) P.O. BOX HUMAN RELATIONS MADISON, WI 53707 3707 (ILHR 83.09(1) & Chapter 145) `p-r 3 to r1Z csw, LOCATION: SECTION: _JjQENSH UNICIPALITY: LOT NO.:BLK. NO.: SUBDIVISION NAME: sw 1/ UwV4 a~ /TAN/R►~ E (or ~r~~~v`12 ~klt.►n, _ (,v COUNTY: ~~'I~1ZSC11L rll- SV 1~R 1 uE MAILING ADDRESS: - Ffl c_tS s W ! S`I'• e~ LX E~G~~1L Ei"1 ~2sprv Iv o ii R ~ USE DATES OBSERVATIONS MADE E91qesidence NO. BEDRMS.: COMMERCIAL DESCRIPTION: ®New ❑Replace I ROFILE D S: PhHE;ULAI'ION TESTS: '3 1V ~A S-3-qJ G-1/-41 RATING: S= Site suitable for system U= Site unsuitable for system S) -sly -ZIM `M"PS w OF S- 1 S-4/ ONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILLHOLDING(TTAANK: RECOMMENDED SYSTEM: (optional) 0S ZU ®S ~ U EIS ®U EIS NrU ~ S Cpl U moUA nei-n"sS If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the under s. ILHR 83.09(5) (b), indicate: -N. Floodplain, indicate Floodplain elevation: N-A PROFILE DESCRIPTIONS BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN. ELEVATION OBSERVED ES IGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- 3z qcl. 2 rzd.,c ZS S ffe pt CC( Z. w= z B- Z HC)' B- 3~ gq, g 91 z y B- B- B- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTER SWELLING INTERVAL-MIN. PERIOD 1 PERIOD 2 PERIOD PER INCH P_ 'ZO 1`'Z$ 30 3! 5/g 5/9 Y8 P_ 7- Zc2 NJO 3 r-1) 3iy 11/14, .S/g V8 P_ 3 Z o ~l0 3 o S/s S/8 l! L YV P- P- 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 and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent of land slope. \.Q) ~6L- qZ ZERAA)Z q UM2IAAJT S) *1 (*-►w . of s►~\ SYSTEMJELEVA _ S "W w L (2I t T E _ I •JOT ~TO SCRL12 _ t ~ ~ I~ - ` € _ I _ ! { lil 5 1 !~m~pw ~L 1 li ll 3 ~ 1 .1. r------ i KK .._1~ . e.W.._..._ _ J, 'Z:- ZWIN . s L S CE LA_ comitbLI o:so i±. NO _ a w~ T F'`f)F em of % I i PiT s ?J.S u. _ _ _ i oil w.- I , E I i L 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: AND 6-11-`H ADDRESS: DESIGN SERVIOE CERTIFICATION NUMBER: PHONE NUMBER (optional): cST ouo s-) 6 S_ y ZS- ~/G S P.O. BOX 14 42; No MAINST, CST SIGNL. RIVER FALLS; WI 54022 715425-0165 ql- y 2 DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. 6l 1 F Z DILHR-SBD-6395 (R. 10/83) - OVER - INSTRUCTIONS FOR COMPLETING FORM 115 - SBD - 6395 To be a complete and accurate soil test, your report must include: 1. Complete legal description; 2. The use section must clearly indicate whether this is a residence or commercial project; 3. MAXIMUM number of bedrooms or commercial use planned; 4. Is this a new or replacement system; 5. Complete the suitability rating boxes. A SITE IS SUITABLE FOR A HOLDING TANK ONLY IF ALL OTHER SYSTEMS ARE RULED OUT BASED ON SOIL CONDITIONS: & PLEASE use the abbreviations shown here for writing profile descriptions and completing the plot plan; 7. MAKE A LEGIBLE diagram accurately locating your test locations. Drawing scale is prefered. A separate sheet may be used if desired; 8. Make sure your benchmark and vertical elevation reference point are clearly shown, and are permanent; 9. Complete all apropriate boxes as to dates, names, addresses, flood plain data, percolation test exemption, if appropriate; 10. If the information (such as flood plain, elevation) does not apply, place N.A. in the appropriate box; It. Sign the form and place your current address and yur certification number; 12. Make legible copies and distribute as required. ALL SOIL TESTS MUST BE FILED WITH THE LOCAL AUTHORITY WITHIN 30 DAYS OF COMPLETION. ABBREVIATIONS FOR CERTIFIED SOIL TESTERS Soil Separates and Textures Other Symbols st - Stone (over 1(Y") BR - Bedrock cob - Cobble (3 - 10") SS - Standstone gr - Gravel (under 3") LS - Limestone 's - Sand HGW - High Groundwater cs - Coarse Sand Perc - Precolation Rate med s - Medium Sand W - Well fs - Fine Sand Bldg - Building Is- Loamy Sand > - Greater Than 'sl - Loamy Sand < - Less Than 'I - Loam Bn - Brown 'sil - Silt Loam BI - Black si - Slit Gy - Gray cl - Clay Loam Y - Yellow scl - Sandy Clay Loam R - Red sicl - Silty Clay Loam mot - Mottles sc - Sandy Clay w/ - with sic - Silty Clay fff - few, fine, faint 'c - Clay cc - common, coarse pt - Peat mm - Many, Medium m - Muck d - distinct p - prominent HWL - High water level, surface water Six general soil textures BM - Bench Mark for liquid waste disposal VRP - Vertical Reference Point 1 1 TO THE OWNER: This soil test report is the first step in securing a sanitary permit. The county or the Department may request verification of this soil test in the field prior to permit issuance. A complete set of plans for the private sewage system and a permit application must be submitted to the appropriate local authority in order to obtain a permit. The sanitary permit must be obtained and posted prior to the start of any construction. i SOIL DESCRIPTION FORM Attach Soil Prof: c Local, io Ma on • So orate Sheet 3.57 LS'RC-il `T'SzC~•+~c.N CL ~UG EfJE~- EjL•$~N LINEAR LOADING RATE: PURPOSE: F~LU~ 13ekJ CV1sT2-v(2-T)OAJ SLOP 1 J l) sov7li wt=n DESCRIPTION BY L w EG G'%ZC-R nsrl:ci: 4TF 9 I CURRENT LANG USE: COUNTY/STATE: cAUm~ 141 VEGE A IVE COVER: G TZA 3 S LOT DESCRIPTION PT Or- J.►►~ l// s .3 4, TZ81-3 Ri 8w DRAINAGE CLASS: Sd-I f~-Jt'1'RT NORLLJ 'DRAP JM Or k/ti.1 AJ C AJAJ) i,' GALLONS-PER S Q. FT. PER DAY: ' LOCATION: PARENT fU►TERTAL s /DEP H: SOIL SERIES: 1..)~~A UPt'2I11T S 1 1KXtIZON DEPIII MATRIX COLORS MOTTLES TEXTURE STRUCTURE CONSISTENCE CLAYSKINS/ PORES ROOTS PH -BOUNDARY REMARKS ;n• moist Gr. Sz. Sh COATINGS 3021 6 ~ o-~ 1o~tR z -1- lb lo~rt 31Z - s1' 1 Zm sbk HT cS C`g 3 )b-2S '1~~{~ 3l3 - sl I Zm ss~k ZS_Z$ lb~tR 3f3 S Zc~ S1'I ~~►►Sp1t »I as )o~r2 6/3 aio 5 Z$-3Z. s ,-r S I 3 M Z s i c- O rm iri.•F I - log! R 516 ra07- G Z O-$ \tmz 2l~. - S ) 2m Y" v`Ft~ cS It - s l Zm sbk m'f►~ cS 3 ?A -ZS lo`tR 3AA - s Zhi S\b~L y►I T►^ C S Q C5 v.5i raaoT 2S-3~ lo~123l~ ~ZL s1 Z'bk `NI L CJ 3Z _ L113 Sty 5)1 M Z 9- S 1 C- D vn . ?rc vwiz S 16 iv y o - LSB~ ZONZI G 3 1 0- $ Jo~R. zlz.. - s i 1 Zm it ~ v~~ cs _Z 1 y 1 O`'1~ 3 J Z - i t 2,m S )plc M `Fh cs 3 )y z.y l~`1R 313 s> ~ Z.msbk Y►9 ~S h2 N CS 1otSi y U38 M T L) Zy-Z8 1oYR 3L3 '~2~ S1 Z Sbtit S 28-3b S Ll S/3 Yn Z oQ Si c. C5 m, ~ FT 1oyR 5l6 407- b 31, - LS BR - C. ~ ~U G Wj` )U w J-rfl o Z F LoAllIN6 1~UE Lev ~ S ~ 1 S ~tS OTHER SITE FEATLTtES/NOtES: Lids P ~y~Z~~~ "C- 6-1 l - 4J o oO 57,6 nn ~t ~ oP LIMITING FACTORS/DEPTH: Signature Date CST 8 i DLPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRY, C DIVISION LABOR AND PERCOLATION TESTS (115) MADISOP.O. BOX 7969 N WI 53707 HUMAN RELATIONS (ILHR 83.09(1) & Chapter 145) LOCATION: SECTION: OWNSHI UNICIPALITY: LOT NO.: BILK. NO.: SUBDIVISION NAME: sw ~w~/ 34 /Tz$N/R►~ E for 4 k►JlY`1t CkIijAU IC. COUNTY: MAI LING ADDRESS: G-~ ~~1~1ZS(~l \/l)l L~ f l::)R J Ue S`r. vn (X E~Gt`'lvL E►"1c~1Zs.OrV K)ur, F:i~c.LS dv t s o vL USE DATES OBSERVATIONS MADE NO. BEDRMS.: COMMERCIAL DESCRIPTION: R I S: PERCOLATION TESTS: ~esidence 1v,P O New ❑Replace 6-11-9I ll i~hu RATING: S= Site suitable for system U= Site unsuitable for system S►Te _Y S►M -T3i'UMpS ~ QF 5-IS-91 ONVENTIIOONNAL: MOUND: IN-GROUND-PRESSUREvis STEM-IN-FILL HOLDING TANRECOMMENDED SYSTEM:(optional) 0S µ'1oUnaU - ~,,e~1t S `pU Z S ❑U S ®U ❑ S ~U If Percolation Tests are NOT required DESIGN RATE: I If any portion of the tested area is in the p ndicate: ` .N• Floodplain, indicate Floodplain elevation: N-A under s. ILHR 83.09(5) (b), i t~ PROFILE DESCRIPTIONS BORING TOTAL DEPTH T R UNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH IN, ELEVATION OBSERVED EST.HIG H TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- 1 3i qq- -a 1v~►~, ZS S Z 0P Z B- Z 40 99.6 zs 1j B- 3~ g9. ~3 Z L/ B- B- B- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD 1 PERIOD2 PERIOD PER INCH P- 1 _21o 3 0 31 sag 51g k/ P. Z r.» 3 b 3/y ~~/1 b Sig V 8 3 Z p No 3 o S/g si$ ~~e~ Yy P. P- P- 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 and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent of land slope. 1 1~►~ ~e q Z-LNt1~q UMZ1l~UT S► J SYSTEM ELEVATION (-►lN - o F S~\ o Una Cam" l b lj _ _x!k JD__ 3 I OY f. 1. 1 - q4._. t to W w i S N _ , E _ T .i lz~S \Za~S I 1Z r Fi I ~ "4 r I 1 0 1 1, 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: AND 6-L l-`I I ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER (optional): CST ouo S76 ')1 S_ ZS_ v16 S P.O, BOX 14 421 • MAIN ST, CST SIGNATAJRE: RIVER FALLS I WI 54022 715-425-0165 C,I_ Z DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR-SBD-6395 (R. 10/83) -OVER - Wit, SOIL DESCRIPTION FORM (Attach Soil Prohlo Location Map On • Suoar•t• Shoot) 3.S7 ~m~-N t~La,eN C~TENT E_!VU(S EN3t 6_71-1H'RSON LINEAR LOADING RATE: I PURPOSE ~1 PCLU r~OlZ U3QX) C-OXJ%_rl 'C,I <-P 0/J SLOPE: < 1 J ` O DESCRIPTION $Y• RRTHAJP_ L. WEGGZ4ER ASPr•CT• ~,'ov_-Nwer3-rffML V sbv'T1iwt_n-reML`f DATE: M 3 i 1~ 9 1 CURRENT LAND USE: ~1~-~ Q1~S 1~►IZe COUNTY/STATE ST C~Ro 1X C4kj),J y 1 W VEGETATIVE COVER: GTZR S S LOT DESCRIPTION PT, o>= 9.y1/V-J~1~ JN S'Zc 3y,T281J, R1 8w DRAINAGE CLASS- SOM f J "T p00R~~J 'DRAa+V~D LOCATION ')~rj Or NtIAJ A.J 1 C jcJAJA,J 1 C GALLONS- PER S0. FT. PER DAY t I r S J / PARENT MATERIAL S /DEP H: SOIL SERIESt 1 tit~ A UA'IZIH/LIT HORIZON DEP111 MATRIX COLORS MOTTLES TEXTURE STRUCTURE CONSISTENCE CLAYSKINS/ PORES ROOTS PH BOUNDARY REMARKS in. moist Gr. St. Shp COATINGS 3021 6 1 0--7 )p`fCZ z! - si Z.rn gr. m y ELF c s Z lb lout 31Z - s1 I 2'm stk. mn p, ~S '3 16-2S io ~R 3~3 - s l I 2. r~ Sl~k w1 '~1-- ~'S 2S_Z$ lb`iR 3l3 Zc>~ S1 l ~.~►'LS~~c i11 f►^ C S OKR L/9,4Yo S Z$ -3Z s s! 3 M Z s i 0- o m i 104P. Sit. hiOr G Z. ~s o -b \tmz 2 l i - s t d Z m I- U it. z. 8.--w ~o~~ 31z - s ~ I Z.m sbk . m ~ ~ s 3 Zo-2.s lotiR 3/3 - s 2A S~k C S ~.s~rzsla ~ y 2S-32. lQ~.ja 3J3 F Zc~ s 1' ZM SSMC Y4jL G° S / rwr c~ 3Z_Uo S L/ SJ~ 1„ z s i C D 1rl hi'~ tioie S/6 ;vsr 5 ~ 3 O- $ lb`1R -z- Z 3 1y-Zy 1~`?R 313 - si 1 Zms~k Cs lwlR 3L~ '~2~ S1 I Z1h$b1Z 1r1~h Cs 17044 &/38"" T L) Z,v o S 28_3b s Y s/3 h4 2 oQ 1, r_ 1042 sA 4or 6 3~ - LS BR w e _w C~ 01H 'TVM~ 1'2JV w o. Z F =-r ^16 UvE ~v D 1 ~tS OTHER SITE FEATURES/NOTES: 6-11- 9J o 576 nn 6e 2 of 2- LIMITING FACTORS/DEPTH: Signature Date CST 7