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HomeMy WebLinkAbout030-2068-60-000 0 m 0 a° m -0 0 II ~ I erj 4, p j O c 0 N p aZ o p ~L.> 0rl- 00 N N c rn E -0 N U co pp On o K n o~ Q u) U) a) co 3co Zo N O 3 CO co 'o m E co i~ u CD ~`o >,E H N - > p L N • w 'p 2' 3 a) ~ a -p w N C E rnd O Nn m orn E 0 :3 o ay o aL~ o C Z T m N C Z y C N N 3 m co a 3 m 0) w N m N U. cO N N~ LL U-0 77t a) NM y O N '-p C m~ aU Q ao o E Q c E° 0' co U m C M Z H ~ N E O p N O O Z s. 9 ` ° o 1' a m a CO Ch F- C7 O Z d c r 7 N aUi Z d ° c c U) F- I', rn c II N _ -'N O N a ~ ~ c o N N O O O • AJ co L c w •4wU co .N _0 l CL 0 7 0 sa.. w° q in z °0 z z z zCS N zo N v _LO y c a, >m U N U > ` C 3 O w O CL O. •f6 ei+ N _ CD It ~5~ 'a h~ a) "'ooIL nY =coa E U) U) E 0 -0 F- F- 0 0 0 0 0o 0 0 0 a rn •►v naaa naan. a 2 o a~ J U o rn rn Z 0) a) ~w CO 0) ao o o 0 C a o o _ o co c d Cl) '6 m n N 'O m p [s) CF) 'iV Z D d Q Z C%? O 'a N Q {n m O > w N N N Q ° C i cr- N C U N C 0 3 C) o p 05 o c c E v n R_ m E p m a a I rn °o l o O o. o N m E E M 0CO Q O O Q c m N c n C L L ' M N o -o E H F- c CD ca,> "t ca N E E % ~ • Mui p N N a m o a) y o M n Z v v Z -N2 Z 2 0 -=i L w E w E E a`, ✓1 ~a ~ a ~ a I CL (L • C~ Q V N E C w C r`~ V C C w 7 M,O w Form- S T C - 104 AS BUILT SANITARY SYSTEM REPORT OWNER 12„A EGl~a y,nr TOWNSHIP p_s /f SEC. 3_ T X30 N-R_ W W ADDRESS 173 J1/UERaIeLU /j) ST. CROIX COUNTY, WISCONSIN Auosaly W1' . Sy0l6 SUBDIVISION LOT LOT SIZE ,4CgF3 PLAN VIEW Distances and dimensions to meet requirements of II.HR 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM ~G. too ^ / ~ G p' Br7 o,,oC VW C~~PN~Z 4,gs~c- TRs~tisFO,e~,.~ r ~ G ^S y goo ski C-XIST~NG- ___100d CA( s,T /000 7 ~X'/ST/~trGl~eusr INDICATE NORTH ARROW BENCHMARK: Describe the vertical reference point used ,~'GU G©/!~I(F/1 P_!`yro 4Z4 S 4Amob4-J4 [ Elevation of vertical reference point: /QO.Q Proposed slope at site: SEPTIC TANK: Manufacturer: Aor gffAa v Liquid Capacity: DQ(~f (~p(} Number of rings used: "Al6c Tank manhole cover elevation: Tank Inlet Elevation: Tank Outlet Elevation: Number of feet from nearest Road: Front,0 Side,O Rear, O feet .From nearest property line Front 10 Side 0Rear, 0 /DO feet Number of feet from: well , building: (Include this information of the above plot plan)( 2 reference dimensions to septic tank) SEE REVERSE SIDE 1 w PUMP CHAMBER Manufacturer: (,GEE S Liquid Capacity: Boo 6.~ Pump Model: (37 Pump/Siphon Manufacturer: Za&,GGE/7 Pump Size Elevation of inlet: Bottom of tank elevation: Pump off switch elevation: Gallons per cycle: /37.;Z Alarm Manufacturer: 7-A~y4 A4e--1r7-Alarm Switch Type: M4Fke&A cC Number of feet from nearest property line: Fr`o O Side, ® Rear, Q Ft. Number of feet from well: Number of feet from building: 100- (Include distances on plot plan). SOIL ABSORPTION SYSTEM MBuNo Bed: X Trench: Width: $ Length: 117 Number of Lines: z Area Built:. 3 76 Fill depth to top of pipe: h 5"prr. J Number of feet from nearest property line: Front, O Side, Rear,O Pt.~7 Number of feet from well: Number of feet from building: k 5o~ (Include distances on plot plan). SEEPAGE PIT Size: Number of pits: Diameter: Liquid depth: Om of seepage pit elevation: Area Built: Has either a dr ox O or distribution box O been used on any of the above soil absorbtion tems? (Check one). HOLDI G TANK Manufacturer: city: Number of rings used: E vation of bottom of tank: Elevation of inlet: Number of feet from n est property line: Front, O Side, O Rear, OFt. Number of feet from well: Number of feet from building: Number of feet from nearest road: Al Manufacturer: Inspector: 'J ,JL Dated : C Plumber on job: License Number: a, 3/84:mj r Wisconsin'Department of Industry, PRIVATE SEWAGE SYSTEM County: Labor and Human Relations INSPECTION REPORT `Safety and Buildings Division St. (ATTACH TO PERMIT) Lot 11 Sanitary Permit No-: GENERAL INFORMATION Se 4 j SE 4, Seb. 35 T30 -R20 Riverview R (l. 149077 Permit Holder's Name: ❑ City ❑ Village R Town of: State Plan ID No.: Dan Hegman St. Joseph S91-40412 CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: 60 a e h~~c ~'ar ' c. TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic r Benchmark s ps,1~ /dc~~ Dosing Aer Bldg. Sewer Holding St/Fjl'E Inlet TANK SETBACK INFORMATION St/ FY Outlet r 83' 25' TANK TO P/ L WELL BLDG. AirI to ntake ROAD Dt Inlet !v Air I Septic [ 2 S' NA Dt Bottom z ~s' l Dosing E NA WoiWer Man. as >Z0 ~ 7' NA Dist. Pipe d/. 76 Holding Bot. System /6-/, 03 PUMP/ SIPHON INFORMATION Final Grade Manufacturer r m nd o eL2~ ! 9 / Model Number 4G PM ldv,v°~ n TDH LiftSI Friction ' System TDH ySt tL/~ Forcemain Length 11o Dia. Dist-To Well 774 SOIL ABSORPTION SYSTEM BED/TRENCH Width Length No. Of Trenches P No. Of Pits Inside Dia. Liquid Depth DIMENSIONS l DIMEN I N SETBACK SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACHIN Manufacturer: INFORMATION Type 0 CHAMBER Model N r: 17 System: d OR UNIT DISTRIBUTION SYSTEM H=Xd= Manifold Distribution Pipe(s) ~r x Hole Size x Hole Spacing Vent To Air Intake Length 3-V Dia. Z Length Dia. ~2_Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over I is Depth Over r W xx Depth Of of xx Seeded / xx Mulched s No e ❑ [1~.>tFES'_❑ rench Edges ~ Topsoil No $edTf ~ , , ~ Bed"~Trench Center ' 2 ~ ~ ~ (p qve COMMENTS: (Include code discrepancies, persons present, etc.) Z(, ,tom { i3 -T7 7F d: ,2 ljela~~ I / r NA i Plan revision required? Yes ❑ No Use other side for additional information. 9/ SBD-671/ (R 05/91) Date Inspector's Signature Cert. No. ~l. E +tC GZc ~L Q. 4„1 tb ~ -f & -00 SANITARY PERMIT APPLICATION =:71 LHR In accord with ILHR 83.05, Wis. Adm. Code couN STATE SANITARY PERMIT # -Attach complete plans (to the county copy only) for the system, on paper not less than 1:1 / / 7 8% X 11 inches in size. Ch k if , vii ton to previ us application -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. eS - z//sLr PROPERTY OWNER PROPERTY LOCATION O&M 9_1Q2 44&A/ t/a r Y4,S T_ ?o N,R E(or PROPERTY OWNER'S MAILING ADDRESS LOT # BLOCK # /93 S CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER SYo/G is y ' e 11. TYPE OF BUILDING: (Check one) El State Owned VILLLLAGE : NEAREST ROAD TOWN OF: 5 iI E ❑ Public X 1 or 2 Fam. Dwelling-# of bedrooms 3- PARCEL TAX NUMBER(S) III. BUILDING USE: (If building type is public, check all that apply) - - 1 r_1 Apt/Condo 03 2 ❑ Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 70 Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining 40 Church/School 80 Mobile Home Park 120 Service Station/Car Wash 5 ❑ Hotel/Motel 9 ❑ Office/Factory 13 ❑ Other: Specify IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable) A 1. ❑ New 2. N Replacement 3. El Replacement of 4. El Reconnection of 5.E1 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 42 ❑ Pit Privy 13 ❑ Seepage Pit Pressure 43 ❑ Vault Privy 14 ❑ System-In-Fill VI. ABSORPTION SYSTEM INFORMATION: 1. GALLONS PER DAY 2. ABSORP. AREA 3. ABSORP. AREA 4. LOADING RATE 5. PERC. RATE 6. SYSTEM ELEV. 7. FINAL GRADE REQUIRED (sq. ft.) PROPOSED (sq. ft.) (Gals/day/sq. ft.) (Min./inch) ELEVATION -5'3 Q/,Feet Feet VII. TANK CAPACITY Site in allons Total # of Prefab. Fiber- Exper. INFORMATION New istin Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks Tanks structed Septic Tank or Holding Tank Lift Pump Tank/Si hon Chamber E~ r VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name (Print): =ume ignature: (o Stamps) M PRSW Business Phone Number: Y 04& lAf /77- Plumber's A dress ( reet, City, State, Zip CoGG ' g IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater [Date Issued Issui g Agent Signatur Stamps) .Approved ❑ OwnerGiven Initial Surcharge Fee) Adverse Determination X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-6398 (formerly Plb-67) (R. 11188) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber I _LL Mound System for Dan Hegman SEYSE% S35 T3 R20W St. Joseph Township St. Croix County Pages #1---------------Plan approval application #2--------------- St. Croix County verification of soils #3---------------Soil data (115) #4---------------Plot plan-plan view #5---------------- Nork sheet #6---------------System cross section #7---------------Pipe lateral layout #8---------------Dosing chamber #9---------------Pump curve 'IN I ~ ~ Donvain L. Schmitt 586 Valley View Trail Somerset Wi 54025 MPRSW 3205 :5- -;-If-~~ Wiscgnsin Department of Industry, ON SITE SEWAGE SYSTEMS Office of Division Codes and Application Labor and Human Relations Onsite Sewage Section Safety and Buildings Division 201 E. Washington Ave., Rm. 141 PLAN APPROVAL APPLICATION P.O. Box 7969, Madison, WI 53707 ' (608) 266-3815 INSTRUCTIONS: Please fill in all applicable data and submit this form with plans. Plans will not be reviewed until all fees are received. The reverse side of this form describes most of the required plan information. Further requirements maybe contained in the Wisconsin -Plumbing Code, which can be purchased from the Department of Administration, Document Sales and Distribution, 202 South Thornton e , P.Q~ Bold 2840, Madison, WI 53707, Telephone (608) 266-3358. 9,( al 1 . J1L 6(.)s Plan Number Previously Assigned 1. PROJECT INFORMATION (Type or print clearly) Name of Submitting Party (plans returned to same) Project Name IVA VIM T LIG/vo Street Address, P.O. Box # or Rural Route Project Address or Legal Description SG LG v/CCU R. 9 ~(UC ~ELU 10 udSdN City or Village State Zip Code City ❑ County ff Village ❑ of <5 r, CRo/ X Telephone No. (include area code) '71_ Town Xf S/, OS c Designer Name of Owner L' / -/if/V Telephone No. (include area code) Telephone No. (include area code) 03 Street Address, P.O. Bo or Rural Route Street Address, P.O. Box # or Rural Route Cky or ge State Zip Code City or Village State Zip Code sI /JS 0 ~ 2 APPLICATION FOR: ❑ Experimental Mound System ❑ Holding Tank ❑ New Construction ❑ Large System ❑ Conventional Gravity System ❑ Groundwater Monitoring X] Replacement ❑ At-Grade ❑ System in Fill ❑ Petition For Variance ❑ Revision ❑ Pressurized System ❑ System in Flood Plain (attach SBD-6698) ❑ Other Alternatives 3, FEE COMPUTATIONS (include existing tanks) FEE SUBMITTED FOR OFFICE USE MAKE ALL CHECKS PAYABLE TO SAFETY & BUILDINGS DIVISION. _ Qp a. 750- 1,500 gallon septic tank $ 50.00 ~U b. 1,501- 2,500 gallon septic tank $ 60.00 C. 2,501- 5,000 gallon septic tank S 80.00 d. 5,001- 9,000 gallon septic tank $100.00 e. 9,001- 15,000 gallon septic tank $150.00 f. Over 15,000 gallon septic tank $ 250.00 P~ g. 500- 1,000 gallon dose chamber $ 30.00 h. 1,001- 2,000 gallon dose chamber $ 50.00 1. 2,001- 4,000 gallon dose chamber $ 70.00 j. 4,001- 8,000 gallon dose chamber $ 90.00 k. 8,001- 12,000 gallon dose chamber $110.00 1. Over 12,000 gallon dose chamber $150.00 M. 500- 5,000 gallon holding tank $ 30.00 n. 5,001- 10,000 gallon holding tank $ 55.00 0. Over 10,000 gallon holding tank $100.00 p. Revisions $ 20.00 q. Groundwater Monitoring - Per Site $ 32.00 (other than a proposed subdivision) r. Petition For Variance: Setback $ 25.00 Site Evaluation S 50.00 o~ Subtotal: so s. Priority Plan Review: Enter same amount as Subtotal Total Fee: SBD-6748 (R. 04188) NOTE:Fees are pursuant to Wis. Adm. Code, Chapter Ind. 69, and OVER / nA-CE are subject to change annually. The following information is required for plan review. An index page or each page of the plans must be signed, sealed and dated by the designer. 4. MOUNDS & IN-GROUND PRESSURE DISTRIBUTION SYSTEMS a. County verification of soil conditions. b. Soil data (115) photocopy by CST, including data for replacement system, if for new construction that will be served by an in- ground pressure system. C. Plot plans drawn to scale showing lot size and all lateral distances from the system to buildings, wells, watercourses, etc. Show permanent reference points (benchmark). Direction and percent of slope or two foot contours must be included if drawn to scale. For in-ground pressure, show area for replacement if for new construction (TWO COPIES). d. Plan view of system with observation pipes and permanent lateral markers (TWO COPIES). e. System cross section - provide system elevation (TWO COPIES). f. Pipe lateral layout (TWO COPIES). g. Construction detail of septic and dose tanks if site-constructed, or State approved manufacturer and size if prefabricated (TWO COPIES). h. Dosing Chamber cross section - show manufacturer and size or construction details if site-constructed (TWO COPIES). 1. Pump or siphon model, performance curve, total dynamic head calculations and dose volume. (TWO COPIES). j. If the site is suitable for a conventional onsite sewage system, item a. from this section is not generally required. k. Provide all sizing information (TWO COPIES). This is not required for residential installations where the number of bedrooms is indicated on the plans. 5. CONVENTIONAL ONSITE SEWAGE SYSTEMS a. Photocopy of soil data (115) by CST, including data for replacement system, if new construction. b. Plot plan showing location of septic tank, soil absorption system and replacement area. Indicate lateral distances to any buildings, well, watercourses, lot lines, etc. The plot plan must also show the location of permanent horizontal and vertical reference points (benchmark). Also indicate ground slope with 2 foot contours in entire area if drawn to scale, extending 25 feet on all sides of initial and replacement systems. c. Plan view of soil absorption system showing all dimensions, pipe lengths, spacing, etc. (TWO COPIES). d. Cross section of soil absorption system showing system elevation, aggregate,cover material, depths, etc. (TWO COPIES) e. Construction detail of septic tank if site-constructed, or State approved manufacturer and size if prefabricated (TWO COPIES). f. Detail of lift pump tank or automatic siphon, tank size, manufacturer, gpm, gallons per cycle, vertical lift, friction loss, etc_ (TWO COPIES). g. Provide all sizing information (TWO COPIES). This is not required for residential installations where the number of bedrooms is indicated on the plans. 6. HOLDING TANKS a. Photocopy of soil data (115) by CST. A full evaluation must be made to eliminate the possibility of any other system being installed. b. Photocopy of agreement document between owner and local unit of government, properly notarized and recorded in reference to the deed. This agreement must include a statement about the semi - annual pumping report and pumping contract. c Plot plan showing location of holding tank with lateral distances to any buildings, well, water service piping, watercourses, lot lines, etc. Provide horizontal and vertical reference points. Include all-weather service road within ten feet of the service manhole (TWO COPIES). d. Holding tank profile showing vent, manhole, alarm and State approved manufacturer and size if prefabricated. Provide complete construction details if site-constructed (TWO COPIES). e. Provide all sizing information (TWO COPIES). This is not required for residential installations where the number of bedrooms is indicated on the plans. 7. SYSTEMS IN FILL a. Systems in fill must include an onsite investigation form (SBD-6196), as well as all the appropriate items listed in section 5. 8. GROUNDWATER MONITORING a. Soil data (115) photocopy. b. Groundwater Monitoring Report (SBD-6412). C. Verification of data and procedures from county (ONE COPY); copy of Notification of Intent to Monitor which was sent to county. d. Precipitation data. 9. PETITION FOR VARIANCE a. Petition For Variance form (SB-8), signed and properly notarized. If any portion of an onsite sewage system is in a floodplain, form SBD-6698 is required. ST. CROIX COUNTY WISCONSIN I N' ZONING OFFICE ST. CROIX COUNTY COURTHOUSE 911 FOURTH STREET • HUDSON, WI 54016 - (715) 386-4680 91-40412 May 29, 1991 Division of Safety and Building Bureau of Plumbing P.O. Box 7969 Madison, WI 53707 Dear Sir: An on site investigation of the Daniel Hagman property, known as lot 11 of Riverview Acres Subdivision, located in the SE 1/4 of the SE 1/4 of Section 35, T30N -R20W, Town St. Joseph, St. Croix County, revealed suitable soils at a depth of 24". This site should be suitable for a mound. Should you have any questions, please feel free to contact this office. SSince r ely, es K. Thompson ssistant Zoning Administrator cj AGE~- o 3h1, VE EAS ~ a T L /NF Tt+F' Agtnc-. 2"~r{ F3ti.cv3 'rk4r- ~7C ~ r,N Tt-t~: ivtq;<~ sT t~.C=iY..At~~* ~{.~utSCUaIS.C.t~ , M O i y4 • ~ Cj yh ONSITE S,ctE SEA AGE gYSTE~ ° 4 ~ o ~t ~ CO rr C yX o =70.1 a slz RELA~10N5 Z ►.ASOR ~ ~r `Y L IOU A ~ SEE E DEPARSti1C~Ji 11 ~ ~ CE ~ ~ lC O T rid. E ~~`aC ~►:.C: '~~i TtC TfvyK ivtvS~ BL- V c It~iSi'~C:t D I'CF+ ST~t:C'i tit ~ $G'+.t+V N~~~ .aril7 ~p ~ ~ Q ~rt.C..S ~+:+v r3E R>~a,~.v(~ c►~ aYx~~F~Ei~ {r J41LCC5,SdbAj Fc cc~N~a~w~arrCC v~~ cam, 1 +v- b-,Z, ~w,ti_ o li 14 ~ m J O p 11 , O a i L ~ QE, Z h Z ' p,4G4C- y Paae_,5- Of 1 OPTIONAL WOKKSHLET - A, l 1. MOUND SY5I L,til '4 f 11. IN GKOI;'+:) i'FfL~Sl1Kf. SYSTEM- tff~Ittl.yn 1. Wastewater Load, lntal Daily Flow= - ta~• !0, f :rile Maur:6 Use s. ILHR 83.15 (3) (c) Minimum Dosing Rate = 3 7~ Rpr^• Adm. Code and PROVIDE A DETAILED Diameter - •r~ in. LIS I OF SIZING ON PLANS, 11. ?ntdi fijnannc Head: Depth to limiting Factor ft. Sys:em Head = a ft. 3. Landslope = - % Veltmai Lift = -1=„ ft. 4. Distance from Dose Chamber to Friction Loss = ft• TDH = ~'%./J ft. Distribution System = •Nu ft. 5. Elevation Difference Between 12. Pump Selection: U Pump and Distribution System = ( ft. Pump will discharge at least 3 Z gpm 6. Absorption Area Sizing: at / • ' ^ ft. total dynamic head. 33 -7 r Area Required = sq. ft. Pump model and manufacturer: ZI~EI ! n Bed or Trench Length (B) _ -4/7 ft. ' f f Bed or Trench Width (A) ■ f 1? ft. 13. Dose Volume: Trench Spacing (C) _ ft. 10 Times Void Volume of 7. Mound Height: Distribution Lines= ~Lal. Fill Depth (D) ft Daily Wastewater Volume Fill Depth Downslope (E) _ ft. 4 Doses In 24 hrs. _ t gal. Bed or Trench Depth (F) ■ ft. Backflow = t gal- Cap and Topsoil Depth (G) _ f ft. Minimum Dose = r gal. Cap and Topsoil Depth (H) _ ft. 14. Dose Chamber: fn 8. Mound Length: Volume gal- End Slope (K) _ ft. Total Mound Length (L) _ fL ill. CONVENTIONAL PRIVATE SEWAGE SYSTEM 9. Mound Width:,. 1. Wastewater Load, Total Daily Flow = gal. UpslopeCorrection Factor = Use s. ILHR 83.15 (3) , Wis. Upslope Width (1) fL Adm. Code and PROVIDE DE ILED LIST OF SIZING ON PLAN . Downslope Correction Factor = Downslope Width (1) ft. 2. Required Septic Tank Capaci = gal. Total Mound Width (W) ■ " fL 3. Percolation Rate = min./in. 10. Basal Area: 4. Absorption Area Sizing: Infiltrative Capacity of Refer to Table in ch. ILHR 83 Natural Soil = ~f 9 gWjsq.ft./day and PROVIDE A ETAILED LIST OF Basal Area Required ■ ^ sq, ft. SIZING ON P _ NS. Basal Area Available ■ ' • n sq. ft. Required Ares = sq. ft. 11. If Standard Tables from Chapter ILHR 83 Length = ft• are used, Indicate Table # Width= / ft. 12. For the Distribution Network, Use Numbers 3-14 in Section It. Numbermf Trenches = TrenchtSOaeing = ft. 11. IN-GROUND PRESSURE SYSTEM „ S. Distribution System: 1. Depth to Limiting Factor = ft. Lateral Length = ft. 2. Landstope = Nutt ber of Laterals ■ i 3. Percolation Rate ■ min./in. Literal Spacing = in. 4. Proposed System Elevation ■e fu^/ ft. 'Distance from Sidewall to Pipe = in. S. Wastewater Load, Total Daily Flow: gal. System Elevation = ft. Use s. ILHR 83.15 (3)(c), Wis. Adm. Code and PROVIDE A DETAILED IV. /Fill M-IN-FILL LIST OF SIZING ON'PLANS. ll items from Section Ill Required Septic Tank Capacity ■ lee! r gal. 6. Absorption Area Sizing: V. SEPTIC TANK Percolation Rate = min./in. 1. Capacity = Lai. Area Required = sq. ft. 2. Manufacturer: System Length ft, 3. Show Site Constructed Tank Details on Plan System Width = ft. 7. Distribution Pipe Sizing: VI, DOSING TANK Holc Siic = 'f in. 1. (-aracity = r A;-) L gal. I t "l~ C f C 1;' f, rAs- Holc Spicing = 3 It, A1.InufaUUrcr. sA ' Lalcr.d Lenctlh It. 1, Pump M.Inulacturcr: ~"N Z I .r11-1a1 Sin in. 1. l'unlt, himlel: Z l)r:•aunc Hcad= It. 1 UCr.ll lpal int: It. ~ " 1 bill RAIL': gpm. (>r.l.ln.r IIOU1 ~u11-w.flt Irr 1•illc ~:.c 111 l'N. Dl.ulbuuon hilx 1)iah.ugc Kalo: Shov, soc Constructed Tank Details on Plans Numbrr of Iluh•.!'rf 1'qa• f 14K I h.% Pv$ 1•gl4• Klan, V11. IIOl I)INI, 1 %,"t Ma11dold living. II_ 1. lara.lls = gal. 1)•111-(11-111/'10l1-nd) r~~~ A1anu 1 eflt,111 3 11 3 ,,.N S,tc c onslruslCd Tank Details on Plans 1)Ia1111.11.1 ~ 111 A , -1E. ..-t~ ZZ G ti111OW ALL INFORM AT ION ON PLANS- DI I IIR %Ill) 1. U. I I R 0 Ull :1 i~•~%~U~ 6--.2 7- Page ~f Straw, Marsh Hay, Or i ~ Synthetic Covering Distribution Pipe Medium Sand H G 6" Topsoil F ~J 1 3 E 11 D b ONSITE SEWAGE SYSXEN Slope Bed Of - 2 Force Main Plowed Aggregate Layer co (6" Below Pipe) A pRolfED P D Ft. *Signed: DUSTRY, LABOR AND SAS* %41' Section Of A Mound System Using E Ft. EPAHTMF' Ft. N d For The Absorption Area G Ft. EE CO E A Ft. H Ft. - B q s Ft. License Number:3 K Ft. Date: 7 L Ft. J Ft. I /f Ft. W ;Z Ft. L I J Observation Pipe B - A I Force Main Distribution Bed Of 2"- 2 %2" Pipe Aggregate . I Observation Pipe Permanent Markers Plan View Of Mound Using A Bed For The Absorption Area It Perforated Pipe Detail 1 End View (Perforotea End Cop) PVC Pape f . o~.oo~o~ca Holes Located On Bottom. Are Equally Spaced WAGE SYSTEM e pnjN. •ll Wn I - ROVED LATIOW APP Ift MW WOO v IYAN~f°c° e DEPART 44 *1DUSTRY. LO c SIM ffF SEE Distribution Pipe Last Hole Should Be Next To End Cap Distribution Pipe Layout P Ft. r-*Acfl f"11W S 3 X -76 Inches Y -7(. Inches Hole Diameter Inch Signed: Lateral Inch(es) License Number: Manifold Inches o) Force Main Inches Date: w # of holes/pipe Invert Elevation of Laterals g0 Ft . PA V 6 F F CHA.M.o ~R CRISS =tC-lC' AI~G `PECIF I t r-10"` VEA:T CAF f 4"C. Z. ~E."1T PIPE _T WEATHERPROOF - APPROVED LOCKIMC.. ,^~AtJHOLE COVEF. DOOR, JUQC710Q BOX LASLA WINDOW OR FRESH 12" M1U. I AIR IAJTAKE GRADE 1 40 MiN. 46/1 IB" mild. COUDUIT 18°Mlnt. P •,~}.,~~1 PROVIDE I << I SEAL i INLET Oil SEAL I (I APPROVED io wTs APPROVED JOINT a~LAj~(jNS I III W/C.2. PIPE W~C.2. PIPE AND H N I I EXTEUOIAIG 3' EXTENDtNb 3' Y. L~R G5 ALARM ONTO SOLID SOIL OQTO SOLID SOIL (MED1 ~N~V FZ 8 I I I I ON C SEE ELEV. (L1+=~ FT, pUMp-~ OFF D 1C) Q' .64-L, IN- CONCRETE BLOCK RISER EXIT PERMITTED OIJLy IF TANK MANUFACTURER HAS SUCH APPROVAL SEPTIC E SPECIFI'GATIOAIS DOSE TANKS , MAIJUFACTURER: Gy,5 x ~s C, A IUUMBER OF DOSES: ~ PER DAM TAWK SIZE:- BOD GALLONS DOSE VOLUME 4?, 41 GALLONS A ~ INCLUDING OACKFLOW: ALARM MAAIUFACTURER. NA CAPACITIES: A= s `~.IAICAES OR GALLONS MODEL IJUMBEK: -.59 'Z I N? SWITCH TyPC' *1" (f u f A ° ZUNI 8 = -INCHES OR GALLONS klj PUMP MAAJUFACTUR><R: C=~IAICHEs OR JAi.16 ! 2S9.z MODEL NUMBER: 13 L°' ` D = FICHES OR GALLONS SWITCH TYPE: ~ t MOTE: PUMP AMD ALARM ARE TO BE MINIMUM DISCHARGE RATE 3 yy GPM INSTALLED ON SEPARATE CIRCUITS VERTICAL DIFFERENCE BETWEEN PUMP OFF ARID DISTRIBUTION PIPE.. r.1 FEET + MINIMUM NETWORK SUPPLY PARESSURT,E/. . . . . . . . . . . 2.5 FEET X140 FEET OF FORCE MAIN X d!/~2_F/oo FtFRICTIOU FACTOR:: 4, FEET _ TOTAL Dy1JAMIC HEAD FEET T `I INTERNAL DiME1JS101JS: OF TAIJK: tJfM_~ 4' 4^C „ ;WIDTH 77 ;LIQUID DEPTH 32 QS DATE: E_'12 J-1 SIGNED: LICENSE AlUMBEit: HEAD/ 11 15 91-4041 CAPACITY 2110 105 CURVE 30100 9S 28 90 26 85 I I EFFLUENT 24 8o MODEL p 75 MODEL 189 and 22 DEWATERING = 70 165 20 65- a I I ,I z 16 so p 55 16 MOOEL 0 A 163 MODEL 14 45 188 12 --40- 35- 10 1- MODEL I MODEL 30 137, 139 185 I SEWAGE and 6 25 DEWATERING 6 20 MODEL 15 MODEL 161 4 97 10 MODEL to F. 2 W W 5 53, 55, p- U. 57,59 0 GALLONS 10 20 30 40 SO 60 70 80 90 100 110 24 LITERS 0 so 160 240 320 400 75 22 FLOW PER MINUTE 70 20 ~ 18 60- MODEL p 295 = 16 55 V s0 14 45 <12 EL z 4 Q 12 40- MODEL F 10 35 293 MODEL 30 284 - MODEL 8 r2O Wei 282 4 ZZ4 10 MODEL I ZffZ Oi 2 5 267, 268 _ 1 0 3280 Old Millers Lane GALLONS 10 20 30 40 50 60 70 80 90 100 110 120 130 140 i5O 160 170 180 190 PO. Box 16347 Louisville, Kentucky 40216 LITERS 0 80 160 240 320 400 480 560 640 720 (502) 778.2731 FLOW PER MINUTE SION DEPAR fMENi Of REPORT ON SOIL BORINGS AND ,AI DIVISION & BUILDINGS N DVISI INDUSTRY, LABOR AIVD PERCOLATION TESTS (115) MADISOP.O. BOX N WI 7969 HUMAN RELATIONS (ILHR 83.09(1) & Chapter 145) LOCATION: SECTION: TOWNSHIPI §&jtM l: LOT NO.: BLK. Nd': SUBDIVISION NAME: SE ~ SE ~ 35 /T 3014/1120A(. r► W St . Joseph 11 n/a River View Acres COUNTY: OWNER'S KXXFM~ NAME: MAILING ADDRESS: St. Croix Dan Ilegman 193 River View Rd., Hudson, Wi. 54016 USE DATES OBSERVATIONS MADE NO. BEDRM3.: COMMERMAEVESCRIPT 101 PROFILE TI-O PEITCZLATION TESTS: IfJ3rsidence 3 n/a 5dqlepla 5-15-91 5-17-91 RATING: S= Site suitable for system U= Site unsuitable for system _ CONVENTIUNAL: MOUND: IN-GROUND-PRESSURE: SYS7E I -FILL HOLDING TANK: RECOMMENDED SYSTEM:Ioptional) EjSEl UI®S❑U ❑SEU ❑S®U ❑S~U~f»ound If Percolation Tests are NOT required DESIGN RATE: I If any portion of the tested area is in the Floodplain, indicate Floodplain elevation: n/a under s. ILHR 83.09(5)(b), indicate: SIGN decimal' PROFILE DESCRIPTIONS page 41 AoB BORING TOTAL DEPTH TO GR UNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPfHXt ELEVATION OBSERVED ES IGHE TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK,) B.1 5.50 100.02 none 2.00 .83bl.1. 1.17bn.sil. 2.00bn.mot. sil. 1.50bn.mot. gr.i 2 5.84 100.02 none 2.34 .75bl.1. .67bn.sil. .92bn.s.l. 1.50bn.mot. sil. B- 2.00bn.mot. r. B.3 3.41 99.82 none 2.08 1.00bl.l. 1.08bn.sil. 1.33bn.mot. sil. B- B- B- decimal' PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WA1 ER LEVEL-INCHES RATE MINUTES NUMBER AFTERSWELLING INTERVAL-MIN. PERioo t p-- D _ PER INCH P_ 1. ?.00_ none - 30 _ 3/4 5 r~ X78 48 P. 2- 2.00 none _ 30 3/4 5/8 5/8 48 P. 3 2.00 none 30 3/4 9/16 9/16 53 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. SYSTEM ELEVATION 101.02 f J Eli, ► Rslr3-~FS~ ' ~ ,~cwbs f)z~.- ~~s 4 bo ~'-1 801 r►r K e ~ E AS rr ~ 'trm~5 ~errrt 4•L + ~ ! ~ ~ ;r' 1 ~y°I 49k. on f ~t+b , it N 1,63 Adr&& ~0, Al I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specifier] in the Wisconsin Administrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. NAME (print): TESTS WERE COMPLETED ON: Gary L. Steel 5-17-91 ADDRESS: CERT~~C~IjTION NUMBER: PHONE NUMBER (optional): 1554 200th. Ave., New Richmond, Wi. 54017 ~rfj 7157246-6200 CST SIGNA DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR-SBD-6395 (R. 10/83) OVER - L PAC- k;- 3 ST. CROIX COUNTY ZONING OFFICE CERTIFICATION STATEMENT n FOR UTILIZATION OF AN EXISTING SEPTIC TANK This is to certify that' I have inspected the septic tank presently serving the _ /,1~_1T -a'nrA& residence located at: (E1/4, SSE 1/4, Sec. 3u~ T_10 N, RED W, Town of ,57-1 Wisgo,,q Upon inspection, I certify that I have found the tank and baffles to be in good condition, and it appears to be functioning properly. Last time serviced or'=' Did flow back occur from absorption system? Yes No_,k(if no, skip next line) Approximate volume or length of time: gallons minutes Capacity: &-)X C-Az- SIT, Construction: Prefab Concrete- X Steel Other Manufacurer (if known): Age o Tank (if kno n): P (Signature) (Name) Please Print 274S 2-2os (Title) (License Number) (Date) Form to be completed by licensed plumber (s.145.06, Wisconsin Statutes) or Licensed Disposer (NR 113 Wisconsin Administrative Code) - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Plumber (applying for sanitary permit) Certification: In accepting the above statement regarding existing septic tank condition, I certify that the tank to the best of my knowledge will conform to the requirements of ILHR-83, Wis. Adm. Code (except for inspection opening over outlet baffle). Name Q0,VA&i~y CS«s~irT Signature M /SRS 320.E 5/88 STC - 105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER ha ft / C_~l M1 a AJ ROUTE/BOX NUMBER A-'i'V R I- V! e w ~e k) FIRE NO. CITY/STATE x4dy')A zo zip S` 014, PROPERTY LOCATION: 1/4 1/4, Section , T N, R W, Town of S~. Zen h s {a c yyyA,p , St. Croix County, Subdivision /I ,verui e~c~ hCrO-s , Lot No. Improper use and maintenance of your septic system could result in its premature failGre 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 ofreplacement 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 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 b R. ilawn , rl Location of property 1/9 1/9, Section , T N-R W Township os( h ' Mailing address /l1Ve-r 1e )'res h Address of site 173 A etwe Are- K Subdivision name kluerulGLo ACr'Cs Lot number 4- Previous owner of property Ile/VS Total size of parcel ac r'es Date parcel was created F6 / Are all corners and lot lines identifiable? es No Is this property being developed for resale (spec house)? Yes _N0 Volume and Page Number as recorded with the Register of Deeds. INCLUDE WITH THIS APPLICATION THE FOLLOWING: A WARRANTY DEED which includes a DOCUMENT NUMBER, VOLUME AND PAGE NUMBER, and the BEAL 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 No. ; 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 cons ruction of said syAem, and the same has been duly recorded in the Office of a County Register of Deeds, as Document No. 1. Signature of 0 er Signature of C caner (If Applicable) 0 Date of Signature Date of Signature DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRY, DIVISION LABOR AND GG P.O. BOX 7969 HUMAN RELATIONS PERCOLATION TESTS (~~J) MADISON, W1 53707 (ILHR 83.09(1) & Chapter 145) LOCATION: SECTION: TOWNSHIP LOT NO.: BLK. NO.: SUBDIVISION NAME: SE 1/4 SE 14 35 ~T 30N~RZOxtor►W St. Joseph 11 n/a River View Acres COUNTY: OWNER'S NAME: MAILING ADDRESS: St. Croix Dan Hegman 1193 River View Rd., Hudson, Wi. 54016 USE DATES OBSERVATIONS MADE S: PER OLATION TESTS: NO. BEDRMS.: COMMERCIAL DESCRIPTION: PROFILE DESCRIPTION Residence 3 n/a ❑Newleplace 5-15-91 5-17-91 RATING: S= Site suitable for system U= Site unsuitable for system CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILLHOLDING TANK: RECOMMENDED SYSTEM: (optional) ❑S 9U ®S ❑U ❑S ffU ❑S ®U ❑S HU mound If Percolation Tests are NOT required DESIGN RATE: I If an any portion of the tested area is in the under s. ILHR 83.09(5) (b), indicate: n/a Floodplain, indicate Floodplain elevation: n/a decimal' PROFILE DESCRIPTIONS page 41 AoB BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH= ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B-1 5.50 100.02 none 2.00 .83bl.1. 1.17bn.sil. 2.00bn.mot. sil. 1.50bn.mot. gr. B-2 5.84 100.02 none 2.34 .75bl.1. .67bn.sil. .92bn.s.1. 1.50bn.mot. sil. 2.00bn.mot. Rr. B-3 3.41 99.82 none 2.08 1.00bl.l. 1.08bn.sil. 1.33bn.mot. sil. B- B- B- decimal' PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER IjtbdfffK AFTERSWELLING INTERVAL-MIN. PERIOD 1 PERIOD 2 PERIOD PER INCH P_ 1 2.00 none 30 3/4 5/8 5/8 48 P- 2 2.00 none 30 3/4 5/8 5/8 48 P- 3 2.00 none 30 3/4 9/16 -----9716 P- P- P- PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or s n escribe a he hori- zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at gs and.&e directio ercent of land slope. SYSTEM ELEVATION 101.02 RECEIVE N F_ ~,rr:~te z -a =~3rzs~- w~ alk 3 E o- p ~tsl doura INFO ti V1 40 Ir , -xi 1 53er _ a►_ ter ~t°~ T i 5cc.'03 2 a m. I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin Administrative Code, and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. NAME (print): TESTS WERE COMPLETED ON: Gary L. Steel 5-17-91 ADDRESS: CERTIFIC TION NUMBER: PHONE NUMBER(optional): 1554 200th. Ave., New Richmond, Wi. 54017 229 7157246-6200 CST SIGNA DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR-SBD-6395 (R. 10/83) - OVER - "v- Wisconsin Department of Health and Sooisl Services -Plb. #67 jet Division of Health PERMIT APPLICATION for s PRIVATE DOMESTIC SEWAGE SYSTE11S Lal~2 A. OWNER OF PROPERTY TYPE OR USE BLACK INK Z' Name Address (Street, City Zip Code) l.-r County B. LOCATION OF PROPERTY WHERE SYSTEM WILL BE CONSTRUCTED ALTERED OR EXT ED Check One: S r a - CITY VILLAGE LEGAL DESCRIPTIONS TOWNSHIP C. IS LOCAL PERMIT REQUIRED FOR THIS WORKT Y YES NO D. SEPTIC TANK CAPACITY Jrt 0 Gallons NEW INSTALLATION REPLACEMENT ADDITION MATERIALS: Prefab Concrete Poured in Place Steel Other NUMBER OF TANKS TO BE INSTALLED: wvL' E. TYPE OF OCCUPANCY Check One: One or Two Family Residence _L.~~Commeroial Industrial Other Specify Number of Persons to be Accommodated F. APPLIANCES, ETC: Food Waste Grinder YES 'l,-'NO Automatic Clothes Washer L- -SES NO Dishwasher fs- NO Automatic Potato Peeler YES Other (Specify) G. EFFLUENT DISPOSAL SYSTEM NEW _4:;;~~EXTENSION ADDITION REPLACEMENT Tile Size No.Lin.Feet Trench Width Depth Number of Lines S aaa ede Length Width Depth Tile Size No. Lines 3 Seepage Pitt Inside diameter ` Liquid Depth . P E R C O L A T I O N T E S T Test Depth Character of Soil Hours Water Test Time Drop in Water Level Inches minutes 11 ' Number Inohss Thickness in Inches Since Hole in Hole Interval Second to Next to Last To Fall . 1st Wetted Overnl ht In M.'nutes Last Period Last Period Period One Inch Example P- 0 36" To Soil 10" Clay 261, 25 es or no 3U 1L2 1/2 1/2 60 D y rt .i "ji RECORD DATA FROM MINIMUM OF 3 TEST HOLES Compute size of absorption area in accord with H 62.210 Wis. Administrative Code. 3 S O I L B 0 R I N G S- Minimum 36" Below Pro osed Absorption System _ oring Total Depth Depth to Ground Water Depth to Bedrook . umber Inches Observed Estimated Observed Estimated Character of Soil with Thiokrsss in Inches :c%mple 0 72"• 72" Black To Soil 1211• Cla 18"• Sand IB'r• Gravel 2411 RECORD DATA FROM MINIMUM OF 3 BORE HOLES ' COMPLETE OTHER SIDS I, the undersigned, hereby certify that the percolation tests reported on this form were made by me or under by supervisicn in accord with the procedures and method specified in Chapter H 62.20 (3), Wisconsin Administrative Code, and that the data recorded and location of test holes are correct to the best of my knowledge and belief. NAME VI/ '04 1 tu TITLE 1- Type or Print REGISTRATION NO, or MASTER PLUMBER LICENSE No. ~ r ADDRESS / 2'-LC `-`t2y DATE _ SIGNATUPC L vLt 1CJ Z- r-i~J MASTER PLUMBER MAKING APPLICATION / MP Signatures L 4~L.::G' L~? 'r License Numbers MP RSW i ` (To be Completed by Issuing Agent) Date of Application ,fJ r% Fee Paid $ Permit Issued (da Permit Number Agent (name) ct h t•-~/Y G4. i_ ' lots ' Town,-Village, City, County, eta. a (Specify) Notes The application cannot be considered for filing until all of the above questions are answered 'i and the fee paid. Agents will forward application, the fee of $10.00 and Copy (b) of the Permit (yellow copy) to the Division of Health. Checks and money orders should be made ' .payable to the Division of Health. Do not write in space below - FOR DEPARTMENT USE ONLY DATY RECEIVED - I - ACCEPTED BY L RETURNED (Initials) (Date) (See Corfres, r r - FEY RECEIVED VALID. NO. 6 ~--7 PWUT NO. 619 (°G of Yes or No) REVIEWED BY APPROVED DATE (Initials) Yes or No) COMMENTS: f ICI OY Irk U 1 U I ~~v l 6 y i q 3 ,fir V! R• ve vvrQ,~ Afso c . yy~- ,~j,-, I`lD rl~ c NUS ~ c 13 W n 6 koe . W 4 DM Vey . L, U' ~Y1 Iq'1 f!/~7~ ZyYJbhh t~+-l~l~~ ~ S 71O, ~rogaf~ Ll - ' Srn ssld 1q7 -7 z i3 y ~a L,6 7- 3,7 5- -7 Z K~r m4 Cl _ Wt((,'" ~f 1 I 1 I loy~~~y C-g ~U g((~~f C.,I~OS3 3(o7- `/~X 7 77 ' CERTIFIED SURVEY MAP 469.20' POINT OF BEGINNING S 8 6° 04' 20"E 149.20' 150.00' 170.00' Q V 18 17 16 0 0.98 S j 1.45 ACRES 1.41 ACRES h (V ry V \ 3 C lp 1 I 3 v a 3 c ` d Z~ f,{" M , ^ CO c o \0 ti ROADWAY ASEMENT; h co y~ N BEING 16. ' EACH ° M /00 ~ `t 0 SIDE OF HIS ro o O 0, CENTER INE YQ ROA WAY EASEMEN y R-56. ' Q AP le AA S 9 N &N 00 3 0 49, ot'o _ a0,• S&a~ N8gS~520"yy \~'~q\O 96 701, • ~ o Ng c4 ~8157. 7 ~ 2 e 3 O 43"W 99ot8~~ Q, (A ~ SE CORNER R °120.69' S6 ~0" 1 OF SECTION 35 IIT30N, R20W TRUE BEARING ° - 2"X 30" IRON PIPE, WEIGIG 3.65 LBS./ LINEAR FOOT. ALL OTHER LOT CORNERS STAKED WITH I "X 24" IRON I 100' PIPE, WEIGHING 1.68"LBS. / LINEAR FOOT, EXCEPT AS NOTED. A parcel of land located in the Southeast quarter of the Southeast quarter of Section 35, T30N, R20W, Town of St. Joseph, St. Croix County, Wisconsin described as follows: Commencing at the Southeast corner of said Section 35; thence N9°40'50"W, true bearing, 1126.90' to the point of beginning; thence S1S°57'40"W 336.671; thence South- westerly along a 410.47' radius curve concave Southeasterly whose chord bears S71°40'20"W 147.951; thence Westerly along a 120.69' radius curve concave Northerly whose chord bears N80°05'20"W 157.781; thence N39°16'20"W 155.58'; thence N52°44'20"W 100.00'; thence N25°48'40"E 221.69'; thence S86°04'20"E 469.20' to the point of beginning. I certify that the above is a true and correct map of the parcel surveyed, mapped and described above and that I have fully complied with the provisions of Sec. 236.34 of the Wisconsin Statutes. Surve~eld4~r Donald Norell, December 7, 1972. r.~ ~ F I L E D •,~y ~ Ae FRANCIS H.~ Francis H. Ogden Vrv JAN Y8 1973 OGDEN _ % S-882 JAMES O' CONNELC ! • S 882 R6glster of Deeds 6r St RIVER FALLS, _ (r • . 4oix County C / '_'91 WIS. l O Wisconsin ♦ U R Page 7 5