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HomeMy WebLinkAbout032-2064-40-110 (2) I 'M~ c c N 4 0 M O O O s N o O x f0 Lr) 0) C tl y s m cl. m 0 r- "4 L N ~ t7 O t LL F- a ? O N y 0 Y >>N L O C z > O a 7 f0 N C m: LL O O) N O. 3 O L N O O O a) II Q c 3 `n p y z H I rn w = o z~ a2 N m m i I O z c c'ri ~ ~ o w I N H ~ N I N ~ 7 O N a 1(1~~ y O O O N L L CL w N N C C O O y N Q Z H Z z z O N y N Ln ' Z 04 C> CL 00 i a co 'oo(L E CL Cl) H H Z > y 3 ~ ~ a N •N _w ~aaa a o a oU)rnrn a N J U rn rn } ~l a N In N O O C) C5 N N = O N O E 01 r LL O O m .O- O (D M M p Q (A Q O O O U) y U) U) C 3 p_ O 'O C E It 0) CN Lo 0 (D (D 0 F- -0 N C Q U d 0) 0 0 O y n U V Lo N N W O O W N EO 7 N 0 O • M ao O m y O a O E R U 0 O CO -j O z 1' z x(o t~ m E ` a ~w as c mil; o _1 A c~a~j,ov~c~ x", FORM - STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER -JOSE Psi A q 6"fw,X TOWNSHIP Se st ~z s ET SECTION /Q T 30 N-R 19 W ADDRESS '?01P w~sc Sr ~V APT. /or ST. CROIX COUNTY, WISCONSIN _f~U•oso.J Syo~G SUBDIVISION ,VA LOT NR LOT SIZE A /A PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM A«oG~RT4~~-~~s N ;(~poP ~ox E~~H. ~~vt /50 4v,-- 0 ✓cv~ S60' i- - - - - - SOS 35 PVC T ~ouiH ~Ex/c~lhlARK - NR~ ,N 5/.. 109 C~OrFQ ~C~F ELEV. /Do' Ya0' / o /000 4: ~ S~Pi-c T.t vK H "/o P✓c Sys C wCL~ ~LSi~En/c~ i i INDICATE NORTH ARROW BENCHMARK: Elevation and description: Alternate benchmark VA SEPTIC TANK: Manufacturer: ,j,csz~P Liquid Cap. icbo g5,rtx- Rings used: Manhole cover elev:/ .72 ' Final grade elev: j/9, q(,' Tank inlet elev.:~~ a7 Tank outlet elev.: )Or?-o No. of feet from nearest road:Front Side ` , Rear Ft. G' From nearest prop. line:Front , Side Rear Ft. No. of feet from: Well S~Building: (Include this information in the above plot plan) (2 reference dimensions to septic tank) SEE REVERSE SIDE ' s. 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 SYSTE~~~~ ~5 Sv Bed: Trench: -6 T4-sO' Seepage Pit: Width: Length So' Number of Lines: Area Built SoOsq j%::77-. A 9 so ( A Exist. Grade Elev.15 go.c2o' Proposed Final Grade Elev.3 9o.9S~ Fill depth to top of pipe: S~ No. feet from nearest prop. line:Front 1'~ , Side , Rear Ft.-?qO No. feet from well: iafl' No. feet from building 10'7' 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: _ C~ DATE: PLUMBER ON JOB: LICENSE NUMBER: AIPIPS 6/90:cj SANITARY PERMIT APPLICATION 166 V DILHR In accord with ILHR 83.05, Wis. Adm. Code Cou Ci2 -Mona STATE SANITARY PERMIT # -Attach complete plans (to the county copy only) for the system, on paper not less than ~4 Q 8% x 11 inches in size. 1:1 Check vision to pr fous 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 _J05E,0,q Al Coix 5,~ '/4 5JF"Y4, S /V T .30, N, R iQ E (orrp PROPERTY OWNER'S MAILING ADDRx1 ESS LOT # /l/A BLOCK # ti4 © p "sc. ST. X* ,0S CITY STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER asEw hJ~. S4/oi 11. TYPE OF BUILDING: Check one CITY NEAREST CAD ( ) State OWned V ;QWN OF: ILLAGE S S` ❑ Public N1 or 2 Fam. DwellingI of bedrooms PA L Ax BER(F)7' III. BUILDING USE: (If building type is public, check all that apply) 1 ❑ Apt/Condo 2 ❑ Assembly Hall 6 ❑ Medical Facility/Nursing Home 100 Outdoor Recreational Facility 30 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) 11KNew 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5. ❑ Repair of an System System Tank Only Existing System Existing System B) ❑ A Sanitary Permit was previously issued. Permit # - Date Issued V. TYPE OF SYSTEM: (Check only one) Non-Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12+5 Seepage Trench 22 ❑ In-Ground 42 ❑ Pit Privy 13 ❑J 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) A ELEVATION A ?3. O 7 J v V,715,:5aq. Fr. 6-c20 sd~.Pi- • 99 $ rG. So' Feet , Feet Vlll. TANK CAPACITY Site INFORMATION in allons Total # of Manufacturer's Prefab. Fiber- Exper. New istin Gallons Tanks Name Concrete Con- Steel glass Plastic App Tanks Tanks structed Septic Tank or Holdin Tank ioo0 otx~ / Gv E c Lift Pump Tank/Si hon Chamber Vlll. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name (Print): Plumber' Sign `lure: (No Stamp) MP/MPRSW No.: Business Phone Number: ~,aaoA / os ~ ~ ~0~5 3395 s 37ep-4rse Plumber's Address (Street, City, State,, Zip Code P/S GTST V. sac/ G,✓r S *0 IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproed Sanitary Permit Fee (Includes Groundwater ate Issued Issuing Agent Signature (No Stamps) Surcharge Fee) Approved ❑ Owner Givven Initial Adverse Determin tion 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 e 9I go !3 8 "DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDING LABOR & HUMAN RELATIONS DIVISION (P..O. BOX 7969 ON-SITE SEWAGE SYSTEMS OFFICE OF DIVISION CODES & APPLICATION Jfqql L ; e c. 18 , Y30 -R19 State Plan) Number: CONVENTIONAL ❑ ALTERATIVE (If assigned) Town of Somerset Heron Lane ❑ Holding Tank ❑ In-Ground Pressure ❑ Mound NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPECTION DATE: Joseph LaCroix 208 WI St. N #105 Hudson WI ~"/-~-5-- g/ P*-- BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN: REF. PT. E ST REF. PT. ELE.: F aSb 3. /42 Name of Plumber: MP/MP SW No.: Co Sanitary Permit Number: Gar Za a 3395 St. ix 148999 SEPTIC TANK/ : /•3/ #o o Co+w~^ _ ~•S 1 -7 MANUFACTURER: LIQUID CAPACITY: &I~NLET TANK OUTLE WARNING LABEL LOCKING COV PROVIDED: PROVIDED: ~p /YES ❑ NO ❑ YES 0 BEDDING: ATL.: HIGH WATER UM ER AD: PROPERT WEL BUILDING: VENT FR SH ALARM: FEET FRLINE: AIR I T' ❑ YES NO ❑ YENEARES707 DOSING CHAMBER: MANUFACTURER: BEDDING: LIQUID CAPACITY: PUMP MODEL: PUMP/SIPHON MANUFACTURER: WARNING LABEL LOCKING COVER PROVIDED: PROVDED: ❑ YES ❑ NO ❑ YES ❑ NO ❑ YES ❑ NO GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL: NUMBER OF PROPERTY WELL: BUILDING: VENT TO FRESH (DIFFERENCE BETWEEN FEET FROM LINE: AIR INLET: PUMP ON AND OFF ❑ YES ❑ NO NEAREST SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing FORCE LENGTH: DIAMETER: MATERIAL AND MARKING: or excavation. (If soil can be rolled into a wire, construction shall cease until MAIN the soil is dry enough to continue.) CONVENTIONAL SYSTEM: WIDTH: LENGTH: NDISTR. PIPE SPACING: ~COVER INSIDE DIA.: PITS: LIQUID BED/TRENCH TRENCHES: AL: DIMENSIONS] ' SD a 1o? r 71 1 105%_7 GRAVEL DEPTH FILL DEPTH DISTR. PIPE DISTR. PIPE DISTR. PIPE M TEfg/~A/: O. 1 R. NUMBER OF PROPERTY WELL UILDING: VENT TO FRESH BELO PIPES: ABOV ER: ELEV. INLET: ELEV. END: Ate r I~ PIP S: FEET FROM LIE.~ / AIR INLET: oL 0 7 a~ NEAREST S MOUND SYSTENF` -A 12,~d ,S1 -4 3• ( , r Mound site plowed perpen Icular to Check the texture of the fill material for PROVIDE A DIAGRAM OF SYSTEM slope and furrows thrown unslope: mound systems to make certain that it ON REVERSE SIDE. SHOW NO meets the criteria for medium sand. ELEVATIONS MEASURED. COVER TEXTURE: PERMANENT MARKERS: OBSERVATION WELLS; ❑ YES ❑ NO ❑ YES ❑ NO DEPTH OVER TRENCH/BED DEPTH OVER TRENCH/BED DEPTHS OF TOPSO SODDED: SEEDED: MULCHED: CENTER: EDGES: ❑ NO ❑ YES ❑ NO ❑ YES ❑ NO PRESSURIZED DISTRIBUTION SYSTEM: BED/TRENCH WIDTH: LENGTH: NO.OF LATERAL SPACING: GRAVEL DEPTH BELOW PIPE: FILL DEPTH ABOVE COVER: TRENCHES: DIMENSIONS MANIFOLD PUMP MANIFOLD DISTR. PIPE MANIFOLD MATERIAL: NO. DISTR. DISTR. PIPE DISTRIBU PE MATERIAL 8 MARKING: ELEV.: ELEV.: DIA.: ELEV.: PIPES: DIA.: ELEVATION AND DISTRIBUTION HOLE SIZE: HOLE SPACING: DRILLED CORRECTLY: ti.. COVER MATERIAL: VERTICAL LIFT CORRESPONDS TO INFORMATION APPROVED PLANS ❑ YES ❑ NO ❑ YES ❑ NO PERMANENT MARKERS: OBSERVATION WELLS: NUMBER OF PROPERTY WELL: BUILDING: COMMENTS: FEET FROM LINE: ❑ YES ❑ NO ❑ YES D NO NEAREST L 40 n~ Y 7'~0 etain n county file for audit. Sketch System on Reverse Side. SIGNAT E: TITLE: SBD-6710 (R. 06/88) . APPLICATION FOR SANITARY PERMIT 8TC-100 This application form Is to he Conpletad in full and signed by the owner(s) Of the property being developed. Any inadequacles Will only tesult In delays of the petmit Issuance. •811ou14 tills development be intended toz tesals by this office with the cometeted wheent,theec property tsold andssubmitted tto should computed PrP Y Is appropriate deed recording. Owner of property . ~b5e n k r-a r i -S Location of property X114 F/4# Section T---?-0--0-1tj1.V Township 5 -el- Malllnq addles. N a L& k p vt c,J 1 5 S- D 1 QP Address of site subdlvlslon name Lot number Previous owner of property M a.r L2 s- B-C Total also of parcel ~3 . b0 \ A c r.vs Date parcel was created - At* all cornets and lot lines Identifiable? an __J10 Is this property being developed tot resale (spec hours)?as o Volume grand Page Number 6-0 / as recorded with the Register of Deeds. INCLUDE WITH THIS APPLICATION THE FOLLOWING: A WARRANTY DINO which Includes a DOCUMENT NUMBER, VOLUME AND PAOE NUMfER, and the SRAL OF THR 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 Ceitilled survey Map, the Certified survey Map shall also be required. PROPERTY OWNER CERTIFICATION t(ve) cettlfy that all statements on this form ate true to the best of my lour) knowledge; that t (we) am (ate) the owner(s) of the property described In this intotmation form, by virtue of a warranty deed recorded In the Office of the County Register of Deeds as Document No. 1-16 ~r 6 0+6 A and that f (Val ptesently own the proposed site for the sewage disposal system tot I (we) have obtained an easement, to run with the above described property, got the construction of said system, and the same has been duly recorded In the office of th aunty Register E ads, as Document No. 1. sign is o Owner Signature of Co-Owner (If Applicable) O. ~wi ~ A• .~-li . Date of signature Date of Signature I• DOCUMENT NO. STATE BAR OF WISCONSIN FORM 1-1982 THIS SPACE RESERVED FOR RECORDING DATA II WARRANTY DEED I' 65606 na501- REGIRR'V OFFICE - This Deed, made between gT'Q., WI Mark N. Reed and Bety Jane Reed,_ husband and Reed for Record .-3a.lfe... ..~4. n ...tenants JAS! 101991 Grantor, dt 11:20 q M se h...S i and ....Jo --------------s----------............. CAN~t.~X. ReglderofDeeds Witnesseth, That the said Grantor, for a valuable consideration...... Grantee, Mark ...and..Het.t.y---Reed - - =,i, RETURN TO conveys to Grantee the following described real estate in ...St..... C}v ix /~Q~ ~I it County, State of Wisconsin: • SOS/ li ii Tax Parcel No: i Part of the Southeast Quarter of the Southeast Quarter of Section 18, Township 30 North, Range 19 West, described as follows: Lot 1 of Certified Survey Map filed November 28, 1990 in Volume 11811, ii Page 2296 as Document No. 464457, located in Town of Somerset, St. Croix County, Wisconsin. ii I, MAN.SFEB 6.000 EEC This .....i.s...n (is not (is) homestead property. II ~ not) Together with all and singular the hereditaments and appurtenances thereunto belonging; And...... Mark and Betty Reed II warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except easements, restrictions and rights-of-way of record, if any. and will warrant and defend the same. Dated this $th day of _.......January............................................ 1991.... (SEAL) -ems ` L mac :.-ice.:, (SEAL) * Mark N. Reed_______________________ Betty e Reed (SEAL) (SEAL) * * AUTHENTICATION ACKNOWLEDGMENT Si ature (s) - Mark Mark N. Reed, STATE OF WISCONSIN Betty Jane Reed as .........................County. authenti ted this $th.day of.... January 1991 i Personally came before me this day of 19. . the above named L~~.~d Kr st na gland Lundeen . TITLE: (If MEMBER STATE BAR OF WISCONSIN not- authorized by § 706.06, Wis. State.) to me known to be the person who executed the foregoing instrument and acknowledge the same. THIS INSTRUMENT WAS DRAFTED BY Kristina 0 land Lundeen Attorney at Law Notary Public County, Wis. (Signatures may be authenticated or acknowledged. Both My Commission is permanent. (If not, state expiration are not necessary.) date: , 19.........) -Names of persons signing in any capacity should be typed or printed below their signatures. i WARRANTY DEED STATE BAR OF W11q(:nWATv A. 1_ G 46445-7 C ER T 1 F I EL7 . S L JR V E Y MAP A parcel of land located in the SE l /4 of the SE I/4 of Section 18, T30N R 19W, Town of Somerset, St. 'Croix County, Wisconsin Surveyed for: Mr. Joe LaCroix Owned by: Mark Reed SE CORNER SEC. 18: 208 Wisconsin St. North 1532 Heron La. T30N,R19W Hudson, Wi. 54016. Sbjnerset, W1.54025 e LEGEND \ sa I'o Section corner monument 30 00, (U (Berntsen Cap) 0 1 "O . D . X24" iron pipe weighing 1'. 36Lb s . lin. ft. set. • 1" iron pipe found -r -r Fence /"~0 \ \ \ a /Z pti zg, iz \ 5 ~ PQ 0 \ 2 I 5/ / 6 5.38' QPG~ ~V~• ~ ~ N380 00'50"E \ \ I 3. / / / I 5 20 C I d '0SCALE IN FEET 1" = 150' vwi I RON- 150' 75~ O~ 150' 300 Q I =1 ~ I I hI U-I r~ I W 1 I Z1 ..11 CU 0) 1 LOT I o v ~I 760,213 SQ. FT. ( 17.452 AC.) (U cu I 01 NI N 01 m INCLUDING' RIGHT-OF-WAY m m 01 r; 696,168 SQ. FT. (15.982 AC.) NI 0) EXCLUDING RIGHT-OF-WAY ml m all - Z' W tn 8 -3 FILED 1 m in Wi N ; 0!?,e Z NOV2 819900- 1 N z ~I CO ,,a` ' 4~i.• JAMES O'CONNELL I J1 ~A R yF a Register ixofCoDeedW1s I = zI e Jp(~MS ~G St Cro oI =I f~ _ to I HU~~O,V ~ ~ I wf 3 .•ftj ,w I ~iR ~^r p 00 EAST L I N-L-ff-TuE SE 144- I ~~dF S I 1 OF THE SE 114. d ~pd'9 50' 33! 33'I 818.68' r" 1 2' N 00'19'530W 851.69' 33.01 ' I I ' ,ar CERTIFIED SURVEY M E VOL. 5 , PAGE 1439 66 O ,%40.N -p.1• S1/4 CORNER SEC. 18 Bearings referenced to the South line of the SE 1 /4 of Section 18, ection 8 T 5I34t1W 30N R 19W, assumed N892 Drafted by:JWG VOLUME 8 PAGE 2296 490-1809 96ZZ ZDda 8 ZwnZOn „ „ t9S'8SZ .'3„8£,0£o8ZS ,1£'69Z „90,i'0oSi ',"00'986 IV ailif,,Z0o9£S H„S£,85o02S ,i6' fi2 3,,8£,0£o8ZS £9'OSZ.::,,90,i~0oSi ,00'£56 £ 108'99Z M„8£,LIo~9S ,£0'99Z ,9£,££oZS ,00'06Z Z M„:£,SZo68N M„OS,OOo8£S ,Z0198Z Mii8£,L1,V9S ,0£'962 i,9£,££oZS ,00'£Z£ i sjuazjwel qj~juaZ paogD qjffu5=l 51BUV sntp-eg aaquanN pjogO 6ur,to an.an:) yeajuaO anano g'IgKS ~rs~a aAUflO ~aat~ aj-eQ c • jasaaiuoS jo unno L agj jo pauog umo L agj Aq pan.oadd-e Agaaau st deuz stay '~t1A RRtgtip. 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(pawnss-e s2uca-eaq) ' $utuutOag jo ju-10d agj of 119 • ZOP M„fi£,SZo68N aOuagj '81 uOPOOS jo aauaoO is-eagjnoS agj ju ~3utouaLULUOO : s nnojjoj s-e pagiaosap 'utsuoasiM Ift4unoo xpao • IS ' jasaaLuOS jo umO L ' M61'd 'NO£,L '81 uotjOaS jo {,/i3S Oqj JO {,/lag aqj ut pajleOOj puEj jo jaoved V NOL,LdIUOSaQ V1 • SEPTIC TANK MAINTENANCE AGREEHENT St. Croix County w OWNER/BUYER D ` S Number.--.. ROUTE/BOX NUMBER Fire Number 'd • 0 CITY/ STATE ' -:-t c s -Cf - W ► 5 ZIP _ PROPERTY LOCATION:'.' Section T_ , RW• Town of e~se`f • St. Croix County, Subdivision Lot number Improper use and maintenance of your septic system could result in its premature failure to handle wastes.*-Proper maintenance con- sists of pumping out the septic tank every three years or sooner, if needed, by a l'icens'ed' 's'ept'ic tank pumper. What you put into the system can a ect t e unct on of the septic tank as a treat- ment-stage in the waste disposal system. • St. Croix County residents-maX be eligible to recieve a grant for a maximum of 60% of the cost.of replacement of a failing system, wh c 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 bew 's'sy t'ems agree to keep their system properly maintained. The property owner agrees to submit to St.. Croix County Zoning a certification form, signed by the owner and by a mater plumber, journeyman plumber, restricted plumber or..a licensed pumper veri- fying that (1) the on-site wastewater disposal system is in proper operating condition and .(2)•after inspection and pumping (if nec- essary), 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. y 0 I/WE, the undersigned have read the above requirements and agree 0 to maintain the private sewage disposal system in accordance with the standards set forth, herein, as set by the Wisconsin Depart- W W meat of Natural Resources. Certification form must be completed •d and returned to the St. Croix County Zoning Office within 30 days of the three year expiration.date. SIGNED S DATE St. Croix County Zoning Office 911 4th St. Hudson, WI 54016 386-4680 Sign, date and return to the above address. • DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRY, DIVISION P.O. BOX 76 LABOR AND PERCOLATION TESTS (115) MADISON WI 53707 HUMAN RELATIONS (ILHR 83.0911) & Chapter 145) LOCATION: SECTION: OWNSHIP/ LOT NO.:BLK. NO.: SUBDIVISION NAME: s& 1/SG 1 /T36N/RAE A9 n~EOs15 -r - - Paofosho sM CgUNTY: QW-NER'S BUYER'S AME: MAILING ADDRESS: ~►"C2oIX ftle'r.p1jtd :i,3cLac*o0( USE DATES OBSERVATIONS MADE NO. BEDRMS.: COMMER IAL DESCRIPTION: I PROFILE DESCRIPTIONS: IPERCOLATION ESTS: JXResidence New ❑ Replace Il !5e pr Zg, /99~ lz~r_ -I zL~~g() 5o,cs 4 ~3 ,4~5 Ca~z- C RATING: S= Site suitable for system U= Site unsuitable for system ROUND-PRESSUR rOk\/,f.NTIOEINAL: IMOUIrD: Q~ IN GV ❑U E: SYST M-IN❑-FILLHO~LDING TANK: RE06,4Vep rt~a`op ED SYSTEM: (optionk&_Kal) DESIGjY RATE: If Percolation Tests are NOT required Lt If any portion of the tested area is in the under s. ILHR 83.09(5)(b) I indicate: 4SS Floodplain, indicate Floodplain elevation: PROFILE DESCRIPTIONS BORING TOTAL DEPTH TO ROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTH34F. ELEVATION OBSERVED ES I HET TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- 1 ~.~5 939 >~.75 9''Bc.c.~rs 9'B~Ns, c~'4~ 75_1 NC r~sL~ B- 'Z C? Al -C? Z Not4g > Z 4 >fltS~GIR ZZ..~4 PS Re'Rem Aside B- 3 10o .67 89.U6 No > 8 s-7 /o" ~LS~ S~~s r4. NSIC s so' cs CAI/ EkS I' Beol&y B-4 ~I.78 0 > e .67 io" _sLT W R„S-t ii" cc. 4Er~Pe MS~FGIZ r B- 17,015 $q .23 IJoN > !2. •'Btsrrs p~3~ NBa~r ~at~Sp~ G+R So 8eN C i~ c-. IS"LTBeN+`+S ~~~pQNM~CS B- I PERCOLATION TESTS TEST WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER HS AFTER SWELLING INTERVAL-MIN. PERIOD 1 -PERIOD P PER INCH P. .3~ 3.eb > Z >'Z > 2 < 3 P. Z z.9o 1 14D r4 r, Z4p >Z > < 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. uppwrk&w_aA ^ Z4AQ 34o'7 ~`~Q.I+Jt SYSTEM ELEVATION Q vrk 1 , A A r t N (Ike, e-ke-t a ~.,►.t, 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: -~o~i►~so~1 J o soN Sc.>~v~Y /NC ©cr 2 ► 99 0 ADDRESS: du CERTIFI ION UMBER: P ONE NU BER(optional): 467 E Nt b,5o,. Vi Vor NBC- 401o CST SIG URE: IBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. -6395 (R. 10/83) - OVER - PLB 67 PLOT & CROSS SECTION PLANS • •3S y~ Ail r~,E ~y ZAPPA BROS. EXCAVATING INC PLUMBING UNIT ~cPvP£RTy .(inJ£ ' / I ~ ! n/E/~ees7 E/rs H• g3 ! l i~vpn PROJECT A XA ~~vP BR v. /3ENC rl n^~P,C / I Soir/--40 G~Ofi( Tc~" Spy' 35 eOAou cvr kwe ~ r J-__- /OOa (o'.Yc $rPric T.vC c>is/f ~'T ~~icavortf/~ustcrav t' ~.~-~.lr P-cu6 O P~v n 7~ E a ~o o soup aSb T TN NO 4Le- SCALE FRESH AIR INLET AND OBSERVATION PIPE APPROVED VENT CAP MAXIMUM 12' ABOVE FINAL GRADE 4' CAST IRON VENT PIPE MAXIMUM OF 42' ABOVE PIPE TO FINAL GRADE r J SIGNED: MARSH HAY OR SYNTHETIC COVERING LICENSE: e~dioeS 3-495 MINIMUM 2' AGGREGATE DATE: 3/acv ~q/ OVER PIPE DISTRIBUTION PIPE TEE SBY: ELEVATION BED 8' AGGREGATE • BOTTOM PER. SOIL BENEATH PIPE PERFORATED PIPE BELOW TEST IS COUPLING TERMINATING A 91,7- sc~ ' FT. AT BOTTOM OF SYSTEM A-,~ • • FILED* ~ /Ill ` ~z z 2fz~ 5~z~ 8 MAR 211991 2 JAMES O'CONNEII Register of Deeds 467433 SLCMIXC41 VA C ER T I I ED S UP V E Y MAP A parcel of land located in the SE1/4 of the SE1/4 of Section 18, T30N R 19W , Town of Somerset, St. Croix County,. Wisconsin, being a sub- division of that Certified Survey Map recorded in Volume 8, page 2296, Surveyed for: Mr. Joe LaCroix 208 Wisconsin St. North SE COR. SEC. 18 Hudson, Wi. 54016 T3ON4RI9W LEGEND S39o ~ 40 Section Corner Monument (Berntsen cap) ease,, m 0 1"X24" Iron pipe weighing 1.36 lbs/lin. ft set 3 • 1 "x24" Iron pipe found -+~---ter- Fence p 3~ \ I m 5.38r 2 _Cr,r.tWeLSurvey Mkp_ ~5 j2 Ati N38°00'50"E A Vol, 7i Page 2076, 2076, . P?' 6 PPROVW MAR 2 0 1991 3 cok Sr CROIX COUMY 4 AND Bv~rW i I / PARKS PLAtto ~yog9 35 ~ Scale in feet 1"=150' I 2 15V 7!) U 1!)U 00 J / I WI WI M Qi = NI L07 I a rn of 566,300 Square Feet (13.001 Ac.) ° v I zI Including Right -of -way 0I H1 a ~I 511, 231 Square Feet (11.736 Ac.) ~ m Excluding Right -of -way w s I 0 1 to I ° NI 29 Mm I W~) N N II m co ~I m 'n cc W U, N 00'19'53"W 713.00' N z.I a~ m 680.00' J aI cn ° M6 7 2 16) I N ° 193,913 Square Feet (4.452 Ac.) o° o° n Including Right-of-way ^ n I 0 a 184,937 Square Feet (4.246 Ac.) CU cu z Excluding Right-of-way I 138;68' ! 680.00' 33.01' N 00'19'53"W 8§1.§9' 6 6' O I G N ti~ (PREVIOUSLY RECORDED AS N00021 41 W) sst line of !ha SE 14 of the SE 114 I • } HARVEY G. gextLfigd Survey MAP_ b JOHNSON $ Vol. 5,_1 agee 1439 • S-1899 Sl./4 Corm r HUDSO W IS N Sec.. 18 y~i,..•~ • Bearings referenced to the South line 641;`0 SUR W J~ of the SE1/4 of Section 18, assumed !!1SU This instrument drafted byj~W 8 PAGe 2326 491-1809A