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HomeMy WebLinkAbout042-1084-60-130 Z; o N Co o p oos i 4 0 © c O -0 O N 3 ° ~p c m N O C N O O H M-0 rG N O Em (4 0.Eco W - U O N Q N O 2 N U QO M m .N c w N N N CO N O O O E X O M O -0 LO - N y C Z J O y N LL C O M ON C UN P ro E na Y p o. p Q LL m N V ~ Z w E U) 0 :!t p O Z d m 04 M F- U) c O C U O O 2 d c d Z d ° c Z N H r N E o a N c d r 2 C C O U O p 4- Z H Z p Z . N c O . • E N N i p may O CL c to O N d O D O G G a U m N m U) V) U) Q O N H. H L 5 Z V> N (::t:, O O O = Z p }y a a a CL N 7 O V3 O fn J U Q OOi OOi } O aw' N N m ° y E > Q Q 'D m N N ~ t '6 Q ¢1 O O O w O N C •y^ co co O CO O~ E 3q O u U) -~5 m 5 c a. a) 4vF 0 'o c c O 00 w ai 3 6 LO O ° c ° CID 'a to 15 m O co Z N Z 2 (n O CV #t a L: a `Iv c c 3 rw CJ 0 7 3 r A 0 a O rn UO ~1u S fit ll- NO U Z Ca ` 1~ I q t~ o 05 R~CFr~F~ FO S rro 10' AS BUILT SANITARY SYSTEM REPORT 41,5 17 '3 4F v OWNER J96ek LitiD TOWNSHIP W~IPiPeoov . f5 ~h SECTION 3 T 2 N-R le w ADDRESS ST. CROIX COUNTY, WISCONSIN Y4102 Z SUBDIVISION 2/5?2- LOT LOT SIZE PLAN VIEW SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM INDICATE NORTH ARROW So%/ T~ST~t's ~t/.4/ Er i/1JD~0 BENCHMARK: Elevation and description: TRcE_ 1-s Slbw,y 30r749A4 eOe~F ©i s~c7rNq 13y ,P,-,tR Ao,41 E-ou 7- 0oo e Alternate benchmark i /,-P4 7-104-) SEPTIC TANK: Manufacturer: e~~G' Liquid Cap. l000 `s Rings used: 62 Manhole cover elev: /o2.SZ Final grade elev: Tank inlet elev.: Tank outlet elev.: No. of feet from nearest road: Front I~3 , Side Rear Ftm-From nearest prop. line:Front150, , No. of feet from: Welly 7 S , Building: (Include this information in the above plot plan) -(Rot fu(2-I~ESr (2 reference dimensions to septic tank) t96-C OF ZC-C "A-16- ' SEE REVERSE SIDE 7 0 f PUMP CHAMBER Manufacturer: Li Capacity: Pump Model: Pump/Siphon nufact.: Pump Size Elevation of inlet: ottom of tank elevation Pump on elev.: P p off elev.: Gallons/cycle: Alarm: Man.: Switch Type: Location Distance om nearest prop. line: Front, Side, Rear Ft. Qist ce from: Well Building SOIL ABSORPTION SYSTEM Bed: Trench: Seepage Pit: Width: S Length VY ' 95 Number of Lines: Z Area Built I3Z^~ Y ~S ~T AC GF 7P--,jr h 'F q"' 53 ovc-k Pep yy o Exist. Grade Elev. Proposed Final Grade Elev. Z.o ' GovTd°EAAA +fj Fill depth to top of pipe: 3 0 414.-I ~5 -~44.e S 1 f No. feet from nearest prop. line : Vr t ) Z~ da , Rvaw- --Ft - . No. feet from well:;'. DSO No. feet from building HOLDING TALK Manufacturer: Capacity: No. of rings used: Elevation of bot tank: Elevation of inlet: No. feet/ from nearest pro ine:Front , Side , Rear Ft. No. feet from: Well building nearest road Alarm Manufac er: INSPECTOR: DATE: PLUMBER ON JOB: ,C / c LICENSE NUMBER: ~~~s 3 3 0 6/90:cj t Z c~ ` N b p~ G z w~ ~IG~► 7~ a ~O wp•o rn; o pLoa ~o \ L n -D `may o A ,W ~ ~ ~Trs C O T~ G Q a 'c/G~~-Tcs ~ -I1 f~ tom` Gc 0 ~ Q\ IN cA ^ . GI o i 1 ~ -o IC, t~ Pt1 J R~ I , s , RI 70 \6 IT, I YI , \ • T Q 0 p 4- R 0 i i kh d76 1 I C o 1~ ~ Q ~ ~ I Z 1 I I CO- fl ~ ~ cn °O L 3 -b7 UIN 0 , ,-0-4 W p i4 M C) I) ©y o O W ~ ~ rn m O tCDa fly 6 Wisconsin Department of Industry, PRIVATE SEWAGE SYSTEM County: Labor and Human Relations St. Croix Safety and Buildings Division INSPECTION REPORT Lot 3 (ATTACH TO PERMIT) Sanitary Permit No.: GENERAL INFORMATION SW4,SE4,Sec.30,T29-R18,70th Ave. 149195 Permit Holder's Name: ❑ City ❑ Village [R Town of: State Plan ID No.: Dirk Linder Warren CST BM Elev.: Insp. BM Elev.: BM Description: ~ Parcel Tax No.: 474A-30 ~6b,ooI -bW 042108460130 TANK INFORMATION ELEVATION DATA 1,2 TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic ) Benchmark 0 A, ,e S _"rtC- , f t9 - t~/10 gat' Dosin , ~z A ration Bldg. Sewer Holding St/lift Inlet ~5~ TANK SETBACK INFORMATION St/ Outlet TANKTO P/L WELL BLDG. Ventto ROAD Dt Inlet Air Intake Septic X140 >5"o / /'T NA Dt Bottom Dosing NA Header/Man. pd. /3 Aeration NA Dist. Pipe q,3t//.21. 9a, S/ 88 8 ,2I 89, W Holding Bot. System 3 PUMP/ SIPHON INFORMATION Final Grade Sb ,I,o M Demand e / t.c 8 , d , CL3 Model Number GPM S.T.G"` Le tv /Do?. S TDH Lift Friction SY TDH Ft ead Forcemain Length Dia. Dist. Towe11 SOIL ABSORPTION SYSTEM BED/TRENCH width Length, I No. Of Trenches PIT its Inside Dia. Liquid Depth DIMENSIONS ? IMEN I N : SYSTEM TO P / L BLDG WELL LAKE / STREAM LEACHING Manufacturer SETBACK CHAMBER INFORMATION TypeO Lvno, i 7 OR UNIT Mode m er: System: -LrQ,,xk,, ;W) - DISTRIBUTION SYSTEM Hft"7m Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Header IT Length Dia. T Length Y L( e4 Dia. Spacing ~ SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over „ xx Depth Of xx Seeded/ Sodded xx Mulched Bed /Trench Center ~0- 40~ Bed /Trench Edges Topsoil E] Yes E] No E] Yes E] No COMMENTS: (Include code discrepancies, persons present, etc.) 7 C` gyp= ~a 'ou1, 0 Plan revision required? ❑ Yes EKo Use other side for additional information. / ,27 SBD-6710 (R 05/91) Date Inspector's Signature Cert. No. f =LHR SANITARY PERMIT APPLICATION COUNTY In accord with ILHR 83.05, Wis. Adm. Code ` C /~Q~• X STATE SANITARY PERMIT # ~ -Attach complete plans (to the county copy only) for the system, on paper not less than ❑ i I(? 8% x 11 inches in size. eck f revision to previous application -See reverse side for instructions for completing this application. STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. /V PROPERTY OWNER PROPERTY LOCATION g 1 R < G/ N~/V ~~E1 % 3,6- S 30 T Zf , N, R 1P E (o W OPEFVY OWNER'S MAILING ADDRESS a~ 1 l~ LOT # ~j BLOCK -42- GC. IAJ A," J STATE IP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER r p b 2~ f I~WR S / Sy~iZ gi 731 C S,M q-5 (P&6 Y d I 0 -7- CITY NEAREST RDA II. TYPE OF BUILDING: Check one ( ) State Owned ❑ VILLAGE : Q~ , ❑ Public Ifl 1 or 2 Fam. Dwelling-# of bedrooms - PARCEL NUM BER(S) vyZ/09 q O r 30 III. BUILDING USE: (If building type is public, check all that apply) _7`1 d 3 V ,.y 1 ❑ Apt/Condo 77 /T 2 ❑ Assembly Hall ❑ Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 handise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining 4 ❑ Church/School 8 ❑ Mobile Home Park 12 ❑ Service Station/Car Wash 50 Hotel/Motel 9 ❑ Office/Factory 130 Other: Specify IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable) A) 1.X] New 2. ❑ Replacement 3. ❑ Replacement of 4.0 Reconnection of 5.0 Repair of an System System Tank Only Existing System Existing System B) ❑ A Sanitary Permit was previously issued. Permit # - Date Issued V. TYPE OF SYSTEM: (Check only one) py~-72 si ZED woe 3 13&-PR,- r-r 2 v/ V Non-Pressurized Distribution Pressurized Distribution Experimental Other &9_1~V 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 2 e7-- j 4Q S E.fC S FJ VI. ABSORPTION SYSTEM INFORMATION: GA S Z: 1. GALLONS PER DAY 2. ABSORP. AREA 3. ABSORP. AREA 4. LOADING RATE 5. PERC. RATE 6. SYSTEM E V. 7. FINAL GRADE REQUIRED(sq. ft.) PROPOSED (sq. ft.) (Gals/day/sq. ft.) (Min./inch) d~ U ELEVATION 3 o0 1053-0 dyr U Feet 72. O 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 strutted Septic Tank or Holdin Tank 000 / [71 - F] I L1 I-1 Lift Pump Tank/Si hon Chamber 40A. 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's Signat e: (No Stamps) -MMMPRSW No.: Business Phone Number: &6&-R 7' h veyi r ZfeA i 33 67 '715* 3& d'sJ'S Plumber's Address (Street, City, State, Zip Code): IX. COUNTY/DEPARTMENT USE ONLY A ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date sue Issuing Agent Signature (No Stamps) pp Surcharge Fee) roved ❑ Owner Given initial tit, 10 4y 6VS11 h/ Adverse D t r 'nation X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: /W V SBD-6398 (formerly Pib-67) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety & Buildings Division, Owner, Plumber ` ~ S^T ~ /,~v,vso.v • APPLICATION FOR SANITARY PERMIT STC-100 Th1s application form Is to be conplatod In full and elgned by the owner(s) of the property being developed. Any lnadequacles w111 only result In delays of the p:ctslt Issuance. -Should thle3 development be Intended for resale by owner/contractor,(spec house), thcn a second focm should be totalned and completed when the property is sold and submitted to this office with the epptoptl4te deed recording. - - - - - - - - - - - - - - - - - - - - - - - - -~-s- - - - - - - - - - - - - - - - - - - - - - - - - - - - • oYner at property i/ Location of property f! 1/4 Section -`3d Ta~ R -Lao Township Melling address _.S 9~Z- le/ieg- J~fi~/S I Address of alto 10divislon name Lot number 3 - Previous owner of property _ 4u, 4L Total mile of parcel G q Data`patcel vas treated Ace all cognacs and lot lines ldentlflable? X Ye• 0 Is this property being developed Los resale (spec house)Tas No Volume Zl.•C--and Page Number Off as seconded with the Reglatog of clods. INCLUDE WITH THIS APPLICATION THR FOLLOWINOt A WAARANTT DtSD which Includes a DOCUMINT HUMURR, VOLUME AND PAGE NUMagR, and the 81IAL OF THE RRO19TRR Or DERDB. In addition, a eertlfled survey, it Is vallable, would be helpful so as to avoid delays of the reviewing process. It the dead description tolerances to a Ceitlfled survey Map, the Certified Survey Map shall also be tequired. PROPBRTY OWNER CERTIFICATION I(wo) eertlfy that all statements on this form ate true to the best of my (out) knowledge) that I Iwe) am (ate) the owner(s) of the property descclbed In this Intotmatlon form, by virtue. of a warranty deed recorded In the office of the County Register of Deeds as Document No. .V 6112109 i and that t Iva) ptesentiy own the proposed alto for tho sewage disposal system lot I (we) have obtained an easement, to tun with the above described property, for the constructlon of said system, and the same has been duly recorded in the office of the cynty Reglstat of Deeds, as Document No. Signature o[ Owner 8lgnatut of Co-0 r (t[ Applicable) -J Date t signature Date of Slgnat O'~ w ! r. iA t~ P S T C - 105 rS,~;; •.~;,~~i~~ t~' 4.1 SEPTIC TANK MAINTENANCE AGREEMENT rr' St. Croix County G N.•; OWNER/BUYER 49111 W , I-A r , •/'~y,~w ROUTE/BOX NUMBER Z (f ° Fire dumber r • laJ.• ACV CITY/STATE /IJt`.l/ ZIP Yto PROPERTY LOCATION: Section , T N, R W A Town of EA.) St. Croix Count Subdivision CSM , Lot number r Improper use and maintenance of your septic system could result 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 licensed septic tank um er. What you put into the system can affect the function of the septic tank as a treat- . ~ ment stage in the waste disposal system. St. Croix.County residents may be eligible to receive a grant for a maximum of 60% 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 plumberp journeyman plumber, restricted plumber or a licensed pumper veri fying.that (1) the on-site wastewater disposal system is is proper operating condition and (2) after inspection and pumping It so" essary), the septic tank 1s less than 1/3 full of sludge and scum. Certification form will be sent approximately 30 days prior to three year expiration. o I/WE, the undersigned, have read the above requirements and:'agree to maintain the private sewage disposal system in accordance with M the standards set forth, herein, as set by the Wisconsia.Depart- to ment of Natural Resources. Certification form must be completed and retLtrned to the St. Croix County Zoning Off:Lpe within 30 days. , of the three year expiration date. SIGNED i DATE St. Croix County Zoning Office P.O. Box 98i Hammond, WI 54015 ,t. 715-796-2239 or 715-425-8363 Sign, date and return to above address. r DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRY, DIVISION P.O. BOX 76 LABOR AND PERCOLATION TESTS (115) MADISO N WI 53707 HUMAN RELATIONS O LHR 83.09(1)& Chapter 145) L O+ 4 3 LOCATION: SECTION: WNSHIP/A461N+e+PA-l:1'M: OT NO.:BLK. NO.: SUBDIVISION NAME: Sw 1/5E 1/ /TZT N/R IA RREN [PA P- T of 40AC445- FAJofA)G- ms's COUNTY: MAILING ADDRESS: St,GRDC X ~/M, CL'4 P IF _ R 2~' Z 1~b>C _ C- ~0 t3tRT5W /Is, .5402 USE DATES OBSERVATIONS MADE NO. BEDRMS.: COMMERCIAL DESCRIPTION: Tffo=DESCRIPTIONS A S: Residence 1-2 eR 3 A/ A , xNew ❑Replace y - YO RATING: S= Site suitable for system U= Site unsuitable for system dCS 7 13U R I~ I'1 0 T ©TIONAL: MOUND: IN-GROUND PRESSURE: SYSTEM-IN-FILL OLDING TANK: RECOMMENDED SYSTEM: (optional) ONVEN s ❑u ©s ❑u o s ❑u [-I s au ❑ s E] u ~dNv~'v7-io&m C TIZEN C'kS DESIGN RATE: OOLY W1.1 )2O O X D 'S -r If Percolation Tests are NOT required If any portion of the tested area is in the under s. ILHR 83.0915) (b), indicate: em/1 11::7 Floodplain, indicate Floodplain elevation: (~tliNT~R TEST ~OupIT100-T S~N~fY, 3 17 - PROFILE DESCRIPTIONS t-0 t- 3 2q t-~Osr 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.) ' I1C9' DL .r3"-SI Z.O' $a. SI 5R. 1 I, OIimE B- 71 > %0' Si/ eQZK~ w iff OR hats 5. O' of. (?j,a. S ~ S . S'~K.(3N.S/~ I. S. `T>•tN Si/~ Z, O ' O1?. B-2- !.D ~I•CrD i"U ? q~ D J((X• S O 'l~r'X.O~ T+M)A+4P•S.3 T,tN SY B- 3 g-S 18.0y ' j > s • s`~r.b~_ sI, I,~ s sI, 1.0 , -f's-o~S j.~ MM I. D S ,3' 1.0 51 6. t ~I / .G7'10C,QW. z •Ce'~ IV- y ~m a. court to IAN - s,,taD B-4 7 B-S / O 1gr9SJ' 7, 7,5'D&,Sa.S, 2.2S' 1'4N, I /,Q'?'}N S 0 O 'tt 1 X, a f t3 a. --A1Z . S 3 Aa 51 B- ~1.~ ctpT~o~ OL.iA36- APIPL.JeD X3.61(4) (f 50R-tAt-' £..16iv- of ?t:'eCS PERCOLATION TESTS } TEST DEPTH WATER IN HOLE TEST TIME DROP I WATER LEVEL-INCHES RATE MINUTES f NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD 1 P RI D2 PERIOD PER INCH P- 6 2- P1 ~f,5' 91,5 30 7 ' 3 /b a /O P--3 19-5 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. I.4iGOEsT -TRENc&= 1!0.o Mivy/E 7*16'•PCk = 0 SYSTEM ELEVATION. _ T S' A ►fi' "ifp test 81 -T- fal5poinv, nvonq I -~--a-"--- F s ` tN I l; ►3a--E s (Ted ;-/1Y /Prs-7- ¢u.;e SST - rt o 7 Tea i i 4 P 3 ~S j& AiD- E ~ I r,~ Alt 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 : HOMESITE SEPTIC PtUMBING CO. TESTS WERE COMPLETED N: 655 O'NEIL RD., HUDSON, WIS. 54018 a A 0 S_ q 0 ROB011-ILBBIGHT. . ADDRESS: CIS. MASTER PLUMBER LIC. NO. 3307 M,P.R.& CERTIF CATION NUMBER: PHONE NUMBER (optional): 'SIN. INSTALLER a DESIGNER LIC. NO. 00663 Zy ~Z 3 g ~ ~ !g s CST SIGNATURE- DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR-SBD-6395 (R. 10/83) - OVER - PL 01, PL C , 6., SCAN, 001 910 faM~P2y82 FORM 115 - SBD - 6395 LOT ~ 3 ROBERT ULBRIGHT 7 To be a~~rr~ ~L ~gttlBoj~1pWD"1p.%&rt must include: 1. CompleM1%JV§J0~ Rt1§ DESIGNER L1C. N0.00663 2. The use section must clearly indicate whether this is a residence or commercial project; 3. MAXIMUM number of bedrooms or commercial use planned; lel X. 36 4. Is this a new or replacement s stem; 5. Complete the suitabili ting x SITE IS SUITABLE FOR A HOLDING TANK 9N,1Y I2I,{ "v A,•T.5 SYSTEMS ARE R D OUT BASED IL CONDITIONS; yy vv 6. PLEASE use the breviations shown here fo writing profiled cri lions and compl~lin§thdtpert SjT~S ` 7. MAKE A LE LE diagram accurately locating yo r Icc ions. rawin scale is prefered. A separate sheet mat se if desiredw G 0 D LE T_ 8. Mayour benchmark and vertical elevation reference point are clearly s wn, and are permanent; 9. Co all apropriate boxes as to dates, names, addresses, flood plain data, p rcolation test exemption, if apte; Per, 0. If the informatio as fh~14 ~fion)oit a ce a appropriate ox; _ ur certification number P Iar Sign the form and place your current address and y , 11 12. Make legible copies and distribute as required. ALL SOIL TESTS MUST B FILED WITH THE L&RLK{ '13 AUTHORITY WITHIN 30 DAYS OF COMPLETION. $l~ T PC! E R 7- top UJOOILS-T ~ ltcv~Tfoa 74 1 io o. D ABBREVIATIONS FOR CERTIFIED SOIL T STERS Soil Separates and Textures ther Symbols st - Stone (over 10") OR - Bedrock cob - Cobble (3 - 10") • SS - Standstone gr - Gravel (under 3") L Limestone 's - Sand HGW - High lu ndwater cs - Coarse Sand Perc - Precolation Rate med s - Medium Sand W - Well P~,~ By Is - Fine Sand Bldg - Building t Is- Loamy Sand - Grepi~r~yThan 'sl = Loamy Sand < = Less TKffi` 'I Loam IF Bn Brown 'sil - Silt Loam Ib3 BI - Black si - Slit Gy - t ay cl - Clay Loam Y - Yellow scl - Sandy Clay Loam R flied sicl - Silty Clay Loam mot S Mottles sc - Sandy Clay r w/ - with X00 sic - Silty Clay VW fff - few, fine, faint 'c - Clay cc - common, coars pt - Peat mm - Many, Medium m - Muck At d distinct p - prominent HWL High water I vel, SSG surface 0Y~t r Six general soil textures Bench M#r for liquid waste disposal VRP - I R ference Point • R cO~ES wEN r~ST tiE 5 O f ►24 h TO THE OWt1J?;r reEA 1-75 This soil test report is the first step in sec nA /sanitary permit. The county or the Departmgi§t3may request venfid %thiHQl~t it ~ field prio~ per i slsluanc . A complete set of plans for the private ewage stem and a perrfiit appliicc o ustAe#?*~tted to the appropriate local authority in order to obtain a per it. The saiwtary permit must be obtained and posted prior to the start of any onstruction, _ yy i t~ HOMESITE SEPTIC PLUMBING CO. LOT' 3 655 O'NEIL Rd., HUDSON, WIS. 54016 ROBERT ULBRIGHT c S 7 NIS. MASTER PLUMBER LIC. NO. 3307 M.P.R.S. MINN. INSTALLER & DESIGNER LIC. NO. 00663 133 ot~i =-=0 5pik£- is l~ . A Sk ?RC E &T C3 EDsc D ujou.LI:T, ~ ~a Iowa u.~. 1 /O O. ~2E c~ S r 5, pT'c T. coAc~c7/,z 0~' al 00 ' ~ P 13ox 1 ~ r- 1 , r I r ~ ~ r id3 ~ 1 , r r ~ ~ I r 1 ~ ~r r r r r I ~ r ~ r~r r ~ ' r r ~ v ~ r r 1 1 NIZ a M , `a` X'r!r ~r r sySTE" sysrM 3 2 90,0' k,ErI rasT ~~E > 5 fr2or~ 5 TaST k eEA , IBS j 1 ~ IS3 I,~/-lam J'~ ~5.~- L i ~ s• 2. S ~,POM i TF S T 2E~1- I i ACA • Fresh Air Inlets And Observation Pipe Approved Vent Cap Minimum 12" Above Final Grade _ 4" Cost Iron • 36 Above Pipe Vent 'Pipe' -to Final Grade Marsh Hay Or Synthetic Covering Min. 2" Aggregate Over Pipe Distribution su,.z7z9 Tee pipe 10 0 0 0 0 ( Aggregate o Perfbrated Pipe Below Beneath Pipe Coupling Terminating At 0 Bottom Of System 6y-5 TE111 7Q.Q r HOMESITE SEPTIC PLUMBING CO. 655 O'NEIL RD., HUDSON, WIS. 54016 ROBERT ULBRIGHT NIS. MASTER PLUMBER LIC. NO. 3307 M.P.R.S. ',41NN. INSTALLER F. DFStQNER "C„ N0.00663 M I'D D~- E' TiE' r-v e- • • L owl-, 1? Fresh Air Inlets And Observation Pipe V tyl h 0. Approved Vent Cap Minimum 12" Above Final Grade Fi a ►'S ttE' G: 5IPr1Z) 6- 3Co Above Pipe 4" Cast Iron -To Final Grade Vent Pipe' Marsh Hay Or Synthetic Covering Min. 2" Aggregate Over Pipe Distribution ~ . 2729 Tee Pipe 10 0 0 0 0 G " Aggregate o Perforated Pipe Below Beneath Pipe Coupling Terminating At o 5 %STE~'~1 Bottom Of System 11 AY41-. 4..o_ Z f 'f7VF- ?c? FILED ~ 4566G MAR 1519960- g' JAMES O'CONNELL a or CERTIFIED SURVEY MAP WILLIAM CLAPP ,la W Part of the Southwest 114 of the Southeast 114 of Section 30, Township 29 Nor ,q Paoge 18 West, Town of Warren, St. Croix County, Wisconsin. :~'''.ti i N 114 COR. SEC. 30, r 29N, R /e w, Olndicates 1" x 24" iron pipe weighirng .1.13 1bS' %1 n... (COUNTY SURVEYOR'S MON.1 ft. set.. a Owner's Address: Route 2, Box 113 a Roberts, WI 5402 2 /,w UNPLATTED LANDS %4 N90.00'00 "E 1221.02' y. ~ 396.00' 264.00' 96/. 02' O a vI3 c LOT / LOT 2 0r3 h q C 3.000 ACRES 2.000 ACRES 4. ORES OO O a /30, 670 SO. FT. 87, //3 S0. FT. /85, 122 SO. FT. ~I♦ a M q p ME T+ 2. 700 ACRES NET+ 1.800ACRES NET = 3.825 ACRES'., N v OO+, 117,_603 S0. FT. 78,402 SO. FT. 1 ` 4' /66,6/0 SO.FT. ~y a t~~ J 8 / I Z b h q7 (A t~j N 90. 00'00 " / 2 02 ' p i ,I 396 .00' 1 V 264.00' 561. 02' . `l h 396.00' 264.00'~T` 561.02' -,;t4tSy M N90• 00'00 "w 2640. 04' 'J-- S LINE SE 114 66 70 TN AVENUE UNPLA SE COR. SEC. 30, T29N, R/8w Z S//4 COR. SEC. 30, T29N,R/8W TTEO LANDS /COUNTY SURVEYOR/SMO,N.! ~ y. /COUNTY SURVEYOR'S MON.! \ 3 Z m SCALE 200' 0 50' /00' /50'200'290'300' 400' 500' 600' 700' Q • O Description : rp, . 0 That certain parcel of land located in the Southwest 1/4 of the South.,' east 1/4 of Section 30, Toimship 29 North, Range 18 West, Tovn of Warren, a o, St. Croix County, Wisconsin, more fully eescribed as follows; h ~ Commencing at the South 1/4 corner of said Section 30, the PgINT OF i i BEGINNING, of the parcel to le herein described; thence N 00 4213011W Z i W (assumed bearing on the North/South 1/4 line of said Section 38) a m a distance of 330.001; thence N 9000010011E 1221.021; . thence S 00 4213011E 330.001; thence N 9000010011W 1221.02' on the South line of the Southeast 1/4 of ~..~•t said Section 30, to the POINT OF BEGINNING, containing 9.249 acres, '-eing subject td easement over the Southerly 33.00' thereof for town road purposes and•also being subject to easements of record. State of Wisconsin) County of Pierce) I, Laurence W. Murphy, Registered Land Surveyor, do hereby certify that by direction of the Owner, William Clapp, I have surveyed and divided the lands shown hereon in accordance with official records, Chapter 236.34 of the Wisconsin Statutes and the Ordinances of St. Croix County; and that this map and description are a true and correct representation thereof. Dated : January 10, 1990 Soolvsz 4, XO ? LAVA N 40 MAR 14 1990 - M • ~sWMR Vol. 8 Page 2192 Q : o Certified Survey Maps COMPA&NMOPMON ~ .0- 7 :i E 13 St. Croix: County, Wisconsin Jtf~t33Ut~OG:C00iAa~ VISC. , LAND S~.•`~ Laurence W. Murphy Qeegistered. Land.Surveyor 0 PE ARTMENT OF REPORT DIVISION INDUSTRY, P.O. BOX 7969 LREDLATIONS PERCOLATION TESTS (115) MADISON. W163707 HUMAN (I LHR 83.090) 8t Chapter 145) L O + -43 0 Z L =AN~ OT NO.K NO.: SUBOIA S1/4 -30 /T,-T N/R PE to ►W Gv~rRREN Pn~r of 40 A0a_5 - E JD),d Cr ms's' COUNTY: MAILING ADORES I I Co Qt RTS 6u15 . ~4G St.GROt K, ~/~'1. Corte t J Fz • ►2+ Z l~o►C 3- DATES OBSERVATIONS MADE .[ERCOLATION uRIPTIO E AL D=SR ION:1~ PROM 9 XNew ❑Replace igs R - r vCS 47 'j3uRtikROT RATING: S- Site suitable for system U- Site unsuitable for system ONVEN 1 NAL: MOUND: IN GROUND~RESSURE: T OLDING TANK: RECOMMENDED SYSTEM:{optional) ©S ❑U ®S ❑U L~ S ❑U ❑ S ~U ❑ S ~JU rouvE.uTio~i9 C TREK s 1 'PoL W/ a. &P Y DI's DESIGN RATE: If any portion of the tested area is in the w r,nd,rrcs."11LHR tion Tests are NOT required ('LASS Floodplain, indicate F►oodplain elevation: - 83.091511b1, indicate: s~u.vY 3 PROFILE DESCRIPTIONS 1- o r 14 3 i ER TEST co•3PITINS• 2r}" rWosr BORING TOTAL DEE H T ROur DWATER INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH r NUMBER DEPTFf IN, ELEVATION RV TO BEDROCK IF OBSERVED SEE ABBRV. ON BACK.) ~ 9Q I, U ' -De ao Sl ~ Z.0' •Ba. Sl ~ yR. 1 L o' Oi/rE 01 e 7( B. ~g.SB > yr(J• 5,1 ~.~A w i f f OR MDts 5, O' nf' i. ~•S3 S~ ' t9R. S1 Sit { 4 , S' 2)K-Q., Slt 1.5 ' TIJN Si/1 &.d B-L Il•(., 0 9. 0 NiX• 5.0 Y.Of TrWpn►~•S.; T.tar r r , S, _w.&.3 S1~ 1 $'QR. I•0 • L1, w7, ~OdQ'jt n~-•~.R • S . . B. 3 g. 5 cQ• gy ~U g ' S I. p ' yi . 13,E .:`t,...k S14 Eta r r 67 ,•Qa. 3 [ z,3' > rauR St S'Aj r ~ 75 - ~f-. 6a S , 2, 2 S ' •rhN. ~ 1 p ' TqN s ~ I B- I s e t T; o.a f N i f`n P30 i13 C- 5(1V-t cc Urw. of ?':less PERCOLATION TESTS TEST DEPTH . WATER IN HOLE TEST TIME - DR iWWATER LEVEL-INCHES RATE PER INCH NUMBER INCHES AFTER SWELLIN INTERVAL MIN. I I 2 /S P. 36 Z 2, t ~ li 9 5 30 « i4 3 tr io - 11 P.1 lid 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- D percent t zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the dtnct",0 ! of land slope. NI(THEST TRENT.. _ /o.o ' /~%vv1~ T~A0~ = SYSTEM ELEVATION. ! 01 1 i LOw~~T ~i~f I -'T-- _7 F 01 I S ` I I I ; Not 5 « r rY Q~• 5;~~ - ~7-07 i a J-~ 10 (7) - To M 16.0 , I . . G-n r oIZ Mod _ ~i. I , , for a Convent ! nsin i Est I, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the prose urea 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 : @ME3tT1:PL~M81N~C0' - TESTS WERE COMPLETED NQ: 655 O'NEIL RD., HUDSON, WIS. 54016 a A nJ S "1 O ROBERI1JLBRIGHT _ - - C ~ ~F„ C T10N NUMBER: 1PHONEUMBEHl pti nal : ADDRESS: ,VIS. MASTER PLUMBER LIC. NO. 33o7 M.P.R.S. C. ~J X g 2~ INN. INSTALLER rk DESIGNER LIC. NO. CST SIGNATURE- DISTRIBUTION: DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. , i i A .~~~ir 1S31 A ~ ~,7 1St' 1~ ~}ro.~ St.l aio 15 1 I S Noll} 5 fir? 1SnN Il~~ F i SX02 13d I Ri r ~ i °O/ ? 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