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030-2008-60-110
r' QT. a�i OO aa) o° ti y c c 0. O 2 C 0) N = O C �ti ° �)a Fa N w E a)-C V) O • rn 1 _ so m N 0= P2 •C s m M L. M N O y O� v, a Z L ) m o ° ° 8 0 CZ Cr 4� `�C a) �„ a3 ° co U a) .co C 'C U 0 O_C N•C et C N O > a) ..et '': E N O C f5 -O C• a) a)Z a E m E.....1 7 . c -ar° ° co d t • C °) C) O LO-O o m 3 1_12 >.'~ ao m Z 8 O C Z Epp D. O o N a) O a . k LL C -M U. C Cl ca N a) EO w' 3 �v � d 3 v •o,a8m<b > v ON a) O O O a)• < LL> < pt a) .1m,- E (3) Z E Z £ Z = O O ( CY v o o ✓1 _ o v coo > • a m a m / co F- CO O Z C 3 C 1 V O N LT- C O c co Z a W F- o) N C E a)a O /V N Q Z 0 Z Z m Z _ L-.91011 co o d — a g .. O m r d (0 O. m .. o tt ° c a) a) N o Cr) E N d r.o a .o co � h Q o ! ° mo z M > i- I- H 7 v a H es - co F- °a m O T) O O o O O • 2aaa oaaa _ N v CO J V • (00 O Z rn cc Z N M (O O O O N a -� 0 t co n = 0 E N N N ✓ 7 O co O 7 Q) 7 M N (D Q_ a C m c O m C M ra t V V7 Q N O N U ?) Q Z in • Q Z V) o • 2O O 3 y C C . N C - O W ° O U CO V m a) N 7 C0 O N L E a) a) c u [L 11•• co t c E ° °0 0 0 0 l \ )a CO a co U) ` E Cu y Y E "O N N N N v Q O O) a) C C l4 a M C C N C O 6) M M CO `-1 0 u) w• rn ut } ar C -) a) ;; •D N CM.-- = N O O O) W a) a) C O O ap dNy N O C a) N C) IN O M - a) M a.s 7 > N a0- 7 L • 6 co M U) i J CD O Z y Q Z m ,- 0 Z N 2 Z '2` U) Q cs r _ y cA ate`, 1 € a E a • a a d w d a d ;w L °' c _1 A Ua2I', Ow ) 0tQ Parcel 030-2008-60-110 10/19/2006 04:54 PM PAGE 1 OF 1 Alt. Parcel 34.30.19.378E 030 - TOWN OF SAINT JOSEPH Current LX! ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner ALAN N & CONNIE M JENNINGS O - JENNINGS, ALAN N & CONNIE M 1255 60TH ST HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description ' 1255 60TH ST SC 2611 HUDSON SP 1700 WITC Legal Description: Acres: 4.700 Plat: N/A-NOT AVAILABLE SEC 34 T30N R19W LOT 3 OF C.S.M. 6/1547 Block/Condo Bldg: Tract(s): (Sec-Twn-Rng 401/4 1601/4) 34-30N-19W Notes: Parcel History: Date Doc # Vol/Page Type 07/23/1997 926/557 07/23/1997 717/249 2006 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: 07/09/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 4.700 96,200 233,000 329,200 NO Totals for 2006: General Property 4.700 96,200 233,000 329,200 Woodland 0.000 0 0 Totals for 2005: General Property 4.700 96,200 233,000 329,200 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 304 Specials: User Special Code Category Amount Total Special Assessments Special Charges Delinquent Charges 0.00 0.00 0.00 r ' DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & But NG . LABOR'& HUMAN RELATIONS DIVISION P.O. BOX 7969 ON-SITE SEWAGE SYSTEMS OFFICE OF DIVISION CODES & APPLICATION MADISON, WI 53707 r~ri~y State Plan I.D. Number: SW , NR, S34, T30N-R19W 2 CONVENTIONAL ❑ ALTERATIVE (If assigned) Town of St. Joseph ❑ Holding Tank ❑ In-Ground Pressure ❑ Mound OLDER: ADDRESS OF PERMIT HOLDER: INSPECTION DATE: James Burton Route 2, 60th Street, Hudson, WI 54016 BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN: REF. PT. ELEV.: CST F. T. ELEV.: Name of Plumber MP/MPRSW No.: County: Sanitary Permit Number: Byron Bird Jr 3318 St. Croix 112811 SEPTIC TANK/HOLDING TANK: MANUFACTURER: LIQUID CAPACITY: TANK INLET ELEV.: TANK OUTLET ELEV.: WARNING LABEL LOCKING COVER PROVIDED: PROVIDED: ❑ YES ❑ NO ❑ YES ❑ NO BEDDING: VENT DIA.: VENT MATL.: HIGH WATER NUMBER OF ROAD: PROPERTY WELL: BUILDING: VENT TO FRESH ALARM: FEET FROM LINE: AIR INLET: ❑ YES ❑ NO ❑ YES ❑ NO NEAREST DOSING CHAMBER: MANUFACTURER: BEDDING: LIQUID CAPACITY: PUMP MODEL: PUMP/SIPHON MANUFACTURER: WARNING LABEL LOCKING COVER PROVIDED: PROVIDED: ❑ 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 -111111- 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: BED/TRENCH WIDTH: LENGTH: NO.OF DISTR. PIPE SPACING: COVER INSIDE DIA.: # PITS: LIQUID TRENCHES: MATERIAL: PIT DEPTH: DIMENSIONS GRAVEL DEPTH FILL DEPTH DISTR. PIPE DISTR. PIPE DISTR. PIPE MATERIAL: NO. DISTR. NUMBER OF PROPERTY WELL: BUILDING: VENT TO FRESH BELOW PIPES: ABOVE COVER: ELEV. INLET: ELEV. END: PIPES: FEET FROM LINE: AIR INLET: NEAREST MOUND SYSTEM: Mound site plowed perpendicular 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 ❑ YES ❑ NO meets the criteria for medium sand. ELEVATIONS MEASURED. SOIL COVER TEXTURE: PERMANENT MARKERS: OBSERVATION WELLS; ❑ YES ❑ NO ❑ YES ❑ NO DEPTH OVER TRENCH/BED DEPTH OVER TRENCH/BED DEPTHS OF TOPSOIL: SODDED: SEEDED: MULCHED: CENTER: EDGES: ❑ YES ❑ NO ❑ YES [__1 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 DISTRIBUTION PIPE MATERIAL & MARKING: ELEVATION AND ELEV.: ELEV.: DIA.: ELEV.: PIPES: DIA.: DISTRIBUTION HOLE SIZE: HOLE SPACING: DRILLED CORRECTLY: COVER MATERIAL: VERTICAL LIFT CORRESPONDS TO INFORMATION APPROVED PLANS ❑ YES E:1 NO E] YES E:1 NO PERMANENT MARKERS: OBSERVATION WELLS: NUMBER OF PROPERTY WELL: BUILDING: COMMENTS: FEET FROM LINE: ❑ YES ❑ NO ❑ YES ❑ NO NEAREST ► Sketch System on Retain in county file for audit. Reverse Side. SIGNATURE: TITLE: SBD-6710 (R. 06/88) Zoning Administr tor SANITARY PERMIT Sf C~ry~ >C COUNTY ' TRANSFER/RENEWAL UNIFORM PERMIT # fir ®ILHR (PLB 67-T) 119,611 ~Aaa,.~ma, PERMIT RENEWAL DATE: PERMIT1TRANSFER DATE: ORIGI%1.1E1 [K.- UyANCE DATE: STATE PLAN I.D. NUMBER: ~a / a c~ CGG I PROPERTY LOCATION: CITY: L" 5 l _ t_n SLZ % (1JLA)%,S3e1,T60 N,RI9' E (or W vOWN 0F7 J LOT NUMBER: BLOCK 7UMMBER: SUBAIVI~ N NAME: NEAREST ROAD, LAKE OR LANDMARK: JV f I tod C'ee~ SANITARY PERMIT TRANSFERRED TO: PREVIOUS SANITARY PERMIT HOLDER (IF CHANGED): SIGNATURE: NAME: PHONE NUMBER: NAME: ADDRESS: PHONE NUMBER: ADDRESS: I, the undersigned, hereby assume responsibility for installation of the private sewage system that has previously been approved for this property. PLUMBE 'S SIGNATURE: PREx IOUS PLUMBER'S NAME (IF CHANGED): PLUMB ADDS RE S S: PREVIOUS Pt-UMBER'S ADDRESS:, OV /1 , SkQk l„ll` 'ItJ MP/MPRSW NUMBER: PHONE NUMBER: / MP/~ W NUMBER: rPH NUMBEER: ry1') a YfIv ' i~ 266 SIGN RE OF ISSUING AGENT: DATE APPROVED: DISTRIBUTION: Original-County Copy - Bureau of Plumbing Copy - Owner Copy - Plumber PLOT PLAN PROJECT,~e~ ADDRESS /~~cc~5oy ,sY04~' ~`Gr1 1/4 ~U 1/4/S ~f/T:Fxa N/R~~ W TOWN fi COU TY Cr•~i` MPRS Byron Bird Jr 3318 DATE - BEDROOM - CLASS PERCgCONVENTIONAL, IN-GROU PRESSURE CONVENTPONAL LIFT_ MOUND HOLD G TANK SEPTIC TANK SIZE LIFT TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE i7z ABSORPTION AREA• PERC RATES-_BED SIZE ~P Benchmark V.R.P. Assume Elevation 100' Location of Benchmark * H. R. P. a L7 Borehole Q Well Scale Feet O Perc Hole System Elevation TYPAR COVERING 2w 12" 3' (D 6' 0 3' 3' 4 © 3 60 Sewer Rock 12' 18' 1 rl C ~/b A U ~3 '1O^o 1 f/' ~a 9"~ - ~ ~ o~~ a ~ ~ f a ~ ~ o~ a.~ `Ji .~i ~s~ DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDINGS LABOR &HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION P.O. BOX 7969 BUREAU OF PLUMBING MADISON, WI 53707 SA-,NA-,S34,T30N-R19W ,'CONVENTIONAL ❑ALTERNATIVE State Plan l)D.Number: (lf ssigned Town aj St. Jozeph El Holding Tank E:1 In-Ground Pressure O Mound a 60th Skeet NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPECTION DATE: James Bunton Route 2 60th Avenue Hudson W1 54016 BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN: REF. PT. ELEV.: CST REF. PT. ELEV.- Name of Plumber: - IMP/MPRSW No Cnunly Sanitary Permit Number Gary L. Steet 3254 St. ckoix 112811 SEPTIC TANK/HOLDING TANK: MANUFACTURER. LIQUID CAPACITY. TANK INLET ELEV. TANK OUTLET ELEV.. WARNING LABEL ILOCKING COVER PROVIDED. PROVIDED: _ DYES ONO OYES ONO BEDDING: VENT DI A.: VENT MATI JHH WATER [NEAREST MBER OF ROAD: PROPERTY IV, ELL. BUILDING. ]VENT TO FRESH AM ET FROM LINE' AIR INLET OYES ONO DYES ONO DOSI NG CHAMBER: MANUFACTURER. BEDDING. LIQUID CAPACITY PUMP MODE( PU,SIPH(IN MnNU)ACiIIHER WARNING LABEL LOCKING COVER PROVIDED: PROVIDED. DYES ONO OYES ONO DYES ONO GALLONS PER CYCLE: NO CONTROLS OPERATIONAL NUMBER OF PROPERTY WELL BUILDING JVENT TO FRESH (DIFFERENCE BETWEEN FEET FROM LINE AIR INLET. PUMP ON AND OFF) PUMP A DYES ONO NEAREST 1111. SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing It E NtITH JOIArm TEH MATERIAL AND MARKING or excavation. (If soil can be rolled into a wire, construction shall cease until FORCE the soil is dry enough to continue.) MAIN CONVENTIONAL SYSTEM: IDE DIA 'PITS LIQUID WIDTH LENGTH JDISTH O. OF UISiH PIPE SPAf:I N(I COVER JI BED/TRENCH RENCHES MATERIAL PIT DEPTH DIMENSIONS GRAVEL DEPTH FILL DEPTH DISTH PIPE PIPE ERIAL NO DISTH NUMBER OF PROPERTY WELLBUILDINGVENT TO FRESH BE LOW PIPES ABOVE COVER JEI EV INLFf PIPES FEET FROM LINE AIR INLET. NEAREST MOUND SYSTEM: Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OFSYSTEM and furrows thrown upslope: mound systems to make certain that it ON REVERSE SIDE. SHOW ELEVA- D meets the criteria for medium sand. TIONS MEASURED. YES NO SOIL COVER rexruRE PERntnNENT n+nE{KEHS :T5111VATIONwEU.s _ DYES ONO _D YES NO DEPTH OVER TRENC=11GER VFH TRE NCH BEU UFPTH OF TOPSOIL SODDED 5EE UFU MULCHED CENTER DYES. ONO DYES ONO DYES ONO PRESSURIZED DISTRIBUTION SYSTEM: BED/TRENCH WIDTH LENGTH TRENNCHES LATERAL SPACING GRAVEL DEPTH BELOW PIPE FILL DEPTH ABOVE COVER DIMENSIONS MANIFOLD PUMP MANIFOLD DISTR. PIPE JMNO DISTH IC, STR. PIPE DISTRIBUTION PIPE MATERIAL & MARKING ELEV.. ELEV. DIA. ELEV. PIPES DIA ELEVATION AND DISTRIBUTION INFORMATION HOLE SIZE HOLE SPACING CRILLEO CORRECT LV COVER MATEHIAL VERTICAL LIFT CORRESPONDS TO APPROVED PLANS DYES ONO DYES ONO COMMENTS: PERMANENT MARKERS: OBSERVATION WELLS. NUMBER OF PROPERTY WELL BUILDING: FEET FROM LINE: OYES ONO DYES ONO NEAREST Sketch System on Retain in county file for audit. Reverse Side. SIGNATURE TITLE. DILHR SBD 6710 (R. 01/82) Zoning Adm,i.niztwct 'ZI IILHR SANITARY PERMIT APPLICATION COUNTY In accord with ILHR 83.05, Wis. Adm. Code St. Croix STATE SANIIT'ARY PERMIT # -Attach complete plans (to the county copy only) for the system, on paper not less than STATE PLAN I. /D. NUMBER 8% x 11 inches in size. -See reverse side for instructions for completing this application. PETITION 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. FOR VARIANCE ❑ YES PNjikr1No PROPERTY OWNER PROPERTY LOCATION James Burton SW '/4 NW S34 T 30, N, R 19 A (or) W PROPERTY OWNER'S MAILING ADDRESS LOT NUMBER BLOCK NUMBER SUBDIVISION NAME R.R.;r#2 60th. ave. 3 n/a n/a CITY, STATE ZIP CODE PHONE NUMBER CITY NEAREST ROAD, LAKE OR LANDMARK 54016 715 549-6471 O VILLAGE: St. Joseph 60th. St. II. TYPE OF BUILDING OR USE SERVED: Number of Bedrooms if 1 or 2 Family 3 OR ❑ Public (Specify): III. PURPOSE OF APPLICATION: (Check only one in #1. Check # 2,3 or 4, if applicable) 1. a. 3E] New b. ❑ Replacement c. E1 Replacement of d. ❑ Reconnection of e. ❑ Repair of an System System Septic Tank Only an Existing System Existing System 2. ❑ A Sanitary Permit was previously issued. Permit # Date Issued 3. ❑ An Existing System has been inspected and soil conditions meet minimum requirements. 4. ❑ The System is shared by more than one owner/building. Attach Common Ownership Agreement to County Copy. IV. TYPE OF SYSTEM: (Check only one in #1 and only one in #2) 1. a. conventional b. E1 Alternative C. ❑ Experimental 2. a. ❑ System- b. ❑ Holding c. ❑ Pit Privy d. ❑ Vault Privy e. ❑ Mound f. ❑ IGP In-Fill Tank V. ABSORPTION SYSTEM INFORMATION: (Check one) 1. a. ❑ seepage Bed bySee a e Trench c. ❑ seepage Pit 2. PERCOLATION RATE 3. ABSORPTION AREA 4. ABSORPTION AREA 5. SYSTEM ELEVATION 6. WATER SUPPLY: (Minutes per inch): REQUIRED (Square Feet): PROPOSED (Square Feet): 18 750 750 96.42 Feet )EI Private ❑ Joint ❑ Public VI. TANK CAPACITY Site in allons Total # of Prefab. Fiber- Exper. INFORMATION New xisting Gallons Tanks Manufacturer's Name Concrete structed Con- Steel glass Plastic App' Tanks Tanks Septic Tank or Holding Tank x 1000 1 Weeks Lift Pump Tank/Si hon Chamber ❑ ❑ VII. RESPONSIBILITY STATEMENT 1, the undersigned, assume responsibility for installation of the private sewage system shown on the attached plans. Plumber's Name (Print): Plumber's nature: (No m ) AR/MPRSW No.: Business Phone Number: Gary L. Steel p 3254 - - (715 , 146-6200 Plumber's Address (Street, City, State, Zip Co Name of Designer: 988 N./ Shore Dr., New Richmond, 1.54017 Vlll. SOIL TEST INFORMATION Certified Soil Tester (CST) Name CST # Gary L. Steel 2298 CST's ADDRESS (Street, City, State, Zip Code) Phone Number: 988 N. Shore Dr., New Richmond, Wi. 54017 715 246-6200 IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee Groundwater Date Issuing Agent Signature (No S mps) Approved El Owner Given initial rcharga Fee Adverse Determination (I~ • ~ ~ ,VU Ile)-6-&o 1{'1 X X. COMMENTS/REASONS FOR DISAPPROVAL: Teh SBD-6398 (formerly Plb-67) (R. 03/86) DISTRIBUTION: Original to County, One Copy To: Bureau of Plumbing, Owner, Plumber INFORMATION & INSTRUCTIONS FOR COMPLETING A SANITARY PERMIT APPLICATION TO THE APPLICANT: 1. This sanitary permit is valid for two (2) years; 2. Your sanitary permit may be renewed before the expiration date, and at the time of renewal 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. A new permit may be needed if there is a change in your building plans, system location, estimated wastewater flow (number of bed- rooms, etc.), depth of system, or type of system; 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. Private sewage systems must be properly maintained. The septic tank(s) should be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years; 6. If you have questions concerning your private sewage system, contact your local code administrator or the State of Wisconsin, Bureau of Plumbing, 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 where the system is to be installed; II. Type of building or use served: If public is checked, indicate type of use (i.e. 10 unit apartment, 30 seat restaurant, etc.). Fill in number of bedrooms if building is a one or two family dwelling; III. Purpose of application: Check only one in ##1. Complete ##2 if permit is for tank replacement, reconnection or repair; IV. Type of system: check all appropriate boxes depending on system type. Check experimental only if project is in conjunction with University of Wisconsin; V. Absorption system information: Provide all information requested in ##1-6; VI. Tank information: Fill in the capacity of every new and/or existing tank, list the total gallons to be installed, number of tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete for all septic, lift/siphon chamber and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR; VII. 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. Fill in designer name if applicable; VIII. Soil test information: Certified soil tester's name, certification number, address, and phone number. IX. County/Department Use Only; X. Comment area for use by county or resaon given when application is disapproved. Complete plans and specifications not smaller than 81/2 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; dosing or pumping chambers; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if required by the county; E) soil test data on a 115 form. GROUNDWATER SURCHARGE On May 4, 1984, 1983, Wisconsin Act 410 was signed into law. This legislation is more commonly known as the groundwater protection law. This change in statutes was the result of over 2 years of steady negotiation and public debate. The groundwater bill Ground Ater included the creation of surcharges (fees) for a number Df regulated practices which Wisco in'$ can effect groundwater. The surcharge took effect on July 1, 1984, All of the water that buried ~reasure is used in your building is returned to the groundwater through your soil absorption o system or the disposal site used by your holding tank pumper. The monies collected through these surcharges are credited to the groundwater fund adminis- tered by the Department of Natural Resources. These funds are used for monitoring ground- t water, groundwater contamination investigations and establishment of standards. Groundwater, it's worth protecting. SBD-6398 (R.03/86) " 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 Ahve S Location of property f (j 1/4 JQ 1/4, Section T 2y N-d Z _W Township S Mailing address Z -SJ Address of site Subdivision name d t Lot number 5 Previous owner of property Total size of parcel, 6ti~ S Date parcel was created Are all corners and lot lines identifiable? 1,---Y-es No Is this property being developed for resale (spec house)? Yes /--~No Volume 678, and Page Number 2: 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 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. ---------------------------------------------------------7--------------------- 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. ,3 9 70 JL,-S ; and that I (We) presently own the proposed site for the sewage disposal system (or I (we) have ob ned an easement, to run with the above described property, for the c ns ruction of said system, and the same has been duly recorded in the Office f t e County Register of De d , as Document No. g a e of Owner Signature of Co-Owner (If Applicable) - --4o- kjl- !!4 - Dat of S nature u Date of Signature THIA SPACE ,<aa~••• STATE BAR OF WISCONSIN FORIA 1 1982 DOCUMENT NO- WARRANTY DEED leg --ICE 3,970,43 F,901i ST. CROIX Co., WIS. - Esther Jones, a Ibis 15th f 'r Is Deed, made between -------------Re c CL (~,D. 9$ 1-4 • Y person Q; O sing - - - - Grantor, 10:30 A E---- urton, husband and t I` Bur Burton and Ruth a - R,gk1«r o1 D~d+ James ~ wif - s - and e as ' oint tenant - J----------------- Grantee, a valuable consideration...--- - 1J w~ That the said Grantor, for RETURN T~~ itnessetli, W St - cro---- l~• following described real estate in - conveys to Grantee the Southwest County, state of Wisconsin land located in th Northwest Tax, Parcel No_ Those certain parcels of quarter and in the the of quarter of the Northwest quarter of Section 34, Township q Southwes 9 St- Croix county, 34 I quarter of the ~ West, Town of St. Joseph, thence go North , Range ibed as said Section , more fully descr follows: 30 the Northwest quarter of Wisconsin, Commencing at the Northwest corner of 23n49'1011 East PARCEL C= the West line of thence South " East .2123.03 fee33a~011 East 230.17 feet' BEGINNING thence South 00°00'00 to the. POINT OF tion 34; thence. South 89East 200.87 feet °40'20" East 464,32 feet; said Sec thence South 77043'40" thence North 44 521• to the „ West 33 feet 628.66 feet; described; of the parcel to be herein thence North 90°UU'UO thence go 00" East 383.42 feet; more or less. 34, South 30 containing 1.98 acres, of said Section uarter of said POINT OF BEGINNING, at the Northwest corner of the Northwest q thence go PARCEL D: Commencing the West line parcel to be berein described; South 00°00'00" East 2123.03 feet along the p East 628.66 feet; thence feet; thence North south 34, to the POINT OF BEGINN NG o South 23°49'10West 680.33 thence el " East 230.17 feet; the above described parc outh 89°33'20 thence North 90°00'00„ Westerly 33 °43'40„ East 200.87 eet* POINT OF BEGINNING easement over the South 77 subject to 00000'00 East 616.02 feet to the and being urchaser's 5.29 acres more or less, to th19p80 in fconteet theraining eof for e a new urp oses. subdivision but adds land 25, Town Road p This deed does not creat arcel or contract recorded February This deed socuments#362907. land polume 608 SF~~ adjacent land. ge 51.8, as / ~Q This s not homestead property. ,i s thereunto belonging; ditaments an sue-' (is) (is not) except le person - Ces Together with all and singularathe her d appurtenance - nd clear f enc'in ra - - - - Esther Jones - and- -free th~tl.t e title is ~o~d_ uiecsu~ii~iftey sea le sements o recor~, existing ghh.. ehways a ~ I~ 84 and will warrant and defend the same. October 19.------ i ~ _ day o - ? - -------(SEAL) - - Dated this t - -------(SEAL) - - - - - - * ESTHER_ JONES.__ I - (SEAL) (SEAL) - I,I ICATION ACKNOWLEDGMENT AUTHENT STATE OF WISCONSIN ss. ~ I Esther__Jones------------------------------ signature (s) County• day of - - came before me Personally this 19....---- the above named October 19_$ this /'l• day of. authenticate , = 'ti _ i who executed the TITLE : MEMBER STATE BAR OF WISCONSIN person (if not - to me known to be the I~ authorzed by § 706. 6, Wis. StatS.) foregoing instrument and acknowledge the same. THIS INSTRUMENT WAS DRAFTED BY & MURRA'y • Wis. , County, CARL OD I HEYWO - st expiration - - - D Heywood, Public p--- ~--tf not ate ...Jahn- Box 229 , - ----------WI- 5401.6 Notai•Y ermanent. P 0. Hudson, MY Commission is _ may , 19 ed. Both be authenticated or acknowledg date: I (Signatures - are not necessary) - - their signatures. - _ printed below - itY should be typed or \Nisconsin I,eenl Blank Co- e' in any cnPac Milwaukee, Wis. I ersons signing STATE nAlt OF Wl,; OZ SIN •Names of P rORM N°• I mlh WARRANTY DEED MAP D S~ EY /4 and I1/4 the NW R-rolmom NW 1 in Town of the 5W l / 4 of the W T 30N , p 19 Surveyed for Locae SW 114 of Section 34, County • James Burton of the 5t. oseph, St, C r oix 60th 5t . J. t 2 , g NW Corner Hudson, Wi. s'o Section 34 S_ 54016 T30N, P'-19'W UN_P_LATTED LA_NI?- -a m ~o - f NZ p0 S 87'49'23"E Z50104-LEGEND am I%Aonument LOT I County Section Corner 3 _ l" I.D. iron pipe found ing including iv , e weigh t N- w ~ , • 3/4 g LO to set 1 ~~~10292oad 3 rig Sqh. t -Ftof-way o er foot CU 0 r. 111x24" round iron PIP a a C a~ 6.71 Acres 1. u N N 0969 I Ft. excluding *cj m 68 fence 29 r 0 existing \ o in road right-of-way r. 1 .1 68 s W o Acre 6 o 1Zf X50.62' ° 7'4311W Wm ti IN I i/1o.31~ .5 SCALE F E E oN N th -341.6 B.-uw o~300 10 su 200 It* W-Z I s ,20 0 1 bo I N 89' 58 Yi\ 1"=200) i = pr( 351 .99' v - ~ . 1) 1< I 3 Z` _ - Cr( 66 I 2.59' knc I in a I I page 575 IN o mZ~ 0 W J U) `'n JA m~ I I , 16.30' o r~ 16" E S 7557107" N W 4 0 7< I I I,' f~1.95, n Z N 85' A2' 146.90, E a; g0. 8 S 89 58' 20 E 319 4 Huds I r II mil ,1 356.60 ' - ~ _ --338.35 FILED June I 219.75' LOT 2 " ~'01 „S 8 9 58420° E S uar e Feet JUL 2 1985 LWU 04 00NNlt I 19.75' 4395 including road right-of-way roM~ Of D.*& V w I 10.08 Acres v MI OWbow* m -H'I OT 3 s Ft. excluding M o °v Iw S Ft. 0&'437804 rq•ht-of-way cv rn I~ , 204683 q• 0 road g This cD incl. R /W 6'' 10.05 Acres Joser r o (c` p 0 ~r 4.70 Acres D~ z ►n Dat I0 r- 189797 Sq. Ft. 16 10 I ~N excl . RAcl es 1 6 d I C~ W 1/4 I. 1 697.31' V4 1 COT' ~c1! 29.62' NW 3 0 1"462.45' 89'49'4 1189.38' LANDS o f 1 _UN_PLATTED_ _ aPPR0%4 D S W Corner I Section 34 H,P.I'• Drafted by C,S. C'2!?iX CJUt.TY Proj. 485-836 P,\RYS PLAN,MN~ ANN) Z0111NG GnMMj17 Volume 6 page 1517 STC - 105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNER/BUYER ROUTE/BOX NUMBER FIRE NO.wt~)-~4 CITY/STATE ZIP '5-4~ 14 PROPERTY LOCATION: 3-U/ 1/4 1/4, Section , T J 0 N, R _L,_W, Town of • yx(~.Sv~(/J , St. Croix County, Subdivision -d.,/ Lot No. mo Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a LICENSED SEPTIC TANK PUMPER. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. St. Croix County Residents MAY be eligible to receive a grant for a MAXIMUM of $3000 of the cost of replacement of a failing system, which was in operation prior to July 1, 1978. St. Croix County accepted this program in August of 1980, with the requirement that owners of ALL NEW SYSTEMS agree to keep their systems properly maintained. The property owner agrees to submit to St. Croix County Zoning a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge and scum. Certification form will be sent approximately 30 days prior to three year expiration. I/WE, the undersigned, have read the above requirements and agree to maintain the private sewage disposal system in accordance with the standards set forth, herein, as set by the Wisconsin Department of Natural Resources. Certification form must be completed and returned to the St.Croix County Zoning Office within 30 days of the three year expiration date. SIGNED v~ /-/C/ C ~q DATE \1AA A P26 I CtA 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 DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTFirY, DIVISION LABOA P.O. BOX 76 HUMAN REDLATIONS PERCOLATION TESTS (115) MADISON WI 53707 (H63.090) & Chapter 145.045) LOCATION: SE TION. TOWNS HIP/Mljb&Nt"0= LOT NO.:BLK. NO.: SUBDIVISION NAME: SW %W 1/4 34 /T 30N/R 19f (or) W St. Jose h 3 n/a n/a COUNTY: OWNER'S AME: MAILING ADDRESS: St. Croix James Burton IR.R.#2, 60th. st. Hudson, Wi. 54016 USE DATES OBSERVATIONS MADE NO. BEDRMS.: COMMERCIAL DESCRIPTION: PROFILE DE RIPTIONS: R A I N TESTS: ®Residence 3 n/a ❑x New ❑Replace ( 10-3-88 10-4-88 RATING: S= Site suitable for system U= Site unsuitable for system ONVENTIONAL: MOUND: IN-GROUNDPRESSURE:SYSTEM-IN-FILL HOLDING TANK: RECOMMENDED SYSTEM: (optional) 2S ❑U ®S ❑l ~S ❑U ❑ S Liu ❑ S EU conventional If Percolation Tests are NOT required DESIGN RATE: ( If any portion of the tested area is in the under s.H63.09(5)(b), indicate: r/ L Floodplain, indicate Floodplain elevation: ri/a decimal' PROFILE DESCRIPTIONS page 42 ScC2 BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER DEPTI Imo, ELEVATION OBSERVED EST. HIGH-EST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B-1 7.09 100.07 none >7.09 .OObl.l. 1.42-.bn, sil. 4.67bn.s.l. B-2 7.25 99.72 none >7.25 1.08bl.1. 1.42bn.sil. 1.00bn.s.l. 3.75bn.l.s. B_3 7.08 100.01 none >7.08 .83bl.1. 1.50bnl.sil. 4.75bn.s.l. B 4 7.33 99.90 none >7.33 .92bl.1. 1.83bn.sil. 4.58bn.s.l. B.5 7.00 99.92 none >7.00 .92bl.1. 2.08bn.sil. 4.00bn.s.l. B_ decimal' PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER I AFTERSWELLING INTERVAL-MIN. PERIOD 1 PERIOD2 PERIOD PER INCH P-1 3.65 none 30 2 ,1,4 2 2 15 P_ 2 3.50 none 30 2 15/8 15/8 P-3 3.59 none 30 2 3 3 10 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 96.42 E 0 1P 07 Aft D' WAY ~1 - _Iva A { } ? t I r _ _ . _ _ _ "4° V 3~ 'i I } t 1 E 1 \1 P_C~n'G-v~ g 1 I 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: Gary L. Steel 10-4-88 ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER (optional): 988 N. Shore DR. New Richmond Wi. 54017 8 7 -246-6200 CST SIGN RE: DISTRIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. DILHR-SBD-6395 (R. 02/82) OVER - INSTRUCTIONS FOR COMPLETING; FORM 115 - SRC? - 6395 Tc )tnplete and dccur test, Your report mast include: 1. c al description; 2- f'.m must clear' e whether 1,sidence or cc project; 1 `A number of ' s or commerc'«.? r_ d; 4. or replac - rn; S. sr mhihi axes. A SITE IS' kBLE FOR A H DING TANK ONLY IF ALL YSTEMS A E0 OUT BASED ON SOIL CONDIT 6, the ,,hbi shown here for writing profile descripti( { the plot plan; 7. _FGIB° r-t accurately locating your test (oc preferred. A rr;a . sired; nd vertical elevation reference l ld are permanent; in c I n test exemp- c1 xes as to dates, names, addr, !ood plain, elevation) does not :lace; N.A. in the Oriate box; 1 ,your current address and your cert ~rl number; ~~Stritrut(l as recfuired. ALL SC'TESTS MUST BE f ITH THE i .L AUTHORIT. 'ITHIN 30 DAYS OF COMPLETION. EVIATIONS FOR CERTIFIED SOIL TESTERS So,; Textures 0 10") B R 1 cob { 10") SS - San gr. der 3") LS - L' Ys-S. HGVV -H cs Perc I' f. - Is r - f BCr - t L am Bi B £3y Gray - clr Y Yellow ~ I Sat n R - Red Skl t mot mottles Sal-,ly with ti sic; - SiE.. few, c- - (slay ~ c PL - Pea' ryl Muck - list" p - Aron' N;-'L High v:. soil to;' >u I v1 Dell a l; ,a TO THE OWNER: urine} rmit. Th r-ur + Y t , Ere° pri ance- q l f, 'w J James Burton " 1 • SW4NW4 S34 T30N-R19W St. Joseph, township i Ala r~ rr~ I r z' mss` 5 0,31 1ud 16 lW/'W'OOlW/ ~ 4, 93;' /6 ary L. Steel 988 N. Shore DR. New Richmond, Wi. 54017 MPRSW 3254 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 563897 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes[Privacy Law,s.15.04(1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: Loegering, Ronald &Cheryl St. Joseph, Town of 030-2008-60-110 CST BM Etg Insp.BM Elev: BM Description: Section/Town/Range/Map No: / UV*D 70 D U 1vC - (a,/-]"r 34.30.19.378E TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic WV2-0_,Vt-/- Benchm ark 2i Zo 5•05' /D3.5- /00.. 0 g Alt.BM o Dosing UJ/ PO I l ( U +t 1464/- 5—ZC �� o 27 7 /D�• ,4 Aeration Bldg.Sewer �dvro .‘.- .------^7. 1,5i Holding St/Ht Inlet St/Ht Outlet n� TANK SETBAC INFORMATION 5.27 / g • Z3 TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet ---- ----, Septic > ��I �/�) 1 ?,..s.-- r� A I Dt Bottom �- Dosing (l /V Header Man. / S Aeration 14,04 -67 c/ D . to\...e.„1-- ,� (225e' 6. Y6- 0/4- 6. S' Holding / Bot.System 71 ,S v / Final Grade//�� �6,4 At si 5.O q r3 - PUMP/SIPHON NFORMATION k/( r�J J b Manufacturer / GPMand S er_ )f /rl \---. 2.. S.-./U/ o s/ Model Number , A-o-e-e_ Cer _r, TDH Lift Friction Loss'' •4 Head TDH Ft Forcemain Length F. to Well A ! SOIL ABSORPTIO SYSTEM 1 - i p f -f-- l�- _ -7 S BED/TRENCH Width Len> th Sf 'No.Of Tregches PIT DIMENSIONS No.Of Pits Inside Dia. Liquid Depth DIMENSIONS 1F SETBACK SYSTEM TO P/L� LDG WELL LAKE/STREAM �EACHING anufact��c� r�s INFORMATION e- CHAMBER OR Z Typ Of System: // T�' r Model Number sots DISTRIBUTION SYSTEM Header/Mangold Distribution / x Hole Size x Hole Spacing Vent a Air Intake ryg rt Pipes) cf� Lengt Dia Length Dia Spacing — SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over / Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center 11/ 2•<I Edges Topsoil �/ Yes r No Yes No El COMMENTS: (Include code discrepencies,persons present,etc.) Inspection#1: / I / 2-1/. // (_7 Inspection#2: / / Location: 1255 60th Street Hudson,WI 51016 SW 1/4 NW 1/4 34 T3ON R19W) NA Lot 3 -16--R Parcel No: 34.30.19.378E 1.)Alt BM Description=10-1) o", im aye '1J C1L 661).-"-) 6'`v .1,'‘.I GP 1) vl • f 2.)Bldg sewer length= (..„1-16/d'''/ -amount of cover= > [g'7 aT 40 f1 AS 'Aiwa Plan revision Required? a Yes kNo 1 ( 21 1') r x ffu ,/_/_1w�(d Use other side for additional information. t �'�(O� —_____/_______ Date Insepctor's Signature Cert.No. SBD-6710(R.3/97) PLOT PLAN N Project Name: Loegering Pole Building Septic System Legal Description: SW1/4,NW1/4,S34 T3ON,R19W P.I.D: 030-2008-60-110 Subdivision Name: CSM 6/1547 Lot#: 3 SCALE:1"=40' Township: ST.JOSEPH Parcel Size: 4.70 Acres County: ST.CROIX System Elevation: T1=95.44' Proposed 75'EZ Flow Trench Slope: 14% A BM1 Elevation: 100.00' Top of 2"PVC Pipe BM2 Elevation: 101.33' Top of 2"PVC Pipe 4 inch Sch 40-ASTM D2665 • Backhoe Pits: 4 inch 3034 - ASTM D3034 Geotextile fabrics to meet requirementsof Table NOTE 1: Building is for private use only. 384.30-12 NOTE 2: See next page for a more complete plot of the parcel. DRIVE TO Hoocr BZ A N ,t ell . . r f�]3x 3 x ?S - ►_Z i-L c ua «%. •y t E N C i4 .%1 ,4 \ 63 AL 8i - °` 2-, k ` \ , ,,, To T_ \ " 1 ,u \ 3ZoG4L. s l' , `- 44-c N �r- \, ►�Yd©C�C 0k 1 Z \ ...-7 ' ►=i=( t-1t/V"f (=/(At _c1, g osl0 �%IN (MM 1 4 "' fi r `J 4 !\ 1 COPY 50i1T14 PRCr'L+ 7-,;fr L/1U'c ‘I, c1-61---> r. `, County ` ;, Safety and Buildings Division 5/. C id 0I IC e DS w, '''= 201 W.Washington Ave., P.O. Box 7162 Sanitary Permit Number(to be filled in by Co.) a "' P$ ik' Madison,WI 53707-7162 (a 3S 1 -7 . „r Sanitary Permit Application State Transaction Number In accordance with SPS 383.21(2),Wis.Adm.Code,submission of this form to the appropriate governmental unit �� is required prior to obtaining a sanitary permit. Note:Application forms for state-owned POWTS are submitted to Project Address(if different than mailing address) the Department of Safety and Professional Servies. Personal information you provide may l used for secondary /Z55 purposes in accordance with the Privacy Law,s.15.04(1)(m),Stats. /� C �,_ �� (� I. Application Information-Please Print All Information 0� / BOO .JITI Property Owner's Name `I Parcel# RoN IBC. 14 tF vL L®eC�c�seP7,-,&FO 630 - 200$ - (00 - //b Property Owners Maid ST CR / Property Location 3 7 '6 ) / Z5-3-4,0 y 5'7:, ,���0 C! Govt.Lot �� City,State Zip Code Phone Number O4/iyry LA) 'A, W 3 V �./ /- � /., Section / t�//j s)lu r W T ScA9/ 6 !circle oneL kaP II.Type of Building(check all that apply) Lot# T 3 N; R E o Ed 1 or 2 Family Dwelling-Number of Bedrooms /��0 G Ihp Subdivision Name t Block# .,—_ ❑Public/Commercial-Describe Use 5501 J i( ' ^C. 1 ' ID City of 4 04DPA-, CSM Number ❑Village of ❑State Owned-/Describe Use 6 G ' Arbi'• C4 1 (.J l 7 J 62 F/,..,>.5 ‘//J C/ 7 ®Town of 5 /. J OSe eta ti III.Type of Permit: (Check oily one box on line A. Complete line B if applicable) A' New System � ❑� Replacement System� �. ❑Treatment/I-Iolding Tank Replacement Only ❑Other Modification to Existing System(explain) %- B. ❑Permit Renewal ❑Permit Revision ❑Change of Plumber ❑Permit Transfer to New Li Previous Permit ber and Date Issued Before Expiration Owner 7 T6 • `a,.,S aC 'GL g IV.Type of POWTS System/Component/Device: (Check all that apply) 5 p- 5-call'c..... ,(-- EZ tela ,...1 Non-Pressurized In-Ground ❑Pressurized In-Ground ❑At-Grade ❑Mound>24 in.of suitable soil ❑Mound<24 in.of suitable soil ❑Holding Tank ❑Other Dispersal Component(explain) ❑Pretreatment Device(explain) V.Dispersal/Trea nt Area Information: / Design Flow(gpd) Design Soil Application Rate(gpds Dispersal Area Required(sf) Dispersal Area Proposed(s System Elevation ✓J /50 (9. 4/ 3 7s , 3 7s 9's`- 4/47 VI.Tank Info Capacity in Total #of Manufacturer Gallons Gallons Units //��// ti o v o New Tanks Existing Tanks d o S .' 2 2 y W 0 la lc /Z.Z..,a U y w 3 a Septic or Holding Tank 3 t_O 3 Lo I w/ 5 s 1e Dosing Chamber J VII.Responsibility Statement-I,the undersigned,assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name(Print) Plumber's Si i��//�G� /1 MP/MPRS Number Business Phone Number J'o14 ru 5cg04( 17 C' z�( />yI ' ZZ3 ?&0 7/s-7 0-t9 n51 1 Plumber's Address(Street,City,State,Zip Code) 6 / 6 /3-0 rN f-- e 50 .-cafe's,T. L-0? y S ' VIII unty/Department Use Only Permit Fee Date I d Issuing nt Signature Approved ❑ -i $ c even Reason for Denial /75•ad ? 3 /3 IX.CondiawN0tReasons for Disapproval I- I 1 G tank,eftlwtrtl°filter �. .� /ti •�4-- �rsal cell-must all be services'/mpintauned �� PrOpb5cd o v 1 / r as management plan provided by r. A- P� � Pl P Y plumbs U r cQ � i.� �. � - 2. All tottbacit requirements must be maintained as per applicable cods forcinaricei. Attach to complete plans for the system and submit to the County only on paper not less than 8 1/2 i 11 inches in size SBD-6398(R. 11/11) CONVENTIONAL COMPONENT DESIGN Residential Application INDEX AND TITLE PAGE Project Name: Loegering Pole Building Septic System Owners Name: Ronald &Cheryl Loegering Owner's Address 1255 60th Street Hudson, WI 54016 Legal Description: SW1/4, NW1/4, S34,T3ON, R19W Township St. Joseph County: St. Croix Subdivision Name: 4.70 Acre parcel Lot Number: 3 Block Number 5 Parcel I.D. Number 030-2008-60-110 Plan Transaction No. Page 1 Index and Title Page 2 Plot Plan Page 3 System Sizing&Cross Section Page 4 Septic Tank Specifications Page 5 Filter Information Page 6&7 Management and contingency plan Page 8 Septic Tank Maintenance Agreement Page 9 Warranty Deed Page 10 CSM or Plat Attachment Soil Evaluation Report Designer: John Schmitt Licnese Number: MPRS 223760 Date: 8/29/2013 Phone Number: 715-760-0486 Signature: In-Ground Soil Absorption Component Manual Version 2.0 SBD-10705-P (N. 01/01) PLOT PLAN N Project Name: Loegering Pole Building Septic System Legal Description: SW1/4,NW1/4,S34 T3ON,R19W P.I.D: 030-2008-60-110 Subdivision Name: CSM 6/1547 Lot#: 3 SCALE:1".40' Township: ST.JOSEPH Parcel Size: 4.70 Acres County: ST.CROIX System Elevation: T1=95.44' Proposed 75'EZ Flow Trench Slope: 14% A BM1 Elevation: 100.00' Top of 2"PVC Pipe BM2 Elevation: 101.33' Top of 2"PVC Pipe 4 inch Sch 40-ASTM D2665 • Backhoe Pits: 4 inch 3034 - ASTM 03034 Geotextile fabrics to meet requirementsof Table NOTE 1: Building is for private use only. 384.30-12 NOTE 2: See next page for a more complete plot of the parcel. pRivE ;o 1-IoUSr BZ A ‘ 3x75 6Z i=LOW ©� TR r N C l-I �s� � -7_ _ ® ,,,, � > /50' T o v_ \ 3Z0 GAL. s,'r _ . N ' % 4c-'/doe/tetc' /2.1 .>j'■ 4 - N. Ee=l:LGIEN T i=/cr Pi O Posef0 '� ` BN -1- l3Ultrt7iNG Ii, \® I. 111 k 5 0(A r14 p)RoPtr i LI,toi SOIL ABSORPTION SYSTEM DETAIL 1 GRAVELLESS LEACHING UNIT Project Name: Ronald &Cheryl Loegering 1 No.of Cells 7.5 Per Cell 3 ft Cell Width 7.5 Total No 1203H 75 ft Cell Length 375 sq ft EISA Per Cell NA ft Cell Spacing 375 sq ft Total EISA Manufacturer Model Laying Length EISA Rating Infiltrator EZ1203H-5ft 5.0' 25.0 EZ1203H-10ft 10.0' 50.0 Gravelless Leaching Unit Manufacturer: to Infiltator Gravelless Leaching Unit Model: 1203H Typical Cross Section Finished Grade 100 ft Observation Pipe with approved cap or vent ........■ !....M......•• ...••• • Soil Backfill 24 in • • Geotextile Fabric • A r T 95.44 ft Infiltrative Surface 12 in 0 __ y L 1 I J- 90.52 ft Limiting Factor -^ a >36 in Slotted and Anchored Vent/ Observation Pipe with Cap Plumber/Designer Signature: License#: MPRS 223760 Date: 28-Aug-13 z x N D m m - c 58" REQD m D I o 4" D r 46 " 50" D cn v z r- r ° O -1 m co UP 48 " 11 ' r __ m °t 4" CAS II II v UP 48" -- lip I��`ii-N 4" CAS i...� III • a w N C v m m c D m N z >1 N m D r° �n 751" Z o g R F c D UX; to D G7�D rr*1O x m Z D =Z ' zA om o m cirri rnDp ��° . c 0 �4c c,,R �Z = cn z T czg 0D AR 'o8N Gt IV Z.. O e o 0 OD d0 �mm �(n� 0rip0p�OD rn Z > o 0 c0m> I D raptiti• 000• o "0 D 0 0 \ C 0 MM Dm N �, XI o o v D z cm N j mD rm$ n) D vii r < 'T1 y 8m K D Z =rZ r-1 O 0 z o o O H 0 �� �i�e0 m° 0 N 0 m m -) g r D vOr �m 0 Z " 0 c z co > m m = �73-< N c 4 mr C m O co M r- zl D H r1 r co M v \--1 = W320—MR WIESER C®ICAETE DRAWN BY: SHE SCALE 110..1•3-0" PRE-POUR: M . N0. Om SEPTIC MANUAL DATE: JANUARY 2012 DATE:. 3/20/12 POST-POUR: \Z, W3716 US HWY 10 MAIDEN ROCK, WI 54750 ° REVISED JAN. 2012 800-325-8456 FILE 1620-11R PDL . nc. Innovations in Precast,Drainage Zabel' PL-122 Effluent Filter &Wastewater Products A Division of Polylok Inc. PL-122 Filter The PL-122 was the original Polylok filter.It was the first filter on the market with an automatic shut-off ball installed with every filter.When the filter is removed for regular servicing,the ball will float up and prevent any solids from leaving the tank.Our patented design cannot be duplicated. Features: • Offers 122 linear feet of 1/16" filter slots, which C ' Accepts l/2 PVC Extension Handle significantly extends time between cleaning. • Has a flow control ball that shuts off the flow of effluent 4 Alarm Switch when the filter is removed for cleaning. (Optional) • Has its own gas deflector ball which deflects solids away. •f------ 122 Linear Ft.of • Installs easily in new tanks,or retrofits in existing systems. _ 1/16"Filtration • Comes complete with its own housing.No gluing of = = Slots tees or pipe,no extra parts to buy. • Has a modular design,allowing for increased filtration. PL-122 Installation: ., Ideal for residential waste flows up to 1,500 gallons per day Filter Housing with (GPD).Easily installs in any new or existing 4"outlet tee. 3"&4"Pipe Adapter 1.Locate the outlet of the septic tank. 2.Remove the tank cover and pump tank if necessary. 3.Glue the filter housing to the outlet pipe,or use a 1/16" Filtration Slots Polylok Extend&Lok if not enough pipe exists. 4.Insert the PL-122 filter into tee. (1,500 GPD 5.Replace and secure the septic tank cover. PL-122 Maintenance: frfs k .,) rd The PL-122 Effluent Filter will operate efficiently for 1 several years under normal conditions before requiring cleaning.It is recommended that the filter be cleaned /� every time the tank is pumped,or at least every three years. b 1 1.Do not use plumbing when filter is removed. Gas Deflector �v` 2.Pull PL-122 cartridge out of the tee. Automatic Shutoff Bali 1, , i 3.Hose off filter over the septic tank.Make sure all solids '(l" fall back into septic tank. / -CO 0\ 4.Insert filter back into tee/housing. / Polylok offers the only filter on the market _ '!"' where you can get more GPD by simply i _ snapping our filters together! I 1 Filter=1500 GPD }}} 7 2 Filters=3000 GPD ' ' 3 Filters=4500 GPD Outdoor SmartFilter'Alarm Patent Numbers Filter Ready Adapter Polylok,Zabel&Best filters accept - 6,015,488&5,871,640 Connects to Septic Tank Wall the SmartFilter®switch and alarm. www.polylok.corn 1-877-765-9565 POWTS OWNER'S MANUAL & MANAGEMENT PLAN FILE INFORMATION SYSTEM SPECIFICATIONS Owner: Ronald&Cheryl Loegering Tank Manufacturer: Wieser Concrete r NA Permit# Septic If Dose r_Holding Volume: 320 gal DESIGN PARAMETERS Tank Manufacturer: P NA Number of Bedrooms: PIA Septic F Dose 11-Holding Volume: gal NA Number of Public Facility Units: 0 PA Vertical Distance Tank Bottom(s)to Service Pad: ft Estimated(average)Flow: 100 gal/day Horizontal Distance Tank(s)to Serivce Pad: ft Design(peak)Flow=estimated x 1.5: 150 gal/day Specific servicing mechanics must be provide if vertical is>15 feet or if In Situ Soil Application Rate: 0.4 gal/day/ft2 horizontal is>150 feet.Specific instructions to be provided on back. Standard Domestic Influent/Effluent Monthly average Effluent Filter Manufacturer: Polylok r NA Fats,Oils&Grease(FOG) 530 mg/L Effluent Filter Model: 122 Biochemical Oxygen Demand(BON 5220mg/L E NA Pump Manufacturer: P NA Total Suspended Solids(TSS) 5150mg/L Pump Model: High Strength Influent/Effluent Monthly average Petreatment Unit Fats,Oils&Grease(FOG) 530 mg/L Manufacturer: Biochemical Oxygen Demand(BOD5) 5220mg/L P NA r Mechanical Aeration r Peat Finer P NA Total Suspended Solids(TSS) 5150mg/L r Disinfection r Wetland Petreated Effluent Monthly average r Sand/Gravel Fitter r Omer: Biochemical Oxygen Demand(BODs) 530mg/L Soil Absorption System Total Suspended Solids(TSS) 530mg/L P NA In-Ground(gravity) r In-Ground(Pressure) r NA Fecal Coliform(geometric mean) 5104cfu/100m1 r At-Grade r Mound Maximum Effluent Particle Size: %in dia. PNA r Drip-Line r Other Other: r N, Other: r NA MAINTENANCE SCHEDULE Service Event Service Frequency When combined with sludge and scum equals one-third(Y)of tank volume Pump out contents of tank(s) When the high water alarm is activated ✓ month(s) Inspect condition of tank(s) At least once every: 3 year(s) (Maximum 3 years) r NA ✓ montso) Inspect dispersal cell(s) At least once every: 1.5 year(s) (Maximum 3 years) r NA ✓ s Clean effluent filter At least once every: 3 Year(s) r NA ✓ s) r NA Inspect pump,pump controls&alarm At least once every: r year(s) ✓ month(s) Flush laterals and pressure test At least once every: r year(s) r NA ✓ months) Other: At least once every: r year(s) r NA Other: MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications:Master Plumber;Master Plumber Restricted Sewer;POWTS Insepector;POWTS Maintainer;Septage Servicing Operator(pumper).Tank inspections must include a visual inspeciton of the tank(s)to identify any missing or broken hardware,identify any cracks or leaks, measure the volume of combined sludge and scum and a check for any back up or ponding of effluent on ground surface.The dispersal cell(s)shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface.The ponding of effluent on the ground surface may indicated a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumualtion of sludge and scum in any treatment tank equals one-third('AA)or more of the tank volume,the entire contents of the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with chapter NR 113,Wisconsin Admininistrative Code. All other services,including but not limited to the servicing of effluent filters,mechanical or pressurized components,petreatment units, and any servicing at intervals of 512 months,shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 30 days of completion of any service event. (Rev.2/05) it Page of START UP AND OPERATION For new construction,prior to use of the POWTS check treatment tank(s)for the presence of painting products,solvents or other chemicals or sediment that may impede the treatment process and/or damage the soil dispersal cell(s). If high concentrations are detected have the contents of the tank(s)removed by a septage servicing operator prior to use. System start up shall not occur when soil conditions are frozen at the infiltrative surface. During extended power outages pump tanks may fill above normal highwater levels.When power is restored the excess wastewater will be discharged to the dispersal cell(s)in one large dose and may overload them resulting in the backup or surface discharge of effluent. To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells.Do not drive or park over,or otherwise disturb or compact,the area within 15 feet down slope of any mound or at-grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics;baby wipes;cigarette butts;condoms;cotton swabs;degreasers;dental floss;diapers;disinfectants;fat;foundation drain (sump pump)discharge;fruit and vegetable peelings;gasoline;grease;herbicides;meat scraps;medications;oil;painting products; pesticides;sanitary napkins;tampons;and water softener brine. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to insure that the system is properly and safely abandoned in compliance with chapter Comm 83.33,Wisconsin Administrative Code: •All piping to tanks,pits and other soil absorption systems shall be disconnected and the abandoned pipe openings sealed. •The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator. •After pumping,all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been,or must be taken,to provide the opportunity to obtain a sanitary permit for a code compliant replacement system: ▪ A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure,lot lines and wells.Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area.Replacement systems must comply with the rules in effect at the time of their permit issuance. ❑ A suitable replacement area is not available due to setback and/or soil limitations.If the soil absorption system cannot be rehabilitated and barring advances in POWTS technology,a holding tank may be installed as a last resort. ❑ The site has not been evaluated to identify a suitable replacement area.Upon failure of the POWTS a soil and site evaluation must be performed to locate a suitable replacement area.If no replacement area is available a holding tank may be installed as a last resort to replace the failed POWTS. ❑ Mound and at-grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface.Reconstructions of such systems must comply with the rules in effect at that time. WARNING: TREATMENT TANKS AND HOLDING TANKS MAY CONTAIN POISONOUS GASSES AND LACK SUFFICIENT OXYGEN TO SUPPORT LIFE.NEVER ENTER A TREATMENT TANK OR HOLDING TANK UNDER ANY CIRCUMSTANCE.DEATH MAY RESULT.ESCAPE OR RESCUE FROM THE INTERIOR OF A TANK IS VERY DIFFICULT. ADDITIONAL INFORMATION: POWTS INSTALLER POWTS MAINTAINER Name:John Schmitt Name:John Schmitt Phone:715-760-0466 Phone:715-760-0486 SEPTAGE SERVICING OPERATOR(PUMPER) LOCAL REGULATORY AUTHORITY Name:Owners Choice Name:St Croix County Zoning Phone: Phone:715-386-4680 This document is intended to meet minimum requirements of Ch.Comm 83.22(2)(b)(1)(d)&(f)and 83.54(1),(2)&(3),Wisconsin Administrative Code. Use of this document does not guarantee the performance of the POWTS. (Rev.2/05) III iiiiiiiiihli ll 8177065 Tx:4146167 STATE BAR OF WISCONSIN FORM 1 -2000 984384 WARRANTY DEED BETH PABST Document Number REGISTER OF DEEDS ST. CROIX CO., WI THIS DEED, made between Alan N. Jennings and Connie M. Jennings, 08/19/2013 11:40 AM husband and wife, Grantor, and Ronald F. Loegering and Cheryl L. EXEMPT#: NA Loegering,husband and wife,Grantee. FEE:REC FEE: 30.00 TRANS FEE: 1140.00 Grantor, for a valuable consideration, conveys to Grantee the following PAGES: 2 described real estate in St. Croix County, tate of Wisconsin (the tY ( "Property"): SEE ATTACHED EXHIBIT A Recording Area Name and Return Address: Title One File it: 19809 Together with all appurtenant rights,title and interests. 030-2008-60-110 Alternate ID: 34.30.19.378E Parcel Identification Number(PIN) This is homestead property. Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except Roadways,Easements,and Restrictions of Records Dated this 16th day of August,2013. *Alan N.Jennings *Connie M.Jennings AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN ) ST CROIX COUNTY. )ss. authenticated this 16th day of August,2013 Personally came before me this 16th day of August, 2013 • ........s,'h•••,• the above named Ala .)nnings and Connie M. Jennings, * a?. .''' • i •. husband and wif- • own to be the person(s)who executed TITLE:MEMBER STATE BAR OF WISCONSIN the foregoing • st ent a d acknowledged the same. (If not, �',PUBLIC authorized by§706.06,Wis.Stats.) ';N : *Nancy C Sc itt THIS INSTRUMENT WAS DRAFTED BY •••"�• Notary Public State o • • onsin My commission is permanent. (If not,state expiration date: 7/1/2017 Michael H.Forecki,Attorney (Signatures may be authenticated or acknowledged. Both are not necessary.) *Names of persons signing in any capacity must be typed or printed below their signature 1 of 2 WARRANTY DEED STATE BAR OF WISCONSIN FORM No.1-2000 ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer Loegering, Ronald or Cheryl Mailing Address 1255 60th Street, Property Address Same (Verification required from Planning&Zoning Department for new construction.) City/State Hudson, WI l Parcel Identification Number 030-- Z XUY` 60 LEGAL DESCRIPTION Property Location SW '/4, NW 'A , Sec. 34 , T 30 N R 19 W,Town of St. Joseph Subdivision Plat: , Lot# 3 . Certified Survey Map# l () 3 I q/j , Volume 6 , Page# 1547 Warranty Deed # 34 Li (before 2007)Volume , Page# Spec house❑yesOno Lot lines identifiable 0 yesOno SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner,if needed,by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in§SPS.383.52(1)and in Chapter 12-St.Croix County Sanitary Ordinance. The property owner agrees to submit to St.Croix County Planning&Zoning Department 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/or(2)after inspection and pumping(if necessary),the septic tank is less than 1/3 full of sludge. Uwe,the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth,herein,as set by the Department of Safety And Professional Services and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St.Croix County Planning&Zoning Department within 30 days of the three year expiration date. I/we certify that all statements on this form are true to a best of my/our knowledge. Uwe am/are the owner(s)of the property described above,by virtue of a warranty deed record in Register of Deeds Office. Num I of bedrooms 150 gpd -/�� * 08/28/13 SIGNATURE OF A" IC T(S) DATE ***Any information that is misrepresented may result in the sanitary permit being revoked by the Planning&Zoning Department. *** Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in the warranty deed. (REV.04/12) EXHIBIT A Part of the SW /<of NW /and Part of the NW /<of SW /of Section 34,Township 30 North, Range 19 West,St.Croix County, Wisconsin described as follows: Lot 3 of Certified Survey Map filed July 2, 1985 in the office of the Register of Deeds for St.Croix County in Vol."6",Page 1547,Doc.No.403198. III ' III 2 of 2 402198 CERTIFIED SURVEY MAP Located in the SW 1/4 of the NW 1/4 and in the NW 1/4 i of the SW 1/4 of Section 34, T3ON, R 19W , Town of sop NW Corner St. Joseph, St. Croix County. Surveyed for: .1„, Section 34 James Burton '°e T3ON, R19W Rt. 2, 60th St. NZ UNPLATTED LANDS • Hudson, Wi. %." PO - 54016 _°; S 87'41 '23'E aaII 501.04' 01. N - LOT 1 LEGEND m ropy . U3 3C Sq. Ft. including a .- County Section Corner Monument aQ .+ to n road right-of-way m o N N 6.71 Acres ., N • 3/4" � I.D. iron pipe found 1 N ao 290969 Sq. Ft. excluding alai D 1"x24" round iron pipe weighing W O v road right-of-way o N 1.b8 lbs. per foot set 1 M 1 6 68 Acres - --..- existing fence : r 50.82' N O°5T'43"W N ff F0.31' td,0s "9 _ 2 `z - —341 .88=- --i �` SCALE IN FEET W 1 ( N 89.513•20"W p, 0 g!" 'r ' M 1 ea `'izsa`353 .99' 3 co� ray 0 1(101=200 } 300 \o 1 T vS2L. �$6? O ' O Z� D P5 a a 1 Page 575 Zo m '...1► N 2' W cs 19, tl% _....:1 I I" z qq S 89'58'20'E N B5"42' 16"E s75057' °J~ 1-:r WIi ',,J 356.80' } 319.90' . 1413 90p7.,E I n n tn II b� --338.35*-- <; 5 219.75' S _ � 20g QO'„ LOT 2 t~ �`,z S 89 58 20 E y 19.73' I W 439058 Square Feet 4 PILED%i. including road right-of-way ,!(J eg . LOT 3 10.08 Acres s � L2 985 c v° fW 'i, �u0► �ww o a lv . 204683 Sq.Ft. 0N,, 437804 Sq. Ft. excluding N O� �r� v o w O incl. R/W teo-g,. road right-of-way ��. *^W4" $_, Z �� 4.70 Acres Y,�, 10.05 Acres v,.o_. 8 a N-F F I Io NI" 189797 Sq. Ft. I Itn excl. R/W s 4.36 Acres W1/4 1 .,. Cor. • N�' I ,,.29.52' O ?' ' ' 462.45' 697.31' cE ( 89'49'4 'W 1189.38' UNPLATTED_LANDS SW Corner Section 34 APPROVED Proj. 485-836 Drafted by H.P.P. JUL 02 1985 SF. c2ONC COUNTY COMPREHENSIVE PARKS PLANNR4411 AND ZONING COMM1774* Volume 6 Page 1547 x Department of #1722 SOIL EVALUATION REPORT 04 P �, Safety and in accordance with Comm 85,Wis,Adm.Code Page 1 of 4 ..d ', _ * ,r Professional Services Schmitt Soil Testing,Inc. County Attach complete site plan on paper not less than 8%x 11 inches in size. Plan must St. roix include,but not limited to:vertical and horizontal reference point(BM),direction and percent slope,scale or dimensions,north arrow,and location and distance to nearest road. Parcel I.7 fa pt�t�information. 030-2;/r8-6/'110 Revie r f d By Date Personal information y. p e,T,•-. used for secondary purposes(Privacy Law,s.15.04(1)(m)). Property Owner i Property Location 1 Loegering, Ronald&Cheryl Govt.Lot �/�/j�� -W1/4, !/ 1/ S34,T3ON, R19W Property Owner's Mailing Address Lot# Blot l C d.Name r CSM# 1255 60th St. 3 1547 City State Zip Code Phone Number ❑ City'4 ')pi!? ❑ Town Nearest Road Hudson 1 WI 1 54016 1 8.St.Jose /3 1 60Th St. it ❑New Construction Use: ❑ Residential/Number of bedrooms 61Uerived design flow rate 150 GPD ❑Replacement El Public or commercial-Describe: Outbuilding bathroom' u1vate use) Parent material Glacial Drift(Santiago Series) Flood plain elevation,if applicable NA ft. General comments Area is suitable for a conventional system with a 0.4 gpd/sgft rate. Possible system elevation for area is 95,44'. Slope of area is and recommendations: 13%. El 1 Boring# Boring la Pit Ground surface elev. 98.44 ft. Depth to limiting factor 95+ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu.Sz.Cont.Color Gr.Sz.Sh. *Eff#1 *Eff#2 1 0-6 10yr3/3 none sil 2mgr mfr as 1vf 0.6 0.8 2 6-17 10yr5/3 none sil 2fsbk mfr gw 2f,1vf 0.6 0.8 3 17-26 7.5yr5/4 none grsl 2msbk mfr gw 1vf 0.6 1.0 4 26-49 7.5yr5/6 none fs Osg ml gw 0.5 1.0 5 49-61 10yr5/4 none grsl lmsbk mfr gw 0.4 0.7 6 61-95 10yr6/4 none 1 Ifs Osg ml ---- 0.5 1.0 015 'ill ❑Boring 2 Boring# , Pit Ground surface elev. 9 .44 ft. Depth to limiting factor 96+ in. ❑ P 9 Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu.Sz.Cont.Color Gr.Sz.Sh. *Eff#1 *Eff#2 ' 1 0-7 10yr3/3 none sil 4 2mgr s mfr as 1vf 0.6 0.8 2 7-18 10yr5/3 none sil 2msbk mfr gw 2f,1vf 0.6 0.8 3 18-31 7.5yr6/4 none grsl 2msbk mfr gw lvf 0.6 1.0 4 31-44 10yr5/4 none 4141 Ifs Osg ml gw 0.5 1.0 5 44-62 10yr5/4 none 0* N grls Osg mfr gw 0.7 1.6 6 62-81 5yr4/4 none 3v si lmsbk ml gw 0.4 0.7 7 81-96 5yr4/4 none sI Om mfi ---- 0.2 0.6 *Effluent#1=BOD5>30<220 mg/L and TSS>30<150 mg/L *Effluent#2=BOD5<30 mg/L and TSS<30 mg/L CST Name(Please Print) Signatur CST Number Thomas J.Schmitt / - 227429 Address Schmitt Soil Testing,Inc. Date Evaluation Conducted Telephone Number 1595 72nd Street New Richmond,WI 54017 8/21/2013 715-760-1978 SBD-8330(R.07/00) Property Owner Loegering, Ronald&Cheryl Parcel ID# 030-2008-60-110 Page 2 of 4 3 Li B Boring Boring# Pit Ground surface elev. 96.74 ft. Depth to limiting factor 96+ in. Soil Application Rate g Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/f12 in. Munsell Qu.Sz.Cont.Color Gr.Sz.Sh. *Eff#1 *Eff#2 1 0-7 10yr3/3 none sil 2mgr mfr as 2vf 0.6 0.8 2 7-11 10yr5/3 none sil 2msbk mfr gw lvf 0.6 0.8 3 11-37 10yr4/4 none sil 3msbk mfr gw 1vf 0.6 0.8 4 37-55 10yr5/6 none grsl lmsbk mfr cs 0.4 0.7 5 55-96 10yr6/4 none / lvfs lcsbk mfr ---- 0.4 0.6 14 411. it 11 ❑Boring Boring# El Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu.Sz.Cont.Color Gr.Sz.Sh. *Eff#1 *Eff#2 ❑Boring Boring# 0 Pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft2 in. Munsell Qu.Sz.Cont.Color Gr.Sz.Sh. *Eff#1 *Eff#2 *Effluent#1=BODS>30<220 mg/L and TSS>30<150 mg/L *Effluent#2=BODS<30 mg/L and TSS<30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format,please contact the department at 608-266-3151 or TTY 608-264-8777. SBD-8330(R.07/00) Schmitt Soil Testing,Inc. I t. ag:3.f 4 ,Co duved4: — — I t Sc mitt Soi Te- • Incl N me. _ tRo a1 & her 4 e n _ III ` ;Th• IZ21 Slj 227429 AIdre$s: l 12 5 60th St. IIFM . . Ci Y,-state Zip': ds6n,ti 54016-1-- 1 71576I8 PI 1: —� I 030-20®8-6�-11 I ; I j Sign: re ` �a4'iJd /li .� 3-1 6/1-4T —� — I I •-,_ �MM[ � :•_ r-s ript nn' : 11 , 111. : ' . t • Ba kho T•wnehip, Co nty: S. ow h, 't C I ix 1 ou 1 ty r I— . �'� di and 1 um!,,T. 0 ir.Yi AA . •... 1-- -- i• Sio•-= 1 2111 ��Nii�ii� - I I I � ,_T , g R i Ay — Ea B2 1 r III Mik11. IMO ■ .� } 1 _ .a. 114114 0 ik • r INIWIN- r IIIII _ r l U . 3 MI ir 1 M■ um. . 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