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018-1096-30-000
Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Building Division s ' INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provide may be used for secondary purposes iPrivacy Law, s.15.04 (1)(m)l. Permit Holder's Name: City Village X Township Fletch, Ja Hammond, Town of CST BM Elev: Insp. BM Elev: BM Description: a ~7Sj~ t V W~ ~ G5 TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic !~ J~G J ~ /~ Dosing ~~~ ~~ F• Zc,~~ j~-- Holding TANK SETBACK INFORMATION TANK TO P!L WELL BLDG. Vent to Air Intake ROAD Septic ~ ~ ~~ ~ ~ x ~ Dosing `O ~ I Z.0/ 'Td / 7 ~ _. Aeration Holding PUMP/SIPHON INFORMATION ~c Manufacturer )C (~tt'v~ ~ mand GPM Mode{ Number '7/) , TDH Lift ~ R Friction ~ss . System Hpad t.,~ TDH(~ ~t Forcemain Length / ~ Dia. Z // Dist. to well / !Zb SOIL ABSORPTION SYSTEM BED/TRENCH Width ~ Length / DIMENSIONS !T ~?~ SETBACK SYSTEM TO / F INFORMATION DISTRIBUTION SYSTEM ELEVAT{ON DATA county: St. Croix Sanitary Permit No: 463315 0 State Plan ID No: Parcel Tax No: 018-1096-30-000 Section/TownlRange/Map No: 09.29.17.805 STATION BS HI FS ELEV. Benchmark ~ ~ ~Q ~~ ~ /~ Alt. B ~a ,nom, aF ^ ~~ 0 Jv Z Bldg. Sewer ~L. Cv SUHt Inlet ~ ~ /s SUHt Outlet ~ Dt Inlet Dt Bottom 1 ,, 9 / Header/Man. Z --, ~ Q , Dist. Pipe Z. ~~ ^Q, `'~7 Bot. System 3 ~ ~.7~ Final Grade / t ~ ~ ~ ~ 7 St Cover / ` d l ~~ PIT DjN1ENSIONS INo_ Of Pits Inside Dia. ILiquid~ pt!i \~ ~~ ~~ LEACHING Manufacturer: CHAMBER OR UNIT Model Number: ~ ~ ~n u.~- HeaderlManifold Distribution / r / Pi e(s~ ' x Hole Size ~ x Hole Spacing ,pi / G Vent to it Inta~Ce i \ \ ~ p p i L h ~ O Di ~ S 5 -7 L Length D a pac ng engt a .. SOIL COVER x Pressure Systems Only xx Mound Or At-Grade SYStems On1Y dh V ,n,, v a Depth Over ~ Depth Over xx Depth of xx Seeded/Sodded xx Mulched Bed/Trench Center ~ , ~ 1 -i" Bed/Trench Edges ~ ~ Topsoil ' Yes No Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: -7 /~/~ ` In ection #2:~,1~ ~ S Location: 1093 174th Street Hammond, WI 54015 (NE 1/4 NW 114 9 T29N R17W) Pheasant Ridge Lot 30 ~at'"~ Parc No: 09.29.17.805 a 1.) Alt BM Description = ~~ I ~ C~~~+~-~ ~ Y~~ 6-!~. ~'~'~ "~ r' `"J J 2.1 Slda sewer length = /_/n / ~ n ~ r ~ ~ _ . „ r-- ~ \:J . Safety and Buildings COUnty ~ v 6 ~T ~ ~ 20 ,~ ~ 71 Q Sanitary Petn»t Number (to be filled in by Co.) ,-~~ons~n M (~8) 266-3151 ~3 3~ s Department of Commerce g~ p~LD.Numbcr rmit A h r Pe Sancta y P /©~~'aks in accord with Cotrua 83.21, Wis. Adm. Cods. real ~ 6 Project Address (f diffuent than mailing address) ~ may be used for secondary p+ap~ ~ ta~ F f C E I ~~ S T f D~ 3 d ' o Applics6 n otma8on - Pleaske,~ t A~11 Infor # Lot g Block # ~" 3 ~ ~~~ Parcel , ~ilV !~ ~ ~ ,~ PmputY Owrur' Naau ,~ r --- ~~~ ~ ~~~D~6 ~~ _ - ~ c5u _ . -"'(~' Property Addreu.~ )n % ~ / e ~~J „ ~ Zip tw,. one ~~ City. ~ C ~ 1C,4~'t l one ~ J ~~ ~ ~ D ~ L 1v2___~_ Ni; jk ~ fi o W M e of Building {check all 'that aPPl7) ~/ lf,~~ /"" . Subdivis' Name (:SM N or 2 Faadly I7wetting - Number of Bedrooms PublidComtnetciai - Describe U,~Se l.t' ~O X G'D ~tY... v ~P f~' / db~g o ` State OMntd - Describe Use ~, Type of permit: (Check oily one boz on line A. Complete line B if applicable) A' New System Rcpluxaacrct System TreaLnent/Nolduag Tads Replaoenunt Maly Odcer Modification m Bttiatiag System List Previous Permit Number and Date issued Pcmnit Renewal Permit Revision Change of Permit Transfer to New B . Before: fixpiration ~°m~ ~~ IY, a of PORTS S Check all that a 1) S• paw Sand miter ond Mound ~ 24 in of suitable soil Mound < 24 in. of suitablq so'rll l,____ 1 ~ ~3 d L - ro Noa -Pressurize Constrocted Weiland Pressurized Lc.Gtound Holding Taalc Prat Filtcr Auobic TtX:atmeat Unit Recirculating Sand Filter Synthetic Medca Filter Qtambet Drip Line Gravel-less Pi C)thec (ex lain) Y. D' reatmeat Area Information: ~~ Men Requinod (at) .Dispersal Men Proposed (st) ~ evado Design Plow (gpd) Design Soil Application Rate(gpdsf) v ~ Prefab ~~ ~ Steel Fiber Plastic ~ ~ ~ Manofacnuer YI. Tatilc Info Gp~tY ~ Total Number Conaete Constar t3alions Qalioas of Units yII, 'biliity Statement- the bill for;nswusaon of foe YOVr ~~ saoau oa we aa~a »~ Plu MPlMPRS Number Busntess Phone Number Plumbe~s~Name(Yr~) ~~ /% J 7 ~.. Plumbers Address (Street, CjgS, State, ) ~ ~ / ~, ~~ t Use Od Sanitary Permit Fee ('occludes Grou~watcr issued t Signature Stamps) L Appm Disapproved Surolcatge Fa) ~ ~~ ~~ a ~ y S G~~~~ owner Given Reason for Denial c~y~ ~ ~`~~ IX. CoTEtM O of App as o~ Dtsa~ oti. ai ~ ~ D (~ ~r'C~-- ~g ~~yyill ~ ptic tank, effluent fil er and ~ U ~ yv w ~ y~~ ~ ispersal cell must all be serviced / m d as per management plan provided by plumber. ~ ~ ~>~~ ~ ~~~~~~ ~-- 2. Afl setback requirements must be maintaine 3 7 "V~" as per applicable code/ordinances. UU~t `~ r OOt kSf (< Z p ~ (~/ Oa per J A~rh the my [or th pre ~/ U''t- . PLOT PLAN PROJECT Ulfert's Family Trust ADDRESS 1011 170th St. Hammond Wi 54015 NE i/4 NW i/45 9 /T 29 N/R 17 W TOWN Hammond COUNTY ST.CROIX SYSTEM ELEVATION 97.9' BEDROOM 3 CONVENTIONAL AT-GRADE XXX CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE 630 HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 900 # of chambers none ,BENCHMARK V.R.P. Top of Steel Fence Post ASSUME ELEVATION 100' Filter Zabel A-100 ^ BOREHOLE O WELL *H.R.P. Same as Benchmark 291' Property Line Gradina is to be done to 114" = 10' Tank is to be properly bedded and provided with lockdown covers with approved warning labels 1 "t '" u ~~~ t~ . i,~` Well is to meet all setbacks found in Comm. 307' Property Line ~~ O?/10/Z005 T$U 12; 4fi. FAg ,715 698 3441 Ht1~PHRFY ENGINEERING, INC 002/004 EXHIBIT B . LOCATED IN THE WEST 7/Z of SErnON a, 717wNSHIP 29 NOR7N, RANCE ~~ WEST. TOWN oF' HAMMOND, sT. CROIX COUNIT. WISGON51~1. LOT 1 /r LOT 2 9 , HWE= 7os2_o ~~ „t~ytn,:m buu'lprrrr `ti~~~4~ .CJ G ~ ` Y S rri4 . ~ ri Via, 1 ~~~ / r0' _~ ~/ ~ - ~~. / /~ - t ~orw_ a~NU~ DRAINAC7: EASEMENT 20' ~5 ,Si LbT 31 iA i~ m (~ I ~: ,f LOT 32 MWE~ 1062.0 ~7QSS~, HWE= 1062.4 LOT 30 ,' HWE= 1062.0 ~'~ .. .: I,,~: ~ / ~~ ODSt,~ ; -.~ i - . ```ate Innwuli dtti`~ 7os4~ /~1066-~ ~ y ~~-EMERGENCI' AVER FLaW ~ ELEVAT1oN 1d6t.46' IaRAINAGL EdSE1~ENT MOTE: Nd OtnrNElz ot=t RESIDENT Si-IALL Do wNrntnvc WHICH WOULD 1NTERFF.RE WITH oR CIiaNCE THE OPERpT1oN of YFiE APPRdvED COMPREHENSIVE WATER DRAINeCE AND SOIL E>zOSIoN FLAN FOR THE PLAT of PHEASANT ftIGGE THIS INcLUDEs 8uT IS NOT LIMITED To BUILDINC3 UPON, OBSTRUCTING, ALTERING, FlLLING, oR EXCAVAl1Nd OR PLANTING IN ANY POND Fr45EMENTS, WATER DRAINAGE DITCHES. WATtrR RUNWAYS. WATER CuLVER1*+. BERMS OR ciZwss SEEDINOS. NOTESs ALL BuILpINCS TO BE CCNSTRUCTI=D IN PROXIMITY WITH DR,sINsc~ EJISEFAENTS SHALL HAVE a LOWEST pUILDING OPENING NOT LE55 THAN TWd FEET ABOVE THE N1cH WATER ELfvAT1oN SHOWN. PLEASE REFER TO AFFIDAVIT PREPARED BY JAPES w®>:R, tzLS aN0 EYi~IBIT w FpR DRa1NAGE EASEMENT MODIFICwT7oN DCTAILS. trm n,~ EXHIBIT B . ~ ,,1 neaecc: PHE~,g1riT 1#ApCE LOTS Z9 8c ~o TOWN 4F H41M~~IAQIMO, WI ' DA7Et D2-1D-05 ~ e~r~ ICUC o~ Fn.~: 193-wa +u W1w 6ew~E ~a..n JOB 1: 79$08 rmtw4,. a atasn e.asamu~ 1{ea.rare ~aT no: A - A awn ~~e--a4e-aN-a v.~ ~~rr-a9a-aa.a. Z00 ((3jj QaM'I/%3MII-Oa %I02ia Z5 998Z 689 5TL %~'d LZ ~ 80 I2I3 SO/TT/ZO aZ/la/2oa5 TAU 12.47 ~ FAX 715 698 3441 fliIMPHREY ~NGYI~~RING, INC EXH181T "A° 507'47'aa~"1M hlbt'47 24"E _ S89'41'54Tc, 454.59' 38.6J• j 38J1' - -_~.-.--.-_---_----_-~.,.--t - I _,~__Tp..- -T Y-qFi~.~ 6,x.,7• -, ~---- x~u.,o ~/ - s~ ~ ~ r ~ tv-' ~~ ~ ~ 1 '1' ot~blw ~~ pp'[ ~ ~3eT.iCA~~ ~~ r' 3 / -' I • p~ - ~ r.,.....--. O~ 80.391 ~b.~l. :•,F ! .. r--......... ,.~ . ~~,....--- L • ~ ~~ 1,OT 31 a ~+I ~T I_at KR6 I COI -. •• `~/= 63,991 SO.fT. 1~ .~l 9S• ~ ~• ~ ® tFE loda 1 I sue- ® i ~ t I /~4'I~"~'1~ ~ ~ ^'~ ~~a.• / 62-GS' 19'"51'63' .~' a'1~/• ~O ~ zt,1a4 So,FT. . 89'51 03 ' ~ ~ / ~. HWE faaz' / ~'~ '• ~l>~ /~~ IFE 1064' /w /• ~ry `~_ • ~ ,yon m'i, ' ~ ® LOT 29 ~ ,~ ~• ~ Y ~ ~y ~•/' Mrs I}~ 7o6aZ '~ +`lti rp / so,:: 9• 1 ~• ~ ~s / \ PORTION OF DRAINAGE /~ cP k , _ 7 ~~' EASEMENT 7o BE 116ANN ON UMENT 6 ~ LOT 28 • ~s4.cRS i~ d7,az7 So.FT, ~i /i ,~~ ',/titi ~ i / moo. ~ ~ ~~'~o- 8'/ THIS CORRECTION 1 Stk (CROSS-fiATCHED), SHEET 2 OF 2 ~/ f~004/004 $00I(j Q~M'I/%~MR-0~ %I013~ ZS 9992 b89 4iL %~3 8Z ~ 80 I2[3 5o/ii/Zo EXHfBIT B LOCATED IN THE WEST 1/2 OF SECTION 9, TOWNSHIP 29 NORTH, RANGE 17 WEST, TOWN OF HAMMOND, ST i ,/ ~~QO ~~~' ,~o COUNTY, WISCCN>~I ~ E~ 1 5 2005 ST~CROIX Cr)~ :~, ~. 110TH AVENUE ...~ ~r-F~~E DRAINAGE EASEMENT 20' I515I LOT 31 iD ~ LOT 32 ~~ i ~m ~n ~ m HWE= 1062.0 HWE= 1062.0~~-~ 4f ~~OSs I I ~_ ~ 30 ~~ / HWE= 1062.0 / ~ i ~ i ~~~ / ~~PF~ /,a~~~~ ~~\ 1064 1066--~ EMERGENCY OVER FLOW ELEVATION = 1061.46' DRAINAGE EASEMENT NOTE: S ~ ~ : • TROY GARY ' . ~: _~: ERS ;W_ E- 90 : iy / //~~ ~~~ui unuwi vu~O• ~~',~~~s NO OWNER OR RESIDENT SHALL DO ANYTHING WHICH WOULD INTERFERE WITH OR CHANGE THE OPERATION OF THE APPROVED COMPREHENSIVE WATER DRAINAGE AND SOIL EROSION PLAN FOR THE PLAT OF PHEASANT RIDGE. THIS INCLUDES BUT IS NOT LIMITED TO BUILDING UPON, OBSTRUCTING, ALTERING, FILLING, OR EXCAVATING OR PLANTING IN ANY POND EASEMENTS, WATER DRAINAGE DITCHES, WATER RUNWAYS, WATER CULVERTS, BERMS OR GRASS SEEDINGS. NOTES: ALL BUILDINGS TO BE CONSTRUCTED IN PROXIMITY WITH DRAINAGE EASEMENTS SHALL HAVE A LOWEST BUILDING OPENING NOT LESS THAN TWO FEET ABOVE THE HIGH WATER ELEVATION SHOWN. PLEASE REFER TO AFFIDAVIT PREPARED BY JAMES WEBER, RLS AND EXHIBIT A FOR DRAINAGE EASEMENT MODIFICATION DETAILS. ~~ nnE: DnrE: 02-10-OS EXHIBIT B DRAWN 8Y: KRS DWG FlLE: 193-008 rnaECf: 14a Yetn Street Bn`ineers JOB /: 193-008 PHEASANT RIDGE LOTS 29 8~ 30 ei e w~ ~w ~n°e ~d SCN.E: e u ~ a4oza . v,.a~ t,., SHEET N0: /~ /~ /'~ ("~ a 2S o ,~ TOWN OF FIAMMOND, WI 8,,.: 7tS-aea-a44o Fu: 715-a99-9441 ~~g LOT 29 , HWE= 1062.0 , ~ i i i . commerce:wi.gov .. ~ ^ ~scons~n Department of Commerce Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601-1831 TDD #: (608) 264-8777 www. co m m e rce. wi. g ov/s b/ www.wisconsin.gov Jim Doyle, Governor Cory L. Nettles, Secretary December 06; 2004 CUST ID No.226900 SHAUN R BIRD BIRD PLUMBING, INC 1008 192 ND AVE NEW RICHMOND WI 54017 ATTN: POWTS Inspector ZONING OFFICE ST CROIX COUNTY SP[A 1101 CARMICHAEL RD HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 12/06/2006 Identification Numbers Transaction ID No. 1088215 SITE: Site ID No. 693049 Please refer to both identification numbers, ~~q 109TH Ave ~j(.. ~ °~3/~'~'~ above, in all corres ondence with the aQenc . Town of Hammond ~~ O~~~t~y KE~~ St Croix County ~i9' ~ 1l NE I /4, NW 1 /4, S9, T29N, R 17 W / caz~/~ KNUDTSON Lot: 30, Subdivision: Pheasant Ridge FOR: Description: Three Bedroom At-Grade System Object Type: POWTS Component Manual Regulated Object [D No.: 995575 Maintenance required; 450 GPD Flow rate; 36 in Soil minimum depth to limiting factor from original grade; System: At-grade Component Manual, SBD-10570-P (R.6/99); Biofilter The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. No person may engage in or work at plumbing in the state unless licensed to do so by the Department per s.145.06, stats. The following conditions shall be met during construction or installation and prior to occupancy or use: Approval Requirements: • This system is to be constructed and located in accordance with the approved plans, and with publication SBD- 10570-P (R. 6/99) "At-grade Component Manual Using a Pressure Distribution System for Private Onsite Wastewater Systems" and the sizing methods of publication "SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01/81)".. • Per manual cited above, limited activities are allowed in the area 15 feet down slope of the component area. Soil compaction, excavation, vehicular traffic and other similar activities that impact the treatment and dispersal are prohibited. Corti; • The well must be a minimum of 25 feet from any POWTS tank, and a minimum of 50 feet from the absorption ~~~) area. chs. NR 811 & 812c DERARTMEI • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. SEE CORF • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stat SHAtJ1~ R B[RD Page 2 1216!2004 • Comm 83 22(7) A coon of the approved~lans specifications and this letter shall be on-site during construction and oven to inspection by authorized representatives of the Department which may include local insvectors. Owner Responsibilities: • Comm 83.52 Responsibilities. The owner of a POWTS shall be responsible for ensuring that the operation and maintenance of the POWTS occurs in accordance with this chapter and the approved management plan under s. Comm 83.54(1). • Comm 83.52(2) A POWTS that is not maintained in accordance with the approved management plan or as required under s. Comm 83.54(4) shall be considered a human health hazard. • Comm 83.55 The owner is responsible for submitting a maintenance verification report acceptable to the county for maintenance tracking purposes. Reports shall be submitted at intervals appropriate for the component(s) utilized in the POWTS. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence maybe made to me at the telephone number listed below, or at the address on this letterhead. The above left addressee shall provide a copy of this letter to the owner and any others who are responsible for the installation, operation or maintenance of the POWTS. Sincerely, ~„i!~~~ ~ ~~~12~ J Charles L Bratz POWTS Reviewer II ,Integrated Services (608)789-7893 , 7:45 am - 4:30 pm Monday -Friday cbratz@commerce.state.wi.us Fee Required $ 175.00 Fee Received $ 175.00 Balance Due $ 0.00 WiSMART code: 7633 cc: Leroy G Jansky, Wastewater Specialist, (715) 726-2544 Cover Page Shaun Bird Bird Plumbing Inc. 1008 192nd Ave New Richmond Wi 54017 715-246-4516 Date: 11 /29/04 Owner:Ulfert's FamilyTrust Location:NE 1l4NW1/4 S9 T29 N,R17W Lot 30 Pheasant Ridge Hammond System type: At-Grade Manuals Used: At-Grade Component Manual version 1.0 SBD 10570-P (R.6/99) SSWMP Publication 9.6 Design of Pressure Distribution Networks for ST-SAS (01 /81) Page# 1. Cover Page 2. At-Grade Plot Plan 3. At-Grade Cross Section 4. Pipe Cross Section/Pipe Layout 5. Pump Chamber Cross Section 6. Pump Curve 7-8. Maintance and Contigency plan 9-11. Soil Shaun Birc Signature License rn ~nnlly `~D -COMMERCE D LNG P~NDENC PROJECT Ulfert's Family Trust NE 1/4 NW 1/4S 9 /T 29 SYSTEM ELEVATION 97.9' PLOT PLAN ADDRESS 1011 170th St. Hammond Wi 54015 N/R 17 W TOWN Hammond COUNTY ST. CROIX BEDROOM 3 CONVENTIONAL AT-GRADE XXX CONVENTIONAL LIFT HOLDING TANK MOUND SEPTIC TANK SIZE 1000 gallons LIFT TANK SIZE DOSE TANK SIZE 630 HOLDING TANK SIZE LOAD RATE .5 ABSORPTION AREA 900 # of chambers none ,BENCHMARK V.R.P. Top of Steel Fence Post ^ BOREHOLE O WELL *H.R.P. Same as Benchmark (;rarlinn is to hP rlnnP to 291' Property Line ASSUME ELEVATION 100' Filter Zabel A-100 Cale - 1 /4" = 10' Tank is to be properly bedded and provided with lockdown covers with approved warning labels Well is to meet all setbacks found in Comm. 307' Property Line } 5, >~ PYC FOiICEMA1F.t ~~ > 5' - 2 `~TU~~-ups" ----------..~_------------ i 1 ,AS ~ R- IItSTRt w°~.i?tO*1 LAtE.RAL YY A ~sr~sE~t ~£~ O$~~ :YRTtON WELL 4 p__,,, ~_ _,_. ~~~ ..J ~ 5, A = ~ Ft. B = _L_._. fit. / ~n! =~ Pt . I/6 B i B I/6B ~i/28 t-~-- „ ~ ~~ CE ~ ~ o f %i ' Z ~Z AC,GR f,t-.ATE ~~~~,rEa 5YU-rt~~c. Fabroc -- ST~B{!.l~~.D QbservO~iOn-~,,,,. We 11 ~ ~, ~ t ~- ~ A'iE2 Pl.evVFD S~.OPE Plan View and Cress Section of LJisconsin At-grade Unit with a Single Absargtian Area on a Sloping Site Dis#ribu;ion Lateral _,~-- SOiI Cover -,! Iy~^11 Li c~. N s~. #'~ _ ~tiG~3aYU KE Page Of Distrfbution Pipe t3etail For lateral Iietworlc * Last Hole S~+twld 8e Aiext To TURN-~P __~ ~~ TURN - uP~~ ~CL~hot1T~ --, PYC Forte Main ;'T~'t i~VC flistributian Pipe P ACces~' ~, 3a. ft. Hole Diameter 51~~ ~tuh P X .:.~...~__.- Inches Lateral Diameter Z- Inch{es} Y ~` ~ Inches Force Main Diameter ~/Z~ Inches ~ Of Hales/P#pe -/ .~_ Invert Elevation Of Laterals ~-~~---~,-- Ft. Signed; License i#umber: Date: __-_- r jC~ pHD SpEL'~a FCATI01~'S ANK 5 F~3MF C~~AMR~ CRnSS S£CT S~pTZC T ~£AtHfRPRflOF APFAOVED ,. MZg'ORBOYE ~gADE ~ Jt3~iCTIp~ $OX MgAiHOLE CO~tEat u ~gNT PIPE }~tlNDOw wITK co~~viT ,~~ PADtACx ~ y ~~ WpRKiNG ;.AHEL y ~' FROH DOOR. eIR ;NTAiCE .r^ ~:...r.. FRSS~ •- ~D f~P~~~ ~~, ~.~ yZii. - - .r'~' IB~M~~ -: , 4. • ~-~- ~ ... ,. INLET .. GAS- ~ p - TIGHT . ~* ~F¢ P£ ygT£R TI6FiT S~S.S ~ sFAL , ~_ ~ AL.M 3 ~ ORS ~iLTE~ ""- ~ t ~ SO~tiQ SQit ",~-" ' - AP4i~~ C - r ~ FF Pik 3` - D~ SID OFF ELE~ - ~~~ FT- D S01! ~~P ; BE~O~HC VI,tDCR "lAi+~K G,ONC3tETE PAD ~+~ ApPRpv~ ~~ ~ ~ ~'~~j SP~CIFI~'PIOi+FS ' 3+1UlS9CR ~ SEPTIC ~ DpS£ cC ; rtE IKCI~'OIN6 , ~''~GAL- TA1+~R ~~~''CTt1REx : ~os£ v ~ ~ F Lavawcx = OAL . _ , j SAL T21)iK S Z ZRS : SEPTIC ~ 6,AL - _ ~ ~~~21'1CNE5 -z, DOSS , /~ ~ CAP~RCITZES= g _ 2 II~ICHES = ~ -~~ ~~ ~~RR7FACT~1tER,• // """'".. ~ ~' 7' ~ SAL. A~ MpDEL ~J'r1sER•: ~`G~'~' G ~_''~;NCHES ~-----,~- ~ _ ~ rzicKES - _.._----- ~Ri, ~~FI,CTVg~ = ~ - i LH'R 15. Z3 tdAC KoDEL entr~sER ' ~ ~ZTCH ~ M i~JIRIHG AS PEA T3f PE = - G PK P'LT;~SP £ ~ A I.AK f EET I~.C.I~ pIP£ _ DISCHARGE gAT'E BISTR - ~ ~., EE? RE~ZRED pt1l~P UFP ANB - - - FEET C'E RETHEpRE55U~,E ~ ~ f RZCTIQg FACTOR /S~~FEET~, v flt'!'ZCAL g;FF OAK cUPPI•Y FT/ 10 0 • FT. NAJ'~ZC ~~ ~' ~~ F £QRCE~ZR X ~_ ~,,~ ~flTAL ~~,,,, ~ DIwM~T~ ._--~-- DIES 4f ~M' 'fP,I~t~~ LIQ~TD ~'~'~'.----'~'~ F~1•~~p~' D IMENSI ¢ATE 1.I C ENS ~ ~ M 8~ = _-------"'~.. SIGN~'~ = :188 TQTAL OYNA1dIC HEAD~CAPACIT" PAR MINUTE EFFLUENT AND DEWATERING ------r- MOLEL i X52 ~~~ °¢ s QU Z a c 0 ~- FLOW P£R MINUTE CONSULT FACTORY FOR SPECIAL APPLICATIONS • Timed dosing panels available. '`" ' .Electrical alternators, for duplex systems, are available and supplied with an alarm. • Variable level control switches are available for controlling single phase systems. • Double piggyback variable level float switches are available for variable level long and short cycle controls. • Sealed Qwik-Box available for outdoor installations. See FM1420. • Over 130°F. {54°C.) special quotation required. 15?/153 Serios fe~ eters ! Gai. ~ Liters 1 Gol. ~ Liters I g 1.5 ( 69 ~ 261 77 291 10 3.1 I 6~ 231 ~ 70 1 265 15 ~.6 ~ 53 20' ~ 61 231 25 ~.6 34 129 42 ':59 30 9. t ~ 23 87 i 33 ~ ~ 25 I ::~ 1~~.7 -- ! --- 22 ~ R5 I ~,0 I 12.2 j -- j -- 11 ! 42 I ! iock VoIvE: X38.0 '. ;~1.5m} 44.0 ft. (?3.4,r.) ausoa 3 27 ~- l 7? i/8 i 1 i sKZOes SELECTION GUIDE O G UT ON AtI installatlon of controlc, protection dsvicea and wiring should be dons by a qualiRed licensed elactriclan. All ~ectrial and safely coda should bs followed including the most. reaM National Electric Code (NEC) and the Occupational Safety and Halth Act (OSHA). 1. Single piggyback variable level float switch ortlouble piggyback variable level rioat switch. Refer to FM0477. 2. See FM0712 for correct model of Electrical Alternator E-Pak. 3. variable levee cronvol switch 10-0225 used as a control activator, specify duplex (3) or (4) float system. RESERVE P01~ERED DESIGN For unusual conditions a reserve safety factor is engineered into the design of every Zoeller pump. , drvi. ro: P.O. BOX f 6347 - Louisvitle, KY 40256-0347 Manufacturersof • SHIP TO: 3649 Cane Run Road . ~p ~ Louisville, KY ao2fy-lest Q~,rrP~o9 S,rcE /939° PUMP IO. r~oz> >?F X (502) 774.3624 PUMP http:f/www.zoeller. corn ©Copyright 2000 Zoeller Co. All rights reserved. i2 v ~~ •-- POy1lTS OYHN Number of Bedr~s " ~ Number of Comrne~ Units >rs~irriatied flaw (averasal Design flow fp~)~ (E~,mat,ed x 1.5) Sod /'WPB' Rate ~ ~ ffluent Quality Faffi..Oii & Grease BODE Biochemical OxYg~ded so ids{ Cr'SS) Total Susl~ Pretreated Effuent puaCrty ~ ~° '~ Biochemical Oxygen t?ernand (BODs) Total Suspended Solids (TSS) Fecal Conform (geometric mean) Maximum EfAueM Partide Size SYSTEM SPECIFIC Septic Tank CapadtY Septic Tank Mantr~acxtttec Effluent Filter Martufstcturer _~~ r_.., Ef~uent Titer M ~ ~ S ~ _ Tank Capa~Y Pump ~ allda . Pump Tank Manufacturer ~S~ ay .Pump Manufriicxurer ~ ~° aUdz /ft P ump Model MonthN average' p~~eatrnent Unit ~ SandK~ra~1 Filter ~ D Peat Flfter ~i0 mg/L ^ Mechanical Aeration ^ Wetland ^ Other. 420 mgn- ^ Disinfection Page ~ of al ^ NA 1VA O NA ~~ DNA ~ al ^ NA 'Jy ~ , ' e r~oNA Monthly average" Dispe~e1 Celt(s) ~ ^ In-ground (pressurized) ~ ^ in.•ground (gravlry) ^ Mound s i0 mg .grade ^ Other_ 530 mgn- n ne • -~'--- 510' cfu/400m1 ~ ~ domestic (nQ~ ~ and ya inchdiarneter Va~°s~ seP~ ~~ ~ P~~ted wastewater. ,•• Values typ Service Frequency Service Event Inspect o dnoo ion of tank(s) Pump out contents of tank(s) inspect ~Pe~l cell(s) Clean eff{usnt fitter S ~ ~' ~ inspect pump, PAP controls 8. alarm Flush laterals and Pressure test ^ months At least once every When combined sludge and scum equals At least once every At (east once every At least once every At least once every At least once every At least once every O ,) (Maximum 3 yrs.) (X~) of tank volume ;) (Maximum ^ NA ^ NA O m no ~s ^ year(s) ^ NA ^ months ^ year(s) ^ NA MAiN7'ENI~-NCE INSTRUCTIONS it be made by an individual canyln9 one of the following licenses or Inspections of tanks and dispersal Delis sha lapy~g insped~r; POYVTS Maintainer; Septage fy(a.,~er P'iumber, Master Plumber Restricted Sewer; of broken ~' ~ ns must indude a visual inspection of fhe ffink{s) to identify any missing Sig Operator. Tank insped5o asure the volume of oornbined sludge and scum and ~~ a effluent levels handwane, identify any Cracks or teaks, r'f!e The dispersal cell(s) shall be visual-y inspected nding of effluent on the ground surface. The pondrng °f effluent on me or pondinD Of efttuent on the ground surface- authority. and to check for any p° Tres the immediate notification of the local regulatory in the observation p'rPes ground surface may indicate a failing condition and raga or more of the tank volume. the VYhen the combined accumulation of sludge and scum in any tank equals one-third (Y~ shall tie removed ~ a Septage Servicing Operator and disposed of In accordance with ~- NR entire contents of the tank ~ Hants, and any 113, Wisconsin Administrative Code. - onents, pretreatment compo The selvkyng of effluent fillers, m~anica! or pressurized POWTS comp a certified pOWTS Maintainer. er maintenance or monitoring at intervals of 12 months or less shall 0 ~ rfolm ~mpietion of any service event ~ authon within q Sery~e report sha~~'be provided to the IpCai regulatory tY resence of painting products or other S?ART UP AND OPERATION if high catcentrations are For clew epn5~trudi0n, per ~ use of the POroSSS a ~ ~ age the d"ispef~- ~ii(sa. chemicals that may impede the treatment p a septage servicing operator prior to use- detecxed have the contents of the ffink(s) removed by 'g MANUAL 8~ MANAGEMEµTA 1o S Page ~of v -" _ five surface- . ~t"conditions are frozen at the infil men f iS ~r~ ~ eXCess • System start up shaft not txcur when ~ at~a normal higMnrater levels. the ce#i(s) and may result in the ping mower outages Pam ~ ~ t ~~pe~a[ rail(s) in ere large dose, overloading ~r,,,~ be d[scx-ar9e ~ e~~t To avoid this situation have the COncontac~ a Peumber a POVYTm S Ma ntatner to ~ surface discharg tQ th® effluent pump ~~ a Senrlan9 p~toc A~ ~ ~~C~ot-S tor~EStore normal tenets within the pump tank- . a manuafy operating ttte Pump O°~ ~. po not drive or park over, or otherwise disturb or compact, Dyer tanks and dispersal po not drive or pant mound or ai-grade soil absorption area. the area within 15 feet down slope ~ ~ tom the wastewater stream may improve the performance and prolong the life Reduction or~el""urination of the'~oliaw[nS ~ butts; condoms: cotton swabs. degr'~ dental floss; diapees; of the POWTS: antibioflcs: baby wit~as: a gip) y~ter, trait and ye9etable peelings; gasoline; grease; herbicides; meat ~, {~ foundation drain {sumF P tildes: sanitary napkins: tampons;'and water soStener brine. dsinfeCen Sn roduds: P~ scraps; medic~[ons: ~' g P -- ABANOONI~MF~''lT steps shaft he taken to Insure that the When the POWTS his andlor iS perrTianer>tlY tdKen out of service the fotlo+~ng ~ ProPedY artd safely abandoned in oomptiance with rh. Comm 83.33.5Ariscannin ~mseaied. Code:: s~ its shalt be disconnected and the aband d wed ° ~y ~p~ge.~~~ng Operator. Ali piP~9 ~ tanks and p .. The contents of aft tanks sect pits shall be removed and property after pumping, act tanks and Pits Shan be expvated and removed or their covers removed and the void space fitted with soft, g~ or another inert solid material CONTINGENCY PLAN ailed the following measures have been, or must be taken, to provide a code If the ppWTS fans and cannot be reP _ compliant r~eptacement system. D A suitable replacement-an:a has been eealsh ~d be proteceted fro~distu~rbance and compaction andt should not a~orption system. The replacement a aired sett~adcs from existing and proposed suvcture, tot tines and wells. Fa'sttre o be infringed upon by req rated the replacsment area win resultrtns must comply with the rules ndeffect at That ttrn tabush a suit POWTS P replacement area- Replacement sys O A suitable replacement area is rat ayarrabte due to setback and/or soil Limitations. Barring a vances rn technology a holding tonic may be irtslal(ed as a last resort io replace the failed fPaO ~ of the POWTS a son and •~-7~--ZIie site has not been evaiuated to identi~' a suitable replacement area. Upo /- site evacuation must be perf~T'~ tO ~~ a' suitable replacement area_ tf no replacement area is av:~iiable a holding tank may be installed as a last resort to replace the fasted POWTS_ curd and at-grade son absorPtilon SYsterns may be reconstructed in place fotia+~'ving removal of the bi~mat at ns of such systems must comply with the Hies in effect at that time_ the infiftratlve surface. Reconstrud~ <cWARNINCati' 'TANKS MAY CONTAIN LETHAL- GASSES AND10R INSUFFiC[J~IT OXYGEN. SEPTIC, PUMP ANO OTHER TRFJ~TMENT CIRCUMSTANCES. DEATH MAY DO NOT ENTER A 8EPT[C, PUMP OR OTHF~ TREATMENT TANK UNDER ANY RESULT.. RESCUE OF A PERSON FROM THE iN'[~R10R O!` A TANK MAY BE DiFF[Ct1LT OR [MPOSSIBLE. AOD[TIONAL COMMENTS - POVYTS MA[NTAINER P01KTS INSTALLER Namz ~ ~. (.~ ~/ > Name ~.,. .~-~ r !.; ~ .~ t~.~ Phone ~ Phone j ~-- ~ f~~ LOCAL REGUiATORY Atl1'HOR~ SEPTAGE SERY[C(NG OPERATOR PUMPER . Agency - ~ /' ~ /' ~ ~ Name j r~.-~ ~ Peons ? /;~'~i ~ ~" Phone ~ ~ .>~%" ~ ~ J This doarrrtent meets Triis document twr~s drifted dy [he staffs of the Green Lake, Marquette and Waushara County Zonlnq and Sanitation agerldes. me minimwn re9uicsmants of dL Comm 83.22(2){dHtXd?b(t) and 83.54(1 }, (2) 8 (3?, WrsCOnsin AdminLttrati+re Coda Use of tl+ls doarment doeSGMW (~'] guarantee the performance of the PC?YYTS. Owner yer \~ 1~ Mailing Address t ' Properly Address ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND , OWNERSHIP CERTIFICATION FORM ~~ ~ 7 ~f~'d' S pr..rcJ __f-lA~n m an~~ . w.~ 01s-- (Verification required from Planning Department for new City/State Mlf/J~n/'hU3~tG~ , Parcel Identification Number ©/~' /09.(~, - 3a - pEJO LEGAL DESCRIPTION a ~D ~~ Property Location ~_ Y, , ~ r/. ,Sec. ~ , T Z ~ N R 17 .,Town of .~'~~-rn Its D~ 7 Subdivision ~M ~ ~S~ J ~ (,~ ~ ~LAfi ~(o gG ~ 3 9 ,Lot # 3 ~ . CertfBied Survey Map # ,Volume ,Page # Deed # ~ ~ 3 Volume ~ 7~ f ~-- Pie #, 3 U~S Spec ho yes no Lot lines identifiabl yes no ~~~~ ~3~dS' SYSTEM MAINTENANCE 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 liceuaed 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 trsponst'bilities are specified in § Comm 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County Zoning Department a certification form, signed by the owner and by a master plumber, journeyman Plumber, restricted plumber or a licensed pumper verifying that (l) the oa-site w~ disposal system is in proper. operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 fun 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 Commerce 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 Zoning Departmex ~' 30 day~c~th~three year expiration date. ~n /_/_ SIGNATURE APPLIC ~ ~.., DATE . / i DATE OWNER CERTIFICATION Uwe certify that all statements on this form are true to the best of my/our knowledge. Uwe am/are the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office SIGNATURE OF APPLICANT ****** Any information that is misrepresented may result in the sanitary pernrit being revoked by the Zoning Department. ****** Include with this application a stamped warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in. the wananty deed. E~~ J ~ . _ ~ Owner yer ,J_ Mailing Address Is ST. CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM ~Z0~1~~~ FFI~\C ~~ A'll1~ ~lAm m o~~ . rvz ~a l~ Property Address l(~ / ~ ~ 7 7 `~ _' S T' (Verification required from Planning Department for new construction.) City/State Ml~/h2/'n!lYtl•~ , ~ Parcel Identification Number ~~~' /09.~ - 3a - pub LEGAL DESCRIPTION a ~o ~~ Property Location ~~ ~ '/a , ~ 1c ,Sec. ~ , T 2 ~ N R 17 ', Toy:m of .t~cA~ I'~t ~~ i~ Subdivision ~E'l ~I~SfT~ ~ ~ ~ .D Ct~ ~~1~fi ~~v g~O~ 3 1 ,Lot # 3~ . Certified Survey Map # ,Volume ,Page # ~s?mss p ~V~a~s~ Deed # ~ X(o ~0 3 ,Volume ~ 7~~- ,Page #, 3 Spec house yes no Lot lines identifiabl yes no ~~~~ ~3~dS SYSTEM MAINTENANCE 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 § Comm 83.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance. The property owner agrees to submit to St. Croix County 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 rcquirements and agree to maintain *he private sewage d:sposal s;+stem with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certif cation stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Department within 30 days of the three year expiration date. ~M~ SIGNATURE OF APPLICANT z/iq /v5 DATE OWNER CERTIFICATION Uwe certify that all statements on this form are true to the best of my/our knowledge. Uwe am/are the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office SIGNATURE OF APPLICANT DATE ****** Any information that is misrepresented may result in the sanitary permit being revoked by the Zoning Department. ****** Include with this application a stamped warranty deed from the Register of Deeds Office and a copy of the certified survey map if reference is made in; the warranty deed. ~, ; "'' 5T CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND - OWNERSHIP CER'T'iFICATION FORM ~ ~~ ~ ~ ~ pwner/Buyer w .~ ~ (~~ ~ S Mailing Address r ~ Address ~ ~ ~ ~ { ~ ~ '~/\ Property artrnent for new construcrion) ~` (Verification required from Planning Dcp parcel Identification Number ~ ~~`' ~ ~ ~~ ~~~~ City/State ~ L_ FOAL DESCRIp'T~ON ' ~lJ ~) ]~ ~~'' // , W ~ ~ N-~_ ,Town of 1 ~4~v-~V/~o property Location ~ /4, 1 " /,, Sec. -- ~~`~~.-t 1~ ,~ 2 -fit (~ ~-~- I,ot # _ Subdivision Certified Survey Map # ~~ SPCC l]ou$e ~ yeS ^ IIO Volume _, page # Volume _, Page # ~~• Lot lines ideutifiable'~1 yes ^ no SYSTEM 112~iN'TENAI~CE improper use and maiateaaiice of your septic system could result in its premature failure to bandle~waistyo , Pm int the sy~em tic tank every threw years or sooner, if needed by a licensed pumper. consists of pumping out the sep . can affect the function of the septic tank as a treatment stage in the waste disposal system. errt a certification form, signed by the owner and by a that 1 the on-site wastewatordisgosal system The property owner agrees to submit to St. Croix Zoning verifying ~ ) mast~rplumber, j~ncymanpltunber, restrictodplurnbtror a licensedpunzpet ~ tic tank is less than 113 full of sludge. condition and/or (2) after inspection and primping (if noceSSaTY), ~ is in proper operating with the standards ~~ the undcraigned have read the above requirements wad agree to maintain the Private sewage disposal system ent of Natural Resources, State of Wisconsin. Ccrtificarion sei forth, herein, as set by the Department of Commerce and the Departm Office within 30 stating that your septic system has been maintained must be completed and returned to the SL Croix County Zoning of the car e/x~pir~ 'oa date. ~ , ~^~,/ ~~ C..- . DATE" SIGNATURE OF APPLICANT OWNER CERTIFICATION our knowledge. I (wc) am (are) tkie owncrts) of I (we) certify that all statements on this form arc tru~~~ ~ Register of Deeds Office. the property described who`ve, byCvirt~ue of a wamaiity deed 1 ~ / ^J ~ t r 1 E~~~ ' ~'`_ IDATEp~ "~ SIGNATURE OF APPLICANT «. «. «~ Any information that is mis-represented may result in the sanitary permit being revoked by the Zoning Department. ssass• •• Include ~•ith this applIcatlon: a stamped wamaaty deed from the Register of Deeds office a copy of the certified survey mag if reference is made in the warranty deed ST CROTX COUNTYGREB~N,I, SEPTIC TANK MAIN'TENANCB AND pWNERSHIl' CER'i"IFICA'I'ION FORM OwnerlBuyer Ro ~ Mailing Address tot opt` s d Property Address "~ ~ '., "` - (Vcrification required from Planning Department for new construction) ct8- fog6~3o-oob ~,~,__ _,,,,a parcel Identification Number City/State ..wfn~-wi LEGA.i- DESCRIPTION $0~ T 1q N-R„ f7 _w. Town of ~aw.+~+~+on. d property Location ~ - 1/4, N w /4, Sec. g._,., -- Lot # 30 Subdivision Pti casank- id c Volume _ .Page # Certified Survey Map # ._ 5356'79 .Volume f1N1 .Page # z2 Warranty Deed # Lot lines identifiable ~' yes ^ no Spec house ~dl yes ^ no SYSTEM M_~'INT~N=~~ ~ tic em could result in ita premature failure to handle wastes. Proper maintenance improper use and mamtenaaceof Y sep ~ b a licxnsed pumper. What you put into the system coasisis of pumping out the septic tank every three years of sooner, if needed y can afl-cd the function of the septic tank as a treatment stage in the waste disposal sy~°m. e~ a rectification form, signal by the owner and by a verifyin8 that (1) the on-site wastewaterdisposal system The property owner agues to submit to St. Croix Zoning ~ tic tank ~ less than 1~ ~ of sludge. mastcrpiumbcr, journcymanplumber, restrictcdplumbetor a iicensedpumpa condition andJor (2) after inspection and pumping (~ nooessarY)~ ~ is in proper operating fain the private sewage disposal syrtecn with the standards is and a ~ main State of Wisconsin. Certification ilwc, the undersigned have read the above requiremen ~ ~ of Natural Resources, set forth, herein, as set by the Department of Commerce and the Departm Office within 30 sting that your septic system has been nuaintaiued must be completed and returned to the St. Croix County Zoning days of the three year expiration daft. .}._. t / ~0 / G '~~~, C • ~o-W' DATE SIGNATURE OF APPLICANT OWNER CERTIFICATION o,u knowledge. I (wc) am (are) the owner(s) of i (wc) certify that all statements on this formar~~~ ~ Roger of Deeds Office. the property described above, by virtue of a warranty ~r ,~ 'I~o~tq,QGt. ~~ ~ DATE SI(3NATURB OF APPLICANT ~ f ~ t 4 ~ Any information that is mis-represented may result in the sanitary pmt bc~g evoked by the Zoning Department. sssss• .. llcation: a stamped warranty deed from the Register of Deeds office Include with t2ils app if reference is made in the warranty decd a copy of the certified survey map Bonte Excavating LLC 1420 Davis St Hammond, WI 54015 Fax# 796-2519 *List of items needed before application can be sent to the master plumber. *Application is incomplete until all items are received. *Sanitary permits take 1-2 weeks at the plumbers office and an additional 3-4 weeks at the county for a conventional system and 4-8 weeks for a mound system *Please do not call Bonte Excavating for the permit, I will contact you when the permit is issued. 1) Soil test site evaluation (Perc test) ~ A copy may be obtained from the Zoning Office. 2) Two copies of blueprints and the area staked where the house is going to be located. **If soil test is questionable or house is staked on the drain field area, another pert test may be needed. Soil test area must be located and staked. 3) Recorded copy of the warranty deed. A copy may be obtained from the Register of Deeds Office. r v 4) Copy of the CSM or lot map of the subdivision. .i 5) Signed copy of "Septic Tank Maintenance Agreement" from St. Croix County. ~ *Any incomplete applications will be held until all material is turned in to Bonte Excavating. *St. Croix County Zoning office is extremely slow at issuin tart' permits. Some applications take longer than others. (Watch n r of bedrooms on print) Conventional syste :Make check ou o "T.L. Sinz Plumbing" for $300.00 This amount covers you my pe it fee. Mound systems: Make chec ut to " inz Plumbing" for $850.00 This amount covers your to permit fee, cou permit fee, and your mound design fee. x ,(Jisconsin Department of Commerce Division of Safely and Buildings SOIL EVALUATION REPORT Page ~ of m accoraanc:a wnn wmm oo, vvrs. r~urn. ~,uae County I ~ ~+. ~ l ~ ` Plan must er not less than 8 1/2 x 11 inches in size lan on Attach com lete site a p . p p p indude, but not limited to: vertical and horizontal reference point (BM), direction and parcel I.D. ~ ~ / Q~ ~ ~ ~~~ _ ~ percent slope, scale or dimensions, north arrow, and location and distance to nearest road. t PJease print aJl information. Revi Y Date Personal inforrnation you provide may be used for secondary purposes (Privacy Lsw, s. 15.04 (1) (m)). _ ~ d Q Property Owner ,~ J ,s' Property Locationf Govt. Lot ~ 1/4 /4 S T ~ N R E (o W Property Owner's Mailing Address // Lot # Block # Subd. Name or M# . ~~0 ~T ' v "_. ~l~ c' City State Zip Code Phone Number ^ City ^ village Nearest Ro d New Construction Use: idential /Number of bedrooms ~_ Code derived design flow rate ~J~~ GPD ^ Replacement Public or tAmmerdat -Describe: ________ __ ___ Parent material ~ Flood Plain elevation if applicable _f ~~ y~ ~`I` ft. General corruneMs and recommendations: s~ s / _--- ~ ~l ~ t / ~ > ~ ~,yL L~ ,6,~ I/h. t~ r ~ 7 ~ - L c;i . , ~ ~~ ~~iC[fif/Y-~ IS ` ~ ~ft l~ ~ /"`"`"' f T '"~: ~ Boring ~ Btui ~'^ j f~, Z'(t Ground surface elev ~ factor ~ ~ in th to limitin De ~ `~~'". l~1 pit . . . g p Soil ication Rate Horizon Depth Dominant Cdtx Redox Description Texture Structure Consistence Boundary Roots GP D/fg in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 ..~ - ri `~ B«;ng # "~ it Ground surface elev. fit. Depth to limiting factor ~~ in. Soil lication Rate Horizon Depth Dominant Cdor Redox Description Texture Structure Consistence Boundary Roots GP DIff in. Munsell Qu. Sz. Cont. Cdor Gr. Sz. Sh. 'Eff#1 'Eft#2 ~- ld ~ 3/z ~---- h? ~ ~ ~7 'Effluent #1 = BOD > 30 < 220 mglL and TSS >30 < 150 'Effluent #2 = BOD < 30 mg/L and TS5 < 30 mg/L CST Nartte (Please Print) Si re CST Number Bird Plumbing, Inc. Shaun Bird 226900 Address Date Evaluation Conducted Telephone Number 1008 192nd Ave, New Richmond, WI 54017 ,_ r'~-® 715-246-4516 .• ~ Property Ovmer Parcel ID # Page of Ong # Boring ~~ Pit Ground surface elev. ~ ft. Depth to limiting factor ~ in. Soil ligtion Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/fF in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 t -Z. 0 ~3L ~ ~ ,~ , - ~-- ~ J ,ire. ~ 'I ~ ' ~_ , I I ~ a ring # ~ Boring pit Ground surface elev. ft. Depth to limiting factor in. Soil lication Rate Horizon Depth Dominant Color Redox Desaip6on Texture Structure Consistence Boundary Roots GPD/fE< in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 `Eff#2 Boring Boring # n ~-r.....a .....F....e ..le.. r1nML. ~.. li.nik:r.n f~N.~r <_J U Pit .,"'". "..".... "." _-'"_..- ........' .°--- Soil ication Rate Horizon Depth Dominant Color Redox Description. Texture Structure Consistence. Boundary Roots GP D/ff in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Etf#1 'Etf#2 'Effluent #1 = BOD, > 30 < 220 mg/L and TSS >30 < 150 mg/L 'Effluent #2 = BODS < 30 mglL and TSS < 30 mglL 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. SB0.6330 (R.N00) Soil Test Plot Plan Project Name Ulfert'sFamilyTrust Sha it Address 1011 170th St. Hammond Wi 54015 TM ~#'Z26900 Lot 30 Subdivision Pheasant Ridge Date 11 /29/04 NE 1/4 N W 1/4S 9 T 29 N/R17 W Township Hammond Boring (J Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of Steel Fence Post System Elevation 97•g' *HRPSame as Benchmark NORTH L 1 NE OF THE NW 1 i4 w w i W w ---------------- 253. 01' PUBL 1 C S01 ° 47' 24" W 36. 63' N01 °47' 24"E ---------413. 1 T'---------------- ~ s`~i9° o sue. ........................................... `~'~. !. 50 ACRES -' `~ca, .............. ~....T ....~............. ,yos 65, 394 S0. F T. gj; ~~~ .~~ ~,-. LOT 2 ~' ' 92~682ASO.EFT. ~`r~ ~~ I f ®° I ------------240. !9' ----v ~: ~ _ is i o ~ ~ q0• 4q+• ~ g % ~ ,' 1 ,•/ I i~ :• ~ LOT 31 ~ Jo• ,~ 1.31 ACRES ,~ 65, 9B! S0. FT. / ~• • ,~ HWE 1062' ' '~ ' ~ ~. LFE 1084" 0 • ~i9, 7TH >~' ,~'~ • / , • ,' S~ ~ °SO. `p ~~ 5 .' .•'• 71, 184 S0. FT. ~i9. , e 2~ ~. ~ 77~ MN£ 108P' ~~ ~~° ~' h~ °~ LFE 1064' ~. ~~ .• / ; LOT 3 ~ i. 50 ACRES '°/ / © ' LOT 29 : " ~ ~, 409 S0. FT. ,' ~~, ' ,gyp ~ ' /~ ~~ °~ 1.67 ACRES 6~'' bro ~• ~ ~~. 68, 324 S0. FT. ~ ~~'i' .~. ~~ ,~, HWE I06P' ,'' ~ a, 'hi ~° i `S/O LFE 1064' , /~ ~S`, ,f,~ . , ~ 0 i / ~`. i moo. 3~2 ,• ,: i O~ . , L~'( 9~ ~P 0, 3°~ ~ 62 ~\6• /+~ \~' TOP CF 1' IRS P/PE 1061.50' ,, ~ ~3 , ti0 ,, LOT 28 '~~ ''•, 2° a~ g~` ~~'h ~,' 1.34 ACRES ~ ~ S ds, ~Q,~ - f~ a~ 67, 027 S0. FT. ~ '~ .''1~ s/ ~s• ' / P~ ti~ ~ ~. LOT 2 ? 1.53 ACRES 66, 861 S0, FT. ~ ~ yS~ 's • %. )6 T ~s . FT. ~ i i i i ~0 i G i i ~ 0 ti ~~. moo. ~' i i i ~, J~~• i~/ O° ~, ~~. ~ °o. ~' \~ ' °° Q i i ~,0•~e i ~ i ~~ ~ 3 ~S, ~ `i` . ~ c ~9 ~9 UT 1 L 1 TY EASEMENTS ao~ Sf. CROI d ~ ~ a'. Votoux NO POLE OR BURIED CABLES ARE TO BE PLACED SUCH THAT THE INSTALLATION W1~ULD DISTURB ANY SURVEY STAKE, OR OBSTRUCT V 1 S 1 ON AL ONG ANY LOT L 1 NE OR STREET LINE. THE DISTURBANCE OF A SURVEY STAKE BY ANYONE IS A UT~L~TY~A~hENTS1AS HERE32N~E~IFORTH/ARETFORTTH, USE OF PUBLIC BOGIES AND PRIVATE UTILITIES HAVING THE RIGHT TO SERVE THE AREA. O SET 2. 376` 0. D. X 30' 1 RON P 1 PE WE 1 GH I NG 3. 65 LBS. PER LINEAR F00T. NOTE: SET 1' 0. D. X 24' 1 RON P 1 PE WE 1 GH 1 NG f . 13 LBS. PER L/NEAR FOOT AT ALL OTHER LOT CORNERS. ____L.__ _ _,_ _ _ UT 1 L 1 TY EASEA£NT (TYP. ) Parcel #: 018-1096-25-OOa = 02/14/2005 12:12 PM PAGE 1 OF 1 Alt. Parcel #: 09.29.17.800 018 - TOWN OF HAMMOND Current ' X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): * =Current Owner *FLETCH, JAY W JAY W FLETCH 1729 109TH ST HAMMOND Wl 54015 Districts: SC =School SP =Special Property Address(es): * =Primary Type Dist # Description * 1729 109TH AVE SC 2422 ST CROIX CENTRAL SP 1700 WITC Legal Description: Acres: 1.710 Plat: 2299-PHEASANT RIDGE 1/32 018/02 SEC 09 T29N R17W PT NE NW & NW NW PHEASANT RIDGE L Block/Condo Bldg: LOT 25 OT 25 1.710AC Tract(s): (Sec-Twn-Rng 401/4 1601/4) 09-29N-17W NW NW Notes: Parcel History: Date Doc # Vol/Page Type 04/25/2003 718795 2218/477 WD 04/25/2003 718794 2218/476 WD 08/06/2002 686239 9/26 PLAT 2004 SUMMARY Bill #: Fair Market Value: Assessed with: 56911 303,000 Valuations: Last Changed: 07/14/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 1.710 54,600 199,100 253,700 NO Totals for 2004: General Property 1.710 54,600 199,100 253,700 Woodland 0.000 0 0 Totals for 2003: General Property 1.710 54,600 16,100 70,700 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount 010-GARBAGE SPECIAL ASSESSMENT 60.00 Special Assessments Special Charges Delinquent Charges Total 60.00 0.00 0.00 i U. '2?'~2P 53~ STATE BAR OF WISCONSIN FORM ~ - 1999 Document Number TRUSTEE'S DEED Dine M. Bonte as Trustee of Karl M. Ulferts and I{athari~,a ~. Ui~er~.c F~Inily Trust for valuable consideration conveys without warranty to __J~Y _W__~ Fletch and Glenn K. Knudtson Grantee, the following described real estate in St. Croix County, State of Wisconsin (if more space is needed, please attach addendum): Lot 30, Pheasant Ridge. St. Croix ~tutty, ~,~~-~.~d dal ~ * Dine M. B_onte_ _____ Trustee -----___--------- ----- -- - - Estreen & Ugtand 3J~ Locust S~i:reet hudsort, W( 5~r016 t,c,~{, ---t~~BR, 018-109b-30-000 Parcel Identification Number (PIN) ,~D~ Dated this ~ T day of ~'j~~~, 2005 . _.. _ _ ~ - --__ _ ___.-_ __ _ - - -~~Z -~e~-? _ _ * Trustee A[JTHENTICATION Signature(s) Dine_M_ . B_onte, Trustee of Karl M. Uiferts __ _ and Katherina G. Ulferts Family Trust ~ r authenticated this ~ of Jantaary 2005 ,. * Kristine Oland - - . TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by § 706.06, Wis. 5tats.) 786583 KATHLEEN H. MALSH REGISTER OF DEEDS ST. CROIX CO. , MI RECEIVED D 02/03/2005 10:00A1i STEES DEED REC FEE: 11.00 TRANS FEE: 192.80 COPY FEE: GC FEE: PAGES: 1 Recording Area ACKNOWLEDGMENT STATE OF ) -------------) ss. County ) Personally came before me this _ _ _ _ day of _ ____- .___ ~T-__ _ _ __ • .__. __ the above named to me known to be the person(s) who executed the foregoing instrument and acknowledged the same. THIS INSTRUMENT WAS DRAFTED BY - . _ . . _ Attorne Kristine O and * i ., y ,~.~._.______ r_.~ __- - --._.._.-Y- ---.---- _ _ _ _ _ _ _ Hudson, WI 54016 _ Notary Public, State of My Commission is permanent. (If not, state expiration date: (Signatures may be authenticated or acknowledged. Both are not necessary.) T____^__-„__^^_~__- _ `___ .) * Names of persons signing in any capacity must be typed or printed below their signature. tnformaUon Professionals Co.. Fond du lac. Wt STATE BAR OF WISCONSIN 806-655-2021 TRUSTEE'S DEED FORM No. 7 -1999 ~ L t, • 1 .].3J6 afJ Slate Bar of Wisconsin Fnrm 3 - 1982 i; QUIT CLAIM DEED i rte'-' -__~ ~~ '7 ~ ST CRCI`~ CJ.,';rl I DCICUMENT NO. ~ f_ a/k/a Katherina Ulferts, a/k/a Kate Ulferts, a/k/a Katharina Ulferts N~~ 1 :995 Karl M. Ulferts and Katherna_~C,__Ul~~r-lis.- ~ ~t 10:00 A•M a/k/a _Katharina _G. U.lferts,Jhus}~and and__ j wi_fe__h_ of _ ur___ ship mari~a~r~p€~t.y ~~;~~,;,,_~~~ j, ~.~,1,,2~, -Dine M. Bont_e i' P„• :ur of ~.:. s yuit-claims - ---- ~ ._..M - --- - ----~ ;~ __._/.-r1 •~ ~~ - St. Croix/Pe In --000m TNiS SPACE RESERVED fI;+nECON01NO nA'A the following described real estate in __---------E- y~ ~ '-- - _~ $ldle Of WlxCnn5l n: NAMf ANO RE 'JAN AODRf 55 (Parcel Idemification Number) l See attached rider for real estate description. '~~F~ EXEt`~~ The Grantors herein, or the survivor of them, reserve the right to occupy the premises being conveyed hereunder, said rights to occupy shall terminate when it is no longer feasible for one or both of the Grantors''to occupy said residence due to health or other reasons. This 1 S homestead property. 'is) Oa7DioX Dated this -, lst_ day of /S,eptember _, ly_95 (SEALI ~ ` ~ ~- ~~ "`r~~ (SEALI Carl M. Ulfert (SEAL) ;SEAL) Katharina G. Ulferts AUTHENTICATION ACKNOWLEDGMENT Signature(s) of Karl M. Ulferts and Ka Tina G.-Ulferts ausne c ;, 1st day f Se tember Ig95 . Leo A. Beskar _ TITLE: MEMBER STATE BAR OF WISCONSIN (If not, _ authorized by §706.06, Wis. Stats.) STATE OF WISCONSIN `. :<. County. 7 Personally came before me this day of _ 19__ the above named to me known to be the person who executed the foregoing instrument and acknowledge the same THIS INSTRUMENT WAS GRAFT EO BV _ Leo A. F)eskar, Attorney _ RQpLI $gSKpR, LES & RUF~GE~L S . 2gg19 _N_br~~tTTh~~Mal_WR7'-~~~e_~St.~ri.~ 1~~ Notary Public County. Wis. (Sig~t~tPdr~s rlia$ELra~tfien ted or a ged. Both arc nol My commission is permanent. (If nos, state expiration date: necessary.) - -• Iq----~) `tr ___. _ _ -- - •Names,d Derwlns sisnina in any ~apa~ily should he IYptd or Drimcd below heir sianalurn. QUIT CLAIM DEED STATL !A0. OF WISCONSIN Wlxonam Legal Blanx Co.. Inc. iORM No.l - 1981 MIIW ruxn. Wia. Y-.., T~ 1 . ~_ yy _~ t) ~1'_ r FA;_ G„ EXHIBIT "A" Real Estate (St. Croix County, Wisconsin) Northeast Quarter (NE 1/4) of Sec*_ion Eight (8), Township Twenty Nine (29) North, Range Seventeen (17) west. AND; West Half (W 1/2} of Section Nine (9), Township Twenty Nfne {29) ' North, Range Seventeen (17) West, EXCEPT Commencing at the Southeast corner of said West Half of Section 9; thence North on quarter section line 341.8 feet; thence N82°W 340.0°feet; thence S52°W 170.0 fee::; thence S39°W 170.0 feet; thence S56 W 263.7 feet to section line; thence East on section line 798.78 feet to Place of Beginning. AND; South Hal! of Southwest Quarter of Southwest Quarter (S 1/2 of SW 1/4 of SW 1/4) of Section Twelve (12); And Northwest Quarter of Northwest Quarter (NW 1/4 of NW 1/4) of Section Thirteen (13); All in Township Twenty Nine (29) North, Range Sixteen (16) it West. Real Estate !Pepin County, Wisconsin) I ~ Lot Five (5), Block Two (2}, Klampe Subdivision to Town of Pepin, Pepin County, Wisconsin. AND; `b Lot 4, Block 4 of the Klampe Subdivision in the Town of Pepin, Pepin County, Wisconsin; ~2 Fart ^f Lct 1 Block °irst :,ddi`;cn tc Xla~Ye Subdi~:.Gic^, ~~ describe3vas follows: Commencing at the Southwest corner of said Lot, which is the Point oP Beginning; tizence North 46°8' East, 135 feet; thence South 43 52' East, 91.h0 Peet; thence South 80°14' West, 163.03 feet to the Point o! Beginning. Located in Government Lot 2 of Section Twenty-One (21), Township Twenty-three (23) North, Range Fifteen (15) West, all in TOWN OF PEPIN, Pepin County, Wisconsin. ~, - . .' 4 r' ~* • ~ , + } v $ ,?, , «~•, , tom ~ , . a~ ; ~ ~ ~~ 1/20 4/2005 MON 11; 50 FAX 715 698 3441 HUMPgREY ENGINEERING, INC~r T [~ 001/002 l~.J . f N G I N f f R f N G i 145 Main St., P.O. Box 252 Woodville. Wl 5402$ Phone- (715) 698-3440 Toll free- (866) 599-0820 Fax- (715) 698-3441 www.humphrey~engineering.com FAX Date: -~ , D~ To: From: s ~qt /N Fax: Pages (inc cover): -7i - 3g~, ~~~ Re: • COMMENTS: ~,bov~ ~~a~ ~~ re+e~e ~ ~f-2'G~ad•'~ CONFIDLNTTALTfY NOTICES The documents accotcnpanying this faz transmission contain coni"identiai and priviieged information. This %nformation is intended to be for toe use of the inditvilduui and/or entity named shove. If you are not the intended recipient, you arc hereby noticed that arty disseminatioa, distribution, or reproduction of the contents of this faz transtntssion is strictly prohibited. If you have received iltis communication in error, please notify us immediately. Thank you. ~ AS REQUESTED ^ URGENT ^ FOR REVIEW AND OOdIalEN7' ^ PLEASE REPLY 02/14/2005 MON 11; 50 FAx 715 698 3441 HUMPHREY ENGINEERING, INC ~joo2/o02 ~X-F~~B1T B LOCATED IN THE WEST 1j2 OF SECTION 9, 70WNSHIP 29 NORTH, RANGE 77 WEST, TOWN OF HAMtAOND, ST. CROIX COUNTY, WISCONSIN. LOT 1 LOT 29 , HWE= 1062.0 ~ ~ i i G IO lllS~/l i n ~ =~~ E ~ f ~~ ~' Ff I ~ .ss.,< /~~~r~ /~J LU • ~ ~_ ~~~~ S ~o a DRAINAGE EASEMENT NOTE: NO OWNER OR RESIDENT SHALL DO ANYTHING WHICH WOULp fNTERFERE WITH OR CHANGE THE QPERATION OF THE APPROVED COMPREHENSIVE WATER DRAINAGE AND SOIL EROSION PLAN FOR THE PLAT OF PHEASANT RIDGE. THIS INCLUDES BUT IS NOT LIMITED TO BUILDING. UPON. OBSTRUCTING, ALTERING. flWNG. OR EXCAVATING OR PLANTING IN ANY POND EASEMENTS. WATER DRAINAGE DITCHES. WATER RUNWAYS, WATER CULVERTS, BERMS OR GRASS SEEDINGS. NOTES: ALL BUILDINGS 70 BE CONSTRUCTED IN PROXIMITY WITH DRAINAGE EASEMENTS SHALL HAVE A LAWEST BUILDING OPENING NOT LESS THAN TWO FEET ABOVE THE HIGH WATER ELEVATION SHOWN. PLEASE REFER TO AFFlOAYIT PREPARED BY JAMES WEBER, RLS AND t:XHIBIT A FOR DRAINAGE EASEMENT MODIFICATION DETAILS. - ai¢~,a~c wTE o2-to-o5 EXFIIBIT B ttr+~mt ar ItRS owc Fl~ t s3-DOl3 eeo.Qe: 146 1(-tn 4ts•d P o n : ~s Royinv~ `nd ~.'^~° r JOD /: 193-008 scnce PNEl1SM1T RIDGE LOTS 29 ~ 30 • . o wnoadiOo, wi aaoae , coea~ucclon dm~m+ ~~ Na: A ,~, A z too TOWN OF NAMMONDs WI sn.: 7iS-ena-sNa F~ 715-ave-asst H I'i /. ~ 1 OTH AV~I~rJE DRAINAGE EASEMENT 20' ~~ ------.^.-------1 ~ ~II ~ 15 TSI LOT 3 ~ f~ ~ i~ i im i iN i i~ i HWE 1062.0 LOT 30 ~. HwE= 1062.0 ~ ~ i ~ ~~ / 0~5 ~ i ~*~~ ~~\ ~ ~c°` LOT ~2 HWE= 1062.0 ~~oss'~~•_.___ ~os~ EMERGENCY OVER FLOW ELEVATION ~ 106T.4fi OZ/10/2005 THi1 l~; 48 FAg 715 698` 3441 ~fltINPHREY ENGINE~ING, INC f~ooZ/oo~ EXHIBIT B . LaATm IN TH@ WE9.T 7/Z OF SECTION a, TOWNSHIP 29 NOR1H, RANCE 17 WEST; TDWN OF NAMMCNO, ST. CRO(X COUNtT, >wnSG6NsIN. t 1 OT_AV~NU~ DRAINAC6 EASEhIENT zo' ' .... II ~------ ...._..--., 1 LOT 1 ~ 1 i s T5~ t ~ LOT 31 (~ i LOT 32 ~b c~ / m ~~ ~(m ( H WEB 1062.0 H WE= 1062.0 ;(~ ~ L_--~rQSS~1 i i LOT 30 H WE= 1062.0 .. / t os4~ ~10651 ~ ` ~/ LOT 2 9 ~ ~~' ~ ~ EMERaENCI' OVER FLollil HWE= 1062.0 /~ ~ ELEVATION = 106T.4a' ,'' QRAINAl:~ EI-3EII~ENT AIDTEe N~~~~u111111qugrrrr No OWNER ol4 RESIDENT SHALL Do ANTTNINC WHICH WOULD W7'EREERE NA1H ~ G Q ry oR CHaNCE THE OPERATION OF 7~lE nPPROvED CoMPREliEN51VE WATER `~~' S _. ~S/ ~~ DRAINaCE AND SOIL ~osloN PLAN FOR THE PLAT OF PHEASANT RIDGE: Tlils _ INCLUDES BUT IS N4T UMITEb TO BUILO[Nf3 UPON, oBSTRUCTTNG, ALTEiiINc, ~'-- is FlLLING, oR EXcAVATIN~ oR PLANTING IN AN7 POND EASEAAENTS, WATER ~ ; • OY AFiY - DRAINAGE DITCHES, WATER RUNWAYS. WATER CULVERTS, HERMS OR GIYASS ~ ~ ~ ; [:fig SEELINos. / ~ Q i 90 : LIJ ~ / H 0 ; - ~2~ NOTES / ~+~"• „_ ALL BUIL,OINCS TO 8E CONSTRUCTLD iN PROXIMITY WITH DRAINat~ / rr /O rP~.,. ~IISEMENTS SHALL HAVE A LOWEST BUILDING OPENING NOT LESS THAN TWO / Nnr d~~ Fk~T ABOVE THE H9Ghl WATER ELEVATION SHAWN. IIIINIfI PLE'A5E REFER TD nT~'IDAVIT PREPARED BY JADES w~A:R. RL.S ANO E~(Fi191T ~~ ~~ A FOR CRAINwCE EASEM>rNT YODIFICAIION DETAILS. p+aa nna ~N~BR B DISTE: Q2-1D~05 DR6HIM H5: KRS DMC FII.~ 1»3-008 ~= a~a le,lw c ~~{s..n JOB /: 19$08 ~.~-,--~...~ PHE~9,gMT 41iAR1~E LOTS Z9 8a ~o rm°aME`0u..~inruesB acwdmea~"u "eA.o.a•~ ~r no: /~ g ~ TOWN QF' H,41M~III1aM0, {~/~ Bun 71B-OPB-bfi0 P~ 7AG-~~aa ~ - /'1 7_nnl3t ff7M'T/4:~MIl-[17 XTAN7 ,T.r, AAAT. ERA ~TL XV,•I( G7.:R0 TNri 50/TT/ZO 02/10/205 TgU 12; 47 FAX 715 688 3441 fli1NPHREY ENGINEERYNG, INC EXH181T "A° So136 8~~~ ' ._~~~.--._~~ x13.17'-~.___~,.-«- ---I ' ~/ ~ i r ~ / ~ 11 ~~ i z wa1.4rz4 °e 38.71' $gg'41'54'E 454.59' P°~'1 f $ 1 ~ Raw _ ; c I ~ ~ I,OT 31 I. ~~ l ~ r~ La, re-r.~s !, q~1 I. ss°eei Sa,fT. - ~ ds, / ;~ 1 I '>~, 1 fps^5y'e3' ` ~~'~' ~ 71.164 s~~>Z. i i ~ '~ / HWE la6z ~ • ~~ /~•~g~~~~ IF'e 1064' i~ 4P / ~ ~ % ~~ .- ~ ® ~' ''~• LOT 29 i ~` wYS yoeR'~~y ,'~f LFF tabs' "~~ . ~6 /!~.• 7~B ~r11g~ ,•, ~ // ~e G ~i ~ LOT 28 ~~ 1.54 ~C'RES //~/ e'o~ J' e~,ozz so.Fr. i~ .~~, ,~ ~~ ~ r~ ab. . ~~ ~~ ~ w ~~~1 ;~ "~1 ~.p"` ~~, tiro , o ! z I.es; 1'D3"' try POFt710N OF DRAINAGE FASE?~AENT 70 BE ABAN~6NE~ @Y TH15 CORREc17oN lNStr}UMENT. (CROSS-•liAi1CHEA). SHEET20F2 1~004/~04 ann v~ rt•lA1'T/Q'~Yil-A1 YTAx•1 T.C flGfl7_ b4G CT/. YV..T 47:f}n T>T.A C(1/TT/7_fl ~' 4: ; January 27, 2005 Alex Blackburn, St. Croix County Zoning Specialist St. Croix County Zoning Office 1101 Carmichael Road Hudson, WI 54016 Dear Alex Blackburn: Humphrey Engineering was asked to look at the Proposed Affidavit for changing the drainage easement for Lots 29 and 30 on Pheasant Ridge in the Town of Hammond. The pond located along Lots 29 through 32 on said plat was installed as part of the golf course architecture and not part of the county storm water system. The drainage report submitted for this subdivision did not use this pond as part of the typical drainage requirements for subdivisions. Humphrey Engineering Inc. also did a site visit. It appeazs that additional architectural ponding was added to the southeast. The high water elevation assigned to this pond should not be effected by this change. If you have any additional questions, please contact our office. Sincerely, Humphrey Engineering Inc. Roger Humphrey, P.E., R.L.S., A.I.C.P President ~ 0 ~1~~ -~ ~ / ~~ ~ ~ / e9~ - ~%r,,rti~~~ ~~ ~'~'~ ~~~ - Gfivt ~G~ '~~~ ~ ~~~`_ ~~ ~~~~ `~ ~~~~ ~~~ ~ ~ ~~~~ ~~ 145 Main Street, P.O. Box 252 ^ Woodville, WI 54028 ^ humphreyengineering.com ! 715-698-3440 ^ Fax: 715-698-3441 Page 1 of 1 Pam Quinn From: Pete Kling Sent: Monday, February 07, 2005 11:29 AM To: Pam Quinn Subject: Pheasant Ridge Affidavit of Map Correction Pam, Just aheads-up that I met with Roger Humphrey on site to discuss the stormwater/septic/drainage easement issue for lots 29 and 30 of Pheasant Ridge He agreed to submit a site plan to document elevations of existing buildings and ponds. The pond is more of an aesthetic feature of the golf course than a stormwater pond even though some of the ditch water does drain to it. The pond is really performing a dual role and more than accounting for the stormwater requirements in our ordinance. The main thing is for him to certify that the pond's overflow will not flood homes or septic systems in the site plan and he's agreed to do that. Call if you have any questions. Pete 2/7/2005 Return to: James Weber 801 W. Partridge Ave. Elmwood, WI 54740 ~ i $ - I o ~ 6 -- 30 ..- cx~ ~~ AFFIDAVIT STATE OF WISCONSIl~ SS COUNTY OF ST.CROI~ SS `~1 P 19~ I, James M. Weber, Registered Land Surveyor, hereby depose and say: 784~J7 1 KATHLEEN H. 1~ALSH REGISTER OF DEEDS ST. CROIx CO.. MI RECEIVED FOR RECORD 01/19/2005 09:00A~1 AFFIDAVIT EXEMPT ~ REG FEE: 13.00 T'RAHS FEE: COPY FEE: 3.00 CC FEE: PAGES: 2 That I prepared the plat of PHEASANT RIDGE, located in the NW '/a of the NW '/a , in the NE '/a of the NW '/a and in the SW '/a of the NW '/a of Section 9, T29N, R17W, Town of Hammond, St.Croix County, Wisconsin, as recorded in Volume 9 of Plats, Page 26, Document Number 686239.. That it has been determined by the owner of Lots 29 and 30 of said plat and by the Town of Hammond that the drainage easement as shown over Lot 29 and a portion of the drainage easement as shown over Lot 30 of said plat. of PHEASANT RIDGE is not necessary in order to accommodate the already constructed pond. In accordance with Chapter 236.295 (2), this affidavit is for the purpose of correcting and updating the plat of PHEASANT RIDGE by correcting and updating the drainage easement as shown on the attached "Exhibit A". TOWN APPROVAL: The Town of Hammond hereby approves the correction and updating of the drainage easement abandonment over Lots 29 and 30 of the plat of PHEASANT RIDGE as shown on the attached "Exhibit A." nn ~~ ~ l _~~ (/".~U ~Q~,ri~•~--~ Date l/ ~ ~ /4 ,~'~~,C Oks~~ 4 JAMES M. ~ * WEBER ._....... ~ '^'_ "~, - James M. Weber 5-1804 ~' &1604 VI111,EY, !'RNr3 Landmark Surveying, Inc. ~ Q' <,9 p 801 W. Partridge Avenue tip ~~ S U Rv Elmwood, WI 54740 Personally came before me this ~ ~~ day of ~--~ a-`'` ~~ ~" Y , 2005. James M. Weber, registered land surveyor, to me known to be the person who executed the foregoing instrument. . `~ h~'~`'~b . , Notary Public Ka c~ti - ~ s ~ ~ .{~ +` ~' b1 p c~ ~ ~w n~mac~ooi ~.c nvr..ron ~ ~ / 7 ~ ... i _ ,, ~, ~~ P 1 ~1 EXHIBIT "A" S01'47'24"W ~ N01'47'24"E 36.63' i 38.71' S89'41'S9"E 454.59' ---------------- ------=- ~ I 240.19 ^. ~ T • ~ ~ 28 I ~ I15' 15 O ~~`Q' LOT 1 ~~~ l!.• 4p, 40,' ~ ~ i ~ ORAINA ,' `~c9- 1.50 ACRES ~ r'~ •' •~ / ( ( ........ 's0,...........65,394•Sa.FT ............:~=¢` .! / ~ ...........................,.......(;. ..I........... F ~ ~ ~ ~ LQT 31 (- ~~ L ~/: ~ ~ ;' ~ 1.51 ACRES (. of 1. ~ ~• / 65,981 Sa.FT'. ( M~ 65, sS D /~ ~ ~ /~O HWE 1062" 4 1 ~, Q / LFE 1064' ( '~ ~ / I I y~`>y ~~ c~~ ~ ~ ~~° I 25 ,1 ~' / / 1./ ~ GJ~ / r'• ~~ 52.55' ~~%'~'h° ;~, /~~~0..• LOT 30 ,/ 8640 21.95' ~~/ ~,~ • / ° / / 1.63 ACRES , ~ „ ~ ~O /,~ h / 71;1 s4 sa.~. , G~, S89° 51 03 • (~ ~ / .~, ~ . ~Q HWE 1062' ~ P ~ Y' Q /~ ~° / ~ `~~~ LFE 1064' /,~ ~P~ ~~~ h ~ ~ O F• ~ ® ~ g`L /~ LOT 29 ~ o ~~ ~ ~`~"~~ ~ ~ 1.57 ACRES ~~ ~ o ~~~. ~. ^~ 68,524 Sa.FT. ~ ~ HWE 1062' ~:~% ~ ~ ~9. /~ /~ . '~S~, LFE 1064' ~1/ ~" ~,~ ~~ ~/ so..•'• X60 `~~ o ,~~. >' goo /~ti~. S~ ,.- LOT 28 1.54 ACRES 67,027 Sa.FT. i~• ~' '~ PORTION OF DRAINAGE ~,~ ~'~~' EASEMENT TO BE ABANDONED ~`'' ~ ~ 5 BY THIS CORRECTION INSTRUMENT. ~;2 \ o~~ (CROSS-HATCHED). i ~ ~ ~~ Computer #: 018-1096-30-000 Parcel #: 09.29.17.805 Municipality: Hammond Township Address: 1093 174th Street Hammond, W 154015 12/08/2004 Bonte, Ron Pam Quinn I have discussed this lot with Ron Bonte and Shaun Bird -application has been made for sanitary permit, but can't issue due to system in an 80 ft. drainage easement at rear of lot. Ron is planning to submit a change to have a retention pond for stormwater instead of the easement that runs at back of Lots 30, 31 & 32. Until the drainage easement is changed, no permit can be issued. 02/10/2005 THt1 12; 47 FAX 715 698 3441 flUMFRREY ENGTN~ERING, INC ~~ Jrtmm Weber 841 W. Partridge Are. ElmoEOOd„ WJ 5a7qu AFFIDAVIT STATE t3F wJSCONSJi~ s8 COLlNIY OF 3T.CRt7~ 55 L Yatne: IrL Webet. Rrtp}s[orod T +~{ Surveyor, het•eby depose sad wy. Thos .[ pt~epared the plus ol'~jEASAN!' RIDGE loc~ad in too »9V'K of the IdW ]k , is tJre NE oFtbe NW'fi Arid in the Ste'/. efthclWV ~/ of Section 9, TZ4N, R17W, Tow~f of Hsmmood, StL~vi>C Cotttuq, WiacottsitR as r>3eorded is Volume 9 of plots, Page Z6, Dootate~ Nttmbcr 68ti739. ?beer it here beep detctsttiaed by the otsinar oFI.ott; Z9 AryQ 34 of Geld pla[ apd by the Toad o:• F~arnmuad than [6e deainage e.8lemessc ere ahoWst over 1Loc Z9 aedi a perrioa of the drz~rtagt lasaptgRc as alte~~ over ~[ 3o p!;'said plea of ,~-3AYtTL 131hC~rE is not nae+Faiary in erdeYaa .~,.....~....[ste she already oonstrucud pgea, In arrardaacre .with Chapter Z36.Z95 (Z), this affidavit is fvt'tfia purpose of wtrerbeg aed opd~eg [be plat of by eorreClipg sad updotiolt the drdio~g4 easeuaetU: as shown on the sttaohed ~tspibit A". TOWN APPRdvAL: The Town ofIiamtnottd hereby appravrs she aartecdda teed updatieg of the dtaittage ea~eraeet [tbaedgnmeat over Its Z9 aqd 30 of 14ra plat aEpHpABA'N',[' RJDGS as shown on she asssehed "1?achibit A' Date James M. weber S-i s04 Lacldmark 5urve0rirtg, Tne, 80] w, partridge p}venue Elm~wd, ~1I 5s~aq personally came before me thla~_day of , 2005, 7aso~ M Weber, registered land atrrveyQr, tra ttte Imown to De Ute perapn a+ha wtmxed'the fot'egaittg lbstrttttlottt. N'pGry Public My commission expire sttoe+t t of a 'ft+rs sastn.>maas dt++lbrrd by lira Wooer ~~, ,~ ~!, ~~T~ ~J003/D04 Coo [~3j Q~M'I/%~MR-0~ %I02ia ZS 9992 i~89 5iL %~3 8Z ~ 8ll I2L3 So/Ti/Zo Jf~l-5-2005 02:27 PROIM~LWJDhY~K rn t James Weber 801 W. Partridge Avo. Elmwood„ WI 54740 AFFIDAVIT STATE OF WISCONSIN) SS COUNTY OF ST.CROI7~ SS I, James M. Weber, Registered Land Surveyor, hereby depose and say: That I prepared the plat of PHEASANT RIDGE, located in the NW '/. of the NW '/. , in the NE '/. of the NW Y• and in the SW '/. of the NW '/. of Section 9, T29N, R17W, Town of Hammond, St.Croix County, Wisconsin, as recorded in Volume 9 of Plats, Page 26, Document Number 686239. That it has been determined by the owner of Lots 29 and 30 of said plat and by the Town of Hammond that the drainage easement as shown over Lot 29 and a portion of the drainage easement as shows over Lot 30 of said plat of PHEASANT' RIDGE is not necessary in order to accommodate the already constructed pond. In accordance with Chapter 235.295 (2), this affidavit is for the purpose of correcting and updating the plat of ~HEASAINT j~U7DGF. by correcting and updating the drainage easement as shown on the attached "Exhibit A". TOWN APPROVAL: The Town ofHammond hereby approves the correction and updating of the drainage easemem abandonment over Lots 29 and 30 of the plat of PHEASANT RIDGE as shown on the attached "Exhibit A." Date James M. Weber 3-1804 Landmark Surveying, Inc. 801 W. Partridge Avenue Elmwood, WI 54740 Personally came before me this day of • 2005. James M. Weber, registered land surveyor, to me known to be the person who executed the foregoing instrument. Notary Public My commission expires. Sheet 1 of 2 This instrument drafted by Jim Weber ~" St. f:'roix County Land ~und FYater Conservation Department phone: 715-bbd=~87~ Far: 71j 68~-16d6 1960 8rh ~ ve, Spite I4T 8cldwrrt W! 5404? ' Te: '1/~ ~(~ from: t f ,phone: Pages: y . -~ Ra: ~ CC' . " ~ . ^ Urgent ^ For Review ^ Please Ca+amctrE ^ P(e3se R¢p1y D Please Recy~l? ioo C~j Q~M'I/%~Mll-Oa %I02Ia Z5 999Z X89 5TL %V3 LZ ~ 80 I2t3 501TT1Z0 NORTH L 1 NE OF THE NW I i4 w w w w PUBL l C ~~~ SO (° 4 T' 24' --253. 01 ~-------- ----------------413. l7'---------------- i I Qj I ~ NO I ° 47' 24" E 'fie i ------------240. 19' - -N t9 v~ ~' 40' 40;~ ~ g o ~ ................................. ~' 1.30 ACRES u' . • '. ............ W, ........................ >. a• i i s 65, 394 ~SO. •F'f. " ...... , / ...... ~: ~O. r ~ .'' ~ : ' ... .................. . LOT 2 ` 2. !O ACRES ~ u' ®~~' ,~ JO• ~~~ L ~ ACR~ I 91,582 SO. FT. `T~ `~ S '~~ 6~SI~O.FT. / ;. ~ sue. ; . , ~~ ~ ' LFE 1084' 4 ~~ ~9, Q Q ~Z ~ y~ / / .S's ~~ ~ b • '~~,, F '~ ~~ \ 9. , . ice. ,. ~ e ~. ~. std 1002' i ~~j° ~' Fj0 ~ FE 1064' ;, ' / ~ / ~ '~~`' c9. LOT 3 ~ y . ,~ / ,-' !. 50 ACRES °~i ~~ ,~ o , ; ®~~ LOT 29 ~ , ~, 409 S0. FT. , ' : ,•' ,~ /3 '~'~° /. 5T ACRES ,~~ r~~' 66 ~'• , A~' s8, 524 S0. FT. '-j~' Q° /66 ~,~ J `S/O LFE 1064' 3`, 2 , ~ ~ h' i 3~OV . ~~ ~~ ~p5 ~ ,~o~ '~~2 h~6• TOP OF I ' I R( PIPE 1081, 50' ~~ G ,, ~ ~~ , ~~ ,, LOT 28 ~'2~ ~~'•• 2° a~ ' S~ ~~'~ ~,' I, 54 ACRES i ~ J ss, ~rQ'~ ~~ ~ .•'• 67, 027 S0. FT, ~ ~ ~~ ~Q,•' ~,1 mss, p QY LOT 2T \ 1.53 ACRES 66, 86 ! S0. FT. ~ ~ tis~ ° %, ~F >s ~s . F T. ~ i i i ~5~ i ~ G i i i ~ 0 2 fib. moo. 2 i i i i i ~, J~ . ~ , ~, °° ~, 2~. ~ mo, 2 \~ -- I TY i <L ~ 20•~~ i ~ i 3~ ~ ~S, ~\ oh ~~9 Sf. CROJ fo d ~ ~ a~. Vot~x NO POLE OR BURIED CABLES ARf TO BE PLACED SUCH THAT THE INSTALLATION WOULD DISTURB ANY SURVEY STAKE, OR OBSTRUCT VlS/ON ALONG ANY COT L INE OR STREET LINE. THE D 1 STURBANCf OF A SURVEY STAKE BY ANYONE I S A UT~LATYOEA~A~'NTSIAS HERE32N~EWIFORTHIARETFORTTH. USE OF PUBLIC BODIES AND PRIVATE UTILITIES HAVING THE RIGHT TO SERVE THE AREA. O SET 2.375' 0. 0. X 30' IRON PIPE WEIGHING 3.65 LBS, PER L !NEAR F007. NOTE: SET l' 0. D. X 24' IRON P 1 PE WEIGHING i , 13 LBS. PER L /NEAR FOOT AT ALL OTHER LOT CORNERS. .,_L_,_ - - ~_ _ . - U7l L f TY EASEhENT ~ TYP. ) JAfJ-5-2@05 02:27 FROM: LANDMARK SURVEYING 7156395213 T0: 17157962519 1 EXHIBIT "A" SOi'47'24"W NOt'47 24"E S89'41~59"E 454.59' -____ 36.63'_ j 38.71' -------------- ~ 1 ___ __ - , E-------240.,9- T Y 413.17' ` I I i. O ! ®: I o ~7313~ tr ~ ~~ 40' ~ ~Qi 1 ~ i 'I DRAIYA F .......... Os 65,394 SOFT. .r; F ~ ~ ~ ~ LOT 31 I- ~I L 1.Si ACRES i ~I 1• .r- ®/: / 65,981 So.FT. I~ MI 65. ~S S ~ ~ ~ ;' / HWE 1062" l I r~ / ~ ~ LFE 1064" I 1 yti ~1~ , . ' ~~. ~' _ ..I ~ ~g-51'03' i /// ~~ 1~~ /~ , ~O ,~ 52.55' 1 ~ ~~ ~ '~ o / +'~ ~ /~oC / 21.95' ,~. ,~,o ~ ,'"1" LOT 30 ,r 864p• ~ 1 / F. / ~•''~ (.,. % 5~~ /~cj~`, ~A '~~ 7i; W ~o~, /~/' ~G~~~ S89'S1'03"' r /• 4~d //^ ~ `~;} LFE 1064' /. p~ 4' '' ~ ~ '~ ®~~~ LOT 29 ~~~ ~°~ ~,ti / ~O 1.57 ACRE5 ~ `~,). ~'h' 68.524 SQ.Ff. ~ .~9, / '~ HWE 1062' ~ % /~ ,/ .''1'Sy, LFE 1064' ~p'~~ ,.j~ ~ /, ~, ~/ s~~' 8os , `'~ ~~ PORTION OF DRAINAGE /ticP ~ /,.''~°~- ~ '~' MENT TO BE ABANDONED ti h LOT 28 29ss t .54 ACRES ~ Bp s' 87,027 SOFT. /j ~ ~?' .~ /6 6• / of 7R ~1 /,`y,1e~ 4 / / h~ r / d ,~~4 J O• r ~~O / 80 •Sp. / ~o~. >k1 EASE g 6Y THIS CORRECTIDN INSTRUMENT. (CROSS-HATCHEb). SHEEP 2 QF 2 ~~-, FAX ST. CROIX COUNTY WISCONSIN PLANNING & ZONING DEPARTMENT ST. CROIX COUNTY GOVERNMENT CENTER 1101 Carmichael Road Hudson, WI 54016-7710 Phone: (715)386-4680 Fax (715)386-4686 F 7l5-- d~ 1.~-k 3~-~ ^ Urgent [~GI+`or Review Comment ^ Please Reply ^ Please Recycle ~9h~ pC o~-'3b ~ Gv~i-dam ~2/io~~~ Syr~~.~ u C~ ~,_. `~ wiscgnsiri Department of Commerce Division of Safety and Buildings SOIL EVALUATION REPORT Page ~ of n~ aauvwanac nm~ ann~uu w. •.w. wn.. vac County C` , Attach comrpieie sites plan oh paper not less than 812 x 11 inches in size. Plan must ~ ~1 indude, but not limited to: vertical and horizontal reference point (BM), direction and parcel I.D. Q~~ Gt'~ ~ percent slope, scale or dimensions, north arrow, and location and distance to nearest road. • ~ _._ Please pri >tatyon. by Date Personal Yrfortnation you pioHde may ce u ed for ~~~~ ~ivacy . s. ,5.04 c,i (m». ~~( /yi/~'~-' 3 ~ D Property Owner-_ .,., . __ _ Property Location_ _ ~~~ ~ Govt. Lot Nl= 114 /vL~/1/4 S ~ T Zvi N R /? E (ol~ Properly Owners Mailing Address Lot # Block # Subd. Name or CSM# . . _ ... - _ ST. Cfz<31X COUNTY p~ ~ _ p ~.. City State Zp ^ City _ ^ Village Town Ne t Road ~ of ~ c71~J ~~(~ -112 ~~~ ~~ -New Construction Use: Residential / Number of bedrooms ^ Replacement r I 1 ^ Public or oomunerdal - Descaibe: Parent material -rir(I _ Flood General comments ~.~~C rV~ g (-e. ~ f ,d. y`~ . `/O~ Q ~ and recommendations: ro/!'f U Jr e (e J ~ 7~l ' ~ ~ / ~ Code derived i, etevation~~~ble ~ ~//t" ft. \ ~ ~'~* ~.~. ~ ~ i(.eac.4J ll7D ~ Hof . /~~,,,, D A. ., ~ ~ e,. I . _ ^ Boring c. w •.. s~.~- w icy-v '-H.~`."^' _ ~ - ,,~ ~~ . BOfing # Q . , _ .. ~- Pit Ground surface elev. I ~ - w R Depth to G factor T O in. . - Soil on Rate Horizon Depth Dominant Color Redox Description Textun: Structure Consistence Bou ary Roots GPD/ft= in. Munseli Qu. Sz. Cont. Color Gr. Sz. Sti. •Eff#1 ff#2 'E yn 2 ~ 2 l(~ -~ S~ t k -fir c - ~( • ~ ~ y ~t 3 c 2 ~ S~ Z - . 5 .4 Boring # ^ Boring ~• pit Ground surface elev. ~ R Depth to limiting factor Z-- in. Soil Application Rate Horizon Depth Dominant Color Redox Descriptron Texture Structure Consistence Boundary Roots GPD/ftt in. Munsell Qu. Si: Cont. Color " - Gr. Sz. Sh. 'Eff#1 'Eff#2 Z (Z_2g ~~ l~ ~- S;~I k ~~ - ~ ~ - ~ 3 ZB-y2 l ~ --~ - 5~ k rn-~r ~ _5 . ' Effluent #1 = BODS > 30 < 220 mg/L and TSS >30 < 150 mglL 'Effluent #2 =GODS < 30 mglL and TSS < 30 mg/l. i,,. Property Owner Parcel ID # /4 T` J d Page ~ of ~- Boring # d^~ Ong 1_T Pit Gad surface elev.(~~ tt. Depth to limiting factor ~(.~ in. Soil Appligtion Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/RZ in. Mansell Qu. Sz Cont. Color Gr. Sz. Sh. 'Eff#1 - 'Eff#2 ~-(2 2 ~ 5' 1 ~ s I~ . 5 -~ 2 t2~ r -~-- ' c1 IL vr-~r c _. . L-( ~0- 1D ~ ~ 2 r~ ~S -- 5 -9 ~ (o Z 7~ S O m ~ ~-- - , ~1 ~. Z Boring # ^ Boring ^ Pit Ground surface elev. R Depth to limiting factor in. Soli Application Rate Horizon Depth Donunant Color Redox Description Texture _Structure Consistence Boundary Roots GPDfftz in. I~Itmsell Qu. Sz Copt Color Gr. Sz. Sh. 'Eff#'I 'Eff#2 ^ Boring # ^ Being ^ Pit Ground surface elev. R Depth to limiting factor in. Soil Application Rate Horznon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDfft= in. Munseti Qu. Sz. Cont Color Gr. Sz. Sh. 'Eff#~ 'Eff#2 - • Effluent #1 = BODS > 30 < 220 mg/L and TSS >30 < 150 mglL ` Effluent #2 = BODS < 30 mglL 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. SBIY8330 (R.07Po0) pt~y ~~ ~~t~t~-~ ParcellD # /d ~ J d page ~~~ Pit Grocmd surface elev.~~'~_ ft: Depth to limiting Factor ~~ in. Soil Apppption Rate a# tiorizon pepgr porrrirtarrt Color Redox Description Texture Stnuhue Consistence Boundary Roots GPD/fiz in. Mansell flu. Sz Cont. Color Gr. Sz Sh. 'Eff#1 _ 'Etfli2 t ~-(2 2 ~' S- I C s I .~ . 5 -~ 2 (2 r -~-' ~( I~ ~r c -- . L-( ~- ~D ~ 2 ~S -- 5 -9 t3oring # [~ Being ^ pit Ground surface elev. ft Depth bo limiting factor m• Sad Application Rate F1a~imn Depth ~ Dominant Cdor Rector Description Texture Struchne Consistence Boundary Roots GPD/tt2 in. Munself flu. Sz Copt Color Gr. Sz. Sh. 'Eff#1 `Etf#2 ^ Boring # ^ Boring ^ prt - Ground sucfaoe elev. ft Depth to limiting factor ~ Soil Application Rate h l G t C D Redox Description Texhue Stnrchue Consistence Boundary Roots GPDJft2 liodzon Dept in. o or ~an om Mansell <1u. Sz. Cont. Color Gr. Sz Sh. 'E1f#1 "Eti#2 - • Effluent #1 = BODS > 30 < 220 mg1L and TSS >30 < 150 mg/L • Effluent #2 = BODS < 30 mglL and TSS < 30 mgil. 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 fon~nat, please contact the department at 608-266-3151 or TTY 608-264-8777. ssn.uw ts.mmo) RKS: ER OF SECTION 9 - !082.21' 'ORNER OF SECT I 1 ON 9 - 1069. 63' NW 1 i4 --------------~~-=--=-=--r r (NO SCALE ) N 1 i4 CORA SECTION 9, (FOUND l " so 1 ° 47' ?4" w I NO ! ° 47` 24" E S89° 41' 59" E 454.59' 36. 63 38. 7 I --,- ---- 413. 17' i 0 ~ i 240. 19' - _ - ~ - - 214. 40' a ra; ~ is ~ i g ~ ~ , L O ~ l s~~e r.. ~ 4p' ,¢0,~ r ~ y, - DRA I NACE EASEIbENT ~ ~~ l f . 50 ACRES •-'- "'~..' r i ^ y.............65, 394~•S0.•FT........np,~p r ; .......`••LT 3 ~..........~ ~.........L ~T...~~...... ~• / Oy ~ // . i. F ©,, / 1.5 f ACRES o ~; 1.50 ACRES ' • ~ 65, 98 J SO. F T. M; 65, 41 l SO. F T. ~iS~ ~ / . ~~ xWE 1062' ' HWE f 062' ~~ i~ © LFE 7064' ' ~ LFE 1064' S ~ ` ~ 1'~~` 1 •~~ ..' s'u-~ ~ N~89°5!' 03"E 266_6( 2 --~---- ~,•' 1 ',t ~ ~,~' ~,'.• tea, g 52.55' DRA f NAGE ,' ~ V ,'o~ p~. ''~03• °- EASEMENT o ~ Gj %'~• :' 21, 95' ~~'~ ~, ~~ ~ ~~~ LOT ~~ :' ~ 86 ~ 213. 54' o~% 0 2 ; ~~ , ' ®'' r. 63 ACRES - " p ~ 51 ' d3" W 235. /~ ~ T 1, 184 S0. F '' S89 ~.~ 5~ 'o0 2 r' ti~ xwE r :' ~~ "~ ~ w,GJ ,' ~~ ~O~ 1064' ~ %' \" ~J / ~~ ~. , 1' 2 ~ '~~ ~ LOT 29 30 `° ~~.'.`~ _ ~0 ~ ~ 1.57 ACRES ~~'S' 68, 524 SQ. FT. ?o. `s/ o ~8, ~s ~ HWE 1062' tFE 1064' 9h ~ r~• LOT 28 ~~~ s !. 54 ACRES i ~ ~0 6S• S7, 027 SQ. FT. ~ ~ ~~ ~ off, ~~ •, ti~ i~6 ~P ~`' titi ~O ~ ~h. ~ ti ~~ ~~~ .a G .'~%y $g ~y~P ti~~P ~ 1 ~. '~ 0 ~~.. ti tip ' , J ~~ m /{ . $s. d ~ ~2 ~ ~~ ~ ~ n ('~, 9~` 9' ~~4~ - 3 0 QY L~' 7,`~~ i/ o~~ .. ~`ti ~ PAGE~OF~ !~o ~'l ~ ~ LOT# ~® LEGAL DESCRIPTION /U F '/.(h~J SCALE:1"= ~~O BM 1 ELEVATION /~ , d ~ BM 1 DESCRIPTION ~, p ~ ~ ~ ~~c ~,`P ~ - -}-- -' BM 2 ELEVATION ~/~, G y BM 2 DESCRIPTION ~ p~ ~ ~ ~~1 ~C ~,`(~ P l S PC ~ ~ SYSTEM ELEVATION q ~, '~O SYSTEM TYPE ~~-- ~~- ra of e I I CONTO ELEV TION `1(~, ~-o ~ 9(~. `l ~ ~q ~ ~~ {- e "~ I.5 ~"},~ o ~ oq ~ Y ~ f C 0 ~Y~ 1'-1 e r. cue GY ~- 4~a-~-- -1-I~ DV ~ S ~ w~- r ~! i~ i~ ~- ~t' h '~ S ~(( ~J + I SIGNATURE -b 0.~ ~ 50 ~~, 6~ p ~, a ~n a~' ~' „= ;: f ~ Q-3 ti = ~v ~, J` `r p ~-L -~ i ~l z DATE ~ - ~ ° ~ ~; x _ ~ ~' a d / N it w , 0 ~ M ,~i 3 .87' ~ 4J ~ ~ 33.00' ~ v i p = ~ M ~j p N~ N x ~ N co °~ V- ~~ ~ ~~Ni~ ~ . ~( ~~CpVp ~ ~N 4pg~ ~w N ~ O O ~ - ~,~ o 1 ~ J ~ v `' ~x ~' ~q • ~ ~ ~ 590 ~ ~ ~ ~~ ~ w . 0 /5~ ,,,y,~ ~ ~'~ 1 ` ~~ O ;+. y d' W ~ ;~Q .., .r„ ~ ~~ ~ /Z ~-~~ 1,/r/a ~F~~ ..1 ~ ~~ ° M ... ` ~~ a41 ~K1~~ _ 9 0 I ~ • ' ... ~. • ~ ~~c0 op9 ~ S• ~ ~'`~ ~ '~i~. N ~~ ~ `fl ~. ~ ~ O ~ ~ ~ O ~~ ~~~ ` OS ~~ ~ ~ :a . ~ ~ ~ '- '` mss' ?, ~ ~ N y ~ ~~ h ~. `. ~ ' 10 a 3 . ,~~•~+ d `nom •~~ ~ a, ~ ~ '~. °~ h ~ ; 0 ~ ~ `. f 0~ ~ ~ o~ 9 . ~, ~o ~ a '•~ E `. ~ g , 5 ~ p tp ~ ` 1