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018-1086-19-000
~ise~nsin oeparat-ent of corr><nerce PRIVATE SEWAGE SYSTEM . ara `~ o~san INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal infomtatlon you provice maybe used for secondary purposes jPmacy lbw, s.t 5.04 (t xm)). d ~,~~H ~~lame: city ~amr~io~c~~'"ownship CST BM E{ev.: Insp. BM E ev.: f3M Description: TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic ~ SE~rL ) ppO S~ ~ t5~ Dosing Et, C~2 ~~ Aeration Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. vent to Air Intake ROAD Septic O "~' ,r. ~ 3 ~ r r- NA Dosing ~~ 1+ k ^- 32 ` NA Aeration Hdding PUMP /SIPHON INFORMATION .. Manufacturer f~~.~ Demand v Model Number (,~~0'3(( In.\ 1,~rDGPM ~~ yk Tt?H Lift ~~ Friction ~, Z} System / r j TDHZZ,r~ft D• Forcemain Length p ia. Z, ~ OWist. To Welt .... ~3 ` SOIL ABSORPTION SYSTEM g p Width ! Length/ No~Qf 3renc~ies °~tyCroix Sapga~Pg~mit No.: Sta33tte$SP4lLan''IIID No.: 63g l ~'( Parcel Tax No.: 018-1086-19-000 ELEVATION DAT A STATION 65 HI FS ELEV. Benchmark 5 • (0 6 ~`.(,~ c70•a~ It. BM ~•,.~ 9$•b Z ~ Bldg. Sewer X6.10 $q•Sb ~ St / Ht Inlet ~ 6 -}f) $$. ~(, ~ St/ Ht Outlet l~'• ~ ~• L6 ! Dt inlet Dt Bottom 21.7~c ! $~(• ~f (c Header/Man. 5 • ~3 ~t3o•oI~ Bot. System ~ ~ } ' Final Grad t,,~ L1 L,,Q IZ f 5.:~ _- oe \ ST Ga~a~e.-r _~ rnrr n Af P~ts'~- Inside Dia. Uqu~d Oeptfi SYSTEM TO 6LDG WELL LAKE/STREAM «+~rn rv N ORMATION TypeO ~ ~~, CHAMB Mo a Nt System: +' ~ /fit T DISTRIBUTION SYSTEM ~~' s'''d' r"F-I`i"°~• ~ ~'• ID HeaderlMan~ old p Distribution Pipe(s) I { N r x Hole Size x Hole Spacing u Length ~ Dia. 2 Length qq•~ Dia. ~ 2 Spacing 3•~ I $ !'o SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded /Sodded Bed /Trench Center Bed /Trench Edges Topsoil ^ Yes ^ No s ec Ion / i9 Inspecti / COMMENTS: (Include code discrepancies, persons present, Location: 855 162nd Street, Hammond, WI 54015 (SW 1/4 NW 1/4 2 f)--~8 Hammond Oaks -Lot 19 5 ~ 5 ~ ~.~ ~ 1.) Alt BM Description =~'~+ ~ ` yq•z3 2.) Bldg sewer length = r- R8'•rb 1 -amount of cover = ~ l~ ~ ~ : IaS.66 ` p 3.) conto r = B:Sb CS~"'* m er: Vent To Air Inta .~-~~ xx Mulched ^ Yes ^ No Dn #2: / 0 • co ~' Q {f 6 ~) s ~ CI~~ Plan evision re~ulred? ~ Yes ~ No ~ ,~/S- Useother side for additional inforrtSation. 0~ C~ 0 ~ ~' f • Date Inspector s Signature Cert No SBU-6710 (8.3/97) v Sanftary Permft Application Safety & Buildings Diduion •~ In accord with Comm 83.21. Wis. Adm. Cock 2p1 W. Washington Ave PO Box 7302 ~ ~ See reverse side for utsductions for completing this application Madison, WI 53707-7302 ~ ~~iQwl[SJ deplirtrt-erttotCamttierc® Petsoaal information you provide may be used for secondary purposes s. L5.04(Ixm)J [Privacyl.aw Submit feted form to coup ( CO°tP tyifnot , state owned. Attach com fete fans ro the coon onl for ttte m, on not less than 8-1/2 x I 1 inches in size. State 'tz~~ umber ^ heck if rtvision to prevkotrs application ~;~ State Plan 1. D. Number~~ A ~ ~7 ~f ~' ~ X ro; I. A Iication Information -Please Print all Information N Locat[on: y Loc't'O° z9 { 7 ame Property Owner //~~ ~' / ~ ~ S ~~ Wa,~ l~Ol't.S~a S~JI/4 ~/4,SZpT ,N R $ or ~ G „ .L7 Property Owner's Mailing Address Lot Number ~/ Block Number ~' ~ D Zip Code Phone Number._. City, State " ~ ubdivision Name ~ M Number t~ o ~S l / y3~ - Z 3 Z 0 oy-~ ~ ~ ~ ~l~ ~ ~ • S$ ~' n n q~~~n. v 1 IL~ype of Bui ding: (check one) t~~/ ~~ B' 1 or 2 Family Dwelling - No. of Bedrooms : ~i ~ ^ City ~~~ own of J ^ Public/Commcrcial (describe use):_ - !.~ /Y1 D ~^- ^ State-0wncd Nit Ro j,~ ' 1 ~ ~EI~^ /_-D'(_1IO,~ /~/~ ,'`>~ Parcel TaxNumbec(s)0/$'~A~6'! -DOD - III. a of P mil: Check onl one box on line A. Check boz tan line B i , lir.~b'1t; 5 ~ ~6 ^ Addition to A) 1. ew 2. O Replacement 3. ^ Rcplacemedt of 4. Existin S em S tem S stem Tank Onl Permit Number-... ~~ ~~ - B) ^ A Sani Pcmtit was eviou issued IV Type of POWT System: (Check all that apply) ^ Sand Filter ^ Coruuuded Wetland ^ Nom-pressurized In-ground o ^ Presstui7~od In-ground ^ Holding Tank ^ Single Pass ~ ^ Drip Lu-e ^ At de ^ Aerobic reatmcnt Unit ^ Recirotrla ^ V. Dis ersal/TYeatm 1 Design Flovt• (gpd) ent Area Information: a,.. 2. Dispersal Area 3. Dispersal Area 4. Soil Application 5. Peroo lion Rate ~ 6. System Elevation 7. Final t.rcade Elevation , Required Proposed Rate (CraLslday/sq. ft.) (Minhnch)~ ~ / ~ ~ 9~-97 ~ 9s~ o ~ 00 4/ f ~ Boa o • VII. Tank ~ ~ Capacity in Total # of Manufach:rer Prefab Con- Site Steel Fber- Con- glass Plastic Information GaIloas Gallons Tanks Crete ~ sttucted Tanks Tanks J,2 SO ^ ^ ^ ^ v ^ ^ ^ ^ . C.. ~ ?5d 75 ~ I ~ VIII: Responsibflity Sta'temeat ~ `~ I, the undetsi ed, assume br~i for installation of the PO own on the attached farts. Ptumbe~s Name (print / 1'lumtre~s Signadue (no stamps): MP/1vIPRS No. Business Phone Numbs -337 8 , a rlc ~• ~~,,tp~lra>/ ~,., u.o'~o.ar.~ Z Z © ~ /5 - (~ plumber's Address (Stroet, atY. Std. Zip Cam) , ~ . ~ya~ ~ ~zo .t~, ~ ~ ~ ~ ~-- ~- IX. County/Departtnent Use Only ^ Disapproved Sanitary Pumit Fee (Includes Groundwater ~ ~ ed +~ge~rt Signature (No stamps) ' ~ ~ ' a ~ ~C~~ / ;((/// (Approved ^ Owner Given Initial Adverse Surcharge Fee) 3L < ~ Detemrination V ~ * Con~tions of Approval /Reasons for Disapproval: y rc U ~PIa~4 ~irt~-~xt, G Rµr,v~ lv»+ ~x~~~ra.kvz.P.~i /~r~~.wFY ~:~ ~~:N R~~o,~~u ~~~-t:.~.. ~ r ~ot,~QQia~ ~~~o ..__y u.._ , n•.ra...aws .` ~, ~.t~ ~i 6W 1v~ t S J~C.'+~J1rVi-+ ~ ~ id'r -1~, ~ vr..- . - - ---- - --- - - ---- i v / i t Safety and Buildings ., ~ ' ~ 4003 N KINNEY COULEE RD ~~ /~~ ~~ ' LA CROSSE WI 54601-1831 ~~ti` ~ TDD #: (608) 264-8777 isconsin www.commerce.state.wi.us/sb ~, ~~~ ~r[(~ \~j www.wisconsin.gov Department of Commerce -,~ ~YCu ~`:'°~ ~i Scott McCallum, Governor ~ ,~: ' 1-- 1 Brenda J. Blanchard, Secrete i_ I s r-~ Ma 24, 2001 ,F^° ~TM ~ y .~~ ~yyMIGO~~E ~ CUST ID No.220853 ~~~~- POW7~' Inspector ~ ~ r~" ', ZaNiNG OFFICE DALE E HUDSON 5T CROIX COUNTY SPIA 820 MAIN ST 1101 CARMICHAEL RD BALDWIN WI 54002 HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 05/24/2003 Identificat ers Transaction ID N .638171 SITE: Site ID No. 62865 Steve Jacobs Please refer to both identification numbers,. St. Croix County, Town of Hammond -Crocus Hill Road above,; in all comes ondence with the a enc SW 1/4, NW 1/4, S 20, T29N, R17W Subdivision/Plat: Hammond Oaks -Lot 19 FOR: Description: Four Bedroom Mound System Object Type: POWTS System Regulated Object No.: 788796 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The following conditions shall be met during construction or installation and prior to occupancy or use: • This system is to be constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Private Onsite Wastewater Systems VERSION 2.0" SBD-10691-P (N.O1/O1) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems VERSION 2.0" SBD-10706-P (N.01 /01). • In the event"this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans. In addition, the owner must insure that the operation, maintenance and monitoring duties as described in section VIII of the mound manual, and section VI of the pressure distribution component manual are complied with.. A copy of this information must be given to the owner upon completion of the project. • 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. Stets. • 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. Stets. • 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. Note: Based on the contour intervals shown on the plan, the mound is not located on a concaved slope. However, the cell must be adjusted so that the entire system follows the 93.3 foot contour as specified by the designer. A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. y DALE E HUDSON Page 2 5/24/01 _~ 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. Sinc~el~ ~~_~--~--- ,yam`,. Gerazd M. Swim - POWTS Plan Reviewer -Integrated Services 608-789-7892 Mon -Fri 7:15 AM to 4:30 PM j swim@commerce.state.wi.us FEE REQUIRED $ 175.00 FEE RECEIVED $ 175.00 BALANCE DUE $ 0.00 VJiSMART code:'7633 .a r ~ ~ ~scons~n Department of Commerce May 24, 2001 CUST ID No.220853 DALE E HUDSON 820 MAIN ST BALDWIN WI 54002 Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601-1831 TDD #: (608) 264-8777 www.commerce.state.wi.usisb www.wisconsin.gov Scott McCallum, Governor Brenda J. Blanchard, Secretary ATTN.• POWTS Inspector ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 05/24/2003 SITE: Steve Jacobs St. Croix County, Town of Hammond -Crocus Hill Road SW 1/4, NW 1/4, S 20, T29N, R17W Subdivision/Plat: Hammond .Oaks -Lot 19 FOR: Description: Four Bedroom Mound System Object Type: POWTS System Regulated Object No.: 788796 Identification Numbers Transaction ID No. 638171 Site ID No. 628650 Please refer to both identification numbers, above, in allcorres ondence with the a enc The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The following conditions shall be met during construction or installation and prior to occupancy or use: • This system is to be_constructed and located in accordance with the enclosed approved plans and with the "Mound Component Manual for Private Onsite Wastewater Systems VERSION 2.0" SBD-10691-P (N.O1/O1) and the "Pressure Distribution Component Manual for Private Onsite Wastewater Treatment Systems VERSION 2.0" SBD-10706-P (N.O1/O1). • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard, the property owner must follow the contingency plan as described in the approved plans.. In addition, the owner must insure that the operation, maintenance and monitoring duties as described in section VIII of the mound manual, and section VI of the pressure distribution component manual aze complied with.. A copy of this information must be given to the owner upon completion of the project. • 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. • 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. Stats. • 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. Note: Based on the contour intervals shown on the plan, the mound is not located on a concaved slope. However, the cell must be adjusted so that the entire system follows the 93.3 foot contour as specified by the designer. A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. DALE E HUDSON Page 2 5/24/01 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. .., -- erardM. Swim POWTS Plan Reviewer -Integrated Services 608-789-7892 Mon -Fri 7:15 AM to 4:30 PM j swim@commerce.state.wi.us FEE REQUIRED $ 175.00 FEE RECEIVED $ 175.00 BALANCE DUE $ 0.00 WiSMART code: 7633 MOUND SYSTEM DESIGN Residential Application INDEX AND TITLE SHEET Project Steve Jacobs 4 bedroom residential mound O'~ f Owner Steve Jacobs -Skyway Construction Address PO Box 13 Lakeland, MN 55043 Site Address: 855 162nd Street Legal Description SW1/4NW1/4, Sec. 20, T.29N., R.17W. Township Hammond Subdivision Name Plat of Hammond Oaks Lot No. 19 ~' y~`~• ~~ 1~ tG `~~~ ~°oi O~t~ Parcel {D Number 018-1086-19-000 Ip#20.29.17.639 Plan Transaction Number Index and title sheet Mound calculations Mound drawings Pres. dist. talcs. and laterals TDH and pump tank drawing Pump specifications Site plan Turn-up detail POWTS management plan Attachment: Soil evaluation report Designer Dale Hudson Signatu ~ ~~~ ~~ 1~ Page 1 Page 2 Page 3 Page 4 Page 5 Page 6 Page 7 Page 8 Page 9 Page 10 220853 Phone No. 715-G84-3378 Date April 4, 2001 P•~-won lty ,~Qndat~ p~~,D p P RoF COMMERCE AEP!-1~MEN ~~- • age 1 of 10 NDE~~ SEE GORE License Number County St. Croix MOUND SYSTEM DESIGN Complete red boxes as necessary. 750 gpd maximum design flow. Residential or commercial? ~~(r or c) Slope 8 Design flow rate 600 gpd Depth to limiting factor 28 in In situ soil infiltration rate 0.4 91~/ft` Contour line elevation 93.3 ft Use standard fill depths? x OR Design depth? ~in Place X in box to use standard depths (24 and A+4 inclusive) OR specify design fill depth. Orifice density 8.82 Orifices per ft` Center or end manifold ~tc or e) Orifice diameter 0.125 in o.12s, o.1ss, o.1as, o.z1e, o.zs, 0.281, or 0.313 inch only. Lateral spacing 3.00 tt Use 0 lateral spacing for trenches. Estimated orifice space 2.95 ft Not a fins{ ca~ulation. Pump tank elevation Number of laterals 82 ft Outside bottom of tank. Forcemain length 100.0 ft Forcemain diameter ~ 2.0 in 1.s, 2, 3 or 4 inch only. 2.067 in Actual I.D. SYSTEM SOLUTIONS Design flow rate Absorption cell Application rate 8~ area Linear loading rate (LLR) Design width (A) Cell length (B) Depth of cell (F) Sand filter Upslope fill depth (D) Downslope fill depth (E) DIAMETER CONVERSIONS 1 /8 = 0.125 1 /4 = 0.250 5/32 = 0.156 9/32 = 0.281 600 gpd 3/16 = 0.188 5/16 = 0.313 7/32 = 0.219 1.0 9Pd~ 600.0 ft` 6.00 gpd/ft 6.00 ft 100.0 ft 10.0 in Basal area required (gpd/infiltration rate) Supporting components Topsoil depth Subsoil depth at center Subsoil depth at cell wall End slope toe length (K) Up slope toe length (J) Down slope toe length (I) Total mound length (L) Total mound width (W) 8.0 in 13.8 in 1500.0 ft2 3.0 in 9.0 in 3.0 in 8.23 ft 5.40 ft 10.80 ft 116.46 ft 22.20 ft Project: Steve Jacobs 4 bedroom residential mound Transaction Number: Page 2 of 10 MOUND PLAN VIEW 22.2 ft I W observation pipes (typical) I =down slope dimension =absorption cell (Ax6) J = up slope dimension ~ =plowed area (LxW) K =end slope dimension MOUND CROSS SECTION to soil G H subsoil cap lateral - invert 94.47 ft ____ _ elev. ~ : ::::::::::::::::: F ASTM C33 y Sand Fill E sys. 93.97 ft -~ W elev. 93.30 ft contour 8%-~ slope A = 6.00 ft B = 100.0 ft J = 5.40 ft I = 10.80 ft K = 8.23 ft 1/6B = 16.67 ft typ. obs. pipe (anchored securely) D = 8.0 in E = 13.8 in F = 10.0 in G = 6.0 in H = 12.0 in D = upslope fill depth plowed layer E = dOWnSlOpe fill depth Note: Absorption cell media will consist F =absorption cell depth of aggregate and pipe with laterals G =subsoil + topsoil depth at cell wall centered across Ax6 media. The cell H =subsoil + topsoil depth at cell center media is covered with geotextile fabric. Designer notes: _ystem installation to comply with standards as specified in Mound Component Manual version 2.0 SBD-10691-P (N.01/01) and Pressure Distribution Component Manual version 2.0, SBD-10706-P (N.01/01). Additional sand fill required to accommodate inconsistant system contour. Project: Steve Jacobs 4 bedroom residential mound Transaction Number: Page 3 of 10 ~ _ 116.46 ft . , BOLDTS PLBG & HTG Fax ~ (15-bS4-5144 M 1( 'u 1 1~~uu ~uS ~~E vim. Clams o b5 ~ ~' `--, ~ ~ ._..~ .lj ~1~~~~ PR~SBURE DI8TRI9UTION CALCULAt10N8 Dispetsai sell UVId<h (A) 8 R Lerrpth (s) 100.0 f! lateral specHicatlons Nunbsr latsrds Or!lloeilsts~ii latwnd tenyth (P) Orlflce dlarneter lat. dta. rate Sys. dls. rate Oriftoe ~spadng (X) tagral diameter Oeadgnsr nwat 7C' one choice fF~r» the options ManNbld dlanatsr Arab "X" One ChOi09 tivrr the gptiorrs pIOVFf/ed Pbe dlenlewr Owe aosarN Owe a~ao. tin t U4 Nt X ~ to In x x s In x 31n x r'laeglsrllster o«~ooe~. OsMa+aiao. ~~ 11H b x 1 1R In x 21n x X 3 to x 41n x Place X in red box of chosen diameter. ~laoe X in red wx of chosen aiafnet8r Distribution system contslns: 2 Lateral(s) tFATERAL DIAC3RAM~ -END CONNECTION PlslCd correct lateral diagram by licking in one of the drawings et right end dragping the dlsigf'em into this erea~ aq1 ~ owrP ~ ~ Tutni~ptrlbrlt.~lrww-dw~nWtDlvp - J All blrrsFs t~ IO~ntleN ~ X~-~---I Hobs drINO on 1M OoRam of eM IK~ral S R~I~d _L oomsotbn via tits or arose o4 millNald at ~ poYlt ~,eak ~ ro.o. n+W+ ai PVC Soh s0 (pet CODA TEEN MA461 Late~N isll~tit (P) Lateroi a~n9 (S) Orifbe ~ (1U Manifold lsrlpth Orifice dlarltstsr Lateral dlarrleter Foroann~n diameter ProJed: 3twe Jacobs a Aiednoatt ~ nwurld trrlrteactforl Nttmbel" ~~ ~.~ Pape 4 of 10 S/6~o/ BOLDTS PLBG & HTG Fax 715-684-3144 t ~?~ vc c~aco~S ~, c TDH and Pump Tank Drawing: Tote! l'iynemlc Hood Operational Need lf.30 ft May 17 'O1 15:00 P04 Vertical Ilft 11.'S7 ft M ~e sra r~,.st polM In the Friction Ioes i.$T n sy~A Yes "lC' h.na. ~x~~ Tgttd ttynamlC head K no, vNal Ie tf w hl~neu elsrslion Does Volume ~a,~'~ Does is ~ tlmee lateral volume Forc~n,sin drain late~el void ~aume gal ~ ~.~•~c;X~~X ~t~°~*~ ~ mum c"~ «~•~ ~ Minimum does prafn beck , pal = ~8. sit;8'~ /~`~•/~~ ~ (Ia•i~6~.P.~(s)= piod~ i7 4 x Yes r > g . No DOeO VOdUR1e ¢LG6 i i7. t/O = MBr~ / l~ll.°lV d,~j ~ do Typlgsl pump CNembe- [.ayout 1n oanbinatlon vdti~ etMe approved tret-trrrern tank. spprwed nMnlato oowr waYt+ werp~er pnoar ~nMp I~bel and loddng awar made Muds iuncnon ~ -~ ode Is~eN ~~ sloemstir 4" vent ~ eiecblc ~ Per NEC 300 and :: 4- autlat Comm 18.28 WAC ~O~callOn 1e" min. wep d PwnR Lr'" aPDr~ chamber a aulMt~nt aort~binatlon bY1k A WroNde V4" ~wep hde or atnw alarm On e~hon 4eMcs sa neows~ry pump on 6 ~ osa. re+r.rs pump 82.9 ft - unrc menhals = a" off elev. + abare nnkr,ea ~+ p - wnt = u'• mk~Nrnnn . ebo~e ArdeNed fade a2.o ~nP b~nic aMu~ian ~ ~ (,. I b 3 ° d. uiaa bank st oaaam at teMc Tank manufacturer i k t P nareb 1 . Com ~lin - - (oh ~2 $'r~KFX ~ - gr an capac ump g ,~, 7 ~ p ~_ ,~ - Pumptank vdume gal Pump manufacturer IncFres Gaikxa 3~ S ~ ~ Pump model number A e ~• 2 -~2~ yo5 • S. oSroZp;Lg'~~,~~ons Alarm manufacturer C ~ 7' (`~ f ~R ~ Alarm model rwmber ~S ~ ~ I'i Z •~- g Protect: Steve Jeirobe 4 bedroom r+ssldentiai mound Transaction Number: TJ~, r. ~~.-- \ Psgs 5 of 10 lla ~ ~.0.1~ a GO~nb,c btp~L ~~ 1/tc,w~.•e 1a,o, daeo ~nafi `~ w.«~ ~lt•r.` ~ ~;, w~, rdd~ ~ ~~Pa,r-fr,,,.o~. .S'l~ ~/ G'~ ~`'`'f :~:t~~:irn` ~IIf151[II „1 ~~„ , ;MODEL: 3885 NN O 7I ~ G n0 I~~ I. i i I ~ - ~ .... I ...... ..__.. U i n - ///~ L I I Q , _ ~ T o -.~ "pp~ ~ t ' „P ~ S J o n ~IIP. M (o ~~ ~ -~~ ~ ~~ ,pp 120 IJO tA0 0 i0 10 0 a0 50 60 )0 •0 90 ~'- .o --- ----- xo mm, MEifP3 iEEi 6 70 ~ - i i. ~ i 6 ~. ~ I S IS -- ... i. . I- , U_ d ~ 1 6 I I i Z to-_'._. :. ._._~........ {. ~ J 1 MODEL: 3872 Pump Specifications Features antl Benefits ' , through 1'/2 HP •All models feature silicon carbide Up to 130 GPM mechanical seal faces for superior Maximum head l0 123' abrasive resistance and extra Uischarge size 2" NPT long life. Solids'/~` maximum • Cast iron semi-open non-clog Motor impeller with pump-out vanes All motors feature ball for mechanical seal protection. bearing construction. •Rugged cast iron volute type casing Available in Single and adaptable for slide rail systems. Tli~ee Phase 115, 200, • Corrosion resistant threaded 230, 4G0. and 575V. stainless steel shaft. All single phase models .Motor is Cully submerged in high have capacitor start motors. quality oil for lubrication Materials of Construction and efficient heat transfer. t-,isl ~~~~~~ • Optional silicon bronze impeller `~1,~n~li'~;'~~ steel available. • CSA listed models available. Cup) Underwriters Laboratories ii All Models are designed for continuous ope °~ °o io zo ~ Jo ao 50 6011 - ~0 ISn' 'F p ~ a 6 - B 10 17 CAPACITY Pump ~rpcifications Features and Benefits '/: Hp •Glass filled, thermoplastic vortex Up to 75 GPM impeller with stainless steel Maximum: head to 18' insert antl pump out vanes for Discharge size 2" NPT mechanical seal protection. 211 maximum Solids •Rugged glass-filled thermoplastic . casing and base design provides Motor superior strength and corrosion All motors feature ball resistance. bearing construction. Single phase: 115V •Cast iron motor housing for efficient heat transfer, strength Materials of Construction and durability. Cast iron Thermoplastic •Corrosion resistant threaded Stainless steel stainless steel shaft. • Available in automatic, and manual models. •CSA listed models available. ration and feature stainless steel hardware. ' ar~c1~, 1~.' Togo o~/a~,5~~. ~ i~,'t by CtCb~,'~ /{SSLcMf~Q/Q~= /~.Q7.' ~,SoiIQ~E/lJ~O . B' l~,-~by~o,~~ pro~os ed 2~ ? ;Y I/6.S/ ' n2 o cc~d ~/ 1~ . L3. ~ Tp p c,F~ Y2'"~~C ni ~[.d ~ E/t da. ~i o» ~'x /ao' a6so~joU~, CeIC. TwoGt~ p; pt at 3 v..bodc gra.d¢. ' 2 " Canc.-mss a.~ ,~q, 'ea c.!' w,'t~ Ele ~/' = 9s.3o.' • _ ~/~. ~ I ~caJe : / 'V y8 Mori ~'c~s ,S~oaced o-z`'..35~'• q5o' ~ ~ B~I ~ede.Tc.cobs~ __ ~. _ _ $~Cy c,~a y Cam st.~oi 9s/.o' _ a~ _~ -__ ~ z.9g'~~ 93as' /ot/9, ,D~~ of _ 3.,c5'' ~ /{a.n rr1 ~•~ Oo9~ ~ ~ _ -- "~~E CORR~ FNS ~ ~ ~ /~-fam irf d/r0; s~.~~Kc~.,~~. 9.e.~ - B3 ~oeGs,,c~.~,u? z9.l7.~ • 9i~' z".su~.s/o P.d.c. ~o r'cC.Mf~~ S s:r,/P.C. w/~abeL•E-~c~ q e~{'/urn f ~:~ Rt oc~.t/et. ~ lQoc~d ~ ~ ~ ~- 4/30' 9/.scs' ^ Pia ~s~ y b ed~~ ~'es rdcyc.G 6c~ °''we.C~ ^ ~a~ ~J°" ._ .. _-. / / C('oCuS f~'// Koaal ~, ?o.Fl~ vlanifold Pg. 8 of 10 Lateral turn-up detail BOLDTS PLBG & HTG Fax ~ 715-684-3144 May 24 ' 01 08 38 P03 ~-~G VC ~/aGo bS .~~~-D ~ G tl ~o ~" POWT'S OWNER'S MANtlAL A MANAGEMENT P4A-N FILE INFORMATION Owner c v +~ o bs Permit DESIGN PARAME7L~tS Number of 6tdrooms O NA Number of Gommerciiwt Uruts NA F~timatsd flow (average) Q~J d Uesign flow (peak), (Estimated x 1.g) pb Ud Soli Application Rate • ~j/ aid ~t lnftuentlEfftuent Cuallty MAnthly avenge` i"ata~ Oil ~ Grgass (FOO) s30 trlg/i. Siochamtcat Qxygen Den+and (80DJ s~20 ~n- Tatal Suspended Selielic (T3S) x1t;0 m L Pratratsd Effluent QuaNty • O NA Monthly event's"' Bkiahemlca! Oxygen t~amanq (80t?~ x30 mg/L YotAl 8uspandad 9talWs (TSg) s90 mg1L Fecal Cofiform metric mean s10' ct~1100m1 Ma7dmum Efnusnt Partida 8(za Y IrtChdiameter MAiN'f$NANCE SCHEQULl4 Ppgo ~_ „r„~ SYSTEM 9Pl:Cifr'IC:ATiCJIV' Septic Tank Cap>tCity _ /Z~~ gal t~ NA Septic Tank Manufacturvfr ~!~Sty-, O NA Effluent Finer Manuf~Nler ~ l,7 NA >rffiusr-t Filter Mocki xqb~ fQip O NA Pump Tank Capaalty 7~~ _~. O~IdA Pump Tank MsuKtfactur~er ~ ~ ,S~{ CI NA Purnp Manutaeturar foul ~ DNA Pretreatment Unit O 9sand/C~ravet Filter q Mec41er1ical Aeration O t7isinfggtlotr MBnufa~ciurrr t7 Peat Filter fa Wetland O 4thsr Olspsieal Ceps} . O in~rovnd (gravity) O At~rade G7 brI kro . . CI ~routtd (pressurized) nd Q Other - ~ va~kros trniorl for o (no~venrnseaht) and repGO tgak sfAwn~ .w. V~Iws tyf>~ ~ watw~br. ' service Iwvont 3srvlca Ffyquenay . Ir~ped aondit~rt of tank{®) ~ At that ati0s wary 3 d months ~ year(s} (Maxil»um 3 yrs.} Pump out oant~ts of tank(s) • Wltea oombinod skxlye and scum equals ohs-thkd (Yj of tank v~olums impact dispersal oeA(a) At.taaat once wort' 3 q months •~ysar(s) (Maximum 3 yn.) Clor~ti sfN,ut~nnt fNtar ~ At feast ones svpry (~ tit mores Q year(s) In~pept pyhap~ pump controls 8 alstm At leas! onus ~ ( q months ^ year(s) DNA Flush.:lateisile and pr~igunf tart At.taast anoe ev~ary 3 p matTths 4 year(s) d Na °~' At seat ones every O month; O year(s) DNA °~ ~ .At least once awry q months O ysar(R) Q NA ' IUiAINT$NANG'E !NlTRUCTlONB InSpeotlona of tonics and dl~peraal vstls shall 4e made by an Indlvtdu~ ~nD one of the falkrvving (k~-n>sea or aerdficoatlpna: Masher Riumb~ Master Pturnber Resbtchd ssws<; POWT$ Iltspeaba'; POWT$ Malnbiner; 8ep~a 9ervicinq dperator, lank inspentlons musst lnptude t# visual tnspeogon of the tank(s) m klentl}~t any~missis~ or broken harrsware; Idevttify eny vracks or N•ka~ maest~e the valumo of combined sludge and scxtm and Op check for any bark up or plMdtng of sfifluerlt on the Wrwnd eurflACe. Tht diepeiy-al aq(s) ah#~ be v~uatly Mspsotsd bo check the dfHi,ant"leireia In ttlrt obarvatlon pipes and to check for any pandtr>a of efftwtit on ~rq ground surtace. The pondin8 of affluet'It An tho ground auffea may indicate a ~flAng oorldltlort and squires the ~nmadiate nodffp~tk-i' of the local neguistory au@xNity. When its combined accumuletlcxt of aludg sad tliwil't In any tank squall one-third (1~ or mare of the tank volufties tpa entha oonteribt o! the tank shall be removed by a tsptags•8srvloing Opsrat~ar and disposed of in accordance with oh. NR 113; Wiaponsin Administrative Cado. The aeividng of efftuant fittsra; mae+hankial or pressurised-POWYS aorr-ponents. pr~sa@~ment oartporisitta;'and'siny . vthsr rnalnt!enar~s or montWrfng at interva>s~of 17 months or:(eoe shah t» peu~forn+sd by a txruMd POVY,'t"$' Medcrfi~ler.'. ' eg Lary authority vuithin 10 days of oomplstlatt of any servic;s awnik '. ~- 3etlAge report shalt be provided teo the local r ~ ula ,- ... .. ~,..~ ..~..: ~ : "~ •,~, ~ ... $TAR~P UP A'ND OPERgT10N For new 00113tr;rGttpn, poor to use Of Ws pOWrB check treatment tank(s) for the pr~erice of pefntinQ products or other cherltitsls that may lmpsde the treatment pr+OOegI end/or damage the dlsperstlt wit(s). if hlQh ionosn~abons srrll ~ ' detected have the contents of the tank(s) r+t+moved by a septape seMdng operator prior to use. BOLDTS PLBG & HTG Edx ~ (15-btS4-5144 May L4 'Vl ~ts~~~s r~~ V P~pr o(._,_. System start up shalt not ocxur wfran aoll oondltb~s Mri frozen at the intiltratrve ~surt~C. During power outages pump tanks may fill sbpva~ normal hlghvwrter levels. WhQn ptiM~er b retrtored the excess' wastewater will tae dlaoharged to ttte dispersal oe1~s) In one Large dose, overloading the otalt(s) and msy result In the backup or sumacs disoharQe o7• oilitietit. To avoid this sittiraNon have the contents of the pump tank rdmvved by a Septage Servicing Operator~priot OQ oestorlno power to the effluent pump or contact a Piurnbet or POWTS Maintainer to assist in manually opsratinQ the pump cantroltr to restoro normal owls wlthtn the pump tank. - Do not drive or park vvhlCles over fsrtks sad dispersal ceps. Oo net drive or pads over, or otlatwiae disturb or compact, thQ area wlthM 16 fNt dawn slope deny mound of at~rade soil sbsbrption arw. - .. - Reductiotr or ellmtnatkut Of the lbitowlttg frgm Nte wastewater stroam may lmpteva the performpncs and prglo~ the life of the POWCS: untitaictioa; baby: dgarotts butts; oondomx Dolton iwab*: degreasee~ deAtal tloss;•aiapers: dlslnfactante; iat; tocir~datfon drsln (same. pump) water, !cult and,vepetsble peelings; gasar~: 0raaN:'rierbk:lde6; meat scraps; medication!; oil; paintlnp producblt; patioides; sanitary r-spkins; tampons; and waltz solslener brine. . ABANDON~NIENT - - •• VNisn the POWTS fells andbr N p~neriy- tsksn. out of servios the fodovNn~.>s~ ahaN be t#ka16a trlsitre that the system b propsriy and aaf~ay aba+~Oneil;•ir~ co~rtpNrerwe with ch. Comm e3.39, NVlaoonsln lldintinisb'+sdve Code: al plplag to tanks andpib ~ftsN t» dtsconnscted and rho absndoned `pipo opsntnp! !sated: ~ ' • The raontent9 of as tanks and pits shad bi removed and properly d'~pos~ of by aR t3sptape Setark'ir1E ~'t°r'. • After pumping, all tanks i~rd pit's shall bs smavaLed and .removed ar tlt~r Otw's renncwd. and the void lapses fled with sail,~.prsnrel yr trreiher ktect aorta material. ..... ~ ~ ~ ~ • cordTlNdENCY PUW ~ ~. - . if the r'OWTS t's~a and oanrtot bs r~palred the fotlowlnp measures have taeen~ ~or< carat be takart~ tp pt'ovk#e a Dods oanpgsM nplaosrrNnt sysEeAt: ~ . -~ . . O A suds raplaoemsrtt s~ria hate been evrvuatad end msy be utptssd iet Ilia looattoit d a reple0sment evil at~orpriort system„ , The nlphoer<l~ area should be prvlec~sd hen dN~uttartcs and oanpadion and ahvuld nut .~ Intlhrged upon by .' , sett~adcs tbom ~ilr~ and prtapossd savcttu+s. tbt (hies eW+d wetta.~- Falture~to protad trio nplacaMws~t~wR nstuE ~ the 11vad fur a ~sw soli artid aiN evaivstlon ~ h b auttabte - roplaoament ans. Rat sY~e must Damply with the rule' ~ ~ at ~ ~. O A sulEnble replaosmPtlt ~ is ~ aver due to sattaack endlor ~ ltmltstiats. !)3antrtg atltrano~ ~ tsOWY5 technology a holdlrtE tank :ntay bra krabltsled as a lest resort to rgplsce Uis fahad PtyIIVTS. , .O The aRe hes not ba~fl titi identlry s sellable replaAerttent area. Upon hflunr d the P0WT8 a soU. and •aits evaluation rruiel;.bt: ~ ~ b ipc~tta a suEabb replsoemprtt sea ff no rep++~ area Is avsibtble a ' .holding tank msy bo ~ as a last nt+sort to repiaoe the tolled POW't'S. . o Mound and at-prnda saE~libsorpt>dn ~s~-itet»e may he re~oon~i~d ~ p~ f ~~ of the btomat at the It~ttraUw st,~ita. R~aoMbvetiotte of audt syatarr-s must conipty with •re rules 1n st'teot at that tlrrte. . «VItARNtNc~~ . ~. ~ - 8RPS~. PUMP ANp OTHER T~ATMENY 7ANKSS MAY CONTAIN LETMAL t~SES ANtNOR INBUFFICIt~t'I' OXYGEN. t7p NOt ENTER A t3LP'iitC, HUMP 4R OTHER TlRlATMENT TANK UNDtU~ ANY ~RCWKSTANCE6.. OLATH MAY RESULT. R1tSCUE OP A pER~?N l*ROM THE INTERIOR t,F A TANK MAY BH t?iilrlrlCULT OR UV~PQt3$18t.~ :. . .~. ADaRiCENAI. cOtiRUll»tvTB ~ - ~. ' - - . - t:* ; °~ -t . ...: ~.-. ~ ... .~: gin. - . ~' . t~AVIrTB UI~TALLfxR Name ~o Gt~'I •`s ~~ • ~- • ~ . -Phone /S ~ !o ~l- '3? $ lVami • ~ a.r~ -' fihorrs 7/ 5 ~ 'Sr Z ~ ^! 'rAt~ doan»cit wa dndt~d by sM rre r~tntmum rwutrom•nn or e~. w.q,ri.ti. w.....Iw.w.~....n ..ILA. r~~ Name- - D :e~ r rroc~-t. ~RltitlRJ- ~ • . • . A4ency ' ~ja: r .~7~ ~ ~ bN~.l ~~-~I Ili. Phone ~/5 -,3.SL.""'~~ d.:.....:.. -~ ._ • 1 . aoa+q+r~nt ttalt•, Mrequ~ and YVtusMrs Count if011p1~ 1M1a 3' •.pN~doR :~ Rte! . iXfism .nd es.eK>>, ~ a tai, WNOOn~ ~-t~it~:'~tl-e~'.wi'±~=sirs aeo~iM•nt be.r~ie . ~ ~ . ~~ii~r`niti+ ,~ Wisconsin Department of Industry, SOIL AND SITE EVALUATION ~' Page _ / of Labor and Human Relations H 83A~ Wis. Division of Safety and Buildings in accordance wittys:~,1L -R , , ;• , s~ County ~ O~ Attach complete site plan on paper not less than 8 1/2 x 11 Inches in siz6 Plan mu~i, \ Jr- • C'~ '~ include, but not limited to: vertical and horizontal reference point (BM) direction and; `i 'i!;~ ~~ .a percent slope, scale or dimensions, north arrow, and location and dist~nce to nearest road. ` " ° Parcel F. . # O ~' • f _ ~ D~::: f ~l <~~,~~~ - a~ • is • so • ao APPLICANT INFORMATION -Please print all /nform~tlon. -: ~ -. ~ r~ Reviews b Date Personal information you provide may be used for secondary purposes (Privacy L~w,'s. 15.04 (1) (Tr{))>''~~ Z Property Owner t.~. (~ N a ~ eD LAN D ~ d C~'~\I Property Location , ~ l ' ~1 1 W V ~ Sf~N'~ Q~1~~~~ Govt;L,ot S~•,~t4/V~/1/4,S~,V T ! ,N,R ~7 ~) Property Owner's Mailing Address `Lof#~- 1 Subd. Narrie or CSM# 33Z hiu>v~SoTA ST: EAST Iyo~l ~FMMO~vD ~/'F'•NS City State Zip Code Phone/Number r~ Nearest Road W ~ ~- sT• P11UL I ~`'{~• I ,~,S~O I i (f~S! )~Z~• •~7ss ^ City ^ Village Town ~ (~b [r]"fJew Construction Use: [~esldentlal /Number of bedrooms ~ Addition to existing building ^ Replacement ~~''~~ ^ Public or commercial -Describe: Code derived daily flow ~~L" gpd Recommended design loading rate Z bed, gpd/ft~ ~ trench, gpd/f12 Absorption area required ~ 1 S bed, ft2 3~trench, ft2 Maximum design loading rate ' ~ bed, gpd/ft2~trench, gpd/ft2 Recommended infiltration surface elevation(s) Su ~ ~ ft as referred to site plan benchmark) T~'E~+ ?YP~ Mo uvp I~~-4~ r ~2E0 . Additional design/site considerations Parent material ~o esS ~ ~~ O~NS~ T~ /~f Flood plain elevation, if applicable N ft S = Suitable for system Conventi~ona~l ~M~~ou/nd In-Ground Pressu a AT-Grad~e, / System inLld'U Holds g Tank U = Unsuitable for system ^ S L(S U ~ ° ^ U ^ S ^ S L~U ^ S ~.,...,..,T~r,.r r~renoT Boring # Ground elev. 43 . ~--" Depth to limiting factor ~~in. Boring # ~~. Ground elev. ~ 3 , ~., ft. z Horizon Depth in. Dominant Color Munsell Mottles Qu. Sz. Cont. Color Texture Structure Gr. Sz. Sh. ' Consistence Boundary Roots GPD/tt Bed ,Trench S '{ . /oY~ 3/3 - [. h~ sb~ ds~. ~ S ~ f . . ~ C • r ~o ~R 3/ `-- z ash ,~~' c -- . s , . o 2 1 8• /o ~ moors s,~ ~'s ~ ~ - ' Z " 3= S ~ SL ~ U~ - - ( • , ~ fcf mot ' 7 •S R Remarks: ' ~ Z 'lG 6.1 /0 2 3~3 /0 2 - ~ 2-FS~bk ^+^~i' • ms s - . S • f 2 . S' /o /~ V/~ [///e ' r' SQL 1S ~ ~ T M+ ~i V ~' ~ - - • Z • 3- ~ s . Depth to L...~ limiting (actor ~ 4 in. Remarks: CST (Jame :;Please Print) io yR 4Li.._. ~ ~~,~'~" Signature Telephone lvo. . ~ f.'~(r ' ~ ; ~ .~' Wisconsin Department of Commerce Division of Safety and Buildings SOIL EVALUATION REPORT in arrnrrianrra wiTh (:rvnm Ali Wic Ar1m r:r][tP. 1373 Pie -- ~-- of 3 - A.C.E. Sal & Site Evaluations County Attach complete site plan on paper not less than 8'/: x 11 inches in size. Plan must St. Croix include, but not limited to: vertical and horizontal reference point (BM), direction and - ----- ----- - ---- _-- - _ Parcel I D percent slope, scale or dimemsions, north snow, and location and distance to nearest road. . . 018-1086-19-000, ID# 20.29.17.639 Please printall information. --- --- _____-___ Reviewed By Date Personal inionnation you provide may be used ror secondary purposes (Pm~acy Law, s. 15.04 (1) (m)). Property Owner Property Location Steve Jacobs / Skyway Cnstructuion Govt. Lot SW 1/4 NW 1/4 S 20 T 29 N R__17 W - Property Owners Mailing Address Lot # Block # Subd. Name or CSM# P.O. Box 13 19 I PVat Of Hammond Oaks City State Zip Code Phone Number ~ City `) village ~ Town Nearest Road Lakeland ~ MN 55043 651-436-2320 Hammond ~ Crocus Hill Rd & Windy Hill Rd /J New Construction Use: f~ Residential /Number of bedrooms _ 4 _ Code derived design flaw rate - 600 GPD J Replacement J Public or commercial -Describe: Parent material Glacial drift Flood plain elevation, N applicable _-__ _ na General comments and recommendations: Soil evlauation conducted to explore potential for conventional soils and to provide addition al area to accomodate mound design if no conventional soils found. Boring # Boring 22" i /_f Pit Ground Surface elev. _91.63 .__ ft. n. Depth to limiting factor Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDIft2__ ~~ 'Eff#1 'Eff#2 1 0-12 ~ - --- --- - 10yr3/2 none sil - - I 1 fsbk mvfr as 2f 0.2 0.3 12-22 I - 2 - ~ ~ '~ none ~~ sil 10O r5/4 -~- v -+-- -- 1msbk ~ mvfr ! cs - 1f ---- , -- 0.2 ----- 0.3 -- __ 3 22-30 ~ y 10 r6/4 c1 d 7.5 r5/8 sil ~ Y I 1 msbk mfr cs - 0.5 0.8 - ~ _ _ _ ~ _ _ ~ _ ~ _ I ___ _-_ 0 0 --_- ----- - 0 0 4 30-43 10yr46/2 f2d 7.5yr5/8 sect Om mfr cw - . . __ -+- ___-5 43 59 --- --,-- T 7.5 r4/6 y mf2d 15(1~yr56//2& T 9r. sl ------ - -t---- ~---- ~ Om ~ mfi ~ - ---- - - --- 0.3 II -------- - t 0.5 - -- -- -_ T - -i- ------- -- - __-+ - -(_ ~ ~ ~ ~ -j i -------- ~-----~ -- ~ --+--- 'Effluent #1 = BOD 5> 30 <_ 220 mg/L and TSS >30 < 150 mg/L 'Effluent #2 = BODS < 30 mglL and TSS <30 mg/L CST Name (Please Print) Signature: CST Number James K. Thompson 3602 Address A.C.E. Sal & Site Evaluations Date Evaluation Conducted Telephone Number 340 Paulson Lake Lane, Osceda, WI 54020 4/5/01 715-248-7767 a Boring # Boring /J Pit Ground Surface elev. _ - -- _ 93.75 ft. - Depth to limiting factor - - 28" in. Soil Application Rate Horizon I Depth Dominant Color Redox Description ; Texture Structure Consistence Boundary Roots ,__ _ _ SzPOLff__ --. I ~ , •Eff#1 •Eff#2 1 - 0-12 i __-10yr3/3 t- + _--- none _ _-isl ~ ~ 2fsbk -- - mvfr ~ ~ as 2f ----- 0.5 I - 0.9 ---- - - 2 12-20 y 10 r4/4 none ~ sil 2fsbk mvfr ~ ~ 1f j 0.5 0.8 3 - I 20-28 ~ 10 r5/4 y - ~ none rt- --- --- -- I - ~ _ 1 sil j --~-- --- - 2msbk - - - mfr -- cs ~ - --- r---- i 0.5 -I - - .. - 0.8 r- - - - _ _- 4 28 34 ; y 10 r5/4 ~ f2d 7.5yr5/8 i sil 2msbk ' mfr ' _ cw t ' 0.5 0.8 -- ~- _ - -- -~--- r --- _ - _ -- ------- - -- -- _ _ - _ t - - 5 4 53 ~ 0 r4/6 y m2d 7.5 5/8 & ~ fZd 10yr6/2 r sl ~ 9 • i i lcsbk mfi - I ~ 0.4 --- 0.6 - __- . _. ~ - - r _---- _ - _ ~--- ------ ' _ ~ i --- ~~ - - -- _ __ _ -+ - Property Owner Steve Jacobs /Skyway Parcel ID # 018_1086-19-000, ID# __ Page __2 __of ___3 Horizon Boring # Depth J Boring N Pit Ground Surface elev. _ _._ _ $$•59 - _ ft• Dominant Color Redox Description Texture Depth to limiting factor 34" _ in. Structure Consistence Boundary ~ Soil Application Rate Roots ~-E~1 1?IBE 1 I 0 12 10 r3/2 ' li none _ _.. sl ~~ ~ ~_ 2fsbk __ _ - --- ~ - - mvfr i __-- ' as ~_ ~ 2f 0.5 0.9 ~ ____ __ 2 ' 12-20 y 10 r4/4 _ i - --- -none T sil ~~ 2fsbk ~ mvfr ~ ~ cs --i - 1f ~; 0.5 0.8 __ -- - --- - ~ 9 5 0 3 4 __ 20 34 ± 34-70 7.5yr4/4 10yr5/6 ~ none mfld 156 2& i gr sl i _ 1 sil 2msbk Om , mfi mfr cs • - . _ _ ; 0. ;- __- - ! 0.0 0.2 _ -- i ~ ~ t__ ~ _ _ _ _- _ ----- ___ , + ~ - __ - -- -- ^ Boring # J Boring ------- ---- J Pit Ground Surface elev. - ft. Depth to limiting factor in. Soil Application Rate Horizon Depth ! Dominant Color Redox Description Texture ~ Structure Consistence Boundary Roots ~'Eff#1 ~~Eff#2 I- --- -~ ~ _---------~ ~ I ~~ ---- II----- _ __ --- - - -__ --; I - -- - -i- - - - - --- 1-- fi _ _- _ - I f I -- ------~ ~ I - - -+---- i ~ _ I __ -- , -___ ---_ -_ __ __-_. -i_.- I _~ i ~: • _ ~,~ . ---_-_ _.-__.~ __ .___ _-- ___ ..~ - - _._ t.. _. I _-_ --- _--_ - . Effluent #1 = BOD S> 30 < 220 mg/L and TSS >30 < 150 mg/L " Effluent #2 =GODS < 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 deparhnent at 608-266-3151 or TTY 608-264-8777. ar~cl~ ~ T~ c~/o~,5~~. f{ ss u M e.~( a le ~` = ioo. c~.' . B~ I~. d. :TpP c~'Ys~~~~L Ylr~~ p; prat 3"abo~x. g~a-de• Ele ~: = 9S. 30~ ~ ~ ~ B'~ 9~0' 31 ?z.98~ 9.~aS " 93.5' P3.0 " 9~~~ •g3 \ q~v~ 8 g N a gq, qs 9/..30 9/sue ^ 4S ec~ ^ C~oCc.~s f~'/~ Koaal • Soi/ Obs~r/~ ~P,~t by uCb~, ^ .So; lCabseiva E~~ ~~t byT~~~r p~ ~ .scale : / '~ yo SEe~e~aco6s~ yry waY ~, st ~~ /ot/9, ,4/a E of f~amm~•~ ~` SQC. Z~? T . o f' f1a.m,Yr~~d, ~~~,~~" z~i~ (/'i /1 C/~/ Nr~l lPoa d K ~~{'. ~ . 3 ~~' 3 Wisconsin Department of Commerce Division of Safety and Buildings SOIL EVALUATION REPORT n ~rrrvii~nro wi#h r'`_rmm RF Wis Ar1M r:(IrfP 1373 page 1 of 3 A.C.E. Sal 8 Site Evaksations County Attach complete site plan on paper not less ~ 11 in h r ' e. Plan must ' ' St. Croix on and t B include, but not limited to: vertical and h I o nearest row. and location an 'sf~ percentslope, scale or dimemsions, n Parcel I.D- 17 639 ID# 20 29 1086-19-000 018 ~ ~ . . . , - Please p info ~ <,`~, Revievued gy Date Personal informatan you provide m ti~d for rposes (Privacy La~i~ F„~ 04 (1) (m)). Property Owner ---~ ~ ~ '? ~ Lo cation / Sk C t ~i~ ~~' J b S - O~X ~ dot SW 1/4 NW 1/4 S 20 T 29 N R 17 W ns ruc u yway teve aco s Property Owner's Mailing Address ~ \ LOUD f`G~ ~'` G # Block # Subd. Narrte or CSMII ~~ .~-'''~ P.O- Box 13 ,~',, ~N~'O 19 Plat Of Hammond Oaks City State ZSRCod~ ,Phone Nun~bef `~, > J City J Vllage ~ Town Nearest Road Lakeland ~ MN 5503-' <' ~`~1~4t36- ~ 0 Hammond Crocus Hill Rd & Windy Hill Rd i~' New Construction lJse: y~j Residential / Number of bedrooms 4 Code derived design fkrw rate 600 J Replacerr>ent ~ Public or commeraal -Describe: Parent material Glacial drift Flood plain elevation, if applicable General comments and recommendations: Soit evlauation conducted to explore potential for conventional soils and to provide additional area to accomodate mound design if no conventional soils found. GPG na ~~ # ~ Bonng Pit Ground Surface elev. 91.63 ft . Depth to limiting factor 22° in- Soil Applicaation Rate i D th D i t C l tion Redox Descri Texture Stricture Consistence Boundary Roots GP DIft= Hor zon ep om nan o or p *Eff#1 *Eff#2 1 0-12 10yr3/2 none sil 1 fsbk mvfr as 2f 0.2 0.3 2 12-22 10yr5/4 none sil 1msbk mvfr cs 1f 0.2 0.3 3 22-30 10yr6/4 c1 d 7.5yr5/8 sil 1 msbk mfr cs - 0.5 0.8 4 30-43 10yr46/2 f2d 7.5yr5/8 sicl Om mfr cw - 0.0 0.0 5 43-59 7.5yr4/6 11fLd 15(Tyr6%2~ 9r. sl Om mfi - - 0.3 0.5 * Effluent #1 = BOD ~ 30 <_ 220 mg/L and TSS > < 150 mglL = BODS < 30 mg/L and TSS < 30 mg/L CST Name (P~ase Print) Si ature: CST Number James K. Thompson 3602 Address A.C.E. Sal & Site Evaluations D e Evaluation Conducted Telephone Number 340 Paulson Lake Lary, Osceola, WI 4/5/01 715-248-7767 ~n9 4 Boring # i~!' Pit Gramd Surface elev. 93.75 ft. Depth to limiting factor 28" in. Soil Application Rate Horizon Depth Dominant Cola Redox Description Texture Structure Consistence Boundary Roots : *Eff#1 *Eff#2 1 0-12 10yr3/3 none sl 2fsbk mvfr as 2f 0.5 0.9 2 12-20 10yr4/4 none sil 2fsbk mvfr cs 1f 0.5 0.8 3 20-28 10yr5/4 none sil 2msbk mfr cs - 0.5 0.8 4 28-34 10yr5/4 f2d 7.5yr5/8 sil 2msbk mfr cw - 0.5 0.8 5 34-53 10yr4/6 add l0y~r6 2& 9r. sl 1csbk mfi - - 0.4 0.6 property Owner Steve Jacobs /Skyway Parcel ID # 018-1086-19-000, ID# Page 2 of 3 f/ Pit Ground Surface elev. _ _ 88_59 ft. Depth to limiting factor 34" in. Soil Application Rate ~~ # ~ Bceng -- ----- Horizon Depth Dominant Color Redox Description Texture SUucture Consistence Boundary Roots = "Eff#1 *Eff#2 1 0-12 10yr3/2 none sl 2fsbk mvfr as 2f 0.5 0.9 2 12-20 10yr4/4 none sil Zfsbk mvfr cs 1 f 0.5 0.8 3 20-34 7.5yr4/4 none gr. sl 2msbk mfi cs - 0.5 0.9 4 34-70 10 r5/6 y m2d 7.Syr5/8 & Cld 1 /2 sil Om mfr - - 0.0 0.2 ^ Boring # ~ Boring Pit Ground Surface elev. ft. Depth to limiting factor in. Sal Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots *Eff#1 *Eff#2 * Effluent #1 = BOD ~ 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 =GODS < 30 mglL and TSS <30 mg/L The Department of Commerce is an equal opportunity service provider and employer. ff 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. QS,o 9slo' 93. 9.~ 9/ L' ('oCc~c.s f~'/l Koa,ol • Sa/ ObScNa~ ~'e by utb.,~~ ^ .So%l C~bs¢~va.fi, I~,'t by7~o~rP ~t~l • E/c da ~i oY, p~ ~ .scale : / •= yo ~E.ede ~au9 6 s SCyway ~~•~ /ot/9, ~~ E of /'~QnfM~~ ~~ 5~C • 2c; T . d ~' f -~a.~r+ ir1 orrd, ~p~T~,~.ZD, 29/i (.~; n cl y /~"l l lPoa d ¢.~'. ~ ~.3 0~'3 ~ o t' s+ir c Wisconsin Department of Industry, SOIL AND SITE EVALUATION ~' Labor and Human Relations _ Page / of Division of Safety and Buildings in accordance wit FAR 8~i~, Wis. ~. «~:~ Coun ~ s7. t7% Attach complete site plan on paper not less than 8 1/2 x 11 inches in si Plat'i mu - ~ ~'~ ~' "' include, but not limited to: vertical and horizontal reference point (BM) direction an ` "''~~ ~ percent slope, scale or dimensions, north arrow, and location and dis .. nceao nearest road. ~ """ parci~l t. ,. # O ~' ~- APPLICANT INFORMATION -Please print all inform ion. ~, , 4 Reviews" b Date Personal information you provide may be used for secondary purposes (Privacy ~, x.'15.04 (Jt,(rrE~" `~ ^ / M. Z Property Owner ~ V M Q l Qp L>AN ~ ~ b .Property Location ° ~,! ~ ~!~ N•A] ~7~ 1 ~ ~D /~.~ ~. Govt: hot 5~ ~ " 4 /V~ 1/4,S ~V T Z ( ,N,R t 7 '~) w Property Owner's Mailing Address ~Lof~#~= Sutxt. Nan1e or CSM# 33Z h i Iviv~SaTAI ST• E~15T I yo ~ ~FM.tio~vD o~1-~s' City Bleats Zip Code Phone/Number Nearest Road KJ ~ •2.. ~JT• Pn V ~-- ~ /'~ ~ . ~ ~S~ ~ ~ ~ `S! )2 Z Z. ' S~ss ^ City ^ Village Town ~ ~ ~O d [flew Construction Use: [residential / Number of bedrooms 3 Addition 1o existing building ^ Replacement ^ Public or commercial -Describe: Code derived daily flow y5'° gpd Recommended design loading rate • 2 bed, gpd/ft2 ~ trench, gpd/ft2 Absorption area required ~~bed, tt2 3~trench, n2 Maximum design loading rate • ~ bed, gpd/ft2~trench, gpd/it2 Recommended infiltration surface elevation(s) •Su ~ ft as referred to site plan benchmark) '1"'l~'IE*v 7Y/a~' MD ivvp ~~~~ t RELa Additional designlsite considerations Parent material ~oFSs ~L~7 ~~NSF Ti~~f Flood plain elevation, if applicable N n _... .. _., -- T--~- -- Conventiona oun - / S = Suitable for system ~,~ r-,/ ^ U ^ S ^ S [~,I ^ S ^ S U Unsuitable for system ^ S LIEU LKS ..~ni+nrnr.n~~ oCOnQT Boring # i Ground elev. 43. t-t~-tt. Depth to limiting factor ~in. Boring # ~~ Ground elev. 63•~n. Depth to limiting Vv.r. vim......... -- - - - Structure GPD/ft2 Horizon Depth in. Dominant Color Mansell Mottles Qu. Sz. Cont. Color Texture Gr. Sz. Sh. ' Consistence Boundary Roots Bed ,Trench S ~{ ~ •~ toY~ 3/3 - L /f sb~ ctS~. C S t f ; . . ~ 2 1•I /o~R3/ -- z~FSh~ ,~i' G - .s,. o ~ B• /o I ,moors sip ~'s ~ ~ ~ - .Z •3 ~{ s fcf Hof ; '' • S ~' , Rcmarkc• 5~ ~ o~~o /o!/i+23! - L /,~sble S~, c5 ~~ . c ;. ~ ~ Z •!~ /o R 313 -- ~ 2-Fshk ,~-,~,• cs - . ., . s •1 !© /2 ~o ~ ~ SQL Shy M+ ~i' c -- . z :. 3 , io t2 4 2... laCi r in. Remarks: CST Name (Please Print) Rp~~R'T"' ZI~~R~C•I~T- Signature Address Ulbrlcht & Associates Private Sewage Consultants Telephone No. ~~s• 38G- • ~j ~ s Date CST Number /~/OV•G. /~~~~•l.~375 a~ e f ..~ (~H 8) ~~ L ~~~ SOIL DESCRIPTION REPORT page Z of 3 PROPERTY OWN/ER / C~ /~ PARCEL I.D.# G 0 ~ ( ( ~ ! / AM f'(0 N L7 6/4 ~'S s ° g p • Boring # 3 Ground elev. ~~ att. i Depth to limiting factor l C i Mottles Structure R t 2 Horizon De th P in. or nant o Dom Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary oo s Bed ,Trench v •i /o Yi2 3~3 -- Si L ~fsh ~ ~. c s /f . ~,. ~ . 3 ,1 ~o - ._., SQL / ~~, ~ . Z ; • 3 • S ~ ~ ~ - • Jam' ~ .'f!o ,. SGL 4 gyn. ~ vii' -- w ' -- Remarks: Boring # Ground elev. ft. Depth to limiting factor in. - Remarks: Boring # Ground elev. ft Depth to limiting factor in. Boring # Ground elev. ft. ttles M Structure R t GPD/fit Horizon De th p in. Dominant Color Munsell o Qu. Sz: Cont. Color Texture Gr. Sz. Sh. Consistence Boundary oo s Bed ,Trench Remarks: Depth to limiting factor 'n' Remarks: SBDW-8330 (R. 08/95) 3 a-f 3 ~5. ~l ~~',''~ ~ y '~~f3 s y°~ S ~ ~ - Boa. ~ ~_g°Io • - iaS 3 ~ , ?-1 ,pM 2-~ 2C~ y0 ~' ~- 3S yo 28 A// ~D .. - p r. ~' 3 , (~ ~i r------' ~ .~ s~T spy w~«~., so. t dT L . ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT . AND OWNERSHIP CERTIFICATION FORM OwnerBuyer ~' TG / ~ ~G. C O !~ 5' /s~y ~a y ( Mailing Address Property Address ~o , ,gp x /.3 La~~ ~5~/~Zti~PSf. ~~©7~ (Verification required from Planning Department for new City/State ~arnino/>lN, ~.t].-.% . Parcel Identification Number o~$-/0~6 -/'9-ooa _ LEGAL DESCRIPTION Property Location.SW '/,, /vim '/<, Sec. Zp , T~9 N-R~W, Town of AhJ/noh~ . Subdivision 7~i+ryl rr~o ~Of OQ-/~ S .Lot # ~. Certified Survey Map # Volume .Page # Warranty Deed # ~y~0 ~ 9 ,Volume ~ 3 Page # ~z ~ Spec house [~J" yes ^ no Lot lines identifiable L9' yes ^ no 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. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner.,and by a mastCrplumber, jouraeymanplumbbr, restrictedplumber or alicensed pumper verifying that (1) the on-site w~stewate=~8isposal system is in proper operating conditionand/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. 1lwe, the ~ bavaread ~ above regainmcuts aad agree to nsaintaia the private sewage disposal system with the staadazds ict forth, bctcin,-as set by tine Dcpartaxat of Commarx and the Dcgar6meat of I~iatural R,csoru+ces; State of Wisconsin.. ~ Ceitificatioa statingthatyaur c lsasboeama_intainodmnstbecampldedaadretumaitotheStaroixCocmtyZoa'sngOffioewitlua30 days of the tioa date. ~~/~/ ~~ App~CAN'r DATE I e tall statemeatr on this fog are true to the 6cxt of my (our) Ynowtedge. I (we) am (arc) the owa«(s) of the p ~ 1 hove, by virtue of a warranty flood cnoorded in ~egutcr of Docds Office. ~`~~ ?~~ SIGMA ~ OF APPLICANT DATE ****«* t bc" nwoked b the Zo ' eat. *'«`** Any information that is mis-c~cprescatod may rcxult is ttic sanitary p«mi tag Y Haig DoPartm ** Include ~vlth this application: a starnpod warranty docd from the Register of Docds office a copy of the ccrtiCcd survey map if refcnencc is made in the wam-nty decd ~.1fi36PAGE12z ' STATE E3AR OF WISCONSIN FORM 2 • 1998 WARRANTY DEED This Deed, made bchvccn Humbird Land Corporation, a Minnesota Corporation -L _- Grantor,and Skyway Construction Corporation,_ __ __ a Minnesota Corporation ~_ _...__ Grantee. Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate in St. Croix __ County, State oC Wisconsin: LOT l9 HAMMOND OAKS SUBDIVSION,ST. CROIX COUTNY WISCONSIN X45059 Y.ATHLEEM H. WALSH kEGISTER OF DEEDS ST. CkOIX CO.~ WI RECEIVED FOR RECORD OS-09-P001 8:30 AM WARRANTY DEED EXEMPT M CERT COPY FEE: COPY FEE: TRANSFER FEE: 74.70 RECORDING FEE: 10.04 PRGES: 1 /o`= Name and Retum Address 4/-~-~/ zo.z9 1z6;9 U/~-/DJ~ ~/ 9 Marcel Identilication Number (P1N) This is not homestead property. (is) (is no[) Exceptions to warranties: Subject to easements,restrictions,covenantsand rights of way of record, if any. The warranties of this deed, eitl~r expressed or implied are limited by the grantor to the grantee, or anyone in the chain of titlq to the consideration expressed herein, that being the sum of $24,900.00. Dated this _ 9TH day of APRIL 2001 Humhird Land Corporation AUTHENTICATION Signature(s) authenticated this _ day of ______ + TITLF,: MEMBER STATE BAR OF WISCONSIN ____ (If not, authorised by § 706.06, Wis. Sta[s.) TllIS [SSTRI;MFN"f W S llRAb''I'ED LiY C •~ ~ (Signatures may be authenticated or acknowledged. Both are not necessary.) - -__ _ _. * by ~,,,t ~~ Pres:dcnt + Austin J. Baillon ACKNOWLEDGMENT S'1'A'1'L OF WISCONSIN ) ss. Ramsey'___-__-__--.- County.) Personally came before me this 9TH day of _ _.. APRIL , 20[11 the above named Austin J. Baillon to me known to he the person(s) who executed the foregoing inslr/wJnent and ackn/of~wledge the •• • ~/~i,~O~J , /~ w.G~" • ~• ;. PAULA. J~tLLON T N(iTAP~ PUaIIG~MINNE$pTA ` Paul A. Baillon ~~'` MYC:xAM""`+'t¢xpntrs tatsoos Notary Public, State of W isconsTtY'M"^"'~`^^^^'°`'''"" "^^'v'^^^~ My Cormmssion is permanent. (If not, ,Wte expiration date: January 31 20115 _ ) 'Names of persons signing in any capacity should be typed or printed below their signatures STATE BAR OF wISCOx91x W ARAAVTY USED FORM N+. 2 ~ t99a [\FORMATION pROFESSI0NAL5 (:OMPANI' FONU UU LAC, WI aW-G55-2021 ,. JISION TION 20, 'Y, WISCONSIN UNPLATTED LANDS EAST LI NE OF THE SW 1 4 OF THE NW 1 4 OF SEC. 20 164.64' 164.64' 164.64' 166.49' 1 66 00' ~ 0 0 °o o o I ~ ~~ p ~~ ao N LOT 16 N LOT 17 N LOT 18 rn N LOT 19 I ~ N I~ --~ 47746 S0 FT ~ 47,745 SQ. FT. 3 47,746 SQ. FT. ~ ~, 48174 SQ. F i N N , _ , M . . 1.10 ACRES ~ 1.10 ACRES ~ 1.10 ACRES M ° 1 11 ACRE M ; °' °' ' oo . I ~ N I ,~ N A a o N a o ~ o~ N N I IA ~ ~ ~ ~ i ~ ~ ~ ~ 1 f ~{ i - - - - - - - - - - ' O ~ I ~ 164.64' 164.64' 164.64 ~ 165.75' _ _ n _ i2nd ST W . ~, 1' 19.46' ~~ i ~--- I, 6 M I~ I '~ I ` ~) Q I ~~ L v •, I v ~ '~ Y !_' LA T OF: ~~ I EAST ,,, ~,~ ALL eUM.0ING5 1b BE CONSTRUCTED M/ F'ROt01AIlY W SEC. 2D, T2pN, R17'W TN1H HIGTi WATER E/15ENENTS SHAD HAVE A ~ FND. AWN, CNTY MONUMQ/T ~ tT1AN TWO(2) FEET A80VE THE INCH wA1Elt f1E,V. SHONN ,~ .r y `S U B D I VI O N ~~~y ~~~ ~~ ~ ~~ ~` EIEYATION NOT IESS c ALL R-O-W MA1FN1 THE PLAT eauwARr SHALL 8E a n p PJ i ` x+24, oEDICAIED To THE rueuc Z n Q,I~ S ''~~ . ~•~ - ~~' o J~ eEARwcs/4~ FERENCEO m TM ur~E ~•a'~a'E ~~ . ~ ~ ~ 3' ~ ~ 2 ~ - - ~~ roe r ~ r - = ; - ~ r~~ ~ ~ ` _~_~ ---- ----- II II !I II ~~ I I J I I •0 I ~, I I a, I I-, I I~ j I y/ ,~ v ~QL714 I I LOT 15 I (" LOT 1 I I ~ I LOTLOT 1s I I T 1s ' / / I ~ ~ C' LOT~~ _~--JJ L___J L_-_J L___J __J LJ^ ,~ Togo ~ ~ • ~ a EROSION MAT ~ ~ 0 N Q ~~ G V 002~00~ u' ap w RAO. o ~ ,per ~2 -20. 1RN LACE EA5~1 INST SILT \ ~~i QQ- $~ _ ~ _ _ lOT 33 LOT 22 ~ ~ o $ I" L 3~- i I L T i'L I ~9T-3q. ~ I ~ ? ~ r' - - ~-I ~ J L-_J / ~I L - - - - -~ < I I ~~ • I • / / W II I ~ I a / T 3~I I T 23 I ~` L__J La r a _ _ _ _ _ ~- - - -~ .IaNr I - - I ~- W Tor r ~';' I------I V, O ~----- ~ -------- I '~ I T 53 ~% I LO 3 I I LO I J I+" - ~ ~ \ ~ ~ I •~ - ~ JOINT ~ - l-_J- - ~ _ oT ~----~ p ~-----~ ~ I I LOT 0 I I~ • ( I I I L 2s I eo ~- _ _- L---~ ~- ar,r~ r SLOT ---~ °oor-- ~- 0 O I I LOT 29 I o .- I LOT 26~ J s •/ ~ \~ ~ I I I I 0~0~ ~ ^ V o ~ \ A ~ ~ JOINT ~ I `v r i ~ °, ~ I J JOINT L____ ~o~ • LOT ~ [` ~ L 57 ~ ~ ~ _ -~ ~--~ s r _ _ 1 ~Q2 b ~ ~ •C - ~ L LUT 37- ~ ^ b I-~ y ~ G 0 N 00 5.00.~1l-J 2535.05 MO. (Ma 33.0' • 1 ~ -- ly L -•-•---,-,-•-• APPROVING AUTHORITY ---~-•- ~ t/4 CoR. 1ti J SEC. 20 129N. R17W ST. CROIX PUNNING, ZONING, AND PARKS COMMISSION ~~~ ~ ~' ~~~ SPIKE TOWN OF HAMMOND THE ~~ SURVEYOR VILUGE OF HAMMOND 1M,HREY LYLE ELUOTT OB,~CTING AUTHORITY LOCATED IN PART OF THE NWi/4-NWi/4 AND THE SW1/4-NWI/4 1wItiINEERiNG P.O. BOX 594 SECTION 20. TOWNSHIP 29 NORTH. RANGE 17 WEST REST HUDSON, WI 54016 DEPARTMENT OF ADMINISTRATION TOWN OF HAMMONO. ST. CROIX COUNTY. WISCONSIN dA 54028 DEPARTMENT OF COMMERCE DEPARTMENT OF TRANSPORTATION 91FFT 11k 2 HAMMOND OAKS SUBDIVISION °"A"'°" '~" Tlda Yt:eet aen® ~+: ta,t ~~ n saoza ~ TOWN OF HAMMOND owc ~ Tn-Dm "s-~-"`° F~ ">s-~°°''"1 PRELIMINARY PLAT -- ,o. r..De T77-OOT