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HomeMy WebLinkAbout040-1118-90-110 ?i O d O 60!) O aC N O� C � I N � I N 41 � I I II a�'i I o Z I I 7 N LL 0 ! i Q 3 Cl) 7 z N O W Z ,; O O Z y y c� a m IN- U) I O O Z c v N � N N � C C li 0 L O d C O L I I O N C w i Z m D o i.3 Z LO 0 C t0 ! E a N a. CL N L a Y « o a Cc N aa` n f0 I0 Z" ' >° a cn z 000 R N a •� I' N N O N LL o o a) co J U 00 OD y 4 ° N � N N � ° 3 � m m N a }� N m ` a• p� O O Q � a In o 0 vv a r m c n co E LO G rn y III C C O d 0 0 [ y; N N +• 00 aO �..I N T j N LO O L m � a Y a d • CK Q- d ,V ! d C r��� y L E tp O Parcel #: 040-1118-90-110 09/28/2004 09:06 AM PAGE 1 OF 1 Alt. Parcel M 040-TOWN OF TROY Current OX ST. CROIX COUNTY,WISCONSIN Creation Date Historical Date Map# Sales Area Application# Permit# Permit Type #of Units 00 0 Tax Address: Owner(s): `=Current Owner ROXANNE R SOLEY "SOLEY, ROXANNE R 364 PAGE LA RIVER FALLS WI 54022 Districts: SC=School SP=Special Property Address(es): '=Primary Type Dist# Description '364 PAGE LA SC 4893 SCH D OF RIVER FALLS SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 3.970 Plat: N/A-NOT AVAILABLE SEC 31 T28N R19W SW NE 3.970 ACRES LOT 3 Block/Condo Bldg: OF CSM 6/1656 FORMERLY KNOWN AS PART OF LOT 1 CSM 4/1083 Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 31-28N-19W Notes: Parcel History: Date Doc# Vol/Page Type 02/22/2001 639020 1590/292 QC 07/23/1997 817/18 07/23/1997 766/314 2004 SUMMARY Bill M Fair Market Value: Assessed with: 217,100 Valuations: Last Changed: 07/21/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 3.970 66,000 166,400 232,400 NO Totals for 2004: General Property 3.970 66,000 166,400 232,400 Woodland 0.000 0 0 All 3.970 66,000 166,400 232,400 Totals for 2003: General Property 3.970 55,000 153,900 208,900 Woodland 0.000 0 0 Total 3.970 55,000 153,900 208,900 Lottery Credit: Claim Count: 1 Certification Date: Batch#: 303 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 `R c� r Form - S T C - 104 AS BUILT SANITARY SYSTEM REPORT OWNER TOWNSHIP �- SEC. __�/ T ZO N-R /7 W T'#9 ADDRESS I T. CROIX COUNTY, WISCONSIN r SUBDIVISION �6 LOT LOT SIZE � Ci 1ertZ PLAN VIEW Distances and dimensions to meet requirements of I1HR 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM z ` I Cool, �e INDICATE NORTH ARROW BENCHMARK: Describe the vertical reference point used S>PigE In `T'"RFE (c)4 Elevation of vertical reference :oint IrY p f(� � Proposed slope at site: , C (� SEPTIC TANK: Manufacturer: �p�p�� ��ZiCge�QLiquid Capacity: Number of rings used: �Z Tank manhole cover elevation: Tank Inlet Elevation: 41�1&JuS, Tank Outlet Elevation: &QQ_ ,t Number of feet from nearest Road: Front,0 Side, Rear, O r feet From nearest property line Front, Side,kVRear,O r feet kQj� au 5 Number of feet from: well �(1(� , building: (Include this information of the above plot plan) ( 2 reference dimensions to septic tan) FEE REVERSE SIDE 1 PUMP CHAMBER r Manufacturer: (�/ Liquid Capacity: Pump Model: Pump/Siphon Manufacturer: Pump Size Elevation of inlet: Bottom of tank elevation: Pump off switch elevation: Gallons per cycle: 'I Alarm Manufacturer: Alarm Switch Type: Number of feet from nearest property line: Front, OSide, 0Rear,0 Ft. Number of feet from well: Number of feet from building: (Include distances on plot plan). SOIL ABSORPTION SYSTEM Bed: 1 Trench: Width: IC& Len the Number of Lines: Area Built: 964 Fill depth to top of pipe: t Number of feet from nearest property line: Front, O Side, ® Rear,0Vt . �2 Number of feet from well: Number of feet from building: 1-16 (Include distances an plot plan). SEEPAGE PIT Size: O/ALNumber of pits: Diameter: .t. Liquid depth: Bottom of seepage pit elevation: Area Built: Has either a drop box O or distribution box been used on any of the above soil absorbtion sytems? (Check one). HOLDING TANK Manufacturer: Capacity: Number of rings used: Elevation of bottom of tank: Elevation of inlet: Number of feet from nearest property line: Front, O Side, ©Rear, 0Ft. Number of feet from well: Number of feet from building: Number of feet from nearest road: Alarm-Manufacturer: Inspector: /V) Te�✓�1w Dated: ';az�`/� Plumber on job: s-TAL 1°, _ License Number: ��SIZ 3/84:mj DEPARTMEA4T OF INDUSTRY, INSPECTION REPORT FOR SAFETY&BUILDING LAISOR&HUMAN RELATIONS DIVISION ' P.O.pp BOX 7969 p ON-SITE SEWAGE SYSTEMS OFFICE OF DIVISION CODES&APPLICATION J+"�lSft W��ro o 1�W Sf assigned) I.D.Number Town of Troy CONVENTIONAL El ALTERATIVE Lot 3 .01d cth F ❑ Holding Tank ❑ In-Ground Pressure ❑ Mound NAME OF PERMIT HOLDER: 71505 DDRESS OF PERMIT HOLDER: INSPECTIO A E: Glenn Sole Ward Ave. Apt . 9 Hudson ,�- c_F9 9 �0 Permanent ref BENCH MARK( reference point)DESCRIBE IF DIFFERENT FROM PLAN: REF.PT.ELEV.: CST REF.PT.ELEV.: t ,r Na a of Plumber: MP/MPRSW No.: Sanitary Permit Number: John Sykora 3212 St . Croix 119545 SEPTIC TANK/HOLDING TANK: MANUF CTURER: LIQUID CAPACITY: TANK INLET ELEV.: TANK OUTLET ELEV.: WARNING LABEL LOCKING COVER q PROVIDED: PROVIDED: _a'SES 0 O E:1 YES ENO BEDDING: VENT DIA.: VENT MATL.: HIGH WATER NUMBER OF ROAD: PROPERTY WE BUILDING: VENT TO FRESH 4 ALARM: FEET FROM Q LINE: ' AIR INLET: El YE NO �I lid► ❑YES ❑NO NEAREST� �O V f 1 DOSING CHAMBER: MANUFACTURER: BEDDING: LIQUID CAPACITY: I IUMP MODEL: PUMP/SIPHON MANUFACTURER: WARNING LABEL LOCKING COVER PROVIDED. PROVIDED: ❑YES ❑NO ❑YES ❑NO ❑YES ❑NO GALLONS PER CYCLE: P P D TROLS OPERATIONAL: NUMBER OF PROPERTY WELL: BUILDING: VENT TO FRESH (DIFFERENCE BETWEEN FEET FROM LINE: AIR INLET: PUMP ON AND OFF ❑YES ❑NO _NEAREST--* SOIL ABSORPTION SYSTEM. Check the soil moist re at the depth of plowing FORCE LENGTH: DIAMETER: I MATERIAL AND MARKING: or excavation. (If soil can be rolled into a wire,construction shall cease until MAIN the soil is dry enough to continue.) CONVENTIONAL SYSTEM: BED/TRENCH WIDTH: LENGTH: N0.OF DISTR.PIPE SPACING: COVER INSIDE DIA.: #PITS: LIQUID TRENCHES'- TERIAL: PIT DEPTH: DIMENSIONS rte} 11-y �/' GRAVEL DEPTH FILL DEPTH DISTR.PIPE I DISTR.PIPE DISTR.PIPE ATERIAL: NO. TR. NUMBER OF PROPERTY WEL BUILDING: VENT TO FRESH BEL W PIPES: ABO E COVER. EL INLE EL V END: PIP LINE: AIR INLET: oAn +O FEET FROM n 5 NEAREST�� }o i MOUND SYSTEM- Mound site plowed perpendicular to Check the texture of the fill material for PROVIDE A DIAGRAM OF SYSTEM slope and furrows thrown unslope: mound systems to make certain that it ON REVERSE SISHOW ❑YES ❑NO meets the criteria for medium sand. ELEVATIONS MEA RED. SOIL COVER TEXTURE: PERMANENT MARKERS: OBSERVATION WELLS; ❑YES ❑NO ❑YES ❑NO DEPTH OVER TRENCH/BED DEPTH OVER TRENCH/BED DEPTHS OF TOPSOIL: SODDED: SEEDED: MULCHED: CENTER: EDGES: ❑YES ❑NO ❑YES ❑NO ❑YES ❑NO PRESSURIZED DISTRIBUTION SYSTEM: BED/TRENCH WIDTH: LENGTH: NO.OF LATERAL SPACING: GRAVEL DEPTH BELOW PIPE: FILL DEPTH ABOVE COVER: TRENCHES: DIMENSIONS MANIFOLD PUMP MANIFOLD DISTR.PIPE MANIFOLD MATERIAL: NO.DISTR. DISTR.PIPE DISTRIBUTION PIPE MATERIAL&MARKING: ELEV.: ELEV.: DIA.: ELEV.: PIPES: DA.: ELEVATION AND DISTRIBUTION HOLE SIZE: HOLE SPACING: DRILLED CORRECTLY: COVER MATERIAL: VERTICAL LIFT CORRESPONDS TO INFORMATION APPROVED PLANS ❑YES ❑NO ❑YES ❑NO PERMANENT MARKERS: OBSERVATION WELLS: NUMBER OF PROPERTY WELL: BUILDING: COMMENTS: FEET FROM LINE: ❑YES ❑NO ❑YES ❑NO NEAREST—� Sketch System on Retain in county file for audit. Reverse Side. p Mfio TURE: TITLE: SBD-6710(R.06/88) .L4_PP„ryt Zoning Administrator SANITARY PERMIT APPLICATION 7 DfLHR In accord with ILHR 83.05,Wis.Adm.Code CouNTY� .a�r'�ue,° wnn,awrs� STATE SANITA Y PERMIT —Attach complete plans(to the county copy only)for the system,on paper not less than ❑ f 8%x 11 inches in size. Check i re sion to previous application —See reverse side for instructions for completing this application. STATE PLAN I.D.NUMBER I. APPLICANT INFORMATION—PLEASE PRINT ALL INFORMATION. PROPERTY OWNER PROPERTY LOCATION hasA % N E %S T G8 N, R /1 E (o W PROPERTY OWNER'S MAILING AedRESS LOT# �y BLOCK# CITY,STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER 1 VO 1 6 P 6 Ej I. TYPE O BUILDING: (Check one) State Owned CITY NEAREST ROAD I ❑ VILLAGE: 01A CrT ,. ❑ Public 1 or 2 Fam.Dwelling,#of bedrooms� PAR EL AX NU ER( OI 111. BUILDING USE: (If building type is public,check all that apply) A�g 70 //0 1 ❑ Apt/Condo 2 ❑ Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/Repairs 11 ❑ Restaurant/Bar/Dining 4 ❑ Church/School 8 ❑ Mobile Home Park 12 ❑ Service Station/Car Wash 5 ❑ Hotel/Motel 9 ❑ Off ice/Factory 13 ❑ Other: Specify IV. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable) A) 1. M New 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5.❑ Repair of an System System Tank Only Existing System Existing System B) ❑ A Sanitary Permit was previously issued. Permit# — Date Issued V. TYPE OF SYSTEM: (Check only one) Non-Pressurized Distribution Pressurized Distribution Experimental Other 11 Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 Seepage Trench 22 ❑ In-Ground 42 ❑ Pit Privy 13 ❑ Seepage Pit Pressure 43 ❑ Vault Privy 14 ❑ System-In-Fill VI. ABSORPTION SYSTEM INFORMATION: Z" 1.GALLONS PER DAY 2.ABSORP.AREA 3.ABSORP.AREA 4. LOADING RATE 5. PERC.RATE 6. SYSTEM ELEV. . FfNAL GRADE REQ R jD(sq.ft.) PROPOSED(sq.ft.) (Gals/day/sq.ft.) wA(Min./inch) © ELEVATION l /.�'- `F 7 fo /n X38 v8. 3 Feet 9Z. O Feet VII. TANK CAPACITY Site Fiber- Exp Manufacturer's in allons Total #of Name Prefab. Con- Steel Plastic App. INFORMATION New istin Gallons Tanks Concrete glass Tanks Tanks structed Septic Tank or Holdina Tank f6� S Lift Pump Tank/Siphon Chamber k. E I I Ful 0 1 El I El I Fj VIII. RESPONSIBILITY STATEMENT I,the undersigned,assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name(Print): Plumber's Sign re:(No Stamps) /MP FISW N : Business Phone Number: Plum is Address(St t,City,State,Zip Code gam_ `7S 4/ IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sajkry Permit Fee(Includes Groundwater Date Issued Issui gent Signature(No Stamps) Surcharge Fee) Approved Owner Given Initial 1/l C Adverse Determination TTJJ O ! X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: i SBD-6398(formerly Plb-67)(R.11/88) DISTRIBUTION: Original to County,One Copy To:Safety&Buildings Division,Owner,Plumber INSTRUCTIONS 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at the time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer/Renewal Form (SBD 6399) to be submitted to the county prior to installation. I 5. Onsite sewage systems must be properly maintained. The septic tank(s) must be purrj�ped by-d licensed - pumper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety & Buildings Division, 60-266-3815. To be complete and accurate this sanitary permit application must include: I. Property owner's name and mailing address. Provide the legal description and parcel tax number(s)of where the system is to be installed. II. Type of building being served. Check only one and complete #of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is Public, check all appropriate boxes that apply. IV. Type of permit. Check only one in line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested in##1-7. VII. Tank information. Fill in the capacity of every new and/or existing tank, list the total gallons, number of tanks and manufacturer's name. Indicate prefab or:site constructed and tank material. Complete for all septic, pump/siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County/Department Use Only. X. County/Department Use Only. Complete plans and specifications not smaller than 8% x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross.section of the soil absorption system if required by the county; E) soil test data on a 115 form; and F) all sizing information. I GROUNDWATER SURCHARGE I 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater, ground- water contamination investigations and establishment of standards. SBD-6398(R.11/88) + APPLICATION FOR SANITARY PERMIT STC - 100 This application form is to be completed in full and signed by the owner(s) of the property being developed. Any inadequacies will only result in delays of the permit issuance. Should this development be intended for resale by owner/contractor, (spec house), then a second form should be retained and completed when the property is sold and submitted to this office with the appropriate deed recording. Owner of property (SIP+.. Location of property 1/4 /4, Section _, T,_4N-R W Township Mailing address /!�';70 5 U)aAtA ACT. T. _477, SA �,t� ��• sS�[� /(� (l a r/ Address of site �'_ A u.u.`�I � ` � cc � � �1 y' . S Subdivision name Lot number Previous owner of property1 'YY`a C, Total size of parcel `T „r1 Cr-e__S Date parcel was created 2,7 6 Are all corners and lot lines identifiable? _Yes No Is this property being developed for resale (spec house)? Yes �_N0 Volume _ and Page Number as recorded with the Register of Deeds. INCLUDE WITH THIS APPLICATION THE FOLLOWING: A WARRANTY DEED which Includes a DOCUMENT NUMBER, VOLUME AND PAGE NUMBER, and the SEAL OF THE REGISTER OF DEEDS. In addition, a certified survey, if available, would be helpful so as to avoid delays of the reviewing process. If the deed description references to a Certified Survey Map, the Certified Survey Map shall also be required. ------------------------------------------------------------------------------- PROPERTY OWNER CERTIFICATION I(We) certify that all statements on this form are true to the best of my (our) knowledge; that I (we) am (are) the owner(s) of the property described in this information form, by virtue of a warranty de recorded in the Office of the County Register of Deeds as Document No. 0 ; and that I (We) presently own the proposed site for the sewage disposal system (or I (we) have obtained an easement, to run with the above described property, for the construction of said system, and the same has been d ly r corded in the Office of the County Reg ter of Deeds, as Document NO. ) ' A�, -1 Lr&1:4/ - Signature o Owner Signature of Co-Owner (If Applicable) Date of Signature Date of Signature 't OCUMENT NO. STATE BAR C gISCONSIN FORM 1-19 i,THIS SPACE RESERVED FOR RECORDING DATA _ - — ... WA tANTY DEED 439530 e�o>ti 81*7 e���" 1 i REGISTER'S OFFICE ? IT, CROIX CO., W) This Deed,made between Al=red C•, SC�'-r"-=L't ^;`;� _ ! R@ViA for Record 4 ,� �'t''T lt_� G',C`a^�"." dt , L:u�:ba�:d =nd �..r n'•. 'r.-- _.0 as -v � '3 tenants-. i JUL 18 1968 Grantor, � M and G-Pi,r .T. Sn1..D. .., An--�n--,� cam; P,, ; .,� 1 :20 P and as- j6in t^tenant: witiv of Deeds . Grantee. -- Witnesseth,That the said Grantor, for a valuable consideration RETURN TO conveys to Grantee the following described real estate in St • -7 C. Glenn -J Sole-tr County,State of Wisconsin: 1505 surd Ave . Ar)t.9 7. 1,nr r An.1 Lot ? Of Certified I: Survey _an filed I`r:a�- 27 , i QI;0 Y '; F 11'1 Vol J . , _p x*jU/-U., Doc • `412520, 1�CC�to C Tax Parcel'No: 2 1,r' r •7?=. r. mn Tt 17� rll'r .f' rnv. ,r S,I� 0.:. JTZ z' Of Se.c... 5l, 2G N. , a>1 G_ . O.i , Ta�ether �:it;; m-id su iec.t to any ot's:er ease. --, covenants, re-servations, or restrictions of record ,. if ai:y, but the-Lo s:iwli' not be deemed to e;ten d any such ot::er recc_ded, enCumbrances b-e.yond t'-)e. terr.-4 e.stablis-T:ed b;_ 1 �*)'l F?21 f 07—P,# a4 EXEMPT` i6 This ' S' ?-n'{' homestead property. (is) (is not) Together with all and singular the hereditaments and appurtenances thereunto belonging; And rj' -e-1 C ,SOL"i dt anrT T,ec}__ta I:. Sc:' warrants that the title is good, indefeasible in fee simple and free and clear of encumbrances except to eti_er :';11:1 arid' subject to an r ot�.er ease .e_its , covenant, re-serva't-ons. or res trictions of record, if any. and will warrant and defend the same. Dated this 14 day of _ July 1980 (SEAL (SEAL) • 1 -—e 0 C Sc';:a1dt c 1er_n. J. Sole y � 1 (SEAL) C!7,II M11 (0 1. S l-P XI (SEAL) • Leo i to 7. Fc,-j—i d, Roxanne R.. Soler - AUTHENTICATION ACKNOWLEDGMENT Signature(s) STATE OF WISCONSIN � ss. fltt County. authenticated this day of 19 Per onally came before me th' By of t 9 heat�ove name d r, TITLE:MEMBER STATE BAR OF WISCONSIN (If not, to me known to be the person�_ �I � e authorized by§706.06,Wis.Stats.) foregoing instrument and acknowledge the NaWy�1P�ublic THIS INSTRUMENT WAS DRAFTED BY State of T,ISaOl 12 n Leon t3 ;',:. sic:? 1 G.t Notary Put•lic County,Wis. (Signatures may be authenticated or acknowledged. Both My Commission is permanent. (1S not, state expiration are not necessary.) date: 7—�� ,19 ) i 'Names of persons signing in any capacity should be typed or printed below their signa:u-es. N 3573 WARRANTY DEED STATE BAR OF WISCONSIN Nelco Forms,P.O.Box 10208,Green Bay,WI 6431717-02909 FORM,.No.1-1V-! STC - 105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWN /BUYER ROUTE/BOX NUMBER ,/SD S /�9 �`, P / FIRE N0. NQ o CITY/STATE T7ZcJ e--b ZIP aY01 to PROPERTY LOCATION: 5 /4 X1/4, Section T�N, i Town of _ ;o _ , St. Croix County, Subdivision S�D , Lot No. _ . Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a LICENSED SEPTIC TANK PUMPER. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. j St. Croix County Residents MAY be eligible to receive a grant for a MAXIMUM of $3000 of the cost of replacement of a failing system, which was in operation prior to July 1, 1978. St. Croix County accepted this program in August of 1980, with the requirement that owners of ALL NEW SYSTEMS agree to keep their systems properly maintained. The property owner agrees to submit to St. Croix County Zoning a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge and scum. Certification form will be sent approximately 30 days prior to three year expiration. I/WE, the undersigned, have read the above requirements and agree to maintain the private sewage disposal system in accordance with the standards set forth, herein, as set by the Wisconsin Department of Natural Resources. Certification form must be completed and returned to the St.Croix County Zoning Office within 30 days of the three year expiration date. SIGNED =L DATE St. Croix County Zoning Office St. Croix County Courthouse 911 4th Street Hudson, WI 54016 (715) 386-4680 Sign, Date, and Return to above address UEPARTMEW OF REPORT ON SOIL BORINGS AND SAFETY& s DiVIS101�UILUION' INDUSTRY, P.O.BOX 7965 LABOR AND PERCOLATION TESTS (115) MADISON,WI 53707 H`)MAP RELATIONS (1,163.090)&Chapter 148.045) LOCATION: TOW S IP/MUNICIPALITY: NOASUBDI VISION N COUNTY: ' ST Ct loo l Lnap C, t p P--r, N a l.. �sb s oa.► ) ,��=c�/C� E EhIITEs OMERVATIOM MAD* V TAL DESCRIPTION: �{ (ZRnidence pro"&Jfj ,A . tAlNew 01`114011" Zb/�G �' Z6 8Cc► J D�R�.UVCN1j u L1 �T M M ILFµv N VILL .Sot . beak- P k b� boj S©I c- - RATIN0:s•site suitable for system UN W utwtitable tw entNe AND 5 f41'T'R-& K: ECl)MMENDED SYSTEM:loptionel) S U S oU S U S- S Cojyy. I�,acp If Percolation Tests are NOT required,,AA DESIGN RAT :C 4 A S Z If any portion of the tested from is in the under s.1-163.0945)(b).Indicate: ,r�, IUNLEU WA S Floodplain,indicate Floodplain elevation: N ft r- oir I-- PROFILE DESCRIPTIONS P 0 PST BORING NUM Eq L ELEVATION F SERVE: EE ABBRV.ON BACK.)TEXTURE,AND DEPTH ERVAD w it) 1.So' R RrJ 5;L -4161t- -Ac A4Y Nor 2,00 Y�6Y S;�./PxteE?s o.67' SL S;L ; !'• 7' 8N $Tj' '�S To B-Z 7, 14 94 Zlv I Nonlb >7, 14- w S \0V Gr2. .LS L 'T5,, .! N L)0.75' nj Rab io.60 $n) S-3 7 4 3 J1,18 N 0 77 4 V ,L 3.00 b s w G rt. 1.-s'.1,' B Sr L w f+.; 2. B-�}- �'' ' .$S o } 7 49' L Gil: •0.4 �4 LS w„(ct a,44 Bn,L�_w bit. o.ate' B L S. L TS; a.13. Br—Srj w7Esa) ¢,406'1$AJ 5 yo` B-$' 7,ov 82. 80 Non1Lr ',7 00' rC4M,jwalwwo NS to F 1-T AN 4 DK. ads 55 0,56'5L S%L j2A o' �'Sw ;o.3oTD�•SN e_S�o9S� B- 7'yO 9 2 .'��i 1ltOl�l� 5,z a a"C's;aso pit B4 I-S',0.81,xh;S y/'FF t?.mar; Z'A,_TaLtNl4TIt' lam.` PERCOLATION TESTS 4C 0"0' fFoft lZONS OF aN CS r- N LMaar`; S 7 >=A:T NUMBER 1 DEPTH AFTER SWELLIN INT TEST VAL- MIN. PER INCH MINUTES P- `� P- P_ Lland , Show locations of percolation tests, soil bovines and the dimensions of suitable soil areas. Indicate scale or distances.Describe what are the hor. rtical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent g-7 d.UO' 94.83 Nont� >8,ao' /PC, 61. :5,'L_ 'S� ¢,00• B,J$I L wlae6;two'1W CS SYSTEM ELEVATION �y,A iwAr, n P TES Y S , ! I I 9-' /ell< ` $ 'I �N i 7 E`€ GJ65T Q� l3ls r�N6-S H 1 {' i I , c,Y� ' I 1,the undersigned,hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods-specified in the Wisconsin Administrative Code,and that the date recorded and the location of the tests Are correct to the best of my knowledge and belief. A (print T,_ COMPLETED ON: M1: f� Z v 15,14 X-1 ZG CERTIFICATION NUMBER: PHONE NUMBER(optional): I UR 9191T,U UTi'lft Original ear",na copv to I_r,r E 4s,thrr't ,Prr rv"y Owner s+nd Soli Tattear. A b M 7 ty p W*LATTED _4AN03 NE O S Qr a a NORTH LINE W 1/4 Of NE a/4 s= f 141.65 3.40' 33.17' s o S89°31'09" 1: S Ssi'3i' si'E 565.09, bN- ( 975.00' •_ 277.32' POINT OF SEGINNIN -31Q4 �1 W I it M oz !O I LOT I ;, LOT 2 W 1, <�y� p W W to 8 • s ' I 96,647 SO.FT. 104, 156 S0. F T. J N (2.219 ACRES) INCLUDING RIGHT- t J s OF-WAY(2.430 ACRES) Z 95,409 SQ. F T. s EXCLUOINS RIGHT- OF-WAY (2.190 ACRES) �� 03.00' W 1 8 OS'3!'Oli"E I N �.��p7 E 300.53'-- z 283. --341.03'- j ., I LOT 3 �l C ( s 172,984 80. FT. INCLUDING 1 C.S.U._ VOL. 1,PAGE IS RIGHT-Of -WAY ( 3.970 ACRES) W 161,912 SO. FT. "DING q W RIGHT-OF-WAY 4 . 5 ACRES) wa I- z1 " S e 3bo O 2 511.09'-- � o l = LOT 4 z 3 .� I 173.612 SO. FT. INCLUDINS I— RIGHT-OF-WAY (3,905 ACRES) I u 157,Sf7 30. FT. EXCLUDING ^ ci RI GH T-O F-WAY M.622 ACRES) s I 90' r b H I q f• N / O dd. of / a1 • 262.0!' / KAU IN ft[T ono� N 07 92'03 N 304.30 � . no 3b C.S.M. VOL.1, PAGE 126 SAFETY& BUILDINGS 0EPARTWE"T OF REPORT ON IL ING AND DIVISION INDUSTRY, P.O. BOX 7965 • LABOR AND PERCOLATION TESTS (115) MADISON,WI 53707 HUMAP ReLATIONS (H63.090)&ChsPtsr 146.045) LOCATION: SECTION:* TOW S IP/MUNICIPALITY: U 01 I $v./ 1Y4 140/4 -�_ z$N�B l9'! r ' J'T ' � COUNTY: + OWN ERw -.1puy R's NAME ST GP.•o I £ F C. I Q �T, Z lu a v p s sz� i �a/la .. f DAT OMRVATION INO. rOMMIERCIAL DESCH ON: tPN.w ❑RaplWRaidence � ,6 G N T-15 gcaiI- 'b�k- Pkabg �jaj S©IL 0 K.I4AR.pTj MNA R.Tj }{v VILtr � DcRt.UVC RATING:So Slb foiu*W for system W aft"Mute"for system AND S 14TT'R-� BT Maoptlone1) ONVENTIONAL: M0.00: � EC M NDE BY S u CoN v. S.WD If Percolation Tests are NOT requ r D IGNRATE:C-LA%S Z �-,=*In,ortion of the tested are is in the FI ein elevation: , A • indlat aadplunder s.H83.091811b1,indk:ate: .�, NLE35 Wk - v Gc- A-I— PROFILE DESCRIPTIONS 10 W PRT ELEVATION L TUR ,AND DEPTH BE ER TOTAL T 'f F V A BRV.ON BACK.) 00 ' L 3 4,00' P— w Ff I.So' R SrJ S L �, S ,44 ` 16R -gc 1z 4Y ►HOT z. O' Y 6Y 5' L ' q 3 �1oN o , w P�.�TS o,< �s. o.67 8L S;L /. (a 7' BAi j '11 C S To B-Z 7. 14 942lo Noma >7, 14' M et. S WZ Gk'-• .25 L 3; . w S+L)O.79' nl M RD ;0.6v'$#J s-3 7.4 3 J1,18 Mo -."7. 4 V ,L w az 4 4, L W IL; Z B-4.. 7� t .$ C o 7. 49 L 9P- •0,4 Ls WZJZJLIO Z. BN vV sic. 1 O.(a 7' B L S� L rS,- 2.3 3' 2W c` 6R.j ¢,00'3N S 8-5' 7,00 92. © NoAlet >7vo 4,4M, I Z-0N% Or !'-T S 1` 0,56'5L S n L ;Z o' W ;97.30,.Dr- 6j, B- 7.LO 9 .48 ��Otil F 5,2 C7 8"CS'aso OL Q+J S'o.ol'B6+f S 4* t Mar; Z'Ac rt3tNATE3 IMA L PERCOLATION TESTS 4c ato' HoleiZoNs car tr4 CS.if OL 15 N L M 0', 3 F=1:E'T Lz7ontoland DEPTH AFTER SWELLING INTERVAL-MIN. PER INCH S i f Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate sale or distanoes.Describe what are the hor, rtical elevation refmnce points and show their l ocation on the plot Plan. Show the surface elevation at all borings and the direction and percw 6.7 8,010' y4.g3 IJOnILr >e,00' 1po' Bt- SU- T5; ¢,00' B�/SI L w/Go6j 400'Ao► CS vy/6te j SYSTEM ELEVATION w L A -sx1=m A T�Y S' i r ' M . ' S z�i i+ WEST ns�T�N6.S f i LGU i , � t • i ' � I i j i i i { t i 1,the undersigned,hereby amity that the soil tests reported on this form were modo by me in accord with the procedures and methods specified in the Wisconsin Administrative Coda,and that the deb recorded and the location of the tuts are correct to the best of my knowledge and belief. NAME(print): TESTS WERE COMPLET95 ON: �6MMS Et V Sc. d' Z G W 1,14 u CERTIFICATION NUMBER: PHONE NUMBER(optional); (o- "80 Z S_t IGNATURE: DISTI'!51_?TVAI:Odgi+tal snl cane ctov to Lut-, oWIL.ATTED__6ANJS a NORTH LINE OF SW 1/4 OF NE a/4 V 141.65' p: 3.40' 33.17' _• S89°31'09' 8 89031' 90E 585.&9' ZIN- 1 275.00' •_ 277.32' POINT OF SEGINNIN -31Q4 , * I 90 ss • a= 4i w o 1 LOT 1 LOT 2 �' I Ito o g W►W ow w 96,647 30.FT, 106, 156 S0. F T. J s nj (2.219 ACRES) p INCLUDING RIGHT- f f O OF-WAY(2.436 ACRES) I Z 95.409 S0. FT. gel ` p EXCLUDING RIGHT- OF- Ip F: WAY (2.190 ACRES) la 33.00' W 1 a 8 89'31'09"E N 80.56 p7.E 309.53'-- = 283'96 --341.53 I LOT 3 �1 I Q ( _ 172,984 20. FT. INCLUDING 1 C.S.M. VOL. 1, PAGE 18 u o p• RIGHT-OF-WAY ( 3.970 ACRES) W �" A 161,812 SO. FT. 'IDING a W RIGHT-OF-WAY 4 . 5 4CRES) 4° O Z 474.28•zo 14 V / 36.81 a - al 1.091- - o l = LOT 4 •s z I 173,612 30, FT. ;NCLUDIING n•.' 1- RIGHT-OF-WAY (3.986 ACRES^ W O •nj f i t>, 157j612 $D. FT. EXCLUDING . pj RIGHT-O F-WAY (3..622 ACRES) W ;1 90' V N i y o s3, of • 268.09' / � u� alrr ��■ � .�, N 97 3$•03 M 304, L, �1� X00 t C.S.M. VOL. 1• PAGE I" 3� 014 14 f I o+ �1 Il� I I/ /bpo Sol(, -� ��os� ♦ s SEC G-01D A '2-- iN M i s mpiKQ 1N -thec Lo e-s,+ G�' S"b'% cs- '4 IL m t Q- so a-'t eAk pove. *L G1� v The screen shows a properly drawn site plan for a conventional trench s stem (exa le #1 and #13). Notice that the master plumber has signed, dat and shown is license number on the drawing. The legal description is p vided as well as the north arrow. To accurately locate the system, the same scale as the 115 s used and the contour lines merely traced from the 115 This site p n also shows the system plan view. To lessen the mber of pages in the submi al, the cross-section was shown below the site p an. This practice is su ested if all the detail can be clearly shown The plan view for all bed-typ systems must show all distribution pipes, a spacing between, and the ocation of the header pipes. The materi s of all the components must be hown. The combination vent/observat' n pipe must also be included. The fina standard drawing required for conv tional systems is the cross-section. The s stem elevation which will coordi ate with the 115 must be shown. Also, show he vent/observation pipe exte ing to the bottom of the system and at least 12 inches above the final grade The aggregate size and depth below the distribu ion pipe, as well as the ype of cover material is also important. The dept of soil fill over the over material is the last item to be shown. It isn' necessary to show 1 of the distribution pipes in the cross-section if the nu m er is shown on t plan view. If a pump is used to overcome elevation roblem, a cross-section of the dose chambers must be included. The deta' s described in ILHR 83.15 (5) must be shown (example #14) which inc des a ent, locking manhole cover, alarm, and pump switches. Show the pump nd ' s connection to the force main and how the force main leaves the tank. ode does not currently require the pump to be elevated above the tank floor but it is a strong recommendation. A particular model of pump must be s ec'fied which is approved by the manufacturer for effluent. To d onst ate if the particular pump will be able to deliver the effluent to the ainfie , the lift from the pump discharge to the distribution pipes must b given. A o, the friction loss in the force main must be computed using able 9 in s. LHR 83.14. These two figures are added and as long as the p p can deliver flow rate at the specified head, the pump is suitable. Fi ally, the dose tan drawing must indicate the dose volume and the storage lume above the high ater alarm switch. V. IN-GROUND PRESSURE DIST BUTION The in-ground p essure system is significantly differ nt from any of the private sewag systems discussed so far. It has an ab rption area and utilizes par ally treated effluent from a septic tank, s do all of the convention systems. But there the similarity ends. rn pressure distribut' n system uses small diameter laterals in the dr infield with single holes sp ed a specified distance apart. An effluent pump signed for each system 's selected to provide a predetermined pressure to th distribution s. The um will discharge a calculated volume of effl nt to the later pump g tin network. Due to the pressure applied, the effluen will be dist bu o PP P -13-