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030-1072-70-100
o c ° 0 ° e� 0. 0 � v O M Y U U c 3 O r- p0"w, N CL t O c N In = EMm U_ � o N Um -0 � 03 a) 3Y '` O- Y > N C N 0 p)C O 0 � ❑ O V L u)wp E O m.p O p C O O m C O m U U U O > ° m3—° •fy C tl� a`� °O� pN ti �9 v.c o 4 c`L w`a)) c c'EM c0c-° 0 0CD-0 m 0-0E m cu U CL CD 0-0 m as p m N c� N t c m o y 3 c 3 m off m� -p o c ENO m 0 3 L p T X p CO-' O O C •ov E o E E 'O N ET� W .m. u m cm m.-r"d O o ca 0- a� oo0 =lri LO c` Z a)M n C CO - O LL c �N � co c m a0i^ 3 -O � a)L 0 7 N y N C 0 L-• LT U L- 0 3 Cl) m I () a) Z y � o « 0 m � _j Z r a o o a m ° N F- C7 M C C7 ° 0 z c a) a ° � - N H �' a) o (D m a) a) .0 Q) m 0 �c CL � p 0 0 0 0 N d L a) m N N Co c 0 O U) O O a) Q .... N N Z m Z 0 Z o 0 Lo d N E C a) .. b O a I, o. •y r ❑ I W d a) ° cn O a ° F FN- F 0 0 zN > '' LO a cn A •N ;� a a a CL m 0o 0 co co N J U E rn rn c0 (n N W t°° O 00 OM W ._.. c O O O co to •--� co c d 'p o a) Q Cn m 1� F- 7 .' ❑ O V7 N °O N c O E O 2 u7 rn 0 rn o o I - a) c c V d 0) O O r cn Z O o o (a L N N Q '', N O N N m N N p F- c 0 a) c 00 co Lo zz Lo Lo Z Z 00 00 M�1 O (? O N E E L c) co 0 O � Y C I V C a) a 3 a* a ` a • a m 0 0 rr`��l �+ E u c �1 A cia2 0U)) 0 State of Wisconsin 1 DEPARTMENT OF NATURAL RESOURCES Jim Doyle, Governor Baldwin Service Center 890 Spruce Street Matthew J. Frank,Secretary Baldwin,Wisconsin 54002 WISCONSIN Scott Humrickhouse, Regional Director Telephone 715-684-2914 DEPT.OF NATURAL RESOURCES FAX 715-684-5940 August 3, 2010 ENF-WC-2010-56-03475 Terry & Julie Ritter 711 Terrier Lane Somerset, WI 54025 Notice of Non-Compliance on property located in Section 26, T30N, R19W, Town of St. Joseph, 711 Terrier Lane, St. Croix County. Dear Mr. & Mrs. Ritter: This Department received a complaint of grading and operating an ATV below the Ordinary High Water Mark (OHWM) of Bass Lake. This is a violation pursuant to WI Stats Chapter 30.29(2), which states:" No person may operate a motor vehicle in or on any navigable water or the exposed bed of navigable water." In order to abate this violation, the grading and ATV use must cease and the area allowed to re-vegetate with natural vegetation. No seeding or mulching will be needed. Enclosed is information on the OHWM, shore land and landowners rights. Please contact me within (10) ten days of this date with your plans to remedy this situation. I can be reached at (715) 684-2914 Ext 119. Sincerely, Carrie Stoltz Water Management Specialist /cs Cc: Marie Kopka, U.S. Army Corps Kevin Grabau, Code Administrator, St. Croix County (via email) Dan Sitz, Code Enforcement Technician, St. Croix County (via email) Paul Sickman, Conservation Warden, WDNR (via email) Marty Engel, WDNR Senior Fisheries Biologist (via email) John Coughlin, BLRD (via email) Enclosures: Shore land and OHWM information materials www.dnr.state.wi.us Quality Natural Resources Management www.wisconsin.gov Through Excellent Customer Service Pdnted on Recycled Pacer r— Form - STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER /� f ^= TOWNSHIP - ,57; Wos gFoo _ SEC. 2( T N-R W ADDRESS ST. CROIX COUNTY, WISCONSIN SUBDIVISION Cl l y ' " " LOT !/ LOT SIZE °)" J PLAN VIEW Distances and dimensions to meet requirements of II.HR, 83 SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM �f pa Se C i6� C Tie A-4 S,T � 8 LOT sr.4I e �3J'9 EGioo.� INDICATE NORTH ARROW BENCHMARK: Describe the vertical reference point used L07' Ste¢K4 Elevation of vertical reference point: 400, 0 Proposed slope at site: _ SEPTIC TANK: Manufacturer: W'eFfy'S Liquid Capacity: A: /2OD Number of rings used: ©" Tank manhole cover elevation: WL5, 9,5 Tank Inlet Elevation: d3 Tank Outlet Elevation: 163, 23 Number of feet from nearest Road: Front,Side,Rear, O feet From nearest property line Front,0 Side, Rear,0 feet Number of feet from: well �, building: 1Z 1 (Include this information of the above plot plan)( 2 reference dimensions to septic tank) SEE REVERSE SIDE PUMP CHAMBER Manufacturer: Liquid Capacity: P Model: Pump/Siphon Manufacturer: P ize Elevation inlet: Bottom of tank elevat Pump off switch el tion: Gallo er cycle: Alarm Manufacturer: Alarm Switch Type: Number of feet from nearest perty e: Front, OSide, O Rear,0 Ft. Nu of feet from well: umber of feet from building: nclude distances on plot plan). SOIL ABSORPTION SYSTEM Bed: _X Trench: Width: Length: Number of Lines: Area Built: 1 Fill depth to top of pipe: P Number of feet from nearest property line: Front, O Side, Rear, O Number of feet from well: f�� Number of feet from building: (Include distances on plot plan). SEEPAGE PIT Size: Number of pits: Diameter: L uid depth: Bottom of seepage pit elevation: I Area B 'lt: Has either a drop x O or distribution box O been used any of the above soil absorbtion sytems? (Che one). HOLDING TANK Manufacturer: apacity: Number of rings used: E on of bottom of tank: Elevation of inlet: Number of feet from ne est property line: Fro O Side, O Rear, O Ft. umber of feet from well: Number of feet from building: Number of feet from nearest road: larm Manufacturer: Inspector: Dated:' Plumber on job: w License Number: 3/84:mj DEPARTMENT,OF INDUSTRY, INSPECTION REPORT FOR SAFETY&BUILDINGS LABOR&HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION MADISO N,W WI 53707 P.O. 7 BUREAU OF PLUMBING SO NE.' ,NW!4-,S26,T30N=R19W XI XICONVENTIONAL ❑ALTERNATIVE State Plan l.D.Number : Town o4 St. Joseph El Holding Tank El In-Ground Pressure El Mound Of assigned) Baas Lake NAME OF PERMIT HOLDER: JADDRESS OF PERMIT HOLDER: INSPECTION DA E: Te4AY Ritteh 375 Hotra., Ptacott, GI7 54021 •',S CE BENCH MARK(Permanent reference point)DESCRIBE IF DIFFERENT FROM PLAN: REF.PT.ELEV.: CST REF.PT.ELEV.: Name of Plumber: MP/MPRSW No.: County: Sanitary Permit Number: Donavin Schmitt 3205 St. Ctcoix X4-1 T_ /0(oOSS� SEPTIC TANK/HOLDING TANK: MANUFACTURER: ^ LIQUID CAPACITY TANK INLET ELEV.: TANK OUTLET ELEV.: WARNING LABEL LOCKING COVER I �,O 0 I ,q r P OV ED: PROVIDED. IV� �'l r(01 YES ONO OYES YNO BEDDING: VENT DIA.: VENT MATL. HIGH WATER * ROAD: PBUILDING: VENT TO FRESH ALARM. FEET FR_6 " INE: AIR INLET: OYES NO �� ❑YES NO NEAREST 3� �� �� •� DOSING CHAMBER: MANUFACTURER. BEDDING: 11LIOUIDCAPACITY. PUMP MODEL. JPUMP/SIPHON MANUFACTURER: WARNING LABEL LOCKING COVER PROV ID PROVIDED: ❑YES ❑NO ❑YE O ❑YES ONO GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL �. �����,` PROPE T WE B :JVENTTOFRESH (DIFFERENCE BETWEEN F) ET FRCNVI LINE AIR INLET: PUMP ON AND OFF) OYES NO N EIRE T° SOIL ABSORPTION SYSTEM.Check the soil moisture at the depth of plowing LENGTH DIAMETER M MARKING or excavation. (if soil can be rolled into a wire,construction shall cease until ®Ftig ` the soil is dry enough to continue.) MAIN CONVENTIONAL SYSTEM: } "' IN LENGTH. NO.OF DISTR.PIPE SPACING: COVER INSIDE DIA.: #PITS: LIQUID � � �� �� TRENCHES �) MATERIAL: PI+�le� DEPTH: ## , GRAVEL DEPTH FILL DEPTH DISTR.PIPE DISTR.PIPE DISTR.PIPE MATERIAL: O.D TR BEt ',' PROPERTY WELL: BUILDING: VENT TO FRESH BELOW PIPES ABOVE COVER. ELEV.INLET.ELEV.END. PIPES LINE ` I AIR INLET: N 1« Ff GCIM Qv -�- as,cam ICI, a `a1 a_-�( N�� , f MOUND SYSTEM: - Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OFSYSTEM and furrows thrown upslope: mound systems to make certain that it ON REVERSE SIDE.SHOW ELEVA- ❑YES 0 N meets the criteria for medium sand. TIONS MEASURED. SOIL COVER TEXTURE PERMANENT MARKERS JOBSERVATION WELLS OYES ONO OYES 1:1 NO DEPTH OVER TRENCH/BED DEPTH OVER TRENCH/BED DEPTH OF TOPSOIL: SODDED 1 SEEDED. 1MU LCHED C NTER E EDGES: OYES ❑NO ❑YES ❑NO DYES ONO PRESSURIZED DISTRIBUTION SYSTEM: ;WIDTH: LENGTH: TRENCHES: LATERAL SPACING: GRAVEL DEPTH BELOW PIPE: FILL DEPTH ABOVE COVER: d aI MANIFOLD PUMP MANIFOLD DISTR.PIPE MANIFOLD MATERIAL: NO.DISTR. DISTR.PIPE DISTRIBUTION PIPE MATERIAL&MARKING. as ELE V.: ELEV.: DIA.: ELEV.: PIPES. DIA.: HOLE SIZE HOLE SPACING. DRILLED CORRECTLY. COVER MATERIAL: VERTICAL LIFT CORRESPONDS TO APPROVED 1jNOi T PLANS: 1 1:1 YES NO ❑YES NO CDMNFIENTS� P OBSERVATION WELLS: �rtain PROPERTY WELL: BUILDING: ..........►►RR ---- ,.LINE: ., OYES 0 N E YES ❑NO It# � .44 Sketch System on Retain in county file for audit. Reverse Side. TITLE: DILHR SBD 6710(R.01/82) ZGVI.I.nQ Admi.n.cStAatotr. 'L Y STC - 105 Y SEPTIC 'TANK MA1N'TLNANCE AGItELMEN'1' St . Croix County y t OWNER/BUYER ca 1 ROUTE/BOX NUMBER :S?9 Fire Number CITY/STATE ZIP C _ O 2 PROPERTY LOCATION: 4 , �l(> !4 , Section__, 1' R_LT _W , Town of -��. o _ St . Croix County , Subdivision Lot number_,)� I Improper use and maintenance of your septic system, could result in its premature failure to handle wastes . Proper maintenance con- sists of pumping out the septic tank every three years or sooner_, if needed , by a licensed s - tic tan Lm k .Ler . What you _ put into the system can affect the function of the svhtie tank as a treat- ment stage in the waste disposal system . St . Croix . County residents maw be eligible to receive a grant fur. a maximum of 60% of the cost of a failing; system,_. which was in operation prior t'o July 1 , , 1978 . St . Croix County , accepted this program in :August of -1980, .with the- requiremeiit ' chat _ owners of all new systems ;agree .to keel) their systems properly maintained . The property owner agrees to submit to 5L . Croix County Toning a . certification form , signed by the owner and by a master plumber , journeyman plumber , restricted, plumber or a licensed pumper veri- fying that (1) the on-site wastewater dispusal system is in proper operating condition and (2) after inspection and pumping ( if nec- essary) , 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 . 0 I/WE , the undersigned , have read the above requirements and agree En to maintain the private sewage disposal system in accordance with Lhe• standards set forth , herein, as set by the Wisconsin Depart- went- of Natural Resources. Certification form must be completed and returned to the St . Croix County Zoning Office within 3O 'days of the three year expiration date . SIGNED^ " 1 DATE St . Ctloix C.)unty Zoning Office B. O . f•ox 98 Hammond , WI 54015 715-7S:6-2239 or 715-425-8363 Sign ,' date and return to above address . n �7 SANITARY PERMIT "S7, " RUl X COUNTY EZ.DILHR TRANSFER/RENEWAL UNIFORM PERMIT # -� (PLB 67-T) - 7"' /Oh a.'' PERMIT RENEWAL DATE: PERMIT TRANSFER DATE: ORIGINAL PERMIT ISSUANCE DATE: STATE PLAN I.D.NUMBER: PROPERTY LOCATION: CITY: �Cvj�0 N,R E (or(VWV) (TOEWCP, LOT NUMBER: BLOCK NUMBER: SUBDIVISION NAME: EST ROAD, LA E OR LA DMARK: ?)asI -S 61' PREVIOUS SANITARY PERMIT HOLDER (IF CHANGED): SANITARY PERMIT TRANSFERRED TO: NAME: SIGNATURE: NAME: PHONE NUMBER: ADDRESS: PHONE NUMBER: ADDRESS: I, the undersigned, hereby assume responsibility for installation of the private sewage system that has previously been approved for this property. PLUM R S SIGNATURE PRE�jV}I.OUS PLUMBER'S NAME (IF CHANGED): PL, MBE 'S ADDRESS: P VIOUS PLUMBER'S ADD 14E S: e I W SOU MP/MPRSW NUMBER: PHONE NUMBER: MP/MPRSW NUMBER: PHONE NUMBER: 3 (W5) q- 4, (`715) 3F - 960)0 SIGNATURE OF ISSUING AG EN DATE APPROVED: DISTRIBUTION: Original-County Copy-Bureau of Plumbing Copy-Owner DILHR-SBD-6399 (R.5/82) Copy-Plumber D'LSANITARY PERMIT APPLICATION COUNTY �.� / x �R In accord with ILHR 83.05,Wis.Adm.Code STATE SANITARY PERMIT# r_ J46 —Attach complete plans(to the county copy only)for the system,on paper not less than STATE PLAN I.D.NUMBER 8%x 11 inches in size. —See reverse side for instructions for completing this application. PETITION 1. APPLICANT INFORMATION—PLEASE PRINT ALL INFORMATION. FOR VARIANCE ❑YES ®NO PROPERTY OWNER PROPERTY LOCATION A% /` .. a /a, S T : , N, R E(o PROPERTY OWNEPt MAILING ADDRESS LOT NUMBER BLOCK NUMBER SUBDIVISIO NAME AZ4` .A CITY,STATE ZIP CODE PHONE NUMBER JEC31 CITY NEAREST ROAD,LAKE OR LANDMARK V ILLAGE: r? Ss L 710 Cj= II. TYPE OF BUILDING OR USE SERVED: /ZA11C-_` "' O Number of Bedrooms if 1 or 2 Family OR ❑ Public(Specify): III. PURPOSE OF APPLICATION: (Check only one in##1. Check##2,3 or 4,if applicable) 1. a. VV New b. ❑ Replacement c. ❑ Replacement of d.❑ Reconnection of e.❑ Repair of an System System Septic Tank Only r an Existing System Existing System 2. A Sanitary Permit was previously issued. Permit## � `'s Date Issued 3. An Existing System has been inspected and soil conditions meet minimum requirements. 4. ❑ The System is shared by more than one owner/building. Attach Common Ownership Agreement to County Copy. IV. TYPE OF SYSTEM: (Check only one in##1 and only one in##2) 1. a. Conventional b. ❑Alternative C. ❑ Experimental 2. a. ❑System- b. ❑ Holding c.❑ Pit Privy d. ❑ Vault Privy e. ❑ Mound f. ❑ IGP In-Fill Tan k V. ABSORPTION SYSTEM INFORMATION: (Check one) 1. a. XSee a e Bed b. ❑seepage Trench c. ❑See a e Pit 2. PERCOLATION RATE 3. ABSORPTION AREA 14. ABSORPTION AREA 5.SYSTEM ELEVATION 6. WATER SUPPLY: (Minutes per inch): REQUIRED(Square Feet): PROPOSED(Square Feet): WAlilago i" �, 1j ( jj Feet LX Private ❑Joint El Public VI. TANK CAPACITY in allons Total ##of Prefab. Site Fiber- Exper. INFORMATION New xisting Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks Tanks structed Septic Tank or Holdin Tank Q � � Lift Pump Tank/Siphon Chamber ❑ ❑ ❑ VII. RESPONSIBILITY STATEMENT I,the undersigned,assume responsibility for installation of the private sewage system shown on the attached plans. Plumber's Name(Print): Plumbe ignature:(No Sta s) PRSW No.: Business Phone Number: I I Plumber's Address(Street,City,State,Zip Code: Name of Designer: VIII. SOIL TEST INFORMATION Certified Soil Tester(CST)Name CST# CT's ADDRESS(Street,City,Sta e,Zip Code) Phone Number: r f. IX. COUNTY/DEPARTMENT USE ONLY ❑ Disapproved Sanitary Permit Fee Groundwater Date Issuing Agent Signature(No Stamps) Approved ❑ Owner Given Initial S rcharge Fee Adverse Determination ' $'-��� ti rN 0410:44 X. COMMENTS/REASONS FOR DISAPPROVAL: SBD-6398(formerly Plb-67)(R.03/86) DISTRIBUTION: Original to County,One Copy To:Bureau of Plumbing,Owner,Plumber INFORMATION & INSTRUCTIONS FOR COMPLETING A SANITARY PERMIT APPLICATION TO THE APPLICANT: 1. This sanitary permit is valid for two (2) years; 2. Your sanitary permit may be renewed before the expiration date, and at the time of renewal any new criteria in the Wisconsin Administrative Code will be applicable; 3. All r` vision o this ern it must be approved,by the permit issuing authority. A new-permit may be needed_..- � P if�there is Mange in your buifdin j plans, system.location, estimated wastewater flow (number of bed- rooms, etc.), depth of system, or type of system; 4. Changes in ownership or plumber requires a Sanitary Permit Transfer/Renewal Form (SBD 6399) to be` - submitted to the county prior to installation; 5. Private sewage systems must be properly maintained`The septic tank(s) should be pumped by-aaicensed pumper whenever necessary, usually every 2-to.3 years; 6. If you have questions concerning your private sewage system, contact your local code administrator or the State of Wisconsin, Bureau of Plumbing,608-266-3815. To be complete and accurate this sanitary permit application must include: I. Property owner's name and mailing address. Provide the legal description where the system is to be installed; II. Type of building or use served: If public is checked, indicate type of use (i.e. 10 unit apartment, 30 seat restaurant, etc.). Fill in number of bedrooms if building is a one or two family dwelling; III. Purpose of application: Check only one in ##1. Complete ##2 if permit is for tank replacement, reconnection or repair; IV. Type of system: check all appropriate boxes depending on system type. Check experimental only if project is in conjunction with University of Wisconsin; Y V. Absorption system information: Provide all information requested in ##1-6; VI. Tank information: Fill in the capacity of every new and/or existing tank, list the total gallons to be installed, number of tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete for all septic, lift/siphon chamber and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR; VII. Responsibility statement: Installing plumber is to fill in name, license number with appropriate prefix (e.g:.% MP, etc.), address and phone number. Plumber must sign application form. Fill in designer name if applicable; VIII. Soil test informatipm Certified soil tester's name, certification number, address, and phone number. IX. County/Department Use Only; X. Comment area for use by county or resaon given when application is disapproved. Complete plans and specifications not smaller than 81/2 X 11 inches must be submitted to the county. The plans must include the followingxA) plot plan, drawn to scale or with complete dimensigns, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and lakes; dosing or pumping chambers; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if required by the county; E) soil test data on a 115 form. GROUNDWATER SURCHARGE On May 4, 1984, 1983, Wisconsin Act 410 was signed into law. This legislation is more commonly known as the groundwater protection law. This change in statutes was the result of over 2,years of steady negotiation and public debate. The groundwater bill Ground ate`--= included the creation of surcharges (fees) for a number of regulated practices which Wisco iri'S a can effect groundwater. The surcharge took effect on July 1, 1984. All of the water that buried TA8Sl1FB' ' is used in your building is returned to the groundwater through your soil absorption o system or the disposal site used by your holding tank pumper. The monies collected through these surcharges are credited to the groundwater fund adminis- tered by the Department of Natural Resources. These funds are used for monitoring ground- t water, groundwater contamination investigations and establishment of standards. Groundwater, it's worth protecting. SBD-6398(R.03/86) , , { a j , G j f 1 �. t - BL i fe I I I L I- : , , I r 1 i _ f l tI i � I I , ' - ' Y i i , I cS , I I } I , I � I i 1 i ' i , I lam ` t IL t � I i i I I , i I I I I I ' I I I I I r I I I I I I I I II I I I I I C- -1 i tl f I I , }L . 1 1 1 I I I I I I r r ' I I 1 ' . i 1 I I I I I I I I - I , I 1 4 I I DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY&BUILDINGS LABOR,&HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION P.O.*BOX 7969 BUREAU OF PLUMBING MADISON,WI 53707 NE!. NW 4, S26,T30N-R19W (CONVENTIONAL ❑ALTERNATIVE Qfassvlan I-D.Number: Town of St. Joseph Holding Tank ❑In-Ground Pressure ❑Mound NAME OF PERMIT HOLDER: 7;75 OF PERMIT HOLDER: INSPECTION DATE: Terry Ritter Flora, Prescott WI 54021 BENCH MARK(Permanent reference pomt)DESCRIBE IF DIFFERENT FROM PLAN: REF.PT.ELEV.: CST REF,PT.ELEV.. Name of Plumber: MP/MPRSW No.: County: Sanitary Permit Number: Richard Hopkins 1059 St. Croix 106055 SEPTIC TANK/HOLDING TANK: MANUFACTURER. LIQUID CAPACITY'. TANK INLET ELEV.. TANK OUTLET ELEV.. WARNING LABEL LOCKING COVER PROVIDED'. PROVIDED'. DYES ONO DYES ONO BEDDING'. VENT CIA.. VENT MAT L: HIGH WATER NUMBER OF ROAD: PROPERTY WELL. BUILDING. IVENT TO FRESH LARM FEET FROM LINE AIR INLET EYES ENO ❑YES ENO NEAREST DOSING CHAMBER: MANUFACTURER BEDDING- LIQUID CAPACITY PUMP MODEL. PUMP/SIPHON MANUFACTIIRER WARNING LABEL LOCKING COVER PROVIDED'. PROVIDED. DYES ONO DYES ONO DYES ❑NO GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL. NUMBER OF PROPERTY WELL BUILDING VENT TO FRESH (DIFFERENCE BETWEEN FEET FROM LINE AIR INLET PUMP ON AND OFF) DYES ❑NO NEAREST SOIL ABSORPTION SYSTEM.Check the soil moisture at the depth of plowing LENGTH DIAMETER MATERIAL AN MARKING or excavation. (If soil can be rolled into a wire,construction shall cease until FORCE the soil is dry enough to continue.) MAIN CONVENTIONAL SYSTEM: WIDTH'. LENGTH N .PIPE SPACING. COVER INSIOF.CIA tt PITS BED/TRENCH TRENC MATERIALt PIT DEPTH DIMENSIONS GRAVEL DEPTH FILL DEPTH ID ISTR PIPF DISTR PIPE DISTR.PIPE MATERIAL. NO.DISTR. NUMBER OF PROPERTY WELL BUILDING V NT TO FRESH BELOW PIPES ABOVE COVER. ELEV.INLET ELEV.END: PIPES FEET FROM LINE AIR INLFT NEAREST--► MOUND SYSTEM: Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OFSYSTEM and furrows thrown upslope: mound systems to make certain that it ON REVERSE SIDE.SHOW ELEVA- meets the criteria for medium sand. TIONS MEASURED. OYES ONO SOIL CO- ER ITEXTURE PERMANENT MARKERS OBSERVATION WE LLS 1-1 YES ONO DYES ONO DEPTH OVER TRENCH/BED DEPTH OVER TRENCH/BED DEPTH OF TOPSOIL SOUDFD ISEID11 IMULC HIO CENTER EDGES DYES ❑NO DYES ONO EYES ❑NO PRESSURIZED DISTRIBUTION SYSTEM: BED/TRENCH WIDTH LENGTH TRENCHES: LATERAL SPACING JGRAVEL DEPTH BELOW PIPF FILL DEPTH ABOVE COVEN DIMENSIONS MANIFOLD PUMP MANIFOLD DISTR.PIPE MDISTR DISTR PIPE DISTRIBUTION PIPE MATERIAL&MAHKING ELEV.'. ELEV.. CIA.. ELEV.. PIPES DIAELEVATION AND DISTRIBUTION INFORMATION HOLE SIZE HOLE SPACING DRILLED CORRECTLY ERIAL VERTICAL LIFT CORRESPONDS TO APPROVED PLANS DYES ONO 1:1 YES ONO COMMENTS: PERMANENT MARKERS: JOBSERVATION WELLS: NUMBER OF PROPERTY WELL: BUILDING. FEET FROM LINE DYES ❑NO OYES ONO NEAREST Sketch System on Retain in county file for audit. Reverse Side. SIGNATURE. TITLE � DILHR SBD 6710(R.01/B2) Zoning Administrator SANITARY PERMIT APPLICATION COUNTY 13ILHR In accord with ILHR 83.05,Wis.Adm.Code STATE SANITARY PERMIT# In —Attach complete plans(to the county copy only)for the system,on paper not less than STATE PLAN I.D.NUMBER 8%x 11 inches in size. —See reverse side for instructions for completing this application. PETITION 1. APPLICANT INFORMATION—PLEASE PRINT ALL INFORMATION. FOR VARIANCE ❑YES KNO PROPERTY OWNER PROPERTY LOCATION (:N.MW%, S V T3 0, N, R E (or)W PROPERTY OW 'S MAILING DDRESS LOT UMBER BLO K BER SUB D ISI NAME 375 0 Y,STATE ZIP CODE PHONE NUMBER Q CITY NEAREST RO D,LAKE OR LANDMARK .S VILLAGE: O TOWN OF7 11. TYPE OF BUILDING OR USE SERVED: Number of Bedrooms if 1 or 2 Family OR ❑ Public(Specify): CON Ui')V#I A III. PURPOSE OF APPLICATION: (Check only one in#1. Check#2,3 or 4,if applicable) 1. a. NNew b.❑ Replacement c. ❑ Replacement of d.❑ Reconnection of e.❑ Repair of an System System Septic Tank Only an Existing System Existing System 2. ❑ A Sanitary Permit was previously issued. Permit## Date Issued 3. ❑ An Existing System has been inspected and soil conditions meet minimum requirements. 4. ❑ The System is shared by more than one owner/building. Attach Common Ownership Agreement to County Copy. IV. TYPE OF SYSTEM: (Check only one in##1 and only one in#2) 1. a. Xconventional b. ❑Alternative C. ❑ Experimental 2. a. ❑System- b. ❑ Holding c.❑ Pit Privy d. ❑ Vault Privy e. ❑ Mound f. ❑ IGP In-Fill Tank V. ABSORPTION SYSTEM INFORMATION: (Check one) 1. a. nSee a e Bed b. ❑Seepage Trench c. ❑See a e Pit 2. PERCOLATION RATE 3. ABSORPTION AREA 4. ABSORPTION AREA 5.SYSTEM ELEVATION 6. WATER SUPPLY: (Minutes per inch): REQUIRED(S uare Feet): PROPOSED(Square Feet): 3 /tp i J{� V(l • 0 Feet ❑Private ❑Joint ❑ Public VI. TANK CAPACITY #of Prefab. Site in Fiber- Exper. allons Total Manufacturer's Name Con- Steel Plastic INFORMATION New xisting Gallons Tanks Concrete glass App. Ta structed nks Tanks Septic Tank or Holding Tank El Lift Pump Tank/Siphon Chamber I ❑ VII. RESPONSIBILITY STATEMENT I,the undersigned,assume responsibility for installation of the private sewage system shown on the attached plans. Plumber' Name(Print): Plumber's Signature:(No Stamps) MP/MPRSW No.: Business Phone Number: 'l(1A d Ho Di 1057 PI b is Address(Street,Cit ,State Zip Code): Name•of D signer: fI C ►� . �I C AR k. VIII. SOIL TEST INFORMATION Certjfjed S it Tester(CST) e ^ C CST# CST' ADDRESS(Street,Ci y Sta)e, ip Co ) Phone Number: 0 i d o ese. 5 y� 5 -8185 IX. COUNTY/DEPARTMENT USE ONLY .�/� ❑ Disapproved Sanitary Permit Fee Groundwater ate Issuing Agent Signature(No Stamps) tL�J Approved ❑ Owner Given Initial f urcharge Fee Adverse Determination X. COMMENTS/REASONS FOR DISAPPROVAL: P I G,h aJ rDM b V teary ;�T.�kkj,-V SBD-6398(formerly Plb-67)(R.03/86) DISTRIBUTION: Original to County,One Copy To:Bureau of Plumbing,Owner,Plumber INFORMATION & INSTRUCTIONS FOR COMPLETING A SANITARY PERMIT APPLICATION TO THE APPLICANT: 1. This sanitary permit is valid for two (2) years; 2. Your sanitary permit may be renewed before the expiration date, and at the time of renewal any new criteria in the Wisconsin Administrative Code will be applicable; 3. All revisions to this permit must be approved by the permit issuing authority. A new perrriitmay-be needed if there is a`change in your building plans, system location, estimated wastewater flow (number of bed- rooms, etc.), depth of system, or type of system; 4. Changes in ownership or plumber requires a Sanitary Permit Transfer/Renewal Form (SBb 6399) 'to be submitted to the county prior to installation; 5. Private sewage systems must be properly maintained. The septic tank(s) should be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years; 6. If you have questions concerning your private sewage system, contact your local code administrator or the State of Wisconsin, Bureau of Plumbing, 608-266-3815. To be complete and accurate this sanitary permit application must include: I Property owner's name and mailing address. Provide the legal description where the system is to be installed; 11. Type of building or use served: if public is checked, indicate type of use (i.e. 10 unit apartment, 30 seat restaurant, etc.). Fill in number of bedrooms if building is a one or two family dwelling; 111. Purpose of application: Check only one in ##1. Complete ##2 if permit is for tank replacement, reconnection or repair; IV. Type of system: check all appropriate boxes depending on system type. Check experimental only if project is in conjunction with University of Wisconsin; V. Absorption system information: Provide all information requested in ##1-6; VI. Tank information: Fill in the capacity of every new and/or existing tank, list the total gallons to be installed, number of tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete for all septic, lift/siphon chamber and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR; VII. Responsibility statement: Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. Fill in designer name if applicable; VIII. Soil test information: Certified soil tester's name, certification number, address, and phone number. IX. County/Department Use Only; X. Comment area for use by county or resaon given when application is disapproved. Complete plans and specifications not smaller than 8'/2 x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water n1ains/water service; streams and lakes; dosing or pumping chambers; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if required by the county; E)soil test data on a 115 form. --------------------------------------------------------------------------------------- -------------------------------------------------------------------- i GROUNDWATER SURCHARGE s On May 4, 1984, 1983,Wisconsin Act 410 was signed into law. This legislation is more t commoniy known as the groundwater protection law. This change in statutes was the result of over 2 years of steady negotiation and public debate. The groundwater bill Ground ;biter - r included the creation of surcharges (fees) for a number of regulated practices which Wisco iml can effect groundwater. The surcharge took effect on July 1, 1984. All of the water that buried iea5utB � e is used in your building is returned to the groundwater through your soil absorption u system or the disposal site used by your holding tank pumper. a The monies collected through these 6ircharges are cred'ted to the groundwater fund adminis- terec by the Department of Natural Resources. These funds are used for monitoring grourd- t water. groundwater contamination investigations and establishment of standards. Ground+vats r, '.'s vorth protecting. .13D-6398(R.03i86) 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 Location of Property IY C- Section _� T 3� N-R r 9 W Township %1 Hailing Address Address of Site r//> ,2 Subdivision Name . Lot Number Previous Owner of Property Total Size of Parcel Date Parcel was Created Are all corners and lot lines identifiable? ��- Yes No Is thip-4moperty being developed for sale (spec house) ? Yes 4_- No Vol e _Z�� and Page Numbe �s recorded with the Register of Deeds. e - INCLUDE WITH THIS APPLICATION THE FOLLOWING: s 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 refer- ences to a Certified Survey Map, the Certified'Survey Map shall also be required. PROPERTY OWNER CERTIFICATION I (We) eenti.6y that atQ statement6 on tht6 6wun aAe tAue to the beast o6 my (out) knowtedg e; that I (we) am (ahe) the owner(6) 0 6 the pnopen ty des cA i.bed in thin .in6oAmation 6onm, by viAtue o6 a waAAanty deed necoaded in the 066.ice o6 the County Registers o6 Vee6 a6 aoeument No. =;wand that I (We) pneeentty own the proposed 4 to bon the Zewage digspo6 6y6 em (on I (we) have obtained an easement, to nun with the above deac,%ibed pnopenty, bon the eon6thucti.on o6 said .6y6ten, and the .same has been duty recorded in the 066.ice o6 the County Regizteh o6 SIGNATURE OV OWNER SIGNATURE OF CO-OWNER (IF APPLICABLE) DATE SIGNED DATE SIGNED �Y�L .l PAGE ENT NO. STATE BAR OF SCO IN FORM 11-188$ THIS sFACt RastRV[D FOR RaCORDINO DATA LAND CONTRACT � � --- 4245112 Individual and Corporals (TO BE USED FOR ALL TRANSACTIONS WHERE OVER Ou2� $26,000 Is FINANCED AND IN OTHER NON-CONSUMER 01 NPC —_ ACT TRANSACTIONS) -_ -- - - wiW1A bm!c ewkfi s OFFICE i t t� b and between VERNON ORF a/k/a VERNON I. ORF ST. tee":)Ix CO., WI.s � S O E'..husband-and wife .................••..........--------•-----•--- ---..-----..........------•-------..._("Vendor", ROC`d. i;►a Record ft 1r i whether one or more) and.........TERRY._W. RITTER AND JULIE o� April A.D. 19$7 ........................... •---......... ........A. RIT1'ERs_husband-_...............................fe s vivorship•marital•_ Of A - ---•- ..--------- ._..... .................................. ("Purchaser",whether one or more). .I Vendor sells and agrees to convey to Purchaser, upon the prompt and full per- formance of this contract by Purchaser, the following property,together with the j rents,profits,fixtures and other appurtenant interests (all called the"Property"), in.....atu... MjA............................................. County, State of Wisconsin: RtTURN TO Part of Government Lot 115" of Section 26-30-19 described as follows: Lot 2 of Certified Survey Map filed July 15, 1985 in Vol. "6" page 1554. Tax Parcel No. .................................. I TOGETBER WITH AND SUBJECT TO private road easement as shown on Certified Survey Map in Vol. "2", Page 553. i i i i . I I , This .iS__nOt homestead property. _ (is) (is not) place Vendor directs Purchaser sea to urchase the Property and to pay to Vendor at ................ , the sum of $.....3000 OU ....... ...___ in the following manner: (a) $..2r...?b6..:bb............................... at the execution of this Contract; and b the balance of 1 000 00 g ( ) $..__. s..._..�..................... together with interest from date hereof on the balance outstanding from time to time at the rate of.........8------------------------------- per cent per annum until paid in full, as follows: 1. On Segele�-�5, 87, $6,000.00 together with accrued interest of $240.00 (which amount if 8% of the $6,000.00. payment) for a total payment of $6,�,o . f 2. On �� /., 198 $7,000.00 together with interest of $560.00 (which amount is 8% of the unpaid principal balance) for a total payment of $7,9 On0. Provided, however, the ent' outstanding balance shall be paid in full on or before the...... �:�r4t.... day or ---......�1-_ PR!� .. 0�.. ( the maturity date). g payment, interest shall accrue at the rate of 12......% per annum on the entire amount Following �9 d��su t"I?1• in default (which shall include, without limitation, delinquent interest and, upon acceleration or maturity, the entire iprincipal balance). f Purchaser, unless excused by Vendor, agrees to pay monthly to Vendor amounts sufficient to pay reasonably antici- pated annual taxes, special assessments, fire and required insurance premiums when due.To the extent received by Vendor, Vendor agrees to apply payments to these obligations when due. Such amounts received by the Vendor for payment of taxes, assessments and insurance will be deposited into an escrow fund or trustee account, but shall not bear interest unless otherwise required by law. i Payments shall be applied first to interest on the unpaid balance at the rate specified and then to principal. Any Iamount may be prepaid without premium or fee upon principal at any time it��,11�,Mffiffl n the event of any prepayment, this contract shall not be treated as in default with respect to payment so long as the unpaid balance of principal, and interest (and in such case accruing interest from month to month shall be treated as unpaid principal) is less than the amount that said indebtedness would have been had the monthly payments been made as first specified above; provided that monthly payments shall be continued in the event of credit of any proceeds of insurance or condemnation, the condemned premises being thereafter excluded herefrom. iPurchaser states that Purchaser is satisfied with the title as shown by the title evidence submitted to Purchaser for examination except: i 1. Mortgage to First Federal Savings and Loan of Eau Claire,- •- I I •� •fin .J��� I i Purchaser agrees to pay the cost of future title evidence. If title evidence is in the form of an abstract, it shall be retained by Vendor until the full purchase price is paid. da of closi Purchaser shall be entitled to take possession of the Property on...............y_..................��....._....:......, 19......... •Cross Out One. ` � ... LAND CONTRACT—Individual and STATE BAR OF WISCONSIN Wisconsin Legal Blank Ca, Ine. -wanlguele alogt?fl,tiotaq paaulact ao padR1 aq p(noge 63101dgo Rug ut 8utuitt euoaaad jd gwgfia' 2 celeP (•Bagseaaau aou e u uotg.Iidxa li�ii st uotsstwwoc) Ajq gloa •pa2palmouKos ao palgatluaglnu aq Betu eaan W2tg) 1x11 .4 'Blunoy- u .- at n Bas o ..........................-..................................................... ; yJ s = x na'6► Cpl nJ � ---- ................... ...... ke 03"V21a SVM 1N3wnuism SIHI awes agl 92palmomin pug luawnalsut 2uto2aao; <;;Zz:0gl palnoaxe oqm uosaad agl aq of umou3i aw o; ('9494S st B azlao ns � ----•---....-- ............................................................ ---------------------- - ZS ' .M 90.90E § .. .. 41 IOU w ---- °ai -------------:----------- ---------- .-...._..xlsNOaslns 3o aVg �idss a�g�t�tnt - - '�1 yip - -----•----------------•----.........._....._....---...._........ ►G�--��� arr�r- �'N rr--tv-_�,T--- ...--------•-.•--------------•----•--------........._....------------...----•--- POUMU aeogs agl t g6I —71�*�j7�j t - - Bao;aq autsa Blleuosaad 6i ; P - gl Pal F3 4l ;o Bgp--- stg3 But�Fl- 'B uno --•---•-•-- ... •810 NISNODSIM AO HSVSS -••------••- --••-----------------------------•--••-- ..._ (s)aiOagu2FS INaIN0aa'IMONXOV NOIZVOISNaIisllV ----------------•----•- ----------------------------------------- , ,zaq,4T 'd 9TInr JJ0 s I'eW ('IV51S)................... - yJ[{�� (rivas)--------- ------ _ ........................ ----------- ----------------- VVV Lway 3'z0 I UOLUa Vie 3-10 UOLUPA .......n..........................••------ ------- - ,.. .......... o Be '.' s.44 Palea (•;oaaaq ;uawlll3lnl ut apses eq of Peep aql ;o uotlnoaxa a% ut uto[ of saaa2s pus Blaadoad loa[gns eql ul e4g2ta pralsawoq asualaa of utaaaq sutof uotV.10pisuoo algsnlss s ao; aopuaA ;o asnod9 egl Blaadoad aql;o aaUmo us IOU ;I) -aasegaand pus aopuaA ;o sU�ltsss pus saossaoans 'saellsluasaadaa le2al `sataq eql ;o sl6auaq eqj of eanut pus uodn 2utputq aq ilsgs ;asa;uoO stq; ;o suua; llV -aassgaand ;o llns;ap aoiad ao luenbesgns aag40 Bus 2utAium Inoyltm llmajap Aug aetsm Bew aopuaA -jasa;uoa stgl uo apew sluawBed paaaptsuoa aq llugs aasegaand Bq apgw os sluawBgd llu pus os op o; sltg; aopuaA ;t Oa2g2laojg1 ay; of Blloamp quawBed Hans Aug a3lew B8w aasegaand •lasalu op sly;aapun anp uaq; slunowe gill;o luout ud Blawil sa3tew aassgaand papteoad 'Bgaaagl paanaas alou Aug aapun ao (aasegaan,) Bq palusa2 a2u2laow Aug ao;jdaaxa) jasa3uoO stgl ;o alsp Bill uo Blaadoad agl lsuts2s 2uipusla;no 92e2laow Aus aapun. anp uagm sluoutBed jig aslew llsgs aopuaA •aatlou 4nog31m notldo s,aopuaA I's 'lln; ut algsBgd pus at Blalgtpawwt awooaq llggs lasaluop sigl aapun algaBgd aauslgq 2uipuglslno aatlua aq;';uasuoa u3MAM s,aopu8A lnoylim aDUUAaeuoo ao alies 'aa;sugal yons Aug ;O luaea aq3 uj noutioand ;o ssaupalgaput us .1o; Bltanoas se A}alos ;aua;uop sigl aapun lsaaalut s,aas8goand ;o luawu2isse ao a2patd a st paAaAUoa lsaaa;ul agl ao lln; ut pled ;sat; st loualuon still aapun alquAud aauuiuq 2utpuels4no ay; aaglta ssalun aopuaA ;a }uasuoa ualliam aotad ag1 lnogltm (Bum aaglo Aug ut ao asgal weal-2uol 'uoildo Bq ao lagaluoci still aapun slg2ta s,aasggaana ;o Aug ;o 4ttaiuu2isse Bq) Blaadoad a% ut lsaaalut alge;lnha ao 1132al Bus BBAUOO ao lies 'aa;sugal IOU llutls iassyoand •loaaip llegs lanoo aql se patldde pug plaq aq lletls palaalloa os uagm slt;oad pug 'sansst 'sluaa gong pus 'uotlor yons ;o Bauapuad aql 2utanp Blaadoad eql ;o slgoad pug 'sansst 'sluaa aql laalloo 01 'lsaaalut pgalsawog 2utpnlout 'Blaadoad Bill ;o aaetaoaa s ;o juawlutodds eql 04 sluasuoa aassgaand 'ZosaluoO still;o eansolaaao; ;o uotlas Aug ;o Bouapuad aql 2utanp ao luawaauawwoa aq1 uodn •luatu2pn[ Aug ut papnlout aq llggs pus 'paaana -ut Be 'aassgoand Bq pied pug tudtamad of pappg aq ll8gs aouaptea alltl ;o sasuadxa pug mul Bq pallgtyoad IOU luaixa 941 01 (IOU to pinuqu aaglagm) aaputiaaaq Bpattlaa Buu aoao;ua o; paaanoui aopuaA jo sea; sAawolle olgruosua.1 Butpniaul sasuadxa pug 14e0D tlg pug uotlg2tlFl ut pansand uagm pug jt aopuaA uodn 9utpuiq aq Bluo Ileils saipawa.1 2ulo2aao; Bill ;o Aug ;o uoiloala us 'aopuaA ;o suoilos ao sluawalgls uallFam ao leao Aug 2utpue;sgltmloly•aeogg (AI) ao (u) `(i) aapun uoddg aaetaoaa a Bogs pus Blaadoad agl ;o 1101 39 Bug ;o Bauapuad aq 2utanp s ;oad ao sans 'sluaa Aug 4391103 o; p ;o lsaaalut algel!nba agl ;t uoilog uoissassod woa; palaafa aasegoand aesq Am aopuaA (A) pug :lugot;tu1sut yd atltl-lainb g ut alltl uo pnolassslagaluoO still aeowaa pus pug us le jaealuoO sigl aaeloap Bgw aopuaA (nt) ;o :;oaaayl uoilaoci Bug so aoiad asryoand piudun aailua agl aoj mrl ju ans Betu aopuaA (tit) ao .Bauatat;ap Aug ao; alggFl aq llggs aassgaand pus alas lietatpn[ Zs pauotlan8 aq llegs Blaadoad aq; luaea yolgm ut no aiuua aq anp' op uawBgd n illus u silauilu ;o ejup aql uo loa;;a ut e4ga aql Zs uoaaagl lsaaa;ui gltm 'aougieq 2uipugZsl 1 41 3 1 ll 3 P al P ladwoa o; loealuon stgl ;O aauswao;Bad at;loads toj ans Bgw aopuaA (n) ao '.(utaapaa 04 slte; aasegoand ;t Blaadoad aql ao; leluaa se pug jaualuoa sigl llijlnj o; aanlir; ao; sa2rwrp paIlMnbil so papa;aao; aq llugs aassgoand Bq pied Blsnoteaad slunows llg luaea yotgm ut)aapunaaag anpslunowr aaglo pus a;ep yons uo looj;o ut a;ra aq; le line;ap u alrp aql woa;uoaaagl lsaaalut gltm 'gougluq $utpugls;no aailua ay; ;o ;uatuAud lin; s,aasgyo.tn,l uodn pauo►ltpuoo aq of uotldwapaa ;o Bltnba Aug gltm aansolaaao; locals g2noagl �togq Blaadoad ay; aaeooaa pug Blaadoad ayl ut lsaaalut pug alltl 'sly2ta s,aasugoand pug laraluon stgl algutwaal 'uoildo sty Ir 'Buw aopuaA (t) :Bltnba tit so mul Bq papteoad asogl aq uotltppu ut (msl Bq papteoad suoils31wll Bug 04 loatgns) saipawaa pus slgBia 2uimollo; aql aesq osle llrgs aopuaA pug'(saAlWA Bgaaag aasegoand gonlm) aoilou lnogltm pus uolido s,aopuaA lg 'lln; ut algsBrd pug anp Blalrtpawwt awoaaq liggs lagaluoa still aapun aaut leq 2utpuujs no aat;ua 011 uagl'(Iteut pat;tlaao Bq paltgw ao Bllruosaad paaoetlap) aopuaA Bq joaaayl ond ;o uo wBad 031401.1 uallt.1m 2utmollo; sBep -----08';o potaad a ao, sanutluoa gaigm aassg g ut llnujap s ;o luaea aql ui (q) ao a1up anp pat;taads aql tut&olio; sBep-•--jCE-- ;o poiaad g ao; sanutluoa gatgm lsaaalut ao ladtautad Aug ;o luautBsd aql ut lingjep IS ;o luaea aql ut (g) pug eauassa aql ;o st autil Zugl saaa2r aasegaand ----------•---•-----••-•---•......................................................•-.......-----_._.. . _.-._--.--•-----------------------------------------------------------•-----------------••--------------•- •---------------------------------------------------------------•----------•-•- °••---- •---- ................................................ :ldaaxa pug 'aassyaand ;o limejap ao In aql Bq Mum saousagwnaue ao Buell Aug ldaoxa `saausagwnoua pug suaFi 118 30 asalo pug aaaj 'Blaadoad agl ;o 'aldwts ea; ut 'paaQ Blusaasb g 'aassyaand 941 04 aaellep pus alnoaxa 'pugwap uo iltm aopuaA 'pagtaads aeoge aauugw aql ul pug sawt3 aql lit pattuo;aad Blln3 aq llsge suotltpuoo ill pug ptgd�iiin; aq llsge eBauout aayoo Pug ;eaaalut 44 tm solad aeggoand agl asga ut lggl eeaa2s aopuaA •Blaadoad aql 2ut13ajjg suotleln2aa pus saourulpao 'sm8l He til m Bldwoo of pug 'losaluoo still ;o nail agl of aolaadne suatt woa; aaa,t Blaadoad Bill 'dee3l of luittuoo rn lou s3usuano i aasss Ban pow9 ul Blaadoad eqj dead of 'Blaadoad aql uo pal;lwwoo aq of olsem moils aou alas& 41 4 d alq!seaj Blieatwouoaa aq of aisdaa ao uoilgaolsai agl SUMP aopuaA 9114 papino.td 'pa2umvp Blaadoad aql ;o atudaa so uotleaolsaa of paiidda ay tlggs spaaooad aausansut '2u!1!am u1 eoa2 astmaaylo aopuaA pug aassgaand ssaiun -aopuaA pug satusdwoo eausansui of ssol ;o aatlou 9Al2 Blldwoad llutls aasr4oatid •aopuaA 4ltm paltsodap aq lirgs Blaadoad aql 9uiaaeoo satotlod tig ;o Isu18}ao egl '$U1l}.1m ut 908.128 881Maoglo aopuaA ssolun 'pug l9aaelut s,aopuOA Byl ;o .1oeej ut asngto p.tnpugl9 aql tn8luno tleya 9atatlod ayy -anp uagm stuntwaad aouransut 10111 Brit llrgs aasegoand -409-111100 9141 aapun pamu oou8l8q 841 us41 t[ 4 P A 9 '-•-•--••.................... / ------ o wns a u 'ao ua B aaow lunowg ug ut a2saanoo aalnbaa IOU e s so ua Zn E' $ j 41 F P A 9 paAOaddg saaansut g2noagl 'aougansui-oo.lnoyltm 'aatnb10a Bees aopuaA sr spavreq aagoo yons pus spaad a2ea0eo3 Papua; -xa 'a.1g Bq pauotsg000 92uu�mP JO ssol lsutg98 paansut Blaadoad aql uo sluawaeoadwt Bill daa)l }lays aassgaand TiWM •juawBgd yaps 2utmoys sidtaoaa pugwap uO aopuaA 01 aaetlap 01 pug 41 ut lsaaalut s,aopUWan ao d age nuo pateal sluawssassg pug saxsl ilg anp uaye► Aid of 9astwo.1d aassgaand J Ki ,RRv NT OF REPORT ON SOIL BORINGS AND SAFETY& BUILDINGS DIVISION ftryIA N RELATIONS. AND PERCOLATION TESTS (115) MADISON WI 53707 HU�tA (H63.090)& Chapter 145.045) LOCATION SECTION: TOWNSHIP/M4W4Q4RA"ZY: OTNO.:BLK.NO.: SUBDIVISION NAME: ,VE �/ �/ /T 3o a/R 19 E (or)W sr. T ose-AoL- / o /ogle CS/-1 COUNTY: ' BUYER'S NAME: MAILIN AD R S : St-eAOI x TERM'y P i ii E rz.. 137S' AbAf ,, A/Ve-X e t WI•S USE DATES OBSERVATIONS MADE NO.BEDRMS.: COMMEA A D SCRIPTION r�R,sidence 3��, ( New ❑Replace vim, 77 y yL`D RATING:S-Site suitable for system U-Site unsuitable for system ONVENTIUNAL: MOUND: IN-GROl1ND-PRESSURE: S STEM-IN-FILL OLDING TANK:RECOMMENDED SYSTEM:(optional) ZS ❑U 1 ©S ❑U --QS C]U EIS ®U IHEIS ©U � EPe,.c.,"lation Tests are NOT required DESIGN RATE: If'any portion of the tested area is in the .t1G3.09(5)Ib),indicate: I elves s �� � Floodplain,indicate Floodplain elevation: L PROFILE DESCRIPTIONS 441 BORING TOTAL DEPTHTOGROU NDWATER•. CHARACTER OF SOIL WITH THICKNESS,COLOR, TEXTURE,AND DEPTH NUMBER DEPTH ELEVATION OBSERVED EST.H HE TO BEDROCK IF OBSERVED(SEE ABBRV.ON BACK.) B 106 S -- 7 9 �.h E� ' '=S 3 G•P- '. ' 6. B- 106.70 > �7',5 ve,r 'c s B 3 90 " 0 .30' > 9 0 ' .7s' 8,,� f"$ 3.o p, -f/ . �� T�V B- 9.D r 06 ./6 bra.•- > 9O ' •S- 0 8�F�' /' s G-A 74--p J- � ' • ' � ' s, !' •S 'D�' Qr./ a .p 'C� , aP. CS B-� y� 01.2_, J � C B. PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTERSWELLING INTERVAL-MIN. I PER INCH ,I P- -C ,lf P- ,e0•�t o T• G 0 i x T T�f► 1 - P- o,e S'4A; S7 P- f c P. o v- PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent ` of land slope. �Q�t� EX eex f E't��. R?P PDX• SYSTEM ELEVATION 3��°�' °� rO2 r ; -tD a F s�Noco of F ? 1 Pus A4 Pr Ski LQ Vj � i A��a I 1 s y 6 TES, g'- 1� Jot ,_� - -- - r -- i } tA r 30 (_ 50• //QE r, i /oo, 0 ' 1, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin Administrative Code,and that the data recorded and the location of the tests are correct to the best of my knowledge and belief. NAME(print): I.MESIFE SEPTIC PLUMBIW CO. TESTS WERE COMPLETED ON: ' 3�NEIL RD.,HUDSON, MS.54011 X71/j'/ak_ /f- J ADDRESS: R CERTIFICATION NUMBER: PHQjVE NUMB ER(optional): :4iIER PLUMBER TIC.NO. 3307 M.P.R.3. 2 ypy �at37 CST SIGNATUR DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester. 1DILHR-SED-6395(R.02/82) —OVER — NI� -'V CERTIFIED SURVEY MAP VERNON ORF r Part of Government Lot 5 of Section 26, Township 30 North, Range 19 West, Town of St. Joseph, St. Croix County, Wisconsin. w �, m -• pH11tNIq� w � �sc o NS� .All Cj y %"p� of :: I LAURENCEN. At T W MURPHY ; ac Z a ; 3 1 m to. 1 1 �x WI3 s'' SOt� 1 L A N 50���• h R ( w W Laurence W. Murphy 6% - '0 Registered Land Survey A6o « a 16 t,+ N J Z If O -H W •�6 C till Q N 1 3 � •• O a i At 30 Q ~I o ' 0� ~ > N 0Q MI A16 1 eel X y Ile • N o Z u Id Cd v Zw *I .00 �.i� W w u p rl -H t b! .o0 .� t 2 q 0 W t I 11 3, �•�:i H H ft V :' A • 0 ' w ci lb h V y O y V ♦ � e w 1*a Q M b ` = all N = 70. a O "t is 3ft � i w b h V S 10.1 11 .30'E 97+.10'1 ! "o a y � 10438 •. ! � hhih NI N � g 3 • _ 1 q � v ! q _ v A S Ok • 1 w a °o M o el W o w h ! a w ' 1 N It O h 0 1 eel O W A = q O t A g w O W , t a e y h t � OA• .W Z , OW 167.56 O �pMj N1O•17.10 ,30sow p. �0 b W^ b Dated: April 11, R/N/0 3!` � � 1985 _ - �'_� - T E R t y A w 3!7.73 1 t. , SEMENT w 'n ' 0038'30 E N a ROADWAY E S.AI• to 1N O to w 339 94 R 131 DESC• 111 AsE 9930 Of h 51D•17'ro E IDS Vol. Page__ 4 q p fT!CRp1 X C7Y. t s.0- S— ` UNr A�ED� Certified Survey Fs St. Croix County,�Wis. t ! � sm rLr T / Or 3 [?. Q. L. 6 7 P L OT...A (,, F) �'� 11'� 0 S S 5 E C T N A M E R _._... .�._ _NAME t& A-r-- �► r L 0 C AT-4-0-.-- _�. s� . L I C E 1\1 P L 0 I M A_P --- _ '.., . Nol£ - �X Le`�ri ��r.�•h,,•�r r:OX• / / � I / � • i uto Iow SP�t 1Wes� o� 5•�fc �/ . / -- ---- -7.- / 1 \ �osslet u ,o 7, \ - DL--C� G' yn 1 ��AQ. 1 \ I f. . • i � 10�• I a x Sa �ti r� i ' 3()' __.._____________.____ 30, , r I I i av< �S �•e' i C ( VeKt Re� f't - S�Ir.V�ljcd.j I S Lots C r`) s i des ARe Ulf<n Ajt FRESH All", INLETS AND OBSERVATION PIKE Ci.naS SECTION r ..__.._ .. .......... .....f.� PP A c-ro Vent Cap Minimum 12" Above ,f`i_nal Gra e L 4" Cast Iron Above Pipe\ P � Vent Pipe To Final Grade a, Marsh Iiay Or Synthetic- Coveri.ng Min. 2" Aggreg'a 1 _ }' Over Pipe _�c• `�...,�, • - Tee • • b1.iL-i n I� F— istri o y •Pipe I-- Aggregate _ Per-forated Pipe Below IUD U I3eneath Pi a Coupling Terminating At -om System B t of S . � . _ o I. Q.L. _67 PLOTA 1 1*' 0 SS 5 E C T I 1\1 "1 E PLUM . P ROJEC T N A M N AM E_ C Ar ov _P 1"0 I�L 0 10 N /f- / 2! LIC ENS E C AT bRsa L PLO 0 & Qc, A .ow 0 0 YA I ;z —7 3 0133 71 VRKt 5%-4FVtqojz� A W L4 1 S fWAeK I kv 106,0, Lo ARz VAC t) FRESH KiR INLETSAND OBSERVATION PI-PE CnosS SECTION Approved d Vt Cap — 3 Minimum 12" Above Final Gr L 4" Cast Iron Above Pipe Vent Pipe To Final Grade- Marsh Hay 01 Synthetic Covering Min. .2" Aggreg'olf-I Over Pipe Distribution Tee Pipe 7> li Aggregate Per-Fora ted Pipe Below -minatng At Coupling Tex i 10D Bcncath .l.Bottom of System 403488, - x CERTIFIED SURVEY MAP VERNON ORF Fart of Government Lot 5 of Section 26, Township 30 North, ORange 19 West, Town of St. Joseph, St. Croix County, .Wisconsin. q ca 4+ • • LAURENCE' do� �n W MURPHY o �, 'N •'. 60S ,7 A P P RIYE S, a pVED ��� F9 •. W. J `• �aT �aNO•s�.•••' 02 1985 coup", W Laurence W. Murphy 7405 PN� -r-4 .. �, Registered Land Survey a55 +� �"` CONS ,�� � 0 � J � 1•A CA`,1 4, y J �o hl �+� a Q h c) �° 2 0 '. "C' h r.� a ° W W k 4z, F-1 Q •�SL, z• o . two: N o •3 v t,l 2 y �, _ 4th R 11 y Q ° � o_::I- tit N 1��1 16 8 I vl tu 4, a 1 6• 1 ) J N Qc H H W J I m h `` 6 Q J 0 , 1 3A0 I 41 y y ) Q b y � N y Q � It v� $ R Z cd cd 2 3 .� , 00 ` H H OZ • O Q 1. R I N O DI Q k I m Vt N 972.70 Lu C A S X0.1 x'38',30„E 9�4 10 LU co a R(S10 t of b O 01 m 4f N Q M ri 2 h Q h � p 2 O° I 66, ° y W ^ q er N O I 8 `O M o I As ® m a a (D., W FILE � ~� '° ti 1H 985 y �U15 0 .• " . we G'OO W ' a coodW Zt N I A GP,.. W n h 2 � 'IOW 167.460, �� .. P J Nf0•1%.38'3=W Iry r0 b r� y Dated.: April 11, R(14!o " i X985 r � l - PR� VAYE ,3o„E 31;?"73 00 r y V ROADWAY'C S MMRE pF N 1 p"E 359 .94 Ills 1O Vol. Page 15�1� O 3 -VOLC2' PAcrySCS.M''S s10• L A ��s Certified Survey Ma-s sr•�RO1x _ �— UN� St. Croix County, Wis. 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