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p DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY&BUILDINGS
f LABOR&HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION
P.O.BOX 7969 BUREAU OF PLUMBING
M'i""N".,PSI 53707
SEk,SE!4,S27,T28N—R15W OCONVENTIONAL ❑ALTERNATIVE State Plan I.D.Number:
(lf assigned)
Town of Cady ❑Holding Tank ❑In-Ground Pressure El Mound
NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPECTION DATE:
rville Trealoff Route 2, Spring Valley, WI 54767 �1 ��% - - .
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:
Romaine Bergh 03096 St. Croix 92565
SEPTIC TANK/HOLDING TANK:
MANUFACTURER: LIQUID CAPACITY: TANK INLET ELEV.: TANK OUTLET ELEV.: WARNING LABEL LOCKING COVER
PROVIDED: PROVIDED.
❑YES ONO DYES ONO
BEDDING: VENT DIA.: VENT MAT_ HIGH WATER NUMBER OF ROAD: LINE ERTV WELL: BUILDING: VENT TO FRESH
ALARM: (AIR INLET.
FEET FROM
DYES
-]NO DYES ONO NEAREST
DOSING CHAMBER:
MANUFACTURER: BEDDING: ILIQUIDCAPACITY. PUMP MODEL. PUMP/SIPHON MANUFACTURER. WARNING 7AND LOCKING COVER
PROVIDED PROVIDED:
❑YES ❑NO DYES NO ❑YES ❑NO
GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL: NUMBER OF LRNE ERTV WEL Q�JIING. VENT TO FRESH
(DIFFERENCE BETWEEN FEET FROM 33 INLETPUMP ON AND OFF) ❑YES ❑NO NEAREST SOIL ABSORPTION SYSTEM.Check the soil moisture at the depth of plowing LENGTH DIAMETER MATERIA 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. NO.OF DISTR.PIPE SPACING. COVER INSIDE DIA. *PITS LIQUID
BED/TRENCH TRENCHES: MATERIAL: PIT DEPTH
DIMENSIONS
RAVEL DEPTH FILL DEPTH DISTR.PIPE 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 INLET.
NEAREST--►
MOUND SYSTEM:
Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OFSYSTEM
and furrows thrown upslope: mound systems to make certain that it ON REVERSE SIDE.SHOW ELEVA-
meets the criteria for medium sand. TIONS MEASURED.
OYES ❑NO
SOIL COVER ITEXTURE PERMANENT MARKERS OBSERVATION WELLS
❑YES ❑NO OYES -]NO
DEPTH OVER TRENCH/BED DEPTH OVER TRENCH/BED DEPTH OF TOPSOIL. SODDED SEEDED. MULCHED
CENTER: EDGES: ,
EYES ❑NO DYES ONO ❑YES ONO
PRESSURIZED DISTRIBUTION SYSTEM:
WIDTH: LENGTH. NO.OF LATERAL SPACING. GRAVEL DEPTH BELOW PIPE. FILL DEPTH ABOVE COVER
BED/TRENCH TRENCHES:
DIMENSIONS
MANIFOLD PUMP MANIFOLD DISTR.PIPE MANIFOLD MATERIAL. NO.DISTR. DISTR.PIPE DISTRIBUTION PIPE MATERIAL&MAHKIN(i
ELEV.. ELEV.: DIA.: ELEV.: PIPES DIA.-.
ELEVATION AND
DISTRIBUTION
INFORMATION HOLE SIZE HOLE SPACING: DRILLED CORRECTLY. COVER MATERIAL: VERTICAL LIFT CORRESPONDS TO APPROVED
PLANS.
OYES ❑NO EYES ONO
COMMENTS: PERMANENT MARKERS: OBSERVATION WELLS: NUMBER OF PROPERTY WELL: BUILDING.
FEET FROM LINE:
Lj c OYES ❑NO DYES ONO NEAREST
X 3
Sketch System on ' Retain in county file for audit.
Reverse Side. 1 1 / h''
SIGNATURE: TITLE.
Zoning Administrator
DILHR SBD 6710(R.01/82)
R SANITARY PERMIT APPLICATION COUNTY
LJ DILH In accord with ILHR 83.05 Wis.Adm.Code 0-. 2
STATE SANITARY PERMIT#
—Attach complete plans(to the county copy only)for the system,on paper not less than STATE PLAN I.D.NUMBER
8%x 11 inches in size.
—See reverse side for instructions for completing this application. PETITION
1. APPLICANT INFORMATION—PLEASE PRINT ALL INFORMATION. FOR VARIANCE ❑YES NO
PROPERTY R PROPERTY LOCATION
Llk 1,1 Ile— lzea A I=-(-- e�- %S-Z%, S 2 T,�-'F, N, R 1-5--E-jw)W
PROPERTY JER'S MAILING ADDRESS LOT NUMBER IBLOCKNUMBER SUBDIVISION NAME
CITY,STATE ZIP CODE PHONE NUMBER CITY NE EST RO}1D,L
❑ VILLAGE : • / O
5a TOWN OF*
II. Typp6F BOIL G OR USE SERVED:
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..I�§New b. ❑ Replacement c. ❑ Replacement of d.❑ Reconnection of e.❑Repair of an
System System Septic Tank Only an Existing System Existing System
Y Y
2. ❑ A Sanitary Permit was previously issued. Permit## Date Issued
3. ❑ An Existing System has been inspected and soil conditions meet minimum requirements.
4. ❑ The System is shared by more than one owner/building. Attach Common Ownership Agreement to County Copy.
IV. TYPE OF SYSTEM: (Check only one in##1 and only one in##2)
1. a. Conventional b. ❑Alternative C. ❑ Experimental
2. a. ❑System- b. ❑ Holding c.❑ Pit Privy d. ❑ Vault Privy e. ❑ Mound f. ❑ IGP
In-Fill Tank
V. ABSORPTION SYSTEM INFORMATION: (Check one)
1. a. Seepage Bed b. ❑seepage Trench c. ❑ See a e Pit j
2. PERCOLATION RATE 3. ABSORPTION AREA 4. ABSORPTION AREA 15.SYSTEM ELEVATION 6. WATER SUPPLY:
(Minutes per inch): REQUIRED(Square Feet): PROPOSED(Square Feet): [/
a- 7 Feet I;iPrivate ❑Joint ❑ Public j
VI. TANK CAPACITY Site
in allons Total ##of Prefab. Fiber- Exper.
INFORMATION New xisting Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App
Tanks Tanks strutted
Septic Tank or Holding Tank ��— i ed ❑ El
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.
�Pluum mb s ame(Print): Plu b nature:(No Stamps MPRSW No.: Business Phone Number:
ber's Address Street,City,S e,Zip Code L Name of Designer:
- C/
VIII. SOIL TEST INFORMATION
Certified Soil Te r(CST)Name CST#ID
CST's AD R SS(Street,019,State,Zip Code) Phone Number:
IX. COUNTY/DEPARTMENT USE ONLY
❑ Disapproved Sa itary Permit Fee Groundwater ate Issuin Agent Signature(No Stamps)
Approved IF Given Initial �� S rcharge Fee
Adverse Determination Al Co�� a '' ��� �� `707)
X. COMMENTS EASONS FOR DISAPPROV L:
Plc weo► k(,�eQ.c ! c�s Nelsot\
SBD-6398(formerly Plb-67)(R.03/86) DISTRIBUTION: Original to County,One Copy To:Bureau of Plumbing,Owner,Plumber
INFORMATION & INSTRUCTIONS FOR COMPLETING A SANITARY PERMIT
APPLICATION
TO THE APPLICANT:
1. This sanitary permit is valid for two (2) years;
2. Your sanitary permit may be renewed before the expiration date, and at the time of renewal any new
criteria in the Wisconsin Administrative Code will be applicable;
3. All revisions to this permit must be approved by the permit issuing authority. A new permit may be needed
if there is a change in your building plans, system location, estimated wastewater-flow (number of bed-
rooms, etc.), depth of system, or type of system;
4. Changes in ownership or plumber requires a Sanitary Permit Transfer/Renewal Form (SBD 6399) to be
submitted to the county prior to installation;
5. - Private sewage systems must be properly maintained'. The septic tank(s) should be pumped by a licensed
pumper whenever necessary, usually every 2 to 3 years;
6. If you have questions concerning your private sewage system, contact your local code administrator or the
State of Wisconsin, Bureau of Plumbing, 608-266-3815.
To be complete and accurate this sanitary permit application must include:
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;
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 mains/water service;
streams and lakes; dosing or pumping chambers; distribution boxes; soil absorption systems; replacement
system areas; and the location of the building served; B) horizontal and vertical elevation reference points;
C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump
performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if
required by the county; E) soil test data on a 115 form.
------------------------------------------------------------------------------------------------------------------------------------------------------------
GROUNDWATER SURCHARGE
On May 4, 1984, 1983, Wisconsin Act 410 was signed into law. This legislation is more
commonly known as the groundwater protection law. This change in statutes was the
result of over 2 years of steady negotiation and public debate. The groundwater bill Ground Ater
included the creation of surcharges (fees) for a number of regulated practices which Wiscor in S a
can effect groundwater. The surcharge took effect on July 1, 1984. All of the water that buried reasure
is used in your building is returned to the groundwater through your soil absorption u
system or the disposal site used by your holding tank pumper.
The monies collected through these surcharges are credited to the groundwater fund adminis
XMJ
tered by the Department of Natural Resources. These funcs are used for monitoring ground- t
water, groundwater contamination investigations and establishment of standards. Groundwater,
it's worth protecting.
SBD-6398(R.03/86)
l
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 d r AF'9 o FF
Location of Property SE 14 SF h:, Section a , 7_2�L _N-R Is W
Township C An,i
Mailing Address R f $ ,. �S (,i./(� C,JI -V 7
Address of Site 1sb
W 1/10 W� Svoa�
Subdivision Name
Lot Number
Previous Owner of Property GeO,, e " , ,Cjg (_a A-C
Total Size of Parcel 3 kc-rf-s
Date Parcel Was Created Q e 11 1.05' 3
Are all corners and lot lines identifiable? 61� Yes No
Is this property being developed for resale (spec house) ? Yes t_-� No
Volume 5-0(o and Page Number S'0'7 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 refer-
ences to a Certified Survey Map, the Certified Survey Map shall also be required.
PROPERTY OWNER CERTIFICATION
1 We) eeAti,6y that a t Stdtement6 on this cute true to the best o6 my (oun)
knowledge; that I (we) am (ahe) .the owneA(dfor the pnopenty de cA bed in .thi.6
in6onmati,on 6oAm, by vi tue o6 a waAAanty deed neeonded in the 066.ice o6 the
County Reg.esten o6 Veed6ass Voeument No. 3a000a ; and that I (we) puzentty
own the pnopoded .6i,te bon the .selvage dispaiat Ayb em (on I (we) have obtained an
easement, to nun with the above de, ckibed pnopehty, bon the con.6tnucti.on o6 &aid
4Atem, and the game has been duty tecokded to the 066tce o6 the County Re9.i.6ten o6
Vieda as Vocument No. 3.i 000 ) .
SIGNATURE Olt..OWNER SIGNATURE OF CO-OWNER (IF APPLICABLE)
Tr e�
DATE SIGNED DATE SIGNED
f yy M.C.Mner COrnp�,�
1 i
320002
STATE OF WISCONSIN ST_*CROIX-____COUNTY COURT PROBATE BRANCH
IN THE MATTER OF THE ESTATE OF _ ) FINAL JUDGMENT
deceased. 1
File No.
PETITION for final settlement of this estate having been heard, and the petitioner having appeared in person and
by attorney, and the public administrator of this County xmk _
having appeared.
On all evidence, records and proceedings herein, the Court finds that:
1. The petition came on for hearing upon (notice) (by) all persons entitled
to notice;
2. Notice has been published for determination of the heirs of the decedent;
3. The expenses of administration, funeral, last sickness, and the claims against the estate have been paid; the
certificate of the Department of Revenue is on file and there is no unpaid income tax; the estate (is subject to inher-
itance tax which has been paid)*
4. The decedent died seized of the following real property in joint tenancy with
-Mr .-flack-Kapping__ _-_._-____who survived decedent:
Real Estate located in the County o: St. Croix, State of Wisconsin:
The Southwest Quarter of the Southeast Quarter (SWj6 of SEA) of Section Thirty-Six (36)9
Township Twenty-Eight North (28N), Range Fifteen West (15W).
Real Estate located in the County of Pierce, State of Wisconsin:
The Southeast Quarter of the Northwest Quarter (SE)6 of NVA) and the Northwest Quarter of the
Northeast Quarter (NWK of NEW of Section One (1), Township Twenty-Seven North (27N), Range
Fifteen West (15W)e
Deed creating oint tenancy as to George Trealoff and Mrs. Jack Kapping, as joint
tenants, dated March 13, 1957, and recorded with the Office of Register of Deeds for St.
'Croix County, Wisconsin, on March 21st9 19579 in Volume 336 of Deeds, pages 455 0569
Instrument nos 250080, and recorded with the Office of Register of Deeds for Pierce County,
Wisooagin, on ltaroh 259 19.79 :In Volume 243 of Deeds, page M2, instrument no. 200086.
S. The decedent at the time of death owned personal property in joint tenancy as set forth in the inventory on file.
' 1
bey The net probate income is $ ..M of which $ ""' has been
distributed. (Complete if required by S. 231.40.) REGOTER3 OFFICE
ST.CROIX CO.I.WIC6
I Reed for Record this__3_11t
I
deyof December A.D 19_73
1' 1:00 P,
Reatrter of Deedir
i
I
ii *Strike as appropriate. SODA �� iA;���7 r
HCMnrer Compxry�
320002
STATE OF WISCONSIN ST, CROIX-____-COUNTY COURT PROBATE BRANCH
IN THE MATTER OF THE ESTATE OF ) FINAL JUDGMENT
beceased. 1
File No.
PETITION for final settlement of this estate having been heard, and the petitioner having appeared in person and
by attorney, and the public administrator of this County xxk
having appeared.
On all evidence, records and proceedings herein, the Court finds that:
1. The petition came on for hearing upon (notice) * Yi1G�+ E }03�+XIf +Xl (by) all persons entitled
to notice;
2. Notice has been published for determination of the heirs of the decedent;
3. The expenses of administration, funeral, last sickness, and the claims against the estate have been paid; the
certificate of the Department of Revenue is on file and there is no unpaid income tax; the estate (is subject to inher-
itance tax which has been paid)*
4. The decedent died seized of the following real property in joint tenancy with
___-- -----lrAt._Jack`Kapping_______..___- ____-._--. _- __ _------ ---- -------who survived decedent:
Real Estate located in the County o: St. Croix, State of Wisconsin:
The Southwest Quarter of the Southeast Quarter (SWA of SEA) of Section Thirty-Six (36),
Township Twenty-Eight North (28N), Range Fifteen West (15W)•
Real Estate located in the County of Pierce, State of Wisconsin:
The Southeast Quarter of the Northwest Quarter (SEA of NWA) and the Northwest Quarter of the
Northeast Quarter (NWK of NEpt) of Section One (1), Township Twenty-Seven North (27N), Range
Fifteen West (15W).
Deed creating oint tenancy as to George Trealoff and Mrs. Jadc Kapping, as joint
tenants, dated !larch 18, 1957, and recorded with the Office of Register of Deeds for St.
'Croix County, Wisconsin, on March 21st, 1957, in volume 336 of Deeds, pages 455 056,
instrument no. 250080, and recorded with the Office of Register of Deeds for Pierce County,
Wisconsin, an March 259 1957, in Volume 243 of Deeds, page M. instrument no. 200086.
S. The decedent at the time of death owned personal property in joint tenancy as set forth in the inventory on file.
6.1 The net probate income is $ of which $ " has been
distributed. (Complete if required by S. 231.40.) RE'GMTER3 OFFICE
tT.CROIX CO,WI0.
Reed for Record this-_ 1 1 at
day of D_ ecember AD.19_ 73
1:00 P.
C>.
'
�_ R of Deed
�i *Strike as appropriate. BUDA ��� f'AcE' / t
soox 506 Pn-1503
7•�1. There remains property for distribution as follows;
(A— Real Estate B—Secured Interest in Real Property C—Personal Property
Including Undistributed Net Probate Income)
A. Real Estate located in the County of St. Croix. State of Wisconsin:
1. 'Wyg of $VA. Section 239 Town 289 Range 15
2. Wg of NVA, Section 26, Town 289 Range 1,5
3. SE"A of SE'yb. Section 27• Town 289 Range 15 and
VA of NE} , Section 34, Town 289 Range 15
B. None
C. None
8. That Lottie Trealoff, wife of George Trealoff, died on December 89 1971.
9. That there were no 'liquid assets" for distribution to decedent's grandchildren
as directed in Clause Seventh of decedent's Last Will and Testament.
NOW, THEREFORE, IT IS DETERMINED AND ADJUDGED THAT
Georgo Trealoff. _ died -- testate
on April 8, 1973 __ and the following were the heirs of the decedent:
Franklin Trealoff Son
Orville Trealoff Son
Mrs. Jack 411onnie) Kapping Daughter
Mnrt;nrot Moldonhauer Step Daughter
George Glampe Step Son
G
En
H
9
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ST C - 105 r
9
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SEPTIC TANK MAINTENANCE AGREEMENT 0
St . Croix County z
d
9
OWNER/BUYER ®ry G�e /t '4Ef C.OFr
ROUTE/BOX NUMBER U a Fire Number
CITY/STATE ZIP SY'► (o�
T �
PROPERTY LOCATION : SE 14, S F �4, Sections_, T ;tV N , R /S- W,
Town of—C- Aov , St . Croix County ,
Subdivision , Lot number
Improper use and maintenance of your septic system could result in
its premature failure to handle wastes . Proper maintenance con- I
sists 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 treat-
ment stage in the waste disposal system .
St . Croix . County residents m_ y be eligible to receive a grant for
a maximum of 60% 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 veri-
fying that (1) the on-site wastewater disposal 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 . Ho
F
I/WE, the undersigned, have read the above requirements and agree Ln
to maintain the private sewage disposal system in accordance with H
the standards set forth , herein, as set by the Wisconsin Depart- b
ment 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
DATE J^ Q c 7
St . Croix County Zoning Office
P .O. Box 98
Hammond , WI 54015
715-796-2239 or 715-425-8363
Sign , date and return to above address .
DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY& BUILDINGS
IRATINDUSTRY, CC DIVISION
LABOR HUMAN REDLATIONS PERCOLATION TESTS (11J) MADISON W 53707
(ILHR 83.09(1) & Chapter 145)
LOCATION: SECTION: TOWNSHIP/MtHdt21P?ttiTY: LOT NO.:BLK.NO.: SUBDIVISION NAME:
SE 14 SE l4 27 /T 28 N/R 15 W Cady - - NA
COUNTY: BUYER'S NAME: MAILING ADDRESS:
St. Croix Trealoff RR 2, Spring Valley, WI 54767
USE DATES OBSERVATIONS MADE
NO.BEDRMS.: COMMERCIAL DESCRIPTION: PROFILE DESCRIPTIONS: R ATION TESTS:
[QRe,iclence 3 NA ®New ❑Replace I 5/6/87 5/6/87
N G:S=Site suitable for system U=Site unsuitable for system
ONVENTIONAL: MOUND: IN-GROUND-PRESSURE:SYSTEM-IN-Fl LLHOLDING TANK:RECOMMENDED SYSTEM:(optional)
0 S ❑U S ❑U 1! S ❑U S OX u S X❑u Conventional
If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the
under s. ILHR 83.09(5)(b),indicate: NA I Floodplain,indicate Floodplain elevation: NA
PROFILE DESCRIPTIONS
BORING TOTAL DEPTH TO GR UNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR,TEXTURE,AND DEPTH
NUMBER DEPTH IN. ELEVATION OBSERVED EST. IGHES TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.)
1 43 99.6 No 39 0-23 dk Bn sil grading to Bn sil w occasional SS frags,
B" 7.5YR 5/8 med s / occ inclusion 10YR 8/3 med , 36-39 7.5YR 4/6 f sl, 39-43 10YR 6/3 c w/ ccp R mots
2 38 98.8 No 18 0-12 dk Bn sil gritty w/ occ s, 12-18 10YR 7/3 med s, 18-36 10"R
B- 5/6 si 1 w/ ccp mots 36-38 7. YR 5/8 med s
3 74 97.2 No 72 0-10 dk Bn sl, 10-30 Bn sil grading to Bn is w/ occ SS frags,
B- 30-61 mostly 7.5 R 5/8 med s mix d w/ occ dk Bn sl and w/ 5YR 4/6 iron concretions @ 40-44, 61-72 10YR 6/6 fs,
72-74 10YR 6/3 c w/ CCp R mots
B-4 74 97.2 No 73 0-20 dk Bn sil grading to Bn sl, 20-73 Bn med s w mix of
Bn and It Bn med s & occ SS fro 73-73 G -Bn w —CCp R mots
5 74 97.2 No >74 0-22 dk Bn sl grading to Bn Is, 22-74 mixed Bn med s
6 28 93.4 No >28 0-28 dk Bn sil grading to Bn is w rock @ 28
B- 7 10 93.4 No >10 0-10 dk BN sit w/ rock @ 10
PERCOLATION TESTS
TEST DEPTH WATER IN HOLE TESTTIME DROP IN WATER LEVEL-INCHES RATE MINUTES
NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD 1 PERIOD 2 PERIOD PER INCH
P 4 6 1416 df,3
P 2 6 L3
P- 3 28 No 2 6 3
P-
P-
P-
PLOT PLAN:. Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori-
zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent
of land slope.
SYSTEM ELEVATION 94.9
Pl irr � lah.. ol.
*..Site is n ar..the to of �, eau l nf� n,_old hay field _near the.�unc io�.of4is�rie *U typ*s__( ha,lien�
YP ) the influence =of all three is seen in the profiles but .thelsoils are most%like
- � __ _
Burkhardt} and
mixing'of ivartous' textures and colors with signifigant°vc abil"ity of`profile's
* Due to the variations of. texturis o
bservedaat this site and to the relative finen'esg"of the`med s the-$yytem
must be sized-as�C-Iaps--I,I even though 1€he perk rate is Class--1 j
-*-Install 2 below this contour atlthexc4n ebedr on the m97.2 contour, as the.'centerl i ne- of hte bed.w/_.the,.bed.bottom-,
+
,� ir
* Pump required duo tothe+ estimated ser €ice out elevation of 90.5
-- -
N
* See attacihed ;page 2 for additional profileidescriptions
* See attached page 3 For plot pl -
:
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+
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. (
1
I,the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin
Administrative Code,and that the data recorded and the location of the tests are correct to the best of my knowledge and belief.
NAME(print): TESTS WERE COMPLETED ON:
Henry F. Grote 5/6/87
ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER(optional):
615 Second Ave., Eau Claire, WI 54703 3065 ,839-9496
CST SIG URE:
DISTRIBUTION:Original and one copy to Local Authority,Property Owner and Soil Tester, page 1 of
DILHR-SBD-6395(R. 10/83) —OVER —
DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY& BUILDINGS
INDUSTRY, C DIVISION
LABOR AND PERCOLATION TESTS (115) MADISON WI 53707
HUMAN RELATIONS
(ILHR 83.0911) & Chapter 145)
LOCATION: SECTION: TOWNSHIP/MUNICIPALITY: LOT NO.:BLK.NO.: SUBDIVISION NAME:
y y /T N/R W
COUNTY: OWI S B/YER'S NAME: MAILIN ADDRESS:
6 hv� Trealoff
USE DATES OBSERVATIONS MADE
NO.BEDRMS.: COMMERCIAL DESCRIPTION: IPROFIL DESCRIPTIONS:1PERCOLATI N TESTS:
❑Residence ❑New ❑Replace
RATING:S=Site suitable for system U=Site unsuitable for system
ONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILLHOLDING TANK:RECOMMENDED SYSTEM:(optional)
aS ❑u oS ❑u DS [:]U DS [:]U as au
If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the
under s. ILHR 83.09(5)(b),indicate: Floodplain,indicate Floodplain elevation:
PROFILE DESCRIPTIONS
BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR,TEXTURE, AND DEPTH
NUMBER DEPTH IN, ELEVATION OBSERVED EST. IGHEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.)
B-8 45 93.4 No >45 0-24 dk Bn sil grading to Bn Is, 24-45 mixed Bn s w/ occ
SS frigs, rock 45
9 73 93.2 No 73 0-27 dk Bn sil grading to Bn sl, 27-50 Bn med s, 50-57 dk Bn
B' sl. 5"-70 mostly Bn med s mixed wl It Bn and dk Bn med s & w occ dk Bn sl 70-73 dk bn sil w r rock @ 73
10 74 94.1 No >74 0-20 dk Bn sil grading to Gy-Bn sl and then Gy-Bn Is, 20-74
B- mixed Bn med s some color va iation but no r ck or loamy bands
11 74 95.5 No X74 0-26 dk Bn sil grading to Gy-Bn Is, 26-74 Bn med s w/ several
B- 2-3" hick dk Bn sl bands and c nsiderable color variation in the Bn med s mostly as relatively thick (1-4")
B- bands of R-Bn, dk Bn, & It Bn rrxd s
B
PERCOLATION TESTS
TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES
NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD 1 PERT D PERIOD3 PER INCH
P-
P-
P-
P-
P-
P-
PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori-
zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent
of land slope.
SYSTEM ELEVATION
I
j*fib, B 7, anrll B wi bid.:2' of!e _other; base xock� are n t_.. gdr k but , ,1Qa>ters too la ge o be
hand auggredjup
* Estimated depth to groundwater ireported in all bores is based on 'observed mottling in Leavy, sil or c soils
this is almost certainly transpprtld outwash rraterial;and. has no,rel�ltion to true gi°oubdwater wfi3cfi4is some
40-50' below;gra�tfe--ays--e$timated by- lan seape-position-and,creek flow; some-several -bond eds ,of feet to the east
I '
i
_.__.I..
5 .
_ e
1,the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin
Administrative Code,and that the data recorded and the location of the tests are correct to the best of my knowledge and belief.
NAME(print): TESTS WERE COMPLETED ON:
Henry F. Grote
ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER(optional):
CST SI TURE:
DISTRIBUTION:Original and one copy to Local Authority,Property Owner and Soil Tester.
page 2 of 3
DILHR-SBD-6395(R.10/83) —OVER—
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DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY& BUILDINGS
;INDUSTRY, C DIVISION
LABOR AND PERCOLATION TESTS (115) MADISON WI 53707
HUMAN RELATIONS
(ILHR 83.0911) &Chapter 145)
LOCATION: SECTION: ITOWNSHIP/fb4FifdfSFP>•rttTY: LOT NO.:BLK.NO.: SUBDIVISION NAME:
SE 1/4 SE 1/4 27 /T 28 NCR 15 W Cady - - I NA
COUNTY: /BUYER'S NAME: MAILING ADDRESS:
St. Croix Greg Trealoff RR 2, Spring Valley, WI 54767
USE DATES OBSERVATIONS MADE
NO.BEDRMS.: COMMERCIAL DESCRIPTION: PROFILE DESCRIPTIONS: PERCOLATION TESTS:
QResidence 3 NA New ❑Replace 5/6/87 5/6/87
RATING:S=Site suitable for system U=Site unsuitable for system
CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILLHOLDING TANK:RECOMMENDED SYSTEM:(optional)
0 S []u XD S []U �X S ❑U S ❑X U S QX �I Conventional
required DESIGN RATE:
4 If any portion of the tested area is in the
under s. ILHR 83.09(5)(b),indicate: NA Floodplain,indicate Floodplain elevation: NA
If Percolation Tests are NOT re
PROFILE DESCRIPTIONS
BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR,TEXTURE,AND DEPTH
NUMBER DEPTH IN. ELEVATION OBSERVED EST.HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.)
1 43 99.6 No 39 0-23 dk Bn sil grading to Bn sil w/ occasional SS frags, 23-36
B- 7.5YR 5/8 med s / occ inclusion 10YR 8/3 med , 36-39 7.5YR 4/6 f sl, 39-43 10YR 6/3 c w/ ccp R mots
2 38 98.8 No 18 0-12 dk Bn sil gritty w/ occ s, 12-18 10YR 7/3 med s, 18-36 10"R
B- 5/6 si 1 w/ ccIP3 mots, 36-38 7.5YR 5/8 med s
3 74 97.2 No 72 10-10 dk Bn sl, 10-30 Bn sil grading to Bn is w/ occ SS frag ,
B- 30-61 mostly 7.5 R 5/8 med s mix d w/ occ dk Bn sl and w/ 5YR 4/6 iron concretions @ 40-44, 61-72 10YR 6/6 fs,
72-74 10YR 6/3 c w/ Cc R mots
B- 4 74 97.2 No 73 0-20 dk Bn sil grading to Bn sl, 20-73 Bn med s w mix of
Bn and It Bn med s & occ SS fra 73-73 G -Bn w ccp R mots
5 74 97.2 No >74 0-22 dk Bn sl grading to Bn l s, 22-74 mixed Bn med s
6 28 93.4 No >28 0-28 dk Bn sil grading to Bn is wl rock @ 28
B- 7 10 93.4 No >10 0-10 dk BN sil w/ rock @ 10
PERCOLATION TESTS
TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES
NUMBER INCHES AFTERSWELLING INTERVAL-MIN. PERIOD 1 PERIOD2 PER D PER INCH
P- 1 28 No 1 1 4/16 1 5/16 1 4/16 4 3
P- 2 28 No 2 6 < 3
P <2 6 3
P-
P- 7
P-
PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori-
zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent
of land slope.
SYSTEM ELEVATION 94.9 _
* Sfte is near �thetop_Iof-an ilr�^ ular krall�f an od h]ay .fi�l¢ nerpidhel�nC7�r� 4f threeiilt3� hal n
6 rkhardt'. and A land) the influence .of all three is seen in the rofiles but `the soils are most IIike
Burkhardt', - _typicaloutWasF mi*ingE of ivarrous� texures and withgnSfiant,varlabiity ofpro i1e
4 r.;— _ _ ._.. - _ _ . 1
* Duet the varia ion of tetur s observed at this site and� o the rehalve fin�nes'; oT the rhea s eytefit
must -Oe--sl ze4-as Class-14, e"n-#-heugi the-0e-rk rate i s--Class-4 -
i
3
* Itsta 1 an--a afna el 12'=-x-401--bed en t#e-97-.2- ea tour as; the,-cer}ter ane of. hte�bed;.wl bed boS Qm. ._n.
20 below this contour at the centerline
* t ue to the estimated er4ice ou evation 5
of 90
Pump required d
_ _ -- �. ._ le
E
N
* See attached ;page 2 for addiltional profile descriptions
.. T__ ..
* She attaclhed pago 3 for plot plan
IV
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I,the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin
Administrative Code,and that the data recorded and the location of the tests are correct to the best of my knowledge and belief.
NAME (print): TESTS WERE COMPLETED ON:
Henry F. Grote 5/6/87
ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER(optional):
615 Second Ave., Eau Claire, WI 54703 3065 839-9496
CST SIG URE:
a
DISTRIBUTION:Original and one copy to Local Authority,Property Owner and Soil Tester. page 1 of
DILHRSBD-6395 (R. 10/83) —OVER—
1
t
`3
INSTRUCTIONS TIONS F )R COMPLETING FORM 11 . SI CK - 6335
To be a€soniolete and accurate soil tea t,your report r)')ut t include:
1. Cornplete legal description;
2. The use section must clearly indicate wh ether this is a residence or cornmercial project;
3. MAX IMUM number of bedrooms or corrarnercial use planned;
4. Is this a new or replacement system;
5. Complete the suitability rating boxes. A SITE 13 SUITABLE FOR A HOLDING TANK ONLY IF ALL
OTHER SYSTE%,1S ARE RULED OUT BASED ON ;COIL CONDITIONS;
6. PLEASE ease the abbreviations shoevil Mere for ,, riting profile dLicriptions and completing the plot plan;
7, MAKE A LEGIBLE diagram accurately locating you, test locations. Drawing to scale is preferred. A
separate sheet inay be used if desired;
B. Make snare your he rich rnark and vertical elevation reference point are clearly shown,and are permanent;
9. Complete all appropriate boxes as to dates, names,addi,esses,floor! plain data,percolation test exemp-
tion,if appropriate;
10- if the information (such as flood plain,elevation)does not apply, place N.A.in the appropriate box;
11, Sign the form and place Your current address and your certification number;
12. Make legible copies and distribute as required, ALL SOIL TESTS MUST BE RILED WITH THE
LOCAL A TH013ITY WITHIN 30 DAYS OF COMPLETION.
ABBREVIATIONS FOR CERTIFIED SOIL TESTERS
Soil Separates and Textures Other Symbols
st — Sione (over 10") BR Bedrock
cob Cobble (3- 10") SS Sandstone
gr -- Gravel (under 3") LS Limestone
ws - Sand HGW High GrousIdVVater
cs — Coarse Sand Perc - Percolation Rate
shed s - Medium Sand W - Well
fs Fine Sand Bldg Building
Is L€:aarny Sand > — Greater Than
1`sl - Sandy Loam `y Less Than
"I Loam Bn Brown
sl - Silt Loam BI — Black
si — Sift Gy Gray
�cl Clay Loam y — Yellow
sci — Sandy Clay Loam R - Red
sicl -- Silty Clay Loam snot — Mottles
sc - Sari€:Iy Clay w,t wi th
sic — Silty Clay f f f — few, fin e,faint
Ic Clay cc — conlMon,coarse
pt Peat rnrn Many, Mediurn
ill Muck d — distinct
P ,._._ prominent
1-WL. - High Dater level,
Six general s«ii textures surface water
for liquid .waste disposal BM Bench Mark
VRP Vertical Reference Poirot
TO THE OWNER:
This soil test report is the first step in securing a sanitary permit. The county or the Department may request
verification of this soil test in the field prior to permit issuance. A complete set of plans for the private
sewage system and a permit application must be submitted to the appropriate local authority in order to
obtain a permit. The sanitary permit must be obtained and posted prior to the start of any construction.
t
DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY& BUILDINGS
INDUSTRY, c DIVISION
LABOR AND PERCOLATION TESTS (115) MADISON WI 53707
HUMAN RELATIONS
M (ILHR 83.09(1) &Chapter 145)
LOCATION: SECTION: TOWNSHIP/MUNICIPALITY: LOT NO.:BLK.NO.: SUBDIVISION NAME:
1/ 1/ /T N/R W
COUNTY: OWNER'S/BUYER'S NAME: MAILING ADDRESS:
Greg Trealoff
USE DATES OBSERVATIONS MADE
NO.BEDRMS.: COMMERCIAL DESCRIPTION: I PPOFILE DESCRIPTIONS: PER OLATION TESTS:
I ❑Residence ❑New ❑Replace Il
RATING:S=Site suitable for system U=Site unsuitable for system
ONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FILL HOLDING TANK:RECOMMENDED SYSTEM:(optional)
EIS ❑u ❑s ❑u EIS ❑u ❑s ❑u ❑s ❑u
If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the
under s. ILHR 83.09(5)(b),indicate: Floodplain,indicate Floodplain elevation:
PROFILE DESCRIPTIONS
BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR,TEXTURE,AND DEPTH
NUMBER DEPTH IN, ELEVATION OBSERVED EST.HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.)
B 8 45 93.4 No >45 0-24 dk Bn sil grading to Bn Is, 24-45 mixed Bn s w/ occ
SS frlqs. rock Cc 45
9 73 93.2 No 73 0-27 dk Bn sil grading to Bn sl, 27-50 Bn med s, 50-57 dk Bn
B- sl 57-70 mostly Bn med s mixed w/ It Bn and dk Bn med s & w occ dk Bn sl 70-73 dk bn sil w/ gr. rock @ 73
10 74 94.1 No >74 0-20 dk Bn sil grading to Gy-Bn sl and then Gy-Bn Is, 20-74
B- mixed Bn med s some color va iation but no r ck or loamy bands
11 74 95.5 No >74 0-26 dk Bn sil grading to Gy-Bn Is, 26-74 Bn med s w/ several
B- 2-3" thick dk Bn sl bands and c nsiderable colo variation in the Bn med s mostly as relatively thick (1-4")
B-
bands of R-Bn, dk Bn, & It Bn m d s
B-
PERCOLATION TESTS
TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES
NUMBER INCHES AFTER SWELLING INTERVAL-MIN. PERIOD 1 PERIOD 2 PERIOD 3 PER INCH
P-
P-
P-
P-
P-
P-
PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori-
zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent
of land slope.
SYSTEM ELEVATION
. q ._._ .
thi ri 21 of-'ea _ether=_t.h0s�_rQck _at e..not. b d.T oak but l oa ers� tod l a ge moo_ e .
Ettirriate�rdepth to rouridwater reported 1n,al'( bones i � - ,
go _
3 —
* � I � s based on `observed mottling ,n n heavy, s1� ow c poi 1�
is is Elmo t c rtairil transported outwagh materlaL and has no •relation to true g, some
y roundwaieer whic
40-50tb elowgrade rst mated byladseae po-saon -and°cree k- owl some seve > -biandds-af ..eet-ta. theyeas#
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3
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I,the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in the Wisconsin
Administrative Code,and that the data recorded and the location of the tests are correct to the best of my knowledge and belief.
NAME(print): TESTS WERE COMPLETED ON:
Henry F. Grote
ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER(optional):
CST SI TURE:
DISTRIBUTION: Original and one copy to Local Authority,Property Owner and Soil Tester.
page 2 of 3
DILHR-SBD-6395(R. 10/83) —OVER—
` r
INSTRUCTIONS FOR COMPLETING FORM 115 - SRC - 6595
To be a complete and accurate soil test,your retort must inclur e:
1. Complete legal description;
2. The use section must cle=arly indicate whether this is a residence or commercial ps'oject;
3. MAXIMUM number,of bedrooms or commercia€ use planned;
4, Is this a nevJ or replacement system;
6� Complete the suitability rating boxes. A SITE IS SUITABLE FOR A HOLDING TANK ONLY IF ALL
OTHER SYSTEMS ARE RULED OUT BASED ON SOIL CONDITIONS;
6, PLEASE use the abbreviations shown here*for writing profile descriptions and completing the plot plan;
7, SAKE A LEGIBLE diagram accurately locating your test locations. Drawing to scale is preferred. A
separate sheet naay be used if desired;
8. Make sore your benchmark and vertical elevation reference point are clearly shown,and are permanent;
B, Complete all appropriates boxes as to dates, names,addresses,flood plain data, percolation test exemp-
tion, if appropriate;
10, If the information: (such as flood plain,elevation)aloes not apply, plane N.A. in the appropriate box;
11. Sign the form and Place your current address and your certification number;
12. Make legible copies and distribute as required. ALL SOIL TESTS MUST BE FILED WITH THE
LOCAL AUTHORITY WITHIN 30 DAYS OF COMPLETION.
ABBREVIATIONS FOR CERTIFIED SOIL TESTERS
Soil Separates and Textures Other Symbols
st -- Stone (over 10") BR — Bedrock
cob — Cobble (3- 10") SS Sandstone
gr -- Gravel (under 3") LS — Limestone
°s - Sand HGW High Grounduvater
nas — Coarse Sand Pere — Percolation Hate
med s - Medium Sand W -- Well
rs — Fine Sand Bldg --- Building
Is - Loamy Sand > — Greater Than
'sl - Sandy Loarn < Less Than
"I — Loam Bn Brown
"s;l Silt Loam 131 — Black
Silt Gy Gray
*cl Clay Loam Y — Yellow
scl — Sanely Clay Loam R Reif
sicl - Silty Clay Loam root -- Mottles
sc — Sanely Clay w- - with
sic; Silty Clay fff — few,fine, faint
*c -.... Clay cc - cornmon, coarse
pt — Peat mm Many, medium
rn Muck d — distinct
p -._ prominent
HW L - High water level,
Six general soil texture's surface water
for liquid waste disposal B(a='I — Bench mark
VRP .- Vertical Reference Point
TO THE OWNER:
This soil test report is the first step in securing a sanitary permit.The county or the Department may request
verification of this soil test in the field prior to permit issuance. A complete set of plans for the private
sewage system and a permit application must be submitted to the appropriate local authority in order to
obtain a permit. The sanitary permit must be obtained and posted prior to the start of any construction.
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PUMP CHAMBER CROSS SECTION AND SPECIFICATIONS
Vent Cap (Approved Locking
Weather Proof Junction Box Manhole Cover
4" C. I . 12" Min
Vent Pipe
Final ' 4" Min
Grade '
",
TT_ Conduit 18 Min
18" Min
1'
it Approved
Inlet Joints w/
C .I . Pipe
/ i Extending
Approved
3 ' Onto
Joint w/ Solid Ground
C . I . Pipe
Extending ��� A
3 ' Onto Alarm
Solid
Ground B
On
C
Pump I Off
Concrete Block D
SPECIFICATIONS
.d
TANK PUMP—
Manufacturer :— � � �C9IManuf ac turer :
Tank Material : C 0 17' Model Number : 7 F77773
Tank Size : Gallons Switch Type �jercuL/
—� Total Dynamic Head : 7 A 47 FT
CAPACITIES Pump Discharge Rate : GPM
Total Daily Effluent : t�i.s Gallons
A . " or S� Gallons Number of Doses : Per Day
B . _ or j—2, f— Gallons Dose Volume: Gallons
C a or 1.2,j— Gallons Notes : 1 . See pump curve for
D . !' or Gallons additional performance
Total Tank information . _
Capacity Required � D b Gallons 2. Pump and alarm are to-. be
installed on separate circuits
ALARM as per ILHR 16 . 19: WWAC .
Manufacturer :_.S �ec /``� SIGNED: /
Model Number : LICFNSF. NUMBER: g f
Switch Type DATE: 61- 2 A, ~7
i
• • • • . 1 RPM
■■■■■■■■■■■■■\ ■■■■■■■■■■■■■■■■■■■■■■■■
■■■■■■■■■■■■■■► ■■■■■■■■■■■■■■■■■■■■■■■
■■■■■■■■■■■■■■■\ ■■■■■■■■■■■■■■■■■■■■■■■
■■■■■■■■■■■■■■■■\■■�■■■■■■■■■■■■■■■■■■■■
.......■.._......■.�.■.., ■■■■■■■■
■■■■■■■■■■ ■■■■■■■■ ■■0■ . .■■.....
...................■.... . .■■■■■■■
........................................
MODEL: .
� P
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NOTE:CASTING DIM. MAY VA13Y t ve
Parcel #: 004-1065-30-100 09i18i2006 11:08 AM
PAGE 1 OF 1
Alt. Parcel#: 27.28.1.433B-10 004-TOWN OF CADY
Current I_XJ
ST.CROIX COUNTY,WISCONSIN
Creation Date Historical Date Map# Sales Area Application# Permit# Permit Type
00 0
Tax Address: Owner(s): O=Current Owner, C=Current Co-Owner
0-TREALOFF, GREGORY S
GREGORY S TREALOFF
124 310TH ST
WILSON WI 54027
Districts: SC=School SP=Special Property Address(es): '=Primary
Type Dist# Description * 124 310TH ST
SC 5586 SPRING VALLEY
SP 0100 CHIP VALLEY VOTECH
Legal Description: Acres: 2.110 Plat: N/A-NOT AVAILABLE
SEC 27 T28N R15W PT SE SE BEING LOT 1 OF Block/Condo Bldg:
CSM 9/2406 2.11 ACRES
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
27-28N-15W
Notes: Parcel History:
Date Doc# Vol/Page Type
07/23/1997 932/556
07/23/1997 9201357
2006 SUMMARY Bill#: Fair Market Value: Assessed with:
0
Valuations: Last Changed: 09/07/2005
Description Class Acres Land Improve Total State Reason
OTHER G7 2.110 24,700 264,400 289,100 NO
Totals for 2006:
General Property 2.110 24,700 264,400 289,100
Woodland 0.000 0 0
Totals for 2005:
General Property 2.110 24,700 264,400 289,100
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: 04/17/2001 Batch#: 511
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
Parcel #: 004-1065-30-000 09/18/2006 11:09 AM
PAGE 1 OF 1
Alt. Parcel#: 27.28.15.433A 004-TOWN OF CADY
Current IXj ST. CROIX COUNTY,WISCONSIN
Creation Date Historical Date Map# Sales Area Application# Permit# Permit Type
00 0
Tax Address: Owner(s): O=Current Owner, C=Current Co-Owner
O-TREALOFF, ORVILLE&VELTA
ORVILLE&VELTA TREALOFF
3093 HWY 29
SPRING VALLEY WI 54767
Districts: SC=School SP=Special Property Address(es): *=Primary
Type Dist# Description
SC 5586 SPRING VALLEY
SP 0100 CHIP VALLEY VOTECH
Legal Description: Acres: 33.310 Plat: N/A-NOT AVAILABLE
SEC 27 T28N R1 5W PT SE SE EXC PT TO Block/Condo Bldg:
STATE&EXC PT TO CSM 9/2406
EZ-U-1529/594 Tract(s): (Sec-Twn-Rng 401/4 1601/4)
27-28N-15W SE SE
Notes: Parcel History:
Date Doc# Vol/Page Type
07/23/1997 1180/542 QC
07/23/1997 1180/533 TI
07/23/1997 543/303
2006 SUMMARY Bill#: Fair Market Value: Assessed with:
Use Value Assessment
Valuations: Last Changed: 04/18/2006
Description Class Acres Land Improve Total State Reason
AGRICULTURAL G4 19.310 2,500 0 2,500 NO
UNDEVELOPED G5 1.000 100 0 100 NO
AGRICULTURAL FOREST G5M 12.000 18,000 0 18,000 NO
OTHER G7 1.000 6,000 5,300 11,300 NO
Totals for 2006:
General Property 33.310 26,600 5,300 31,900
Woodland 0.000 0 0
Totals for 2005:
General Property 33.310 26,400 5,300 31,700
Woodland 0.000 0 0
Lottery Credit: Claim Count: 0 Certification Date: 04117/2001 Batch M PRGRM
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
yw//
474070
C E R T I F I E D SURVEY M A P
LOCATED IN THE SEI /4 OF THE SE 1/4 OF SECTION 27 , T28N , R15W , TOWN OF CADY,
j ST. CROIX COUNTY , WISCONSIN,
OWNED BY : ORVILLE TREALOFF
C/O GREG TREAL'OFF
t BOX 97A
\v' NOTE: BEARINGS ARE REFERENCED WILSON , WI . 54027 li
70 THE EAST LINE OF THE SE 1/4. "
( BASED ON S•T.H. "29" R.O.W. PLAT, EI/4 CORNER SECTION 27,
728N, RIOW. fl"X24 " IRON_
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SE CORNER SECTION 27,
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91 - 114 THIS INSTRUMENT DRAFTED BY yy'm?__:.__„_
VOLUME 9 PAGE 2406