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HomeMy WebLinkAbout020-1376-29-000rC c c ~ ~~, c M ~~' c N N b N •~ N .~ •~ O C O R W L~~ ca C ~:C J II. O Z L C 7 LL V\ '' ~ O _rn ~ I ~ i Z ;.; y E 0 ~ Z FN- ~ ~ z i, ~~ `m Q 0 ~ a~i OJ C ~ .O O O Z d' c ~ ~ c- o d Z ~ U fn I- r- m p_ C ~p -o U a~ L N _Q) ~. ~ S ~ O d i ' z° ~ z ~~__ ~.. .. N O W w c15 '. ~ i ~ d ~ ~ r w N d ~ ' ~ LO ~ a` (n N ~~ 'O ' ~ a a a a g ,, J ~ o v~ I fn J U ~', y P 0 ~ N N I ~ ~ ti O r N ~ '~. 0^D rO ~O ' a~ v c ~ i c~ v -~ m :°. I'i oo `o j' 0 ~ c of rn 3 ',' 'o N N O L O f- I _U h O C ~, ~ r ~ O ~ O N ~ O O ~ o O ~- 2 I~ M O A ~ d ~ n. ' ~ a U C C i 7 .~. v a ~ '; O rn ~ ~ °o 0 O ~ Q~ G 0 ~ N ~ .L N rC C 3 a `O (~ L m._ o-oLU E 'O w L N N ~, (0 Q L N~ O L L _ O ~ Y "O ~ U ~ ~ O N ~ ~ N to ~.~L Q70~ ~t6~E~'°-'3 ~~~~-~ a L O~ N y N N ~ ~ (/) ,^w .O U (V L ~ ~ N N > ~ dS C N Y N ~ O N ~ N ~6 rn I N L N [Q 7 C N T C to ~,~j OU .O , V Z ~ 'O O m O C~ ~ N ~ C ~ O C y U L (Q ._ U~ N O w N O L "O -- > C C L O U Q m N N U~ L ON O m c C O ~_ a a w ~ ~ N (n ~ ~ U ~ C ~ '~ ~ ao ~' o '~ ~ O. U m 3w L N o z> N Y ~ E O O L a cn a~ 7 . O Z O ~ O m Q n 0 0, U C N U ~ C ~ O C C ~ C - O ~ C_ Cn N > c ~ ~ Y ~ O U N o - N O Z O a CO ~ Q ~ O a o O ~ 0 0 ~ O O -O N N N ~ r 7 N ~ ~ ~ .- N r L U ?r ~ f YIJVVIIJIII /V~I4I YII.1 ~• VI VVI111I I~.Iw Division of Safety and Buildings rayo / v1 in arxoraance wrm ~.omm aa, vvis. r+arn. ~,cxie County ' Plan must 11 in in size 81/2 h t l th A h l ite l ' an x es . an on paper no ess c comp ete s p ttac include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel LD. ZG ~- f 3 percent slope, scale ordimensions, north arrow, and location and distance to nearest road. v. Please print all information. R by Date Personal information you provide may be used for sewndary purposes (Privacy Law, s. 15.04 (1) (mp. z Property Owner Property Location Govt Lot S (.J 1/4.$W 1/4 S /~ T ZR N R ~ q E (or Property Owner's Mailing Address Lot # Biodc # Subd. Name or CSM# 3 k T. 2 i~ec Cily State Zip Code Phone Number [] City ^ Vllage (Town Nearest Road ~-1 d ~ ya ( ) - ~ j~ New Construction Use: L~ Residential J Number of bedrooms _, f~_ Code derived design fl GPD ^ Replacement ^ Public or commercial -Describe: ~~',' ~-' ~ ~' Parent material [jU-F(,~.rQ. S' (~ Fbod Plain elevation if Rlic~tile - R ft General comments S~5{~ m e l e V~ ~ P ~.3. /D Ga'w e ~'' 9Z . ( _ ' ! t :; and recommendations: ~ GPI e (~ v- ~ p ~~. Q~ `,Q w e r,. ~q O ~."; ~,~ ~ 1 .. y __..; 7 ~- _ ~~,, z~cat,Nry ~- a Bonn # ^ Boring ~ / ;.,• "~ g ~ Pit Ground surface elev. ~~ ~0 ft. Depth to limiting factor Y ~9i; ,._; c~ Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP DNf in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. *Eft#1 *Eff#2 / 1 `' 2 .~ / ~'_". ~ ." 1.2 a ring # ^ Boring _ ® pit Ground surface elev. ~ft Depth to limiting factor r'2. in. Soil Gcation Rate Horizon Depth Dominant Cobr Redox Description Texture Structure Consistence Boundary Roots GP D/fi? in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. *Eff#1 *Eff#2 ' lp r '---' ' / 2 rn~r c 1 v-~ ~ ~ t2-2$ ~o I ~-- 2 ~ ~ 5 -- ' S ~ • ~ g ' Effluent #1 = BOD > 30 < 220 mglL and TSS >30 < 150 mg/L " Emuent tF1= tau < ~ fir. ana i a~ _ 3u mgrs CS7 Name (Please Print) gnature ~ CST Number c-Q a '~. S c_ lit ~ ' v~ ~:~ ~ /~-- -~-~~ 2 `- G~ A~~ Date Evaluation Conducired Telephone Number Property Owner s7UV 't- Parcel ID # ~G~. ~ Q Page ~ of _3 Boring # ~ Boring ~ pit Ground surface elev. ~~ ft. Depth to limiting factor ' ~ ~ in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP DIff in. Munsell Qu. Sz. Cont Cobr Gr. Sz. Sh. 'Etf#1 'Eff#2 ~ - 0~2o z ---. '1 2 +~ cs 1 v~ . 5 .8 Z --- Sr I 2mcc~C ~ i cs `- . 5 . $ ~ 3 /Q 5/ C 2 ~. si l >r~~ i ~w - . 5 . 8 ~ y l-I !0 rat d ~ -' • 7~ 1,~ ^ Boring # ^ Boring ^ pit Ground surface elev. ft. Depth to limiting factor in. Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roofs GP D/fF in. Munsell Qu. Sz. Cont. Cobr Gr. Sz. Sh. *Eff#1 `Eff#2 ^ Boring # ^ Boring ^ Pit Ground surface elev. ft. Depth to limiting factor in. Soil ligtion Rate Horizon Depth Dominant Cobr Redox Description Texture Structure Consistence Boundary Roots GP D/ffl? in. Munsell t'2u. Sz. Cont Cobr Gr. Sz. Sh. 'Eff#1 "'Eff#2 ' Effluent #1 = BODS > 30 < 220 mglL and TSS >30 < 150 mgJL ` Effluent #2 = BODS < 30 mglL and TSS < 30 mgll "The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777. SBD-8330 (R.07/00) f ~ PAGE~OF 3 NAME 57Z?cJ-~-- LOT# Z~{LEGALDESCRIPTIONSw 1~4..7~~~4,SlYTZa,N,R(gE(or)Ul1~ SCALE: I "_ ~ O ` BM 1 ELEVATION ~QO.O BM I DESCRIPTION BM 2 ELEVATION 9 ~, 3 ~ SCG. 1 cr BM 2 DESCRIPTION ? ~ SYSTEM ELEVATION ~P 9,~. /U Ga w e r ~Z (9 0 _ + _ ALTERNATE ELEVATION ~fc P9t~,a0 Gower ~ 9. L o !•IIATTIIT TD T17 R V A TTlIT~T O C'~ nn /I/_ icn~ 3 0~ r O SIGNATURE n~~~ - , / ~~~ ~~ - ~ DATE %! _ " r , a.Nman . . .. u, w,w Division of Safgt~ and Buildings rage / v~ rn accoraance w~ wrnm aa, vvis. f+am. was County Plan must er not less than 81/2 x 11 inches in size m l on Att h l t it . p an pap ac co e e s e p inducts, but not limited to: vertical and hor¢ontal reference point (BM), direction and paw l,p. percent slope, scale or dimensions, north arrow, and bcation and distance to nearest road. Please print all ittfort»ation. Reviewed by Date Personal information you provide may be used for secondary purposes (Privacy law, s. 15.04 (1) (m)). Properly Owner ~ Property Location Govt. lot 5 (~J 114.sW 1/4 S /~( T ZR N R ~ q E (or Property Owners Mailing Address Lot # Bbdc # Subd. Name or CSM!/ 3 k T. Z u~ec City State Zip Code Phone Number ^ City ^ Village ®Town Nearest Road ~ New Construction Use: ~ Residential / Number of bedrooms ~_ Code derived design flow~Fa~ ~ "~I.~L ~ GPD ^ Replacement ^ Public or oommerdal -Describe: ~^'\`~ ~ ~ ~~- ~' ,= -~ ~ ft Parent material ~Ju-Et~J2 S ~ Fbod Plain elevation if I~rc~ble General comments ~Sysfe ~n e /e V~ ~ P 93. /D ~W z r'' `TZ . (~ = ! ~, !: C °, j and recommendations: ~~~ ~' __~ ~G~, '-(eV-~teP QD,o~ y-.awer' 89: O~_~ ~ y a Borin # ^ Boring c~j~-_~, "~ g ® pit Ground surface elev. 9~ /~ ft. Depth to limiting factor ~~.; 1 Soil lication Rate Horizon Depth Dominant Cobr Redox Description Texturrr Structure Consistence Boundary Roots GP D/f~ in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. *Eff#1 'Eff#2 t JD `-' 2 ~ Z r `-' S 2 ~ - • 5 `~ m 1 _ /.2 t '~ I Borinsr # ~ Boring ~~e ~ ~" I - ~J pit Ground surface elev. y f Co U ft. Depth to limiting factor ~ ~. n in. Soil 1"ication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/fF in. Munsell Qu. Sz. Cont Cobr Gr. Sz. Sh. 'Eff#1 'Etf#2 1 ~0 Ir ~--- ' / 2 ~ mfr c. Ivy . Z 12-28 !0 / ~-- 2 i c- S -- • 5 •9 ' Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 1 50 mg/L ' Effluent #2 = BOD < 30 mg/L and TSS < 30 mglL CST Name (Please Print) II ~gnature CST Number GP of v~ ~ c lit ~ v.~ ~~ f~. , / "E ~~----r ~C _ ~_ _ ~ ~ GC( Adder Date Evaluation Conducted ` Tele\phone N~u7mber Property Owner 57i7~ ~"" Parcel ID # ~G~, ~ Q Page ~~~ Bonng # ^ ~~ pit Ground surface elev. gy ~ o ft. Depth to limiting factor !~. in. Soil ication Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/ft= in. Munsell Qu. Sz. Coat Color Gr. Sz. Sh. "Eff#1 'Eff#2 1 d-Zo Z .-~ •i 2 bk mfr cs 1 v~ • 5 . S 3 y I lQ 5/ C 2 ~. 5i l Ih~ i ~w . 5 .$ Bonng # ^ ~~ ^ pit Ground surface elev. ft. Depth to ('uniting factor in. ~~ lication Ram Horizon Depth Dominant Cobr Redox Descxiptbn Texiur+e Structure Consistence Boundary Roots GP D/iF in. Munsell Qu. Sz. CoM. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 a ^ Pit Ground surface elev. ft Depth to limiting factor in. ~~# ° ~~ Soil licatbn Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GP D/fP in. Munsell Du. Sz. Cont Cobr Gr. Sz Sh. 'Eff#1 'Eff#2 • Effluent #1 = GODS > 30 < 220 mglL and TSS >30 < 150 mg/L ' Effluent #2 =GODS < 30 mglL and TSS _< 30 mglL The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608-266-3151 or. TTY 608-264-8777. sso-aaw (x.o~roo~ N FT~I]Iy Sc~~~umak~r F'tunt~~ir,~,~ F.A`t !~. 715~E3121 Jui. c' r''@Q1 86:36~M P1 r'ACiF,, ..,~ .C1F ..~ xA~~ ~ -. ~. ~.o~- ~a ~~a~.,~~„(t, ~~'tt»wsw v,~,,~o~ ~r~,virzj~ ~e.~L..,~..,,~ ErM 1 ~~3YA17QN fQd'd~,..,....,_.....,.~_...,..... 8M t DL~St'.R1I~TtUti„, 8M ~« FrLEVA'i'It:~l~_ .4.,(~...+~Ad.~..------ SYSTE11d8~GEV/A~'tt?N~-~~ ~P .J~ ~r++w~• ~~?lad AL7r~RNATE fiI.6YA'1'lOh~ao ~ w a ~ g 9 Od ~ Q~ c ' I ~CG• ~~ r ,. ~- -~ >A GQ>yTiOr.IR EL,EV1-'TT07~i, ~„ ~; . t~v ~ - - . ~- $' $•'~ ^ ~~ ~~`~ ~ ~ ~ ~Y. '` ~,. . - ~- ~~., ``~._~..---w tid WHba:LO t@@Z LZ °int 'ON Xb~ WO~i~ ~ f, ' PAGE_~OF 3 NAME S ~ J ~- LOT# Z~f LEGAL DESCRIPTION Sw '/sw'/.,S l y TZ~(,N,R ~ q E (or)~ SCALE: 1 "_ ~/ O ~ BM 1 ELEVATION /QO.O BM I DESCRIPTION BM 2 ELEVATION 9 ~ , 3 •~ Sc c . ~ c{ BM 2 DESCRIPTION ! it SYSTEM ELEVATION ~p y3. /O Ga w ~ r ~Z (fl U _ + _ ALTERNATE ELEVATION ~o p9l~.OO 4o w e r' ~ ~ ~ ~ ~nwrrnrro cr ~~~~mrni.r OL^..r. ~i .~~. 3 0 7 ~o ~ DATE ~ _ ~~< ~ - SIGNATURE ~ "~ a l /* M/iscons-;:-~ Department of Commerce PRIVATE SEWAGE SYSTEM Safety and Buildings Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Personal information you provice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)1. Permit Holder's Name: Stout, Richard ^ City ^ Village ^ T n of: Hudson AI ownship CST BMElev.:- Insp. BM Elev.: BM Description: TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic L~ D Aerati Holding TANK SETBACK INFORMATION TANK TO P/ L WELL BLDG. Vent to Airlntake ROAD Septic 7 y / ~( ' ZS-~ NA NA Aer A Holding PUMP /SIPHON INFORMATION `J Ma turer Demand Model Num G T Lift Friction tem TDH t L Forcemain Length Dia. Dist. To well ELEVATION DATA County: St. Croix Sanitary3P~arSix JVO.: State Plan IDSSN44oj.: Parcel Tax No.: 020-1376-29-000 STATION BS HI FS ELEV. Benchmark ~, o o lb Alt. BM 3: D ~~ 6 Bldg. Sewer 3" SZ" ~/ Ht Inlet Z ~/ Ht Outlet '~ r Header /Man. `?,3 Dist. Pipe a.za Bot. System ~ 4 -ba Final Grade x y 3" ~ S St cover x ~ .~3 02.(v Ado 9~-(04 ,c31 ~ q~. ~ .~C SOIL ABSORPTION SYSTEM ZL c~__ L_.. ~ ~a ~°~ BED / T Width ~ Length ~ No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIM N 3 .S~ Z DIMEN I SYSTEM TO P/ L BLDG WELL LAKE /STREAM LE HI Manuf tt ~ er: SETBACK , INFORMATION TypeO ~ ~- ~ ,~, , SS ~ >/~ ~-~ HA IT Number: Moe S System: ~ _. DISTRIBUTION SYSTEM .. .~..._,1 Header /Manifold Distribution Pipe(s) ~ x Hole Size x Hole Spacing Vent To Air Intake Length ~ Dia. ~ ~ Length(}~~ Dia. ~ Spacing ~C SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over Depth Over xx Depth Of xx Seeded /Sodded xx Mulched Bed /Trench Center Bed /Trench Edges Topsoil ^ Yes ^ No ^ Yes ^ No COMMENTS: (Include code discrepancies, persons present, etc.) Inspection #1: ~ /2 ~/y ( Inspection #2: / / Location: 879 Fraser Lane, Hudson, VVI 54016 (NW 1/4 SW,1/4 14 T29N R19W) - 1429192290 Sweet Grass Farm -Lot 29 1.) Alt BM Description =~ a ~' ~,rd~.o,.` `l~,r¢w Sei ( ftS~ was ~wc , h~eG~ ~'W ~ S~orti 2.) Bldg sewer length = StP dra ~v',r..~ ek ~ar.~ I~ I'~eF p IaM. ~l ~`-s0 ` // -amount of cover P/,/ wy/,~~, ~~,p ~j ~o~l ~~~ ~ ~~. 3-J 6loservafi+.- v~S rh5t~al~~ S'.~ So.~ its ~ l~tGl Q/~t iK~ -~ CST ~o u~.e~c el~`>LN ~1 Y~ c~..v,,,./x~ -~.,~,,~ e~ e~ ~~Sys{~ wad rr.s,~~l~~ ~3~-G~~~ ~~~iw ate; ~~ Plan revision required? Yes ^ No ~r~ Use other side for addition information. SBD-6710 (R.3/97) Date \ - Inspector's Signature / N . ~') ~01~d t~ CAr..y ~r ~ SQt`I S~ SYS~~.~ ADDITIONAL COMMENTS AND SKETCH c m ~,~ . ~ _...., Q + z ...-:.... -a~ SANITARY PERMIT NUMBER: g ~ e,~ Z. ''~js~consfn Oepart~ent at Connn-eree ~"""-"~ Attach cot ~VD~, Sanitan Permit Appttcstttan lr. sccard ~r.t~ Comrl 83 ? l 1~ :s .AOm Coax 1~cauor Scc rt~'CtSO sick fur ins~•;cs~ar.s for compieun~ sh+s aAP Persona! ;nfurrnaiior. yon provide may be used for racencan purposer jPri~acy Ltw~.s, tS.aa41)t~ntl ri lete (anS to thr punt - co ~ only or the s~~s.sm. o~ oer nQ?~,la.,{SS~t~~„ i _. .- .~ _ ___~. .~... ~t..rY.w }I!'{l' 1 rQVIJ11Cn tQ pm' 04i ~~~GGiGtl'cl ~l~o~-~ ~i a ~3 5,3 ~Q7`u yew ~ Pltane Num r rate !p ode , , r, rr, S ~ tI Type of Hstildltt~,; tekeek one) ,y ,, O 1 or ~ Faa+i{y OwellinS - No, of Sadrooms:~ / `` . ~ Q pub}idCaemeroiel (describe use}: -„ ; ~. T Ste ~ t nj ?~ o ~ttti { eck only orte box on irte A, Check box or. line 8~ spill caz rax ~1 3. Q Replacernenc 3, O gepl>uetneat o ~ -~~, z 'o A) 1. sY~ Tan t m , ~ ~, (~ Typs of POW"i' 8yetpttt (Cheek ell. that spplY} a 3 r K t 3 ~ •'S '-+ O Vlaund ~ Pt~waut'i~ttt P+o as~d o~ Seer`-E°"~- r"'#~-• C HoldinS 7ttsk ~ O Aarobie Treatstfeat Unit a iE~I~ ~~' ~a g.o<< W~d~r C m68ys P ltif tiont at Appttcena ow ail Ares Raquind Proposed Rate (Gtl-Jdty/si yao ~a ~~ ~a 9o r ~a~k a~tty in oral e o Manufts ~~~„ +... a t3altona Tanks •..wlwn sePr'~ i ~ tnaa tr«t D?~-_SG a Saftty !ie kiuHdtn~ U'vtseor ?,01 y, Washington Arc PO $c,x '734: Mladisgn. WI S3'~r1.73C" t5ubmit contple:ed form to cou~tty if r g~isio~ a or SM umtx. ~, SW ee~ rdS~ ~tiY e .. for a ~i ~' Ct ~~ Raul ax urn errs} ;~' ~ 1 ~l . `'G 5 ~k i~ 0 D ~ ~atod Wetiutd D Reeiroul .~ dh y v r'.,. ~~ t'ssr.v-..uw..... lt.} iMinJltrs?t} ~~ trey PrafliJa Corl• ~ crate Od0 ~ ~ I f1~.'D~rr~Qs fe yd ~-i~~ y~ i~ 4 ~~~~`~ ~ .._.. ~__.____ -.----- ~ Ele~etaan ~8 ~ ~D , g3. ~~ Site tea lber- loatic Gon• iil~ struoted ~ ~S ~-3~'~~ ar ,,,~~v..a 1~..Approved O Owner Glvett lttltiei Advtt3e $~~~~ ~o - I6 -Z,eco irtati n Lx. c,~aadlt#wt. o Approvss ~r.~~pe !or Dlesp~i ~ `oc..~Fcehs P,~.~.ot, ~o s~Ss~- ~vr,°~°~``s~-.' . ~ r ~ 1 - I .(~ ~ o.o pr„~ ,,,,,e,nar~i~c,tCs ,r~c.:o~+~..bKa.~~~Lts . ~^ " 6„~ s ~~ eat sue. ~o_._ 30- ~o' ~s;~ So~Q~e.S ~-, ~ y J ,D~/~i~ X ~ 2ab~~ ~( as cd• w../,tYs G 0 a2 a ~.~ .~,b ~ s D~ .,~~ ~ y ,f':~tyi~ a 'Pd~ gY~S,~ Bs ~Y ~ ~ ,~~~ isconsin Department of Commerce SOIL AND SITE EVALUATION 'Division 6f Safety and Buildings Page ~ of Bureau of Integrated Services in accordance with Comm 83.09, Wis. Adm. Code Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must County CC ~1 include, but not limited to: vertical and horizontal reference point (BM), direction and ~i - C YO tic percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. # APPLICANT INFORMATION -Please pri~C'al~ ®n't`armation: -. Reviewed by Date Personal information you provide may be used for secon ry,pbrposes (Privacy I.aw, s: 15 .04.(1) (m)). ~~ p_ i 6 Property Owner ; ; ~ ~ Property Location C N R ~ ' E (°r~ 1/4 T 1/4 S L of t 2 (~ ~ ~ / , , ? , Z ~~ a ~ o Go , y~ Property Owner's Mailing Address p r ~• ~ - Lot # 4 2 Block# Subd. Name or CSM# 5 ' G' T~ r ~.3ee~- as City State Zip Code ` Phone Nunl6~i '"._ _[~1City ^ Village [~ Town Nearest Road New Construction Use: [residential / Numi7Ei~ef~Aedr66ms o Addition to existing building Replacement ^ Public or commercial -Describe: trench, gpd/ft2 ~ Code derived daily flow ~/o y gpd Recommended design loading rate bed, gpd/fl2 ~ Absorption area required/L ~S bed, ft~~ZS trench, ft2 ~~-- S Maximum design loading rate 'bed, gpd/it2_~_trench, gpd/ft2 on(s) ~ 9• Z d Recommended infiltration surface eleva ti ft (as referred to site plan benchmark) ~ l Additional design/site considerations ~L~ ' ~~• G C~ ~~ U ~w a-S ~ /~ licable /~ 6'T ft if a lain elevation Flood Parent material , pp p S = Suitable for system Conventional Mound In-Ground Pressure AT-Grade System in Fill Holding Tank U = Unsuitable for system ~ S ^ U ~ S ^ U (~ S ^ U (~S ^ U ^ S C~U ^ S ~ U r~4-~~ SOIL DESCRIPTION REPORT o Boring # ~~~ Ground elev. ~j..~( n. Depth to limiting factor ~in. Boring # Z Ground elev. qH •so n. Depth to limiting fa or ()~ in. Horizon Depth Dominant Color Mottles Structure i t B d R t GPD/fit in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. ence Cons s oun ary oo s Bed ,Trench 2 12-~{2 lU y ~~I 3~ I ~ bk -~ ~ S - . ~ , ~ ~ at-8B . 20 , S~•$ 9Y-8 , Remarks: ~ a - la ltd r l Z ,___ S~ I mnbk ~ 5 I v-~ . Z ~ . J z~-II 0 r `f Ilo .__- 5 ~ rn 1 C 5 • l ;,$ Remarks: :ST Name (Please Print) Signature - Telephone No. /~c~am ~jc~~~lcer ~ C>> z~ 7-~00 4ddress Date CST Number PROPERTY OWNER ~ ~ ~ T PARCEL I.D.# Boring # Ground elev. 9~ft. Depth to limiting factor Lein. Boring # ~I Ground elev. 9 eft. Depth to limiting factor ~~in. Boring # 5~ Ground elev. 9 Z ~~ft. Depth to limiting factor f lb in. Boring # Ground elev. ft. SOIL DESCRIPTION REPORT Page 2- Hof 3 } ' Horizon Depth Dominant Color Mottles Texture Structure Consistence Bounda Roots 2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ry Bed ,Trench I p-12 ID r Z 5, I 1 mctbk r c I V -F . Z'• 3 2 i 2-2y (~ r ~ I s; I 2 b ~~ ; ~ ~ - • ~ ; • ~ $e•Za~ , (p;.v 99.6 Remarks: i a-13 10 Iv -- S.( nr~ob~. m-~r I v~ . Z ; . 3 2 13-2} 10 ~ ~ ~ S` I r..k- YY~-t c g - . ~ ~ • (P 3 z~-l, (~ r o ~s - •~ ~ • 8 Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Bounda Roots GPD/ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ry Bed ,Trench 1 0 - $ Z, ----- s,1 1m~lok srrEr cs (v.~ • 2 ; • 3 3 KB'-~Ir7 6~0 .-'- ~nS C-~SG y~r11 CS . ~l S .z ~.z. Remarks: Depth to limiting factor in. Remarks: SBD-8330 (R.9/98) .~ PAGE 3 OF~ T 19 .N.R Iq E ~ SCALE: 1"= /~~~ BM I ELEVATION f UU. O DESCRIPTION -k,Q o-f ~ " QJc. P. P~~~~~ BM 2 ELEVATION ~ ~ • S 3 DESCRIPTION.{o~pT Z "Q~t ~t f qty c.~l/~YauJ SYSTEM ELEVATION ~, Z O ALTERNATE ELEVATION ~ I ~ U O CONTOUR ELEVATION ~/~~- , ~--- ~ ..n D. ~Y I ~ 1 1 ~'3~ ~S2 . P~ ; m4'y as' 6~ ~ N eS b~ ~ 4r ~~ I N .~ - ~t-o d '~ Private Onsite Wastewater Treatment System Management Plan Septic Tank And Gravity In-Ground Soil Absorption Component Pursuant to Comm 83.54 Wis. Adm. Code each Private Onsite Wastewater Treatment System (POWYS) shall include information and procedures for maintaining the system within the parameters of Comm 83 and 84, and the conditions of approval by the department, agent, or governmental unit. The approved plans and permits for system are on file at the county zoning or health department. This management plan complies with Comm 83.54, Wis. Adm. Code, and the In-Ground Soil Absorption Component Manual for Private Onsite Wastewater Treatment Systems SBD- Table 1: System Design Specifications Sanitary Permit Number 3 Number of Bedrooms (o Design Flow -Peak (gpd) Estimated Flow -Average (gpd) Septic Tank Capacity (gal) e6p Soil Absorption Component Size (ftz) -~~ ~ `~ s Type of Wastewater Domestic Table 2: Soil Absorption Component -Limits of Reliable Operation Septic Tank Component Soil Absorption Component Design Flow -Peak (gpd) ~,ooo ~ . Z ~`" ~' as ~ Maximum Influent Particle Size (in) 1/8 Maximum BODS (mg/L) 220 Maximum TSS (mg/L) 150 ~lle~s+~ Tab le 3: Maintenance Schedule Septic Tank Inspect and/or service once every 3 years Outlet Filter Inspect once a year and clean at least once every 3 years Soil Absorption Component Inspect once every 3 years Septic Tank The septic tank shall be maintained by an individual certified to service septic tanks under s. 281.48, Stats. The contents of the septic tank shall be disposed of in accordance with NR 113, Wis. Adm. Code (Servicing Septic or Holding Tanks, Pumping Chambers, Grease Interceptors, Seepage Beds, Seepage Pits, Seepage Trenches, Privies, or Portable Restrooms). The operating condition of the septic tank and outlet filter shall be assessed at least once every 3 years by inspection. The outlet filte shall be cleaned as necessary to ensure proper ope~on. The filter cartridge shou not be removed unless provisions are made to retain solids in the tank that may slough off the filter when removed from its enclosure. If the Management Plan for a Septic Tank and Soil Absorption Component filter is equipped with an alarm, the filter shall be serviced if the alarm is activated continuously. Intermittent filter alarms may indicate surge flows or an impending continuous alarm. The septic tank shall have its contents removed when the volume of scum and sludge in the tank exceeds 1/3 the liquid volume of the tank. If the contents of the tank are not removed at the time of an assessment, maintenance personnel shall advise the owner of when the next service needs to be performed to maintain less than maximum scum and sludge accumulation in the tank. Manhole risers, access risers and covers should be inspected for water tightness and soundness. Access openings used for service and assessment shall be sealed watertight upon the completion of service. Any opening deemed unsound, defective, or subject to failure must be replaced. Exposed access openings greater than 8-inches in diameter shat! be secured by an effective locking device to prevent accidental or unauthorized entry into the tank. No one should enter a septic or other treatment or holding tank for any reason without being in full compliance with OSHA standards for entering a confined space. The atmosphere within the septic or other treatment of holding tank may contain lethal gases, and rescue of a person from fhe interior of the tank maybe difficult or impossible. Tank abandonment shall be in accordance with Comm 83.33, Wis. Adm. Code when the tank is no longer used as a POWTS component. Soil Absorption Component The soil absorption component serving this structure is designed to accept domestic wastewater from a residential facility. The limits of operation of this component are shown in Table 2. The longevity of a soil absorption component depends greatly on proper and timely maintenance, and system use within or below the limits of reliable operation. Good water conservation practices by all occupants and the installation of water conserving plumbing fixtures are key factors in extending the useful life of this component. The soil absorption component's operation must be assessed by inspection at least once every three years. The inspection shall include recording the levels of ponding, if any, in the observation pipes, and a visual inspection for any evidence of surface seepage or discharge from the component. On steeply sloping sites, areas of erosion should be identified and reported to the owner for repair. The surface discharge of domestic wastewater or sewage from the system is prohibited and considered a human health hazard. Traffic around or over the soil absorption component should be avoided particularly during winter months. The compaction or removal of snow cover over the component may lead to hydraulic failure by freezing. This type of failure is usually temporary, but is difficult or impossible to repair until weather conditions improve. In general, soil compaction over this component will reduce diffusion of oxygen into the soil and dispersal cell, which may lead to more intense, and earlier, organic clogging of the soil. 2 FF'l?M : Schumaker P1~_~mbinq Fri?t hd0. : 7153E63121 Sep. 18 ~~© N7:~BA:°i F1 ST ~'dYU~~}e +~fIUN`~"Y SLPTk~ WANK Ni~32~"I'~#NA?~CB ~~rYtEBMBNT A t~BRSH(~' CF~TIPiC.A.'~'IC7N Ft~RM Qwmara~3,ay~c ~v Proper Ad~da ~..~...1,:1__,.~.~ r 1~~ ~ ~ Y ~-.a _'~-~ (V+~ttaa requ~c! ~~ ~t far C~~y'/'~'t~ P ~+d~a~~ Nutar Pa~pac~-' n N~.. ~m5~ Y+. fix. ~,,, ~'.~-~1~..~r Tawm ~f ~~-.~ S ~ (.-L.~S~~ ~- Jd~E~S S - i oa- r l ~'I r'~ S ~.~iit # ,~,,,"_,, ~' ~ ,VF ~ r~isre rdo`~~1~. ~_.J i WYWiY q - N N .rnw __ +~i i~'uyt~uot4~ blare ~ , ~ 9 IZ ~f _.._,,.._..~~ -- .,~ ~Fo"jtrm~ vim, i ~. Pia ~ ~poG ~ ~ '~ ~o ~t 1 idatabl~e~ L'1 no ~ ~1M~ 0 ~ Sfl ~ Qan des ~t txe ~G to ~ be~a; t~t't~' (i!~} ipd=4. Z ('1M1J~ ~ ~~A ~ 'a~rr.~od~} of fro gcvpayr dr~a~ed abor~, by r#~tta o: s daod eeao in ~' of ~M-dG~r ice. ,~ 4~~ ~...~ ~~ - ~?~lT~ 9~RArO~ ~~1~P~~~Yt4M~~'~~~~~~~~~AM~ "P 1GA4(at~Ce vlr4t~ &~l~3teptt~ea: s -nd w~ttaa4~ deael ~nas tkfe ' off' ~abds z~t~Ge ~, oo~pq o!'tta certit~ad ps:+raX ~A if ee~fercoct ~ t in t4-e v~rrtx~ty do~d V(~l 1527PAGC 538 i 627130 STATE BAR OF WISCONSIN FORM 2.1999 H Y WARRANTY DEED kEGISTEk OF DEEDS Document Number sr. r.~alx co. wt , This Deed, made between Kernon J. Bast and Donalda J. RECEIVED FOR AEEGRD Speer-Bast, husband and wife, 07-27-2000 9:30 AM YARRANTY DEED Grantor, and Richard O. Stout and Janet P. Stout, husband and wife, __ EXEI7PT N CERT COPY FEE: -' '- CGDY FEE: - TRRMSFER FEE: 900.00 --- 00 REEGRDING FEE: 10 - _ _ . GAGES: 1 Grantee. Grantor, for a valuable consideration, conveys to Grantee the following described real estate in St. Croix County, State of Wisconsin (if more space is needed, please attach addendum): Recording Area S l i2 of N W 1/4 of Section 14-29-19. Name and Return Address Kitl::'fTNA OGLAND Zilz, fairee.*; & Ogtattt- P.O. Box 359 lludson, W1 5401b ozalozl-4o-000 & ozo--ozl-so-ooo Pazcel identification Number (PIN) This is not homestead pmperry. pd) (is not) Exceptions to warranties: basements, restrictions and rights-of-way of record, if any. Dated this ~; ~'~' day of 2000 , _ + croon J. Bast _ ~ Donalda J. Speer- as1 __ _ ~_ AUTHENTICATION ACKNOWE,EDGMENT Signature(s) Kernon J. Bast and Donalda J. Speer-Bast, STATE OF WISCONSIN ) husban T~wj~~ , County ) ss. Uls~ day of July 2000 ~~ Personally came before me this day of ~ _ __ _ , _ _ the above named -- - - TITLE$~TATE BAR OF WISCONSIN to me known to be the person(s) who executed the foregoing (lf ° instrument and acknowledged the same. authorized by ~ 706.06, Wis. Slats.) THIS INSTRUMENT WAS DRAFTED BY Attorney Kristine Ogland Notary Public, State of Wisconsin Hudson, WI 54016 .- My Commission is permanent. (If not, state expiration date: (Signatures may be authenticated of acknowledged. Both are not necessary.) __. ~ _- -_-_ ~...- • ------') Names of persons signing in any capacity must be typed or printed below (heir signature. mrormmlan vroi•s,ana:company. Fora outer Vd eoo.sss-zoz i WARRANTY DEED STATE BAR OF WISCONSIN FORM No. Z - 1999 vot 1539PAGE 81 62'9124 STATE BAR OF WISCONSIN FORM 2 • 1999 Y.RTHLEEN H. WAL$M WARRANTY DEED kEGISTEk OF DEEDS Document Number 5T. CkOIX CO., WI This Deed, made between Donalda Speer, a!k/a Donalda J. RECEIVED FDR RECORD Speers, a/k/a Donald J. Speer and Kernon Bast, wife and husband, 4B-31-~004 1:30 PM a k a Donalda J. Speer-Bast - WARRANTY DEED %EI~T II 3 Grantor, and Richard O. Stout sod Janet P. Stout, husband and wife, E CERF CDPY FEE: - -- CDPY FEE: TRANSFER FEE: .- - 00 RECORDING FEE: 10 -_ . PAGES: 1 Grantee. Grantor, for a valuable consideration, conveys to Grantee the following described real estate in St. Croix County, State of Wisconsin (if more space is needed, please attach addendum): Recording Area All of the Plat of Sweet Grass Farm in the Town of Hudson, EXCEPT Lot f of said Plat. This Deed is given to correct the ommission of additional lo[s in the Plat of Sweet Grass Farm between the above Grantor and Grantee hereto in that certain Deed recorded in Volume ! 3 ~, Page ~a0 , as Doc. No. traq cS ~ . Name and Return Address ~~G~t~te4 0 ~ 5~7~. /3s3 Awr~r~ 7tek~ ~-- ~p~, (~Ut g-..Eotf,. Parcel Identification Number (PIN) This is not __ homestead property. Qt) (is not) ozalozl-6o, o1,p-1o21-go, 02o-lozl-vo, ozatozz-oo & oza--o6z-zo Exceptions to warranties: Easements, restrictions and rights-of--way of record, if any. Dated this ~ (day of August 2000 AUTHENTICATION Signature(s) Doaaida Speer, a/k1a Donalda 3. Speers, a/Wa Do sl J. S eer and croon Bast, wife and husband, authenticated this 1/ ~y of August _ 2000 + Kristina Ogtand I -~- n ~Q-~i-.--~- - as 1=-~,c.~ + •S eer, alWa Dondda J. Sp rs, a/Wa Donald J. Speer + croon Bast ACKNOWLEDGMENT STATE OF WISGONS[N ) ss. County ) Personally came before me this __ day of the above named TITLE: MEMBER STATE BAR OF WISCONSIN to me known to be the person(s) who executed the foregoing (If not, instrument and acknowledged the same. authorized by $ 706.06, Wis. Stats.) THIS INSTRUMENT WAS DRAFTED BY + Attorney Kristina Ogland ^_ Notary Public, State of Wisconsin udson, WI 5401 My Commission is permanent. (If not, state expiration date: (Signatures may be authenticated or acknowledged. Both are not necessary.) _. ) • Names of persons signing in any capacity must be typed or printed below their signature, u,rnmaron Proreaanai: comr.~r. ro.~o w tai vn eaoass-aoz~ WARRANTY DEED STATE BAR OF WISCONSIN FORM No. 2 • 1999 i ~~~, ~ ~ I I I ' ,sb•sata ~~~1~01.1® a~aG_A10O ~ wruva6ZBlsosn ---------- ,98'868 = NOLLdA3l3 3.6Z,60,OOg ~aGrl o C~lda~l ~' z cn to C% ~ Q° ~~ ° ~ g m g I HavwN~a NoisN~xa Noon aaHSin~ EZ NOLL~3S d0 4/lMN 3H1 ~p 3Nn 1S3M Z ~ ~ D I ~8 O11N3W3SN3 DVS-3C ~ I AkldllOdW3lSnOh7~ ~ ~t6'0£Q Mx6Z~60oOQy W ~? ~ l ~ ~~.~, 0 0 1 a o•oen ''' ~~~ s ,ca•ce~ N Z +41 ~ ; t•' 1 ~~ ~ V w mYp g 2 ~ S \ \ X' U ~ ~ ~ ~ ~.\ K: a • `~9 q ~~ 9N r- 'o ~. ~ ~r P \ ~8 O \ \ '. \ ~ ~ ~ '- ~~ o ~~ \ \ N ~ ~~ ~\. ;R ~ ^, S r~ ~~ ffi6 ~~ S '. \ ~: ~`~ poO ~~ \ 4 NN \ ~.. ~~ \ ,, N \ `O \ m \ ~ ~(1 ~ w \ o•e~ ,O ~ ,~ g p \ g ,94' ~Z9 i.~&94.GO9 i~ 0 .L ~~~ \ ~G ~; \ \ z o \ ~ ~ g O \'~`~ N ~ \ \ N ~~ N~N , C ~- P m~ ~ ~ \ . zce-o a.~e.~+•.~os c -~ `'° OD~~ m ? y "v ~ ~~oo ~m$~ A r