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HomeMy WebLinkAbout020-1376-45-000C1 ~~l `, ' ., Safety and Buildings Division ~ 201 W. Washington Ave., P.O. Box 7162 County ~ ` ~ ~ ~ ' Madison, WI 53707 - 7162 0~~, ,S~ Site Address r Department of Commerce 7 ~o~~ u Sanitary Permit Application - ~_ Sanitary Permit Number 3g9~91 In accord with Comm 83.21, Wis. Adm. Code, personal informalidsj you piovide ^ Check if Revision ma be used for seco ses Privac Law, sl 1 • I. Application Information -Please Print All Information _° ~° „~- ~ ,' State Plan I! D~ r ~~- Property Owner's Name tfr - arcel Number ~ ~~ p '`~"~~ '- ~ - ~ --l 37 - ~S-oo~ • , a. ~ - ~~ ,_:~ t` : ling ddress a i Property Owner's M i perty Location ~\ ( ' ~ ! i e Ctty, fate Zip Code r ber .,% ~ ..-~ r~~~,... - - -. Lot Number lock ~~ r .~ G X11 . 7 .~ ~, ~ •~~, '' ;-' s Subdivision Name CSM Number r 55 ~ g ~ ...~_~ ~ ~ Co nos ~ :;.~ cr Q II. Type of Building (check all that apply) cts ~yv 5 ^City ~,1 or 2 Family Dwelling -Number of Bedrooms ~ ^Village ^ Public/Commercial -Describe Use ownship '~ ~S o /~ ^ Stau ~~ ~ Nearest Road ./ r .,c cos ~ ~ ~ or III. Type of Permit: (Check only one box on line A (numbering scheme for internal use). C omplete line B if applicable) A 1 New 2 ^ Replacement System 3 ^ Replacement of 6 ^ Addition to For County use stem Tank Onl Exis ' stem B. ^ Check if Sanitary Permit Previously Issued Permit Number Date Issued IV. Type of Permit: (Check all that apply)(ntunbering scheme is for internal use) ~ 'tom 44 Non -Pressurized In-Ground 21^ Mound 47 ^ Sand Filter 50 ^ Constructed Wetland 22 ^ pressurized In-Ground 41 ^ Holding Tank 48 ^ Single Pass 51 ^ Drip Line 45 ^ At-Grade 46 ^ Aerobic Treatment Unit 49 ^ Rec' 30 ^ Other V. D' rsal/Treatment Area Information: .2 Design Flow (gpd) Dispersal Area Dispersal Area Soil Application Percolation Rate System Elevation Final Grade Required Proposed Rate(Gals./Days/Sq.Ft.) (Min./Inch) Elevation ~ i ~~ ~7,y ~y ~~ 375 37~~ .7 VI. Tank Info Capacity m .Total Number Manufacturer Prefab Site Steel Fiber Plastic Concrete Constructed Glass Gallons Gallons of Tanks New Existing Tanks Tanks Septic or Holding Tank _ ~Od ~ ~_~ f~ ( X Dosing Chamber VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans. Plumber's Name ) Pl ber's Signa I~P/MPRS Number Business Phone Number ` ~ ~:,~ s his a s~ ~ . Zip Code) Plumber's Address (Street, Ciry, State, ll '~ / ~~ h /'F u N ~+ w3 ~ VIII. Count /De artment Use Onl Sanitary Permit Fee (includes Groundwater Date Issued Issuing Agent Signature (No Stamps) Approved ^ Disapproved Surcharge Fee) ~ ^ Owner Given Initial Adverse ~ ~ 7 ~ ~ ~ 2 ~ GG- Deternvnation lX. Condition1s of Approval/Reasons fo Dis~a ~r v p t9 2,o~i 2 , ~ ~ ~ ~,~, ~, S;,.k e! f C'~ 1..^ ~ t'mAS~'S ^ - bw~A1~+' ' ~o ~`~ c ~ L ~ 1 ' , ~` t o °'r_ ~JtJb~'^ ~ "+" `hcQ.. GA.CgCY t9+ti ~~" ~ °~.ot" `~"~'Z ~ L W ~ . . `~ or•.~. v~ s.~51R„~ axes,.- : z e+~ s~-..~. G•.- q..raa Fes,-.~. ~"~"E,c. cu.as~..- `~-P~t- ~ Q D cs: 6.l¢. . Q s ;tl ' ~ i ~ ~ . „. e.- w s~ . l -}P~3 l ~ (~ ~a..r.S es.w~nAr M wmp ~ P~ ty es size s,,,,~a.~t~vts . ~ e...~t~ .~ ~"Dit"W'9.e. 2'°~2.r"e"~ °r. SBD-6398 (R. OS/Ol)--~ /~o ~~ ~~ ~- ` ~}. w . (,.. cv~~¢R.S • Wisconsin Department of CommercE PRIVATE SEWAGE SYSTEM Safety and Building Division INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PERMIT) Fart~nal information you provide may be used for secondary purposes (Privacy Law, s.15.04 (1)(m)J. 'ermit Holder's Name: City Village X Township Midb ,Jason Hudson Townshi SST BM Elev: Insp. BM Elev: BM Description: C3D , a ~ f3a . a ~ ~c . ~- G57` 8~~2 rA dll! Idif=A~11AAT1Ah1 ELEVATION DATA TYPE MANUFACTURER CAPACITY Septic G-~t.SFr'Z (Oih9 Dosing Aeration Holding Tenitt cFTRO[:K INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Septic ~. Z ~ r 20 ~ ~..-~• Dosing Aeration Holding PUMP/SIPHON INFORMATION Demand GPM TDH Li Friction Loss System Head TD Ft IC...norarSin 11 cn f)ia Dist. to Well SOIL ABSORPTION SYSTEM iiGDi ENCH Width ' Length DIMEN ~2 6~•~ SETBACK SYSTEM TO INFORMATION Type Of System: ~v• r.~c~Tn~n~ ~T~nwl cvCTC11A ,.lgr 13`f ~ ~ ~~ county: St. Croix Sanitary Permit No: 399691 0 State Plan ID No: .~~. Parcel Tax No: 020-1376-45-000 STATION BS HI FS ELEV. Benchmark , l3 ~ 00 •~ ~ Alt. BM 'S• wnsw Bldg. Sewer SUHt Inlet ~ .0 I . ip9' SUHt Outlet 0 • Dt Inlet Dt Bottom Header/Man. Dist. Pipe ~rq.•~.I l Bot. System /Z • SZ t . ~ ~.3i t Final Grade ~ ~ ,3 / St Cover • ~ (/v ~ PIT DIMENSIONS INo. Of Pits CHAMBER OR TD ~ ~ ~~~ UNIT Model Number: ~~ L r r ) ... ~..................~ .... _._. .- wi ~ ~.. x Hole Size x Hole Spacing Vent to Air Intake Header/Manifold Distribution ` P' s) ~ ~-C Length Dia ength Dia Depth Over Depth Over xx Depth of xx Seeded/Sodded xx Mulched BedlTrench Center Bed/Trench Edges Topsoil ~;„ Yes I~ No I~>;I Yes I~ No M ENTS: (Include di r encie persons present, etc.) Inspection #1 ~~Z Inspection #2: ~1 -T-- ~~ ~ ~~ ~~~• ~ Parcel No: 14.29.19. O6 ation: 974 Florence Lane Hudson, WI 4016 (SW 1/4 NW 1/414 T29N R19W) Swe Grass arm Lot 1.) Alt BM Description = 5 • . Sbi ( ~` 2.) Bldg sewer length = Z,O r ~ ~~'r` « U - amount of cover = ~$ {- _ n ~ (~,~ 3) V,a,k2 u,,gQ-ce.~~'(ru.~D •~` ~wc~c dCl~•C~ ~ ~ _ _ -- , Plan revision Required? ~~"3~ Yes ,-~ No ~~(,~~ ~ ~ 23 ~ ~ 17 ~ Use other side for additional inform ion. ~ __ - _ -- - - - ---- - Date Insepctor's Signature I /~ n C I Cert. No. SBD-6710 (~ 7)~ 6` ~ ~~ u 1 ( , /`~ ~ _ o LCGw~~'/V~~// ~ h~, /~1~.•~ dG~l~, ~ a3 ~ ~ C~~! '~, , ~ ~ ~~ oz~ Qct2 -`-;-egg ~~.~~a ~:~ ~~..~, _~ s c~ : t '~ - tro' ~ . -oa J,~~, -/g ~~t E r i.~-spa I~ ~ 9-.5, , /'~C'G ~c~t eor~ lid ,iZ ~vi~~J\/ 1' 0 3 x c~ r~ S i ~ ~$ ~S ~/gZy / ~ gl ~; e~'~ `Orctss Tct~rr~ S ~o~'# '~ ~nn~so.~. ~~?'Crc : X T"a,~e,S~~ ~ O oho - l 3 7 ~ ''ys `~ cc. R ~~% t`~ P ~j~~ ` 6.1~~., rn; ~.b ~ ~+- ~q ra 51~~~ a.3 i$ Cv~ ~.~ ~l~ ~ ~ / ~.~~~~~ lsc~ : ~ "_ Rio" `- -~~ -~ arc ~' ' 7 ~ ~~ifi- loP~` ~l~firka~~~'~s-~rrw,- ~l /cam ~~ ~ ,~ c S£S~~'Z NUr~.r,.~ ~/gZ~ j gl ~:~:`I~ ti ~:`~,~ s ,c~~--, -t- a~ ~ Ri~~ ~~t5 r1. j'S~-~r0 / /. ~~.~.~~ L~ O ao - 13 7 co -ks --~ ~:; ~~ ,~ 0 P ~Z ~ ~g ~ o~ ~ SOIL EVALUATION REPQRT Page ~ or 3 . In aoconsanoa vNa t~omm es. WFs. J1drn. tbde ~ cciapieia aNs pan an paper not aes tlrn d tr1 x 1 i t+~clies In alae. Plan peat ~kY S~ro~.~._. k~dudo. but oat rniited 1oc w~ntand hoeaonal port ~Q, dlAClbn and P+scei i.D. w~ntdopn,.sataocam,,,om,a~aNWbcMY~snaaWnosto~s~ltsoso. (p _ - _oa0 P~aase pr~ett a~ h~orAt br Eke F.ateiwlafo~aba~#asw.,a.rta..^.ator..~aaa.~,a~POaa~+warta~.~ isoit+l~. ` . 3p Z hr ,:'+ c Qoyttat~ia: Urt~~'tM S ~ T a N R ~ W ~~ JiR~ass tat ~ 8balt • ~~ Marrat ar ~ ~ ~. U~ s ,~`t --, c..,S~ Cry , 1W~e am Ftt-e+1r~t t~osid ~J~ j. ~ L~ .. ~ c,., ... ! ^i-1 nI~ As~A r~ I rI n A ~'~"~ ~I~RasidaMallNuntie~roteedreoene G~aderdsdMSdafaeal8nbarrale " c~Po ~ ~ F'~acomimaoiet-GeeaM~ ~ +t~6l~~t~ 1a G ~. FbndPlaheiwiaifgnllapp~c~at~le tL and ttilllflr1111a11d/Ii01~ ~~ s...~ ~~ ~7,y i ~ w ~~ ~aFMY ' { ~ IMA / ~y ~ ~a(~ - .1 -~ ~~ ~~ -s , ~ ~ ~- ~ mgr i Z. „~-~~ •~ i~S l0 1 l • ~0 0 eo~,s ~~ ~O ,®~ C~r+oundaahosalev: +~~ a oeplna~f.aor, ~ gb ~. Wa~mon ~ aon~lnent ~~ So>t Rile 7+eod~e+e 8tacMds Caaeialanoe 8andrrx Roats t;PQmF h Mnnaei Ciu. Sc tbrd. t'lotor pr. St, Sh 'EI~1 'E~M2 46 E~uant t-t _ > 90 ~?l!D anplL. and TSS a36 < • tJ~uart 1R2.80D < ao reglL and ~'SS = 90 mpf[. Nwine ~ ~~ Dais EaYdion oaianaed TakpNona i•Asnt~at /g~~`' u ti'~~ ~ .. ~ ~ Qty _ -- - ~,, r so .. ~i~op~«ryr~r...j~` b ~ ~a,~a. ~ ~.~~~~It d.~t1 _„L,~y~ - ys- ©~ n 1~ ~.~t~.. i ! 1 ~er~r~f ~ ~ ~ ~ +l ~ /~1~L ~1 ~ ~ C1oue+d wtaoa alsv,, a~ ~ -~ R. t]!t'1!~ b ~A~p ~~/ ' ~ ~' c~ ' i2a~Ee t"lettaai ~1 h QOII1111M~ Mra~aaE Radovc t]u. Sz. Cont. Color TareMrs 9haobis Cir. Sz. Sh. t~ t '~ -1 ~ Z ---- l ~ rn SjK ~ .2 ~ ~ 2 ~~ S, ,~ ~ . 5 , f~ .~e q~. ~ ~~,-. tc i- a ifanilU~p taaor ~. sat ~aee ~# ~ ttorf~on ~ tianiraak i~SdaKDaaKafpBon 'Caeeu~ 5t~uduta flare i8outrl~n- riaols c~on~ In. a,. ss. ~ camor c;r. sz s~t,. '~ s'°''"Q! ~ t~pa~ds+urtaoealsv. tc t)ep/~tottrainpTircior in. coif Rate 1 ~ oo~irnt l7mtac - Yea swai..r (~aeai~encs lasones ~. iltta~N cf~. s~, t~ottt G~otor a ~. ~. ~' • E11MJant >R'1 = BOQi > 90 < 224 [1gIL and TSS >34 < 150 a1Qfl • EA1ltent ~2 ~ f30Ds <_ 30 m8fl-and TSS _ 30 n~gll. The Depamnent of Coaunerce is sn equal opportuniry service provider sad employer. if you need aasistanoe to acoesic serwi+aea or need matcrial in as aitemate fom~at. please contact. the d~rutment at 608-266-3151 or TTY 608-264-8?7T. asoaaso ~~ . • b Jam., rn~~br ~- ~~sha~~: ~yY NW~~st~ ~~4~ ~ ~ 13 t~ lc> T~ ~-+ c ~r ~ ~~.; ~ ~ ~O~ Gss T CCr n~s ~o T ~~e~\t~GC~ ~ /RN ~ ~~f~~• rll.lCl.~~ri~ S~ ~I`O ~ j~ J (~ W~ ` _ i'a.~c:~~~- b~ ~ Do10-- t 37to ~ ~(S'= ©©c~ I~-It ~~ ~o~+~'Sl~ ~1 X15, ~ s 1'`_ ~o` r ~~t~ -~~a~~~ ... - ~ ~~ ~g ~qt / ~ ~a i 6~0~ ~~ /~L / ~~ j r 1 ~~ / 15 i / i ~..,.../~ / ~- ~ ~,~ scf d/h tJt4Ay `v,• /3s' ~,, ~ ~ z y~~ ~~ G. t ~ ~, Y r t A s 1 ~{ ~;~ ~ ~ i ~ ? .. ~ , S, i ~ }? j 'A d~ y ~~ ~ w• ^ Y c. { ~"' "' *' ti a 4 ~ ~ ~' Q f "~ ' ~; ` i 3 ~ ~ i ' ~ ,r ~ ~ .', ` ~ '~. a i `~ 3 . ;x e' ; ,~ .s 1 ~ `. 1 , ! ~- s 6 ` ~ aj t > R : ~q 't 1 % ~.-'. K { 'C3 ~ {T ~ ~ C) ~ ~! h ..- t? ~ ~; ~ ~ w - x , 3 J ~ •~ _ ~. v. x ~ ~ Q- ~Z©~t~ ~ tC3 ~ ~ ~ ~; ~ .+ r1 ~ ~ ~~ siz ~ fey Q ~L] ~.`~ ~ r ~~~ j~' ~ ~ ~ ~ ~ ~t~b ~~ t» "~ ~~~ ~ ~, ~`. ~ 3 ~= z,cr .~ .~~ ,.. ~ ~ ca. ~~~ ~~ ~~3-- ~ ~, a~ o' 3 n 0. ~~~ ~, v + _I ~} ~~'~`~ t. V' ~n F ~ 5 j _ __ ~ -------->~ T1tis marngert~ plan Mritlt floerun 83.84. Wb. Adm.. ~. and the In-t3raund Soil Alreorpdon C~ M~ kx Prue t3nslle Trey ~ St3D- 90667.~P (R.6~f9,4}. Tettile 3: get ~traped andlor !en a 9~ anct ctesn st The tank s#a# be ~ ay ~,r, ~ aettitied m aerv~ca car~ks undue s. 289.48. Stab.. The cw-tamis ,o,f the sepi~3c tarNc siaN be d`apoeed sit in scone vwlh I+iFt t 93r . adrtt. Code l~ Septic ar Tanks. Pumping Chsrnbafa, (fie ~~,' ~ Pits. Seepage Tra'tches. Pri~riaat, or Portable The ~ ref fhe septic farce and outlet ~ sl~sN ba a~eaed ~ feast °~ ~+Y ~ Years btr ir~pat4pn. T u~t ti11 ahaN 6e ciserw~d as ~ ensure ~ropor opeKatiort. The fiber cartridge should be prr~slons era nrsrle b retain sollCb in the tank thed rnsy sbe~ d'f ~ liiMar wtren r+eerq~d fiom es a~cioe:,re. It the Managemerrt tin fa a Septic Tank and Sod Atasa'pttor- Cpnportent ~t~pWlpp~ t~ t~t'IA ~' r s ®od spaoR TM a~ ~ ~ s~ ~ odor ia~rMt efa~- s+oelt~ - sad iaetare of : iYaa ttrtiv NtaNrlo- d ttwe ~ awl- ibe aP iripaaa~Me. TartK abandorunsnt ~h811 tae ~ aoooraar~ce with Comm 83.33. Wis. Adm- Code when the tank is no longef used as a POWTS component. ae..a ~~e.~len Conte ~i~r The soil absorption component serving this structure is designed ~ ac;oept dam~t~ wae~tewater from a resWent~i fadlity. The ~rMts of operation of thi6 component ~e shown in Table 2. . ~ MariagemeM Plan br a Septic TarNc and Soil Absorption Cprnponent Pgititlrtgtz of deep~ooted trre~ and shrubs diroctty over or vr~-in ten bet of the oprr~por+~rlt StlOUld tie avoided since t0oi intTtrsian into file ~onent nosy obetrt~Ct "+~r flow. ~~' .~ 1 . ~:tt) I:t ~Uv lt~ .i = ,5::3~-4 ~t3t~ *~ plurn~>e:~ = ~al~'in Pc;wer: - '~~-~i13~ '~*' ~tepla~P.n~-grit :i.l ~;~ 'dill *:'t~ tI1c3L .,ail L•P~ T.@~ 13Z'Pcl LlV ** ke.placement site ^~ust tie 1e~'t us`lt~icii;~kt'bed, ar management/ corltir~~eney plan ~uat be modified and ."fled with the zoning off.ir~e, outlinin? the ~te{~~ to he talon iri ;~v~ni. ~.~t' :~eptir sv~t?T failur». 3 Oc~~u7u~0ul:~cry CALVIN POWERS 715-,246-51~0'S61 P.3/7~y~2 > .. • 5'1' CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND - - OWNERSHIP ER'fiFiCATION FORM OwncrlBu cr Y~1 t Y 3t ~ S -~-/lwa ~ ss~a- Mailing Address -t ~ ~ ~ Property Address ~~a+t r` ~ ~ (v«sftutfon regtticai froth :fanning Tkpartment for oav- cnastruCtion) ~ ter. 3`7 l0 -`fS -~'~ City/State ~~ Parcel Identification Number _,~~,,,.,~ -~ LEGAL DESCWP'f'IOI~I 1 ,q Property Location ~ t"~ '~., ~~ /•, Sec. ! ~ .1 ~ ~ N-R~W, Town of /, A ~ ~,~ L,ot # ? ~ - Subdivision C~.s'r Certified Survey Map # .Volume ~~• Page # ~ ~~ # 1 warranty Deed # ^.L-- .volume Spec house O yesl~ no Lot tines identifiable t~ Ya O no SXSTEM ]I~AINTENANG'E y~ ~ ~ p maintenatxc Itnproptr use and mainttnanceof is tcm ceuld result in its eernaturt: faitun ao handlwe~as~ ~r~ ~o t]>e system consists at pumping out the s+•ptic task cverY three Itiars or sotw-Cr, if needed by a licensed ptttttpc sae affect the function of the ~ teak as a tteatntcnt sb~e is thr waste disposal system_ rppcnt a cerliCtealioa jorrn, signed Y The propt:rty ot+rtxr agrees to submit to 5t. Croix 7.osti++g Depa b the oarner and by a maslerpltunba, journeymanpitwrnbtx, resuictedphtmber or a licensedp vetifyit~ that (1) iheon•site grastewatrxditposal system is ~a proper opcratittg coaditiott aadlor (~) aRer inspection and pntt+pittg {if oet:cssary), tltc stptis tatic rs lass Watt ll3 full of sludge. Uwe, the undcrsigtXd Mve read thr: abwc requites std agree to maintain the private sewage dispt>sa) system with the standards set forth, herein, as set by the Dapa of Cemtnerx oed 1>se Department of Nattua! Resovices, State of W is~in. Certification sad retturud to rite ~ t::ranc County zones O!'fice nritbm 30 stating that your scptit system teas been maintained must be tiered days of thnx year t:>< ira ion dau_ ~~~ /7 b SIGN TtJRE APPLICANT DATE oWN»SR G`EILT~G~QN I (eve) certify that all stateatents ~ this tbtsa arc arse m the best of t»)- lour) Ystowhai$e. 1(wt:) aut (ate) the ovmcc(s) oC the dacrt'bed by virtue of a watrattty dt:eri ::corded is Register of Deeds Ottcc. sI A APPLICANT DATE •'*'•' Any information that is this-rcprescnttd Wray resuh in the Sanitarypcrmit being rcvokedby the Zoning Ikpsrtfrtent. •••"' •+ include ~~itl- thie ttppliea[ion: a stamped watmttty decd front Qte Register of tkedr oft5cc a copy of the cenificd survey map if rcferoncc is tttade in the warranty seed ` Wisconsin Repartment of Commerce SOIL AND SITE EVALUATION Division of Safety and Buildings 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 include, but not limited to: vertical and horizontal reference point (BM), direction and percent slope, scale or dimensions, north arrow, and location and distance to nearest road. Parcel I.D. # rQ \ Page 1 of ~. APPLICANT INFORMATION -Please pant IIIttL11•/ilat/An. ;•, Re 'ewes by Date Personal information you provide may be used Tor seconda ~~fses tPrivac~ Laws 15.04 (t) (m)). Z2 Property Owner G Property Location 7 ~l ~ ~ ~ ~ Govt. Lot (~ 1/4„(J(,LJ 1/4,S J~ T ~C(,N,R ~ ~ E (or~ Property Owner's Mailing Address ~...._.. i K ;-~ , a ,Lot # Block# Subd. Name or CSM# City State Zip Code t Phone Number g ®Town Nearest Road ^ Gty ^ Villa e ~v c~ 5Cs r\ I w ( I S~Y~ICD I ~ ~'`~:5~'~l' ~~ ~~l l--~t ~ o~S o /1 I ~/aim ~ ~ Lct y~ 2 . ,. ,., New Construction Use: Residential / Number~af.bed%oom~'"~ Addition to existing building Replacement ~ Public or commercial Describe. Code derived daily flow ~G_U gpd Recommended design loading rate • 7 bed, gpd/ft2~trench, gpd/ft2 Absorption area required ~ ~ bed, ft2 7~~5 trench, ft2 Maximum design loading rate 7 bed, gpd/ft2_~trench, gpd/ft2 Recommended infiltration surface elevation(s) vPp-~r q 3 • ~ /w2r ~z• 30 ft (as referred to site plan benchmark) Additional design/site consid~~e``rations G~~r Q~~~~ Gaw~r 9 ~ ~6 Parent material LJ ~ ~-(~t S ~ Flood plain elevation, if applicable ~1 ~ ft 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 C~ s ^ u ^ s ®u ^ s ® u SOIL DESCRIPTION REPORT JcJawC~,~Q. ~ ~~ ~ Boring # Ground elev. 9~, z o ft. Depth to limiting factor /min. Boring # Ground elev. ~~ft. Depth to limiting factor (U7 in. Horizon Depth Dominant Color Mottles T t Structure n i ten C B und Root GPD/ft2 in. Munsell Qu. Sz. Cont. Color ex ure Gr. Sz. Sh. o s s ce o ary s Bed ,Trench I -lo ! 31 I r l ~~ . Z~. 3 3 ~-- ~o J - s ~s - . ~~ g Remarks: o--~ ~Iv s; ~ • 2 ' 3 2 ~I-3y 1~ y~3 ~-- sal -' .5 ~ • ~ 3 -l0 10 I _7 ~ • Remarks: SST Name (Please Print) S' re Telephone No. G~rY~ Sci~t,v~~~ -~~ - 7~ ~.-Z~/7-~/UUS Address Date CST Number z ~ ~ -~ ~Sd~ ~- s--y~zs y- L/-ov zs3 ~ .r i PROPERTY OWNER ~ ~ ~~ SOIL DESCRIPTION REPORT ' Page ~ of PARCEL I.D.# Boring # 3 Ground elev. 9 y0 ft. Depth to limiting factor ~_in. Boring # y Ground elev. 9G• 30 tt. Depth. to limiting factor min. Boring # Ground elev. 99 /oft. Depth to limiting factor 11 in. Boring # Ground elev. ft. Depth to limiting factor in. Horizon Depth Dominant Color Mottles Texture Structure Consistence Bounda Ro t 2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ry o s Bed ,Trench t o-lb d Z ---- S' I ~ ~ v . 2~. 3 2 ~0 3~a l 3 `- ' t `I c -- . 5 ' . ~ 3 -f~a til~ -- s o t cs - .~ ~ . 8 Remarks: -II r l Z- I r c, ~ v~ • Z'• 3 Z ,I -yl ~ ~ si I 2 1r 1T) c. S 3 ~t1-118 4l lv m os l ~ 5 r .-~ ~ • g 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 I o-lo o ~ ~ 2 l rnabk n~' c v~ . 2~• 3 Z to~y2 l0 r y~3 --- 5;1 2rr~ k ->~~ c -- • ~ , 3 42-~1b Iv r y --- m S as l c 5 -" •-7 ;•$ Remarks: SBD-8330 (R.9/98) ;T' PAGE~OF~ NAMEJ`~y~'" LOT# y.~ LEGAL DESCRIPTION.l~1 '/4,U~/e,S /y T 2Q,N,R~q E (or) ~J SCALE: 1 "_ ~ W t BM I ELEVATION I I, ~~ BM I DESCRIPTION-k,~~l~f "~o„du~{- ~ +~ h uVFIaaJ BM 2 ELEVATION IOC} • v BM 2 DESCRIPTION•lop~C t ~~Ccnd~ : {-• I.atlnc.J/F~4~ ~PPcr r~uwsr' SYSTEM ELEVATION q 3,`6'O p Z. 3~ ALTERNATE ELEVATIONoopsC' W y•~U (.owar Q3•'~D CONTOUR ELEVATION_ /U ~~} 1 . -t- _ X ' 1 `;~~ . 1 ~~_ S'L'ATE BAR OF WISCONSIN FORM Z - [998 WARRANTY DEEq °° ~ y~ 9.8(17142 This Deed, ntada 6etwem, RrruaRn n STOE7T •m..q Taxt~ P STLILIT r ~, Grantor. ~- ~IAStLP mrnRY_astd J SFILS~T Grantee. Grantor, fora VaLoble ootsicleratloa cattreTs atd warrants to Grarttec the falEotvlttg desctl6ed real estata kt St . CIOix Cry g„~ y yyi~~ 7,ot 45, Plat of Sweet Grass Farn, Town of udso , St, Croix County, Wisconsin. i I; u t~ i 6673, 62 RGFSTEff ~ DEEDS 5T- CROIX Cq., III a~E[ueo ~ ~ of-e~-~oo~ e:ao s~ YARRAIIII' GEED CERT CDPY FEE: COPY fBE: tAIOOFER FEE: 161.7Q III6 FEE: 1L04 1k~maru, a~ dealo anG Rahan Adoreas 1_AGLE VALLEY' SANK, N.A. 1301 Coulee ~+~ Unit 2 Hudson, W! 54016 020-1876-45-000 ~ taenlMcadan rtuaMx LRnp This i s not ~ progeny. ps1 (~ rind 8x~puer~ co wrrande,: easements, restrictions, rights-of-way and covenants of record. ~~ ~ Dated d715 -~=._--~_ d8y Of ''] ~ ~ (jay {~ f ~ . ~. • Richard 0, Stout Janet P, Stout iSFA1,1 AUTHENT[GAT[DN S~rwtute(s) atRttetgpted this day0f---~. r T[11E: MF7~ISER .STATE 8AR OC' SA-B9C[7p~W (If tq6 ~uttar~a ey 57Q6.06. Wts ~ TINS t1~I3TRUMENT WA$ pppFt~ gy Jatnet P, Stout Hudson, iFi 54016 ~y ~ audtantlea[ad or tukttarkgg~, Both me not tSEAG ACKNOWLEDGAiENT State of Wfscensin, sa. Cabtq: t~etaaeaBY carne bd'ate ate thts day of Dece.her 01 g~ ..-$l.Gb3Zt~ O_ Sj~olt anri~7ary~{- p- Font ax Itttotvn~-nt e~--pmt -~~ to ST ,:~~'. D84 Staeel My # prnrencnl (If rot sate omtratten ~~.~ ~~Otp°"01t "~+r ~ a~Y~tr mac r4 ypec or prrt twot. art 1141rtRAM1Y DFFp SrA2b ~ OF Rt7~N ko, 2 -1'Aa ~apc fasts ro . k¢. Nir~r~n wa ~ ~y t_ ._ ~.~~ ' ; ,,, ~ `~~ ~' ~~ ° o~. .. ~) ~£ 1' ~ r ~ N ~ ~ ,~~. 1~ ~ - ;~, ~~ 'l I T'"`~\ ~ ~ pl a ~W ~~ WQ ~~ ZW Z a TCW T~ LL rQ a Q W Z ~t W; I ~Z WW O Hh LL ao~ a~~o ~ZIA y~~~ LL O Q' ~~~s ~a~ ~~O 2~U T M Z W W ~Fo ~~~ ~~_ ~O Og0 ~~O CWfI~ t- ~Ow Za¢ a' 'W 2F.= LL~ ~ Q ? a~~ ~ZN Z W<~ Za~ ~~O W ~~~ ~O~ ...... 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