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HomeMy WebLinkAbout032-2045-30-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division Sanitary Permit No: INSPECTION REPORT 578943 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. Permit Holder's Name: City Village X Township Parcel Tax No: Flandrick, Michael D. Somerset Town of 032-2045-30-000 CST BM Elev: Insp. BM Elev: BM Description: Section/Town/Range/Map No: 12.30.19. TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark Dosing Alt. BM Aeration Bldg. Sewer Holding St/Ht Inlet St/Ht Outlet TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic Dt Bottom Dosing Header/Man. Aeration Dist. Pipe Holding Bot. System Final Grade PUMP/SIPHON INFORMATION Manufacturer Demand St Cover GPM Model Number TDH Lift Friction Loss System Head TDH Ft Forcemain Length Dia. Dist. to well SOIL ABSORPTION SYSTEM BEDITRENCH Width Length No. Of Trenches PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/L BLDG WELL LAKE/STREAM LEACHING Manufacturer: INFORMATION CHAMBER OR Type Of System: UNIT Model Number: DISTRIBUTION SYSTEM Header/Manifold rLp,'Pn ibution x Hole Size x Hole Spacing Vent to Air Intake (s) Length Dia gth Dia Sp acing 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 Fail Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Inspection #2: Location: 1648 85th Street New Richmond, WI 54017 (NE 1/4 SW 1/4 12 T30N R19W) NA Lot 1 Parcel No: 12.30.19. 1.) Alt BM Description = 2.) Bldg sewer length = - amount of cover = Fe- 1 Plan revision Required? ❑ Yes No Use other side for additional information. Date Insepctor"s Signature Cert. No. SBD-6710 (R.3/97) County ' R and Buildings Division 5+ t. C jngton Ave., P.O. Box 7162 sanitary Permit Number (to be filled in by Co.) 53707-7162 5 7F7J-13 , Stele Transaction Number jS Permit Application OMMU ITY DEVEL(3PMEN`t'~ ~S' In accordance with SPS 38321(2), Wis. Adis Code, submission of this form to the appropriW governmental emit is required prior to obtaining a sanitary permit. Note: Application forms for scat'-owztod POTS are submitted to Project Address (if different than mailing address) the Depattrncut of Safety and Professional Servies. Personal information you provide may be used for secondary purposes j~ JC in accordance with the Privacy Law, s. 15. 1 m , Stats. l/L L Application Information - Please Print All Information ~eU O 3Z -'Z6,45 - -3b .-t>~(D Property Owner's ame / t i Property l ocati n Mailing Address f t Govtlot _ ) Zip Code one Numbe r'/. Section IC o 30 N; R E II atW / . Type of Building (check all that ap y) !"v Lot # T ~J Subdivision Name Family Dwelling -Number of feirt» 6k ~-8 ~-ova.. Block# Q Public)Commercial-Describe Use Q City of CSM Number / 6 / O 2.(o ) Village of ❑ State Owned -Describe Use Town of _ Z ; L Wa, Z(D P (o0 7 III. Type of Permit: (Check only one oz on line A. Complete line B if applicable) T System Q Replacement System Q Treatruent/Holding Tank Replacement Only Q Other Modification to Existing System (explain) List Previous Permit Number and Date Issued mit Ren'wal Q Permit Revision Q Change of Plumber Q Permit Transfer to New Expiration Owner Iy of pOWTg S stem/Com onenr/Device: Check all that apply) Non-Pressurized in-Cnound Q Pressurized In Ground Q At-Grad' Q Mound 2:24 in, of suitable soil Q Mound < 24 in. of suitable soil ❑ bolding Tack Other Disposal Component (explain) Q Pmtrc- ent Device (explain) V. Dis rsaVr-- eat Area Information: Design Flow (gpd) Design S Application dsf) D~ Area Required (sf) Disggtsal~ Area Pro (sf) System Elev 'on 41- -37 C? c V'L Tank Info Capacity in Total # of Man Gallons Gallons Units W t j S = o o New Tanks Existing Tanta ~ ~ 01 Septic or Holdiag Tank r~ Dosing Chamber VII. Responsibility Statement- I, the undersigned, as responsibility for installation of the POWTS shown on the attached plans. Plumber's Name (Print) Plum aaure MP/MPRS Number Business Phone Number FAppr(-Yvc.dd dress (Street, C11311 State, Zip Cy&) tv/De artment Use Only Permit Feeej Date sued ~j Issuing ent Signat Q van Reason for $ 47` " [t1 1' ibsOns for Disappr oval n ~f9$ R 1 Septid'tank, affluent riper and °j) .disoemal cellmust all be services l maintained G as per management plan provided by plumber. fiegUftmants tritest bet $ndintairled PW coft i ordinarM. Attach to compiete plans for the system and submit to the County only on paper not less than 8 1.2 s 11 inches in size SBD-6398 (R. 11/11) PLOT PLAN PROJECT Michael Flandrick ADDRESS 1823 Windina Trail Road New Richmond Wi 54017 NE 1/4 SW 1/4S 12 /T 30 N/R 19 W TOWN Somerset COUNTY ST. CROIX 5/6/15 BEDROOM 3 SYSTEM ELEVATION 94.3/93.5 4' below grade DATE CONVENTIONAL XXX IN-GROUND PRESSURE CONVENTIONAL LIFT HOLDING TANK DOSE TANK SIZE 1000 gallons LIFT TANK SIZE MOUND SEPTIC TANK SIZE LOAD RATE .7 ABSORPTION AREA 651 # of chambers 32 HOLDING TANK SIZE BENCHMARK V.R.P. Top of 3/4" steel pipe ASSUME ELEVATION im, Filter Filter ❑ BOREHOLE SWELL *H.R.P. Same as Benchmark 165th Ave Scale = 1 4" = 10' vent >6 Quick4 Standard Leaching Chamber of Cover with 20.0 ft2 of Area 11122 5.6ft^2/pair of end caps 4' Long 12,E Grade at System Elevation 34" All piping shall be ASTM SDR 30/34, within 52, 48' 10' of tank, piping shall be ASTM F891 44' 96' B.M.* 24' 8% Slope B-3 36' Vents 98' 70' B-1 B-2 2-3' X 66' cells with >3' spacing 20' T 15' i Pro 3 Bedroom House 85th St. Cover Page Shaun Bird Bird Plumbing Inc. 1432 120th St. New Richmond Wi 54017 715-246-4516 Date: 5/6/15 Owner: Michael Flandrick Location: NE1A SW1A S12 T30 N,R19 Lot 1 85th ST. Somerset Manuals Used: In-ground absorbtion system (version 2.0) Page# 1. Cover Page 2. Plot Plan 3. Chamber Cross Section 4-6. Maintanance and Contingency Plan 7. Filter Specifications She Signature License number #2 0000 PLOT PLAN PROJECT Michael Flandrick ADDRESS 1823 Windina Trail Road New Richmond Wi 54017 NE 1/4 SW 1/4S 12 /T 30 N/R 19 W TOWN Somerset COUNTY ST. CROIX SYSTEM ELEVATION 94.3/93.5 4' below qrade 5/6/15 BEDROOM 3 DATE CONVENTIONAL XXX IN-GROUND PRESSURE CONVENTIONAL LIFT HOLDING TANK 1000 gallons LIFT TANK SIZE DOSE TANK SIZE MOUND SEPTIC TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 651 # of chambers 32 BENCHMARK V.R.P. Top of 3/4" steel pipe ASSUME ELEVATION 100' FilterFilter ❑ BOREHOLE O WELL *H.R.P. Same as Benchmark 165th Ave Scale = 1/4" = 10' Vent >6„ Quick4 Standard of Cover Leaching Chamber with 20.0 ft2 of Area 124' 5.6ft^2/pair of end caps 4" Long 12„ Grade at System Elevation 34" All piping shall be ASTM SDR 30/34, within 52, 48' 10' of tank, piping shall be ASTM F891 44' 96' B.M.* 24' 8% Slope B-3 36' Vents 98' 70' B-1 B-2 2-3' X 66' cells with >3' spacing 20' T 15' Pro 3 Bedroom House 85th St. Cross Section of Infiltrator Quick 4 Leaching Chamber Typical cross section for 2 of 2 cells Quick 4 Standard Leaching Chamber with 20.0 ft2 of Area per Chamber To be >i' above grade 5.6ft^2 pair of end plates Finish grade elevation Typical Installation oe/ 98.3' Vent A91 Grade Vent 3, 4„ 3, A4„ Septic Tank 5' Long 199 5' S' Long 1 Grade at System Elevation 3617 Grade at System Elevation Spacing 5' 2-3' X 66' Cells Same on other end Observation tubeNent At end of cell A B 16 chambers per cell System elevations: A-94.3' B 93.5' S'I". CRGt_X C;'Ol_rNTt SEPTIC TANK MAINT[1,'NANCT Y K.iREEMENT ANL) OWNERSHIP CFR`ITFX'ATIt_-NI'ORM Owner/Bayer Mailing Address ~ g Z. 3 Property address a'1 ~j - - . , t- (a05 A" Verification requited fioun Planning. Zenrm t)e, )art~.nen_ for lie - 1 ] onstructxr.u.) t e~ any City/State Parcel Idcnti[ic~.~tiot~ N~pi tl~er Q 3Z - Z6145 - 30 - J6C36 LEGAL ~E5CIZIp i'1C)1!f Property Location E Vii; , kj Subdir-isioll Lot # l Certified Survey Data # Vc,luna, 11a a ~h# 60 Warranty Deed # Page Tr Spec house yes no I'm lint- identifiable ye.' no SYSTEM MAINTENANCE ANI9 UWINE' r C"ERTIFIC"A7'ION Improper use and maintenance of your septic s},stem could result in_ its pr,miature failure to handle wastes- Proper maintenance consists of pumping out the septic tank every thrive years or sooner; it needed, by a licensed pumper. What you put into the system can affect the function of the septic, tank as a treatment stage in the waste disposal sysl:en>r Owner maintenance responsibilities are specified in §Comrn. 83-5'L(l) and in Chapter 12 - Fit. Croix County Sanitary Or:dinancc. The property owner agrees to submit to St. C`toir> County Planning S;- ton ing Department a certification form, signed by the owner and by a master phmrber, journeyman pIurnber, restricted plumber or a lic•er;sed pumper verifying that (1) the on-site wastewater disposal system is in proper operating- condition and/or (2) after inspcu:ion and pumping (if necessary), the septic tank is less than 1/3 full of sludge. I/we, the undersit rred have read fire above requIrentetits and agice to mair tain !lie private sewage disposal system With the standards set forth, herein., as set by the Department of-t_,omnierec; and the Department of Natural Resources, State of Wiscaosin. Certification stating that yotu septic system has been rnatntainod must be complete, t and returned to the tit. Croix Coturty Plannirry lorurig Depart neat within 30 days ofthe three year expiration date- I/we certify that all statements on tli form arc, trao to ilic (rest of my/ our k aowledge. l/we ant/are the owner (s) of the property described above, by virtue, of a war anti, deed recorded in Register of llerl Is Office. Number of beef ooms S1CrIvA1Z OF APPL CANT(S) - - DATE ' **Any information that is misrepresented may result in ttre sinitary permit being o-woked by the Planning & Zoning Departmenn. Include with this application a recorded warranty deed from the Register of ]needs ~Af5ce and a copy ofthc certified survey rnap if- reference is made in the warranty deed. (REV. 08/05) POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page _of_ INFORMATION SYSTEM SPECIFICATIONS Tank Manufacturer* ❑ NA # eptic ❑ Dose ❑ Holding Volume: [7permert , /'y G Tank Manufacturer: DESIGN PARAMETERS Number of Bedrooms: ❑ NA ❑ Septic ❑ Dose ❑ Holding Volume: (gal) L ENNumber of Public Facility Units: A Vertical Distance Tank Bottom(s) to Service 71)/f (n) Horizontal Distance Tank(s) to Service Pad: (n) Estimated (average) Flow : f (gal/day) Specific servicing mechanics must be provided I vertical is >15 feet or Design (peak) Flow = (estimated x 1.5): (gaUday) if horizontal is >150 feet. Specific Instructions to be provided on back. In Situ Soil Application Rate: (gaUdaylfe) Effluent Filter Manufacturer: ,Cl~ o+*-P~ ❑ NA Standard (Domestic) influent/Effluent Monthly average Effluent Filter Model: Fats, Oil & Grease (FOG) s30 mg/L Pump Manufacturer: ~Nq Biochemical Oxygen Demand (BOD5) s220 mg/L ❑ NA Total mg/L Pump Model: f" Suspended Solids (TSS) 5150 High Strength Influent/Effluent Monthly average Pretreatment Unit (FOG) >30 mg/L . ManufacturerA TSS) (GODS) > 15 >150 0 mg/L mg/L 'X NA ❑ Mechanical Aeration ❑ Peat Filter ( [11 Disinfection Wetland Pretreated Effluent Monthly average ❑ Sand/Gravel Finer ❑ Other. (BODs) 5,30 mg/L Soil Absorption System (TSS) !oo mg/L ~ NA Ground (gravity) ❑ In Ground (pressure) ❑ NA Fecal Coliform (geometric mean) 510` " ❑ At-Grade ❑ Mound Maximum Effluent Particle Size 1rk in dia. ❑ NA ❑ Drip-Line ❑ Other: Other: NA Other: ❑ NA MAINTENANCE SCHEDULE Service Event Service Frequency When combined sludge and scum equals one-third ('f6) of tank volume Pump out contents of tank(s) When the high water alarm is activated Li month(s) (Maximum 3 years) ❑ NA Inspect condition of tank(s) At least once every: 3 year(s) ❑ month(s) (Maximum 3 years) ❑ NA Inspect dispersal cell(s) At least once every: 3 year(s) At least once every: ❑ 94earth( s) Clean effluent filter NA month(s) NA Inspect pump, pump controls & alarm At least once 'every: ❑ year(s) El month(s) NA Flush laterals and pressure test At least once every:. ❑ year(s) Other. ❑ month(s) NA At least once every: ❑ year(s) NA Other: MAINTENANCE INSTRUCTIONS Inspections of tanks and soil absorption systems shall be made by an individual carving one of the following licenses or certifications: Master Plumber, Master Plumber Restricted Sewer, POWTS Inspector, POWTS Maintainer or Septage Servicing Operator (pumper). Tank inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and a check for any back up or ponding of effluent on the ground surface. The soil absorption system shall be visually inspected to check the effluent levels in the observation pipes and to check for any ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory authority. When the combined accumulation of sludge and scum in any treatment tank equals one-third ('h) or more of the tank volume, the entire contents of the tank shall be removed by a Septage Servicing Operator (pumper) and disposed of in accordance with chapter NR 113, Wisconsin Administrative Code: All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, and any servicing at intervals of 5512 months, shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 30 days of completion of any service event. GMW-005 (02/05) Page of START UP AND OPERATION ence of painting products, solvents or other For new construction, prior to use of the POWTS check treatment tank(s) for the pres sys chemicals or sediment that may impede the treatment process and/or damage, h (pumpersoil pnooto use tem If high concentrations are detected have the contents of the tank(s) removed by a Septage servicing operator cower under these Pump tanks may fill above normal highwater levels prior to startup or due to pump failures. Start up or restoration of p absorp conditions is not recommended, as the excess ace d sch will ofe'efflueent and tdamagelto the systemstTo lavo thlarge dose causing an a have overload that may result in the backup or sta Servicing Operator (pumper) prior to restoring power to the pump contents S the pump tank removed by a Sep 9 or POWTS Maintainer to assist in manually operating the pump controls until normal effluent levels are restored within the pump tank. System start up shall not occur when soil conditions absorption frozen nat the system. Do not drive or park over, or otherwise disturb or compact, the Do not drive or park vehicles over tanks or the soil P area within 15 feet down slope of any mound or at-grade soil absorption area. ve the performance and prolong the life of the treatment Reduction or elimination of the following from the wastewater stream m cigarette "butts, condoms, cotton swabs, degreasers, dental floss, tanks and soil absorption system: acids, antibiotics, baby wipes, diapers, disinfectants, fats, foundation drain (sump pump) p} discharge, fruit and vegetable peelings, gasoline, greases, herbicides, meat scraps, medications, oils, painting products, pesticides, saniw napkins, solvents, tampons, and water softener brine discharge. sin Adm n sng steps shall be taken to insure that the system is prope y ABANDONMENT When the POWTS fails and/or is permanently taken 83.33 of service and safely abandoned in compliance with s. Co • All piping to tanks, pits and other soil absorption systems shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator (pumper). • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. rovide a code compliant CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to p replacement system: otected from d sturbance and ompactiono and should npot beninfring'ed upon tby required A suitable replacement area hasbeen need area will result with with t the es The replacement area should be p the rules in ct the re setbacks from existing and proposed struct, sh lot lines suitable areplaceme t area., Replaecement sylstemmust comply for a new soil and site evaluation to establ stabl on system limitations effect at the time of their permit issuance. cannot be the r soil soil ❑ suitable r mmnt area in avable due to technology, aahold ng tank may be i stalled as a last resort. POWTS rehabilitated and and barring ace ure of the ent area. Upon te evaluation The site has not been evaluatedenUfaeea pllf nottreplacement a ea islavailable a holding tank'may belinstalled as a must be performed to locate a suitable replacement last resort to replace the failed POWTS. Mound and at-grade soil absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface. Reconstructions of such systems must comply with the rules in effect at that time. WARNING TREATMENT TANKS, PUMP TANKS, AND HOLDING TANKS MAY CONTAIN POISONOUS GASSES OR LACK SUFFICIENT OXYGEN TO SUSTAIN LIFE. NEVER ENTER ANY TANK UNDER ANY CIRCUMSTANCE. DEATH MAY RESULT. ESCAPE OR RESCUE FROM THE INTERIOR OF A TANK MAY NOT BE POSSIBLE. ADDITIONAL INSTRUCTIONS: POWTS MAINTAINER, POWTS INSTALLER s ~c Name Name dun./ Phone ~ Phone LOCAL REGULATORY AUTHORITY SEPTAGE SERVICING OPERATO PUMPER Name Name C Phone /J'-' Phone f This document was drafted by the staffs of theGreen Lake, arquestte an W shara County POWTS regulatory agencies in compliance with sections Comm 83.22(2)(b)(1)(d)&(f) and 83.54(1), (2) & (3), Code. I 6? cv t(,~ i it ,1 S f t IN fi 1 b OR a 1_ FF L-- - j ~ a ~ ~ 04 a ~ D Q ~ il1 / 1 ~ c Z a, Q 3 U u.! a t i i II Illllllllllllllillllllli II Ill DOCUMENT NO. STATE BAR OF WISCONSIN FORM 1-2003 8 2 7 7 5 3 3 WARRANTY DEED Tx :4227379 1006594 THIS DEED, made between Brian Boardman, a single person; Jerome H. BETH PABST Geving and Barbara Geving, husband and wife as survivorship marital REGISTER OF DEEDS property; Barry A. Boardman and Gayle S_ Boardman, husband and wife as ST. CROIX CO., WI survivorship marital property, each an undivided 1/3 interest ("Grantor" 01/13/2015 10.34 AM whether one or more) conveys and warrants to Michael Flandrick, a single person ("Grantee", whether one or more), the following described real estate in EXEMPT*. 17 ST CROIX County, State of Wisconsin: REC FEE: 30.00 PAGES: 2 The NE'/, of the"SW'/ and SE'/ of the SW'/ of Section 12., Township 30 North', hange 19 West, Town of Somerset, St. Croix County, Wisconsin. RETURN TO Said conveyance is being given in full and complete satisfaction of,that certain St. Croix County Abstract & Title Co. Inc. Land Contract dated April 11, 2012, recorded April 16, 2012, as Doc. No. 219 S. Knowles Avenue 954433 and Assignment of Land Contract dated May 10, 2012, recorded May New Richmond, WI 54017 16, 2012, as Doc. No. 956522 and Assignment of Land Contract dated March 7, 2013, recorded March 11, 2013, as Doc. No. 974753 and Assignment of Land Contract dated May 14, 2013, recorded May 15, 2013, as Doc. No. 978676. Tax Parcel No: 032-2045-60-000 032-2045-30-000 This is not homestead property Exception to warranties: Municipal and zoning ordinances and agreements entered under them, recorded easements for the distribution of utility and municipal services, recorded building and use restrictions and covenants, and further except 2014 real estate taxes. Dated this Al- day of January, 2015. Brian Boardman Barbara Geving Jerome 1-1. Geving ~o ~;~jVA//Y1/YL Ga S. Boardman Barry An.d3'oardnian AUTHENTICATION ACKNOWLEDGMENT Signatures authenticated this day of STATE OF WISCONSIN 20 COUNTY OF STG~~~ ss. * TITLE: MEMBER STATE BAR OF WISCONSIN Personally came before me this (1-- day of January, 2015, the (If not, above named Jerome H. Geving and Barbara Geving, husband authorized by § 706.06, Wis. Stats.) and wife as survivorship marital property; Barry A. Boardman and Gayle S. Boardman, husband and wife as survivorship marital property, each an undivided 1/3 interest, to me known to be the person(s) who executed the foregoing instrument and acknowledge the sam/e. THIS INSTRUMENT WAS DRAFTED BY J" Robert L. Loberg / Loberg Law Office * E Notary Public Sr ~/NO 11 County,ff~ -Ij 1420860 / asc =Q• . My Commission is permanent. - f (Signatures may be authenticated or acknowledged. Both are If not, state expiration date: S/LZj not necessary.)9," P sT. *Names of persons signing in any capacity should be typed or printed below their signatures. san.„te••'"•~• WARRANTY DEED Form No. 1-2003 St. Croix County 1006594 Page 1 of 2 1010261 BETH PABST REGISTER OF DEEDS ST. CROIX CO., WI RECEIVED FOR RECORD 04/08/2015 3:03 PM EXEMPT CERTIFIED SURVEY MAP REC FEE: 30.00 Located in the Northeast Quarter of the Southwest Quarter, COPY FEE: 3.00 Section 12, Township 30 North, Range 19 West, PAGES: 2 Town of Somerset, St. Croix County, Wisconsin. PREPARED FOR OWNER: aa~aaaattaa~r~~~~~ Michael Flandrick ~~jG0/V5`/ ~i~~ 1823 Winding Trail Road ••"""•'•••.ti New Richmond, WI 54017 ? pal 16. ? NOTE: Lots may be subject to future special assessments for $ any upgrades and improvements to the road. The parcel shown on this map is subject to State, County and 1291 • ,-Q Township laws, rules and regulations (i.e., wetlands, minimum .qti••..•,,,, 0 N 1!4 corner Section 12, lot size, access to parcel, etc.,). Before purchasing or j Z) SUFt'4 ~ T30N, R19W_ developing the parcel, contact the St. Croix County Zoning ~~~~~~s~~aaaaa• Office and Town of Somerset for advice. I I I ~c~11 LOT 2 C.S.M. VOL. 11_PAGE 3205 A, QG ' LOT 24 ~ r ~ NORTHERLY R/W 165TH AVENUE-J Cn NORTH SASS LAKE I N ESTATES FIRST ADDITION TLU I cl 1 1/4" - - - - _ - - - - 1 1/41 O O ( N I r-t of 165th Avenue N - _ - 1inch iron pipe at the Cl) _ I g I LOT4 965TH AVENUE W 1/4 corner Section 12, M_ _ _ - - - - - C.S.M. VOL_is T30N, R19W. - r Z N 2280_06, E M N 89°39'15" E 370.00 / PG. 4802 4 337.00' 1 N 89°39'15" E 15' ~ i I 33' 1 2641.90' ~i E-W 1/4 line, Sec. 12. 1 n.; I o UNPLATrED LAND I Cn N-S 1/4 line, Sec. 12-1-1 ~I aN ~ col a rn_ 11 33' O I ~1 3 1 6 85th Street -1 I ~1 O 1 `rl O LO U NI H O' 1 JI W O Including R.O.W. o I W' 147,985 sq. ft or 3.397 acres 9 cj~ LLJ Excluding R.O.W. 1 1 I--~ - 01 134,784 sq. ft. or 3.094 acres 1 N I ~1 cv z T___ I ~ I °I ~ ~ a i N 1 O I 0 3 oo I O Scale in Feet O - L .2: o i ~1 0 25 50 100 Z ` o I 1 15_foot-communiration 1 Lni I N1 1 inch= 100 feet cable easement per I ~1 25, V 1 01 ol. 16- - 9e -17-9---415'I a i -parallel with E-W 1/4 line _ 33.00 L33' 33' Ni 1 0 Legend 337.00" 0-1 1 Q Denotes set 1 1/4 inch diameter by 24 inch S 89°39'15" W 370.00' I I vi long iron rod weighing 4.17 pounds per UNPLATTEQ LAND I I VI lineal foot. 115.1 1 w I C141 1 1/4" I 'v f,., OI Denotes found iron pipe monument and I c~^ I i1 outside diameter in inches. N~ I pN I Denotes aluminum cap St. Croix County Z section corner monument unless S 1/4 corner Section 12, otherwise noted. T30N, R19W. Distances are in feet and decimals of a foot. The North - South 1/4 line of Section 12, Township 30 Survey prepared by: Landmark Surveying Inc. North, Range 19 West bears North 00 degrees 28 21090 Olinda Trail North (A Minnesota Corporation) minutes 24 seconds East as referenced to the St. Croix County Coordinate System NAD 83 (1991 Suite B ,Minnesota 55073 Joel T. Anez - Land & rveyor Adjustment). The distance between the N 1/4 corner candia E-mail. intitefield©frontiernet.net (651) 433-3421 and S 1/4 corner of said section is 5294.85 feet. Sheet 1 of 2 sheets This instrument drafted by M. Horak on the 27th day of February, 2015 Revised. March 30, 2015 Job No. 2015-07 NORTH St. Croix County 1010261 Page 1 of 2 Vol 26 Page 6099 l~l\ 11M Y d 7 N • j~h TM s+r 8,r N p~ N d y Z~ ~ gY ~f i As iQpcw dftqd!i oil AF- r N r 1 Property Owner ¢ Parcel ID # Page _C:L, of .S ❑7 Boring # ❑ Boring Pit Ground surface elev. Q<-, 7- ft. Depth to limiting factor in. Soil Application Rate z Horizon Depth Dominant Color Redox Description Texture Structure onsistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ff#1 * ff#2 3 s 9 y a 9 7,~ Z 141 Al i Boring # ❑ Boring ❑ pit Ground surface elev. ft. Depth to limiting factor in. Soil Application Rate z Horizon Depth Dominant Color Redox Description Texture Structure onsistence Boundary Roots GPD/ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. * ff#1 * ff#2 Boring ❑ Boring # Ground surface elev. ft. Depth to limiting factor in. ❑ Pit Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure onsistence Boundary Roots GPD/ft 2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. ff#1 ff#2 * Effluent #1 = BOD s > 30 < 220 mg/L and TSS >3Q < 150 mg/L * Effluent #2 = BOD 5 < 30 mg/L and TSS < 30 mg/L The Dept. of Safety and Professional Services is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, contact the department at 608-266-3151 or TTY through Relay. SBD-8330 (R11/11) W is. D . o Safety and Professional Services SOIL EVALUATION REPORT Page - of Division of Safety and Buildings in accordance with SPS 385, Wis. Adm. Code County Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but not limited to: vertical and horizontal reference point (BIB) r~et Parcel I.D. percent slope, scale or dimensions, north arrow, and locationtah, ror oad. O 3 2- Z~~-/S-3 b -6Ob Esl G Please print all information. Reviewed by Date Personal information you provide may be used for secondary purposes (Prioa.-!4 ! ~s . ~ 1~ (m)). ~b Zb~ Prope ner S. CIS 1 , tioNT zo rec. X tJNe tV 1/4 1/4 ST N R E (oro - 22 P operty Owner's M iling Address L - Block # Subd. Name or CSM# City State Zip Code Phone Number City ❑ Village f@Town Nearest Road JO New Construction Use: Residential / Number of bedrooms Code derived design flow rate - GPD ❑ Replacement ❑ Public or commercial - Describe: Parent material t26a,e -4 Flood Plain elevation if applicable ft. General comments and recommendations: D Q Boring # E] Boring Pit Ground surface elev. 9r ,S ft. Depth to limiting factor Zla in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure onsistence Boundary Roots GPD/ft 2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. * ff#1 02 -2 9-/7 1 ~e -31k id m R jl~ ~r n Boring # Boring t}~ I Pit Ground surface elev. gg 3 ft. Depth to limiting factor >Q_ in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure onsistence Boundary Roots GPD/ft s in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. * ff#1 * ff#2 S R 9 -f- 9 0 -Al X5 * fflue pt~tl = BOD > 30 < 220 mg/L and TSS >30 < 150 g/L * Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Nam ase P nt) ' Signa a CST Number Address ate Evaluation Conducted Telephone Number ~a Z 41 2217 SBD-8330 (RI 1/11) Property Owner r) Parcel ID # Page of Boring # ❑ Boring 1 Pit Ground surface elev. , 7 ft. Depth to limiting factor in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure onsistence Boundary Roots GPD/ft 2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. * ff#1 ff#2 _ d a H Z A/ Al -17 ❑ Boring # ❑ Boring ❑ Pit Ground surface elev. ft. Depth to limiting factor in. Soil A lication Rate Horizon Depth Dominant Color Redox Description Texture Structure onsistence Boundary Roots GPD/ft Y in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. * ff#1 *M2 Boring ❑ Boring # Ground surface elev. ft. Depth to limiting factor in. ❑ Pit Soil lication Rate Horizon Depth Dominant Color Redox Description Texture Structure onsistence oundary Roots GPD/ft 2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. * ff#1 * ff#2 * Effluent #1 = BOD 5 > 30 < 220 mg/L and TSS >30. < 150 mg/L * Effluent #2 = BOD 5 < 30 mg/L and TSS < 30 mg/L The Dept. of Safety and Professional Services is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, contact the department at 608-266-3151 or TTY through Relay. 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