HomeMy WebLinkAbout022-1057-10-200 11 r_" r%
County
Safety and Buildi s Division
S 201 W. Washington Av O OX 62 Sanitary Permit Number (to be filled in by Co.)
1` P S, g 0 12016 ST. COUNTY Madison, WI 5 q
our` MMUNIIYIDEVELO ME T ~ 7 3/ S7~ `
Sanitary Permit Application State Transaction Number
In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit
is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are submitted to Project Address (if different than mailing address)
the Department of Safety and Professional Servies. Personal information you provide may be used for secondary 6
purposes in accordance with the Privacy Law, s. 15.04 1 (m , Stats. L
I. Application Information - Please Print All Information a ,le r )E_/~S (or !~Yo 2 Z
Property Owner's Nam Parcel #
t-in, -r 1" C Ic Try 1r1 O c~ 2 -1c)57-1t)
--20(7
Property Owner's Mailing Address + Property Location
7/5- SJ. C--0/-X Sy. J~e. Govt. Lot
City, State Zip Code Phone Number ,
!l5
A vt O
1; A C T )22- q/ / section Z
/c /(5 -222'/~`t 3 (circle one
E or W
II. Type of Building (check all that apply) Lot #
X1 or 2 Family Dwelling - Number of Bedrooms Subdivision Name
Block #
❑ Public/Commercial - Describe Use
❑ City of
❑ State Owned - Describe Use CSM Number ❑ Village of
to - M ~ q ❑ Town of Krir n / Ck //'ff i C
III. Type of Permit: (Check only one box on line A. Complete line B if applicable)
A.
New System ❑ Replacement System ❑ Treatment/Holding Tank Replacement Only ❑ Other Modification to Existing System (explain)
B. ❑ Permit Renewal ❑ Permit Revision ❑ Change of Plumber ❑ Permit Transfer to New List Previous Permit Number and Date Issued
Before Expiration Owner
IV. Type of POWTS System/Component/Device: Check all that apply)
)9:""on-Pressurized In-Ground ❑ Pressurized In-Ground ❑ At-Grade ❑ Mound > 24 in. of suitable soil ❑ Mound < 24 in. of suitable soil
❑ Holding Tank ❑ Other Dispersal Component (explain) ❑ Pretreatment Device (explain)
V. Dis ersaVrreatment Area Information:
Design Flow (gpd) Design Soil Application Rate(gpds fl Dispersal Area Required (s fl Dispersal Area Proposed (sf) System Elevation
4 !6S-7
~Z.
VL Tank Info Capacity in Total # of Manufacturer
Gallons Gallons Units
O N U
ca V U i,
New Tanks Existing Tanks
Qy t..~ G7 N V] w V Q.q
Septic or Holding Tank O O
ev
Dosing Chamber
VII. Responsibility Statement- I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans.
Plumber's Name (Print) Plumber's Signature 4 7NTRS Number Business Phone Number
,T-0 AJ
v
AnSa S 7/S~- 76D-1/S
Plumber's A ess (Sttrreet, City, State, Zip Code) 2
a & ~C 9
VIII. Coun /De artment Use Onl
Approved ❑ Disapproved $erm(/it Fee Date Issued Issuing Agent Signature
❑ Owner Given Reason for Denial Yeoo
DL Conditions of Approval/Reasons for Disapproval
~1o flout- Pzwls qrr 7S Uc~~~Y t AC gE'D S. M44 7' 4,10T AtC2E' N 6A)
~-I wciNo~r GdN'r+e,-,7AJ& 9M ?cm~A7-1,V T, flelole 7V c&VSrP-U4T70w1•
Attach to complete plans for the system and submit to the County only on paper not less than 8 12 z 11 inches in size
V0IF/6-1 owljoSAtf W/17V 60r z a'-'* 76r-:b.
SBD-6398 (R- 11/11)
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Private On-Site Wastewater Treatment System (POWTS)
Index and Title Sheet
Owner: -R4-rrjeK 7- A- Nog
Project Name and System Type: -12~,UXD e4MUF~IC,U4L 7~ENcN~s
Location: 2413 _ 51 T H. 615
Street Address
_40r_z, LsM 1D a9 ~`~~f or- sW' - C. ,-rz-s A. mtS v~
Legal Description
1 jAJU ICK)AIA;4 st C-Raw
TownshiplCounty 7y3
Design Criteria (Check one): 6 Z Z - /D 57 /d -ZOO
Holding Tank Component Manual: In-Ground Soil Absorption Component Manual:
❑ SBD-10571-P (6/11/1999) ❑ SBD-10567-P (R. 6/1999)
❑ SBD-10855-P (3/2007) Version 2 10 SBD-10705-P (N. 01/2001) Version 2
Contents: Pagel: 1:06 zY A Nb TfT4,6 5or;>
Pagel /Ati-C-R oyX b C.rys5 sscri og( e, 4c s
Page 3: (-oT Pi-AA(
Page 4: POwis oufVW.s AAA L- JVVAVP,"AyW P"d
fi rt t rr r
Page 5:
Page 6: P&-YL-OK ~,z5 /Lr i! Sp Cs
Page 7: r-A N K S ppC s
Page 8• 4j- -i► 4AL- PHOTD
Se 9:
MARYAWac f VU.4 W"TY DSED
* FIUPPERT 00
D 1859 iO rs c M~► i~r rEa KIM s/Ii-t
~.RIVER FALLS. SOIL ~ftCUF7/D!d R~Pdl2TT
r: RET Signed:
Credential Number. Date: 5l /9-zp~di"
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~1 2~fr EI~Y ~s 1 " = 40 ft
Leg4d Descriptton Z--,-r 2, Gs rf 10170W, n),C'lg or- (ewept where notedo
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POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page of g
FILE INFORMATION SYSTEM SPECIFICATIONS
Owner T )dk Tank Manufacturer. w ❑ NA
Permit # Septic ❑ Dose ❑ Holding Volume: I Z 50 (gal)
DESIGN PARAMETERS Tank Manufacturer. PtNA
Number of Bedrooms: O NA O Septic ❑ Dose ❑ Holding Volume: (gal)
Number of Public Facility Units: I? NA Vertical Distance Tank Bottom(s) to Service Pad: (ft)
Estimated (average) Flow : 4100 (gal/day) Horizontal Distance Tank(s) to Service Pad: (ft)
Specific servicing mechanics must be provided if vertical is >15 feet or
Design (peak) Flow = (estimated x 1.5): 66 Wday) if horizontal is >150 lis t. Specific instructions to be,provided on bads
In Situ Soil Application Rate: p, "1 (galiday/ft) Effluent Filter Manufacturer POLY t-o/C
❑ NA
Standard (Domestic) Influent/Effluent Monthly average Effluent Filter Model: 3~s
Fats, Oila Grease (FOG) ! 3W mg& Pump Manufacturer.
Modhernical Oxygen Demand (BOOS) s22O mgil ❑ NA ja NA
Total Suspended Solids SS s150 mg/L Pump Model:
High Strength Influent/Effluent Monthly average Pretreatment Unit
(BOD5) >22o m ~g/L NA Manufacturer. 'V g
Mechanical Aeration ❑ Peat Fier NA
>150 ❑ Disirdection ❑ Weiland
Pretreated Effluent Monthly average ❑ Sand/Gravel Filter 0 Other.
(BODs) `-30 mg/l. Soil Absorption System
Fecal Cotiforrn mean) s104 fu/100m1 'v , !n GraxW
`p At-Grade Wravity) p 0 ; 'tee) [3 NA
Maximum Effluent Pafide Size 1/g inch dia, ❑ NA 0 Drip-Line OtMound
er.
h
Other ❑ NA Other
p NA
MAINTENANCE SCHEDULE
Service Event Service Frequency
Pump out contents of tank(s) 0 When combined sludge and scum equals one-third (!g) of tank volume
❑ When the high water alarm is activated
Inspect condition of tank(s) At least once every: ❑ month(s) (Maximum 3 years) p NA
Inspect dispersal cell(s) At least once every. month(s) (Maximum 3 years) ❑ NA
year(s)
Clean effluent filter At least once every: MOWKS) 0 NA
Inspect pump, pump controls A alarm At least once every:
month( NA
)S)
Flush laterals and pressure test At least once every: ❑ month(s)
. ❑ ye(s) V(NA
At least once every: month(s) 0 NA
Other
❑ NA
MAINTENANCE INSTRUCTIONS
• Inspectioris of tanks and soil absorption systems shall be made by an individual carrying 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 bads 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 t0 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 (y3) 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, induding but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units,
and any servicing at intervals of s12 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
START UP AND OPERATION Page of
For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products, solvents or other
chemicals or sediment that may impede the treatment process and/or damage the soil absorption system. If high concentrations are
detected have the contents of the tank(s) removed by a Septage Servicing Operator (pumper) prior to use.
Pump tanks may 91 above normal highwater levels prior to startup or due to pump failures. Start up or restoration of power under these
conditions is not recommended, as the excess wastewater will be discharged to the soil absorption system in one large dose causing an
overload that may result in the backup or surface discharge of effluent and damage to the system. To avoid this situation have the
contents of the pump tank removed by a Septage Servicing Operator (pumper) prior to restoring power to the pump or contact a Plumber
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 riot occur when soil conditions are frozen at the infiltrative surface.
Do not drive or park vehicles over tanks or the soil absorption system. Do not drive or park over, .or otherwise disturb or compact, the
area within 15 fleet down slope of any mound or at-grade soil absorption area.
Reduction or elimination of the following from the wastewater stream may inVrow the performance and prolong the fife of the treatment
tanks and soil absorption system: acids, antibiotics, baby wipes, cigarette butts, condoms, cotton swabs, degreasers, dental floss,
diapers, disinfectants, fats, foundation drain (sump pump) discharge, fruit and vegetable peelings, gasoline, greases, herbicides, meat
sops, medications, oils, painting products, pesticides, sanitary napkins, solvents,-tampons, and water softener brine discharge.
ABANDONMENT
When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to insure that the system is properly
and safely abandoned in compliance with Wisconsin Administrative Code s. SPS 383.33-
• All piping to tanks, pits and other soil absorption systems sball be disconnected and the abandoned pipe openings sealed.
• The contents of all tanks and pits shall be removed and property-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 sal,
gravel or another inert said material.
CONTINGENCY PLAN
If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant
replacement system:
(Check a# that apply)
A
The replacement suitable replacement area has been evaluated and may be utilized for the location of a replacement sal absorption system
setbacks from area should be protected from disturbance and compaction and should not be infringed upon by required
existing and proposed structure, lot fines and webs. Failure to protect the replacement area will result in the need
for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply. with the rules in
effect at the time of their permit issuance.
❑ A suitable replacement area is not available due to setback and/or soil limitations. If the soil absorption system cannot be
rehabilitated and barring advances in POWTS technology, a holding tank may be installed as a last resort.
❑ The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation
must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed as a
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 eflied 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 INSTRUCTtONS-
POWTS INSTALLER POINTS MAINTAINER
Name -TKoY ~ORAn Name --tom y 3DHN 5b14
Phone 715- 766 -11.5 3 f5-7(o U l13
SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY
j>k9Rv Jg~el®VfGb Nerrme Pierce County Land Management Dept.
Phone Phone 715-273-6747 - j
This form is in con"anc a with Wisconsin AcIr trative Code s. SPS 383.22(2)(bXlXd) & (tj and SPS 383.54(1), (2) & (3).
Filters
PL 525 EFFL DENT FILTER
&=W"h4V--
Polylok, Inc is pleased to add its
new commercial filter to its existing
line of quality effluent filters. The
PL-525 is rated for over 10,000 GPD Alarm PVC
(gallons per day) making it one of accessibility Accepts n handle
the largest commercial filters in its extension handle
class. It has 525 linear feet of 1/16"
filtration slots. Like the Polylok
PL-122, the new Polylok PL-525 has
an automatic shut off ball installed 525 linear feet
with every filter. When the filter is of 1116"
removed for cleaning, the ball will filtration slots Rated for over
float up and temporarily shut off 10,000 GPD
the system so the effluent won't
leave the tank. No other filter on
the market can make that claim! Accepts 4" & 6"
SCHD. 40 Pipe
PL-525 Maintenance:
The PL-525 Effluent Filter should
operate efficiently for several years
under normal conditions before
requiring cleaning. It is recom-
mended that the filter be cleaned
every time the tank is pumped or
at least every three years. If the r
installed filter contains an optional ,
alarm, the owner will be notified Y'
by an alarm when the filter needs
servicing. Servicing should be y ; Gas deflector
done by a certified septic tank
Automatic shut-off
pumper or installer. i-° ball when filter
1. Locate the outlet of the U.S. Patent No# 6,015,488 is removed
septic tank. 5,871,W
2. Remove tank cover and pump
tank if necessary. PL-525 Installation: 1. Locate the outlet of the
3. Do not use plumbing when septic tank.
filter is removed. Ideal for residential and com- 2. Remove the tank cover and
4. Pull PL-525 out of the housing. mercial waste flows up to pump tank if necessary.
5. Hose off filter over the septic 10,000 Gallons Per Day (GPD). 3. Glue the filter housing to the
tank. Make sure all solids fall 4' or 6" outlet pipe. If the
back into septic tank. filter is not centered under the
access opening use a Polylok
6. Insert the filter cartridge back Extend & Lok or piece of pipe
into the housing making sure to center filter.
the filter is properly aligned and 4. Insert the PL-525 filter into
completely inserted. its housing.
7. Replace septic tank cover. 5. Replace the septic tank cover.
Technical Specifications
INS
PL-525 EFFLUENT FILTER
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m REV.
--q SEPTIC MANUAL DATE: 99/00/00
.
\ z W3716 US HWY 10 MAIDEN ROCK, WI 54750 DATE: OST-POUR:
° 800-325-8456 FlLE: rrl"
ST. CROIX COUNTY
SEPTIC TANK MAINTENANCE AGREEMENT
AND
OWNERSHIP CERTIFICATION FORM
.Owner/BuyerA"CK►CK ~IZ,F~YA~251~
Mailing Address "715 5T. C.Rutic S-C. RkJEK T-ALt S WT 5402- Z.
Property Address Z4 5 5-T,44'
105
(Verification required from Planning & Zoning Department for new construction.)
City/State ~RNZK TA LU5 , X11 Parcel Identification Number 6 22- -105'1-/0- 2 DO
LEGAL DESCRIPTION
Property Location A)E '/4 , 5W '/4 , Sec. z0 , T Z$ N R_Jj_W, Town of i ,Jn11CK" IC-
Subdivision Plat: NA Lot #
Certified Survey Map # - , Volume -XI? , Page # 29Y~
Warranty Deed # I0 1 Zqy3 (before 2007)Volume , Page #
Spec house Dyesno Lot lines identifiableoyes[] no
SYSTEM MAINTENANCE AND OWNER CERTIFICATION
Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper
maintenance consists of pumping out the septic tank every three years or sooner, if 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 system. Owner maintenance
responsibilities are specified in §SPS. 383.52(1) and in Chapter 12 - St. Croix County Sanitary Ordinance.
The property owner agrees to submit to St. Croix County Planning & Zoning Department a certification form, signed by the
owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site
wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is
less than 1/3 full of sludge.
I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the
standards set forth, herein, as set by the Department of Safety And Professional Services and the Department of Natural Resources,
State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix
County Planning & Zoning Department within 30 days of the three year expiration date.
I/we certify that all statements on this form are true to the best of my/our knowledge. I/we am/are the owner(s) of the
property described above, by virtue of a warranty deed recorded in Register of Deeds Office.
Number of bedrooms _Aj~
tI / oZl 2-e/S~
' z'
SIG A OF A PLICANT(S) DATE
***Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department.
Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey map if
reference is made in the warranty deed.
(REV. 04/12)
t
Wisconsin Department of Safety and Professional Services
Division of Industry Services
SOIL EVALUATION REPORT Page I of 2
in accordance with SPS 383, Wis. Adm. Code
Attach complete site plan on paper not less than 81/2 x 11 inches in size. Plan must County ST. CROIX
include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel I.D.
percent slope, scale or dimensions, north arrow, and location and distance to nearest road. 022 - 1057 - 10 - 200
Please print all information. Reviewed by Date
Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)).
Property Owner Property Location n
PATRICK TRAYNOR Govt. Lot NE 1/4 SW 1/4 S 20 T 28 N R 18 (or)W
Property Owner's Mailing Address Lot # Bbdc # Subd. Name or CSM#
715 St. Croix Street 2 V 10, P 2944
City State Zip Code Phone Number ity ❑ Village Town Nearest Road
River Falls, WI 54022 ( ) S.T.H. 65
0 New Construction UseE] Residential/ Number of bedrooms 4 Code derived design flow rate 600 GPD
a Replacement n Public or commercial - Describe:
Parent material SANDY Flood Plain elevation if applicable NA ft.
General comments Conventional In-ground Trenches 0.7 loading rate
and recommendations:
Additional boring required by St. Croix County personnel to verify soils.
a Boring # Boring
Q Pit Ground surface elev. 96.73 ft. Depth to limiting factor <92 in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 -Efr#2
1 0-16 7.5YR2.5/2 sil 2f-msbk mfr cw 2vf-m 0.6 0.8
2 16-21 7.5YR3/3 - sicl 2fsbk mfr cs 2vf-m 0.4 0.6
3 21-36 7.5YR4/4 sicl 2fsbk
mfr cs i of-m 0.4 0.6
4 36-41 10YR3/6 ls& Os ml
cs 2vf-m 0,7 1.6
5 41-92 10YR4/6 s Osg ml 0.7 1.6
Horizon 5 has 30-35% gr.
2 Boring # ❑ Boring
F E pit Ground surface elev. ft. Depth to limiting factor in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff
in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. *Eff#1 -Eff#2
Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg/L * Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L
CST Name (Please Print) S' re CST Number
M Jo Hu ert Hollister's Soil Testing & Design) 224832
Address Date Evalu ' Conducted Telephone Number
W9875 690th Avenue, River Falls, WI 54022 09 - 03 - 2015 715 - 426 - 1775
SBD-8330 (807/13)
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SOIL PROFILE DESCRIPTION
Owner: Ptf IOLIGK-0 L~iyy/UI)f~ CST: ?2W Y `Tz ~lli1 IJPCF I
System Elev. Proposed: 9Z 5 ft Syst. Range 11.6 ft to Z. ft Ld Rate:-,7
(w i4, .7
# Elevation: 96. 73 # ( Elevation: /4D. 6 # Z Elevation:
o Boring o Boring o Boring
Pit Pit Pit
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Wisconsin Department tions Industry,
Labor and FQuman R2t3ti SOIL AND SITE EVALUATION REPORT Page ~ 3
Of
division of Safety & Buildings
* in accord with ILHR .05, Wis. Adm. Code
1 COUNTY
Attach complete site plan on paper not less than 8 1/2 n si include, but ST• Ct`O lX
not limited to vertical and horizontal reference point ' ection and % of s le or PARCEL-W. #
dimensioned, north arrow, and location and distanc st roa Z -M
AP A T INFO ATI N-P LEASE PRI L MWI0~ R IEWED DAT
t~ y13G~
PR PERTY OWNER: ca OPE CATION
0 S C.} -V- Z' . LEE 0- I 114 SW 1/4,S 2-13T Z G N,R 18 E (or OW
PROPERTY OWNER':S MAILING ADDRESS cn LOT OCK # SUBD. NAME OR CSM #
t D a3 Q\'3NV- Tzc~ a - c " y~
CITY, STATE ZIP CODE PHONE []VILLAGE ®fOWN SNEA-R-EST ROAD
(2.ll~~R. ~"1;,t-S Gv) 5~(oZZ (1tS) Sl 1IVi`1\Ck.ItJN 1C L)Pr~.R
N New Construction Use. [)q Residential / Number of bedrooms v ►N [ J AdditiQn toe 'sting but ing
j J Replacement U lc o describe
11
Code derived daily Ho \ Su Recommended design loading rate o ,'7 bed, gpd/ft2 _ $ trench, g 6lld
/
Absorption area requ ed -LIS h, ft2 Maximum design loading rate o.'l bed, gpd/ft2o- 8 trench, gpd/ft2 l
Recommended infiltrab Z S ft (as referred to site plan benchmark)
Additional design /site considerations SEta- NUTE- 'T11 UU STf1<L -elk- 0'j AGE` ot= ,
Parent material S Pr tvOy OvT u. R S t~l Flood plain elevation, if applicable N • N . ft
S = Suitable for system CONVENTIONAL MOUND IN-GROUND PRESSURE AT-GRADE SYSTEM IN RLL 7HOLDING TANK
U= Unsuitable for s stem 91S ❑ U WS ❑ U 13S ❑ U ® S ❑ U ®S ❑ U ❑ S [RIU
SOIL DESCRIPTION REPORT
Boring # Horizon Depth Dominant Color Mottles Structure GPD/ft
9 in. Munsell Qu. Sz. Cont Color Texture Gr. Sz. Sh. Conststerx~e Boundary Roots
Bed Trench
1 07
~O`1 R Z.~1
S i Z wt S h Vt 4w Gk.(_) o S u- 6
_..v.......... 0-16 ~0`1R 3!3 - SO Zwj 5bh wt'F~. eiv c,. S o. L
Ground 3 Z~-V(3 113 11\Z 31` S ~~yl Sbk VviN.) y -S c)-q 0-5
elev.
CJ&- L ft. qb-93 ko` l \Z.yl~ - S q 6t- 0 s iWt I o. o.
Depth to
limiting
factor
l
Remarks:
Boring #
6
o'
f< Z_ z Z6-3y u Q 2 j z s I 1
Ground 3 31013 R 3/6 Gh S S~k W O-S 0-1-1 e. S
elev. 14 '43-IL l o y lZ VA ~ S@ Q, C~ S 9 1 ~ 0 7 o. Y~
q6.2 ft. 1")
Depth to
limiting
factor
Remarks:
CST Name:-Please Print Phone:
Arthur L. We erer 715-425-0165
egerer Soil Testing & Design Service-P.O. Box 74 River Falls,WI 54022
Signature: Date:
9 y 3 t 9- Q- 30 -riCST Number:
M00576
PROPERTY OWNER US C-N-2- l.z-~ SOIL DESCRIPTION REPORT Page? of a ot -I
PARCEL 1.0, # E
Boring # Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD/ft
fizon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench
!1\Zs t\ L Z-! I - S i Z M S b►k M Cw a - S "A
Ground 3S 10 -11e- 3l6 Gh s l 1 wt abk yn U`FH ~S y 0-S
elev. 1 O`t R VA t--) o. g
9b .6 ft. L4 3s-a
Depth to
limiting
factor
Remarks:
Boring # sl Zm Jb1T Wi`£\ CL-v p. S o
~ o-l. S Lu`t~2 Zl~
s 1 Z`F Sdk w,~~- cw - a S u• 6
3 Z8-yZ IOtiR 31i. - C~~ S~ 3\",h yo C- S
Ground
elev. L4 qZ-gy r) '--t R YA S A GG Q7 S5 Yh 1
q ( ft.
Depth to
limiting
factor
Remarks:
Boring # ` 0-1~ 10~R Z~ I S 1 Z,r+n Sb1T ~n~r C~v - o•S o•
>:fi:: S Z )6 -3 2 l0 IL 3 !3 S 1 ~ Z ''F S b h hn `Fh Cw
cs - o yio.5
3 3~-Yo lost fZ 3l6 - Gh s 1 ~ ~ sU~c hnv`~4•
Ground S~Gt- O g ~ I o-7 0. a
elev. \4 y0. `1S ttJ `12 V16 -
q L•-7 ft.
Depth to
limiting
factor ,
9S '
Remarks:
Boring #
Ground
elev.
ft.
Depth to
limiting
factor
Remarks:
SBD-8330(8.05/92)
~ i PLOT PLAN Page 3 of 3
SCALE 1"= 140 '
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9
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ti~-sw S' k S7 ` LONG .
i
-FOR Y _Q WLM H-um e - ~2 'x1Z` tWb oft Z -nz-~cN t2s, EA ZW -
sw-Sw s E- -Sbk, Y, -11V
k s Bt~2h HlxiE , iZ' x40' R~~ op- z 1mave-lies, "cK
d - 5'x9(1` Lou G,
~%ewC"e S !arf( F' C01~! 1=7.~ LSD
94-319- )
-Yz 30 - °!i-015 ) 425 -()169 140 0 5 7 6
CST Signature Date Signed Telephone No. CST #
Parcel 022-1057-10-200 04/13/2007 12:02 PM
PAGE 1 OF 1
Alt. Parcel 20.28.18.313C 022 - TOWN OF KINNICKINNIC
Current X 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
MARY E & JAMES P PICCOLO O - PICCOLO, MARY E & JAMES P
23035 N CHURCH RD
SCOTTSDALE AZ 85255
Districts: SC = School SP = Special Property Address(es): Primary
Type Dist # Description
SC 4893 RIVER FALLS
SP 0100 CHIP VALLEY VOTECH
Legal Description: Acres: 11.520 Plat: N/A-NOT AVAILABLE
SEC 20 T28N R18W PT NE SW BEING LOT 2 Block/Condo Bldg:
CSM 10/2944 11.52 ACRES
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
20-28N-18W
Notes: Parcel History:
Date Doc # Vol/Page Type
11/07/2006 838256 WD
11/07/2006 838254 QC
08/11/2006 832057 WD
08/11/2006 832056 QC
more...
2007 SUMMARY Bill Fair Market Value: Assessed with:
0
Valuations: Last Changed: 08/10/2005
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 11.520 120,000 0 120,000 NO
Totals for 2007:
General Property 11.520 120,000 0 120,000
Woodland 0.000 0 0
Totals for 2006:
General Property 11.520 120,000 0 120,000
Woodland 0.000 0 0
Lottery Credit: Claim Count: 0 Certification Date: Batch
Specials:
User Special Code Category Amount
Total Special Assessments Special Charges Delinquent Charges
0.00 0.00 0.00