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HomeMy WebLinkAbout020-1075-10-600 nc~0 nm !. 3d c 0 C M ~ 1 ~ C ~ ~ ~ 1 ~ M ~ 1 M ~j ~ !•1 I M n '~ G) O Z ° v s n 'S L= Z O O? C V N ~ d. N to O 0 0 J ~, ~ y O D O pp d ~ fD 3 W W a~ Q W N C n W N lD ~ v 7 (D 7 ~ f"D -~ (D f ~ n N W fD ~> N ~ > ~ O O O O O W X ~ . 3 6/ O~ ~ X i T (D V ~ C1 '~ ~ ~ C O N O .. ~ W c ~ 3 ~ C O c~ ~ ~ Q M~ = 0 ~ y 7 fN ~ y~ ~ 0 °, o O O~i ~ O ~1 ~ O ~ ~ N a o ~ m m m N a o "D m N W y N ~ N 3 W fl, l ~ , ~ ~ „~, ~ C fD a J ~. n O ~ Cf CD ~, ! ~: O W C (D i ~,~ `~ C c~rcn y O O N f/i w w N 3 „0„ g W W '9 I O O O pp Z O C ~ CSOC O CS O ~ ~ ~ Z O N ~ ~ i CS Cc ~ CS ~ O O ' < ~ -f y ' ~ y `Y y ~ ~ < Z ~ ~ fA N N E ~ v N N N~ c D 0 ~~ ~ m ~ ~ o '~ '' ~ ~ m m ~ ~ o ~ ~ 0 . e o . 3 °~' a ~ 3 °~' ~~ °~' N N '~ '~ Z o ~ Z o o ~' Z =; D~ o a v O_ D ~ ~ ° v _O > > ° i O cD ~ (D ~ N ~ ~ ~ N ~ y ~ N f~D ~. '~ ~ N f~D ~. W ~ fC d W ~ O d Z ~ ~ Z ~ a A Z n i ~ a ~~ a A `Zy 3 _. 3. .. Z -I N W ~ W ~ m ~ J e o a t e a ~ Z 3 ~ y, °o ~ °o .-' to ~ ~ 3 3 I ~ N ~ ~ tll Z N O ~ U1 fD ?' a ~ m Imo a I . ~ ' ~~ o n ~ co ~ I ~ ~ ~ via v ~ , o °' ~ ~~ o ~ 3 a i N Z ~ a~ m i O W O. v fD D1 ~ N ~. K ~ N fD y N ~ O F ? 7 p~ i O 7 W i ~ .0 ~ ~ ~ N ~ f D 7 i ..r O O O (D 7 (D O O j ~ ~ ° i O Parcel #: 020-1075-10-600 02/09/2005 11:09 AM PAGE 1 OF 1 Alt. Parcel #: 27.29.19.302E 020 -TOWN OF HUDSON Current ' X I ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): " =Current Owner " SYLLA, MARK &VALARIE MARK &VALARIE SYLLA - 525 WESTRIDGE CIR RIVER FALLS WI 54022 Districts: SC =School SP =Special Property Address(es): " =Primary Type Dist # Description " 623 BRAKKE DR SC 2611 SCH D OF HUDSON SP 1700 WITC Legal Description: Acres: 2.967 Plat: N/A-NOT AVAILABLE SEC 27 T29N R19W PT N1/2 OF THE SW1/4 BEING L F M 2 A Block/Condo Bldg: 9/2679 .967 OT 8 O CS CRES Tract(s): (Sec-Twn-Rng 401/4 1601/4) 27-29N-19W Notes: Parcel History: Date Doc # Vol/Page Type 10/28/2003 745013 2444/509 WD 07/23/1997 1048/377 W D 07/23/1997 1038/598 LC 2004 SUMMARY Bill #: Fair Market Value: Assessed with: 48232 1,149, 900 Valuations: Last Changed: 11/01/2004 Description Class Acres Land Improve Total State Reason MANUFACTURING G3 2.967 85,900 803,700 889,600 YES Totals for 2004: General Property 2.967 85,900 803,700 889,600 Woodland 0.000 0 0 Totals for 2003: General Property 2.967 55,900 585,800 641,700 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 i - ,~~~~~' ~~~ 5~5~.~~ ~~w ~ 0 ~'~~~® 2 G SE!' C'~ 'iS93~ :. N ~ .... ~/ JAh1ES O'CONNELL Register of t)eeds < .~ St. Croix Co., WI , CERTIFIED SURVEY MAP LOCATED IN THE NW1/4 OF THE SW1/4 AND THE NE1/4 OF THE SW1/4 OF SECTION 27, T29N, R19W, TOWN OF HUDSON, ST. CROIX COUNTY, WISCONSIN W1/4 CORNER SECTION 27 T29N, R19W o w w ~_ Q F- N LLY m W O N N O WwZ ~ Z p N (nJF Z v U H (n ~ ~ (~ W 3 W m N O CO W ~ V U O \ H ., -, H CC O ; _ W ~, NI O NI O ~ LEGEND ~P o 1'93 ST . CROIX COUNTY SECTION CORNER MONUMENT, ST. CROiX CGEJ~~iTY' BERNTSEN CAP, FOUND. ~~tr.~tet~+ehEivQp;:r~ni~:" Zontng a,d O 1 "x24" IRON PIPE, WEIGHING 1 . 68LBS . /LINEAL FOOT, SET . ~a;':9 Corrttritt~a • 2" IRON PIPE, FOUND. lfnCtflCOrdc+d v-~it==+n 30 days ct' CURVE RADIUS ARC CHORD CHORD CENTRAL 1ST A >•a~tcval tiat~ U N P L A T T E D LAND S BRAKKE ROAD ~ ._ _~ ~ __ _ _ _ - m • -- _ ____ '- N ' 88'12'43" W 275 00' m ~ . m 1 - - ~ I 2 I 66. o° I I - -- 100' HIGHWAY " SETBAC LINE cnI I rJ,~ E-100 ' --~ o I ~ of I zl zl I :, m I w - ~ m al al o I~Ia ~ ~ ~ ~ LOT 8 N ~I o I ~ m s ~' 967 A 2 C w o~ I wl o ~ ~ I I . . . 129222 S . F . ^, ~-t I ~f ~ Q ~I w ~ d' . a I I o j ~ ~ a I = ~ ~~ ° l J Z al = I zl I zl o I =I I I =I o I I POINT OF I S 88~12'4b" E BEGINNING I ~ ~ ~ tld 12'43" E 305.00' "- - 1289.48' iv U N P L A T T E O LAND S ~. - SCALE IN FEET OWNER AND SUBDIVIDER JOHN J. SAUSEN SW CORNER 331 HAZELWOOD DR . 0' ~i~'`~i~~C3~'> SECTION 27 NISSWA, MN . 56468 ilV Y ~4' T29N, R19W ST. CROIX COUNTY ZONING DEPARTMENT AS BUILT SANITARY REPORT Owner e ~ - G ` ~ ~"' , Property Addre ' City/State tv ~ ~ ~ Lega~cription: ~ ~~ Lot Block ~^ Subd'v sion/C iVI # t/4 '/4, Sec.,, T~ ~N-R~W, Town of Tank manufacturer ~ (~.'N S l II~~C'Q~ iz !PC Pump manufacturer Model Alarm location .1V1V' We11~~rP/L ~ : (HOLDING TANKS ONLY) Setbacks: Service road _ Meter location Alarm location SOIL ABSORPTION SYSTEM: ~ /~ ~ `~ ~ ~~. ~ Type of system: Width ~ Length h ~ Number of Trenches Setback from: House s'S Well ?~ P/L ~ Vent to fresh air intake ~ -~~'~ n ELEVATIONS: f '~ ~ ,~ Description of benchmark ~ I /G' ~ l ~ 11 f l` ~ Elevation Description of alternate benchmark ~ ~ ~g >' ` 1 n C.1?~C t' ~L' ~ Elevation IQ~ Building Sewer S /HT Inlet ~~ ~ ~ ST Outlet ~-~ • 7 ~ PC Inlet !~ PC Bottom --- ~~ Header/Manifold 1, ~ ~ Top o S ~ C Manhole Cover l Distribution Lines ( ) ( ) ( ) Bottom of System ( ) ( ) ( ) Final Grade ( ) ( ) ( ) Date of installation //~/~ ~ Permit number State plan number Plumber's signature License number ~~ J / Date / /~~ Inspector Complete plot plan ~ Vent to fresh air intake Water Line PIN # /~~~~)V~~~~a~4~ ~ ,_ Setback from: ouse ~~~e~r NOTICE: Please provide the following: A plan view sketch showing everything within 100 feet of the system. 1 t~be~ik ~iXtarrc P~~e'~a P` ~~ c ~a S .~jlrs~in ~~~~ ~eP~t~ ~ ~ 1( ~ U~(u ~ ~h s~a~~ ,~ , a3 0 3~ I ?~ r -~S~-~t~ 0 ~@ i 3' I ~ ~ ' ~ UIU~ .., ~~ D B~ ~ ia, ~ ~~ ~, at~ti~~ a~ ~T"~~~ ~ ' ~ ~ ~ ~ o ~, ~~, ~ ~ er C~~ ~ (t N /* ' Wiscor~n Department of Commerce PRIVATE SEWAGE SYSTEM Safety ~ nd 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)). Permit Holder's Name: ^ City ^ Village ^ wn of: Phoenix Fixtures Hudson Township CST BM Elev.: Insp. BM Elev.: BM Descripty~ n: ~ 1 ~L DZ. o>L TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic r~ ~c~ ;~ e~ ~~ S'v Dosin 9 Z ~"fs "' / ~ t t.. t ~i~ ho 1206 D>s H 'ng TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. vent to Air Intake ROAD Septic .~' ~ 7'~Ubl > ~D r ~ yd ~ NA Dosing g r ? (obi > yo/ y ~~ NA Ing PUMP /SIPHON INFORMATION ~ , ,~p(,'c~( Manufacturer ~ ~s De mand Model Number ~[ Pd ~ ,/ 3-1 GPM TDH Lift ~~ Lriction ~ ~ System TDH 2(,(~Ft Forcemain Length~'d(~s Dia. Z ~/ Dist. To Well SOIL ABSORPTION SYSTEM ro BCE TRENCH widt 3, L `qth ~ ~ ELEVATION DATA County St. Croix Sanitar~y~~23#•No.: State PISSan ID No//.: Parcel Tax No.: 020-1075-10-600 STATION BS HI FS ELEV. Benchmar #02 3, ~ f pS 1`~ 02- a Alt. B p z 9 9. Bldg. Sewer ~/ Ht Inlet A ; ~ ~ ~3~ S~ Ht Outle t (~ q 3 ~ ~ 1 Dt Inlet ~I ~, L 3 1'3 ~ 3 Dt Bottom ~ Q ~ ~'~ , q ~ Header /Man. Dist. Pipe ds Bot. System CS Final Grade ^/' `ga St cover /~ ~ ~~ .~ Z 3. vs ~ ~ 3. s z, n ~~ ~ v v v ~ .~~ 93 -rF~ PIT No. Of Pits I Insi Liquid Depth SETBACK SYSTEM TO P / L B~LjD~G `WALL LAKE /STREAM LEACHING '"~~";~' ~i=zi~+r- 5;,~~ INFORMATION Svsptem: ~ea-~.tt~ . 5 ~'3 7~/~ ~OS ~ OR UN T R ~el Nylnber2. ~c~ '~~ ~ss.p DISTRIBUTION SYSTEM Header /Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake I Length Dia. gth Dia. cing ~~S SOIL COVER x Pressure Systems Only Depth Over Depth Over Bed /Trench Center Bed /Trench Edges xx Mound Or At-Grade Systems Only xx Depth Of xx Seeded /Sodded xx Mulched Topsoil ^ Yes ^ No ~ ^ Yes q' 6/l Via; COMMENTS: (Include code discrepanti p rso tie t ~~ v _ `- Location: 623 Brakke Road, Hudson, ~'I ~40~bs p(1V>/ 1D/4 1/4 27 T29N R19W) - 27.2 ~ 19_302~G .-L~ /L 1.) Alt BM Description =•bp ~~ :~pe~~~~., `'~ Le`s~'~ S' ~~~ ~. ~o l 2.) Bldg sewer length = ~ ®(~ ~ ~, 3/ ~ R ,.~kn CHG. 2 q• $ ~ -amount of cover = `~ ~ ~~~,~.. ~ 9 , t 3 3 °c ~ $ s -~.~``~ ~w (~ ~~ ~ s' Plan ~fevision required? ^ Yes ~ No (R .~s" aQ ,,,~, Use other side for additional information. ~- 3 d av - ~ I S z(o SBD•6710 (R.3/97) Date Inspector's Signature Cert. No. ADDITIONAL COMMENTS AND SKETCH r SANITARY PERMIT NUMBER: ~. ~n, ~.., w. ~ w~.. n~ ._~ ~.. . ~ ..._ e~ ~.. ~ w. a ~~ ._. ~. .~ ,~, e~ ~, _ s s ~ ~ ~ s ; ~ F ~ ~ ~ a-_ ~_ ~~.__ ~ ~ - b T~ ~ T~ _ ~__ .,. _ ~ a i ~~ s [ i ~ t ~ ~.v.... ~ b~ ~~ ~~ ~ ~ °~ ,~ ~ ~ ~ _ ~~ ~m n~ ,~.~ _ ~ r,. .~~,... ,~ _ . ~ ~ ~ ~ ~..~ ® .~ ...~ _ __ .,~. ~ a u_ 8 ~ x ; e .~w._W::~~_.` ~_. ~ m._ ._. .__~ ~ __.~_~ '__ ~ _~ ~~~.e_.. ~ ~ ~ ~ ~ ~r ~~ISCOl1S%~1 SANITARY PERMIT APPLICATION Department of Commerce In accord with Comm 83.05, Wis. Adm. Code • Attach complete plans (to the county copy only) for the system, on paper not less than 8 v2 x 11 inches in size. • See reverse side for instructions for completing this application Personal information you provide may be used for secondary purposes [Privacy Law, s. 15.04 (1) (m)]. Safety and Buildings Division 201 W. Washington Avenue P O Box 7162 Madison, WI 53707-7162 Coy State Sanitary Permit N tuber 3~oZ-3-~ ^ Check if revision to prevxws application State Plan Review Transaction Number _iti~- I. APPLI ATION INF RMATI N -PLEASE PRINT ALL INF RMATION S f ~ z- Property ner Nambi ~ S' Property Location ,~ ~ 1/a I t/4, 5 ;~ ~ T D~ , N- R~ E (O~ Property O ner's ailin Addreys~ Lot Number Block Number r City,, to ~ ^ 2i Code/~ Phone Number Subdivi~ n N~me jo~r~ S urr ~ ~/~~ IL PE F B LDING: (check one) ^ State Owned `~ ~ Ity J Nearest R ./i / ~ ~ , / ~ Public 1 or 2 Famil Dwellin - No. of bedrooms Town OF / SD/7 /~ ( ~ ( .. 1 IIL. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s~ Corr,, ~ ~ L,~ >? `r 020-/ors - to-(e ma 1 ^ Apartment/ Condo ~ ~• Z ~- • ~ ~ Z G 2 ^ Assembly-Hall 6 ^ Medical Facility/ Nursing Home 10 ^ Outdoor Recreational Facility 3 ^ Campground 7 ^ Merchandise: Sales/ Repairs 11 ^ Restaurant/ Bar/ Dining 4 ^ Church /School 8 ^ Mobile Home Park 12 ^ Service Station /Car Wash 5 ^ Hotel /Motel ~ 9 ~f Office /Factory 13 ^ Other: specify IV. TYPE OF PERMIT: (Check only one box on line A. Check box online B, if applicable) q) 1. ^ New 2. ~ Replacement 3_ ^ Replacement of 4. ^ Reconnection of 5. ^ Repair of an ______System _____-__System _____________ Tank Only-___,--_______ Existing System ____-____Existin~System B) ^ A Sanitary Permit was previously issued. Permit Number Date Issued V. TYPE OF SYSTEM: (Check only one) Non-Pressurized Distribution Pressurized Distribution Experimental 11 ^ Seepage Bed 21 ^ Mound 30 ^ Specify Type ~ ~ Tank 12'®Seepage Trench )> 22 ^ In-Ground Pressure ^~`L~ 42 Pt '~ ` W, {~ ~tq~ ~ w ~ ~ 6~ \ p,Qult t .~ 13 ^ Seepage Pit $ ~v~eneGiPS 3`N ~S ~ I~t~ ~ / / _ 14 ^ System In Fil I VI. ABSORPTION SYSTEM INFORMATION: -l ~~~~ ~ 5 000 1. Gallons Per Day tr .Absorp. Area 3. Absorp. Area .Loading Rate 5. Pert. Rat . Systerr~ ~ 7. Fin ade 6 ' P f~ n. i ch) ~ Eleva ~.,,~ equired (sq. ft.) Pro osed (s (Gals/ /sq. ft.) ( x ~!~ t ' ~ ~ ~ ~ ~/ (~ s , Feet ~UG~ ~ ~ -~ VII. TANK INFORMATION Capaaty in gallons Total # of Manufacturer's Name Prefab. Con- ~ r ~ stic Exper. Gallons Tanks concrete I App. ~ ~ New Tanks Existin Tank strutted tic ank S t L'S !r CcS ~ ^ ^ ^ ^ ^ Pu p T k /SiRkertEhamber ~ fI i r V r ^ ^ ^ ^ ^ ^ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewa m shown on the attached plans. Plumbe 's Name: (Print) Plu 'Signature: (N 5 mps) / Business Phone Number: S e2 ` ~~~9 ~ Plumber'sA dress S re ~ y,State, o e): ~ D ~ ,~ L ~t~ IX. COUNTY /DEPARTMENT USE ONLY ^Disapproved Sanitary PermitFee'ilndudesGroundwater ate SSUe Issuing Agent Signature (No Stamps) Approved ^ Owner Given Initial /,~ Surcharge Fee) ZZS 4 J '°' ~ ~/ Adverse Determination ( X. CONDI/T~ IONS OF APPROVAL /REASONS FO DISAPPROVAL: ~!!~ h.p S7-~uG/Gtrr S or .na,vr!t,~ S~~cl~ ~~ W~G1jK,~~:. e~/ ~r~ Q hti.Q k ~.ts~ u/i[f SGt,t~Ject ~ ~YSTCn~ ~v~ /~6SSa S ~~,/h.UC~u~t l.~ca.-17.~r t ~ s 3 ~lr a in ~ s r r ~Gi'' /' O /'Q~2 SBD-6396 (R.12/99) DISTRIBUTION: original to County, ne copy To: Safety & Buildings Divi ' n, Owner, Plumber INSTRUCTIONS 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit maybe renewed before the expiration date, and at a time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. i 4. Changes in ownership or plumber requires a Sanitary Permit Transfer/ Renewal Form (SBD-6399) to be submitted to the county prior to installation 5. Onsite sewage systems must be properly maintained.. The septic tank(s) must be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety and Buildings Division, 608-266-3151. To be complete and accurate this sanitary permit application must include: I. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. Il. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling. Ill. Building use. If building type is public, check all appropriate boxes that apply. IV. Type of permit. Check only one on line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested for numbers 1 through 7. VII. Tank information. Fill in the capacity of every new/or existing tank, list the total gallons, number of tanks and manufacturer's name, indicate prefab or site constructed and tank material. Complete for all septic, pump/siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DfLHR. VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County /Department Use Only. X. County /Department Use Only. Complete plaris`~nd~specificatibns not smallerthan 8 1/2 x 11 inches must~be submitted to the county.: The plans must include the following: A) plot plan; drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/vvater service; streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss;.{~ump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption. system if required by the county; E) soil test data on a 1 15 form; and F) all sizing information. _ GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a numbeeof regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater contamination investigations and establishment of standards. /* Wisconsin 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)). Permit Holder's Name: Phoenix Fixtures, ^ City ^ Village ^ T wn of: Hudson Township CST BM Elev.: Insp. BM Elev.: BM Description: TANK IN FORMATION TYPE MANUFACTURER CAPACITY Septic Dosing Aeration Holding TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. vent to Air Intake ROAD Septic NA Dosing NA Aeration NA Holding PUMP /SIPHON INFORMATION Manufacturer Demand Model Number GPM TDH Lift Lriction System TDH Ft Forcemain Length Dia. Fi Dist. To Welf SOIL ABSORPTION SYSTEM ELEVATION DATA county: St. Croix Sanitary Permit No.: 370237 State Plan ID No.: Parcel Tax No.: 020-1075-10-600 STATION BS HI FS ELEV. Benchmark Alt. BM Bldg. Sewer St/ Ht Inlet St/ Ht Outlet Dt Inlet Dt Bottom Header /Man. Dist. Pipe Bot. System Final Grade St cover BED /TRENCH Width Length No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMEN I N DIMEN 1 N SYSTEM TO P/ L BLDG WELL LAKE /STREAM LEACHING Manufacturer: SETBACK INFORMATION Type 0 CHAMBER Mo el Number: System: OR UNIT DISTRIBUTION SYSTEM Header /Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length Dia. Length Dia. Spacing 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 resent, etc.) tnspect>on ~> : / / inspcc~iu~, +.~: Location: 623 Brakke Road, Hudson, WI 54016 (pNE 1/4 SW 1/4 27 T29N R19W) - 27.29.19.302E -Lot 8 1.) Alt BM Description = 2.) Bldg sewer length = -amount ofcover = Plan revision required? ^ Yes ^ No (~ Use other side for additional information. I SBD-6710 (R.3/97) Date Inspector's Signature Cert. No. isconsin Department of Commerce Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601-1831 TDD #: (608) 264-8777 www. commerce.state.wi. us Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary May 31, 2000 CUST ID No.691727 ARTHUR L. WEGERER 421 N MAIN ST PO BOX 74 RIVER FALLS WI 54022 RE: CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 05/31/2002 ATTN: POWTS INSPECTOR ZONING OFFICE ST CRODC COUNTY SPIA 1101 CARMICHAEL RD HUDSON WI 54016 SITE: Site ID: 185319, Phenix Fixtures, Inc. Proposed Service Building St. Croix County, Town of Hudson NE1/4, NWl/4, S27, T29N, R19W FOR: Description: Commercial Non-pressurized In-ground System Object Type: POWT System Regulated Object ID No.: 665611 ldentification Numbers Transaction ID No. 318972 Site ID No. 185319 Please refer to both identification numbers, above, in all corres ondence with the enc . The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The following conditions shall be met during construction or installation and prior to occupancy or use: • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. • The leaching chambers must be installed in accordance with the manufacturer's printed instructions, the plan approval and Comm 83, Wis. Adm. Code system sizing criteria. If there is a conflict between the manufacturer's instructions and the plan approval, the plan approval and code requirements will take precedence. • This approval does not include plans for the general plumbing systems or sewer piping leading to the septic/holding tank that may be required for this project. See section Comm 82.20, Wis. Adm. Code, to determine if plan submittal and approval is required. • The existing septic tank must be inspected for structural soundness, size and baffles and must be brought into conformance with the requirements of ch. Comm 83, Wis. Adm. Code. If it does not conform a state approved tank must be installed. CAUTION: Wis.stats 145.135(2)(b) indicates that the approval of a sanitary permit is based on regulations in force on the date of approval. The effective date of COMM 83 revisions is expected to be July 1, 2000. Thus depending on the type of system and your design, this plan approval may not be eligible for sanitary permit approval if submitted to the issuing agency on or after July 1, 2000. Note: There is a otp ential for a law suit that may delay the effective date of the code so this status may or may not change. ARTHUR L. WEGERER Page 2 5/31/00 A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. Sincerely, ~~ Gerard M. Swim POWTS Plan Reviewer -Integrated Services (608)-785-9348, Mon. -Fri. 7:15 AM to 4:00 PM j swim@commerce.state.wi.us DATE RECEIVED 05/23/2000 FEE REQUIRED $ 260.00 FEE RECEIVED $ 260.00 BALANCE DUE $ 0.00 WiSMART code: 7633 TITLE SHEET Page l of ~ ' for A DOSED CONVENTIOTIAL IN-GROUND SYSTEM LOCATED IN THE N~ of the S~ of section Z-1 , T z-°i N, R ~9 td, Town of ~DS~ sT•. ~tize~~fc County, WISCONSIN. LO ~_ _ v O F . ~S1"I_ l/~ :V o ~.: c1, Pptf;~. Z 6~'1 °j---- _.- PAGE 1 o f 7 PAGE 2 of 7 PAGE 3 of 7 PAGE 4 of 7 PAGE 5 of 7 PAGE 6 of 7 PAGE 7 of 7 TITLE SHEET PROJECT DAT PLOT PLAN PLAN VIE6d-CROSS SECTIO'rl LEACH CHAiiBER DETAIL PUMP CHAMBER PUMP PERFORMANCE CURVE PREPARED FOR _--- Hv~j SdU t w ( S ~Co l 6__: _ PREPARED. BY ` WEGE~ER Sp = L _ TEST 2 NG AND . - DES I Gfi! SEEN 2 CE F.O. BiIF 74 421 K. tSAIM ST. ~.Q ~ ''~,$. RIVEP. F~LS. NI 54022 l~ionatly 715-42=.~1w Co~1~~ -~~ GE ~~ NS Of GfltJ~~D\I.DIN~s " pEPARj~T ~ N-S~ 4 S Np~NGE 5EE G~RRE "f1 v C~/~ v ~ ~ ~ 197 ~'' C o ~^ ov ~'~~C4k ~~~ ~iy~ ARTMUF L s MiEGENER i t>ais~ trslG~~ S •~q-00 JOB N0. 00-13~, PROJECT DATA Page Z-of This non-pressurized in-ground system will serve a commercial building with 115 employees and 2 floor drains. ANTICIPATED FdASTE[+IATER 115 employees at 20 gpd = ------------------- 2300 gpd 2 floor drains at 50 gpd = ------------------ 100 gpd TOTAL =2400 gpd ABSORPTION AREA 2400 gpd - .8 loading rate = 3000 sq ft req'd, 3000 - 5 = 600 lin.ft. of trenches req'd, 8 trenches, each 3' by 75' long with nigh capacity Sidewinder leach chambers will be installed. SEPTIC TANK 2400 + 750 = 3150 gal. minimum capacity req'd. A 1650 gal. Midwestern Precast septic tank ~~rill be installed in series with the existing 1565 gal, tank to provide 3125 gal capacity. ~_ "~~~s ~S a.CCe~Od'ahlc aS foG~" PUi:1P CHAMBER Carnrn,~s lad GC,r2~ .~wr`w~ ~~~~o~ A 4000 gallon Midwestern Precast tank will be installed. ~ ~ ~~~---~ --CUC-__.Z---- ~ ~~ ~J- v c ~.w,. P 0 Z S ~b SCPcI..E ~ `~ = 20 ' 3r b' 3' b' 3~ ~' ~~ -7 S ' ~~. ~S, e ~~p'p , ~? ~ ~ ~l or-- -7 Z `` PV e FirrZe.E~ k.~ met , ~S' O O ..~ ~c 6~ c_ ~P~~ ~uLO s !N s~ M-l, L.~V ~ ~,2oSS S~-~ON ~s- c~ ~~ °t6.0 ALL. TCc~T~Ei2S l0 L N S~tYcL.L ~,Z. v ~v t,'<S of ~-`'LG N C PC'?RCL'CY S ~ O C W l til~~-._._ _ L.L-T'~'se-L,1- Ck{'P~-,'L~RS . ~~C2- Ttizl~l CL~ , _ _ _.. . - - _ ___ :~ FN gr ~~ ~~ ~~ sK =s 4 ~. sp :e 7i ~~ :} ~_ ~Y N n~ i-» 5 {` ~i ~~ ? c r5 ~3 6 V y~ ~~ t~ ~= ~~ N ?a e E 3 i a r 5 A W C u P ~. N e ~x m a m. N O N W b X ~~ .. -~ a ~a ~N ~, Q~ ~a ~~ o f^~r W N is d Q J m ~_~ n mm a , N i °z ~n y O 3 N T w J ~ ~ • ~ • ~ 'Ti c~ ~ o ~v' ~, z O ~ r- a ~ ~ ,° _ ~ co ~ ~ cQ c ~ ~ ~ ~ ~~o~c.. ~ x ~ ~_ ~ J ~ ~ ~ x ~ C ~ . ~ y~ ~~ 2 v t~ a. ~ a- cy ~ ~ ~ ~ .~ C ~ ~- C N ~ ~ ~ ~ = O C d .a =moo ~ a ~ ~ o ~ ~ 0 0 ,~ cn n a ~, w N cQ ~ x ~ ~ ~ Q3 3 ~ ~ - cn x m ~~3 ~ w -1 c: ~ ~ ~ ~ = 3 a _ ~~~~'. ~~?~ ~ ~ m m S4 cn r Inv rt 11' e ~ ~ ~ G- ~ O .A P~ E S o~ 7 n C/~~~ _ T ~ sewn ~ ~~~ ~, ~ i~'11 ~ n ~ n ~n U U ~~ t'1°II ~~ :a ~~ r • ~, . PUMP CHAMBER CROSS SECTIOIJ ARID SPECIFICATIOI~IS ' PAGE 6 OF 'i"C. Z. VENT PIPC ~ 10' FROM ODOR, wIIJ00W OR FRCSH Alit IIUTAKE VEAIT CAP 12'M W. (~ _ 1 I couDU1T ~-- APPROVED LOCKING MANHOLE COVER WITH WARNING LABEL ti+/EATHER PROOF JurJCTIOIJ Sox GRADE !8"MIAJ. ItULET APPROVED JOtluTl --GLEN. ~~'R { F7 A 8 ~, C 0 v ~~ ~\~; PROVIDE I AIRTIGHT SEAL I Tank construction shall comply with COMM 83.15 and COMM 83.20 PUMP --~ ~Z~U- $5.00 COAICRETE 9LOLK I _i . i. I --~ `i" MIIJ. ~ 18_M III III ill I I III ALARM I~ I Ib OtJ I OFF V APPROVED .101NT5 RISER EXIT PERMITTED ONLY !F TAWK MAIJUFAGTURER HAS SUCH APPROVAL~3gEflp ~Et: ' SPEGIFICATIOt~1S _3333........ . DOS E TAAIK MAAIUFACTURCR: F'LI.C]W~J~I~R.l.) n~Pr3"~' IJUM6ER OF DOSES: 3'6~ PER OAy TANK SIZE : ~ `~ GALLOAlS DOSE VOLUME Z 1 Sg.9 ALARM __/!~1AyUFACTURFrR' S S • ~-'Lz~~ S~~ S INCLUOINCa 6ACKFLOW: GA~EONS MODCL AlUMBER: h~ ~~ CAPACITIES: A- 3$ IuCHCSOR~4~'I GALLONS SWITCH TyPL: w~l.~'lL `CAIV~t' B o 2^ ItUCNES OR ti~'6'S G(-LLOlJS PUMP ~ MAlJUFACTURCR: G O U L~S C ^ 1Z- IuCHES OR ~ S~ ' °f GALLOlJS MODEL 1JUMHER: 3g1 I ~ O S D = 11 ~'~ IA-CHES OR 'iL ~ S GALLONS ~'1 ~'1~U~ Tom- = loo o, o SWITCH TYPE: AJOTE: PUMP AIJD ALARM ARC TO bC -~~. INSTALLED OtJ SEPARATE CIRCL!!TS MiWIMUM DISCHARGE RA7E~_GPM VERTICAL DIFFEREIJCE DETWCCAI PUMP OFF AuD_DISTRIBUTION PIPE.. ~Z`bb FEET + MIIUIMIUM AIETWORK SUPPLY PRESSURE .. .... ~' FC.ET + ~ S FEET OF FORCE MAllJ X Z • Z. ~( F~o Fr.FRICTIOU FALTOR. ~3'~S FEET + = TOTAL Oy1JAMIG HEAD = Z4`91FEET DIAMETER - y IWTERiJAL. DIMEIJSl01J~i OF TAIJK: LENl,TH ;WIDTH .=_~~L.IQU10 pEPTH 6~ l~ --- ~ ~ - - - BOTTOM AREA -. ~ 231= ~ ~ GAL/INCH AS PER MANUFACTURER = ~ F~ 3 =.?~' GAL/INCH ___. ~. ~_ .~ APPLICATIONS Specifically designed for the following uses: • Effluent systems • Homes • Farms • Heavy duty sump • Water transfer • Dewatering SPECIFICATIONS Pump: EP04 • Solids handling capability: 3/a" maximum. --~ • Capacities: up to 55 GPM. ,: ,r''-~ • Total heads: up to 24 feet. ~~ • Discharge size: l'/z"NPT. • Mechanical seal: carbon- rotary/ceramic-stationary, BUNA-N elastomers. • Temperature: 104°F (40°C) continuous 140°F (60°C) intermittent. • Fasteners: 360 series stainless steel. • Capable of running dry without damage to components. Pump: EP05 • Solids handling capability: 3/a° maximum. • Capacities: up to 60 GPM. • Total heads: up to 31 feet. • Discharge size:l'/z"NPT. • Mechanical seal: carbon- rotary/ceramic-stationary, BUNA-N elastomers.- . • Temperature: 104°F (40°C) continuous 140°F (60°C) intermittent. ~~'~ • Fasteners: 300 series stainless steel. • Capable of running dry without damage to components. Motor: • EP04 Single phase: 0.4 HP, 115 or 230 V, 60 Hz, 1550 RPM, built in overload with automatic reset. • EP05 Single phase: 0.5 HP, 115 V, 60 Hz, 1550 RPM, built in overload with automatic reset. • Power cord: l0 foot standard length,16/3 SJTO with three prong grounding plug. Optional 20 foot length,16/3 SJTW with three prong grounding plug (standard on EP05). METERSIIFEET 10F 0 a W x U a z } 0 J F 0 s a s 5 4 3 2 1 0 3C 25 2C 15 10 5 00 0 t~culas ~~~3~7'~~~'~1~~~ 3871 • Fully submerged in high grade turbine oil for lubrication and efficient heat transfer. Available for automatic and manual operation. Automatic models include Mechanical Float Switch assembled and preset at the factory. FEATURES ^ EP04 Impeller: Thermo- plastic Semi-open design with pump out vanes for mechanical seal protection. ^ EP05 Impeller: Thermo- plastic enclosed design for improved performance. ^ Casing and Base: Rugged thermoplastic design provides superior strength and corrosion resistance. EP04 EP05 ^ Motor Housing: Cast iron for efficient heat transfer, strength, and durability. ^ Motor Cover: Thermoplas- ticcover with integral handle and float switch attachment points. ^ Power Cable: Severe duty rated oil and water resistant. ^ Bearings: Upper and lower heavy duty ball bearing construction. AGENCY LISTING SP• CanadianStandaMsAssociation (CSA listed model numbers end in "F" or "AC".) I ! ~ _ I i i ~ --- ~ 5GPFA~ '~ r ~ ~ ! i rr ~~; ~ ~25 Fr Z ~ ~ - ! I I I LL ~~ . ~J I I f I ~ i EP0 L. ? i 5 I 1 EP0 >. 4' ~ I -- 10 20 30 40 2 4 6 8 CAPACITY 50 ~ GPM 10 12 m~/h ' Wisconsin `Department of Industry labor and Human Relations :IJ`... SOIL AND SITE EVALUATION REPORT Page ~ of • ,. 1 .. COUNTYI t include but i Pl i h i e J~ ~~O t k , an mus ze. nc es n s ss than 8 1/2 x 11 Attach complete site plan on paper not l # PARCEL I D not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or d i . . } ~ 9 Z9 3 ~ Z Z7 stance to nearest roa dimensioned, north arrow, and location and d . a Z p _ ~~ ~,r_ ~~ _ yDd , , . APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION WED Y DA~ r/ d" P ERTY OWNER: - ~iV~ EAJ !X ~ t X 1' L.QtES PROPERTY LOCATION GOVT. LOT Nt 1/4 .Sh/ 1/4,S 27 T Z.9 ,N,R ~ 9 E (or) W NG~QRESS ILI PR~ O~ LOJ,,p BLOCK# ~ E O Sl}~~ M~ Q~~ 267 / ; `r ~~ R~ K 1 l , Cljlf STATE ~ IP C ODE (H j Nj NUMBE 3 OWN - • • N REST ROAD ,Q ^CITY RV~LAGE ~~ A ~t K ~ It~ U1~'Sd ~.I Lc~ ~ hl (~ 50 h! (j New Construction Use [ J Residential / Number of bedrooms ' [)Addition to existing building (~ Replacement ~ Public or commeraal desaibe 115 ~r-P>,or~cs , ~. Ff.vcR l~rtr~s Recommended design loading rate 0.~~ bed, gpd/ft2 D,trench, gpd/ft2 Code der'IVed dairy flow ~M n~ . ~ gpd ,C Absorption area required ~H ~q _ bed, ftE~e , ft2 Maximum design loading rate O.? bed, gpd/ft2~_Vench, gpd/ft2 Recommended infiltration surface elevation(s) ~~ .~ ft (as referred to site plan t~enchmark) Additional design / site wnsiderations Parent material ouTwA~N Flood plain elevation, if applicable _ T ft S =Suitable for system CONVENTIONAL S ^ U MO ND - S- ^ U IN• ROUND PRESSURE -'~S ^ U ' ~-~ ` AT•GRADE ^ S - U SYSTEM IN FILL ^ S U HOLDING T K ^ S U U =Unsuitable for s stem SOIL DESCRIPTION REPORT 'J Depth Dominant Color Mottles Structure n t i C Boundar Roots GPD/ft Horizon in. Munsell Qu. Sz. Cont Color Texture Gr. Sz. Sh. e ce ons s y Bed Trertdi -2 !OY 3~ - L Z r-, n, C 5 1 p,5 O. C g, -3S • ~DYR 3.4 -" S, L Z sb~ n-r r~ Y~~' cs .S • ~ s-lr -~ vie s `~ CIS SG n-t l -' ,~ ~' ~ yq ;, ttemartcs : -2 R 3/ ~" L Z l ~ /h V r CS l~r 0, 6 ~7 l~~ Jo ~ - - . ~, --- ~ - o~+~ m - 4,So.6 qL , 3 Remarks: CST Name:=Please Print ~Q~~y p (~i~~0 ~ Phone: ~~• ~ OC~ ddress: 9 ,fl5o~ ~ : _ .... .. .. .... Signatur • Date: CST Number: », Le.~ ~~,laea.n ~~ 16 9 9 _ z zz~ s 7 ~: D PROPERTY OWNER~NatiNtX ~'~x-rr,-~~s SOIL DESCRIPTION REPORT ~ Page ~ of PARCELLD.;r Boring # Ground elev. ~~~ Depth to limiting '~faco9 r, H i Depth Dominant Color Mottles Texture Structure Consistence Bcundar Roots GPD/ft or zon iri. Munsell _ Qu. Sz. Cont. Color Gr. Sz. Sh: y Bed n~ch O-~~• 3/ -~ L Z~ m G~ 1~ , 6 Z -4 ~bYt44 ~- _ s SG M / c - .~ o. g -~~ ~ s ~ ~ ~s s~ m I - o.~ ag ~.~ .. - . Y (r Remarks: Remarks: Boring # Ground elev. ft. Depth to limiting factor. Boring # 1 Ground elev. ft. Depth to limiting factor s Remarks: Remarks: SBD-8330(R:OS/92) _.'. . . 5,~~,P . 1 ~~ _\ L. ~ ~JEwav . ~ ._ ~ .. • ' ~~ ,d wEU. ~ , ~ "'.x ., a Tb g ~ ~ ~ ..... . ... ~ ~v ' d i I !m i i ~ ~ ~ i ~ ~ f~'' 1 a ~/` ~ f1 ~S E ~ a ~ ~ -3 ` ~~ ~ ~ m ~ ~ ~, i F3-Z ~ . E,,~v- io~~6 p _ . ..... , .. ( 7B' ~e..r~f1..~AY. .. ., . ~~ ~ .. ~~ NON 5~a~~ ~, ~=50 /~ 8~,,,c,uMnex ~ ~ - TaP aR i5 Qturh~aur~r!txueuZ~ I~~r: FENCE~asr ~, tv = ioz . o0 TWIT ~. ~~ ~~ ~Pa~r 3 or 3 ~ua~~~u F' I x~'~.,~.~~ ~C~-cr[Pos~ . ...--- - ~,~,a - ~ , isconsin Department of Commerce December 20, 1999 CUST ID No.383548 p~y+. , <K; ~~y 715 6TH ST N NORTH HUDSON WI 54016 RE: CONDITIONAL APPROVAL APPROVAL EXPIRES: 12/20/2001 SITE: Site ID: 185319 St. Croix County, Town of Hudson NE1/4, NW1/4, S27, T29N, R19W Facility: Phoenix Fixtures, Inc. FOR: ~(S n~a~ ~" ~ ~ ~~~ js rc S Safety and Buildings 4003 N KINNEY COULEE RD LACROSSE WI 54601-1831 TDD #: (608) 264-8777 www.commerce.state.wi. us Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary ATTN: POWTS INSPECTOR ZONING OFFICE ST CROIX COUNTY SPIA 1101 CARMICHAEL RD ~ `~~ 1 ~ ~'~"HUDSON WI 54016 Wit/ '~ / ~ i ~ ~ ~ ~ [dentification Numbers ~'-' `' Transaction ID No. 285276 ~_, ` , ~; bite ID No, 185319 - "`"~`" ;Please refer to both identification numbers, ~ ". `~ ~ ' 'above, in all corres ondence with the a enc~ ,~.~/ Description: Pressurized In-ground System Object Type: POWT System Regulated Object ID No.: 641453 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The following conditions shall be met during construction or installation and prior to occupancy or use: • The existing septic tank must be inspected for structural soundness, size and baffles where required and must be brought into conformance with the requirements of ch. Comm 83, Wis. Adm. Code. If it does not conform a state approved tank must be installed. • A Sanitary Permit must be obtained from the county where this project is located in accordance with the requirements of Sec. 145.135 and 145.19, Wis. Stats. • Inspection of the private sewage system installation is required. Arrangements for inspection shall be made with the designated county official in accordance with the provisions of Sec. 145.20(2)(d), Wis. Stats. Note: Lateral set "LA" has 7 holes on one lateral and 8 holes on the other lateral due to the hole placed next to the manifold. A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. Ali permits required by the state or the local municipality shall be obtained prior to commencement of construction/installation/operation. ZAPPA BROTHERS INC Page 2 12/20/99 Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. Sincerely, erard M. Swim POWTS Plan Reviewer -Integrated Services (608)-785-9348, Mon. -Fri. 7:15 AM to 4:00 PM j swim@commerce.state.wi. us DATE RECEIVED 12/15/1999 FEE REQUIRED $ 220.00 FEE RECEIVED $ 220.00 BALANCE DUE $ 0.00 WiSMART code: 7633 ST. CROIX COUNTY ZONING OFFICE CERTIFICATION STATEMENT FOR UTILIZATION OF AN EXISTING SEPTIC TANK This is to certif th t I have inspected the septic tank presently serving the ~ ~ ~~~'~ resid nc located at : j~l/,, SGU 1/, Sec . ~ T~N, R~W, Town of -~d~ 1 St . Croix County, Wisconsin. Upon inspection, I certify that I have found the tank and baffles to be in good c nd'tion, and it appears to be functioning properly. Last time serviced ~ (~ Did flow back occur from absorption system? Yes line. Approximate vo uc~xe or length of time: Capacity: ~ Construction: Prefab Concr to Manufacturer (if known) : ~~~Se% No~ (if no, skip next gallons minutes Steel Other Age o nk (if known): _~' (Sign ture) ~~ n n. (Title) pp,, v (Dat ) Please Pr~.nt License Number Form to be completed by licensed plumber (s. 145.06, Wisconsin Statutes) or licensed disposer (NR 113 Wisconsin Administrative Code) Plumber (applying for sanitary permit) Certification: In accepting the above statement regarding existing septic tank condition, I certify that the tank, to the best of my knowledge, will conform to the requirements of ILHR 83, Wis. Adm. Code (exce for inspection opening over outlet le) /~ Name ~ Gi Signature MP/MPRS ST CROIX COUNTY SB['TIC TANK MAINTENANCE AGRL~EMENT AND 0 WNER,SHIP CERTIFICATION FORM Owncr/I3uycr Mailing Address Property Address i~ (Verification rcquicrd from Planning Dcpact cat for acw coastmctioa) City/State D~1 l . Parcel Idenfification Number D1:GAL A~C'~'x'XON Property Location ~ , S Gv /~ Sx. ~ J. T~N-R~W. Subdivision ~ ~~~ l/0 ~,~ ~ ~ ~° ~d~~~" Town of ~'~1'1 Lot # -O. ~/ ~ Certified Stuvey Map #J lS ~~ ~ ~ Volume Page # ~~ ~/ . Warranty Deed # _ ~ ~d a ~~ Volume~dT U .Page # ~~ Spcc.~ouse ^ yes ^ no Lot lines identifiable yes ^. no SYS'I'~3-~~iA;II~I"I~I~ING~ Impropcra9esnd~'y~~~~Itmitsp . ~ .... ~~- tohandlewastc's.Propermaimb~e consists of pampiag oat Su septic tanti ~ thnx ~ ~ if ~cdodbq s ~ocuscd Wlzat y~ put.ia~Go t{u systcar eaa:ffoct$~of~crcptiataa~-as.rt~tstage~at5e~,eiysbcas. .. - - . . T~ p?nP~Y-ow~ncr t4 sabalit-to St Qvac Zoning Dcparta~t ~ atfdi~tioa form, signed by 7~ owccs and ~p : • 7aPdplumlaorip~~3~gg,~(ijg,,coaaitc`aastcw^at~xdssposaisystcm is m P~ ~~ ooa~tioa tad/oc(2) tfta inspection tad p~iag.(if necessary), the scptictank~is icss ~raa If3 ~£ull of shrdo°e- _ ~. ~ t~igoAd~avr~trtd the abosro and tgcoc to a~ tic paivat~c sewage disposal system wig 6nc stxrbdaids .pct ~. ~.'ts at by ~ D of ooauaaoe tad the Dcga~t of 2latacal R~ro«: state of Wes.. Qatxficafion that Y'~ septic system bas'boca ataiatamod mast 6e compldcd tad rttanud to the St: Qvix.County Zoning Oi~ce within 30 days of tha tie y+car ea~iratioa date, ~V~,~~~ / OF APPLICANT (~ / ~ / Cd a DATE OWNER ~TxRTCA.~ON I (we) oatify that all statcnu~ts on this form am tine to the best of my (our) l~aowlcdgc. I (wc) am (arc) flit owncx{s) of ~ dcscn'bod above by victuc of a wa~axaty flood tococded is itegister of Deeds Office. ~~~ ~ ~~ GNA ~ OF APPLICANT / `" / DATE ss««ss ~ infocmatioa that is mis .,.sa. -~ ~Y result in the sanitary pczmit being trvokcd by the Zoning pepartmeat. ss Yadadc vri(h this application: a stnmpod warranty flood from the R,egistce of Doods otlioc a Dopy of the eectiGod eucvey map if rcfencnee is made in the waccanty dcod ~ - . WA li'II.~\ % Y r.}!., R: II ~ TM1~ 4i ~ =! P, •S9rt0 YUA R•.l•7.1 :1~>. •i OAr,. a::~ut~i=rvr tro. ! i7Sr{ UI YN!1GGh BIN-IPP•i t i 1'H15 Ii•iDpYflJtt>r, h`fadc ?his dry cf .................... A. O. 1R9~.., ®ii, ~° ~'~i~ L•+~ ~ ~`t#~ bet~vern Jonn ~..S~!~sen. a1~~,.Janel...~a4. art.. hu.•~k:~nd. a.+~d ............ : ~:~~~ ..-: ~,~~, ~: ................ • f ................ F1~`~~ ~ Ia;~ • ~ 1 p, 2.45 ...._........._ .................................................-.......pait.1eS.... of the first p;trt, and .~. ... .. _.Robert...sra~ul ze .........................................................:................... .•--...-._............ - ~; ~- ~ ~.'~;,~4~. -+40 .. . •---------•--•--.._.........._........ -•----•• ... ..............................pa.rt..Y_-...... of the• ,econd part, - _- - Witneseth, That the said azt............ of the first ,art fnr and in canstdrratin!t - - - :; PL1V N°i lb of the sum of....One..an~•-N.u/1.9.+~_do.l.laYs-..~y11 ~D.)..attd..A.f.h.irt_........... n2rt_-,---, in hand paid by the said part .Y -_... of the secuad part, the receipt ' ,. to.-.~~ whcrevf a larcby confessed and acknowledged, ha. ve-.- given, grartte.l, (^arriain•:d, sr,l=!, rem+~d, rrl :xsed, aliened, convey?d and con5tmed, and by these presents do_..._..r.tgivt, grant, bargain, sell, remiss, rclesse, alien, convey, and confirm unto the said partY_.._... of the second part,.-.. :.............-...-............_.-... heirs and aligns focevcr, thz foll<,avieg described real e<tatc, situated in the County of..._St,.-.Croix-••-••--••••••------• and Sts.te of Wisconsin, to--Nit: Part of the rlW1/Q of SW1!4 anJ Part of tha NE1/4 of SW1/4 of SFCtion 21, Township 2^ North, Range 19 Was.., St. Croix County. Wisconsin described as fo11oN,: Lot 8 of Certified Survey Map fils~d Sept~aif,Pr 7, 1993 in Vol, "9", Pa~~e ?.5 ~9, Doc. No. 5DS163. I~ ,, '!' This is non-homestead prey~erty. :, ~ ~-1:~ r• `;.~ . ~ ~ ~. R ~.. 1, trF Niti:7 ~:83,t Y.t, CIMtYTiNO`'% DF,SCR!Y'TIO.'t ON REV t: Ft?K 6:Lrij Tcgerlter with a1! and singular tFte rereditarrtenF~ and appvrtena.nces tlee,.unto bclonping or in ary wive ap}rertaiaing; and all the es:n.tr, right, titlt, inttre_t, claim or derranc? ~`h-•i,:.e~:r, of the said part..i?.C•-•, of the fiat part, either in law or e<l,,ity, either in p~j55?SSIOfI or rxyc~tanty of, in a.ui .o the above bargained prert+ses, and tllPir hc-rc:~ait,lncnts and apl~urG°uantes. 1'0 !-(awe and to Fio!d the said prenises a above described with the hcreditatatnts and ar,puetenan:_s, unto ~ t}:,:...aid part...X....... of the second pair, and to........._..~llC ...................•-----.... heia and assigns FO R. F.`l~~h. And the sa!sd ~a:c.,..i.ea-.fl.f..thy...f.ir..>.,..per.k...._........_ ......................-•--.......-.....-........-......------............... I for.-....ti,,:u,.anrl..their ........................ belts, exec+,tors and aclrninistr~tors, do.......--. covenant, grant, harcatn, an heirs and assigns, that at tl~•e tine of ti+c ~ agree to and wikh the said part-.y--..--.. of the second part, ...h.i 5.-._..---•--...-.. ensezling and dciivcry of tl:cse prtsents......f.~t;?,X.-+~-'~ ------~------ •- well seized of the premises abo+c de:;:ciSrd, a; of a gru>d, s+-+~e, perfect, absolute and Indeftas+bie tst:~tr of tnhentance In the law, In fee s+nl~rle, and tl!at the s.:r~t a:c frr~ and cleat from all inalmhrances whatever, .......exc.ep.t_s~e,'.has"k...e~se~ne,.tt,...tt1c1'~tct..o.•~._GS;'1.._-..........._... • r >_n._kolwni"..Q.....pane..?_6.7.9,...(~.ec_...1`l0....5115.1.fi_~.._....--• .. ..................................................................................... .... I~ an:l that tl!e above bargained prenli.es in the quiet and peae~able pos:cssic•rt of tF~e said part.y......... of tiie se` cud ~~ part, ,_-- h S-...-.--.-- heirs an<I assigns, aga!nst a!( and e~'ecy person or persons !awfully claiming ibe wh~,1.. ur tiny part j~ th~ reef, .... they_--•--.... will fure•rer WAIF. S:sIT' AtiL7 I~~k'f:Nl?. I . In ~•`~'itnec. W-Larevf, tl~x saila pact..7P..~-.. of the first part ha..!1~..... hen;~+r!tu set ...t l.~.l.Y..-----...... han~l.s... any ~ sr.+l...--- this..........1.L.*.h..-...-..... day nf......~~.:!r.,,,~zr_r ................. A. D., ta.-9.3... SiGti;sn A:`'I) SF.Aa~F:U 1N 1'H.F.:P 5:M 1. F; Vt' ; C'r...- ~~_(<~.L»' ..-.,~ J. Shcl~..rt .__ - ~ ---------- -- - -- -- - J a ~l S a y-I e n -----_ -- i i ................... ................... . ' ~ --- -- ---_-__ .. _y.---------- ~I -_'- -------- -_.__ I~ M i n ne s o t ~+ - - -- --~ _-- --- No v St,te of Wtcunsi;+, 12ti+ d ~mbe~...-.., A. D., t9.~.3-, II ...Crsa.W..!rJ.i.rtg ..- ........ fonnty. Yersunally carte before me, thic_....-•----... i l nf -----...---... the, above nafued -...Joha_J.~.....<t~s+''~---~nci._~-.in.;_+1...Satssran,...h~.t ~'03t1:W'. dRSl:.~v c f ii ................:.......................... i i ......... ........... ~ 1~ ~.-. t0 ^SC hnV'NSl to be the pers•.i~!~-- who executed the foregoing instr,.l+~v~nt and acknowlc.l t e same, ......_ .............._ ..........- --n--....,,..... ~ ~ ~ ~ l ~ F~~~® ~ 6 S E P 0'~ 1993- JAMES O'CONNELL Register of Deeds rJ~J~.~i~ ~ St. Croa Co., WI CERTIFIED SURVEY MAP v o~ LOCATED IN THE NW1/4 OF THE SW1/4 AND THE NE1/4 OF THE SW1/4 OF SECTION 27, T29N, R19W, TOWN OF HUDSON, ST. CROIX COUNTY, WISCONSIN W1/4 CORNER SECTION 27 T29N, R19W °ww W (.~ _ " 1- N C7 W O N N QZpN fA J ~--. Z U H (n ~ Q W3W m m W ~ O i=- ~ U H ~ H ~~~3 LEGEND V v m (D N N m N 0 ~N O U N P L A T T E D L AND S BRAKKE ROAD ~ . ____. _ _ _ N 88' 12' 43" W 275.00' ~ ~l / 1 ~ 2 ~ 66• o ~ - -- -- ~ 100' HIGHWAY SETBACK LINE ~ ~~ E--100'-~ I 41 I zl m W I ~ Ji o m ~ LOT 8 ~ = U I ~ o Z a 2.967 A.C. I wl ~ ~ w ~ 129222 S.F. I n ~ I-I w ~ } O 3 ~ ~I ~ N ~ H I ~ al = ZI I o~ I ~I O ~ POINT OF I S 88~12'4~" E BEGINNING I S 88 12'43" E 305.00' 1289.48' iv U N P L A T T E D L AND S cn l ti m v n n v O of Z al JI 01 WI 1-I F-1 Q~ JI al ZI ~I SCALE IN FEET OWNER AND SUBDIVIDER ~-7 JOHN J. SAUSEN pp,, /~ SW CORNER 331 HAZELWOOD DR. 0~ NC`~~Vy~~9, SECTION 27 NISSWA, MN . 56468 T29N, R19W sf~ o x'93! ST . CROIX COUNTY SECTION CORNER MONUMENT, S' . CRGIX CGtJ~'~iT'f BERNTSEN CAP, FOUND . •+•~cAr9'ter~Eive P~::rvr~ Znning a:~d O 1 "x24" IRON PIPE, WEIGHING 1 .68LBS . /LINEAL FOOT, SET . p,.':s Cotrtrrattec • 2" IRON PIPE, FOUND . ti not iecordc~d v-~~te;in 30 days ct r~~ptoval date CURVE RADIUS ARC CHORD CHORD CENTRAL 1ST A~,~1 shall E:: DESCRIPTION A parcel of land located in the NW1/4 of the SW1/4 and the NE1/4 of the SW1/4 of Section 27, T29N, R19W, Town of Hudson, St. Croix County, Wisconsin described as follows: Commencing at the SW corner of said. Section 27; thence N2°02'32"E (Grid Bearing) 1315.72' along the West line of said SW1/4; thence S88°12'43"E 1289.48' along the South line of said NW1/4 of the SW1/4 to the point of beginning; thence S88°12'43"E 305.00' along the South line of said NW1/4 of the SW1/4 and the South line of said NE1/4 of the SW1/4; thence NO1°47'17"E 424.31'; thence N88°12'43"W 275.00' along the South right-of-way line of Brakke Road; thence Southwesterly 47.12' along a 30.00' radius curve concave Southeasterly whose chord bears S46°47'17"W 42.43'; thence SO1°47'17"W 394.31' to the point of beginning. This parcel contains 2.967 acres, more or less, being 129,222 square feet, more or less. Subject to easements of record. I certify that I have made such survey, land division and Certified Survey Map by the direction of the owner of said land, that such map is correct representation of all the exterior boundaries of the land surveyed and the subdivision thereof made, that I have fully complied with the provisions of Chapter 236 of the Wisconsin Statutes and the Subdivision Regulations of Hudson Township and St. Croix County in surveying, dividing, and mapping the same. / l~(/ ~ i Date: August 12, 1993 Revised September 7, 1993 \~`SCONs~~+ ~ttANdS H. BEN ~~~ Francis H. Ogden S-882 Job No. 93- Ogden Engineering Company 113 W. walnut Street River Falls, Wisconsin 54022 OWNER AND SUBDIVIDER ~_ John Sausen ~ 331 Hazelwood Drive #1 Nisswa, Minnesota 56468 COQ; suR~ti.~~~\\\. NOTE: THE PARCEL SHOWN ON THIS MAP IS SUBJECT TO STATE AND COUNTY LAWS, RULES, REGULATIONS (I.E., WETLANDS, MINIMUM LOT SIZE, ACCESS TO PARCEL, ETC.). BEFORE PURCHASING OR DEVELOPING ANY PARCEL CONTACT THE ST. CROIX COUNTY ZONING OFFICE FOR ADVICE. Vol. 9 Page 2679 STC - 104 AS BUILT SANITARY SYSTEM REPORT WNER E' r'~ ~ uC t-' ~~D. D DR S ~ p~ av w, S o/ O A SUBDIVISION / CSM# ~a siG 3 ~T ~ ~ SECTION .~~ T~N-RAW, Town of ~!~ pso,~/ 3a2C~ ST. CROIX COUNTY, WISCONSIN PLAN VIER SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM ~~~K~'F.~~• ~.V C f/iYJ TP o ~ ,,,, II Q tE o57" /F ~. G. ~~P~.Q~ /~t9QT/f / /rU/lL~'T`~1.,1NF CoQN~ EtPt/. /ov.ao' 3y" - - G' ~ ~~ ~~~isi' i 1 1 i.SG S ~.c i Sc P r~~ T.tiv K ~.; ~ r is iv' JEut~ i i i of y„ S~N,Iv .ar T,v,c~ r £ naTt[r' ~ i i S^cNh/v ~<£~` NvNrfFi~$O~rrioN w~T~ ~, ~ ~ /7I ~T~Gf~T i'<N G ~ ~ , ' 1 ~ ~ ~ i ~ ~ ~ i i i i ~ ~' . ~ I i -- - -- - - I ~i ~ I ~ io' _ /~~ ~~ (/~`jiC~ ~crn~y INDICATE ORTH A W Provide setback and elevation information on reverse o this form- Provide 2 dimensions to center of septic tank manhole cover. u BENCF~fARR: op orf ~EE ~a5i ~ ~ ~ ~iPv~E?%'r' ~o/~NE~ E~~/, /mod. c ALTERNATE BM: SEPTIC TANK / PUMP CIiAMBER / gOLDING..TANK INFORMATION Manufacturer: G/i~sE/~ Liquid Capacity: /~GS~.t~. ~P~•, o Setback from: Well' _ House 4~ - ~ /30? Pump: Manufacturer /~/A Modell NA Size Na Float seperation N~ Gallons/.cycle: ~/~ Alarm Location ~/~ SOIL ABSORPTIOII SYSTEM Width: ~ ~ Length '71P~ Number of trenches .~ Distance & Direction to nearest prop. line: ~ik5'r G Setback from: well: J~ia? ~ House ~~ R s~ ELEQATIONS Building Sewer 9S; i 7 ' ST Inlet : G!~ ai' ST outlet y'3.4,2 PC inlet Jl/ ~ PC bottom R/ A Pump Off N A Header/Manifold 93. G`~' Bottom of system j'S: oo Existing Grade GJ~ .37t ~ Final grade 9~.5~~ DATE OF INSTALLATION:/O£C /, /J~13 PLUMBER ON JOB: /i~~,cj' ~G~k`%~..~c- - LICENSE HUMBER: /~O,PS' .~3~5 INSPECTOR: 3/93:jt ~LO,'~R~Part~E~>~~lT~nt7ry7, ' 2g' 19W A~E SEWAGE SYSTEM Labor and Human Relations INSPECTION REPORT Safety and Buildings Division GENERAL INFORMATION (ATTACH TO PERMIT) Permit Holder's Name: ^ City ^ Village ~ Town of: ev.: / Gb Insp. BM Elev. ~~ . BM Description: ,` C ~`~'G.-- TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic ~i~5~.! ~S Dosi Aeration o Ing TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. vent to Air Intake ROAD Septic ),~~ ~j~~ c~ ~ NA Dosi NA Aeration NA Hol PUMP /SIPHON INFORMATION Manufacturer Demand Model Number GPM TDH Lift Friction S st T Ft L Forcemain engt Dia. Dist. To wen ELEVATION DATA an ID No.: ax No.: n~o-~o~s-~o-goo A9304294 / ~ /~ z /cc ~ STATION BS HI FS ELEV. Benchmark ~ ~ ~ ~, ~~~ Bldg. Sewer St / I~f Inlet ~ , 3,~~ St /.I~t Outlet ~, ~9 t ~ ~ ~ Dt Inlet Dt Bottom Header~a~-. Dist. Pipe ~ 6 r Bot. System ~ ~ ~~' ~ Final Grade i SOIL ABSORPTION SYSTEM BED /TRENCH Width Length ~` No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMEN I N _ `"~ ~ `` l DIMEN I N SYSTEM TO P / L BLDG WELL LAKE /STREAM LEACHING u rer: SETBACK INFORMATION Type O /(rw-* Crmv` ~ r CHA Model Number: System: ~e.?M~c ~v ', s~ >/GL'} ~ UNIT f]ISTRIRl1TlON SYSTEM Header 1 Distribution Pipe (s) ~ e Size x Hole Spacing Vent To Air Intake Length ~~ ~~ Dia. ~ ~ x Length / ~ ~ Dia. ~ ~ Spacing {~_ SOIL COVER x Pressure Systems Only xx Mound Or At-Grade S s Only Depth Over ~ q~r~ Coq ~ •' ~ ~ {~ Depth Over Q'I ~~ ! ~ oo xx Depth Of xx Seeded /Sodded ^ Yes ^ No xx Mulched ^ Yes ^ No /Trench Center )U l~ed 1 Be~Trench Edges COMMENTS: (Include code discrepancies, persons present, etc.) LOCATION: HUDSON.27.29.19W LOT 8 r ~ ~;~`,,,,% ~ 4l ~• ~,! i,• Plan revision required? ^ Yes No Use other side for additional information. SBO-6710 (R 05/91) Date Inspector's Signat re Cert. No. eww~~rwQV neD~~~r wDDI IrATIAfAI ~ ©ILHR ..~.... ~-..... _........~.. ---- - - ---- In accord with ILHR 83.05, Wis. Adm. Code CouNTY ~ ~,rs ._.e.._,...a....,...~.a. T u.,. ANITA 1_L~E~IyH}' # STAT -Attach complete plans (to the county copy only) for the system, on paper not less than ~ ( y (- y/( / Jy~(j/(,~}~ 8'ft x 11 inches in size. ^ C ec if a sion to previous application l E f J ( -See reverie Slde for If1StrUCtIOr1S for Completing thlS appllCatlOn. STATE PLAN I.D. NUMBER 1. APPLICANT INFORMATION -PLEASE PRINT ALL INFORMATION. PROPERTY OWNER PROPERTY LOCATION - %a '/<,S T ,N,R E(or W PROPERTY OWNER'S MAILING A RESS LOT # BLOCK # CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER II. TYPE OF BUILDING: (Check one) ^ State Owned O VILLAGE ~ NEAREST ROAD . .,i PUbIIC ^ 1 Or 2 Fam. DW@Iling-# Of bedrOOn'1S - PARCELTAX NUMBER( ) 111. BUILDING USE: (If building type is public, check all that apply) D~ _ _ ~,¢~ 1 ^ ApUCondo 2 ^ Assembly Hall 6 ^ Medical Facility/Nursing Home 10 ^ Outdoor Recreational Facility 3 ^ Campground 7 ^ Merchandise: Sales/Repairs 11 ^ RestauranUBar/Dining 4 ^ Church/School 8 ^ Mobile Home Park 12 ^ Service Station/Car Wash 5 ^ Hotel/Motel 9 ®Office/Factory 13 ^ Other: Specify OF PERMIT: (Check only one in line A. Check line B if applicable) PE IV. TY ~ t A) 1.I~J New 2. ^ Replacement 3. ^ Replacement of 4. ^ Reconnection of 5. ^ Repair of an System System Tank Only Existing System Existing System B) ^ A Sanitary Permit was previously issued. Permit # - Date Issued V. TYPE OF SYSTEM: (Check only one) Non-Pressurized Distribution Pressurized Distribution Experimental Other 11 ^Seepage Bed 21 ^ Mound 30 ^ Specify Type 41 ^ Holding Tank 12 ®Seepage Trench 22 ^ In-Ground 42 ^ Pit Privy 13 ^Seepage Pit Pressure 43 ^ Vault Privy 14 ^ System-In-Fill VI. ABSORPTION SYSTEM INFORMATION: ABSORP. AREA 3. ABSORP. AREA 4. LOADING RATE 5. PERC. RATE 6. SYSTEM ELEV. 7. FINAL GRADE GALLONS PER DAY 2 1 . . REQUIRED (sq. ft.) PROPOSED (sq. ft.) (Gals/day/sq. ft.) (Min./inch) p ELEVATION ~ !~~ F t ~ / J~O F ~ ~~ t ~ ee . Q(~ ee , O VII. TANK CAPACITY in allons Total # of rer's Name f t M Prefab. Site Con- Steel Fiber- Plastic Exper. INFORMATION New istin Gallons Tanks anu ac u oncrete structed glass App Tanks Tanks Se tic Tank or Holdin Tank - - Lift Pum Tank/Si hon Chamber VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name (Print): Plumber's Signature: (No Stamps) i~tP/MPRSW No.: Business Phone Number: Plumber's Address (Street, City, State, Zip Code): c D IX. COUNTY/DEPARTMENT USE ONLY ^ Disapproved Sanitary Permit Fee (~nciudes Groundwater Surcharge Fee) a e ssue G Issuing Agent s) ^ Approved ^ Owner Given Initial ~p -ls- !~ Adverse Determination X. CONDITIONS OF APPROVAUREASONS FOR DISAPPROVAL: SBD~398 (formerly PIb~7) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety 8 Buildings Division, Owner, Plumber 593-4~~4$ ;,o 3 ~ Z ~ s '' '~ ~ b b ~ ,~ b o ~ n ~ n ^ ~ Z ~ ~ ~ ~ g ~ ~ ~~v~ ~ ~ ~ a ,~ ~ ~~ ~ i ~ ~~~, ~~ ~ ~ ~ ti ~ ~ ~o ~. ~vt~~ Z'c°~ M x ~~ o ~ ~ r 3 ~. ~Z ~ t o r ~ ~ ~ ~ ~ Z ~ ~ ~ o ~ ~ ~ ~ h ~y~ ~~ ~ ~ ~\ 0 ~ ~ ~ ~ ~ ~ Q ~ C ~ ~~~ y~ ~.~~~ ~ g ~ a ~ ~ ~ ;^ Z ~~~~ W QC n No~N ~~v PEATY .~ ~ w E ~' / o ~ ' D ~~~' - _ ~ ``~ %~ppOSEQ B1T~tn7/NcOGtS ~ r ~` P~iQJ(Nl1G ~1~~ '`~~ ~ " JENf' AT F~lO of Inc N `.T~P~~vcl % ~(EVEL 7,/~ST,f~~uT~oN /tElf-~/J~ / ~ ~jL ~E~lIC/~EfrG,, ~ i ,~ - ~ I~^ ,, -a QQr `~ ,pu1tD~NL SEaE~ ~~PosEQ ~ lc.JEtL ~o~.~4n~ F~~ ~" NlEsr p~v/~~Tr' Li.vF DES ~ru~PE TwN RorQ ~ This aa~src~vat does nat in ..riy plurr~t;any upstr~~;na of th tank. See s~ tiun iGl-1~ 82.2+ ;ode to deterrraine whether pia pproval is required for that pi;.-mt PR~~ns~A ~~~<,o~Nc ~.V /SN /'~OOIP E,~Fv. ioi.so. ~~~' p,GE s.~sTEM a~dz$~o ,~ . ® ,,+n~~,~~" 4j ~.~ Q ~~` ~ .~~ ...ds~• ~v ~o l / g~E de review of septic/holding d59is. Admin. submittal and, 3G~--+ 3'~" ~ ~. 5 . • . , .. 98" i i ~~ t ~r ~~ 5~1 3~~ ~, 303/ SEwEe ! i.~ E lv~TN ~5"orCovER iS6s G~~ SFar~c Tom. /o' S/" Sc~ S/v A/c i4r Irv D (.~rl,Er . ~ ?~ ~',(E~I ~NSiPEC7/OBI iFJ1/O ~~~ T/G~5 ~~ w~~ 8: ~~P ~cr, fi,~ S,TE 8. ~~~ ~~ ~0 OosEo ~i 7'unr ~~vau S 7 r . 4~ ~ 4 R ~,~~ Y~tG~ ,~ SoKT~ ~RoPE~rf- .C~~,E ~ --- No SciflE O U -~1 b M 0 Z W ~~ ~~~ ~~ ~~ oa ~ M D it y~ Al l ~ ~ ~\ -~ i p ~ 3 ~ ~ ~ ~ ~ z ~ ~ ~ ~ ~ ~ ~I ~ it ~ o ~ y t y ~ ~~~ ~ 7 v -~ .~ ~ ,~ ~ z ~ ~i ~~~ ~ N~ ~~ ~~ ~ ~ ~ ~, ©~ ~ ,~ a ~t :_ ~ - 3 ~~ 7f~ \(~ fh ~ {~`~ ~ y N d ~ ~ O -~ -~ o~ a 0 0 Z 'i ~~~ 3 ~~ Z Z ~ ~ ~ ~~ ~ z ~ o ~` ~ ~ ^ ~ ~° ~ ~ ~ ~ ~ ~~ ~ ~ Q\ ~~ ~ y Z v ~ ~ ~ ~ ~~ ~ ~ ~ ~ ~~ g a y Z b a J N '' 1 n S93_4~a~ :b A c e y Z ~ G b -o Q O '~ n` N, ~ ~\ r ~' O Z r` e ~ c ~ 3 fl -~ :~ M r ~' o x x ~ o ~ G Z x x x N ~ b -0 o 0 e ~ x• Z a a ~ .. s r ~ ~;. o s ~ ~ o o J ~7 O a 4 yl ~1 e ~ ~ n ~ o ~ ~ ~ ~ ~ „~ m ~ ~ ~ ~ v~ O N o o i 0 0 o g • ~~~ ~ ~ " pepartrtnntNlndustry, SOIL AND SITE EVAI~ATION REPORT a. ~~~~ Peoa 1 a a`~ ~ in accord with Il.l~ .Wis. /1dm. Code C ~ ~ph oomph alto plan on papa not lass than 812 x 1~ i as ~n siza. Plan nwst indudo. but rection and X of elope, scale or tad b vortical and horisontal rafaranca point ( + PARCEL 1.0. / e rtw ylt t usst road di . ~ ~nsionad, north snow, and bcation and ALL INFORMATION REVIEWED BY GATE APPLICANT INFORMATION-PLEASE PT ~ ~ PROPERTY I.ocAnoN S ~ 7 T ~~ ,N,R 19 :m(ar) W LOT ,~, v4 SI•r ti4 GOVT P'hoeni.x Fixtures , . PROPERTY OVVNER:S MAlUtVG ADDRESS / t i SUBO NAME OR CSM i It R n s n/a '~ratJ~e P.d . GTY, STATE ZIP CODE ~ HONE NUMBER QVILIAGE 'OWN NEAREST ROAD rttxlson ~ '~ral-ke .n.~l. I td ~ New Construction Use (J Residential ~ Number of bedrooms [ 1 Addition b existing building ~ ~ Replaoernent ~ Publicaoortunerdaldescribe r•tfg. 3n P-r~mloyeen, ?floor ~lraina 7(N~ Recornnended design loading tale • 5 bed, OPdlit2 •6 ttefx:h, l .,Code derived da~- flow g~ area ~ 14()() ~, ~ 1167 trench. it2 Maxinwxn desgn rate . 5 bed. . 6 irendt, gPdIQ2 .. fnrtended infitL~~ ~sw~ elevh~;. d F, -7.5 - - - R has r~etred ~ sile ~.~t~e!+c~rtarir}- -- -- _ -~ - Additional despgrt I Lila aor~ideralions n a . -parent malarial oitwash Flood plaint elevation, if appicabie n/a it $ s SUifable for 8ySlem ~~ '~ S ^ U MOt1N0 6L?6 ^ U N~ROliap ~ ~6 ^ U AT~Gg11DE :®$ ^ U SYST9rl N PN1. ^ $ :©U HOlONf3 TANK ^ $ ~ ~ U • Unsuitable for ._ ; r ,. 8odttO ~ 1 ......-: Grolad t(10.3(it Depnt b ttmirrq -- - enu neel~oroT1A1J RFPAfaT Horizon Depth in. Dominant Color Munsell - - - MotUea3 - Du. Sz Corn. Color Texture Stnx~ure Gr. Sz. Sh. ~ ~~ ~~ GPD/ft Bed 1 (~ 1. ^/2 none L. ~/r•~/ n£r c/f3 ?./f .5 .b 2. ., ~-17 7.Syr4/4 none scl. ~/n/~;~r r~fr ~/Fr 1/f. :4 .'S ..'~ 17-4f' 7.Syr4/4 none sl. ~/m/sht: mfr ~/a n/a .5 .6 4 4A-~ t0yr4/6 ncme S. C/sq ml n/a n/a .7 .^ _ I ' ~ ._~ ~!aNtA i t~~3(it. ~~ ~mrro Remarto .1 3: 0-11 1(1yr?/2 none L. '/n/~' nfr. c/a ?./f .5 ? .6 •-~ 11-23 7. Syr4/4 none scl 7./et/fir nfr ~/~~ ,, . 1/£ .4 .5 3 ?.?-47 7. Syr4/4 none sl. 7./rt/3`~1- r•~vfr F/v n/a .5 ; .6~' 4 47-n6 1(~yr4/6 twne fS.. 4/aq t•tvfr n/a la .5 .fi 17~,~~• -Awn Print - Gary L. Meet 715-94~i• .~. 1.5y4 ~Ot~ths ~.ve. , Ilew ^ictmorxl, j7I. 54017 ~'~~~~~ ~~ .~--~.. ,'1-31 _A3 - C3tL1 ?7ns: I ppps~OwNEp Phoenix Fi:aurea SOIL DESCRIPTION HEPVt~r ~ ' "r"-'^ - Lp.! ~~ 3 Ground elev. ~~~~ Depth b tinw~ a GPO/it Horizon Depth in. Dominant Color I Munsell Mottles Ciu. Sz. Cunt ere Stru~ure Gr. Sz. Ste. Consistence 8our~xy Roots Bed ITreno7 1 2 (1-11 11-21 1 ?./~ 7.Syr4/4 none none 1.. S(7~. ?/n/^r ?/t~i/fir nfr rift ^ W g/w ?./f. 1/f .5 I .h .4 ~.5 3 ?.1-37 7. Syr4/4 none sl. :'./n/shk rlfr ~/w na/ • 5 ~ .6 4 ~7-QS 1c)yr4/6 none *fS. ~/sp, ravfr n/a /a i .5 '.6 * s ratif' s thin band ;~" of f1s. th oughou the hori on ~~ 4 GrotRd ?R~ IG ~a . :>~=-- Borirq ~ 5 `: n_ .r.. ~ .V~..Y...Y • - -~,1.• 12 " ~pyr~/~". ; _. none _ L. _ 2/ nfr. . t'J~t 2/f .5 L.h 2 2-2D 7.Syr4/Fi none scl. ?./n/~ nfr R/W 1/f_ .4 ~ .5 ~'3. '.t)-2 7.Syr4/F none 1~5. t7/sry rrl. ~/w na/ .7 .8 4. x-0(1 1(lyr4/b none *f.S. (1/ag nfr n/a n/a . S ~ . F * s atif s t~ancis of ine loariy send throug out the h rizon t~emancs : 1 0-12 1(ayr3/3 none L. ~/n/pr nfr p/w ?./f. .5 .6 2 12-?.1 7.5yr4/4 none SL. 7/n/P,r rrvfr g/w 1/f .5 ':..6 3 21-5 7.5yr4/6 none SL. 2/n/sb'.•: nfr f;/~r 1 .5 .6 4 56-. 10yr4/6 -none vf. S. o/s~ nvfr n/a /a .5 .6 ~~-*= stra fed layers f vfls through ut the horizon Grotnd r.'"~ ~. Ddb-.._. tailor ~n~ C~ound .»._,- .~b...., .....- Remarks 1 ._ : Q-26 1Oyr?./2 none L. 2/rr/sbl: nfr alter 2/f .5 ~ .b 2 ?.6-45 1()yr4/4 none sl. ?./n/~ eifr o/w 1/f .5 .6 3 45-~i2 10yr4/6 none sl. 2/ra/shk rift ~/w na/ :5 .6 ~4- 62-90 10yr4/6 none FS. 0/sp, ml n/a n/a .5 `.b _ -- - . _. i Remarks: i I'll ~p ~ -~ \ c I.) r w ~a> i I ~ I I ~ I I i . ~ I \sy 1 o~ C~ ~ , `~ .~ ~ v+ °~ ~ I I ~ I ~ I `~ ~ I v1 e~ I ~ ~ ~ \ -Z ~ ~ J ~ i I ~ I ~I xl ~ vl f ~•' ~ 9 I ~ 3 1 1 \ \\ ~ 4, Z V ~ ~ I ~~ ~ dI I I 1 ~°•~I ~` ~ I \ ° I ~ ~ v ~1 I 1 I I I I + O -I- I I I I ~ 1' ~ \ u w Y `~ ~ a o I I I ~ I I \\ I i ~ ~ 1y~ " ' V I' ~~ I I I ~ I ~ ~ 1 ~ ~ / I I I ~ h w Y ~ I ~ II ~ \ Y v~ a .0. I / - ^t -f.8 \ ~/ m °o, I o o ~Pl N ' ~. / I ~ / I Q o \ VI x ( I / I ~ ~ a ~ ~ ii ~~ C~ v ~ I I ~ I / ~ I I a I M `~J ~ ~ /I m I I ~ I '$ I i ( ~• ~:K ~ X ~ 1 Dy ~ I ~ 0 I i _ a ~ e I ~ _ _ -t- -'._ - -_ o ~ I a ~ I O m ~ I X I - - - . .. X - - . . I I I / i I O • ~, I I al W ~' t O ~ • I ~ ~~ O r .. SAFETY & BUILDINGS DIVISION State of Wisconsin Department of Industry, Labor and Human Relations September 29, 1993 ZAPPA BROTHERS 715 SIXTH ST HUDSON WI 54016 2226 Rose Street La Crosse WI 54603 RE: PLAN 593-41048 FEE RECEIVED: 120.00 PHOENIX FIXTURES/SCHULZE BLDG. NW,SW,&NE,SW,27,29,19W TOWN OF HUDSON COUNTY OF ST CROIX NON-PRESSURIZED IN-GROUND SYSTEM The Department has reviewed the above-referenced submittal. Conditional approval is hereby granted for the system plan submittal. All noted items must be corrected. The review and approval of the system is based on chapter 145, Wisconsin Statutes, and chapters ILHR 83 and 84, Wisconsin Administrative Code, and is contingent upon compliance with any stipulations shown on the plans. This system has not been reviewed for the code requirements set forth in chapter ILHR 82 or in chapters ILHR 50-64, Wisconsin Administrative Code. This plan submittal approval will expire two years from the approval date, or if a sanitary permit is obtained, plan approval will expire on the day the initial sanitary permit expires. The licensed plumber responsible for this installation shall keep one set of plans with the Department's stamp of approval at the construction site. The installer shall notify the appropriate inspector when inspections can be made. All permits required by the city, village, township or county shall be obtained prior Lo installation. Inquiries should be directed to me at the number listed below. Please refer to the plan number shown above. Sincerel ~ erard Swim Plan Reviewer Section of Private Sewage (608) 785-9348 2264R/ 1 s~o-sari ~K. u~reu Wiscerrin Department of Industry, SOIL A N ~' S I T E EVALUATION R E P O R T Labir. and Human RelaUOns . 1livicirn of Safety & Buildings :_ _____~ ...:,~ ~~ ~ ~r~ oo nc per.., na.., r.,.ae Page 1 of 3 -, . - ni a~.~iu wnii inn OJ.VJ. •~~~. r,..,~~..,...... COUNTY fit. ~.L"r)l;: but Plan must include i i 8 1/2 11 i h l h , ze. n s x nc es ess t an Attach complete site plan on paper not not limited to vertical and horizontal reference point (BM), direction and % of slope, s r PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION ~GjG~'~ REV EDBY~~ DATE PROPERTY OWNER: P OPERTY LOC N Phoenix: Futures GO t' , va S[~~ 1/4,S ?7 T 2~ ,N,R 1~3 .;E(or) W PROPERTY OWNER':S MAILING ADDRESS L T # n9a BLAQCK # rI/a SUED NAME OR CSM # n/a "~ra}'}•P ^(' • _ CITY, STATE ZIP CODE PHONE NUMBER ^CITY ^VILLAGE SOWN NEAREST ROAD }rl1GISOII GPI. 54016 ( ) n Z Thu}son ~ral-ke ??cl. ~~ New Construction Use [ j Residential l Number of bedrooms [ j Addition to existing building j j Replacement (~,~ Public or commercial desaibe r~If_};. 3~ P_IIr11OyP_P.~7, ?. fi oor (trains Code derived dairy flow 7~~ gpd Recommended design loading rate • 5 bed, gpd/ft2 •6 trench, gpolft2 Absorption area required 1-4f10 bed, ft2 1 i 67 trench, ft2 Maximum design loading rate . 5 bc~d, gpd/ft2 . h trench, gpolft2 Recommended infiltration surface elevation(s) c'~' • ?•5 ft 1~ ICICII~;J tL J~tv clan be^ihma.~lO Additional design /site considerations n /a Parent material oitwash Flood plain elevation, if applicable n/a ft S =Suitable for system CONVENTIONAL -~ S ^ U MOUND ~S ^ U IN•GROUND PRESSURE ~(S ^ U AT-GRADE :fsl S ^ U SYSTEM IN FILL ^ S :~ U HOLDING TANK ^ S ~ U U =Unsuitable fors stem SOIL DESCRIPTION REPORT Boring # >;:~ 1 '~~ ri 'f, Ground elev. 1-00.3!~t. Depth ro limiting factor g ~~ >~. Boring # ::: k ::~~:~.x Ground elev. 100.3(1t. Depth to limiting facror ~~6~~ Depth Dominant Color Mottles Structure i nce t C Bourxia Roots GPD/ft Horizon in. Munsell Qu. Sz. Cont Color Texture Gr. Sz. Sh. ons s e ry Bed Trt~tdt 1 0-~ l0yr?. / 2 none L . ? /rI/ }*r rlf. r c / , 2 / f. . 5 . h 2 ~-I7 7.Syr4/~- none scl. '?/n/fir nfr ~/tr 1/f. ./F .5 3 17-<<^ 7.5yr4/4 none sl. ''./n/shy- mfr ;~/~~ n/a .5 .5 4 4~?-g~ l~yr4/h none ~~. ~/sir ml rI/a n/a .7 • ." Rpmarkc• 1 0-11 1(~yr2./2 none L. ?./rt/qr rift c/s ?./f .5 .6 2. 11-?.3 7.5yr4/4 none sc1 ?./rt/fir nfr n/~r l_/f_ .4 ~ .5 3 ?~-47 7.5yr/~/4 none sl_. ?./m/s'~}' rwfr ~;/~~r n/a .5 .6 4 47-06 1(-~~r4/6 hone fS.. ~/a~; rlvfr n/a i/a .5 .h Ramarkc~ CST Name:-Please Print r~arv j~• ;~tE'.el 715-?4Fi PFi}~0 ddress: l.5 4 200th. ~'.ve., T}ew ^_ichnlonc~, [JI. 5~-017 Signatur . Date: ~ nC~.ST Number: PROPERTY OWNER Phoenix ri::tttres PARCEL I.D. ~ Boring # >' 3 Ground elev. 90_75 (t. Depth to limiting factor ~05~~ Boring # .,<::4:::.: Ground elev. 95.50 ft. Depth to limiting factor >90" Boring # 5 Ground elev. 97,35 ft. Depth to limiting factor ~~ ,~ Boring # ~< t, Ground ~~'~~t. Depth to limiting ~~~~tor SOIL DESCRIPTION REPORT Page ~ .of _. H i Depth Dominant Color I Mottles Texture I Structure ( Consistence Boixxiary Roots GPD/ft or zon in. Munsell ~ Du. Sz. Cont Color Gr. Sz. Sh. Bed ITrencd 1 (1-11 10 r7./~ none L. 2/n/mar nfr R/ca ~ /f .5 ~ .h 11-21 7,5yr/i/4 none SCL. ?./n/fir nfr Q/w 1/f_ .4 ~.5 3 ?.1-37 7.Syr4/4 none sl. :?/n/shk nfr ~;/w na/ .5 ~ .h 4 37-95 10yr4/6 none ~, _ fS. 0/sp nvfr n/a /a 1 .5 '.6 -~ s ratif' es thin band ;~" of fls. th ou5hou the hori on Remarks: 1 0-1.' 1Oyr3/3 rene L. 2%n/`r nfr ~/w 2./f .5 .6 2 12-7.0 7.5yr4/h none scl. 7./n/fir rifr g/w l/f .4 .5 20-?~ 7.Syr4/f, none LS. 0/s? ril. ~/~v na/ .7 .8 4 29-g0 1Dyr4/6 none ~fS. 0/s~ nfr n/a n/a .5 .h ~, s ratif' s bands of ine loarry sand throu5 out the h rizon Remarks: 1 0-12 10yr3/3 none L. 2/n/pr nfr ~;/w 2/f .5 ~ .h 2 12-?.l. 7.5yr4/4 none SL. ~/n/nr nvfr g/w ]./f .5 .6 3 2J_-5G 7.5yr4/6 none SL. 2/n/sb'.-: nfr ~;/~~ a/ .5 .6 4 56-9 10yr4/6 none J. vf. S. o/sg nvfr n/a /a .5 .h -~ strat 'fed ]_ayers f. vfls through ut the horizon Remarks: 1 0-2h 10yr7./2 none L. 2/n/sbk nfr ~;/w 2/f .5 .6 2 2.6-45 IOyr4/4 none sl. ?./n/Sr rafr o/w 1/f .5 .5 3 45-h2 10yr4/6 none s]_. ?./ra/shk r~lfr ~;/~•~ na/ .5 .6 4 h2-90 10yr4/6 none FS. 0/sp, rat n/a n/a .5 i .Fi i I Remarks: SBD-8330(8.05/92) h - g~ ~gg.12 _ - -~-g6- - ~g-- - e t STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNE ADDR S ~ p~ eyv ~~ ~" D/ SUBDIVISION / CSM~ So s~G 3 ~~' ~ 8~ SECTION~_T~_N-R_~W, Town of ~fGtpSo,~/ 3oZC~ ST. CROIX COUNTY, WISCONSIN PLAN VIER SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM ~~~KK F.~~• ~fuc/{irI - TP r/F Q Ee o5T /} ~ E. ~~PEQr J~c~/jrlf ! ~l~OfgT`jI~INF CnQN~ EtP,/. /OV.ao• 3y. . _ I I I ,,.~ ~'~ ~ /SOS Gni S~Pr~~ ?rt/vK r..; ~ r~l iv' JE/.1rs OF S/" ScN'rt~ Ar Tiv~.c'T F bHTL£T^ ScN4/v ~~£ Nvcar,Fi.~SOECrio~1 w/TH ` ~I ~TtGI•FT ~<N G yi/ ~IIC SD/Q3S SEt..rE~ ~,/.VE W/T/f GS~~ of Cv~/C~ 1, /~~l /E' ~~ t t~~''` a x° ~~ /D' ~_ 01~~~C£ ~(TCJ'l Y ,, v~'- ~ 1 ~ ~ ~ ~ ~ ~ I t~ i n ~~ II /~( 1 ~ ~ ~ i ~ it ~ ~I i ~ I ~ I ~~ \~ INDICATE NORTH i i 1 I I i Provide setback and elevation information on reverse o~ this form. Provide 2 dimensions to center of septic tangy: manhole cover- ~. BENCHMARK: oD o~ `jEE ~aST i1'r Al.~ TiPo~~/!%5' ~n~NEq~ E(~% /~t7. ALTERNATE BM: SEPTIC TANK / PUMP CHAMBER / HOLDING..TANK INFORMATION Manufacturer: G/~~SE/j Liquid Capacity: J~GS~h~. Setback from: Well / ~ • House y~ ~ - 6t~~r T~ /3,~ Pump: Manufacturer /VA Model# Ns~ Size J~/,4 Float seperation 1V ~ Gallons/.cycle: ~/~ Alarm Location N/~ Width: ~ Length, SOIL ABSORPTION SYSTEM 7Y~ Number of trenches Distance & Direction to nearest prop. line: EAST Setback from: well: l~~ ~ House ~~ ELEQATIONS Building Sewer 9S;i'7' ST Inlet: ~~oi' ST outlet cJ'3. ~,2~ PC inlet ~~ PC bottom IVf~ Pump Off NA Header/Manifold 93.G`~' Bottom of system j'S; oo Existing Grade ~~ .3c"~' Final grade ~j'~.Sa~ DATE OF INSTALLATION: ,D£C, /~ /J~~73 PLUMBER ON JOB: __~!`~~ ~ LICENSE NUMBER: /I/~O~f' .~3`)S INSPECTOR: G" S~" 3/93:jt BENCHMARK: 0~1 Orf ~EE ~a5i' ~ ~ ~ t"/Pv~~/l%4' ~~?NE/P E<</, /~t7. e ALTERNATE BM• SEPTIC TANK / PUMP CHAMBER / HOLDING..TANK INFORMATION Manufacturer: G/~tsE/~ Liquid Capacity: JAGS ~,~~ , Setback from: Well / ~2 ~ House y ~ ~ /3a Pump: Manufacturer n/A Modell n/A Size Na Float seperation N ~ Gallons/.cycle: ~/~ Alarm Location N ~ Width: ~ • Length Number of trenches ~ Distance & Direction to nearest prop. line: Ei.FS'r Rn~~ Setback from: well: l ~i'o? ~ House ~~ 9'fh~T' - ELEVATIONS Building Sewer 9S, i 7 ' ST Inlet : l-/5~ d ~ ~ ST outlet y'3. ~,? PC inlet ~ ~ PC bottom IV A Pump Off N ~ Header/Manifold 93.G~' Bottom of system js;oo~ Existing Grade ~G .37' Final grade y'(~.Sa~ DATE OF INSTALLATION: ,DEC, / . /1~3 _ PLUMBER ON JOB: ~ LICENSE NUMBER: /V~O,Pf' .~3~5 INSPECTOR: SOIL ABSORPTION SYSTEM 7~~ G" S~' 3/93:jt t L~'~rRJ~Part~E~e~lQlus~,7, ' 29' l9W A~'E SEWAGE SYSTEM ° Labor and Human Relations INSPECTION REPORT Safety acid Buildings Division 'GENERAL INFORMATION (ATTACH TO PERMIT) Permit Holder's Name: ^ City ^ Village ~ Town of: ev.: ~ Insp. BM Elev. BM Description: , TANK INFORMATION TYPE MANUFACTURER CAPACITY Septic G(,~%~'S~'.~ ~05^ Dosi Aeration o Ing TANK SETBACK INFORMATION TANK TO P/L WELL BLDG. vent to Air Intake ROAD Septic S, ~~ 5/~~~ ~ ~ NA Dosi NA Aeration NA HoFding'~`~'' PUMP /SIPHON INFORMATION Manufacturer Demand Model Number GPM TDH Lift Friction S st T Ft L __ ,~.,: Forcemam Lengt Dia. Dist. To wen SOIL ABSORPTION SYSTEM ELEVATION DATA nitary Parcel Tax A9300294 ~ ~ ~~,~ /mar ~ STATION BS HI FS ELEV. Benchmark a oa f fir'.`` t1''~ Bldg. Sewer St / I~I'f Inlet ' a, 3~i St/~t Outlet ~i ~,~~ ~ ~ ~ Dt Inlet Dt Bottom Header-~a+~_- Dist. Pipe 6 ~ Bot. System s :~~' ~. ~- ..~ ~ Final Grade a BED /TRENCH DIMEN I N Width Length y ~ No. Of Trenches ~ PIT DIMEN I N No. Of Pits Inside Dia. Liquid Depth SYSTEM TO P / L BLDG WELL LAKE /STREAM LEACHING rer: SETBACK CHA mb M l N d INFORMATION TypeO //ru.~a-Cs;MJ; ~ ~ ' > ~ UNIT er. o e u System: ~r (o ' S8 } /(~ } DISTRIBUTION SYSTEM Header / ~~ ~~ ~ I Distribution Pipe(s) ~ ~ ~ ~ ~ ~ ~ le Size x Hole Spacing Vent To Air Intake Length Dia Length Dia. Spacing ~_ SOIL COVER x Pressure Systems Only xx Mound Or At-Grade S s Only Depth Over ~• ~ ~ ~~~ ' Depth Over „ ~`! ~~ r ~ xx Depth Of xx Seeded /Sodded Y N xx Mulched s ^ No ^ Y /Trench Center aged B> Trench Edges es ^ o ^ e COMMENTS: (Include code discrepancies, persons present, etc.) ~.. LOCATION: HUDSOAt.27.29.19W LOT 8 a ,-~ ,~~~ , , 4~~ ~~ f j Plan revision required? ^ Yes No Use other side for additional information. SBD-6710 (R 05/91) ...,` Q a-~.~-- `/ / Date Inspector's Signat re Cert. No , --~ CeNITeRV pF'R11AIT OPpI ICOTIAN OIL.MR in accord with ILHR 83.05, Wis. Adm. Code CouNTY .o...~,,..a~...,..,.~.,o,_ fT czT. " STATE SA ITAR # -Attach complete plans (to the county copy only) for the system, on paper not less than ~ ~~~~~ 8'r4 x 11 inches in size. ^ c ec if a aion to previous application ~$@e reverie Slde for InStrUCtIOnS for Completing thlS appliCatiOn. STATE PLAN I.D. NUMBER I. APPLICANT INFORMATION -PLEASE PRINT ALL INFORMATION. PROPERTY OWNER PROPERTY LOCATION - - '/a '/a, S ~, T , N, R E (or W PROPERTY OWNER'S MAILING A RESS LOT # BLOCK # CITY, STATE ZIP CODE PHONE NUMBER SUBDIVISION NAME OR CSM NUMBER ~, ~ ~ _ /. II. TYPE OF BUILDING: (Check one) CITY ~ NEAREST ROAD ^ State Owned ^ VILLAGE Public ^ 1 or 2 Fam. Dwelling~# of bedrooms - AR EL AX NU B `( ) III. BUILDING USE: (If building type is public, check all that apply) D ~ ~ a .u 1 ^ Apt/Condo 2 ^ Assembly Hall 6 ^ Medical Facility/Nursing Home 10 ^ Outdoor Recreational Facility 3 ^ Campground 7 ^ Merchandise: Sales/Repairs 11 ^ RestauranUBar/Dining 4 ^ Church/School 8 ^ Mobile Home Park 12 ^ Service Station/Car Wash 5 ^ Hotel/Motel 9 ®Office/Factory 13 ^ Other: Specify OF PERMIT: (Check only one in line A. Check line B if applicable) IV. TY P E i ~ I A) 1. ~J New 2. ^ Replacement 3. ^ Replacement of 4. ^ Reconnection of 5. ^ Repaicof an System System Tank Only Existing System Existing System B) ^ A Sanitary Permit was previously issued. Permit # - Date Issued V. TYPE OF SYSTEM: (Check only one) Non-Pressurized Distribution Pressurized Distribution Experimental Other 11 ^Seepage Bed 21 ^ Mound 30 ^ Specify Type 41 ^ Holding Tank 12 ®Seepage Trench 22 ^ In-Ground 42 ^ Pit Privy 13 ^Seepage Pit Pressure 43 ^ Vault Privy 14 ^ System-In-Fill VI. ABSORPTION SYSTEM INFORMATION: 1. GALLONS PER DAY 2. ABSORP. AREA 3. ABSORP. AREA 4. LOADING RATE 5. PERC. RATE 6. SYSTEM ELEV. 7. FINAL GRADE ELEVATION REQUIRED (sq. ft.) PROPOSED (sq. ft.) {Gals/day/sq. ft.) (Min./inch) q p ~DD '" Q - ~ /.~ U~ Feet J ,1^® Feet VII. TANK CAPACITY in allons Total # of ' N f t M Prefab. Site Con- Steel Fiber- Plastic Exper. INFORMATION New istin Gallons Tanks urer s ame anu ac oncret glass App Tanks Tanks strutted Se tic Tank or Holdin Tank < - - - Lift Pum Tank/Si hon Chamber VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans. Plumber's Name (Print): Plumber's Signature: (No Stamps) ~r4P/MPRSW No.: Business Phone Number: .GS~?a; DU i - ~ s Plumber's Address (Street, City, State, Zip Code): `D IX. COUNTY/DEPARTMENT USE ONLY ^ Approved Disapproved ^ OwnerGiven Initial Sanitary Permit Fee (Includes Groundwater Surcharge Fee) a e ssue cc ~p~~f- /,J Issuing Agent s) Ad erse Determination X. CONDITIONS OF APPROVAL/REASONS FOR DISAPPROVAL: SBD-6398 (formerly PIb~7) (R. 11/88) DISTRIBUTION: Original to County, One Copy To: Safety S Buildings Division, Owner, Plumber INSTRUCTIQNS ' 1. A sanitary permit is valid for two (2) years. 2. Yaur sanitary permit :;gay be renewed before the expiration date, and ~~t the time of renewal any new criteria in the Wisconsin Administrative Gode will be applicable. 3. Alf revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer/Rer4ewal Form (SBD 6399) to be submitted to the county prior to installation. 5 Onsite sewage systems must be properly maintained. The septic tank{s) must be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety & Buildings Division, 608-266-3815. To be complete and accurate this sanitary permit application must include: I. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system is to be installed. II. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling. II1.. Building use. If building type is Public, check all appropriate boxes that apply. 1V. Type of permit. Check only one in line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested in #1-7. VII. Tank information. Fill in the capacity of every new and/or existing tank, list the total gallons, number of tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete for au septic, pump/siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County/Department Use Only. X. County/Department Use Only. Complete plans and specifications not smaller than 8'/ x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water service; streams and Sakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served; B) horizontal and vertical elevation reference points; C) cam~ilete specifications for pumps and controls; dose volume; elevatia~ uifferences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross sectic:-: of the soil absorption system if required by the county; E) soil test data on a 115 form; and F) all sizing information. GROUNDWATER SURCHARGE 19~3;i 4Visconsir? Act 410 included the creation of surcharges (fees) for a numt°t~r of regulated practices which can effect groundwater. l`he mcni~ rtenll~,~ted through these surcharges are used for :r..~~E~,stc~ring grc~~~~;,rfwater, r~~round- watr~r c;or~:tamination investigations and estabiishnlent of star:d~Mrd;. SBD-6398 (R.11/88) ~ ~,~3~4~~4$ s c Z ~ ~ ~ bb® b ~~ o ~ n ~ ~ ^ } ~ ~ ~ ~ ~ ~ -~ ~ e ~~.~~ ~ ~ , ~ ~ ' '^ ° ~ ~ ~ ~ Z ~ ~ ~~ ~ ~ ~ ti ~ ~ ~ ~ ~~~~ Z'0~ ~ x ~~ ~ ~ ~ r 3 r ~ ~Z T Z o ~ ~ ~ ~ . ~ o ~ `~ Z ~ ~ ~ y ~ o _y` Q ~~~ o ~ ~ o~ ~ g ~ ~ ~~~ ~ ~ o~ ~ y ~ ~ a g ~ ~ ~~ ~h ~~ w a . No~Q1"N f ~,~ PEATY ,~ i.v6 7~O~OSEQ BJT,+(K 1 iNdat S PA~x~N~ A~~ / \~ ~; vfN~Mi-'N~r'K io of . ,,c~.v . , ~. /fr ~ E. AQo~ERiY ~eP•uER C<</. /~_e 3L' -+~ ~~ ~ 0 ~~~' ~ - ~E>,tr ~r FNO or ~".,c x .,T~P~.t~~ ~(EyEt ~/IST~~uTIO/U ~E~,~~ ~O /¢ZL ~~e6-~-Vf-I~ES' ~ I ~, /, ~1.tU,N` SEaE{ .L~/~PrF,c~V ~IS~, /'/POPoS~/J ~u/<4/NG ~f,~~oosEa ~Lc1~u ~rx~4Tlw ~:~,~f.~~,~ ~~~-~~tJ- ~t~ ,~~ ~~ k Y ,3~~s ~~ _ E T D v/E T~ L,.vF W s ~ ~ __ ~ ., .~ R ~ has ~ R ~'"~~ a~puy~tt~I. ~ ~N9 ~ .. n ~~~~~ Tw~ R~Q ~~ Z'tsl:~ a~t~rr~~ra! eiees scot ir-~ ~tr3y plearntsin9~ tapstraan~ ofi the i~sak. wee ~~:w?i~~t !~'.!-!~ II~.20, ?:~cde to dt?~~re~r~aia~e whether piasa r pprova! is rewired tar that pl;,smbi yl~Df~oSf/~ ~/~/VEt...,'y ude review of septit;lholdin~ 4"Uis. Admin. submittal an0,. ng. 35~' 6 4' S Sje . • ,, :, 9B' i i ~ ' i 2 y" A/c SaQ s~-~ ~3~ sEwfe II.~E ~ w,TI~ ~ s •~ or co~ER /S6s G~r~ SF~/c ?.M /o' y"S«'ybA/C ~T Au0 ~T~r. C? T ~'~F^ ~NS~Et~/Otil /}~/0 Ai~ Ttih ~4 c~„T~/, j i,<<~ 83 gar/ ~~P ~r, B~ SirE, 8. E•Mr P~ j',~OQofEQ f3/Tum iwr>u S -~ ~~~~~`R ~/•t/h p~~ ~ SoK~.l ~RoG,~~PTr iCiNE --~ - ~/ SciflE 0 v ~, ~ ,~ ,~ Z n ~ ~ ~ ~~ '` ~ ~ go ~,, ~ ~ ..,.. p~ ,~ G.a ~, ~:~ ~ o m ~ ~'~ .~... ~ .j } ,C ~,., g ~ ~{ ~ ~ o ~, e ~ ~ ~ z -~ -~ 0 ~~1 e r ~ ~ ~ ~~ ~~ ~ W I ~~~b O - ~o ~ 3 ~ ~ ~ ~ ~ o ~ ~ ~ ;O '1 ac 3 a 0 0 Z ~i ~ ~ n ~ ~ ~ L ~ ~ z ~~ P ~ O 1 ~N ~ z .~ ~ Z ~ ~ ~ ~~ ~ ~ Q\ ~~ ~ ~ z i ~ ~ ~ ~~~ ~ ~ ~g y Z a J N r Q C v~v `1 Z ~ G b 0 ~~ Z, M 1 r ~' O ~ 11 '~ Z ~ o ~ c r ~ -~ 3 ~ ti r n -~ ~,n y\ H w ~ o x x w b -0 o 0 ~ ~ ~ A ~ ,~ .,. .,. k• Z a a z .. ~, r 00 N~ ~ O ~ ~ ` ~ o o J ~7 0 N a ~ :~\ T yt h ~ n ` ~ ~ y N ~ ~ Z k ~ x N -~ ~' ~~o o ~ o ~ ~ m ~ ~ ~ ~ ~ .~ ~ 0 (J\ O O n 0 0 o g ~` SOIL AND SITE EVAht~AT10N REPORT ~ 1 a3 airlry+ in sears with ~t~ tr,>:u~. r.~s..w~~....+..o t ::t . ^r~i.Y doh oontplaM site plan on pape- not lass than 81/2 x 1~, i in size. Pfan must inck~de, bu PARCEL I.O. tirttitad b vertical and horizorual reference point (RA11. direction and Yo of sbpa, t~caN or crest road nd location and di h d . ~ arrow. a , nort ~nsrNione REVIEWED BY GATE APPLICANT INFORMATION-PLEASE P T All INFORMATION ~ ow~a Ifioenix Fixtures PROPERTY ~ocAnoN t30VT.lOT ,~. v4 ::(•T t/4,S 77 T ~~ ,N,R 19 :~(ar)W PROPEiii'Y OWNER'S fr1AILlPKi ADDRESS ilfyT I ~l~~aa n S i SUf30/ NAME OR CSM ~ ~ra1:Ice P cl . . ,STATE ~P CODE PHONE NUMBER ( ) ILLACE 1tu~s~ OWN NEAREST ROAD '~rai-{;e .n.~l. raj New Canan,aion use t) Reaidertiiaf ~ Number a bedrooms I 1 Addition b e~ostinp buildNq ~ ~ Replaprnerit G~ Public a cortrnerael tiesoibe r~~fl;. 3~ P.r~tnloyee:~, ? fi oor rtrain.9 7t'>n Reoormtended design ioadirg rau • 5 ..Cody dYtired ~ flow ypd bed, gpdf~ • h bertdr, ~~ sna 1411(1 ~, b2 1167 bench, ftZ Ma~drtMrm desgn iosdifq ~ . 5 bed, . 6 bends, .• . __ R (aste#~tI ~ ~ p~bendtinadt} -_ _. _ mrtendcd irt$lt~tica straace ~ev~Ors;. 6.25 , ,, AddNOnr dMNprt t flit aonrpderadon n/a r nWMir oit~rash Flood plain Blewlio n, if appticabie n/a n $ w $uitehte tit fg-8brl'1 CONVENiIONAt. MOlll~ INI3ROIJND PRESSURE AT•GRAOE SYSTEM W f1LL HOIONO TANK '©S ^ U ~6 ^ U :~6 ^ U :@d S ^ U ^ S :0 tl ^ $ 7® U .1Nauitabie IOt .~2 i 41i'~:3f1t ~~~. O se~~ eESCR~PTION REPORT FIO~izon Daptlt in. Dominant Color Munsell MolYee Ou. Sz. Cone Color Texture Sinrdure Gr. Sz. Sh • ~ ~~, Flood OP0/ft Bed 1 ~ 1. ?/2 ncme L. ~/n/ nfr c/a ?./f .5 .~i . 2. !1-17 7.Syr4/4' nanp scl. ~/r~/~ r nfr ~/~~ 1/f. .~4 .'S ~~'~ 17-4 7.5 4/4 none sl. ''•/fi!s*~1: mfr ryh~ n/a .5 .5 4 4~-~1 t~yr4/6 none ~. ~/sQ ml n/a n/a .7 .^ t 1 flsmarta 1 : 4-11 1(1yr2.12 none L. :'./n/~ nfr. c/s ?./f .5 .6 '~~ 11-23 7.Syr4/4 Wane qcl 7./~/t;r nfr ;*/w. 1/f .4 .5 3 ?.3-47 7. Syr4/4 none sl. ,/m/3`+1- r~vfr phi n/a .5 ~ .6~' 4 47-~6 Ii:~yr4/h tine f.S.. (~/z;t~ rrvfr n/a /a .5 .h Nrnra-ReaNPmt f.ary L. ~t;eet _ 71S-~4Fi- ...~• 15 4 200th Ave. , flew ^ichmorul, iJI. 54017 eau: - Ntrabsr: REPOld~T~ pags_.Cf '" ~~r,pWiRp Phoenix Fi:cturea 801E OESCRIPTION~ ~ ~! ~ ~ ~,, e 3 (around elev. ~~~~ ~b Horizon Depth in. Dominant Color Munsell Mopes Qu. Sz. Cont. e>~re Stricture Gr. Sz. Sh. ~~, ~~ GPO/tt Bed ITienQt 1 (1-11 11-21 1 ?./~ 7.Syr4/4 none none T~. S(:L. 2 t, ^r '/n/fir nfr rifr ^ W g/w ~ /f. 1/f . 5 i . h .4 ~.5 3 ?.1-37 7.Syr4/4 none sl. :'./n/shk nfr ~/w na/ .5 ~ .h 4 ~7-45 1(lyr4/6 none *fS. 0/s~ nvfr n/a /a i .5 ~.6 * s ratif' s thin band ;~" of fZs. th oughou thhe hori on 4 Gpu~O ~p~ b 1~~C , :.. ~~+.- ,r. BahQ ~- 5 hand t.'".~ n. :~. tadOr =-- 6 ti~~>~ .~ ~ • xlt. ~Qb... _ _- ,.....-- -~_: 12 ~ ~pyr~/3. _ _. none _ L. ~ ?./ r. >aJ~ 2/f ,5 L.b 2 12-2t) 7.Syr4/6 none ecl. ?./n/~ nfr g/w 1/f. .4 ~ .5 "'9- '.t}-2 7.Syr4/F none LS. 0/s~; ril. ^/w na/ .7 .A 4 ~ 1t1yr4/6 none *fS. (1/ag nfr n/a n/a .5 .(a * s at~.f s t~arxis of ine loamy s~ throu out the h razor nemsn~ 1 s: (1-12 1t1yr~/3 none L. ~/n/pr raft p,/w 2/f. .5 ` .h 2 12-?.1 7.5yr4/4 none SL. ~/n/~,r rrvfr g/w 1/f .5 .6 3 21.-5 7.5yr4/6 none SL. 2/n/sb'.: nfr ~;/~r / .5 .6 4 56-. 10yr4/6 none vf. S. ols~ nvfr n/a /a .5 .6 --*= stra fed layers f vfls throu~,~h t the horizon i riemancs 1 - : 0-26 1t)yr?./2 none L. 2/>z/shy: nfr ~/w 2/f .5 ~ .6 2 ?.6-45 1Oyr4/4 none sl. 2/ra/~ cLfr g/w 1/f .5 .6 3 45-h2 10yr4/6 none sl. 2/ui/shk rift ~/w na/ :5 .h ~4- 62-90 10yr4i6 none FS. 0/sp nt n/a n/a .5 `.6 _ _ __ ~ Rsn+atks: S33o~R.Q4~I .... ...~ .: _ .. t, ` ~ vv l11 ~' ~ , l ~1 .~~ '~ ~ ~ V~- ~ v ~ ~ w ' y `~ '~' `f( V '~C.' ~~o-,~ l ~t~ ,,y++y~y~~H V r~~ 1.~ l ,~ ~. ~ TI I .o 0 a 0 s~ rn X W Y Y Q m OI X O~ ~~ 0~1 \ N a O N _ ~ m, -.~ a ~ i -- X ---- I - • ~. ~ ~ ~ al _ - - - m a a 0 `°• •~ $ 'o °' - - ~- - - ~-- - ~C - I l ~. ` O n n .s+ ~,:1 O C Cam' ~ O, p p O, ' O Cn ~ ~ I1 .J' . ~ ~~ ~ ~ t I _ .:.~~ ; i I ~~ ~ I ~' ~^ ~, I ~ i . ~ ~ ~ I \~ ~1 c + o ~ ~I I I~ I i o O 1 I\ I 1~ X ~& a X I II I I \ .I \ Z ` H \ ~ I I I ~ \ h b a a I a I I I N 8 I \ + \ \ • o I + `g i I °o I I ~1 ~ X \\ X ~\ i X i I i~ i ~ ~~ o I \ \ I I I ~~ o i ~\ .o.osz \ i ,.asa i ,o.o ~ i I \ T \ I I I I : \ I ~' \ I I I I ~3 ei ~ o \ x ~ I ~ ~o P ~ w'~II ~ I I N~o ~~ I I ~ ~o t _w \ \i I I i ~~ ~mM °o o y ~ ~ I N ~: I I ~ li ~ X \ I\ ~C I I ~ ~ I i . I I \\ I I i ~ \ \ I \. \ I ` I \\ ~ ~~ \\ ~ \I \ d ,~ \ \ 'S` r------}\ - H~as~---- ~~ ------------------J \ i\ I ~ ~ ~~ ~ \ I ,. \ ~ I ' o ------ -~ -----------= ---------- ----\l )1JY913S 9NOQNd ~ ~ ~ A ` ` ~ ~ ~ \ ~ \ ~ ~ ~ T.O A \ ~ ~ \ X \ X /... - - . ~ - . - .l£'46£ a - - - - - - - ~ -- a o 0 r c1 ti N ~~: O O O O .7 O -- ~- -- Xavoa NMOlX3anln~- ~-- =~E-- ->E- SAFETY & BUILDINGS DIVISION State of Wisconsin Department of Industry, Labor and Human Relations September 29, 1993 2226 Rose Street La Crosse WI 54603 ZAPPA BROTHERS 715 SIXTH ST HUDSON WI 54016 RE: PLAN 593-41048 FEE RECEIVED: 120.00 PHOENIX FIXTURES/SCHULZE BLDG. NW,SW,&NE,SW,27,29,19W TOWN OF HUDSON COUNTY OF ST CROIX NON-PRESSURIZED IN-GROUND SYSTEM The Department has reviewed the above-referenced submittal. Conditional approval is hereby granted for the system plan submittal. All noted items must be corrected. The review and approval of the system is based on chapter 145, Wisconsin Statutes, and chapters ILHR 83 and 84, Wisconsin Administrative Code, and is contingent upon compliance with any stipulations shown on the plans. This system has not been reviewed for the code requirements set forth in chapter ILHR 82 or in chapters ILHR 50-64, Wisconsin Administrative Code. This plan submittal approval will expire two years from the approval date, or if a sanitary permit is obtained, plan approval will expire on the day the initial sanitary permit expires. The licensed plumber responsible for this installation shall keep one set of plans with the Department's stamp of approval at the construction site. The installer shall notify the appropriate inspector when inspections can be made. All permits required by the city, village, township or county shall be obtained prior l.o installation. Inquiries should be directed to me at the number listed below. Please refer to the plan number shown above. Sincerel , ~ erard Swim Plan Reviewer Section of Private Sewage (608) 785-9348 2264R/ 1 sin-waa ix. oirei~ S T C - 105 OWNER/BUY SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County ADDRESS ~ ~ d ~_,, fem. ~ ~. 1~1~/ FIRE NUMBER o~ CITY/STATE f-t~a CCTV-. ~v ZIP_,6 W (' ` -~`~ PROPERTY LOCATION:,~l/4,~(~l/4, SECTION~~, T~N-R~W TOWN OF_ ~~~, ~,~ , St. Croix County, • SUBDIVISION ~,,~~„ , LOT NUMBER~_. Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed septic tank pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. St. Croix County residents may be eligible to receive a grant for a maximum of 60~ of the cost of replacement of a failing system, which was in operation prior to July 1, 1978. St. Croix County accepted this program in August of 1980, with the requirement that owners of all new systems agree to keep their system properly maintained. The property owner agrees to submit to St. Croix Zoning a certification form, signed by the owner and by a mater plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1). the on-site wastewater disposal system is in proper operating condition and (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge and. scum. I/lie, tt~e undersigned have read the above requirements and agree to maintain the private sewage disposal system in accordance with the standards set forth, herein, as set by the Wisconsin DNR. Certification stating that your septic has been maintained must be completed and returned to the St. Croix Co. Zoning Officer within 30 days of the three year expiration te. SIGNED• DATE • _ ~~ f / ~ ~,`~ St. Croix co. Zoning Office 911 4th St. Hudson, WI 54016 ' S T C - 100 •This application dorm is to be completed in full and signed by the owner(s) of the property being developed. Any inadequacies will only rESUIt ~n delays of the permit issuance. ,should this development be intended for resale by owner/contractor,(spec 1~ouse), then~a second form shottld~be retained and completed when the property' is sold and submitted to this office with the appropriate deed recording. ---------------------------------------------- Owner of property Location of~property,~~l/4 ~l/4, Section ~~, T~N-R~W Township ~~,~ ~~~ _ Mailing address __ (n~ ~ f a/` Address of site ~c_m~- Subdivision name Lot no._~ Other homes on property? yes~_No Previous owner of property ~-~ ~„~ ~ r,, ,~~"~ I 1~V~a--~~~'J-~~ 11 c o v. Total size of parcel ~_ 9~ 7 ,~~ c~ ~ ~ bate parcel •was created _.Ctt.~.c, ~v~. (9q 2 Are all corners and lot lines identifiable? _~_yeS No Is this property being developed for (spec house)? Yes ~No Volume~_and.Page Number ~~, as recorded with the Register of Deeds. INCLUDE WIT3i THIS APPLICATION THE FOLLOWING: A WARRANTY DEI•:D which includes a DOCUMENT NUMIIER, VOLUME AND PAGE NUME3ER & THE SEAL OF THE REGISTER OF DEEDS. ,In addition, a certified survey, if available, would be helpful~so as to avoid delays of the reviewing process. If the deed description references to a Certified Survey Map, the Certified Survey Map shall also be required. PROPERTY OWNER CERTIFICATION I(we) certify .that all statements on this form are true to the best of my ( our ) knowledge that X ( we ) am ( are ) the owner (s ) of the property described in this information form, by virtue of a warranty deed recorded n the office of the County Register `of Deeds as Document No .~r - (~ 2, , and that I ( we ) presently own the proposed site for the sewage disposal system or I (we) obtained an easement, to run the above described property, for the construction of said system, and the same has been duly recorded. in the oPfiee of County Register of deeds as Document *~,. 5~5~.~~ CERTIFIED SURVEY MAP ~~ ~~~~. S 1:~:~' ':'~ ~' = ~~3'~' 3 FiG'^I~:if Cf ('00dS ~ $tyCf01X Coy WI LOCATED IN THE NW1/4 OF THE SW1/4 AND THE NE1/4 OF THE SW1/4 OF SECTION 27, T29N, R19W, TOWN OF HUDSON, ST. CROIX COUNTY, WISCONSIN W1/4 CORNER SECTION 27 T29N, R19W o w U S !- N m a: t~ ~ WON N ~. o (L Z p N HF{ • ~ J ~ Z Z F- W C/) H C!l ~ ~ Q 3 LL W W O CD CO w C]F-~ U H ~y H U' ~ ~ 3 LEGEND V v (*7 N W N m N O N O Z U N P L A T T E D L AND S BRAKKE ROAD ~ ----'-~'- - - _ _ M •-.- _ _ N 88'12'43" W 275.00' m I 2 ~ B6~ o I - I _ __ ~ 100' HIGHWAY SETBACK LINE ~ cn ~ E--10 0 ' -~ ~ of I zl ~ w I m Z ~ Ji a M ~ I LOT 8 ~ o z 3 a 2.967 A.C. ~ wl o~ °~° I 129222 S. F. F- W I I ~~ w v `~ f--I j 'r, c I ~ al ~ O = ~ Jlw ~ HI al = ~ ZI _ I O ~ ~I ~ I ~ POINT OF I S 88~ 12' 4b" E /BEGINNING ~ i 1[ m ^. n :Q O u~~ of Z) ai JI ~I W~ F-I HI ¢I J( al ZI ~I S 88 12'43" E 305.00' -"' 1289.48' n, U N P L A T T E D L AND S SCALE IN FEET ti OWNER AND SUBDIVIDER JOHN J. SAUSEN 331 HAZELWOOD DR . 0' 10 -~a9' SW CORNER NISSWA, MN. 56468 r~~~~d~~L; SECTION 27 T29N, R19W ~>? 01'93! ST. CROIX COUNTY SECTION CORNER MONUMENT, BERNTSEN CAP, FOUND. O 1"x24" IRON PIPE, WEIGHING 1.68LBS./LINEAL FOOT, SET • 2" IRON PIPE, FOUND. ST . CROlX CGth`~iTY :ti.~i:~~~9f1+QhS1~lO r1:,'1Ri1. " zontnq arK! pa~.':s Corntrittee !i nat recorded w°+io.in 30 days cf ~prova! date 6L9Z a$Ed 6 'T~n • 30IAaK 2t03 30I330 ONINUZ 1~ZNn00 XIO?IO ' ZS SHZ ZOKZN00 'I302if1d ~CNK UNIdO'I3A3Q 2I0 ONISKH02Ind 320338 ' (' OZ3 ''I302iKd O,L SS300K ' HZ IS ZO'I W[II~INIW ' SQNK`IZ3M ' • 3 • I ) SNOIZFI'IC1932~ ' S3'In2i ' SMFI'I A,LNn00 QN`d 3s'dZS OZ s~~rgns SI df1W SIHZ NO NMOHS 'I302IFId 3HS ~3ZON 8995 p~osauuTyy 'eMSSiN T# anr~a pooMTazeH T££ uasneS uuor 2i3QIAIaBnS QNF~ 2i3NM0 ZZ06S ursuoosTM 'sTTe3 ~anid ~aa~~S ~nuTeM 'M £TT ~uedwo0 6ur~aaui6u3 uap60 -£6 •oN qor ~Z88-S uapb0 •H stoue~3 / V / / / / I ~ f;~•. \~\./\jO~ ~ 'J ~ V ~~ ]f7~~ t88$ £66T 'L zaquia~daS pasznag £66T 'ZT ~snbn~ :a~eQ • awes auk. 6uidde~u pue ' 6uTpTnTp ~ but~an~ns ur ~~uno0 xio.z0 •~S pue dic~suMOs uospnH ~o suoT~eZn6ad uotsrnzpgnS auk pus sa~n~e~S uisuoosTM auk ~0 9£Z ~a~deu0 ~o suoisino~d ac~~ t~~.zM pazjd~uoo XTTn~ anon I ~eu~ 'apeu~ 3oa~au~ uorsTnipgns auk pue pa~an~ns pueT auk ~o saT~epunoq ~or~a~xa auk TTe ~o uot~e~uasa~da~ ~oa~~oo st dew eons ~eu~ 'pueT pies 30 ~auMO aye ~o uoT~oa~zp auk ~q deW ~Can~nS paT~T~~aO pue UOTSTATp pueT '~an~ns eons apeuz anew I ~ec~~ ~I~T~~ao I •p~ooa~ ~o s~ua>uasea o~ ~oaCgnS •ssal ~o a~otu '~aa~ a~enbs ZZZ'6ZT buTaq 'ssaT ~o a~out 'sa~oe L96'Z suTe~uoo Tao~ed siuy •6uTUUTbaq ~o ~uTOd auk o~ ,T£'~6£ M„Li,L~ioTOS aouau~ ~,£~'Z~ M„LT,L~o9~S s~eaq p~ouo asouM ~T~a~seau~noS aneouoo an~no snipe.z ,00'0£ e 6uoTe ,ZT'L~ ~T~a~saMu~noS aouau~ :peod axxe.~g ~o T-- -- ---~- - ------- ---- ~----__ ,. ,. _ ,.. _ .. -- -- ------ -------- ---- -- - "" -" -•' - at~.-r, i+1t~ ut' W1St;UN:1N k'UKJI 11-1982 ' LANG coNTRacr • ~~^~A~ tndivida.l ranA Cotper~le . , _., b J4 ITO 9E V:?r_D I'GA At,4 TRANBACTIpN~ R'HiR$ O\'ER iZ3.000 15 FlNANC6D ANt) IN irT IfFR NUN.CVN$UDiLx -- _ AC((T~~ TRAN3ACTTi3NS) ~~'! 1 Vch PAr - o `~ ~ ,F 59~ Cpnt;.'act, by and betty«en ....t1QHN. J,...SAUS~N- an....,~ANEL-_SAUSEN, ..husband...aad..+~.i.f-~... ......---• ....... ................................. . .. . •---.. vrltetItcr one or more) and....Robert..S~hL.lz2 ............................... .........................•--....._........................ ("Pureltaser", whether ore or more). Vendor seha and agrees to clni\•ey to purchaser, upon the pr6n,pt and full per- tormattca of this contract by Putchaavr, the fohuwins property, togethar with the rents, profit«, fiirlurea and other appurtenant (nterasta (all called the "Property"), in......~t.•--~1"-07-X--.....-.~ ................................. County, SCStE Gf G/iECGRti(h: I.rra .rn~t hC_t N.LU 3JN NC~u.,t.. r.u Oar. - _.. -.. .«~.ti ~tec'tt Ibr Reooal OCT 4 1993 >Ze~~er crt l~s at:TURN To tall k'arcet Ko ................................... . Part of the NWl/4 of SW1/4 and Part of the NE1/4 of SWl/4 of Section 27. Township 29 North, Range 19 West. St. Croix County, Wisconsin described as follows: lot 8 ' of Certified Survey Map filed September 7, 1993 in Vol. "9", Page 2679, Doc. No. 505163. is not Thin .......... ............ homestead property. 0t~9 (te notj Purchsser agrees to purchase the Froperty and to pap to Vendor at ......, designated,-places,.-. file sum of j. .4. ~.AO ..................................... in the following c,rattner: (a) z..1.5., 0.~Q. 00.........................:.. at the execution of this Contract; and (b) tha balance of 5.35..439..D0 ................... togethtr with interest .from date hereof on the balance outstanding from time W time at the rate of-...e.l.ght„(,~7) .,,,...,. par cent per annum until paid in full, as follo•.ea: """"" A single installment of all principal and interest due 30 days following the date of this Land Contract. F'z9Mi•~adx ~xstxFxx,xbtx xeoi;ixx xxt>dx~ta0sa~clc~t x xrrb xitrliltxxtxplyklc yrTC p,,idx lcac xtc k~b~ctta[<xxx Xx x x x x xx x x>4,~(,~>y~ xxxxx.~xxxxxxxxxxxxx>f ~4~xxlixxlxi?F~~4~4~15~~ }l~~C. Fntlowinb any lefault in pxyinr:••l, interest shall accrue at the I'_.tv' of ...........": per annwn on the entire amount in default (which 3!~all incta~le, .without limitation, delinquent interest and, upon rc~eleration or mat,.irity, tF.e entire principal hal}nce). l~rrel%eirr; a,r}-seer:ce=ref-tT~es,da+yr~ags2ea-lo-pey-mnatfri~ta.Vsndo«.~awtw:.s~s+tGf~i,+irnb~o- rt aY'r~sottatJlyartt4et- pated annual ta•r.rs, ::p;cial aFSesstnents, fire and required Pnsuranc- premiums tvben due. To the e:ttant received by Vendor, Vendor adrecs W a},:ly pa~w.nts to thaEe obligations w.+en due. Such amounts ~rcoived bs• tha Vendor Eo! payDeent of taxes, ass.:esmarlts and !nsuranee dill he daposit~d into nn aSCr~ .v fund or truxtae accov.tt, but ehaq not bear '.nterest ,nrlc^s-Dthzr~r}sp-retlulrtty---by-TA?~ Payments shall be avp!ied first to interest en the unpaid bnlar.ce at the rate specified and then to principal. Any amount may be prtpxid without prern:um or tee upon principal st any tuna s.'ter..date„h2r'eOf. X~tXXXX~#) LAXt7pXtriXyt Tt,~1 xrxnt (f i~plt)t:xi~JtX~EXtlditKlY~ XdtiXl?Fr6tS Xp'E14lSt'S.~+2St~ ~ ~f+~b4X' In the treat of and prepa;nnent, this contract dtlnll not be treated as in default with spec! to yaymcnt so long as the unpaid balance of principal, and iutxrtst (and ;n such cute aecraing inters=., fr:Tm n'lonth to month shall he trltatagl as u,rpaiJ principal) is lees than the amount that said indebte•!nesS would have Lean had the monthly paytrenta been ,r+ade aR flrat specified, above; prwfded that tnontlay pa;rotenta shall be continued in kt:e went of crtdit of any prccecds of insura+u'e c•r condeninatiun, the condemned prtwsee being ihe:eaitvr exclur)cd herctrom. Furchn;er scatey that Purchaser ill satisfied with the title s3 shown by tha title evidence Submitted to Furch•rser fur exaa+inetinn except: Mortgages, liens, judgments or other defects arising by or through vendor and all delinquent taxes, if any -general taxes. for the year 1993 (due and payable January 1, 1994) shall be prorated to the date hereof. rurchrs?r ngraaR to psy the toit of future Citte evidence. If title evid~,iee is in the form of an nh,ctract, it shall ba retein^d by yr-odor until file full pw•ehase price is paid. % ' Purchrser shall De entitle to t.+he pos: the date hereof. _eSSlon of the Fraper.ty on ................. -_..._______ XXD9xXXXX •c.~,.. o.., nom. ' Furchasec pr.im1309 to pay then due all tasas and aesCysments levied or, the Froperty ur upon Vendur'si intareot in It a++d to dc•livar to Vendor ou demand reeeip!a ahua•iog such payment. Pur.:ha3er si~sll knPp the irnyrovemcnts on the Fropirly insured against loss ur damgge ocr~ioned by Are, c:- Mndcd coverage perils and such other hazards :+e Vardar may require, w~tlhuut co-insurance, through insurers approval by t'endor, in the swp of ;.i.[}s-tlt'aklg,-vglue_•---„••• •, but Vendor shell not rer~uire covers a In an auwunt more than the balance owed under this Contract. Purchaser shall pap the insurance pranuutus ~sheo ~ua• The policies shah contain the +tandard claube in favor of the 1%emior's interest and, unle3a Vendor othecaiae agrees 01 writin ,the origlnr+l nt all policies covering the R•upert~ shall be deposited wit}- Vendor. Purchaser shall gg insurance rnn,panies and Vendor. Unltaa Purchaser and Vendor otherwise o r¢e in wiitin~ tinsursnceatice of loss fn Ge applied to restoration or repair of the Froperty damaged, yro~•idad the Ven~or deerne the restaration orrrepoir Lo be economically feasible. Purcha3er covenants opt to commit waste nor alipw waste to ba committed pn the Froperty, to keep the Froperty in good tan,:ntable comlition and repair/ to keep the Property free from liens superior to the lien of this Conlrncl, and to cor„1•ly with nil laws, ordittancea 8tia regulatiptts affecting life Froperty. Vendor agrees that In case the purchase price with interest and other moneys shall be full paid slid all conditions shall be fully pcrtontiad at the tints and in the manner above specified, Vendor will on demnndY a=cents and delirer to t},e Purchaser, a j1'at•rattcy Deed, in fee ain,ple, of the Property, free and clear of all liens and encumbrance, except ~, uny liens or cncurnhraaceH created by the ac! pr default of Pu[cha~er, and e>ice;,t: ,..setback,-easernent.•shown on..CSM..a.n..llo.lutoe..9,..page--2.67.9.,_-.O.oc....N.o....5Q.5.1.63..and•,ga~ement..to-,Wisconsin 1•elephone•.• ........ an ..the-.Amer..i.can..Te.lephone..and..Te.).egt:a.R.h..~9lnpany•_pf-Wisccnsi•n -dated._and,•recorc~ed„•- •, F.abruar.~f..T...-1940..in..lflal...259.,..A.~.9.e..1.1.,. .......................... Purchaser agrFea that time is pf the essence and (a) in the event of a derault in the payment of•any p.•incipa) or interest which continues far a period of . ~ 0...._ days follotr•ing the specified due date or (b) in the even! of a default in performance of any other obligation of Purchaser which continu;s for a ~pperiod of.... gg thereof by Vendor (delicet•ed personally nr mailed by certified mail), then fife entire putstOt;din~ balance utnder thlaeeontr.•tet shall become immediately dva and payable in full, at Vendur'a option and without notice (which Purchaser hereby ,naives), and Vendor shall oleo hove the .following rights and re,uediea (mtbject to any limitations provided by law) in addition to those provided by law or in equity: (i) Vendor may, at his option, terminate this Contract and Purchaser'a rights, title and interest in the Propperty and recover the Froperty back through strict foreclosure with anyy equityy of redemption W ba conditioned upon Purrbaser'a full payment of the entire outstanding balance, with fnwrestthrrruntrutu ti•;e date of default at the rata to effect on such dateand'otheratnountedueF.ereund«r (inwhlcheventall amounts pr¢v}pusly i,aid by Furc}laser shall be furefeit~ as Ii,Tuidatcd damages for .fallura tp fulfill this Contract and as rental for the Property if purchaser fails to redeem); or (ii) Vendor may sue fur specific perforurance of this Contract to compel ' innnediale and full payment of the entire outstanding balance, with intere:t thereon at the rake in effect on the date of dr•fsult and other amounts due hereunder, in which event the Froperty shall he auctioned at judicial sale and Purchaser shall be liable for any deficiettcv; or (iii) Vendor may sue at law fur the e:,tirv unpaid purchase price ur any Fortino thereof; or (iv) Vendor moy declare this Contract at an sod and remove this Cuntrsctasacloud on title in a gatet-title action if the equtiable interest of Purchsser is insignificant; and (v) Vendor may have 1'vr+:haaer ejected from possession of the Property and have a teceivar appointed tp collect any rents, isrtes or profits during the pendency of any action under (i-, (ii) or (iv) above, A•uta'ithstartdirtg any oral or written atatett,ents or actiutts pf Yattdor, an election of nny o[ the foregoing rer.~cdies shah only be binding upon Vendor if and when yuraued !n iitigation and all coats and a:proses inclUtling rea3onable 4ttgrtteya fees of Vendor incurred to e,dor,~e.any runredy hereunder (whether abated or trot) to the rstent not prohibited by law and expensa'e of title evidence shall be added to principal and paid by Furrhaaer, as in- cur.+.•ed, and shall be included in any jndgtneltt. • Upon the commencement or during the pendency of any action of foreclosure of ibis Contract, Purchaser consents to the appointment of a receiver of the Property, including humeateed (merest, to collect the tents, taaura, and profits of the Property during the ppandrncy of such sellers, and such rents, issuer, and profits R•hen eo collected shall be held and applied as tits court shalt ,lirect. Purchaser shall not transfer, hell ur convey any legal or rro(t, ble hrterESt in the Property (by assignment of any of Purchaser's righttt under this tontract or by pption, long-ta•nt ease o.r in any other a•ay) without the prior written consent of Vendor unlogs eith,:r !ho outstanding balance payable under this Gontr:,ct is first paid in full or the interest conveyed is a pledge or assignment r,f Purchsser s interest under this Contract coley as 6ecurity for art indebtedness of Purchaser. In the event of any aucF tsan3fer, sale. or c~nveyanee n•itbout Vendor's written consent, the entire outstanding balance payable under this Contract shall become inu,tediatly due and pa; able m full, st Vendor's option without rwtice. Vcndar shall make all payments ahea due under any mortgage outstanding against the Froperty un the date o[ thi> Contract (exeeptfor any mortgage granted by Purchaser) or under any onto secured thereby, provided Purchaser makes tintdy payment of the amounts then dve under this Contract. Purchaser may n,aka any such FF+a;nnenta directly W the biortagee if Vendor foils to do so and all pa;mrents so made by Purchaser shell be eansidere3 payments made on this Contract. Vendor mac waive any defnult without wairfng any other subsequent or prior default of Purchaser. All terra of d,is Contract shall be binding upon and. inure to the benefits of the heirs, legal reppreaetitativea, suceessora and a;sigr~s of Vendor and Purcltnevr. (If not an o~oner of the Property th:: epouee of Vendor Ior A Oalitabl! conaldcration loins tocsin tp release homar'tead rights in the subject Property and agrees io join in the exeeution'of the decd to T?e made in fu??tfillu, n hereof.) /f / Dated this ...........J. ..... dry of ............. rs+0~0~-- ........................ ~•-.............. ...,....._......................., 19..93... ..... / . ..................... (SEAL) ..... ................ (3EAL) -..... Jo Sausen~~•• -~~~-' -""-' Robe Sc lilac .. .............................................................. (SEAL) . (SEAL) ..... ... Janet ause~e~lt .................................................................. ~ /~C~/7ocr~~e C!o I,1 FAT" ~~~~ C i ~ ACHNOWLEDCiMENT °~/j~„Y, MINNESOTA ` Signature(s) ........... STATE OF `)(')(1X`~l)~ `e1 .. .- ...... ............•-._.......... ~ ~1 /~j~~~ - ~~ ..~roW..Wang ..................cp~nty. ..... anther ''at ll' .STxy of. ..... ...., 19... Pere Wally came before me this .~'rf..~••.day of \o _ . G - ,. ....~~..•..~.`-'~.~.~..........., 19..9.__ fife above nvntad ~ tYF, .,,r.~.......~~..G.,~<..~~~~.r'~~......b ................ ...... OH~EN..J_..SAUSEN..and................-................... t ~ liTLF.: D1.F.~f13ER STATE BAR OF 9VI5COlIC~~~ ~. ~~J ~'.•SAUSEN ...............................:................ (li nut NOTARY PUIIL"iC... ........•.......--••--------•-• ................................. autltoriz?d by § 706.08, VFis. Slats.) ~ ...............................~..........~~.............. ~'~~IT3F'1i~tSCON~l1~'-" -' " "/ ~/'j~~~le~t~ ~~~/~~ _f~~~~~~~~9.gb ~o me no+vn to be the ptrson ....5:.. ~..'whe ax¢cutcd the .•ff//~~~~~~ r/""`~ gni : lusty m~:t an{^J ack F'lidg! the camel. THIS IriSTRVI.+ft1 WA5 DR4FTED BY ~ •*n~w, ~ .. ............ ..... y'~ARUN B. CURTIS . ~ . t ........... . SN.ELLIN.O,...C.HRLST~NSEN....BR.IANT:.&._LA• E. •.., :~t ' NOTApYPUBtIC-MINNESOTA ... . p a • ................ ....- -...CRpW.WIND_Cat1H7Y \ ,' WfScc~sinDepartmentoflndustry, SOIL AND SITE EVALUATION REPORT Labor and Human Relations ' I~ivi~i..n ^S C~4n1v R Rni4lirv.c w ~_ ~_ ~~ Page ~ of 3 ~.__ _. .. ni a~cutu wun inn oa.v.~, rn~. n..,,,. vvaav COUNTY ;~t. ~r71X but st include Pl i h i 8 1 11 i , an mu ze. nc es n s /2 x Attach complete site plan on paper not less than PARCEL I D # not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or . . dimensioned, north arrow, and location and distance to nearest road. APPLICANT INFORMATION-PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION Phoenix: Futures GOVT. LOT?~~ v4 ~~,~ 1/4,S ?.7 T 7.9 ,N,R 19 .:E(or) W PROPERTY OWNER':S MAILING ADDRESS LQT # BLACK # rI a n a SUBO NAME OR CSM # n/a '?ral:lrP ;,d • CITY, STATE ZIP CODE PHONE NUMBER ^CITY ^VILLAGE 'OWN NEAREST ROAD Irildsoll t~fI. 54(116 ( ) n iTttc~son ~r~11-ke r'cl. ~~ New Construction Use (] Residential I Number of bedrooms [ J Addition to existing building (J Replacement (~~ Public or commercialdesaibe r•If~;. 3t7 er~Inloyees, ?. floor drains Code derned daily flow 70~ gpd Recommended design loading rate • 5 bed, gpd/ft2 •6 Vench, gpd/ft2 Absorption area required 1.4f10 bed, ft2 1167 trench, ft2 Maximum design loading rate . ~ bed, gpd/ft2 .6 trench, gpd/ft2 O .nr.rn_~~nrl ~-~p fh 1e ^-n{ ~ e1r~.^ ~ - ~ ~ ft lac r°ferr£d rrn, ~i±c nlan bcnrw-?mwr41 , .ewu.n wnuvv a,a a. G:iL.++.+:...Ql... .. vi y.^ij ~.w v r.. .., Additional design /site considerations n /a Parent material oittaash Flood plain elevation, if applicable n/a ft S =Suitable for system U= .Unsuitable for s stem CONVENTIONAL ~ S ^ U MOUND ~S ^ U IN-GROUND PRESSURE ~S ^ U AT-GRAQE =f~ S D U SYSTEM IN FILL D S :~ U HOLDING TANK D S~ U SOIL DESCRIPTION REPORT Boring # :tile '14 is 1 { <> «~' Ground elev. 1.00.3~t. Depth to limiting factor g „ >: _ Boring # ~~:~<'~ .,~ ::z# :?ti .... ~> ..=•ri~a:~:<s Ground elev. 100.3(~t. Depth to limiting factor ~~6,~ Depth Dominant Color Mottles T Structure istence C Baxtdar Roots GPD/ft Horizon in. Munsell Du. Sz. Cont Color exture Gr. Sz. Sh. ons y Bed Trerxft 1 0-~ 1f1yr?./2 none L. ?./rI/fir rlfr c/s 2./f. .5 .6 2 ~-17 7.Syr4/4 none sc]_. ~/n/nr rlfr ~/~~ 1/f .4 .5 3 17-1=~ 7.5yr4/4 none sl. ''./n/sht: mfr ~/~r n/a .5 .fi 4 4?-9~ l.~pr4/fi none ~;. D/s;l nil rI/a n/a .7 ." 1 0-11 l0yr?.,/?, none L. ?./n/ar nfr c/s ?./f .5 .6 2. 11-?.3 7.5yr4/4 none sc1 7/rt/~;r nfr R/~r l_/f_ .4 .5 3 ??-47 7.Syr/~/4 none sJ_. 7/m/s'~~' g/~,, n/a .5 's .6 4 47-r16 lO5Tr4/6 hone f:S.. 0 . ~ `~ ~ ...-,_ mvf_~`~! a /a .5 ~ .6 ~. ~ ~ t ~ ~°if •~ f , ~ ._. ti i i j 1 , ~ 1• N~ . ..- ~~T C.FtC)iX t:= Remarks: ~~ r Nam se Print Marv j • ;:t_eel 715-? ass: J_ 5,y4 200th, E'.v2 . , J>•ew "ichmon~~ , ~JI . 54017 ;3-31_-0~ ~~- .~ ~ _._ ~ cstrr 2?.! PROPERTY OWNER Phoenil ri::titres PARCEL I.D. # Boring # <' 3 Ground elev. ~~ . 75 ft. Depth to limiting factor ~q5„ Boring # 4 Ground elev. Qi. 50 ft. Depth to limiting factor >90" Boring # . 5.,. Ground elev. X7,35 ft. Depth to limiting facror ~~ „ Boring # ':h Ground elev. ~6.3c~t. Depth ro limiting ~~~ for SOIL DESCRIPTION REPORT Page '~ aof. ?- Horizon Depth Dominant Color ~ Mottles Texture I Structure I Consistence~ Bo~xxiary Roots GPD/ft in. Munsell ~ Du. Sz. Cont. Color Gr. Sz. Sh. ~ Bed iTrencf~ 1 (?-11 10 r2./2 none L. 2_/n/mar nfr ~/w 2/f .5 .6 2 11-21 7.5yr4/4 none SCL. 2/rt/vr nfr a/w 1/f_ .4 '.5 3 ?.1-37 7.Syr4/4 none sl. ?./n/shk nfr ~;/w na/ .5 j .6 4 37-95 10yr4/6 none ~`fS. 0/s~ rtvfr n/a /a .5 '.6 '~ s ratif' es thin band ;~" of fls. th ou~hou the hori on Remarks: 1 0-1^ 1f)vr3/3 none. L. ?/n/fir nfr ;~/w 2./f .5 .6 2 12-20 7.5yr4/6 none scl. 2./n/nr rlfr g/w 1/f .4 ~ .5 3 ;'.0-^~ 7,5yr4/F~ none L;~. 0/s~ rt]. ~*/w na/ .7 .~ 4 2~-QO lflyr4/h none ~fS. (1/Gf; nfr n/a n/a .5 ~ .h ~~ s ratif' s bands of ltle lOacly sand throufi ottt the h rizon Remarks: 1 0-12 10yr3/3 none L. 7/n/pr nfr t;/w 2/f .5 .h 2 1.2-2.1. 7. Syr4/4 none SL. ~/n/fir nvfr g/w 1./f .5 .6 3 2l_-56 7.5yr4/6 none SL. ?,/rl/sb'.: rtfr ~;/~~ a/ .5 .6 4 56-9 10yr4/6 none J. of S. o/sg nvfr n/a Ja .5 .6 '~ strat 'fect layers f. vfls thrott~;h ut the horizon Remarks: 1 0-26 l0yr?./2 none L. 2/n/sbl: nfr g/t•~ 2/f .5 .6 2 26-45 IOyr4/4 none sl. 2,/n/gr rafr o/w 1/f .5 .6 3 45-h2 10yr4/6 none s).. 2/ra/shk r~tfr ~;/~•~ na/ . 5 . Ei 4 62-90 10yr4/6 none FS. 0/sg rtl n/a n/a .5 j.6 I i Remarks: SBD-8330(R.05/92)