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022-1035-95-100
d (D ' 3 eg. rill, O (I-d D rt rt H CD ro' m ro ^ ~ ~ ~ b I 3 ^r ' ~ 4i rt Pd co (n 3 -1 v, z o CO r Z O r t Z W 0 m o v ro O co w Fj °C • m\ F'' (SD 0 3 C D W a 7 N N FBI $ o0 H Z A Z w 0 w L. U) o M CD CD j= :3 C n C) N ro c CO (O~ H rn 3 ro O p oo 0 !a 0, y o o o ~ I-n 1 ~ Cf 0 o lV o m (n D a .tel. 1 CD U) N m ro W O a C. 0 F- 3 O w F- ` a rn w F- co to z -4 rn .I W o co) M Q -n 0 ol rn H H C!] t~l \O tQm 0 000 00 7-+ 0 C of CA CA ° o ' D 3 CD IFJ,la N r 0Q FJ• Z .0. N O N r~ D D o W' O n • n c CD C ~y.,~ ro OQ c W N a 3 z CD fA I z (D P z O O I ~ cp --I oo M w CD CD Z 9 a 00 z y z CD a C13 I c0 o D CL Ll - o=3 0 D Co -;Co v c (°0 CD ° 'c o -4 CD °-clL 3om 0 o 0 N y s o 0 a- m CD °i300 x cn CD 0 ;Z co - CD a -0 ZI aCD l< c o o CT n(? 3 ro a CD CD <y< N =-~m m o a c y I = ° o b o c ro ~a a o °a 0o ti Parcel 022-1035-95-100 01/26/2006 09:45 AM PAGE 1 OF 1 Alt. Parcel 13.28.18.199C 022 - TOWN OF KINNICKINNIC Current X, ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner O - MARING, WALTER A & GLORIANN J WALTER A & GLORIANN J MARING 1430 CTY RD J RIVER FALLS WI 54022 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 1430 CTY RD J SC 4893 SCH D OF RIVER FALLS SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 4.560 Plat: N/A-NOT AVAILABLE SEC 13 T28N R1 8W SW NW THAT PART OF LOT Block/Condo Bldg: 1 OF CSM 6/1610 ASSM'T INC 022-1036-10-100 Tract(s): (Sec-Twn-Rng 401/4 1601/4) 13-28N-18W Notes: Parcel History: Date Doc # Vol/Page Type 03/09/1999 599099 1409/309 WD 07/23/1997 743/136 2005 SUMMARY Bill Fair Market Value: Assessed with: 143329 239,700 Valuations: Last Changed: 08/10/2005 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 4.560 60,000 182,400 242,400 NO Totals for 2005: General Property 4.560 60,000 182,400 242,400 Woodland 0.000 0 0 Totals for 2004: General Property 4.560 36,000 136,400 172,400 Woodland 0.000 0 0 Lottery Credit: Claim Count: 1 Certification Date: Batch 520 Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 Parcel 022-1036-10-100 01/26/2006 09:45 AM PAGE 1 OF 1 Alt. Parcel 13.28.18.200B 022 - TOWN OF KINNICKINNIC Current XST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner WALTER A & GLORIANN J MARING O - MARING, WALTER A & GLORIANN J 1430 CTY RD J RIVER FALLS WI 54022 Districts: SC = School SP = Special Property Address(es): Primary Type Dist # Description SC 4893 SCH D OF RIVER FALLS SP 0100 CHIP VALLEY VOTECH Legal Description: Acres: 0.000 Plat: N/A-NOT AVAILABLE SEC 13 T28N R18W LOCATED IN TH SE NW Block/Condo Bldg: THAT PART OF LOT 1 OF CSM 6/1610 ASSESSED W/022-1035-95-100 Tract(s): (Sec-Twn-Rng 40 1/4 160 1/4) 13-28N-18W Notes: Parcel History: Date Doc # Vol/Page Type 03/09/1999 599099 1409/309 WD 07/23/1997 743/136 2005 SUMMARY Bill Fair Market Value: Assessed with: 0 Valuations: Last Changed: Description Class Acres Land Improve Total State Reason Totals for 2005: General Property 0.000 0 0 0 Woodland 0.000 0 0 Totals for 2004: General Property 0.000 0 0 0 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 Form- S T C - 104 AS BUILT SANITARY SYSTEM REPORT OWNER 0 lZ l It dc r TOWNSHIP SEC. T ~N-R W ,.ADDRESS _eldlfl'o ST. CROIX COUNTY, WISCONSIN SUBDIVISION LOT LOT SIZE J~ PLAN VIEW Distances and dimensions to meet requirements of I1HR 83 . SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM C Pes~hf o` Q~ A0 i ©Oo I Sep $'a " INDICATE NORTH ARROW BENCHMARK: Describe the vertical reference point used Elevation of vertical reference point: Proposed slope at site:b SEPTIC TANK: Manufacturer: C stuquid Capacixy: 6co Number of rings used: a Tank manhole cover elevation: d ~J~ ti Tank Inlet Elevation: Tank Outlet Elevation: 11~ 8 " Number of feet from nearest Road: Front-@ Side* Rear, 0 Q C feet From nearest property line Front,0 Side,6 Rear, O / t ~Ci ® feet a Number of feet from: well building:6 (Include this information of the above plot plan)( 2 reference dimensions to septic tank) SEE REVERSE SIDE PUMP CHAMBER Manufacturer: 4je-''Sy Preevt Liquid Capacity. / Pump Model: LPump/Siphon Manufacturer: .4 p )VI Pump Size j Elevation of inlet: Bottom of tank elevation: IF Pump off switch elevation: v) Gallons per cycle: Alarm Manufacturer: e--) 14 cell ~ _ Alarm Switch Type: Number of feet from nearest property line: Front,O Side, Rear, Od "-'7 'c ® Q / Number of feet from well: Number of feet from building: (Include distances on plot plan). SOIL ABSORPTION SYSTEM Bed: Ad-bId Trench: Width: Length: 'Number of Lines Area Built: Fill depth to top of pipe: Number of feet from nearest property line: Front O Side, O Rear,O Ft. Number of feet from well: Number of feet from building: (Include distances on plot plan). SEEPAGE PIT 4 Size: Number of pits: Diameter: Liquid depth: Bottom of seepage pit elevation: Area Built: Has either a drop box O or distribution box been used on any of the above soil absorbtion sytems? (Check one). O HOLDING TANK Manufacturer: Capacity: Number of rings used: Elevation of bottom of tank: Elevation of inlet: Number of feet from nearest property line: Front, O Side, 0 Rear, 0 Ft. Number of feet from well: Number of feet from building: Number of feet from nearest road: Alarm Manufacturer: Inspector: ~ q Dated: ! Plumber on job: f License Number : 3/84:mj DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDINGS LABOR & HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION P.O. BOX 7969 BUREAU OF PLUMBING MADISON, WI 53707 El CONVENTIONAL UALTERNATIVE State Plan l.D.Number: ❑ Holding Tank F-1 In-Ground Pressure Mound (lf 8 assign50ed) dl NAME OF PERMIT HOLDER: ADDRESS OF PERMIT HOLDER: INSPECTION DATE: Stan Linder Rt. 2 River Falls WI 54022 ^ - 9-2 BENCH MARK (Permanent reference point) DESCRIBE IF DIFFERENT FROM PLAN: REF. PT. ELEV.: CST REF. PT. ELEV.: SE NW Section 13, T28N-R19W Town of Kinnickinnic Name of Plumber: MP/MPRSW No. County: Sanitary Permit Number: Tom Wan 3231 S Croix 88433 SEPTIC TANK/HOLDING TANK: MANUFACTURER: LIQUID CAPACITY: TANK INLET ELEV.: TANK OUTLET ELEV.: WARNING LABEL LOCKING COVER PROVIDED: PROVIDED. DYES ONO DYES ONO BEDDING. VENT DIA.: VENT MATL.: HIGH WATER NUMBER OF ROAD: PROPERTY WELL: BUILDING: (VENT TO FRESH JALARM: FEET FROM LINE: AIR INLET. DYES ONO DYES ONO NEAREST DOSING CHAMBER: MANUFACTURER. 7INGD CAPACITYPUMP MODELPUMP/SIPHON MANUFACTURERWARNING LABEL J LOCKING COVER PROVIDED: PROVIDED: ES ONO DYES ONO DYES ONO GALLONS PER CYCLE: PUMP AND CONTROLS OPERATIONAL: NUMBER OF PROPERTY WELL BUILDING. VENT TO FRESH (DIFFERENCE BETWEEN FEET FROM LINE AIR INLET PUMP ON AND OFF) OYES ONO NEAREST SOIL ABSORPTION SYSTEM. Check the soil moisture at the depth of plowing LENGTH DIAMETER MATERIAL AND MARKING or excavation. (If soil can be rolled into a wire, construction shall cease until FORCE the soil is dry enough to continue.) MAIN CONVENTIONAL SYSTEM: WIDTH: LENGTH: NO. OF DISTR. PIPE SPACING: COVER JIDIA. -PITS LIQUID BED/TRENCH TRENCHES MATERIAL: PIT DEPTH DIMENSIONS GRAVEL DEPTH FILL DEPTH DISTR. PIPE DISTR. PIPE DISTR. PIPE MATERIAL: NO. DISTR. NUMBER OF PROPERTY WELL: BUILDING. VENT TO FRESH BELOW PIPES: ABOVE COVER: ELEV. INLET. ELEV. END: PIPES: FEET FROM LINE AIR INLET: NEAREST-1 MOUND SYSTEM: Mound site plowed perpendicular to slope Check the texture of the fill material for PROVIDE A DIAGRAM OFSYSTEM and furrows thrown upslope: mound systems to make certain that it ON REVERSE SIDE. SHOW ELEVA- DYES ONO meets the criteria for medium sand. TIONS MEASURED. SOIL COVER TEXTURE PERMANENT MARKERS JOBSERVATION WELLS DYES ONO OYES ONO rEE PT H OVER TRENCH/BED DEPTH OVER TRENCH/BED DEPTH OF TOPSOILSODDEDSEEDED MULCHED NTER. EDGES: DYES ONO DYES ONO DYES ONO PRESSURIZED DISTRIBUTION SYSTEM: WIDTH: LENGTH: NO.OF LATERAL SPACING. GRAVEL DEPTH BELOW PIPE. FILL DEPTH ABOVE COVER. BED/TRENCH TRENCHES: DIMENSIONS MANIFOLD PUMP MANIFOLD DISTR. PIPE MANIFOLD MATERIAL: NO. DISTR. DISTR. PIPE DISTRIBUTION PIPE MATERIAL & MARKING ELE V.. ELEV.: CIA ELEV.: PIPES DIA ELEVATION AND DISTRIBUTION INFORMATION HOLE SIZE HOLE SPACING: DRILLED CORRECTLY COVER MATERIAL VERTICAL LIFT CORRESPONDS TO APPROVED PLANS DYES ONO OYES ONO COMMENTS: PERMANENT MARKERS: OBSERVATION WELLS: NUMBER OF PROPERTY WELL: BUILDING: FEET FROM LINE DYES ONO DYES ONO NEAREST tem on Retain in county file for audit. SIGNATURE: TITLE. 10 (R. 01/82) DIL_ HF~ SANITARY PERMIT APPLICATION COUNTY,-, _ In accord with ILHR 83.05, Wis. Adm. Code. J STATE SANIT,A~R/Y PERMIT # -Attach complete plans (to the county copy only) for the system, on paper not less than D. STATE PLAN l!'/ 8'/ x 11 inches in size. FSO a-16 -See reverse side for instructions for completing this application. PETITION 1. APPLICANT INFORMATION - PLEASE PRINT ALL INFORMATION. FOR VARIANCE ❑ YES ❑ NO PROPERTY OWNER PROPERTY LOCATION h.i Qy 5,r% Ak ' , S T a41 N, R,19 E (o PROPERTY OWNER'S MAILING SSS LOT NUMBER BLOCK NUMBER SUBDIVISION NAME ~ a 1e%v eta 1 CITY, STATE ZIP CODE PHONE NUMBER CITY ❑ VILLAGE " NEAREST ROAD, LAKE OR LANDMARK J f /~g :N w~ !tr I NO TOWN OF: II. TYPE OF BUILDING OR USE SERVED: Number of Bedrooms if 1 or 2 Family OR ❑ Public (Specify): III. PURPOSE OF APPLICATION: (Check only one in #1. Check # 2,3 or 4, if applicable) 1. a. X New b. ❑ Replacement c. ❑ Replacement of d. ❑ Reconnection of e. ❑ Repair of an System System Septic Tank Only an Existing System Existing System 2. ❑ A Sanitary Permit was previously issued. Permit Date Issued 3. ❑ An Existing System has been inspected and soil conditions meet minimum requirements. 4. ❑ The System is shared by more than one owner/building. Attach Common Ownership Agreement to County Copy. IV. TYPE OF SYSTEM: (Check only one in #1 and only one in #2) 1. a. ❑ Conventional b. K Alternative c. ❑ Experimental 2. a. ❑ System- b. ❑ Holding c.❑ Pit Privy d. ❑ Vault Privy e.X1 Mound f. ❑ IGP In-Fill Tank V. ABSORPTION SYSTEM INFORMATION: (Check one) 1. a. Seepage Bed b. ❑ Seepage Trench c. ❑ Seepage Pit 2. PERCOLATION RATE 3. ABSORPTION AREA 4. ABSORPTION AREA 5. SYSTEM ELEVATION 6. WATER SUPPLY: (Minutes per inch): REQUIRED (Square Feet): PROPOSED (Square Feet): q(,~ 3,0 4~ ✓ © / 0 a Feet Private ❑ Joint ❑ Public VI. TANK CAPACITY Site in gallons Total # of Prefab. Fiber- Exper. INFORMATION New xisting Gallons Tanks Manufacturer's Name Concrete Con- Steel glass Plastic App Tanks Tanks structed Septic Tank or Holding Tank x / ❑ ❑ ❑ ❑ Lift Pump Tank/Si hon Chamber- t t ` ❑ ❑ ❑ ❑ ❑ VII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for installation of the private sewage system shown on the attached plans. Plumber's Name (Print): Plumb ignature: (No Stamps) MP/MPRSW No.: Business Phone Number: 6A4 ( & s nJ 3 a 3 yas 99s~ Plumber's Address (Street City, Sta e, Zip Code): _ Name `of esigner: % ICJ e /f( t> ~3' CS 4.)4 VIII. SOIL TEST INFORMATION Certified Soil Tester (CST) Name CST # Qs / ~Of a ~ - VAX CST's ADDRESS (Street, Cit , State, ip Cod Phone Number: -,/009-4 -e le, *v e s 1LJ' 5~'o IX. COUNTY/DEPARTME T USE ONLY ❑ Disapproved Sanitary Permit Fee Groundwater Date Issuing Agent Signature (No Stamps) Approved ❑ Owner Given Initial S charge ee Adverse Determination X. COMMENTS/REASONS FOR DISAPPROVAL: SBD-6398 (formerly Plb-67) (R. 03/86) DISTRIBUTION: Original to County, One Copy To: Bureau of Plumbing, Owner, Plumber INFORMATION & INSTRUCTIONS FOR COMPLETING A SANITARY PERMIT ' APPLICATION TO THE APPLICANT: 1. This sanitary permit is valid for two (2) years; 2. Your sanitary permit may be renewed before the expiration date, and at the 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. A new permit may be needed if there is a change in your building plans, system location, estimated wastewater flow (number of bed- rooms, etc.), depth of system, or type of system; 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. Private sewage systems must be properly maintained. The septic tank(s) should be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years; 6. If you have questions concerning your private sewage system, contact your local code administrator or the State of Wisconsin, Bureau of Plumbing, 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 where the system is to be installed; ll. Type of building or use served: If public is checked, indicate type of use (i.e. 10 unit apartment, 30 seat restaurant, etc.). Fill in number of bedrooms if building is a one or two family dwelling: lll. Purpose of application: Check only one in ##1. Complete ##2 if permit is for tank replacement, reconnection or repair; IV. Type of system: check all appropriate boxes depending on system type. Check experimental only if project is in conjunction with University of Wisconsin; V. Absorption system information: Provide all information requested in ##1-6; VI. Tank information: Fill in the capacity of every new and/or existing tank, list the total gallons to be installed, number of tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete for all septic, lift/siphon chamber and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR; VII. 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. Fill in designer name if applicable; VIII. Soil test information: Certified soil tester's name, certification number, address, and phone number. IX. County/Department Use Only; X. Comment area for use by county or resaon given when application is disapproved. Complete plans and specifications not smaller than 8'/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/water service; streams and lakes; dosing or pumping chambers; 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; pump 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 115 form. GROUNDWATER SURCHARGE On May 4, 1984, 1983, Wisconsin Act 410 was signed into law. This legislation is more commonly known as the groundwater protection law. This change in statutes was the result of over 2 years of steady negotiation and public debate. The groundwater bJ1 Groundwater included the creation of surcharges (fees) for a number of regulated practices which Wiscorisin's can effect groundwater. The surcharge took effect on juiy 1, 1984. All of the water that buriedreasure is used in your building is returned to the groundwater through your soil absorption r system or the disposal site used by your holding tank pumper. "171 The monies collected' through these surcharges are credited to the groundwater fund adminis- tered by the :department of Natural Resources. These funds, a?e used for monitoring ground- ~prgf water, groundwater contamination in~,estlgations and est ,blishm&nt of standards. Groundwater, it's worth protecting. SBD-6398 ;R.03/86) __i Form - S `P C 100 Owner of Property Location of Property S Al Section "r 0`° N R W F l ~l Vj - Township k, gm LC Mailing Address yey- - Subdivision Name Lot Number Previous Owner of Property ere 't'otal Size of Parcel} r(° S Date Parcel Was Created Are all corners identifiable? Yes No Include with this application one of the following: .Certified Survey Map .Deed .Land Contract, or .Other Legal Document which describes the property PROPERTY OWNER CERTIFICATION i I (We) certify that all statements on this form are true to the best of my (our) knowledge; that I (we) am (are) the owner(s) of the property described in this information form, by virtue of a warranty de r c r ed in the Office of the County Register of Deeds as Document No. ~/S ; and that I (we) presently own the proposed site for the sewage disposal system (or I (we) have obtained an easement, to run with the above described property, for the construction of said system, and the same has been d Ir ed in the Office of the County Register of Deeds, as Document No. - l. SIGNATURE OF O"6R SIGNATURE OF CO-OWNER (IF APPLICABLE) DATE SIGNED DATE SIGNED i rl n k-' >r sal/"T n~~~4~ Sec i3 7 15N S E C T 1) i It f v - 1 V J y _5 G r'1 , ~ % r, ~ ; ~ , , ~ Ili / Clb S 850'8164 3a31 -r~trP P L1t' I PLUMBING !7!TD MFIV Apr ~ iMEN~ OF {!~>dtS'i~1, OV'~ R ",MN RELATIONS U ttyGS .r #Flsk 4 AND SEE CORI~EsPDNDENGE ~ r Page Of Straw, Marsh Hay, Or Synthetic Covering Distribution Pipe Medium Sand Topsoil - F 3 E ' D th i, .ed Of 2 - 2 %2 Force Main Plowed A F re ate From Pump Loyer ! DEPARTMUJ OF RiDUSTRY, LABOR ANr HV--V'*R R RATIONS DIVISION OF SAFETY l v i; l dGS D Z. f A Mound System Usin E SEE Xc40fEsP0N0 q F ,'7 5 A Bed For The Absorption Area G A Iy Ft. H5 Signed: A / B _ Ft. License Number: 5P.71 I Ft. Date: aZ,7 J ~C Ft. Ft. 850816 4 Alternate Position L L Ft. of Force Main W .~L Ft. L J Observation Pipe +-8 - K A Force Main W - %F rom Pump Distribution Bed Of 2 %Pipe 2 2 I Aggregate EIVED Observation Pipe Permanent Markers DEC 1 G ~g t ►n!~,a~nr, ` 4CIRF,~U Plan View Of Mound Using A Bed For The Absorption Area • Page Of Perforated Plpe Detail End View )P#rfofolod End Cap y~ PVC Pipe air Holes Located On 8allom, S Are Equally Spaced S P • PVC Force Main From Pump PVC Manifold Pipe Alternate Poslllon Of Distribution Pipe Force Main From Pump Loaf Hole Should Be Neat To End Cop End Cap Distribution Pipe Layout P 1 , 5 R CD S 3 x y 27 Signed: Hole Diameter Inch ~ J License Number: Lateral Inch(es) Manifold Z- Inches Date: a W~, Force Main Inches PLUMB114 x c 10816 4 OF JNOOSTRY, LABOR AND HUMAN RELATlQ 5" DEPARTMENT OfVIVON ' OF SAFETY AND BU D GS PI! EE CORRESPONDENCE, -e a L I s VA(7 L PAM(' CHAt-%LK CK055 SCCTIOK1 AkJ0 ',VI*CIF ICAI I(A]" - VE IJT CAP r_ `I• C.I. VENT PIPE I I WI A(HL K PKOOF APPROVE D L(-)CKIAIC, > JuNC FIUIJ eUx MAWNULL cc)vLK n 25 FKCM UUUK, WIWDUW OK F-KL SH I2 MIU• AIR INTAKE GRADC I - - I y' MI1J. I 1 dM I klAl . COIJDUIT IAIL.L'f -J PROv1DE AIR FIGH ( :,EAL APPKUVL1) JGIAIT A t'LUf01631NG f~ I 1 APPROVLU Ir. W/C.l. PIPE: ~~C4>f2~Z~~f I III W/C.1 I'IPI GICTLNUING 3' ~/v~rvw I II ALARM EXTEWDIU(. OWTU SUL IU f.l l.- I 1 I UNTO 501-11 A rRO%Vm' DEPARTMENT OF INDUSTRY, LABOR AND HUMAN RELATIONS 1 I 0" _ DIUI N OF SAFETY AND B i ING t I L PUMP O SEE CORRESPONDENCE oFF / CONCRETE ISLOCK-;•"., S 9 - .-1-- KISEK EXIT PLKMiTFED U/JL'.J IF TAUK MANUFACTURI o yg.; -11 41 nour,~ ~~n, .S PEC.IFICArI()fL1S 850816 _PTIC AND iS TAKIKS MANUFACTUKLK: ~IJUMf1LK OF UUSLS: ~ G.,.PLK DAB IA"K ',IL[ . 6ALLOMS DOSE VOLUME:.- 7 q~(.ALLUAIS ALARM MA►JUF'ACTUK4k: CAPACITIES: A=___7v_-.-IKJLHES OK 01 GALL O r MOULL lk11-MbCK: _ =T B-_ __Z__INCNLJUK 1~6 GALLLi&. SWITCH TYPE: 9~ -((C= _.L~ INCHES OR /GO GALLUI PUMP MAMM A( 1 UR4 K: o'-.l A00 GALI MMIL L NUMbLK. U Soy L~-- S trI t 5 - "C )I k.'. PUMP ANU ALARM AHL T vF: SWITCH TYPE: INSI'ALLLD OW SLPAKAIC CIKCUITS PUMP DISCHARGL KATL ci-~ GVM VLKTICAL DIFFLILLA►CE bLTWLLW PUMP OFF AND UISTKII3UTION PIPL.. FLLI + MIAIIMUM NETWORK SUPPLY PKL%b! JUKE . _ f=E.LT + FLET OF FURCE MAIN X ) F~ F KIC (IUAI FACTOR. F E[ l- TOTAL OyJM - AMIC HEAP FLLT L IUTLKIJAL DIME.W5101JS OF TAAIK: LLM(,-FH 1 ;WIDTH ;LIquID DC PT F-1 SUbmersible Sewage Pumps MODEL W SIZE WS03-WS10 RPM 1750/3500 METERS FEET IMP VARIOUS 60 t Hill 16 50 - - r yp 14 40 ~ N•Sroey e O 12 yps LU = 1o rhp~ es 30 eF O 8 hP WSO~Q, BF er~eg 01 6 20 ws~sB BF j,t*9ee Hp ` rleg 113 2- pt T 4 1414+2 wS03B, 10 es 2 0 0 0 20 40 60 80 100 120 140 160 180 GPM I I I I 0 10 20 30 40 m3/h i CAPACITY v'- GOULDS PUMPS, INC. SENECA FALLS NEW YCW 13148 8508164 ,sue ~ s ~i i ~ DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRY, DIVISION LABOR AND PERCOLATION TESTS (115) MADISOP.O. BOX 7969 HUMAN RELATIONS N WI 53707 (H63.09(1) & Chapter 145.045) LOCATION: ECTION: TOWNSHI MUNICIPALITY: OT NO.: BLK. NO.: SUBDIVISION NAME: TF 1*01 /TD$ N/R! E (o COUNTY- WN 17-e' I A ESS: arc r e'uc aso_ USE DATES OBSERVATIONS MADE NO. BEQRMS : COMMERCIAL DESCRIPTION: PR IL DESCRIPTIONS : PERCOLATION TESTS: Residence New ❑ Replace 6 ~.7 e 3.. a RATING: S= Site suitable for system U= Site unsuitable for system ONVENTIONAL: MOUND: IN-GROUND•PRESSURE: SYSTEM-IN-FILL OLDING TANK: REC MEND SYSTEM: (op;i(rnbO. OS flu ®s au : [-]s Nu os ®u r arA- s ®u ~ If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area Win'the under s.H63.09(5)(b), indicate: Floodplain, indicate Floodplain elevettpn: 4_v PROFILE DESCRIPTIONS R BORIN TOT DEPTH TO GROUNDWA R-INCHES CHARACTER OF SOIL WITH THICKNESS, O.L TEXTURE, AND DEPTH NUMB R DE ELEVATION OBSERVED ES TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- 6.oo '506115 A!~06nS 3,oof7APJ8n 6 4stdere uS' k B- rJh.n w B- ,b0 45.,.7 0 drl7 I',sv 61 Is ,67 'IsI ro ntstnt0laID./ yoo /.At, SI B- 1 -6,00 ? Z . 0 0 I,6.6 (/S I.9'0 C S S.56 Ce'm S) r e to B- A.00 %00 ~btOV /.oo B1/s ~.tlo ~'.S I.Od R.s Nar o?,oo S B- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTER/SWELLING INTERVAL-MIN. PERT 91 PERIOD P R PER INCH P_ sr v 3 P_ P- / P- P- t • ' ' 11 CL, S '/4 t1 i~~'I~j Sic 13 1 216 N~ t j 1~ n f-) C l n,( 1 0 tiCrF ~ac (t~ f{r too g c ~ ~ c • ~ 3 JJ j ~e c1 f f J-~--, Clk. 85081 4 i rJb s I 1 jR,P~ L, r 3 3 I ` PLUMBING 'VEQ AFF ED DE}?`~rRTMENT ,b/F Ih ~ "Af"?` -1-D W~0jV A9 REIATfOFl§ nt bl"V'iS.yi:~~~ ~1. 11;4ij~!i 7ky~ t+,tiillt'+4 ) f A,; o j Page - Of Straw, Marsh Hay, Or Synthetic Covering I Distribution Pipe Medium Sand Topsoil D % Slope PLUMBING Bed Of 2 %2 Force Main Plowed ~ f fWMIUI< Aggregate From Pump Layer Wft " t AV ~s .5 AN REIA•i10NS E ,EPAR;hc i ,E~T DF . IP+tUSTRY, LAt OR Ai~D HUM Z . j D ~ 1 Slot, OF SAFETY A~4D ~t61 l G§ection Of A Mound System Using F i7s he Absorption Area ISE ORRESPONDENCE G A Ft. H Signed:, B Ft. License Number: 3 2-3 1 I Ft. Date: 12./g/ J Ft. K Ft. 8508164 Alternate Position L 62;L Ft. of Force Main WL Ft. L J Observation Pipe - i~.---- A i.---------------------- _----.I a W lo ---------------------~I Force Main From Pump Distribution Bed Of 2 • Pipe 2 2 i Aggregate Observation Pipe Permanent Markers Plan View Of Mound Using A Bed For The Absorption ArRbr►~, _„'j \;,1•n lu 0g, Page Of Perforated Pipe Dotal) End View °i Pertoroled End Cop PVC Pips. Holes Located 00801loon' S Are Equally Spaced S ,Q PVC Force Main From Pump P PVC Manifold Pipe Distribution Alternate POSltbs Of Pipe Force Main From Pump Lost Hole Should be Nest To End Cop •End Cop Distribution Pips Layout P R (p S 3 x y Z'] Signed: Hole Diameter Inch a3~ Lateral Inch(es) License Number: Manifold 2 Inches Date: Force Main " Inches t`, 8 1Rc~(e~ PLV Mg~Na 8508164 1ABDR PAD CF]VFr,, P0 aoce ES R~ CO EE ~ t.1A,c S 9 I I'AGL GF PUMP CHAMbLK CKOSS SCCTI0tJ AkJO `,PI'CIFICAIiCJ~1' VC t.IT CAP y' C.1. VENT PIPE WLAfHL K PKOOF API'K0VL D L.UCKIP.1(, FKCM UL GK, JUNC Flo" box I MAMHULL CUVLK. WIAIDUW UK F'KL 5H 12"MIU. I t AIR IAITAKE GRADE I - - 4" MIM. COUDUIT MIL1. 18"MIN. ~ AIk FIGHT SLAL I III V AYPKOVL II JC.i1NT q I PIPE. III AYPKOVLU It caCFLNDIw - 3' PLUMBING I I I w/c.l. I'lPk ~/A I I I I ALAKM L1(TEIJDIU(. p►JTU SUL IU ',r.11.. I I I UNTO SOLID d I I UN C APEft FROV'"D - q d' - WMAKWIff- OF NM5M, LABOR AND HUMAN RELATIONS j OF MEW A91) I'll I l DOFF I,,' L C4)pMDENCE 8q CONCKUTL 6LG(-K-~ _ KI5CK EXIT PE CTURk-K i HAS CH APPKOV..A SPECIFICAVIOUS 850 1 64 _PTIC AND TAAJK; MAAIUFALTUKUK. f\ CLC'~.. " ~d°L3~ (JUMBLK OF UUSLS: PLK DAJ IANK ',ILL : 6AL-1_UNS DOSE VOLUME: GALLUAIS ALAKh MAFJUFACTUK4K: CAPACITiLS: A=__3U ._1►,1CHESOK 4-"1 GALL 01 MOUF_L NUMbF-K: 7B B= ~ _ IAIf_HLS UK .~6 GALL l)k. SWITCH TyVE:. L~ ~ c= 12C INCHLS OK _&0 If f GALLUP I'LIMP MANIJI AC 1 LIK4 K: 9111 7/ D=~IAJCHCS UK Aov- GAL( MUOk-L NUMt1LK. SLf'tt5 NU I L PUMP AND ALAKM AK1. TO lik: SWITCH TyPL: I-I! IAJSIALLLD CIM SLYAKATE CIKCUITS PUMP DISLHAR6L KATE " 0470. GVM VERTICAL DIfFcICENCC burWLLAJ PUMP Off AND UIS1'K113UTION PIPL.. _ _,_LF'LE-1 + MMIMUM NCTWOKK SUPPLY PKEbSUKE . , t.5 a,14 I FEET 1~~/p5 + fLET OF rUKCC MAIN X fT' / /C ~uIIFKICrIOAI fACTUK..-.!FE[l TOTAL DYNAMIC. HLAD = I O - FEET ~ INTLKNAL DIMLWSIONS OF TANK: LLt~J(,"FH --;WIDTH ;LIQUID DEPTH -Submersible. Sewage Pug MODEL ps SIZE WS0303-WS10 RPM 1750/3500 METERS FEET IMP VARIOUS 60 16 50 r yp 14 - wS r 012 40 oeh' eyA a Sep W r jes 10 hp W a 30 ' hp Sr~e, eF 1!! 1! 1 1 r O 8 Hp wS0219 eves 111144- 20 \ ws~ Sues 6 / NP e, Bp Sees 4 wS~3B 10 es 2 0 0 0 20 40 60 80 100 120 140 160 180 GPM 0 10 20 30 40 mVh CAPACITY [gGOULDS PUMPS, INC. SENECA FALLS NEW YORK 13148 85o8164 • f DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUIL(J'ION IAt[)USTRY, DfVISO LABOR AND PERCOLATION TESTS (115) MADISON, I 5:.'707 HUMAN RELATIONS (H63.090) & Chapter 145.045) LOCATION: S CT 1-0 N. Q V TOWN, HI{ 'MUNICIPALITY: LOT NO.: BLK. NO.: SUBDIVISION NAt.AE: T191 E COUNTY, WN --1' .IMAILING- (SS. ' :75 TY. Crate ~~4 !_'hc,cr ~'a ~iucr l"411s USE DATES OBSERVATIONS MADE NO.BE !,/G.: COMMERCIAL AL DESCRIPTION: r~ RIILED RI TIONS: PERCOLATION TESTS: Residence = JxNew ❑Replace v e~ a3 f 5" Q~7 a ~ ~ RATING: S= Site suitable for system U- Site unsuitable for system - CONVENTI N L: MOUND: DS flU UN-GRQOU P D IL HDIN TAN G®~, RECD AMEND D SYSTEM (optiyuat) t• ®S DU S ~U S ~ EL . If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the under s.H63.09(5)(b), indicate: n~ Floodplain, indicate Floodplain elevation PROFI E DESCRIPTIONS BORING OTAL D PTH TO GROUNDWATE - NCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBE DEPTH IN, LEVATION OBSERVED EST. TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) ? B- 6,00 6,00 61 IT A! I) gntr ?,06411 J Ell e f3 -,S;4 ifrCJ-S' eo Il is") 41),s 3.5,oll"'lej Ail e66 K. D c2X7 /,s'~ fails ~E7 ~,-►s I w r s~ n~~7ct~ yccs i.61j , B- 00 ?1. do /06 665 1, 5e-) e g S SD Ce h 4 i% Cc b h S) to B- oc) mob, 60 l.60 /j .2. JC k. S, 1. UA s k4 r [ s B- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE NUMBER INCHES AFTERSl7ELLING INTERVAL-MIN. PERM t P RI P -RI D PER I': ! P_ / P. 3,0 2 P- - - DEI L HqR Safety and Buildings Division PLAN APPROVAL Bureau of Plumbing P.O Box 7969 4❑l General Plumbing Plans Madison, WI 53707 + Private Sewage Plans Telephone: (608)266-3815 Plan Idt'nlihc~tiun ~o. S o 4- (,allon-, Pei lay tot t9a E , U tY , ;l d PRIORITY PLAN REVIEW ONLY Plan Kc~^ien= I(,(, Kc'ccivc'~I Ptttitinn f ur V,irianr(, I(,(, k(,c_ Project Name Project Location - Street No. or Legal Description J } County ❑ City ❑ Village Town of: - J W I - The plumbing plans and specifications for this project have been reviewed for compliance with applicable code requirements. This approval is based on Chapter 145, Wisconsin Statutes and the Wisconsin Administrative Code. The plans are stamped "conditionally approved". This approval is contingent upon compliance with any stipulations shown on the plans. All items that are noted must be corrected. All permits required by the city, village, township or county shall be obtained prior to construction. The licensed plumber responsible for this installation shall keep one set of plans with the department's approval stamp at the construction site. The installer shall notify the appropriate inspector when inspections can be made. ❑ FOR GENERAL PLUMBING PLANS: 3a 3b 3c 3d 3e 3f 3g This approval will expire two years from the date approved below. If construction has not commenced before the expiration date, new plan approval must be obtained. FOR PRIVATE SEWAGE PLANS: (1) (20ba3b) (4a) (4b) (6) (7) This approval will expire two years from the date approved below or if a sanitary permit is obtained, it will expire the day the initial sanitary permit expires. The Bureau of Plumbing has reviewed these plans for plumbing and/or private sewage code requirements only. All other system reviews must be submitted to the Bureau of Buildings and Structures. Comments: By: James Sargent Bureau Director If Questions Plans Approved By: Date Approved: Contact cc: y Private Sewage Consultant ❑ Plumbing Consultant ❑ Environmental Health County ❑ Local PI ❑ Facilities Need Analysis Section ❑ UW-SSWMP ❑ Plumber ❑ Department of Agriculture DILHR-SBD-6099 (R. 01/85) ❑ Owner ❑ Other SBD 6678 (R. 08/83) (PIb 100a) (Wis Stats. S. 145.02) " STATE OF WISCONSIN DILHR Detach And Return Upper DIVISION OF SAFETY & BUILDINGS Portion Of This Form With BUREAU OF PLUMBING 201 E. WASHINGTON AVE. RM 141 Any Return Correspondence P.O. BOX 7969 MADISON, W153707 6 7 f , 608-266-381 5 DATE: l PROJECT: Linder, Stara fs~siC~;r+lCt d, l e~ :it~L) O i i ya ~~~'y6' ,906 SL, aw, 13,2 6, n T i n&s 1xdily f St. Lrtt i x 41 kiJet rat is, '1 b U PLANID.# -k t"164 DETACH HERE PROJECT NAMELjFeei-, b~ti R s, i tib PLAN ID. # This is to acknowledge receipt of your plans and specifications for the above-indicated project. Preliminary review indicates the required fee is $ f ~ - - Fee Received is $g-,i. )Q El Plan accepted for review. ❑ Underpayment- Please submit additional fee. Plans will be held in abeyance. ❑ Plans being returned. ❑ Overpayment-Refund forthcoming. ❑ Additional information required. SEE BELOW. ❑ No fee has been remitted. Plans will be held in abeyance. 1. Plan Submission ❑ Soil boring and percolation test data on 115 completed ❑ Additional information shall be submitted in duplicate unless by Certified Soil Tester. (1 copy) specifically noted. ❑ Petition For Modification signed by county, owner and ❑ Plans not clear, legible or permanent. notarized. (1 copy) ❑ All information submitted shall be signed, dated and sealed or ❑ Complete data relative to anticipated use of building. stamped in accord with Section ILHR 83.08 (2) (a) Wisconsin ❑ Deed restriction required. (1 copy) Administrative Code. ❑ Affidavit enclosed. ❑ Condominium declaration. (1 copy) ❑ Plot plan showing location of land parcel (distance from nearest road intersection, etc.), lot size and all distances from IV. Holding Tanks private sewage system to buildings, lot lines, well, water- ❑ Holding tank profile showing vent, manhole, alarm, course, swimming pools, water service piping, all weather ser- and manufacturer if state approved. Complete vice road, etc. Show benchmark with permanent elevation. construction details if site constructed. Holding tank agreement signed by owner and local II. Pressure Distribution Systems (Mound or Inground Pressure) unit of government (sample enclosed). ❑ Application for Use of an Alternative System signed by owner ❑ Reason for installing holding tank. Statement from and notarized. (1 copy) county or soil boring and percolation test data on ❑ County onsite required. (1 copy) ❑ Design calculations. 115 completed by CST, showing that a soil absorption system ❑ Soil boring and percolation test data on 115 completed by cannot be installed on the land parcel. Certified Soil Tester. (1 copy) ❑ Affidavit for all-weather service road (enclosed). ❑ Cross section of system. ❑ Pipe lateral layout. i ❑ Plan view of system. V. Dosing Information ❑ Verification fo Exception Status Form by county. (1 copy) ❑ Calculations for total dynamic head and gallons pumped per cycle. III. Private Sewage Systems ❑ Size, length and depth of force main. ❑ Ground slope with 2' contours in entire area of soil absorption ❑ Detait and model of pump or automatic siphon, including system extending 25' minimum on all sides. size, pump curves, drawdown, and average flow rate (GPM). ❑ Location of area suitable for replacement system - provide soil ❑ Cross section of dosing tank showing pump(s) or siphon(s). data. ❑ Construction details of septic, holding or dose tank if site VI. Systems in Fill (Fill must be placed prior to plan submission.) constructed, or tank manufacturer if state approved. ❑ Total area filled (fill to extend 20' beyond edge ❑ Construction details and cross section of soil absorption of trench before side slopes begin.) system. ❑ Depth and type of fill. ❑ Copy of signed onsite report by county or district staff. F-4 z 9 STC - 105 r r ti SEPTIC TANK MAINTENANCE AGREEMENT 0 St. Croix County z C~ OWNER/BUYER ►'1 ~~j~(~"etF ra 7' ROUTE/BOX NUMBER le 'a Fire Number CITY/STATE 1` lc~°eb F05 ( 1~ ZIP 5 , /t d0 PROPERTY LOCATION: Section l3 T P~ No R W, Town of /`?!~1lICld?l~1iC~ 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 con- sists 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 treat- ment 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 systems properly maintained. The property owner agrees to submit to St. Croix County Zoning a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper veri- fying that (1) the on-site wastewater disposal system is in proper operating condition and (2) after inspection and pumping (if nec- essary), the septic 'tank is less than 1/3 full of sludge and scum. Certification form will be sent approximately 30 days prior to three year expiration. ti 0 E I/WE, the undersigned, have read the above requirements and agree to maintain the private sewage disposal system in accordance with x the standards set forth, herein, as set by the Wisconsin Depart- d ment of Natural Resources. Certification form must be completed and returned to the St. Croix County Zoning Office within 30 days of the three year expiration date. SIGNED} DATE Z;~ St. Croix County Zoning Office P.O. Box 98, Hammond, WI 54015 715-796-2239 or 715-425-8363 Sign, date and return to above address. w ' PAGE OF-- PUMP CHAMBEK CROSS SECTIOMI AMID !jV[Clf ICA1 IOMlS 'II -VENT CAP 4" C.I. VENT PIPE WI_ATHL K PKOOF - _ APPKOVE U L-OCKIAIG > 25' FKCM U(.UR, JUMJC Flo" box MANHOLE COVCK. WIMIDUW OK FRL5H 12"M 111. At$( IAITAKE 1-1• 1 GRADE 4' Mild. • I I d" M 11J.. Cold DUIT 10"MIN. - INL1.'F PKO.VIDI- I AIRTIGHT SEAL _ I I i I f- I I , APPKO`JL U JGINT A I I APPROVLD .IG .w/C.1. PIPE. ( I W/C.T. PIPE LX*TLNOING 3' I I I EXTEUDIMG ONTO SUL10 Sr IL.. I I I ALAKM ONTO 50LID I I ' I oN L I I PUMP ( OFF D r~ 59 / CONCRETE BLOCK KI5CK EXiI PEICMilTED UIJLj IF TAIJK MAQLIFACTURV-R HAS SUCH APPKOVAL 6PCC- IFICAT IQKJS -VTIC AND ~S TANKS MAAIUFACTUIIEK:._ ~I c Y~J~ n `~~lN f WMBFK OF DOSES: PER DA-'J IAMK :,IZE : 50 GALL) MJS DOSE VOLUME: GALLONS ALAKM_ MAkiUFAC7UKEK: ° CAPACITIES: A=• 3e -_IMJCHES OR o1 GALLO, MOULL IJUMbLK: _ 'Z6 0--~ -INCHES OR j6 GALLG~. SWITCH TJVE: 7/ ~1' C=12.e_INCHES OR lGQ GALLUP PLIMI' MANUFAC.I LIKE K. - D=. (7-- _ I Al L H E S OK 610 (,A L L li ~ Mu1IEL AJUMbL-K: SlfIGS NOI k PUMP AND ALAKM AKE TO bE SWITCH TYPE: IUSIALLED ON SLVAKATE CIKCUITS PUMP DISLHAKGE KATE GPM VEKTICAL. DIFFGKEMiCE bETWLEN DUMP OFF AMID OISTRIBUTIOM P111L.. FLED MItJIMUM NETWORK SUPPLY PRQ~ESSUKE , , L.S FEET + _ FEET OF FORCE MAIN X --Fjorr.FKICFI0►,1 FACTOR.- FEEI- TOTAL 091JAMIC HEAD = I Qr~O FEET IWTEKNAL DIMF-W510N5 OF TAQK: LENGTH ;WIDTH ;LIQUID DEPTH I - 1 TQ r'1 L. i n s~+/~ t1tj I/H Se f- I3 CO 2.0 ~ Slops ~Q aerF pwrtet 0 , ID 2j t7 C 'A f O~ \ a^'?~ -75' i 35 red bS 4q L', ' CT H r Page - Of Straw, Marsh Hay, Or Synthetic Covering Distribution Pipe Modlum Sand Topsoil c F 3 E D % Slope Bed Of 2y- 2 %2 Force Main Plowed Aggregate From Pump Layer D I t E Z - q ✓ ` Cross Section Of A Mound System Using A Bed For The Absorption Area F X75 G A I (3 Ft. H J, S Signed: B Ft. License Number: I Ft. Date: J Ft. K J_ Ft. Alternate Position L J~,, Ft. of. Force Main W Ft. -L J Observation Pipe K A I•---------------------- -----•I I.-----1--------------- Force Main W o - From Pump Distribution Bed Of 2 • Pipe 2 2 1 Aggregate Observation Pipe Permanent Markers Plan View Of Mound Using A Bed For The Absorption Area Page ` Of _ i i Perforated Plea Detail End View ~Perforoled End Cop _i` PVC Pipe ce a►~ Holes Located On Bottom, S Are Equally Spaced S PVC Force Main From Pump PVC Manifold Pipe Alternate Position Of Distribution Pipe Force Main From Pump Last Hole Should Be Next To End Cap End Cop Distribution Pipe Layout P r R (tj S , X Y Z7 Signed: Hole Diameter V'4 Inch Lateral I Inch(es) License Number: Manifold Inches Date: Force Main Inches i KINN IC;KIN N IC T•28N-R.18W 17 Teem OOTN SEE P,Ap6E 29 AVE. iL Z') 1 N gz. h Fred • •``/NPJsa/ Luci//e e f/rce !rain • y Lenc-r/3 ,e d ~h .eQyrordy~ 65 Harser! 7~,7G Sil7xinsc»eta/ wd E.r /o /Yar Krag3.yar I/oi-wa/d `""JJ ° //6.7 77.bs U sei H n g /9a Lenu'~, /se /ss g BO Lolen e/7 zclerk l° 2/eg d~ n efal• • , /y2.rb5 6/ tl 0 Q~ y ~ iT°sePh l 0 en • • Eix~od n dosePh ~e - 4-0 '~y00 f //en D t o~~/f eo7 /i7.3z 9'0 U 5a de / Tom Jy rb /Via f OUn 3 Ao • o o h s F v Sck/er Le u 40 n C e • . ames bq /se eobe t Q v /arde n f VE, v~ 9 Bi. z8 Lubicfi, ~ ~ ° /9397 C'/o/7Q ik .p ~l l etaJ ~w~ S`6o~ /zo Fi: y h apt? ~I.V 7go6 /20 • ..n Wm. bGouise • ~o/don Sher Eg' C • • • N Gubibh ,Pobect s// onne Q N Mue/%/' • Co q~na/d f>' f lei-o/d o (Tames q, 607 SKYL/NE ,Q D. • • zoo Bo C4h Mane//a so /~o,<h/een 117 ~ E/ai e !ch ten Ci; Ltiec% .Denson, • ti y Lissick d o z!7 ✓ / E~ /?euben h h etQ/ ZS p /s9 49 ~ N /7 !/an Be 2 ~o l a • 9B.s 00,\ U,~r s Fi. fsche ^I~,C l60 /60 p raac / ~ J N % CTohn ei • • U N w y,e fA ne U z. v a /zo / /Ly1/2 !9 • . r .r 74 .(ja/ba/¢ ofiY' . \ Cara/ l~ b v~ g~, a o~ '~O° e • 7hi 171as /ss g • Thomas j 40 Feyere/,sEn ~ ~ ~ 1' C J /zo ppy ~Vh to Wii am .~o/x'/N Fieder:ck ~ /CBS co • Leo ~a d E~e° Ed /in /6 z.zy d~ SS 3 cStaP fors /,/e go q K~r13 Phi//i/oPs /4o idd Ma en 0~~ i2ey ; gz..5 70d /ZO g° N - 60 \ V . 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J hn, J. f /7.337 • f Do e Norma 40 00 ate.s C• C~ 7i` I- k~ l~0 nl ~y~ 'J -fG SM Rs p • 'C 9B /n 47 N~ N G F Mad- ~•~0h lz.5 1 M¢W117 T ahn i`2 Bo C~eo s1rr anlc/ p i h} 9 d v k¢ff.~ii~ d 9~~oc. go /ark 7 sew v tI e .c?° `P o ¢o vtJ ~ 00 '9 /o¢ K/ear ~e~ ~ - Pechurnan '¢o r ,uU o ~~a ~'((fqq+lhy~ 2o9G4? AVE. • AvE ✓ .4 7 / 0 -ya V y~ a .~s EMU 6 q 75 bo vtl 10 r$/~ir/ey F s. ~3ez z.1,10,, 2 7 Mer/e 4 Bo ~S y y4h Gt/ert3 71 ver or o K ea/ Max !e harry £ •Peskar -Y /7x..35 /Vie/ en ~0 /°es.Far rarer p aTa et tStan/e pia` !QO 66.67 <c0 .C 0 ea Euy er. 9a h eTo n ,Betty 7z !°eska qmo Em.ratf ..a..°. l1,66 79 /sa r ¢O 4Rose f es/far z R E u dh `C• 1• y is c5wen.sori ' • 6.rs C~unker Han on V, a son zoo w ~Pai/ F David ~ /zz S 5 t. ,eo U • g-o C dd Sara. • /OTN • AVE. Larson rB Bo Vahn 4a 40 ¢O 74/ //4 49 • \U' (S~ 8O W'//'° S c Y L~ r<f /30 • aorotsy Mayyie 27o Pau/ E vcmor C F d.'fh I /e hn yanser7 Ma/~a/et '9 ne yo pe`- Q/i°y q o .L~vi 67Jeb7rt r;.~„„ Farm/ /a b n V Ovsak Wa/Ea^ E e ov /ao . Tiusfy • • g • J E • • //e • se' w a isfffff~i s • •r 2/65 ¢w n ci//c d Q neh5 f ~2 - er .~en • iili: M er ° t t Theodore end GI7i//Q/d Go a,.,ds f • n rp • dtt~y+~, oy ~„Qeves/ /95 /rxan 4 C 1 ~ CO G/ace 74. ,:i 4 • PecF /7B I~ 0 ~ /UeLsa-i tl /zo z3 s w ;['ICI R:.F LLS= iams 40 0 ~ . 3 w . /.ARS.Poc.Efo d MaP/°cb/s, I c. ~SY-C oix C~o~r/ty, W.s. PIERCE COUNTY Grain Drying i River Falls irk tggrther HOI KKk Grain Banking Medical Clinic, Ltd. appm IMP. INC. Bulk Handling Liquid Fertilizer River Falls, Wisconsin IHC - Gehl - Fox Custom Grinding - Mixing H & S - Lindsey DEISS & NUGENT RFMC/JOnas-Klaas (715) 273-5068 Medical Clinic ; I FEED CO. i - Phone: 273-5066 H Ellsworth, Wisconsin ELLSWORT WISCONSIN A East Ellsworth, Wisconsin 54010 DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRY, DIVISION LABOR AND PERCOLATION TESTS (115) MADISON WI 53707 P.O. BOX 76 HUMAN RELATIONS (H63.090) & Chapter 145.045) LOCATION: SECTION: &~~M MUNICIPALITY: LOT NO.: NO.: SUBDIVISION NAME: TF ~/4VA1/a /TX N/R E (o ~ 1 " E- COUNTY: ' WN A -MV ILING ESS: S'' . Cro y i arc r ~`uc hIA- USE DATES OBSERVATIONS MADE NO.BRMS,: COMMERCIAL DESCRIPTION: PRQ&IL ESCRIPTIONS: PER OLATIOnTESTS: New ❑Replace Residence //vv77~) 3 p^/ , RATING: S= Site suitable for system U= Site unsuitable for system r~ CONVENTIONAL: MOUND: IN-GROUND-PRESSURE: SYSTEM-IN-FII LHOLDING TANK?the MEND SYSTEM:(o~i osRj u 29 s❑u 0S NA os®u as®u If Percolation Tests are NOT required DESIGN RATE: If an O y portion osted area i gi he 'r under s.H63.09(5)(b), indicate: Floodplain, indicate Floodplain el n: ► PROFILE DESCRIPTIONS BORING TOTAL ELEVATION DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, U E, AND DEPTH NUMBER DEPTH IN, OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON B J B- 6,00ll.~~ ab pD / q 1 y5O Blls ~,~v Bns 3,OoArd (Bn C{ b C`a side~~ aS' B- a .OD 1.75 ? . DD d D ll l~sd l~ ~.~va~/ar~ o~ Co~eHec~ ~s B- ~ 6,60 o l 7 wn~n w 0 s a fi/lls .6~ 1~ns 1 w rash ~no7`al D,/ V.60 L.n s /V4 I- j A B- S . 0~ ~~,~o 'b; O() /.oQ ~!ls ~.do /~.S 1.OU R.s filar o?Ia0 B~ B- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER INCHES AFTER SWELLING INTERVAL-MIN. PERI D 1 PERIOD 2 PERIOD 3 PER INCH P- P- P-r? A141VE P P- P- PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori- zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent of land slope. SYSTEM ELEVATION q6.7~ Mcit" A - - , , As vie 4 r r re . , 1s or e` 0 -20 3 ~ E r e l to ' ~ Q;~` / eqs f 510 a/!1 S s7`en~ e j , ~ vh l et 4~,.lg fl C~sn_s ld~6?. F_~ , r ~ TN S GC 13 e 4 , , To. rya , © x ~ C ~ N ~ M ~p I, th un~~igned, ereby certi th the soil to is reported on this form were made by me in accord with the procedures and methods specified in the Wlscons►n Ad inistrative Code and that the data recorded a d the location of the tests are correct to the best of my knowledge and belief. NAME it): L,q TESTS WERE COMPLETED ON: s h ADDRES ! CERTIFICATION NLIBER: PHONE NUMBER (optional), Lao 1 4 te fif A, S: CST ATURE: -RIBUTION: Original and one copy to Local Authority, Property Owner and Soil Tester. hhh'Q-63955 (R. 02/82) OVER - INSTRUCTIONS FOR COMPLETING FORM 115 - SBD - 6395 --curate sail test, your report rzlur} i"Cl,Ode: indicate whether this is a rE. ;e or € prc kect; 3 M . ml or commercial use pl- 4, a r ew or rc 7 . tf- o> -s. A SITE IS SUIT -l" TANK ONLY IF ALL n. , IT z nQwn yar f- 6 co ng the plot plan; 7 t preferred, A =rrminent; 8. t temp- 10, propriate box; 11. Si 12. M _F _E FILED WITH THE L-C, I "T VIA ~ pew T Li irn SiC' Six gE for lic _ mce Point - a i THE OWNI~11: - r sg a sanitary p Depa M 'It r g of DEPARTMENT OF DEPORT ON SOIL BORINGS AND S ,,f ETY & E INDUSTRY, 1'tiN LABOR AND 'PERCOLATION TESTS C115 P.G. BOX 39i HUMAN RELATION ) MADISON, Vd1 07 ' (H63.090) & Chapter 145.045) LOCATION: SECTION _ _ TOWNS HII 'MUNICIPALITY: LOT NO.: BLK. NO.' SUBDIVISION fJl.ME:__ COUNTY- VVN~ r MAILING AWT3ESS: - -ta /I r A7 0/ USE DATES OBSERVATIONS MADE NO. BEE RMS.: COMMER IAL DESCRIPTION: PR ILE DESCRIPTIONS: PERCbLATION TES's ResidenceNew ❑Replace Lod 9~ RATING: S= Site suitable for system U Site unsuitable for system ` CONVENTI NAL: MOUND: IN-GROUNDPRESSUR :SYSTEM-IN-FILL HOLDING TANK: R E C MEND D SY TEM:(optifil. OS :<111 ®S Elu 0; ir- S 7U EIS ®U DS ®U IfPercolation Tests are NOT required DESIGN RATE: [Floodplain, f any portion of the tested area is in the under s.H63.U9(5)(b), indicate: indicate Floodplain elevation`' PROFILE DESCRIPTIONS BORING TOTAL PTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEF i H NUMBER DEPTH IN. ELEVATION OBSERVED EST. HIGHEST TO BEDROCK IF OBSERVED (SEE ABBRV. ON BACK.) B- 6,00 -"'6160 5o$Ilr ~,~v$as oo f~ p I _f c} 3 tfAar ~ Ot! ~ ~ d/r.S t fl r'r C,r d u S. B- ?4. 00 ,eo tl rSd n S 3.! W111rj Ail 6k e hs'dCrl• ~ C, o x.17 /,s" 6i1S ~~7 ~,-►s~ w rus~,~i7~~,/ 5!ccs B- 1 00 0,0 l,s'veg ..SD C~hsidc red to bc-It B S ~ I G~ ^D 6V /00je l/s o B- PERCOLATION TESTS TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE NUMBER INCHES AFTERSI'.'ELLING INTERVAL-MIN. PERT D I ! PERIOD PER IO DS PER P P- P- r P _r Ar / ' -a P- PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what ar, ~n- -ontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction n,, ; of land slope. SYSTEM ELEVATION $r,1 . S ;ke ►~__I~'rCak red.~'ib6o►ir`~ l,L._ f ore Poles D eerrck bole s I welt 'to f Q S- . s ten, - Gi h LG r - IN pi C6a1s~~ere~~ c, It 13 ` i Rc' _3tN _ _ _ t,ccatio~ o~ No.~e ~ aaPa ~c 85 h'atie SAC Fc~ e x f 1, nndr rsigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures and methods specified in th` , nC Anrninktrative. Code, and that the data record-dl and the location of the tests are correct to the best of my knowledge and belief. r, T I 'TESTS V,'ERE COMPLETED ON: CERTIFICATION NU BEi PHONE NUMBEH CST G ATURE: Uhl t , r.~ P