Loading...
HomeMy WebLinkAbout040-1312-11-000 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and 6u lding Division INSPECTION REPORT Sanitary Fermit Nn 'ATTACH TO PERMIT] 582093 GENERAL INFORMATION State = an ID N,) Personal information you provide may De csed fo• secondary Pcrpcses (Privacy Law, s 15 04 j(mjJ =ermit -lclder's Name City Village -ovnship Parcel Tax No Delta Construction T TOWN OF TROY 040-1312-11-000 CST BM Flee linsp BM E ev BM Description- Sec.icn/Town/Range~1i No _1 T 04.28.19.2041 TANK INFORMATION ELEVATION DATA TYPE MANUFArv'1URER CAPACITY STA.IICN DS HI FS FLEV. in Septic Benchmark J 31S 77 z ad 3 ' S G Alt. BM 66 J.4 ~A_ I Z .'3 AZ - I Ts Aeration Bldg. Sewer Holding ~f SUHt Inlet 5. 97. 77 TANK SETBACK INFORMATION SUHt Outlet .5. to 9 7• TANK TO P'L %VELL BLDG en to 'ir Intake ROAD Ul Inlet Septic Dl Bottom Dosing HeaderiP.lan T5, 3W Aeration Dist. Pipe 7 4 • Ct 3 9 8 Holding - Bol System 9Y • 34 3 9 3. 9S PUMP/SIPHON INFORMATION Final Grade q~-. 7- Manufacturer Uernand S; Co r GPM1 CaJ£` Z' 3 dad PdOdel Number TDH Friction Loss Syztun+ie3d 71 Ft Forcemain Length Dia Dist. to Well SOIL ABSORPTION SYSTEM BED/TRENCH Width _ength INo Oi Trer-h19 PIT DIMENSIONS '.o Of ° t9 Inside Dia. Liejid Cepth DIMENSIONS `T6 i Z, r e4t G SETBACK SYSTEM TO P!L DLDG WELL LAKFISTR:A.h4 LEACHING Manuf ct ,'ia INFORMATION CHAMBER OR _L~ Type O` System I Ai UNIT Model Ijyrrber Z4 5 Q fikzs DISTRIBUTION SYSTEM 5~ ZZ (.,.Jew f-- Z. I Header'Manifo~ /f Distribution WeZ Hole Sizr' Ix Hole Spacing Vent to Al/r take Length Dia i-ength Dia Spacing SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only NO-5 Depth Over Uep:h Over xx De th c xx Seeded'Sedded Tx Mulched Red7Trerch Center 5 113ed"'rent') Edges Topsoil Yes Yes P.o COMMENTS: (Include code discrepencies. persons present, etc-) Inspection #1: Inspection #2: Location: 529 OI I`✓IA CT t L, & J -C~ C 1 C' 1 ,r` L-OcJG O 1.) Alt BM Description = Zg / J 5 V' 6.2 a- 2. ) Bldg sewer length= amount of cover = 2.5 s ~ dQQ. Cl V o k~~4 ('e.~o~1 X Plan revision Required? Yes .JJo C /V Use other side for additional information G,atr. nscpc r s igrat Cert. No. S6D-r71n (H 3i9i j f^ PLOT PLA N PROJECT Delta Construction ADDRESS 206 2,)d St. Iiudsor Wi -54016 NF V4 a SW 1.4s 4 ; T 28 N. ,R 19 vti TO« Troy COUNTY ST, CROIX SYSTEM ELEVATION 95.3/95.1 4.6' be ow grade DATE 3'' 6,16 BEDROOM 4 CONVENTIONAL XXX IN-GROUND PRESSURE CONVENTIONAL LIFT HOLDING TANK 1255 gallors LIFT TANK SIZE DOSE TANK SIZE MOUND SEPTIC TANK SIZ.F. HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 891 # of chambers 44 BENCHMARK V.R.P. Tor of ','2" IP ASSUME ELEVATION too' Filter Lifetime Filter BOREHOLE 0 WELL y H. R. P. same as boncimark Oliviacourt Scale = 1 4" = 10, All piping shall be ASTM SDR 30'34, wit 10' of tank, piping shall be ASTM F891 12' Property Line I Pro 4 Bedroom House l . i l; \ Ib ~ ` l 30' B-? 6 a . J 5 a 80' 1 80' please note a additional bori will be '6~' Prup Its I_ ine dug to log tr s; stem •.levation o a 10' proper depth Vents B-3 I 39' 1j %3' X 90' Cells with >3' spacing ~ ~G Hi2hwav 35 I84' Property Line RECEIVED- .,o M tmty 1 IAR 1 Z016 Safety and Buildings Division I;t t.0 S t' ) 201 W. Washington Ave., P.O. Box ; Permit Nuroba (in be Ct)jcd in by Co \1._4t~~;L .CRO M000NTY Madisun.Vvi 53707-,'1S2 ``NITY DEVE!_OPME 0 ~ 11 _ _ 5 a Sanitary Permit Application Sa°`T Titnrtiter ii accordance with S.2'S Wis. -Ahn. Code , s0jms;iot: el this iet¢ to the apptt~pttat gcn•"rnental trait n / `I is "e4UUed prior to 0bt2itttn9 a samita y petmtL Note' Au?liwtiou kr ru5 for- stateowtted PC WT, are subtoitrts: to Prcieet Address (d diffaeat them maitiag ardressl the Dcpwt n= of Safety and Professional Servies Pesemai information you provta: tnap be used for secondary putpeses in aewrdanc with the Privacy Iaw, s. 15.(}3{ l l m', Stazs. O~ 112 10, Co, L Application information - Please Print All Information Y u1 Propem, 0%4-m's N my Parzel Property C-h- is Mailing .Address Pr rtv I ocaaion 1 ax - oi9 Z Govt Lo[ L'JJ'' i -irv, State , Zip Code Pbone N=bcr ~ t 5axi . ircic UL l'ype of Bui d check all that apply) Let T--e`-~' R F i or 2 Family Dwafbng-Number of Bedrooau' - - f Subdivision game 7 r Blxc 46 L' PubiidC,nmrnerciai - Descibe Use CjN of L State c" CSM Ntmioer - fl U V age nerd -Describe use of of ro - Q I 1 ► UTl Unl C C,~ W ZZ, Z Z :'96 TI 1. it: (Check only one box on line :1. Complet tint B if applicable} 1 r - - , 5 tem n Reptaetment Slstcm L TteatmemHoldmg Tauic ?_-p1,&=o= (}ny ❑ O tter Mod fication to i:rasting System C cpiainj I ❑ P. Renewal ~ Permit Revision ❑ Grange of Plumber U Pemit - ansfer ter tiew List Previntts Prruxit Nuanber and D-Ae Issued ! Before Expirazioa Owner 1- - - q~ I o - emlCom onenbDevice: ( heck- all that apply'1 csstai7xd In-Ground U Pre&-a-a c tn-(?riund ❑ Ai-Grade C Mound _ 4 in of uritablr soil ❑ Mo d < 24 ic. of Ie s o g : aak ixha Dispersal c'nt pme.nt (exptain) - ^ Prarcetment Device rexplamj V- DM' r,saL'Trea ent Area Information: 6 ~LMSj3n Flow igpd} Desist Soil 4aplicatiint Rat ' ft D' Arca Requir (sf) a:seal : zffi Pro sed (sf) System Eie on ~t 0 `3~l 3 sal VL Tank Info ! Cma: ity in Total K of ?~fanufa~trt r rallcas 1300ns Jnrts ` b 2 ° f~ R I Sep= cx Hoiduir- Tank 7: w ci>amn~ ! - VII. Responsibility Statement,- I, the undervig[ted, ass esponsibility for installation of the POW'IS shown oa the attached plans. Plumber's Name (Prn¢} - - Plum gtamre - vIP/1titPRS Ntunbcr Business Phone . umber Plumber's Address iStre t Cay. states Zip Code, - 1 V -onntv/De artmeut Use Oniv Appre Pe ntt Fee Daw sued suing .Apart Sigi e ; : ~i oD _ Di ea sn for 8t_ i IX. Conditions of ApprovaLfReasons for Disapproval SYSTEM OWNER: • ~eV~l f Concufi~r MUST pYDVIdA. 1. Septic tank, effluent filter and raw ho'IUC.~ ^,!u. 4~^'ll(Q { dispersal ce l must be. serviced imaintained ~ (~41 u- 1~~ Mt~11 1 Dn t • I 1 ! ~ as per management plan provided by plumber bljly-1r11 2 gat to 'Vol ens or [nr systtm and sub to no[ n R tR i lathes La Sin ~ - as per applica e code~$ trances. , 5Vbm 1+tc CI ~YI DV ~ ~^i~n,/~S~utlG~i an SBD-6398 (K 11!11) 1py~,y wkm k4va,l1(Jt\ . t t 0 N2 ''we Cover Page Shaun Bird Bird Plumbing Inc. 1432 120th St. New Richmond Wi 54017 715-246-4516 Date: 3/16/16 Owner:Delta Construction Location: NE 1/4 SW 1/4 S4 T28 N,R19W Lot 11 Cottage Meadows Troy Manuals Used: In-ground absorbtion system (version 2.0) Page# 1. Cover Page 2. Plot Plan 3. Chamber Cross Se ' n 4-6, Maintanance an ntingency Plan 7.Filter Cross Secti Signature_ _ License nu r#226900 PLOT PLAN PROJECT Delta Construction ADDRESS 206 2nd St. Hudson Wi 54016 NE 1/4 SW t!4S 4 /T 28 N/R 19 w TONN,N Troy COUNTY ST. CROIX SYSTEM ELEVATION 95.3/95.1 4.6' below grade 3/16116 4 DALE BEDROOM CONVENTIONAL XXX IN-GROUND PRESSURE CONVENTIONAL LIFT HOLDING 'LANK MOUND SEPTIC TANK SIZE 1255 gallons LIVY TANK SIZE DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 891 # of chambers 44 BENCHMARK V.R.P. Top of 112" IP ASSUME ELEVATION 100' FilteI• Lifetime Filter ❑ BOREHOLE O WELL * II. R. P. same as benchmark Olivia Court Scale = 1/4" = 10' All piping shall be AST-1 SDR 30/34, within 10' of tank, piping shall be .ASTN1 1=891 312' Property Line Pro 4 Bedroom House T 15 .7~ 30' B-2 O 80' B-I 80' please note: a additional boring will be 262' Property Line dug to lower system elevation to a 10' proper depth vents B-3 B.M. #1 39' 2-3' X 90' Cells with >3' spacing Highway 35 184' Property Line Cross Section of Infiltrator Quick 4 Leaching Chamber Typical cross section for 2 of 2 cells wick 4 Standard Leaching Chamber with 20.0 ft2 of Area per Chamber To be >1' above grade 5.Ut"2 Bair of end plates Finish grade elevation Typical Installation 99.9' Vent Vent Grade 3' 3' X30/34 Septic Tank 5' Long 1 5' 5' Long I Grade at System Elevation 36 Grade at System Elevation Spacing 5' 2-3' X 90' Cells Same on other end Observation tubeNent At end of cell A B 22 chambers per cell System elevations: A-95.3' B 95.1' ST. CROIX COUNTY SEP'T'IC TANK MAINTENANCE AGREEMENT kND OWNERSHIP CERTIFICATION FORM Owner/Buyer Mailing Address (A-10 Property Address 5 Z °I b 1; v o~ cc)a+ ~D (Viaification required from Planning & Zoning Department for new constriction.) City/State 6 S Parcel Identification Number o 5 ' 11-AM) LEgAL DESCRIPTION Property Location LLJ /4 L '/4, Sec. T F'3 N R/ W, Town of .j/O ,-Subdivisian Lot # L. Certified Survey Map # r _ 'Volume , Page # Warranty Deed # Volume Page # _ Spec hou(: yes )nu Lot line` identifiable yes no SYSTEM MAINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to haudlc wastes. Proper maintenance consisis of pumping out the septic tank every three years or sooner, ii needed, by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal syst = Owner mamtename responsibilities are specified in §Comm 83.52(1) and in Chapter 12 - St Croix County Sanitary Ordinance. The property owner agrees to submit to St Croix County Planning & Zonng Departurent a certification form, signed by the owner and by a master plumber, }oumeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and/or (2) after inspection and ping (if necessary), the septic tank is less than 1/3 full of sludge. I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, h+ercin, as set by the Department of Commerce and the Departmont of Natural Resources, State of Wisconsin. Certification signing that yow septic system has been maintained must be completed and returned to the St. Croix County Platming & Zoning Depa W=d within 30 days of the dam year expiration date. Uwe certify that all stabemeats o 's form are true to the best of myiour knowledge. I/we am/am the owner(s) of the property described above, by virtue of wsrzanty deed recorded in Register of Deeds Office. Nu r o - S G'mURE OF APPLICANT(S) DATE ***Any information that is misrepresented may result in the sanitary permit being revoked by the Planning & Zoning Department Include with this application a recorded warranty deed from the Register of Deeds Office and a copy of the certified survey asap if reference is made in the warranty deed. (R); - 08105) it POWTS OWNER'S MANUAL & MANAGEMENT PLAN Pape of FILE INFORMATION SYSTEM SPECIFICATIONS Owner a Septic Tank Capacity ' l ❑ NA Permit # Septic Tank Manufacturer 0 NA ESIGN PARAMETERS Effluent Filter Manufacturer Q NA Number of Bedrooms O NA Effluent Filter Model ❑ NA Number of Public Facility Units -;KNA Pump Tank Capacity I NA i Estimated flow (age) !L~ al/day Pump Tank Manufacturer NA I— g Design flow (peak), (Estimated x 1.5 v, gal/day Manufacturer NA Soil Application Rate / al/da fiz Pump Model NA i Standard Influent/Effluent Quality Monthly average` Pretreatment Unit NA Fats, Oil & Grease (FOG) 530 mg/L. ❑ Sand/Gravel Filter ❑ Peat Filter Biochemical Oxygen Demand (BODs) 1420 mg/- ❑ NA O Mechanical Aeration ❑ Wetland Total Suspended Solids (TSS) 5150 mg/L ❑ Disinfection 0 Other. !Pretreated Effluent Quality Monthly average Dispersal Cell(s) ❑ NA Bkx*wmical Oxygen Demand (BOD5) f S30 mgA -Ground (gravity) ❑ In-Ground (pressurized) Total Suspended Solkle (TSS) I C30 mg/L 0 At-Grade ❑ Mound Feel Coliform (geometric mean) 5104 cfu/100m1 ❑ Drip-Line O Other. Maximum Effluent Particle Size )6 in dia. ❑ NA Other: ❑ NA Other. - A Other. ❑ NA 'Values typical for domestic washmalber and septic tank effiluenL Other. ❑ NA "NTENANCE SCHEDULE Service Event Service Frequency linspect condition of tank(s) At least once every: _ ❑ nth(s) (Maaxunum 3 years) ❑ NA (Pump out contents of tank(s) When combined sludge and scum equals one-third ()5) of tank volume 0 NA Inspect dispersal cell(s) I At least once every: ❑ onth(s) (Maximum 3 years) 0 NA r{s) Clean effluent filter At least once every: l ;43 month(s) 13 NA Inspect pump, pump controls & alarm ! At least once every: - ❑ month(s) _ NA 0 year(s) 4lush laterals and pressure test : At least once every: ❑ month(s) 11 NA ❑ ear(s) _ At least once every: ❑ month(s) 11 NA D ear(s) r. J~A MAINTENANCE INSTRUCTIONS !Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: er Plumber, Master Plumber Restricted Sewer, POWTS Inspector, POWTS Maintainer; Septage Servicing Operator, Tank inspections must include a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of -z:ombined shrdge and scum and to check for any back up or ponding of effluent on the ground surface. The dispersal cell(s) shall be ,visually inspected to check the effluent levels in the observation pipes and to check for arty ponding of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a falling condition and requires the immediate notification of the local I-egulatory authority. When the combined accumulation of sludge and scum in any tank equals one-third or more of the tank volume, the entire contents of jtre tank shall be removed by a Sep age Servicing Operator and disposed of in accordance with chapter NR 113, Wisconsin Administrative Code. All other services, including but not limited to the servicing of effluent filters, mechanical or pressurized components, pretreatment units, WA any servicing at intervals of 512 months, shall be performed by a certified POWTS Maintainer. A service report shag be provided to the local regulatory authority within 10 days of completion of any service event Pne of , START UP AND OPERATION Painting ducts or other chemicals t* of the For new construction, prior to use athndlor damage de& the dlspersaitcell( )S) If for the high conCe presence ntrations a acted have the contents may impede the treatment servicing operator prior to use. tank(s) removed by a septa9e System start up shall not occur when soil conditions are frozen at the inMtrative surface. curer is restored the excess wastewater will be During power outages pump tanks may fill above normal highwater levels. When P or surface discharge of effluent discharged to the dispersel oeU(s) in one large dose, overloading the cell(s) and may result in the backup rAc'ng operator prim to restoring power to the To avoid this situation have the contents of the pump tank removed by a SeP ge t pump controls to restore normal levels effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating within the pump tank. otherwise disturb or compact, area within Do not drive or park yehicies over tanks and dispersal cells. Do not drive or park over, or 15 feet down slope of any mound or at-grade soil absorption area. im ilia perfomtarx;e and Prn~ ~ We of the POV1~f~~: Reduction or elimination of the following from the wastewater stream may prove disinfectants; fd7~ foundation drain antibiotics baby wipes; cigarette butts; condoms; cotton swabs; ~ereaserbicides; meat scraps; medications; oil; painting p~~; (sump pump) water: fruit it and and vegetable peelings; gasoline; g pesticides; sanitary napkins: tampons; and water softener brine. ABANDONMENT shall be taken to insure that the system is P~~y When the POWTS fails and/or is permanently taken out of service the following steps and safety abandoned in compliance with chapter Comm 83.33, Wisconsin Administrative Cade: • All piping to tanks and pits shall be disconnected and the abandoned pipe openings sealed. • The contents of all tanks and pits shall be removed and properly disposed of by a Septage Servicing Operator- all tanks and pits shall be excavated and removed or their covers removed and the void space filled with sail, • After pumping, gravel or another inert solid material. CONTINGENCY PLAN If the POWT S fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant systern. replacement system: liable replacement area has been evaluated and may be uttiized for the location and should not! ica infringed "p°^ absorption ~ by itpd The replacement area should be protected from disc rbance and compaction replacement area will result in the aged setbacks from existing and proposed structure, lot lines and wells. Failure to protect systems must comply with the rules in for a new soil and site evaluation to establish a suitable replaoement area. Replace effect at that time. in POWrS technology a ❑ A suitable replacement area is not available due to setback and/or Baring advances holding tank may be installed as a last resort to replace the failed ❑ The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a soil and site evaluation to locate a suitable replacement area. If no replacement area is available a holding tank may be installed as must be performed a last resort to replace the failed POWTS. ❑ Mound and at-grade sod absorption systems may be reconstructed in place following removal of the biomat at the infiltrative surface, Reconstructions of such systems must comply with the rules In effect at that time. <<WARNING>> SEPTIC, PUMP AND OTHER TREATMENT TANKS MAY CONTAIN LETHAL GASSES AND/OR INSUFFICIENT OXYGEN. DO R CIRCUMSTANCES DEATH MAY RESULT, RESCUE O~ A ENTER A SEPTIC, PUMP OR OTHER MMAY E DIFFICULT UNDER ANY O IMPOSSIBLE. PERSON FROM THE INTERIOR OF A T K ADDITIONAL COMMENTS - POWTS INSTALLER POWTS MAINTAINER ell Name Name ~ u _ ` 7 ^ / - r+ Phone 7/1 SEPTAGE SERVICING OPERATOR (POMPER) LOCAL REGULATORY AUTHOWTY Ile, 'TY' ~IJ Name Name Phone Phone JJ - 1. ) Administrative Code. This document was dratted in compliance with chapter SOPS 383.22(2)(b)(1)(d)&(f) and 393.54(1), (2) & (3), Wls n i~. ~ 777' \ 1 I i ' ~r1 t i I ? C - C. nom, - ii TiO t T y{, a 3~: RECEIVED 02/02/2015 l1: ?2P`A P.1ar '5 16 10:08a p.4 I ~ rr ~ C I 'r C: C I !1 U T7 ' A -h CS C' I I _T -7- J IIII -'G ' - _ _ - - 3 - ~1 ~ .~~E._r':. •.EE`-fl ""Y' 'fi •J. -e V j ' ea i1~o -8 t I Illl S m 1. C1~7 E- ' I n 1 I Y ~ E f 1. ~E1 I.. ' -.?L-a :.ci•,: +<.."Ir_k. r in n ~ D r 6~'' 2Olro - 4 LEVEL z d I r t~aj oZ l e a t i ,Te RECEIVED 02/02 `^R1 5 11: 32'rM Mar 1516 10:08@ P 3 1 5 ~ s: I n ~ F ~ P r I ti e 1 f,~ ll 1 II : C bIa ~e c~~ ~~J _ I Y f. a 4~ ~z Y •a 'i6 I tF - ~ 5 I 1 rn I rn 36l i~ m m F m 1Y1I ]R `t F i KD ~ e M1!1 I m I~, rn ~ 1~r• w ' ~ O ~ 'I 1 •U't ~n U.~~ ~ i l; III , ~;ir 1. d.. ~•aT• ~iTA •~il.~i I I F c s b ;<<a. 1 111 2010 - 4 LEVEL r j •t f '1:1;, J: C~t!~~' LO' 1' OLIVIA 1 )4001;;pl, A I 3 F~c162I2L I` 11:32PNI G,l ~r 15 16 1 G:0°a p in rn -n I I ! Ll z t IL r - J EL L-L ;n, t, m r ! m i~ ~I < CO a > ~ a ~ r ll I ® El If ~ I .p f 1, '1 II ~~i III sgtill tJliJi.'t(! `.I ip I1:N IT I ' I`II 1 1, 117~71* rn _ r a i q 0 ;sf• t ~ f ~ l r~ C~'G ~CIV"/4 U 20 IC-, 4 LEVEL ~ f 1}; ~ ~ti. j UC TI~iV „ ~ n ~ m ~t:yJ ' t ri. 't ~k~Erd'. LO' :I _~PA : CUR7 BUD SC`J, a~ o- ) ~ ~s ~ . ~ ~ ~ri''- J- I n ! y 1 1i O H*E = 907.03 ltiJ. 1 i LH1 909.03 LOT 7 TAO T 6 43574 S.F. 1.00 Ac. } cv 4,3572 S.F. _ - 1 CD 1.00 Ac- Z ~`b . 1 La C' = k a} f c to ~r a ro 43,567 S.F. 1 Lyi N U; 1.00 Ac- D ` c0 3 9A 3' 23! 15' _ Ll' - 114-31' _ t N 88'20'09 w 1 0 153.74' LOT 9 50' N 88.20-139 .2,'98' t 1 r 1 -15 3,6 4`_ - 43560 S.F. € C~~ 1.00 Ac. It } 0 1 N 8342'29» E ` 1 nn I I a V► ~ LOT ~ 1 :J 1 I 1 \ 2' 2.3`1.1 B' Nr I ` I 58463 S.F. ~l w. as I G~ r7 1.:34 AC. % -----=C \ ~.I no LOT 10~, n n in <6 CON~PVAMN EAc]fEk`T \ 43565 S.F-;' 1 C) M, 2"q Pte. 590 VOL 2547 PG. 2~ 1.00 Ac.so' VOL. U-7 t.k_w I k 1 a 11r E \ , 1 66.1 in C8 LOT 13, 4~, 91. I cn I 435613 S.F. .^v I'D ` l.oo Ac. r LOT 11\ 1 LO 1 12 43577 S.F. I cc HWE 911132 43560 S.F. txJ ~0 i.a0 Ac. 50' 1 { IBQ x'1912.32 1.00 Ac. k 151.6.'1' 386.78' 184 .8 8' U/I - 724.29 _ 47 89'03'46" E 1262.72' 89.09'46" W UNPLA-TTED LANDS LOT 1 LOT 2 90.05' { CERTIFIED SURVEY MAP f - VOL. 3P-01720 There are no objections to this plat with respect to Secs. 236.15, 236.16, 236.20 and 236.21(1) and Wis Stats. as provided by s.216.12. Wis. Stats. i Certifiecc~ .1 \ nT ITT OT Ci wumrsin Deoarm,ent of Commerce S LOPtI' REPORT page _ at 3 Division of Safety and Serhldogs - in actadarer with Comm M. Ws. Adm. Code Attach complete site plan on paper not less than 8 W x ? t incties m size, Wan-must - Cr>trtty S ? C. hi b l }t; - - i>r udr, but not limited to: vertical and hu imrbal mference point (SM), cirectlon end Patcel LD. % - ~'L• Permit slope, scale «dmhensions• north anew. and bealievh and nuance to nearest hoed. D 4t5 - 1-64 1~- Please print all irdwr ctn. by Dam i P.wnt kforwn6on Ica Pm'+tae mar Da hose ror oecaWary purnnas tRir ~a.i. z 15.w ftl (mlA ~,j•. _ ; ( . Property P~PerN+er i 7v r> a B JVP-SI-E:flT Ga4 Lot A) LCCdBF iN SWil4 S t !T Z~ N R t ~Q PmP" Owner's Mading Address Lot # Block R Stbd. Name or CSW 3 Q 2 O .M N A C I l C OT T R rrl~ MV4 Ao t,15 Uty State 7p Code Phone Number ❑ city G Vies, iiOTrnwr Nearost Road j 1 1riDSo~/ , w1 , 5'fa~(,lt ) 72o aLi~fA LT New cerSAudim UsecX Resa(entW / Nrmtbm d bedrooms 3 _ s Code denied design lbw rate _ S-0 ? Sa GPI) ❑ Rep--N- ❑ Pubfic or comauscU - Desch tie: Parent materu S k ~f L O~Sl, ! Q l/ rW ak S It Flood Plain e[evarion T apparaWe ft General corrrrhents T and recanmendadens: L50 -TestedsuiWW101 `'?4•cl~ / a ccnvenfona' Ingreurd system ,PO.W.T.S.j r ❑ Bodng hK ° 80fR1g ® Pit Ground s u r f a c e e i e v. "l q•?8 iL Depth t o g mltlng tailor 7 4 4 Yt Soil fia3fion Rate fimiaon Depth Darrvcmt RW=Desatdm Texture SULctre Consider" Boundary Roots GPDAF n. MhrT.sell Orr. SL Cant cats Q. SzM. -EMI 'Ep12 1 d-/ft 10 R-TZ Q 2 Mi, m{7 o- s v4 •6 2 4- 10Y1t3/ - 50-1 M b M 0- Zvi Z zs-3o o i f - c5 0 s in) a IL/ - 7 y 4 30^ 10 - rn I - - --7 1 . f. EI.. © g qq.9/ ® Pit Grour4 surface elev. R Depth to finvi ng fader i - Sob Rafe Mormon Depth DamhmarA C6or Redox Desrtiptam Texhire Sbubre Cansisieme Boundary Rents GPW in Munset QL Sz Cunt. Culr Cu. Sz. Sh. •EI!!kt 'EW o-IS IoYR2i/ Q 2f bx M-fr CS 4 2 ,s-z, lvYt2 3112 fr a b Z~~ a 3 Ll-~}1 I DYrt 513 - $1 l 3f bk Mfi a + - $ -,t `fi-QG l vYjz,5l 0 5 rn I f L - Eltttarht Nt =Boo > 3a:5 728 mQ& and TSS -30:5 150 m,& • Eflhharht 02 = BQD c 30 mgA_ and TW ~ 30 milt 1ST'humM nt} ut.l~QlLttt - 5 drm Z 1 O"T ' Dal. Eww,adon C«hdhrmd Tekw how Numb« SpribNf~ V~r~.r-Y, lv, 6 - 13-ot` 7vr) ?7 z' 3SLer ana des ~gn nq Contact: &rcnt & .A3SUcla:es --gistered oriva:e wastewater const>fkW 8110 pkinbo IU12 10MAve 1t ~ r`,SSCCiciOS -`a Cct?SUN411ts Spring Vaile'y~, WI t`4767 Sewage _ ^tp ,4y2. 5-772-3442 r, 1 E47 L o-F i i p~_aJ ",IS i'rT =3 1;~ 6 4` /vl~l-~D-cnm z ~_3 3 i ~ tt i i F.mirxl . r~ L! Pit GrourW arface elev. Dr_oel tv wr mrlg factor 9 Z r< Sm't°tr R i hotbcrt Depth Donnzrft (-oon, Red. Z*,= {'b- Tn hnp Str:xAxe Cotssistance Courfdery 1 Rotas C- )IW f m. h!,xWeJ I ck.. SZ. C,-,nL Cesar ! t':, sz sh. i / 0-13 j 1 VY+2 2/1-I _ Q [ 2f r h'1fr } CS f 7- '1 - !v 4 z? - W '2M bx!m4r L5 2j4- '22-33I1o'fR9/e; Scl 3m bx'm*-T- .16 YVI El Bonf-~q L Ph Ground swfatx erev. R Depth la MrfB N ficox if. ~i /tooifcaua~ R&u !IOrmon DeffM i Dornhamt ccior Red" DesaiFLtw Twdme if Slnfdire Consl7tence Camdary Roots GPC~F in. b4rsell i ^,rs. Sz. Ccnt Color ? Gr- S7_ Sh. - - _ a«eg n &,,fng - ❑ p,t Ground str*.ace eFev. 2 Deter !orrr b fac:or a;. ! Sod Am6cildon Rate I-f«mon f Devlfr Cde Rexlvu OesaiFtlm. Texuxe - S6uctre I (,crM"nce I SofaxfwyRoots GPO" Ga Sz CtfiiL Caor C, Sr. Sh. I I ? EfW2 in' f I ' f I I ! I-_ f ❑ pit Ground surface ew%f. fL De* to W r5rgfavor in. Sal Fate ' NofQnn DOM Dormant cdx} Redmt Desa pf?n,,- -e>afre saucwm ~ Corasiencei a-dary Rants C-P" in. Mf_fns" ! Ca Sz Gcnt. COW 1 Gr_ Sz Sh. ! { , i I 4 ;1 =CCn17o~R 1 - i are ~~:u a ce ~onsuitants '~ca Valley:547E \ Ccntz L'It7c"iq x A&~ca e5 Reg~s:ercd ~,riva!e wesi?wa;Er sui;anr ;ne o~.imoers ?a~~ loina~,e. Spiro Va'; ey. VJ15A' 442 ~UA P SCT 2" ~~25ov~ ~t2~a~ / \ ~ gn.~ 2~ qg•q 1 I D' F:5 2 - 9 9.91 % ,4) / f l / I 2,1 q 9•~g 83= 98 3~ a F6 M ,00 .00 Q 3~ ~ I 4- C v 54) C4 PROPF2Ty LirV~ ~ ~ S .1 ~ sc ~ ar=, 5F+ 35 f 7it~ f~''3 ~ x . y ~ . J 7 a s- r,.-• t£ + e t~~ a a ~ t a . • ~ CIO i £ t , c+ ~ z 'z ~Iz s7 i ' 6 I ' ~ y, .,pry _ r, £ 3 "b 0 z ' . . - ~ J rt J _4YJ3 - - .Ji ~ efi• S .T' ~.c I ~ -