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CROIX COUNTY, WISCONSIN OLD TXSCR02 REAL ESTATE TOWN OF SAINT JOSEPH COMPUTER NUMBER 030-2017-80-000 Parcel Number 1.29.20.422A2 OWNER NAME: First JOSEPH P & KERRI J Last NEINAS PROPERTY ADDRESS: Hse # 1/2 PD --Street Name-- Type SD Apartment 1163 APPALOUSA TRL SECTION 1 TOWN 29N RANGE 20W '/4160 '/40 Line Description Line Description TOTAL ACREAGE 5.460 PLAT LOT BLK 01 SEC 1 T29N R20W SW NE LOT 2 15 02 OF CSM 1/171 16 03 17 04 18 05 19 06 20 07 21 08 22 09 23 10 24 11 25 12 26 13 27 14 28 F1-General, F4-Prev. Parcel, F5-Next Parcel, F7-Valuations, F8-History, F10-Exit ~a AS BUILT SANITA&Y SYSTLM 1c1TOW1 OWNLK ,J ZA0 e 1,,1A ~ VOWNSHiP 7 __S./a_r*tr-- SLA" 1' 11 - It w AUDKESS T ly,40 0, ST. LKolx COUNTY, WisamSLN. SUBDIVISION LU`l' a--- LU'1' SILL' PLAN VIEW 0 30- 20 4 Uiatancee and diMOneiona to meet reyu1re111ent5 ut H63 .,s ' VE,I,YTHING WITHIN 100 FELT OF SYSTEM kJI Al k Lo s T - - 3 0 - - ►ii TTT 3 r - - I di a e o th Arrow I sc "Lt BENCHMARK: (Permanent reference Point) Debcribe Elevation of vertica, ,,,reference Point • ----51opC do yiLe : SEPTIC TANK: Manufacturer. + Liyui-d C;apat;lty Number of rings on cover ank waiihole cover elevat oii - Tank Inlet Elevetiu►i: IuLik UUt.lel. H1_r•vut1un _ PUMP CHAMBEit Manufacturer: Nunibct )I gallon6 Number of gal. pump aet~ or a cycle ballunb , cut al -2aI)" i L y o distribution lined -ba 1 I U I i i ve of PuuiP lkcaj , gallon per . hurut:puwer - T brand nauiC of PUwp and model number Type of warning devfce_ HOLDING TANK: Manufacturer tau, i Elevation of mwnhule cover I'y e of warning device SEE--, 'E PIT SIZE _ Nkim r of _Pi t s (Ct < 1 i ,ui„ t < < fret. liquid dl~pth rseePdbre plt in et Ptl,.• L!l.evai tr,l, butt-0111 of beepd4e 1) t elyvat iul, t t -t i y~,,,. 'J_LA'A(.L hLI) SIZE. nunibt:r ut I Likes width t. ' h-KNCH widtiL 1 ibLli i't..ttwLAT LUN "Tj ._~.kREA QU 1l1:D ~_V~$' LNS 1._t I'k) it _ _ C Y2 DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR SAFETY & BUILDINGS LABOR & HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS DIVISION P.U. B<)X 7969 , BUREAU OF PLUMBING MADISON, WI 53707 CONVENTIONAL ❑ALTERNATIVE state PlanLD.Number. assig T ❑ Holding Tank In-Ground Pressure 1:1 Mound (if ned Holding O PE MIT HOLD EF~2 . "1 ADDRESS OF PERMIT HOLDE INSPECTION DATE. BENCH MARK Wermane t referents p-0 DESCRIBE IF DIFFERENT FR6 M PLAN. r REF. PT. ELEV.'. CST REF. PT ELEV. C-. IN.-- nl tuber. MP/MPRSW No. C nty. Sanitary Permit Number. 9Y f1 / SEA 1 /HOLDING G TANK: M N AC RER LIQUID CAPACITY. TANK INLET ELEV.. TANK OUTLET ELEV. WARNING LABEL LOCKING COVER PROVIDED: PROVIDED. / IXYES ENO ❑'f'~ES~ O BEDDING . IVENTDIA.. VENT MATL. HIGH WATER NUMBER OF ROAD. PROPERTY WELL. BUILDING VENT TO FRESH _ ALARM AIR INLE- 11 EYES NO IN EET FROM > ~{J rr ❑ YE3' ENO EAREST--,►L_ U~ I f g DOSING CHAMBER: _ MANUFACTURER JBEDDING JLMP MODE _JIUMP,'SIPHON MANUFACTURER WARNING LABEL LOCKING COVER I PROVIDED. PROVIDED EYES ENO / EYES ENO OYES ENO GALLONS PER CYCLE: POPERATIONAL NUMBER OF r iOPERTV WELL BUILDING I(DIFFERENCE BETWEEN FEET FROM NE AIR INLET PUMP ON AND OFF) EYES NO _ NEAREST-3► SOIL ABSORPTION SYSTEM. Check e soil moisture at the depth of plowing N, H I~Ar.+I TFR MATERIAL AND MARKING or excavation. (If soil can be rolled into a wire, construction shall cease until FORCE the soil is dry enough to continue.) MAIN CONVENTIONAL SYSTEM: _ WIDTH LENGTH NO. OF DISTR. PIPE SPACING COVER INSIDE CIA SPITS- LIQUID BED/TRENCH TRENCHES MATERIAL PIT DEPTH DIMENSIONS O C,HAV 1 1) F PTII FILL DEPTH DISTR. PIPE DISTR. PIPE DISTR. PIPE MA ERIAL. NO DIS,7R. NUMBER OF ~PHOPERTY WELL BUILDING- VENT TO FRESH BE Ll PIPE S ABOVE COVER ELEV INLET ELEV- END. PIPE$..= LINE AIR INLET: f FEET FROM ` , / 0 2 / NEAREST MOUND SYSTEM: Mound site plowed perpendicular to slope Check the texture of.the fill material for PROVIDE A DIAGRAM OF SYSTEM and furrows thrown upslope: m and systerr_, to; make- c tain that it ON REVERSE SIDE. SHOW ELEVA- eets the Efiteria for mediu saMt _ , TIONS MEASURED. EYES ENO SO .`OVER. TEXTURE PERMANENT MARKERS OBSERVATION WELLS EYES ENO EYES ENO DI-PTH OVER TRENCH BED DEPTH OVER TRENCH,BED DEPTH OF TOPSOIL SODDED SEEDED MULCHED cFNrER EDGES EYES ENO EYES ENO EYES ENO PRESSURIZED DISTRIBUTION SYSTEM: _ WIDTH LENGTH NO. OF LATERAL SPACING: GRAVEL DEPTH.BE" OW PIPE F I L L DEPTH ABOVE COVER. BED/TRENCH TRENCHES: DIMENSIONS j . MANIFOLD PUMP MANIFOLD DISTR^' PIPE MANI LD MO DISTR. DISTR. PIPE DISTRIBUTION PIPE MATEHIAL & MARKING FLFV.. ELEV. DIA. ELEV IPESDIA: ELEVATIO N AND DISTRIBUTION HOLE SIZE HOLE SPACING DRILLED CQA1 CTLV RIAL. VERTICAL LIFT CORRESPONDS TO APPROVED INFQRMATION PLANS YES ONO EYES ENO COMMENTS: PERMANENT MARKER OBSERVATION WELLS: IMIT ER OF PRO PERTY WELL: BUILDINGFROM LINEEYES ENO EYES ENO EST~_ f S Sketch System on Retain' in county file for audit. Reverse Side. ' TITLE. - - DILHR SBD 6710 (R. 01/82) - I~ DEPARTMENT OF APPLICATION SAFETY & BUILDINGS INDUt:,TRY, FOR SANITARY DIVISION LABOR AND PERMIT P.O. BOX 7969 HUMAN RELATIONS (PLB 67) MADISON, WI 53707 Attach plans for the system on paper not less than 8'/2 x 11 inches in size. Include a plot plan that is dimensioned or drawn to scale. Horizontal and vertical elevation reference points must be shown. All appropriate separating distances and physical characteristics as specified in chapter H-63, Wis. Adm. Code, must be shown. An index page or each page must be signed, sealed and dated by the designer. If designed by a Master Plumber, the date, signature and license number must be shown. A legible reproduction of the soil test report or the owner's copy must be included. Property Owner: Mailing Address: '5,;W 1~14 JeT 2- MuA9.5~0ti euv s 4"0/b Property Location: City, Village or Township: County: , S~~O W % AIS-1 /T 2-Y NCR 30 E (or) W ~7C- JO Lot Number: Bllk No::t Subdivision Name/: Nearest Road, Lake or Landmark: te Plan I.D. Number: assigned) V-1,74. Totfa TYPE OF BUILDING Number of ❑ Public* ❑ Variance* ❑ Other (specify)* Bedrooms: 1 or 2 Family *State Approval Required. TOTAL NUMBER PREFAB POURED-IN STEEL FIBERGLASS NEW REPLACE- OTHER GALLONS OF TANKS CONCRETE PLACE INSTALLATION MENT (Specify) SEPTIC TANK CAPACITY /e-ev x X HOLDING TANK CAPACITY LIFT PUMP TANK/SIPHON CHAMBER s¢ MANUFACTURER: &7,61 E` ~ ~e_ !y Qc K r3 Lee- A) EFFLUENT DISPOSAL SYSTEM PERCOLATION RATE ABSORPTION AREA (Minutes per inch): PROPO D (Square feet): New ❑ Replacement ❑ Experimental Seepage Bed ❑ Seepage Pit y' ;r yD Alternative (specify)- ❑ Seepage Trench Water Supply: Owner's Name as Listed on Soil Test Report (If other than present owner): Private ❑ Joint ❑ Public I, the undersigned, hereby assume responsibility for installation of the private sewage system shown on the attached plans. Name of Plumber: Sig MP/MPRSW No.: Phone Number: 0A) ('715 ) 3Y./ mss` Plumber's Address: 4--fName of Designer: 722- A40A),?,OE 5f NoR / Sn,J CQ)/ S a"y COUNTY/DEPARTMENT USE ONLY Signat re of Is n iAg r Fee:/~ C3 C /Date: APPROVED Sanitary Permit Number: z A, rC' DISAPPROVED 6 b 'Reason for Disapproval: Alternate course(s) of Action Available: Change of ownership, building use or plumber requires a Sanitary Permit Transfer Form (67-T) to be submitted to the county prior to in- stallation. Failure to comply will void the sanitary permit. DISTRIBUTION: White-County, Canary-Bureau of Plumbing, Pink-Owner, Goldenrod-Plumber DILHR-SBD-6398 (R.07/81) IN DUS NTaOF REPORT ON SOIL BORINGS AND SAFETY & BUILDINGS INDUSTRY, G DIVISION LABOR AN P.O. BOX 76 HUMAN REDLATIONS PERCOLATION TESTS (115) MADISON WI 3707 (H63.090) & Chapter 145.045) LOCATION: OT NO.: BLK. NO.. SUBDIVISION NAME: sw / ►t Tz9 H/R34 W fir, Jo E>z't'/ z e,s KA vo 1-. 1 P17/ COUNTY: OWNE H'S NAME: MAILING ADDRESS: CSFT , G R.0 r p` S ~1~ z G. '4~ l 1 ►7 S C7 N , \,t,l I S-*o / USE DATES OBSERVATIONS MADE NO.BEDRMS.: COMMERCIAL DES RIPTIO : FRtSTLE E~E}~fET1~ SS: STS: Residence -2 IjSJNew ❑Replace ~ a Z RATING: S- Site suitable for system U-_ Site unsuitable for system ONVENTRGINKE M U D: IN-G (-PRESSURE: SYSTfM_iW- IC 10LDING TANK: RECOMMENDED SYSTEM; (optional) S ❑UI S ❑U S ❑U NS❑U EISSUU ~~~!-~~.du>e,p- PIi.CSSV2~T ~o~,v. 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: I & &L Floodplain, indicate Floodplain elevation: ( Fr arr PROFILE DESCRIPTIONS BORING T(7TAL P H T R UNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS, COLOR, TEXTURE, AND DEPTH NUMBER ELEVATION OBSERVED EST. , TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.) I -7 ITO 5, 4,°/O' 5L L,o.s°~~3 Mad sw B- ~7,7 Onti~ >~y,t~J' oE'-a.rL'l+oe,zon.rs ee BnvL /,OD' nL t. L, o•bo) P6 fbn Med 5, ©,eo) L-r, Mad 5 w B- o.a'NoaizPNS c!F D>< F3• ~5, r (c o'; c:5 "/4'x, )'=i0'j 1?d Gtr, L, 4. ~o' r rat l,oo'I g LI 1. U'j 5'\ L5, 0. IS"; Bn Mad 5 w B-4 7,00 /00, 8 pti 7 7. 0 U ortlzonr o~ C5 w G-+ 0. L3r SL t y Li` , , r o0'3 +~n L, 1 Z0'} k'- 3., LSr0,70'; Z- 5' ' 2d, S L 3. v v B- PPERCOLATION TESTS G f{'7-Es~: ScL `j f7, EST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES NUMBER IL_hlMttE AFTERSWELLING INTERVAL-MIN. PERI~t _p): I D PER INCH P- F__21.701 p _ 3 - J 4 / 17 e, /z. z P. ? o' (\1 Lo --r7--/4; Y4- Z _Ako P- Z' o' oNEE lI 13 yZ 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. t> SYSTEM . ELEVATION 993. z 4~ I r~ 0 1-, it S I of I o o' w trJ i is _ --~-o t N I o i i f Ica - - i I . ENG11 MA0 00 I, the undersigned, hereby certify that the soil stsireported on tll is Irmtr~re made by me in accord with the procedures and methods specified in the Wisconsin Administrative Code, and that the data recorded a the Itlcativn~Ythe tests are correct to the best of my knowledge and belief. NAME (prints TESTS WERE COMPLETED ON: ITT 11=ti Eh f T e ST l cv,._ 1_D ~_1 LP Z___ ADDRESS: - CERTIF'ICAT'ION NUMBER: PHONE NUMBER (optional): 2 D CJ Net, E-T ' - c.►"D''a*-L( p~ 5_h 5 G"1 5 9G - ' 6 '74. CST S NATURE: DISTRIBUTION: Origmil anrr nnf r py to I Heal Authority. Pronetrylkr er and Soil Tenter. rill lar, PLB 7 It P1.0T and CRO55 f l ~PE~ L I ~ / f3vR~ ~f 3"~~ Fi3'iD£41A \~/4 ~ / l / //s o U~l'1~ cL /sTv JAI STATE IzG~CSl ff V 2 SEe,/~ 1 R2 . /~N1 16' A/rD ficlo 4900j) 1S -z 100,0f7-- Fresh sT. Air Inlets And Observation Pipe Approved Vent Cap Minimum 12° Above Final Grade ~S t MI~IiM~~ ~ 4" Cast Iron rsiL 1 Above Pipe Vent Pipe ,To Final Grade larsh Hay Or Synthetic Covering Min. 2" Aggregate Over Pipe Distribution Tee Pipe 0 0 0 0 0 IY " Aggregate o Perforated Pipe Below Beneath Pipe o Coupling Terminating At Bottom Of System 328857 CERTIFIED SURVEY MAP Volvii c 1 Page 171 N 88°23'55" E 530.00' lbo -0 r a °ti0 O f~ 4b°3 r M p "l: c ~ LOT 3 to w j, ` - 5.137 ACRES to c °O °O 'COD 436.20' 0 q 8& ROAR EASEMENT S 88°2355 W ' r / O ©I 495.59' ° 1 120.00' O ` o 4,54- CIA w ' 30~ N 37018'45" W 1 g 8 131 014 - LT T o 9-8.5 3' 0 • `j- >?s 5.459 ACR M N 88023'55 E 36302' . `9~' `0s> o 00 Sb • 46~10~ as„ O 1.28' 0 3~. N CCD 328857 2A a 3s'• ~S'v ti • ' 187°2925" 0 305° 001, •4~ 02 S 8802355" W 449.23' X011 y o d \ \~a s v3 D FILED Y" 0 AUG 2g s~ \ LOT t AWZS 0.CO►119 5 N S' . 5.026 ACRES x'(09, QcS, z 1°r Of Deed, [ ♦ • + _ ft 001A C Wl ti, S 88°48`35"W0~5'tp* o~ • ~i 141.37' 2~ SCALE : I~.= 200 • N 7!055'30" W 194.53 574 . . • " X 24" IRON PIPE 36.08` S 82°04` 30 W 270.27 O t WEIGHING 1.13 LBS. o CTS .N v cr 0 PER LINEAL FOOT ~p w N • Zz~ • o . ~z • • Q W • W cn . CURVE LOT RADIUS CHORD CHORD CENTRAL, NO. NO. LENGTH LENGTH BEARING ANGLE 1-2 1 1985.08' 517.54 N 38°05'35" W 14°58'50" 3-4 ROAD 199.00' 299.27' N 11°26'45" E 97°31'00" 4-5 ROAD 199.00' 96.94' N 74° 18' 05" E 28°11'40" 6-7 3 133.00' 102.75' S 65°40'33141 W 45°26'44" 16-8 2 13 3.00' 236.70 S 250 32'35" W 12 5°42'40" (SEE OTHER SIDE)