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020-1353-49-000
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A O o G O a - Z o rr z 3 I m m A * A I Q n 0 v T I c ■ oz a I 0 O I m I y A A N O� O El o°° < (p E O v v O 0 ~ a 2010 Use Value Guidelines For Agricultural Land Assessment ' (dollars per acre) County Code TVC Mcd name Grade 1 Grade 2 Grade 3 PASTURE Green 23002 Town Adams $307 $260 $189 $76 23004 Town Albany $313 $264 $192 $77 23006 Town Brooklyn $303 $256 $186 $74 23008 Town Cadiz $305 $257 $187 $75 23010 Town Clarno $304 $256 $186 $75 23012 Town Decatur $312 $263 $192 $77 23014 Town Exeter $305 $258 $187 $75 23016 Town Jefferson $301 $254 $185 $74 23018 Town Jordan $303 $256 $186 $74 23020 Town Monroe _ $310 $262 $190 $76 23022 Town Mount Pleasant $310 $262 $191 $76 23024 Town New Glarus $301 $254 $185 $74 23026 Town Spring Grove $303 $256 $186 $75 23028 Town Sylvester $307 $259 $189 $76 23030 Town Washington $310 $262 $191 $76 23032 Town York $307 $259 $189 $75 23101 Village Albany $304 $256 $186 $75 23106 Village Belleville $292 $246 $179 $72 23109 Village Brooklyn $293 $248 $180 $72 23110 Village Browntown $306 $258 $188 $75 23151 Village Monticello $308 $260 $189 $76 23161 Village New Glarus $286 $241 $176 $70 23206 City Brodhead $291 $246 $179 $71 23251 City Monroe $286 $242 $176 $70 Green Lake 24002 Town Berlin $228 $186 $140 $55 24004 Town Brooklyn $226 $184 $139 $55 24006 Town Green Lake $222 $181 $136 $54 24008 Town Kingston $220 $180 $135 $53 24010 Town Mackford $216 $177 $133 $53 24012 Town Manchester $222 $181 $136 $54 24014 Town Marquette $223 $182 $137 $54 24016 Town Princeton $225 $184 $138 $55 24018 Town Saint Marie $224 $183 $138 $54 24020 Town Seneca $224 $183 $138 $54 24141 Village Kingston $216 $177 $133 $53 24154 Village Marquette $220 $179 $135 $53 24206 City Berlin $211 $172 $130 $51 24231 City Green Lake $215 $176 $132 $52 24251 City Markesan $208 $170 $128 $51 24271 City Princeton $208 $170 $128 $51 Iowa 25002 Town Arena $295 $250 $182 $73 25004 Town Brigham $279 $236 $172 $69 25006 Town Clyde $292 $247 $180 $72 25008 Town Dodgeville $288 $244 $178 $71 25010 Town Eden $285 $241 $176 $70 25012 Town Highland $279 $236 $172 $69 25014 Town Linden $278 $235 $171 $68 25016 Town Mifflin $280 $237 $173 $69 25018 Town Mineral Point $286 $242 $177 $70 25020 Town Moscow $281 $237 $173 $69 25022 Town Pulaski $288 $243 $178 $71 25024 Town Ridgeway $277 $235 $171 $68 25026 Town Waldwick $283 $239 $174 $70 25028 Town Wyoming $293 $248 $181 $72 25101 Village Arena $273 $231 $169 $67 25102 Village Avoca $275 $232 $170 $68 25106 Village Bameveld $261 $221 $161 $64 25108 Village Blanchardville $280 $237 $173 $69 Page 12 , Wiscorttin Department of Commerce PRIVATE SEWAGE SYSTEM County: Safety and Buildings Division INSPECTION REPORT St. Croix GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No.: Personal information you provice may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)]. 363932 Permit Holder's Name: ❑ City ❑ Village ❑ T iwn of: State Plan ID No.: Stout,_ Richard I Hudson Townsh CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: ( fI ° /U N-0.: ( ; h I ke < 020 - 1353 -49 -000 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. �� Septic G/r r� Pr / 2-- S j Benchmark 0. D l too & 1 o o e Dosing - � - s - v Alt. BM Q I, 93 y Bldg. Sewer A /0. G' Pp p9 Holdi f--- ------``, Ht Inlet Q , 3 _ 11 fop 2 TANK SETBACK INFORMATION et - TANK TO P/ L WELL BLDG. Air l to take ROAD Dt Inlet - Air In Septic f 5 d i 3, 0! NA Dt Bottom aJ j y j — al Dosing >,50' © 16,4" f iv NA Header /Man. 3 ,'1 q/ i / A ;.F.P- 9Z 45.6 G Aviatiull ---- Dist. Pipe s Tz 3.7' Gs Hot mg _ Bot. System e " A alti PUMP / SIPHON INFORMATION (a1 Final Grade AVNANW Manufacturer G Q 3,� au 45 ✓ , ‘75 D emand S t cover �+, ,� Model Number r PD_5-- � 1.g1GPM 'g0 it /D Z 97. $Y /00 TDH Lift Frictiorz S ystem TDH Ft /f , 1 Lo Head 2. /6.� Forcemain Length P L/ Dia. 2, rr Dist. To Well SOIL ABSORPTION SYSTEM BED / TRENCH Width Length ' No. Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS — 9 Z 2- DIMEN I • NS ----- SETBACK SYSTEM TO P/ L BLDG WELL LAKE / STREAM ING M. • acturer: INFORMATION TYPe �� — CHAM } ' .. - um .er: System:Iki-- >2? 6 ID.3 OR UNIT DISTRIBUTION SYSTEM Header / Manifold , Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length f 2, r Dia- Z / I Length 20 / Dia. Z r / Spacing / 2 I 3/// // I 30" SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Depth Over 1 xx Depth Of xx Seeded / Sodded xx Mulched Bed /Trench Center Bed / Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) "E AA )G C.2 G . Inspection #1: ) a / 4. / ob Inspection #2: / d/o / o D Location: 869 Alex Lane, Hudson, WI 54016 (SW 1/4 NE 1/4 36 T29N R19W) - 3629192049 Cottonwood Ridge - Lot 49 1.) Alt BM Description = }op o4 tv ;Kefo We /( t a3 ) ` 8 (q 31i) 2.) Bldg sewer length = 3 3 / S' 1 /- - amount of cover = '..j 5. / Y) 7 «t was 4 a -c ,,,P• F fee f 3,)k We l( i 4 4-1 =e 4.-G AI L h// wlY✓ "fr 1, , . l�h 't �. e 1 �evn,cii d v 4,,, i�r .1 . Plan e revision required? 0 Yes No � ' 11111 1 Use other side for or addi tional inform tion. SBD -6710 (R.3/97) Da e Inspect ignature Cert. No. k3 ADDITIONAL COMMENTS AND SKETCH ' SANITARY PERMIT NUMBER: ir_ tirt rT,TrirT:Tr...f.Trur7T rimrt ti - ---- i 1 - 1 - ' 1 t, i 1 1 ! 1 111111411, 1 1ft_i i _tr. _ f i 1 11: :1:1 : : : TTT1FI g : ' 'L i i r f- ! r r MIMI [ 1 : i f i '. ' MOM 4 L '''..'' ' . 6 1 r ' . , . J , MIN mil : NM 11111111k. , ' al II MM. I 111 _1_,_ AIME mum II. . II 1111111111111111 . 4 ' 1 maw : , 111111111111 I 111 mil 11 S . , : : . .... ,... : . , . • :.. • .. I . ipuirismin rim ameirommu i . on Emil isimammo no . anammo : ' am 11111111K 1111111111111111 11111 . 111111111111 MI 1111111111111M1111111111 1111111111111111111111111111111111 1111111111111111111=1161111 111111111=111111111111111111111 : imilliMilbli : IMEIMINI 111111111111111111111111111111111 111 1 _ mom r MI 111111111111. 11111111111111 . ........ ... .......... ...... III , 111011111111111111111111 IlhelMiiid. 111111011111 . _ 111_ _ mum iimeimosimmorsauma • . ' 9 _ moo =mum winumiummiumm : i ! • , , , main ii III _ AIR 11111111111111111110111111 4. L E ' 11111 . II AIL 1. • ILIMININIMINI 4.44_ . .111111 7 III . : 11.111.11111111111111111111 : ! 1 4_,H ± M 1 , . . ' III MEM 11111 i L7 ' . :4 MI 1 1111111117 : : IIMINIMI .1. , ,---1-1-: .... . , . ,...._,,± ............. • . * t* : H 1 : '1' ' ' 1111. Ilr aril • ` f $ 4 Safety and Buildings Division Wisconsin SANITARY PERMIT APPLICATION 201 Box Washington Avenue 7302 Department of Commerce In accord with Comm 83.05, Wis. Adm_Code Madison, WI 53707 - 7302 • Attach complete plans (to the county copy only) for the sys •s s • 1 - - '/, • County than 8 1/2 x 11 inches in size. ►" A► !L • See reverse side for instructions for completing this appl at • n RECEIVED `. TO to Sanitary Per it Number . Personal information you provide may be used for secondary purposes _ J u N d II heck iife t to o prev application [Privacy Law, s. 15.04 (1) (m)]. Q (9 9 /e h y ` j ' r 4 �W a Plan I.D. Number I. APPLICATION INFORMATION - PL PRI A FORM '� 3 Z 4 (/ Z-( Property Owner Name 6' rphi(iRgpp�yydl�oca �7 fl v $7 N `,ttAmf,043 • 3' T 9 , N, R /f E (or)/0 rty Owner's Mailing Address ' \ y Block Number w. / 35 3 'f- 4ru e lfrE 7, _ --•,..j , City, State Zip Code Phone Number Subdivision Name or-C6M Jur - er s . * 11A/ r 0 ( kry' a- /i/. __..,'CO A I 1I. PE • : IL ' ING: (check one) ❑ State Owned ❑ Ity Nearest Road 0 Village ❑ Public 1 or 2 Family Dwelling - No. of bedrooms /Town OF AL4(hr bid ea77O,("h*z/ Tx. III. BUILDIN USE: (If building type is public, check all that apply) Parcel Tax Number(s) r3S3 14. 29./ /zoy9 1 ❑ Apartment/ Condo AZe — 4 /9 — APO 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 ❑ Office / Factory 13 ❑ Other: specify IV. TYPE OF PERMIT: (Check only one box on line A. Check box on line B, if applicable) A) 1. W New 2. ❑ Replacement 3. ❑ Replacement of 4. ID Reconnection of 5. ❑ Repair of an System System Tank Only Existing System Existing 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 Other 11 ❑ Seepage Bed 21 ❑ Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22 ❑ In- Ground Pressure 42 ❑ Pit Privy 13 ❑ Seepage Pit 17 -G,e,i-,©% 43 ❑ Vault Privy 14 ❑ System -In -Fill Z (7 7 Z ' 7 VI. ABSORPTION SYSTEM INFORMATION: Cor7pif/Z. If fe S' - 1. Gallons Per Day 2. Absorp. Area 3. Absorp. Area 4. Loading Rate 5. Perc. Rate 6. System Elev. 7. Final Grade Required (sq. ft.) Proposed (sq. ft.) (Gals/day /sq. ft.) (Min. /inch) Elevation Gov ✓ : /c1O ./ , ✓ . -'0 . (,. ; �' Qja, Feet �'�, 2 – Feet VII. TANK Capacity INFORMATION in gallon Total # of Manufacturer's Name Prefab. Con- Steel Fiber- Plastic Exper. New Existing Gallons Ta n k s concret strutted glass App. Tanks Tanks ti a oF-14e[eli.e.g4enk /.2 SD — /2.' 2 / Gdf.CSC.G. 1.21' ❑ ❑ ❑ ❑ ❑ L(ft Pump TT k-45444efi-Ehember ) 'o -- I 7ii'O / W • Snit 121 ❑ ❑ ❑ ❑ ❑ VIII. RESPONSIBILITY STATEMENT Cc1,1.r x tyz - e TAN I, the undersigned, assume responsibility for installation of e site sewage system shown on the attached plans. Plumber's Name: (Print) Plumbe 's Signature: to ps PRSW No.: Business Phone Number: v ,. /' ' E2 ,/ R 1"72.z/..ra 75 S' Plumb d ress (Street, City, State, Zip C de): / / ,e1r/r-/Z5 // '' ,..11/40,1- . IX. CO 3rd COUNTY /DE MENT UST ONLY ❑ Disapproved Sanitary Permit Fee (Includes Groundwater Date Issued Issuin gent Signature (No Stamps) Appr oved Surcharge fee) A pp ❑Owner Given Initial / Adverse Determination 32 00 / (VG ¢,,,,/ X. CONDITIONS OFpPPROVAL / REASONS FOR DISAPPROVAL: l S 5-7 5,4, _ e- ., s 1. /P( o- Y pig- 5 SBD -6398 (R. 4/99) DISTRIBUTION: Original to County. One copy To: Safety & Buildings Division, Owner, Plumber INSTRUCTIONS r w C_ ! 1- A sanitary permit is valid for two (2),,yeer.*. -' 2. Your sanitary permit be renewed before the eltjpirati0rldate, and at a time of renewal any new criteria in the Wisconsin Administrative Code will applfcabile. 3. All revisions to this permit must be•alppr `g bi t1Ae�petmit ii91ting authority. 4. Changes in ownership or plumbek requires a ajit ,y PermifT -r nsfer / Renewal Form (SBD -6399) to be submitted to the . , county prior to installation <rrj, : N:�rK, f ; ,` 5. Onsite sewa systems must be propertyxr�aii tairned- The s ptic tank(s) must be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years- ; t - • • 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety and BviicliAgs Division, 608 - 266- 3151:s�- • y , - • 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 beirisfalled.• II. Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling. III. 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 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 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 completaimensibris, ( ocation of holding tank(s), septic tank(s) or other treatment tanks; building sewers; wells; water mains/water 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; 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; and F) all sizing information - GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the cre of surcharges (fees) for a number of regulated practices w hich can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater contamination investigations and establishment of standards. Safety and Buildings 4003 N KINNEY COULEE RD r \1 y ._ t _ ? � LACROSSE WI 54601 -1831 TDD #: (608) 264 -8777 i sconsin , www.commerce.state.wi.us D C Department of Commerce Tommy G. Thompson, Governor i ,c ZIA ,0\* Brenda J. Blanchard, Secretary ' June 21, 2000 �` �S � ,t`+ c/ '- � ,J OUST ID No.691727 K /7N i TSiNS?EQ'OR ARTHUR L. WEGERER ZONE G OFFICE 421 N MAIN ST ST CROIX COUNTY SPIA PO BOX 74 1101 CARMICHAEL RD RIVER FALLS WI 54022 HUDSON WI 54016 RE: CONDITIONAL APPROVAL Ident Numbers PLAN APPROVAL EXPIRES: 06/21/2002 Transaction ID No. 324121 Site ID No. 194558 SITE Please refer to both identification numbers, Site ID: 194558, Richard Stout above, in all correspondence with the agency. St. Croix County, Town of Hudson SW1 /4, NE1 /4, S36, T29N, R19W Subdivision: Cottonwood Ridge - lot 49 FOR: Description: Four Bedroom At -grade System Object Type: POWT System Regulated Object ID No.: 669438 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: • This system is to be constructed and located in accordance with the enclosed approved plans and with the Wisconsin At -Grade Soil Absorption System Manual (Pub. 15.21). • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard by discharge of partially treated or untreated liquid wastes to ground surface or into surface waters or groundwaters of the state, the owner will employ a properly licensed plumber to repair, modify or replace this system (including the possibility of installation of a holding tank with proper disposal) with such action approved by the Division and appropriate local officials. • 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. 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 potential for a law suit that may delay the effective date of the code so this status may or may not change. 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. • ARTHUR L. WEGERER Page 2 6/21/00 Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. Sincerely, DATE RECEIVED 06/15/2000 4 i/ (j fJ FEE REQUIRED $ 180.00 FEE RECEIVED $ 180.00 erard M. Swim BALANCE DUE $ 0.00 POWTS Plan Reviewer - Integrated Services (608)- 785 -9348, Mon. - Fri. 7:15 AM to 4:00 PM jswim @commerce.state.wi.us WiSMART code: 7633 • d Buildings _ r COULEE RD SSE WI 54601 -1831 TDD #: (608) 264 -8777 www. commercestate.wi. u s isconsin Department of Commerce Tommy G. Thompson, Governor Brenda J. Blanchard, Secretary June 21, 2000 CUST ID No.691727 ATTN: POWTS INSPECTOR ARTHUR L. WEGERER ZONING OFFICE 421 N MAIN ST ST CROIX COUNTY SPIA PO BOX 74 101 CARMICHAEL RD RIVER FALLS WI 54022 '� - � - ► 'SON WI 54016 RE: CONDITIONAL APPROVAL 41IW p {\ PLAN APPROVAL EXPIRES: 06/21/2 + I \�E��w�u Ident Numbers • lc ry(�� 1 ansaction ID No. 324121 ,..„A to ID No. 194558 SITE: 5S uN lease refer to both identification numbers, Site ID: 194558, Richard Stout 2 � C:C hUU 0-%C : bove,;in all correspondence with the agency. , St. Croix County, Town of Hudson 6 SW1 /4, NE1 /4, S36, T29N, R19W ,; {' Subdivision: Cottonwood Ridge - lot 49 FOR: Description: Four Bedroom At -grade System Object Type: POWT System Regulated Object ID No.: 669438 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: • This system is to be constructed and located in accordance with the enclosed approved plans and with the Wisconsin At -Grade Soil Absorption System Manual (Pub. 15.21). • In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard by discharge of partially treated or untreated liquid wastes to ground surface or into surface waters or groundwaters of the state, the owner will employ a properly licensed plumber to repair, modify or replace this system (including the possibility of installation of a holding tank with proper disposal) with such action approved by the Division and appropriate local officials. • 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. 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 potential for a law suit that may delay the effective date of the code so this status may or may not change. 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. • • ARTHUR L. WEGERER Page 2 6/21/00 Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. Sincerely, DATE RECEIVED 06/15/2000 FEE REQUIRED $ 180.00 FEE RECEIVED $ 180.00 erard M. Swim BALANCE DUE $ 0.00 POWTS Plan Reviewer - Integrated Services (608) -785 -9348, Mon. - Fri. 7:15 AM to 4:00 PM jswim @commerce.state.wi.us WSMART. code: 7633 Page ' of 6 AT - GRADE SYSTEM FOR A Li BEDROOM RESIDENCE LOCATED IN THE S‘&) 1/4 OF THE NE 1/4 OF SECTION 36 , T N , R 19 W TOWN OF ■_ , `,7t.t) \X COUNTY, WISCONSIN. OF CZ VI 3N►WW1) re. INDEX PAGE 1 'of 6 TITLE SHEET PAGE 2 of 6 PLOT PLAN PAGE 3 of 6 PLAN VIEW - CROSS SECTION PAGE 4 of 6 DISTRIBUTION PIPE LAYOUT PAGE 5 of 6 PUMPING CHAMBER PAGE 6 of 6 PUMP PERFORMANCE CURVE PREPARED FOR R C -k-F r STt L}T 5"' -1 -3 A TO `11Z � o s ors , w, s { () ?, mall. C 0114 � tjv Q r x-y �� of DOt11 os • PREPARED BY pR�tME - j � D � S 4":: \V1S,' , GE I i ✓ R S e �ND EN ij f GOR tor SEE WEGEFtER gp I L . TEST AND . G �q�� IDES = hi s = CE ‘':14C1110:::44. SCOIys� F.Q. BOX 74 421 N. KAIN ST. ��''" 4 RIVER FALLS. VI 54022 t l� 1I5-425 O16 i I n L = 6D1S P 6i V j4I r G V- 6 _ tz -° JOB NO. 00 -1 6' \-4'v N \�J- Q Z13"S S�`DN ? G 3 p= .- L 5' B 1 >_5' T 1 1 • > 5 I — = 2 I J "�— 7 r C NtANI FpL IA , - W - t C 4-0-% fmcm.Eskte .. _ r __ T • L_ o 0 0 5� '- ssuxttw�.tS- 6 1 �o o- 1 f j/ I /6 B . , ._ .' I/2 B A r• FE:T . - - _ e = � p T - C = 3 Linear Loading Rate= 4,2 GPD /LN FT L- 81. T.- =T Design Loading Rate= o.0GPD /SQ FT w= 31 r-E - E — 0I' Distribution Observation Well czitEGrer�_ Lateral ti-Ev.ab-0 eYo2 SvZ`,L = .twIlZlVvnCN _1 Fa - , c1-b.o � . ,t,,,,_, ,,,, _._.___ 7 __ Soil v77 ,• \ „\\ \i.;;' 12 _ :,A; Cove . ,” ' • , \ 2t. �.. =r 6" ,tom. s' �\ �, , N �, ..•. + ' toy .' , 0. ‘ 9S v-0 I >51 A -=.2' C A —2' 5 ' I 1 h ____ > i ' I Fig. 8c. Plan View and Cross Section of a Wisconsin At -grade Unit with Two Absorption Areas With in a Single Unit cn a Slcpirg Site • • • • Page j . Of • Perforated Pipe Detail • 0 I / End View Perforoted End Cap) -( PVC Pipe d ��o ce .1e,c i Install permanent marker at end of each lateral / e s PVC PVC Force Main Manifold Pipe r - Distribution Pipe Last Hole Should Be is‘ Next To End Cap Holes Located On Bottom, End Co • Are Equally Spaced P - CO -0 Ft. Distribution Pipe Layout S \--- Ft_ X '10 Inches Y 3o Inches Hole Diameter 3111.0 Inch Lateral Z -- Inch(es) Manifold " 2 Inches Force Main " Z. Inches # of holes /pipe ?.9 Invert Elevation of Laterals 9 6-o Ft. 2-9 x o- l oSS = \a gSK 2- 3 -1.9.q 6Pl.1 a Place 1st hole next to manifold with succeeding holes at lo intervals. Last hole to be next to the end cap. • Combination Septic: Tank and PUMP CHAMBER CROS5 SECTION AND SPECIFICATIONS ' PAGE 5 OF 6 • 1 VEIJT CAP WEATHER PROOF L 1 JUNCTION box 9'C.Z. VENT PIPC J ,— APPROVED LOCKING 1O' FROM DOOR, • MANHOLE COVER 1 -% , 111 1 'dINDOW OR FRESH 7 -- +�'P+Rt.11tJ` La1jEL AQ _INTAKE cokncutr 5 . � / I Isi s ,b:�Ml}l, GRA I , 1 .... 74-pod. 4 f l` — * 1 Ie'Mlu. /1. \ \\ y " Ilus;c�ttot� PI?, 11 INLET W /y16�t Cyr PROVIDE 1 +"'`TAiRTIGHT SEAL 1 111 \„// Approved , - I 1 1 1 Approved joint w/• Tank construction I joint w/ PVC pipe shall comply with 11 ALARM ILHR 83.15 and 83.20 e 11 PVC pipe � Oki I LLEV. / /S FL' __J PUMP�i ( 7 1 1 ). OFF CONCRETE 7-- 1 L 5Y3,00 - • aLOCK -,.` 1 1 ' • RISER EXIT PERMITTED ONLY IF TALK MANUFACTURER HAS SUCH APPROVAL 3' APPRc g EIED+JtNG SEPTIC E � SPEC I FICATIOMS DOSE TANKS MANUFACTURER: \'`»Q: c jc 3, / IJUMtiER OF POSES: PER DA TAWK :,IZE • \2ZSO l ISO GALLO►JS DOSE VOLUME r ALARM MAIJUFACTURCR: S•Jic SLjSjs IAtcLUat1J(a 6AGKrLOW: tib Z GALLONS MODEL NUMBER: 1 D ‘- '' J CAPACITIES: A= Z63 `419 SWITCH TYPE: )` "CZ Jc INCHES OR CALLOUS 8= _ Z. t,JCHES OR 3z ' Z GrLL01J5 PUMP MANUFACTURER: GmvL-bS C = 11 ) INCHES OR �'b "? GALLONS MODEL NUMBER: lb Q S O= 9 INCHES OR "'.S'1 GALLONS SWITCH TYPE: }" I��('')�f' NOTE: PUMP AND ALA RM AR TO 15L MIMIMUM DISCHARGE RATE 3"19 GPM INSTALLED OAJ SEPARATE CIRCUITS VERTICAL DIFFERENCE DETWEEU PUMP OFF ANO.DISTRIBUTION PIPE.. VI-7S FEET + MINIMUM NETWORK SUPPLY PRESSURE 2.50 - -_ FEET + 5O FEET OF FORCE MAIN X --4 F X0 1 LFRICTIOi FACTOR.. \•y-1 FEET TOTAL O JAMIC HEAD = \6.)L FEET • As per manufacturer 1.1,.12, gal /in. Liquid depth L H SAFETY AND BUILDINGS DIVISION 201 East Washington Avenue P.O. Box 7969 Madison, Wisconsin 53707 NVIsconsin Department of Commerce Tommy G. Thompson, Govemor William J. McCoshen, Secretary At -Grade System Onsite Verification Report Are the soil and landscape features accurately reported on the Soil and Site Evaluation Form )(/ yes no If no, provide a further description by including an onsite report, which may consist of a soil profile report, or provide a brief explanation below. e� — C/ 5 - I s - z o at) If yes, what other type of Private Owned Waste Treatment System (POWTS) could be used? 1 \1\tyk.A.AN(D. 5- I - z County Official Signature, Date 1 I C`t 0 N urn t � [x E S L.c,16 t v I s i 8r■ Property Location (,(Ar `/� , C ` /Y Sip � 2 9 1 `? ►�> Landowners Name SBD- 10513(N.11/96) . Wisconsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page / of 3 . Labor and Human Relations Division of Safety & Buildings in accor• a ILHR 83.05, Wis. Adm. Code ' 1 COUNTY I Attach complete site plan on paper not Tess tha : 11 inc s in size. Plan must include, but $7 C.Qatr(' not limited to vertical and horizontal reference • • i :M), , 1 d % of.siope, scale or PARCEL ID. # dimensioned, north arrow, and location and di . a .. a to n = r • -r.. ` oZ. 0 — / 3 1-.2 L/ ft - do c APPLICANT INFORMATION PLEASE • - ti T A ` � � ,� a DATE r, S---i6 INIFj ■ RMA IN _ . RE I BY / DAT _ .` • PROPERTY OWNER: STTM `ROPERTY LOCATION c .-' , •' , . LOT W l ive 1/4,S T 2? ,N,R 416, • mr I im # BLOCK # SUED. NAME OR CSM # PROPERTY OWNER':S MAILING ADDRESS �/ /! ✓1L. ✓/ - / , CI , STATE r ZIP CODE PHON '"!nRi1P ❑CITY ❑VILLAGE [ZjfOWN NEAREST ROAD VI New Construction Use [/j Residential / Number of bedrooms y [ 1 Addition to existing building j 1 Replacement [ 1 Public or commercial describe Code derived daily flow 09 gpd Recommended design loading rate . y bed, gpd/ft . r trench, gpd/ft Absorption area required bed, ft trench, ft Maximum design loading rate bed, gpd/ft -- trench, gpd/ft Recommended infiltration surface elevation(s) ft (as referred to site plan benchmark) Additional design / site considerations "pa/VD __ Parent material A/A /4 Flood plain elevation, if applicable /f//R ft S = Suitable for system CONVENTIONAL M UND IN GROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING �T K U = Unsuitable for system ❑ S fZ1 U S ❑ U ❑ S 0 U JZ1 S ❑ U ❑ S jd U ❑ S A u SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Texture Structure Consistence Baxtdary Roots GPD /ft2 Boring # Horizon in. Mansell au. Sz. Cont. Color Gr. Sz. Sh. - • - Bed Trent , . , rr- a AlGS &t At Vic cs •F • s • 6 ' `.' ;- 27 .0j' 7. Y - 3/Y — sL J m SOX mfr cs - /F" . S .6. Ground 3 yr -s7 7.3 yA - ,nts o s'6 m G r- - . 7 • J elev. ft. , • Dept to limiting - ' factor Remarks: Boring # -I /3 /0 - 3// Ls / "At PVC Ar VFR GS 2F .7 .9' intr /3"-?/ io- 3/2 — .fs .sG isl: es , F .7 .8' 3 . - 4 T - S- 'y S c L 2 c SIT / m F C.5 ^ . Sl • r Ground ,= — dip � e . y V P 5--- C I.6 CS c 2 .csLC' mi �Z _ a/ p no sv ft. � Depth to - limiting �2 " l Remarks: CST Name: — Please Print / il FOt<Err Phone: fir -70 3 sG Address: / 3v / 2 Or 5"t/o2 3 Signatur . ' Date ,- CST Number: ' f 4...1.4". iT� 1kihre • .PROPERTY OWNER SlOCI7 SOIL DESCRIPTION REPORT Page of PARCEL ID. Depth Dominant Color Mottles Structure GPD/ft2 Boring # Horizon . Texture Consistence Bourtay Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trend O -A- 7S-9 LS .2 ',OBI* M I/ FR /1'5 .2.F • 7 .r bongiii Z. 12-2? 7. 37.7 St ,2ricSdle /hFi .5 if .4 Ground 3 29-Y 7r- Y/e SL ps3A- es -5 eev. ,S/P trgft. t i y2-7S 7 f/ 1.) Itt.S Ai — NI Alp Depth to limiting • - factor Y Remarks: Boring # • :' MICA. Ground elev. ft. Depth to limiting - — factor Rerharks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # TAMIN .• Ground • • elev. ft. Depth to limiting factor Remarks: SBD-8330(R.05/92) • wT s y9 stri4e / " = f,' , do, = BM. 7'f OF NAG -/✓ Apt c t)ER -fMMEE ive•O • 44.1 = gAti T.rl dFN,rt -M✓ OUP rE4E, roo.o' o _ 7EL. Mb. 1 • =And tcj€I i coO • P- Fogerty Plumbing • of 1'� #221180 X = 6oc Ne. 28288 McKenzie Rd. Spooner, WI 54801 (715) 635 -9609 \ t \ • f J x �, a� Ner ' T i f j .- \J,. 2. %k. trD ' / 4E m k Yy' ? /Qs' _ r r . lc • * . r r< r r n x 1 Wisconsin Department of Commerce SOIL At 1D- .IT„EVALUATION 1 ?] Division of Safety and Buildings ,,\ t r:. I r .,, P of Bureau of Integrated Services in accord(�fi s.i 4Lt -4 8 Q9, Wis. Adm. Code • / ,; 4 ` County Attach complete site plan on paper not less than 8 1/2 x 1 y i a*s in si leap t - \ inc but not limited to: vertical and horizontal referen {H p 4t nt (BM), iredtion btiil .,\ 6 x � __r percent slope, scale or dimensions, north arrow, and loc4tignand lMpgce to nearest road °' _ Parcel I.D. # _ l APPLICANT INFORMATION - Please print all irnforma , / R iewed by Date Personal information you provide may be used for secondary purpo s (Privac 64/4 s (m)) ,..,/ , . 1417/ ) L qq Property Owner \ PropeMyd of ation ,� PIC hf rd N t ., . , . f '' Ov' o SW 1 /4,Ur 1 /4,S 3c, T? CY ,N,R f 5- E (or)® Property Owner's Mailing Address Lot # Block# Subd. Name or CSM# 1;� fit`+ tuk Tr . L4 Cc hA - cent 2SOcd P,av City State Zip Code Phone Number i� ❑ City ❑Village ��. Town Nearest Roach' 1 - . a c I w A 1 5 arts) ( 1 t b ) 549- te1"51 kAu,c130Th 1 Cctko et v-rcrad 4r, New Construction Use: Residential / Number of bedrooms 3 - 4 Addition to existing building ❑ Replacement ❑ Public or commercial - Describe: Code derived daily flow (....000 gpd Recommended design loading rate i 2- bed, gpd /ft - .? trench, gpd/ft Absorption area required 0 bed, ft Zan() trench, ft 2 Maximum design loading rate • Z bed, gpd/ft ' 3 trench, gpd /ft Recommended infiltration surface elevation(s) ?6 • 9 ft (as referred to site plan benchmark) Additional design /site considerations 1.fo -s r e 1e- j , 9S, 9 v Parent material 4 --t 1 QClat A Al. L ta,th Flood plain elevation, if applicable /f/A- ft S = Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank U = Unsuitable for system ❑ s © u ® S ❑ U ❑ S © U ❑ S 2 U ❑ S 6c7 U ❑ S I,k U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Structure GPD /ft g Texture Consistence Boundary Roots in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench 1 04 t c y rr 12.- _ — SL. I nictb< r y\cr c,...5 t P .'-t . 5 2 ig-L40 10 y r 'Ai 3 e 1 \ rp tk �M r c_ 2,. 3 Ground 3 90-1. 113 r 31 to c_2 1.5 r y k0+ Ct l Y V i rA 4 CS N N elev. ` P 95, ft. Depth to - ' limiting • factor , WC) in. Remarks: Boring # 1 b l 0A r 312-- .. — L. l rrca.bk . m4 - C5 IC . `I , . 5 2 2 k - to ,ir Li 13 _ S "t 1 \ naci is v "r - tcr- L3 _ 2- 3 3 :tonal - S 1C��,.i - 31(p c,2� r- _ crl ( 1Abs n' f c S NP : N.NP Ground elev. ?''ft. Depth to limiting factor 40 in. Remarks: CST Name (Please Print) Signature Telephone No. j am .SCh um 4 er �� - , - -- - --- (7/5) 2`17 Address Date CST Number `/0S OeCier54. - V y 30 merse4, L.)/ .`tC2 5 4 -1--/S- 99 25 3 309 L SOIL DESCRIPTION REPORT PROPERTY OWNER 'S - Page - of 3 ' PARCEL I.D.# Boring # Horizon De Dominant Color Mottles Structure G D /ft g Texture Consistence Boundary Roots P in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 3 1 O -2 1O y r 31Z 3L 1 c..4bk r r (S I . `I ; .5 2. y 3f o czp1 Syr '1 tl mQblL (Y'' c s — N p N p Ground elev. Depth to limiting factor Z in. Remarks: Boring # Ground elev. ft. Depth to limiting factor in. Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench Boring # Ground elev. ft. Depth to limiting factor in. Remarks: Boring # Ground elev. ft. Depth to limiting factor in. Remarks: SBD -8330 (R. 07/96) PROPERTY OWNER s SOIL DESCRIPTION REPORT 2 Page of J PARCEL LD.# Boring # Horizon Depth Dominant Color Mottles Structure G D /ft in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots P Bed Trench O - 2' (0 1 312 5L° lmcJbk m(y C . ' t l .5 2 2- 10 V it LZ. p 1.5 yr 4/0 d rei ( _ c s - n, p ; fv 10 Ground elev. 4 9g794. Depth to limiting factor 2Min. Remarks: Boring # Ground elev. ft. Depth to limiting factor in. Remarks: Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots I GPD /ft2 in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed , Trench Boring # Ground elev. ft. Depth to limiting factor in ' Remarks: Boring # .......................... .......... F ' Ground elev. ft. Depth to limiting factor in. Remarks: SBD -8330 (R. 07/96) PAZ e.. 3 043 G. y`( cc- d. .of t _ ___ . . nail i e 16,, p014-1c4 4-r e 1 ty• /Oo•O t1 a i t � '( • � r., x aria. Qiitu■ 1,41 SY<-khn - eke.v. 96, 90 e.lew `6 9 0 .0 - t Le Q - °7. D3 a rNZ r. 1 I , ;-i1 n.�I 1 1 ( 1 3.366 ACRES ci i $� I ' 0 ; I 146,628 SQ. FT. u' iv' Fi I I i 2.104 ACRES I� ^I . i • 91,673 SQ.FT. I j3 I I I is v• I N 1 I j- ,f I I IM 01 I"; (=%.1 • 1 i 1 Ln . j o .• 1 j I .. I I H . W . L 96 8.3 i i i 1 H.W.L =' 11 � � �i /, - -- • 964.1 � 1 1 1 - ' �, ....„--- -- ' 111 ......___ ___ I ....• 1 i J -�� -@ i i i 1 II i i i . • .,-. ...._13, 1 1 1 .•.. ....._ 0_ i i i .... \i, 7. ----- - ---, r ' 1 . I' ' • I 1 / r/� /' • j I I 4 ,,� I • I "' I 1 --- - - - - -- �� -- • ..... i r i i -- - -�-'- 33 -- - - / 1 1. . I I I • I 1 1 4.22 • ' I \ \ i I ao 184, / 1 1 1 \ 1 I IW I I I i j P ► !< 4 8 j 0 � I I 49 1 � i� I I I I0 1 Iy ! 2 .346 ACR i I • d ACRES I i i - • Q. FT. w 3.441 ACRES i 1 >'0 SQ. FT. • 1. i I P 149,895 SQ. FT. i i I1p I.o I T i 1" I i iv) 11 I i II: i 1 Ii 1 I' I1 I II i1 11 j1 1 � II II j1 it 11 11 11 II i1 • i II 1 1 1 1 1 10' TYR i i 1 1 z e. I I 250.73' _.J L._.__._ .__.- 2 85,00__.__.__._ 051 - -.J L— •-- �-- •-- � - -� - - - -� - -�— -- - N88'46'38 "E 1311.24' SHEET 2 OF 4 SHEETS SOUTH LINE OF THE SE1 /4 OF T j •. PLOT PLAN Page 2.0f '` Scale 1"= 4O' OO H G6 1 i . . I I 1 I 1 rI\ I Q., i o'oFy`pvc • 8 J t, si,, ° '2. J--- e . (- ., , i., esz, 9 ,_ ii I FA ST. CROIX COUNTY ZONING OFFICE 1101 Carmichael Road Hudson, WI 54016 (715) 386 -4680 DATE: TO: Fax Number: �Z� � c Name: A R "f& FROM: Fax Number 386 -4686 Name: -� �V I nJ 6 Number of Pages Including Cover Sheet IF COMPLETE AND LEGIBLE INFORMATION IS NOT RECEIVED, PLEASE CONTACT: NAME: TELEPHONE NUMBER: 3% - Li(R0 T VT P \ftJ C V ? f ;s -. . 1 c " Goulds _ eal i . .1 Submersible .. Efl]uent Pump MODEL 4. _•--s1+ a i T LJ 3871 EPO4 •" / `� EP05 • APPLICATIONS • Fasteners: 300 series • Fully submerged in high • Motor Housing: Cast iron Specifically designed for the stainless steel. grade turbine oil for for efficient heat transfer, following uses: • Capable of running lubrication and efficient strength, and durability. • Effluent systems dry without damage to heat transfer. • Motor Cover: Thermoplas- • Homes components. tic cover with integral handle Available for automatic and • Farms Motor: manual operation. Automatic and float switch attachment • Heavy duty sump • EPO4 Single phase: 0.4 HP, models include Mechanical points. • Water transfer 115 or 230 V, 60 Hz, Float Switch assembled and 1 Power Cable: Severe duty • Dewatering RPM, built in overload with preset at the factory. rated oil and water resistant. automatic reset. • EPO5 Single phase: 0.5 HP, ■Bearings: Upper and lower SPECIFICATIONS 115 V, 60 Hz, 1550 RPM, FEATURES heavy duty ball bearing Pump: EPO4 built in overload with construction. • EPO4 Impeller: Thermo- • Solids handling capability: automatic reset. plastic Semi -open design AGENCY LISTING 3 /4" maximum. • Power cord: 10 foot with pump out vanes for • Capacities: up to 55 GPM. standard length, 16/3 SJTO mechanical seal protection. SP Canadian Standards Association , ►" j • Total heads: up to 24 feet. with three prong grounding EPO5 Impeller: Thermo- ,. • Discharge size: 11/2" NPT. plug. Optional 20 foot mpe e rmo - (CSA listed model numbers • Mechanical seal: carbon- length, 16/3 SJTW with plasti enclos design for end in "F" or "AC ".) rotary/ceramic- stationary, three prong grounding plug improved performance. BUNA -N elastomers. (standard on EP05). • Casing and Base: Rugged • Temperature: thermoplastic design provides 104 °F (40 °C) continuous superior strength and 140 °F (60 °C) intermittent. corrosion resistance. • Fasteners: 300 series METERS FEET stainless steel. 10 - I j • Capable of running j z i ��* - dry without damage to 9 - 30 "7H f . —S components. Pump: EP05 L:- _ •,.,., ?sFS 1- • Solids handling capability: , c - 25 /4' maximum. w ■ 1 • Capacities: up to 60 GPM. o 6 - 20 • Total heads: up to 31 feet. m • Discharge size: 1 1/2" NPT. z 5 I i 6.1 (.ME\ C1 M • Mechanical seal: carbon- 15 • rotary/ceramic - stationary, a 4 - j � �� BUNA -N elastomers. ` EPOS 1 — di • Temperature: ° 3 - 10 104 °F (40 °C) continuous i_, 140 °F (60 °C) intermittent. 2 - EPO4 5 C"'_ 0 - 00 10 20 30 40 50 GPM • 1 1 I 1 1 1 0 2 4 - 6 8 10 12 m CAPACITY © 1995 Goulds Pumps. Inc. • Effective May. 1995 • �- ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer A C/wyr., .S 'u` Mailing Address e r Property Address i " . L F_ • 4;1, ( ) ttd/ (Verification required from Planning Department for new construction) City /State ,r7,cc6.r/ 5 Y4 Parcel Identification Number D.>o - Gee LEGAL DESCRIPTION Property Location $k.' '/4, /Vic 1 /4 , Sec.24 , T.2 N -R / 9 W, Town of /40466 . Subdivision 6. 144-/ t r t / e , Lot # y9 . C e r t i f i e d Survey Map # _ r --- , Volume - , Page # �'- Warranty Deed # 57€9 4 6 , Volume /; 7/ , Page # . Spec house ❑ yes no Lot lines identifiable/ yes ❑ no SYSTEM MAINTENANCE Improper use and maintenanceof your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by a licensed pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. The property owner agrees to submit to St. Croix Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is less than 1/3 full of sludge. I/we, the undersigned have read the above requirements and agree to maintain the private sewage disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, State of Wisconsin. Certification stating that your septic system has been maintained must be completed and returned to the St. Croix County Zoning Office within 30 days of the three year expiration date. ,.... ,, • / 1- 9/ SIGNATURE 0 ` `PL ANT DATE OWNER CERTIFICATION I (we) certify that all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owner(s) of the property described above, by virtue of a warranty deed recorded in Register of Deeds Office. ..)4A,40) (3--P SIGNATURE OF PLICANT DATE * * * * ** Any information that is mis- represented may result in the sanitary permit being revoked by the Zoning Department. * * * * ** ** Include with this application: a stamped warranty deed from the Register of Deeds office a copy of the certified survey map if reference is made in the warranty deed .Wisoansin Department of Industry, SOIL AND SITE EVALUATION REPORT Page / of 3 • Labot and Human Relations Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but feA 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 • : -T( F. • . at>p - / 3 r z - 4 /1 -a &c) APPLICANT INFORMATION- PLEASE PR REV WED —�¢ DATE :A y a.d fr..,/,..e ov(� �a /oc7 . ,, / PROPERTY OWNER: f• . � ' t r E]VEO 1 pe PERTY LOCATION , p s7da- 1 • . L0T 1/4, / 1/4,S3 T z / ,N,R /7 PROPERTY OWNER':S MAILING ADDRESS ; , ' / . _ _ - „r !1 N 2 . 2000 # - BLOCK # SUBD. NAME OR CSM # 3 eta - 1/! -M., , CI , STATE ZIP CODE 'HONE N i1;1 ; ;" V r TY OVILLAGE MOWN NEAREST ROAD • �e 11 r > 1 � + �J -1,04• :Iii �.�: - �- r . / /. ��,�' • ..� ✓/ ' ' yI New Construction Useyl Residential / b. o:01 [ ] Addition to existing building 1 1 Replacement [ ] Public or commercia • ; 15171111111P- Code derived daily flow gpd Recommended design loading rate , y bed, gpd/ft . $ trench, gpd/ft Absorption area required bed, ft trench, ft Maximum design loading rate bed, gpd /ft -- trench, gpd/ft Recommended infiltration surface elevation(s) ft (as referred to site plan benchmark) Additional design / site considerations /04ft/fr Parent material Flood plain elevation, if applicable / (/ /,4 ft S = Suitable for system CONVENTIONAL MOUND IN GROUND PRESSURE AT - GRADE SYSTEM IN FILL HOLDING T NK U = Unsuitable for system ID S 0 U S❑ U ❑ S A U )21S CI U EIS U ❑ S ,U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots Trench in. Mansell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed ed T Trench 'w,../ / p s7 - /p --3 /i srL ..ha:eve /fL/FR cS 2,c . s .4 i il - .'`' {`` ` Z 27-37 . 7. S /Y — sL 3 ii. Sdr ,, - .t cs /A" S .4 '' Ground .3 3T-s7 "7 -.s 9/` — ,ntS 0SG= ANC — — . 7 .1 elev. QS. t ft. Depth to limiting factor >S7 Remarks: Boring # :ME.: <::: ( B /3 • /o — 3// -- c s / Apr/4 hr L/FR cS 2 F . 7 •7 :t\ .. / iii w .,2 ` ). /3 "�/ . -to— -VZ ..--- Ats 0 / ML c /F . 7 ..V m 2_ 3 ?I -% ' X S - yy S c L 2 c Sd / !K, cS . y . s/ #sff. y 0 - SE'S = V/y . Cfb Ps 2.cSa,Jc ,ofF /2 _ /up , Depth to limiting factor fr, Remarks: CST Name:— Please Print h/9-vrI /�' Fot / Phone: 7/.r -70 3 5-0 Address: p ok l 30 (2 a'/3 'A7 Aix (oz 3 Signatur . .- -- Date: CST Number: fy 4,•-------.1 /� /Od 22//80 PROPERTY OWNER St'OGUT' SOIL DESCRIPTION REPORT Page :of.. PARCEL I.D. # Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPDlft2 in. MunselI Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trench 4 " irf' ?ice }}y. } :. 3 . ti / D /1. 7.5 - ,/ — LS .2m SBA' IMVFR !9 z iF . 7 " `:` : '::' -29. 7.s - 3/3 St ,?ncSdX /bc FR GS / T .S .4-/ Ground 3 29 -Y� 7 S - � y /, SL / Ps&R nmi- cS •V t 3 elev. .s 74 ;�v icy v . , ms PS rn 1- -- Depth to limiting factor yZ. Remarks: Boring # �:. Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD- 8330(R.05/92) .kt -# y9 Sex-GE / "=412' d 0 I = IN, 7v p BF A' oeL rN /So tr £ G t)ER t(EE, i00.0 ' 441.1 = BAY, lop eFwort . v,r-m regs, ,WO' a = TEL.. M.D. PAPJI l - N�) cg2� �cOG • F ogerty Plumbing �'`� T'" *221180 1 = AczNe• 28288 McKenzie Rd. Spooner, WI 54801 (715) 635 -9609 \\". .----- i /.", S/7 /po "to ' 7 °I s'l ac. a/ J & -z 1 0R -3 / os' /IL' , �G < �/ I rt 6 -r t qs 6 2100e \.■ /0 ' Cz F k yy AC /Qs' > l t - - _ - i - i I - I I -.4 � + + ��' - t . ,._ I I 1 • t - i • 1 I 1 t • . 1 ; 1 I -,-- + + i 1 . I ' 1 ! I - I' r ' - 1 , - - j 1 I , t I I j t i I I I - - i l H : t j 1 .-.I. - I I - - - - - 1 I , . -. : r i 1 1 I _ i L -. I 1 . • -..- -4-- vet. 1:171 Par' 1iS j /0 S90366 , WARRANTY DEED irts c: Document Number: 4 EG I S T F K' S OF I C E T. G!X CO„ W' . R. 4 g ',.r .i,40r4 Return Address: OCT 3 0 1998 a,, ' 1 7,./.; d /z- t9: 30 to - 1, - ,, t a,,._ -4. f.�.i..t, .. R. ,0er Of D Nde Parcel I.D. Number (PIN): 042 - 1086 -10; 042- 1086 -20; 042-1086-40; 042-1 50; - 042- 1085 -60; 042- 1085 -40; 042-1085-20; 02U- 110850; „ �., 020- 1108 - 60;020. 1108 - 70;020- 1108 -80 - 4.' Yemol J . AL i Th's Deed, made between Frederick G. Lenertz Land and Cattle Company, L.L.C., a Wisconsin , limited liability company, Grantor, and Richard O. Stout and Janet P. Stout, husband and wife, as survivorship marital property, Grantee, ” Witnesseth, That the said Grantor, for a valuable consideration, conveys to Grantee the erg following described real estate in St. Croix County, State of -.4. NE 1/4 OF SECTION 36, TOWNSHIP 29 NORTH, RANGE 19 WEST, ST. CROIX 4'- COUNTY, WISCONSIN THAT LIES SOUTHERLY OF INTERSTATE HIGHWAY 94. : ` *'' NW 1/4 OF SECTION 31, TOWNSHIP 29 NORTH, RANGE 18 WEST, ST. CROIX , , COUNTY, WISCONSIN LYING SOUTHERLY OF INTERSTATE HIGHWAY 94 EXCEPT CERTIFIED SURVEY MAP IN VOL. 1, PAGE 221 AND EXCEPT PART IN VOL. 634, PAGE 138 AND EXCEPT PART IN VOL. 913, PAGE 201. NE 1/4 OF SECTION 31, TOWNSHIP 29 NORTH, RANGE 18 WEST, ST. CROIX s, 'y: COUNTY, WISCONSIN LYING NORTHERLY OF 65TH AVENUE AND SOUTHERLY OF INTERSTATE HIGHWAY 94 EXCEPT PART IN VOL. 913, PAGE 201. This is not homestead property. -` c t f Together with all and singular the hereditaments and appurtenances thereunto belonging: And Grantor warrants that the title is good, indefeasible in fee simple and free and clear of 0 44 . <i encumbrances except easements and restrictions of record and will warrant and defend the same. ` , Dated this 30th day of October, 1998. "#. FREDERICK G. LENERTZ LAND AND A� L. TRANSFER CATTLE COMPANY, L.L.C. , r1 ,tt sLaireg .. -t2 ' 4dk edv\ ---6 ' 4 F Steven B. Goff, Power of Attorney Kfi`j Frederick G. Lenertz J 't ',,z. y.�7,{y' "t ' r s Y ,, , ACKNOWLEDGMENT , STATE OF WISCONSIN ) • ` ' "; ) SS. ST. CROIX COUNTY ) A.i Personally came before me this 30th day of October, 1998, the above named Steven B. Goff 0,V F*, to me known to be the person who executed the foregoing instrument and acknow'edge the same. ° A , 3 4 4,.. e. Pamela A. Skorude, Notary Public • Q. ;; St. Croix County, Wisconsin e - + l . h < , Y My Commission expires: March 17, c s 2 0 s t. THIS INSTRUMENT DRAFTED BY �� �•• •' . .; • Steven B. Goff , t OM' Bye, Goff & Rohde, Ltd. �,,,, "•' ""' _ � PO Box 167 9 .� ' River Falls, WI 54022 1 , SBG \LENERTZ \CLAFP\01 WD `} -.o w . ' w ♦