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HomeMy WebLinkAbout002-1064-50-000 (2) -E S'-NAG= S"S-EN INSPE .ION REP OA- l0 l GENERAL IN ORMA-ION a I Ncc - ars:as ..r,rtnauo- vm Crcva: rra, CC L', .r. io- :•sora nu-n IFn:... - A- uC sr~t: 's tv.rnr Gn+ L.anr ~wnemr Kara -a:: N: r-r.Q f c ; LS o 6nZ-/61.44 -5A_ J:- S@. Erne Ir•sc I:'r; .::irn :S=*n'inwnvkanpelv.ao N: _ is . yA GSA 7-. z5 . IV. 351716 TANK. INFORMATION ELEVATION DATA Wa \ 3 L4 l63 00 t air- :-g1019C - 3YF1119:_, ( ' I L ISUi I: JJ1.9t c~ C T ANK SETBACK INFORM.ATI N6 1 •7~ 93' ! -77 .'15: ?'m - 1-ma bran--- I 'i P'JMP'SIIP-iON IN=ORMATION f a~ 3 • L 9 V4' :qr 0.3;. R7.3Z ar % S.9(ol 48.9 ~z 58.E SOIL ABSORP-ION jYS-EM s ,F:a-?FN~N P;ac'e +Q ~r hac [r Tmn~/>IT DIAtiNSIDNS 'a [r nsroC C !ccc ✓cr:r °=75A7M. " 7>t~: _ ~ I3. ~ ~ I:^!c_- .-.--r.F hld L A~HIN~3 L1ena-acar~: I INF7RIl.A'17N • ` 4 - - - "HAMReF JF. {~4~ (,o ~,IeWf + / 7~Ca l UNIT ha- l w lgz~ D!S-RIBUTION SYS-EM 12- 1-/ ~ree:er na. ~j I ~c:r a:r-,r -ar. •:cszu.: ~i n/u~_ SOIL': OVER r ?assort SFstcma Onn xr Mounc O: :t-Graut Systrnr,. Onx i. ralr I cntt C~- Iu _~.G c fr v.tl'S»a a turimc COMMEN-S: in-l.lae/r.1or=Jri:>.::;UCnc1c: I 'rsor. plcscn: etc. rcc=ahor:l n aic+or r'_ / -matnor. +l f W- /w ~ k f` `CL~ •v~. 41: 31.1 Ju✓lphur : t R13- sew*, i~lptt \ r" 1 ;e ac n;rR- % 3c T a aanAluna IMImatix, l / / ZU 7~ Nc l 477 , a cl and Buildings Division ~ I 201 W. Wa hingixm A%e • P.O- Box 7162 ~ 7' 19 Math{on. NV1 5±707 - 7162 Samtan• Permit Num %i 110 lx tilled in b Co ) U visconN.41n I w i- 601)266-. Department of Coinalerce Slate Plan I.D. Number Sanitary PRrmit'AQ tlon N~ to accord with C,,ntm as : 1.WIS. Adr¢Y;ode r eronal mfotnuBon !'n wl c may ix• oust tot st amd n. }wts ux I uuxy Lusr, sl? rd(11pni Prolcc: Addn'cs (if different l}wn mailing address) 1. Application Information- Please Print All Information a'SI U S f1lC1 Black a Progeny Owtui's Namc Black a Iwo ll ,t.V A. rSc, ,.t~ _ tad a'0- O UC Property Onmer's Mailing Addrcs. Psmpaty Location a al y . 1 - A. u':.. section CAN. Stale zip Cwidc CC Phone Number Lv o J Q~V • ~~F~ Lti=-! ..S 'g' nc~ !7~ I/.S 7 - r'~ icadc 1 '1.-2 IN, RL r if. Type of Building (check all that apply) Sulirvlaon Name CS\1 Kumlxr or 2 iwniiv Dmclling - Number o. BrNlnxrr.'s SW 0 Pubhcicrnouctcfal-1"snlic Use IA ❑Statc Usncd Ikscnbcllscz _ 5 tt 1~♦^( y..~W+s-e ef5 I1`lity 1-Iv'illagc y7to+wshtp o[ OQ/f CC~.z• Type of Permit: (Check oral line A. Complete line B if applicable) nt. A. ❑ Neu S.\ stern Reel r1crnenl SCCICao ❑ TrcaWrntdlioldinc Tank Replacenma (Inly ❑ other btoditication to Fsisting System List 1'rcvious Partin Num6cr and Date Issued 8. ❑ Permit Renewal ❑ Pcuoil Revision ❑ Change of ❑ mit Transfer to New s perm 3 ~ f f „tea vt,a Before F.apimliun Plunder UW~+" i m: (Check all that apply) Von -Prcssuiiud in-around 64ounJ iu in of swwble wit 13 Mound <:J in. of suitable soil ❑ Al-l'ade Smile Pnss Sand Pillar ❑ oustrw:ted Wetland Pravunzed In{howtd ❑IWitting Tank ❑Pent Pipe: ❑ Aerobic Treatment I Inn ❑Recirculating sand Piltet ❑ Recirculating Svniheuc udw Filter ❑ I,caemng Chamber 13 ixop Lane 13 Gravel-less Pipe ❑ OtSw lccplmnt V. Dls rsal/freat cot Area Information fhaiwl How igpd%' Design Soil Application ILeURI*6' Diapcrsal Anse Required lso ihsyer. of Area Proposed (,r) Syslcm p.leval on VI .Tank Info Catw<in, no 'rowl Nmnlur "lanufacluTer Prefab Site Steel Fit c Plastic Gallons Gailons of l lints Concrete Cnivslmu ca (ilass >1rw Ilsixting w O l0 5zS 'tanks l'anls Sq,re r+r I1,dding T,iA / w-obi. 'V.I nnrt Ilnil I x"na. Clmniocr VII. Responsibility Statement-[. the undersigned, assume responsibility for installation of the POWTS shoran on the attached plans. Plumhur's Name (Print) PlumnllxY a Stnnatr¢c MPrLH+IF~-P1wal+e* Bacmcss Phone Number / ll:1'f - [l / _ BLS s,"`~z_ ~As Per mb<r's Address (succt, City. Srac, Zlp Code) r b'lll. ounty/De artlnent Use On1j_ _ A roved { Sanmur; Permit Fee iinotrlwt4wewrairrwlw~ Date Issu Issuutg gent Signulure Sla s) PP - , rrxrt rix~ 7 W d0 1 IX. Conditions of Approval/Reasons for Disapp loval SYSTEM, OWNER: 3' OLI j6'+er. c~wat 1. Sepo lark, eYltx.n: I iho- ero-i 1 ~ as per,aarayenen! plan o)m ewe ! a. ; Iwnnt,, V•-~ 2. All ae!1>.rtlt r~t.iwsr ^ens mud I.C r. e.nL u t p,r,pF&rw uar•s i ; rrli::nre t. :ynach complete Jilin. Oo aK (:aunn. radp) for the syslen .m paper not less $Icon 812. 1 Indus in size SBD-6398 (R. 01'01) ai lei V II h~ i -,w L. ~ V ~j ~ 9 y-. ~ _ ~Vr r y X n 1. T . \_1 17 I x - ~ 1~ 40 a pa of Private On-Site Wastewater Treatment System (PONVI'S} Index and Title Sheet Owner: ; - ~ ~ ,ii Project Name and System Type: Location: J Street Address. - - - Township/Count', Contents: Page : • - Page 2: 1 - Page 3: Page 4: Page 5: Page! L-v„ s( ii' y' /rn Page 7=_~_ r r~ - f . % 1iV°1d,/ Page 8: Page 9: Plumber'Desin ier: Signed: Credential Number: Date: LI I J 14- -~:Y"~~a~. ~~wd tee/ ~R\\ Ir I -41 a , "Al CL. /S - Scc tr'o^- ~ f~ 1!isir,'%r.J.,,, Ce!(S ~Lf 3 c ~/V I r y r, i pvc ycc,G 4,~ ~I fr.l -FoT~ S`/S~CM pre r P/a.. e~ O s It 11 u- 7~cn ~Ci nd r✓ cc, fy ~ ~ yu.cr'r ~T fS T rroV, de n.,,i /•i o ~ SCP t.~h ~ f'un ~-vC,~h f Nor fO dny vcd (C r Yd e I M T r 3Bd}; S/ CA.Z cGCG4rl&/✓I hfri7y27-!/~ Rc<7~ - `11S o = T '.1 lp~ u/tr , "e,t,-vc Yo l2 - AP/>~oV^(~- Icc[`.•,•y M7NLj e(P_ CGYCi.S cai_ , ~ ~ `f w.fC ~)~n.i~ !/l•.c/1` df dr.I, ?Q. I y.„. nn... 4: M.,. , a nAlen7 I ~i E't ~ P n J- i I ~ I i i 1 li¢do( 7 J v wa d,.. t' f Af;i r, -t4 o J POWTS OWNER'S MANUAL & MANAGEMENT PLAN Page Of FILE INFORMATION SYSTEM SPECIFICATIONS Owner y ! " Septic Tank Capacity J' 7 qal ❑ NA F ermd # Septic Tank Manufacturer ❑ NA DESIGN PARAMETERS Effluent Filter Manufacturer ❑ NA Number of Bedrooms ❑ NA Effluent Filter Model ✓ a T~ ❑ NA Number of Commercial Units ANA Pump Tank Capacity gat ANA Estimated flow (average) J auda Pump Tank Manufacturer ANA Design flow (peak), (Estimated x 1.5) aVda Pump Manufacturer ANA Soil Application Rate al/da /ftz Pump Mode! C~NA InfluentlEffluent Quality Monthly average' Pretreatment Unit ;5 NA ❑ Sand/G,ravef Filter 0 Peat Filter Fats, Oil & Grease (FOG) 530 mg/L p Mechanical Aeration 13 Wetland Biochemical Oxygen Demand (BOD,) 5220 mg/L Total Suspended Solids (TSS) 5150 m /L ❑ Disinfection ❑ Other: Manufacturer Pretreated Effluent Quality ❑ NA Monthly average" Dispersal Cell(s) Biochemical Oxygen Demand (BODS) s30 mg/L din-ground (gravity) ❑ In-ground (pressurized) Total Suspended Solids (TSS) 530 mg/L ❑ At-grade ❑ Mound Fecal Coliform (geometric mean) 5104 cfu/100m1 ❑ Uri -line ❑ Other. Maximum Effluent Particle Size Y. Inch diameter Values typical for domestic (non-commercial) wastewater and septic lank emuent. Values typical for pretreated wastowater. MAINTENANCE SCHEDULE Service Event Service Frequency Inspect condition of tank(s) At least once every ❑ monthsyear(s) (Maximum 3 yrs.) Pump out contents of tank(s) When combined sludge and scum equals one-third of tank volume Inspect dispersal cell(s) At least once every ❑ months ,Kyear(s) (Maximum 3 yrs.) Clean effluent flrter At least once every ,1, 0 months year(s) Inspect pump, pump controls 8, alarm At least once every ❑ months ❑ year(s) ITNA - Flush laterals and pressure test At least once every 0 months ❑ year(s) M NA Other-_ At least once every ❑ months ❑ year(s) M' NA o:hec I At least once every ❑'months ❑ year(s) 77 NA MAINTENANCE INSTRUCTIONS Inspections of tanks and dispersal cells shall be made by an individual carrying one of the following licenses or certifications: Master Plumber; Master Plumber Restricted Sewer; POWTS Inspector; POWTS Maintainer, Septage Servicing Operator. Tank inspections must in a visual inspection of the tank(s) to identify any missing or broken hardware, identify any cracks or leaks, measure the volume of combined sludge and scum and to check for any back up or pending 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 any pending of effluent on the ground surface. The ponding of effluent on the ground surface may indicate a failing condition and requires the immediate notification of the local regulatory 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 the tank shall be removed by a Septage Servicing Operator and disposed of in accordance with ch. NR 113, Wisconsin Administrative Code. The servicing of effluent filters, mechanical or pressurized POWTS components, pretreatment components, and any other maintenance or monitoring at intervals of 12 months or less shall be performed by a certified POWTS Maintainer. A service report shall be provided to the local regulatory authority within 10 days of completion of any service event. START UP AND OPERATION For new construction, prior to use of the POWTS check treatment tank(s) for the presence of painting products or other chemicals that may impede the treatment process and/or damage the dispersal cell(s). If high concentrations are detected have the contents of the tank(s) removed by a septage servicing operator prior to use. 61 page -C-_ nf'ZQ System start up shall not occur when soil conditions are frozen at the infiltrative surface. ; , _ During power outages pump tanks may fill above normal highwater levels. When power is restored the excess wastewater will be discharged to the dispersal cell(s) in one large dose, overloading the cell(s) and may result in the backup or surface discharge of effluent, To avoid this situation have the contents of the pump tank removed by a Septage Servicing Operator prior to restoring power to the effluent pump or contact a Plumber or POWTS Maintainer to assist in manually operating the pump controls to restore normal levels within the pump tank. Do not drive or park vehicles over tanks and dispersal cells. Do not drive or park over, or otherwise disturb or compact, the area within 15 feet down slope of any mound or at-grade soil absorption area. Reduction or elimination of the following from the wastewater stream may improve the performance and prolong the life of the POWTS: antibiotics; baby wipes; cigarette butts; condoms; cotton swabs; degreasers; dental floss; diapers; disinfectants; fat; foundation drain (sump pump) water, fruit and vegetable peelings; gasoline; grease; herbicides; meat scraps; medications; oil; painting products; pesticides; sanitary napkins; tampons; and water softener brine. ABANDONMENT When the POWTS fails and/or is permanently taken out of service the following steps shall be taken to insure that the system is property and safely abandoned in compliance with ch. Comm 83.33, WisconsinAdministrative Code: • 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. • After pumping, all tanks and pits shall be excavated and removed or their covers removed and the void space filled with soil, gravel or another inert solid material. CONTINGENCY PLAN If the POWTS fails and cannot be repaired the following measures have been, or must be taken, to provide a code compliant replacement system: ❑ A suitable replacement area has been evaluated and may be utilized for the location of a replacement soil absorption system. The replacement area should be protected from disturbance and compaction and should not be infringed upon by required setbacks from existing and proposed structure, lot lines and wells. Failure to protect the replacement area will result in the need for a new soil and site evaluation to establish a suitable replacement area. Replacement systems must comply with the rules in effect at that time. ❑ A suitable replacement area is not available due to setback and/or soil limitations. Barring advances ;n POWTS technology a holding tank may be installed as a last resort to replace the failed FOWTS. ` The site has not been evaluated to identify a suitable replacement area. Upon failure of the POWTS a so'J and site evaluation must be performed to locate a suitable replacement area. If no replacement area is available a holding tank may be installed as a last resort to replace the failed POWTS. ❑ Mound and at-grade soil 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 NOT ENTER A SEPTIC, PUMP OR OTHER TREATMENT TANK UNDER ANY CIRCUMSTANCES. DEATH MAY RESULT. RESCUE OF A PERSON FROM THE INTERIOR OF A TANK MAY BE DIFFICULT OR IMPOSSIBLE. ADDITIONAL COMMENTS POWTS INSTALLER POWTS MAINTAINER r i Name Name Phone Phone L_ SEPTAGE SERVICING OPERATOR (PUMPER) LOCAL REGULATORY AUTHORITY Name Agency Phone Phone document was drafted by the saf s e.` -,he Green Lake, Marquette and Waushara County Zoning and Sanitation agencies. This document meets the minimum requirements V ch. Ccn;m 83 2?(?)(b;oxv)d o and 83.54(±), (2) & (3), vvsconsin Administrative Code. Use of this document does not guarantee the performance ol the PoVv-.s. GMW (101J - ~ f 1 ,ial76C _L - 1v?~~'rU pro d a):ITt!:na_sCr a iSaoughcenter y „t t , struch!rat Columns. 9 - _ _ .,.y:K LOirr PrJil('s for Sha4ow ap]11c2COni. o Quiek4 Pius Standard Lave Profile C Quiek4 Pius Equalizer 361-94 Profile "er - = Shallow lahalladon MAMMAL -r ur,+3,.fa'xv,tves?iy~'+*,,;.:FCtTC-iC~,'+.1iYtitr,z,:- _ Aflplzmtiart ) ReQMd height app!i!aGonS. L" ShoR6r li12n standarl) cba-ruxxs 36' wide trench, curved, straight or side by side in b.-`S Sitn_ 1349AI x 53"L x 8"H (864 mm x 1346 mm x 203 mm) _ !racat~Lrngih 46"(1219 mm) - ' ~rtGcap _Quiek4 Plus A!'.-urCne 8 or Quick4 Pius dirlu t ' '^F ~i - - ~I ur A-ff:7 ~ Reduced h»ghf rn6ca6cn 9 'f0 ter Hi an snag rG ch-m+3~z. (z4° ~•noe ttnn n, cal ~ u, _!,ajyht c. ~ da u f !ae in ue!;s j 2ng! r. 53"L x 8"H (5S9 nn x 1346 mm x 203 mm) uimirva Lergm ( 48" (1219 mm) + ~Y Eadcaap I Quiek4 Plus All-in{1ne 8 cr Wcl,4 Flu j T------ iapS Gen: Use a- efter end r-f z rov r alros:inceiLiorcanteinsaCad midtrench. S".,'.e cqo ur :up mieLUr:u. _ _ Compatth!e •n4tit c] .fl(c Plus Low Pran!e Chamhr ~ 5ne: 18lk) x 13'L x 8"H (457 mm ON mm x 263 mm) Aduiionaitam}31 ~i0.d !?6 rrm)I ntslt'r,.h@3.3"(84mm) 0pfian?t!c=erp: aer Fndcap: I All-fi-0ne Perscooe Appftahdn: , imp c t c ,ig. I fh t Io.r for a prpe t aL6cn at . reenc, _Ifth z r.I-- rcw. Polig dhL pons a:e set to gray ty or eressu•7 o,*L CorScaeb a with QLnck4 Plus Low PruwaQivmbets. Size; i 8"t4' 7'L 6"H (457 mm x 178 mm x'203' mm) Mrli!iana!!Engih i 4.5" (114 mm) trIVOILteigtra i 3.3" (84 mm) CC,^.iC-.a :nBIL:•.iC: +~JGIEr TE:.u. &(GLw"5' Gt ::~.~-221-'.'!'.x. ~0, 2!i(1iIDn3+ 6lfOf'it_~T i c /'/e~l c --6 t fj INSTALLATION INSTRUCTIONS h Ak . '..swn•(j.._.:J`i~67: M'..K~.t. Mr:.'tY{/. S•~.'. '.if~ ~.''-4 r.~.L..~:J-.~tVF<. Cci:tl(ed LO - ® NSpfM13fA StanQ~rG 46 _ . MAINTENANCE INSTRUCTIONS Wl' St (f - t . a n:.:.+.---.-:.:.;~'.1yw+-Li ' - ei+%.li+~w•1{71•iASJ ~.i.~r4~ss. M~.Jf_+3..~.:F~..+'i9YMa3X+;~:iiF~i~ ST. CROIX C'OUN'TY SI DiIC 1 2\KN--\T\.i'~'CL CFrE.'t'`z_'N7 >',~D 0 tite'r` I C R IFICA710N FORM 9 b: vn_ Add-ess ,,r- Q~V ' O.z C~ cn moL ra tir a cnm Y:anning ZDnmg D en in: new conscuv➢L.! C`z'>3 ~a~a~~u,yl Tw~~ ?a eel Iden-;~dJnNumber Odd. /nom ..9- ~d2>n!~ LEGAL DESCRIPTION fc r r/~ it (41", - S2~ . _Z, 6 ; -Z!q N R A~ W. T.,wn of L.JC3~0'.7 ~ Cerribed Survev Map Volume J ; pagz r 1 Warmnrv Deed r 7 r Li L, } ibefxe 200-"AV0lume ?age Sp-, bo_u . vcss:x _T-Y, roes idmt ate} no sl'STEq vI7F.,\A1C A ~D OR~RCERTIFICATIO: :.^lp"oner Dr Xlf senzic. n,== CJL.C resu1 L ns n. ematlZ'e Z:art t.^ hm"De wum _T: Ct7^ iVI'S'S6 .Dr 7-. pL^3 :'1L _•1_ Sep _ :3Il1: C}'ti Ce VeZ: 07 CQZ-. L- ➢~]e:., JY I :lG=S.d y~^➢[Ie'. W= VJ_ PIn MtO :,_!7 za-, ll. _C: cht fu :^!J7 D tie s-,pa. :mnk as a 7ea=eLt sage m 3: w35L^. ^`!S7DS~~ n'S-fII VF'1G Z?u~'="..2nCe D [o:11L1eS are ,.^,)eC17ed s 7yS?S.: i and a Cha?= - - S- Cma Co=,:), Sa= : Z)rSn•3AC9 T ne prop rv ea e: z °°s to um a S! rre x Co mry Yia vti g & oasg epaen a c i5camDa iD 5 s: aed'ey ue , tmv and b a mz-~~- piu-n. :)e.r, is ,=*man pi=be:, resncla pi umber or a b::=sed 7am?e: ve-;.n-img that to on-sire. 7L~v: a:.e: aisposa: syst= is W ?;opts D-.)ea=g condnIon ands or iIj r-t= iasptzaon and n.:mpirg ~"ii oecessan, :he smac -au is ,oa was 1.? iz!I of sia.~e. i'we; :ae tmda-si©r' have -cad to abcve : e-TIi. -menz and agee -s mammm the -)r'vam seaaoe .iispcsal system wire :be se: ion, h----ir- as se[ : y we Dena.'-- ent oc Saien' Pia ?roicssiDne: Sa-t'ires' and the Decar~D ea: of Maur-a kesourceS, F aeons a C.a: -non r,7*ing m x x1otr s--?-ac sys7zzm'aa_c D--= ma n aincd must ;r_• compim-,__ an'_ lmec to the S= C: ix _ t'la➢nl➢i ~.oRY')g Depa-tmc➢: N'1t➢1n rE\R Di IIle th ee veer c):p== :.asp. I we =-_44y that a: syL,ments Or. tD:z are a-.[: tc the bes Df my,D:r imow•ledge. I'we am.a e tae DaverS; o: t1e :=^r deSCZDe_ abDVe, Dy yr me o d(u/ 7T'u~'v d9°d r°Cord Y_-_^_.SL:. D°G'35 it Ce. V N tun her of bedrooms = D'^..:a:km :hat S nt:sepre5c=__a Za)' -ttllit it je saS;` j i 7 . ~-_m 'et yLed ^,':b laL.I'!g : ,'pL!nf. JC^.a'Imen! `:r with ::::s amlicai=on a wa..=7, aeec from ae keVse, D Dxs Office asc a = c_c tpe Cc=5e: r.x ev ma;; L is maae IL the wa_-,"=t~ 6,=:L REV. 0 4'I_ F lit 5 411 I Jl' a'p 1~ F ! ~ Y t l A'.. Y Y.• IYA ~ PS Y' ~ ~1~+i~~~~' if ~C-..~ t r- Y~ 'r Li. ~i_'~2'.lt Y' r 1-4 Ir' Y[~ rte,- r' •C e~ -i 4 y "tye +4 C ~ y/ 41 -Adz ~ ( , hr St F r }1 It` ~ :.alp I`k 1 ~ ~ ac t t~d1P _f ~i r, i 1082971 BETH PABST REGISTER OF DEEDS ST. CROIX CO., WI RECEIVED FOR RECORD 06/12/2019 03:47 PM EXEMPT N REC FEE 30.00 Sanitary Easement PAGES recording --The above information Document Number verities that t this s ly r mcnt has been urne thle y recorded 8 returned to to the submit ter Richard M. Kiesow, land owner and grantor, grants permanent Septic Easement rights to current and future owners of Lot 1, Certified Survey Map, Volume 12. Page 3480. Document Number 582318, grantees, over lands located in part of the Southwest Quarter of the Southwest Quarter of Section 26, Township 29 North, Range 16 West. Town of Baldwin, St. Croix County, Wisconsin, being duly described as follows: Name and Return Adrinnn, Richard M. Kiesow 2516 Hwy 12 Woodville, WI 54028 002-1064-50-000 Parcel Identification Number (PIN) SEPIIC EASEXIEN'h DESCRIPTION The South 160 feet of the West 160 feet of Lot 1. Certified Survey Map, Volume 12, Page 3480, Document Number 582318, recorded at the office. of the Register of Deeds, St. Croix County, Wisconsin. This easement runs with the land and binds all heirs, successors and or assigns. I..C.(-AdGU _ .'~(d A a•Yi ct O~ AUTHENTICATION ACKNOWLEDGMENT Sianatura(s) S I A I In OF WISCONSIN ) )FS St. Croix (..tuna, I Personally coma before me this t27V ~ day of _ ~G authenticated thir, day of zet'j the rim" namod a _ to ma krwwn to TITLt: MtMStH S IA 1 t BAR OF WISCONSIN be the person(s) who executed thin fnmgoing instrument and acknowlstlOO the same (If not. rnth... ixad by § 700 o0, Wis ,tats ) THIS INS i RUMtN r cans OBArTFn nv- ~~E1PEfF A aSp Joel A. Brandt '35,•=0T JB Surveying, LLC 'ter T+~ UB~ - • Z.C Notary Publw, State of Wie i~l[}r rava¢ Sr~.•~ ,r~ryrNq~omminnsonti paarL It. If not, slate explrabon sate' rgl Data St. Croix count/ 1082971 Page 1 of 1 Ws. Dept. of Safety and Professional Services SOIL EVALUATION REFt6PrIVEO Page I of Division of Safety and Buildings in accordance with SPS 385, Wis. Adm. Code qU ZO~ St. Croix Attach complete I _ n~ t less than 8 112 x 11 Inches in site. Plan must include. but 91u~1i~ n5y cal and horizontal reference point (BM). direction and s r ftfei ID 002106450000 _ J percent slo{fe, state or dim - . north arrow, and location and distanw to nearest road. - t OUry~. i' Reviewed by Dale r Please print all information. _ Personal nformallm m, woman prey oe usetl for secondary ixr scs IPnvary t sw x is o.11) Wm . - Property Owner Property Location ❑ 1. r Richard \1. Ktesoio Govt. Lot ` ti4 S\k V4 S ''-6T "TN R 1@E tor) W - Property O.vner's Mailing Address Lot # Block # Sltxd- Narne or CSM# I 2516 US Iltv_v 12 city State Zip Code Phone Number M Village • own Nearest Road WoexlVllld Wisc. 54028 f 17)5-97^ 0051 I IS Ilwy 12 ❑ New Construction used Residential / Number of bedrooms ; Code derived design flow rate .150 GPD Replacement E] Public or wromercial - Describe: - Parent material Glacial Dlift Flood Plain elevation 0 applicable p}p fl. General comments and recommendations. Conventional System I # iO.+ T'~ N Sv,tcnl FI 95.6 6.6 Load hate Boring IT ❑ Boring 0 Pit Ground surface elev. 85.5 ft. Depth to limiting factor 72 in. Soil lica[ion Rate Horzon Depth Dominant Color Redox Description Texture Structure onslstence Boundary Roots GPD1f1 in. Munsell Ou. Sz. Cont Color Gr. Sz. Sh. ##l ' f#2 1 0-9 I0YR3;3 sl 2111gr ml cs 3 11,6 1 2 9-15 10YR4 4 t l 2nIK1. mfr cs 2 0.4 0.8 3 15_27 1OYR316 sl 2mgr ml cx 1 0.6 1.0 4 27.4:1 10YR4i4 cost 3m>r ml cs 0.6 1.0 44-72 1OYR4!6 cull 311ler nil cs 0.6 1.0 10YR2 6 > I li:u;k h:mdd Pr~kcbol da5 ' Sc ~lils;f mfl cs 0.2 +`i- 2] Boring# ❑ Boring 90,70 107 In. 89 El Pit Ground surface elev. ft Depth to limiting factor in. Soil Application Rate Horizon Oe lh IMminanl Color Redox Description Texture Structure onslstence Boundary Roots GPDfft Munsell Qu- St. Cunt. color Gr Sz. Sh ff#t - fl#2 1 0-7 I0YK313 A 2mgr nil cs 3 0.6 I.0 --1 7-22 2 O.4 0.8 101'K-7!:1 fsl mgr mfi cs t 22-49 10YR3.6 sl 2mgr nil cs 1 116 1.0 4 4974 I0YR44 eosl 3mgr nil cs - 0.6 1.0 Cs _ 01) 1.0 5 74-102 10YR4r'6 16 cosl 3mgr till 6 102-1 10IOYR2!I IlWkhund9gckcts(lelav se 2mgr mfi Cs 0.2 .03 Ffryuent # 1 = BOD , > 10 < 220 mg4 and T SS >30 1 SO mg:L -E ent #2 =ROD < ;10 rng:L and TSS < 30 rtxYL CST Nanie (Please Pont) Signature CST Number Thomas W. Gedattl. 962178 Address Date Evaluation Conducted Telephone Numbef Stang Plumbing S Flcctric P (T. 13us263 Woodville, Akisc. 54p2S _.'712013 715-6S4-,166 x-{r_i .-..,:x. Holme, William G - DOT <William.Holme@dot.wi.gov> Wed. May S, 2019 at 2:45 PM To: Charles Webster <ckwebster52@gmail.com> Mr_ Webster, I would agree that the plat says 33' on both side of the road. Bill Holme M G ma Plat for State Highway 12 messaees Holme, William G - DOT <William Holme@dot wi gov> Wed, May 8. 2019 at 11:26 AM To: 'ckwebster52@gmad com" <ckwebster52@g mail com> Mr Webster, Sorry it TOOK so long but I was trying to find a c~eaner plat, but it.ooks like this is the best on we have Bill Holme P.L.S. Survey Coordinator Office (715) 836-3913 Cell: (715} 450-0977 E-mail ewllliai ~ -irlmeq.dc; w- -,c,, Wisconsin Department of Transportation 'vV Clairemor,t Ave. Claire %Vl 5 A 4a ; STH 12 plat.pdf 430K Charles Webster <ckwebster52@gmail _com> Wed. May 8, 2019 at 2:23 PM To "Holme William G - DOT" <William.Holme@dot.wi.gov> Thanks for the help. On the far upper left and upper right corners of the map, it appears to read that the ROW is 33 ft. from centerline on both sides of the road. However, even with a magnifying glass it is very illegible. Is it any clearer on the plat that you have. I would like to verify that the ROW is indeed 33 ft. from centerline.. Thanks. Charlie Webster I 11} 9 ~ 1I .,,r• i o Y I r~ t i I 11 w,.~ _ k ~ i n av. z III ^ aE ~ 4; I ~<Ei~ F f ~ f pb l NNN _ Mir n It~ F: I'ti~ a^ L> 3 _ _ : ~ l6F: ry F 19 q 1 r pY G Z a I Y y z Y I 19 'Y~ fyy i 3 7 ~ F F fif n °C I 4t e _ I , s i• I I I F I 1 XR III^ ? as 1 1, i IFI rj v rz L f _ a ~ z 1l ~ -~r~i~rc w ~ i -I Lpi Q v „`T F D n m3~ 6-1 s E b ~X O O Q kz X11 m T v ~}I/11 1 c _ o I 1 A U C < O U1 m / ~o o ~