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HomeMy WebLinkAbout030-2110-30-000 { \ > \ � 2 � & © � / \ � \ co } / � 7 \ z G \ ) \ o _L ° k U \ \ § 7 $ . z § \ \ § CD / % < a m B z k 7 \ ) $ \ d Z co 5 qe�§ /f § \ � p \ . �ƒ D /) j a o \ ) z � { > / % E \ > ■ e k § G � f « \ m 2 0 2 ƒ \ N ± q \ � � � 2 0 \ § § § § § z 0 - a a a 7 CL § 0 B \ / 8 8 u< o 0 0 Q) 2 0 _ § 2 — g z E / e n / e J / « A W c � 'D � _ k � z ; C-4 ;» ° ■ ® ,n . - \ \\C #2 Er «� k k k/ } f k \\\ / / E \ k 5 $ / () / § 2 2 ) \ \ > n > - Lo / } a 7 ° g§ y\ 3 g o z{ z) k\ � « k \ (D I a » 2 M . c o \ IL \ 0 k ) 1 r Parcel #: 030 - 2110 -30 -000 05/08/2007 11:55 AM PAGE 1 OF 1 Alt. Parcel #: 6.29.19.907 030 - TOWN OF SAINT JOSEPH Current X ST. CROIX COUNTY, WISCONSIN Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type 00 0 Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner TYLER &SARAH TRONNES O - TRONNES, TYLER & SARAH 1128 32ND ST HUDSON WI 54016 Districts: SC = School SP = Special Property Address(es): * = Primary Type Dist # Description * 1128 32ND ST SC 2611 HUDSON SP 1700 WITC 4. 9 Legal Description: : Acres: 620 Plat: 18 -DEER HAVEN 1998 1893 -DEER 6 T29N R19W SW SW LOT 6 DEER HAVEN Block/Condo Bldg: LOT 06 ALSO PT OF LOT 5 DESC AS BEG NW COR LOT 5;TH ALG N LN OF LOT 5 N 89 DEG E 72';TH Tract(s): (Sec- Twn -Rng 40 1/4 160 1/4) ALG SWLY LN OF LOT 6 S 42 DEG E 06- 29N -19W 425.21';TH S 89 DEG W 362.18';TH ALG W LN LOT 5 N 00 DEG E 313.75'POB more Notes: Parcel History: Date Doc # Vol /Page Type 08/09/2005 802744 2861/293 TD 01/09/2003 705280 2106/210 QC 06/22/2000 625214 1521/61 WD 06/22/2000 625213 1521/60 WD 2007 SUMMARY Bill #: Fair Market Value: Assessed with: 0 Valuations: Last Changed: 07/12/2004 Description Class Acres Land Improve Total State Reason RESIDENTIAL G1 4.620 95,300 238,500 333,800 NO Totals for 2007: General Property 4.620 95,300 238,500 333,800 Woodland 0.000 0 0 Totals for 2006: General Property 4.620 95,300 238,500 333,800 Woodland 0.000 0 0 Lottery Credit: Claim Count: 0 Certification Date: Batch #: Specials: User Special Code Category Amount Special Assessments Special Charges Delinquent Charges Total 0.00 0.00 0.00 r Wisconsin Department of Industry SOIL AND SITE EVALUATION REPORT Page 1 of 3 /Labor and Human Relations Division of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY St. Croix Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. 030 - 1$�0 APPLICANT INFORMATION- PLEASE PRINT ALL INFORMATION R WED BY DATE S o 9S PROPERTY OWNER: PROPERTY LOCATION DAniel C. DAvis GOVT. LOT SWa 1/4 SW 114,S 6 T 29 N,R 19 k(or) W PROPERTY OWNERS MAILING ADDRESS LOT # BLOCK # I SUBD. NAME OR CSM # I 1129 30th. St. 6 na Deer Haven - l CITY, STATE ZIP CODE PHONE NUMBER []CITY []VILLAGE JZOWN NEAREST ROAD Hudson, WI. 54016 (715 381 -5264 30th. St. [x] New Construction Use k ] Residential / Number of bedrooms a ( ] Addition to existing building j ] Replacement [ ] Public or commercial describe Code derived daily flow 600 gpd Recommended design loading rate .7 bed, gpd /ft trench, gpd/ft Absorption area required 857 bed, ft 750 trench, ft Maximum design loading rate .7 bed, gpd /ft — . 8 trench, gpd /ft Recommended infiltration surface elevation(s) 93.20 alt. area =92.70 ft (as referred to site plan benchmark) Additional design / site considerations na Parent material outwash Flood plain elevation, if applicable na ft S = Suitable for system CONVENTIONAL I MOUND IN- GROUND PRESSURE I AT -GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable fors stem I ®S ❑U 91S ❑U I 97S ❑U ES ❑U ®S El 0 ®U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed jTrer& 1 0 - 10 10yr3/3 none sil lcsbk mfr cs 2f .2 .3 1 2 10 -28 10yr4 /4 none sil 2msbk mfr gw if .5 .6 Ground 3 28 -65 7.5yr4/4 none is Osg mvfr gw na .7 .8 9 4 65 -82 7.5yr4/4 none sil M na na na .2 .3 Depth to limiting factor + Remarks: Boring # 1 0 -10 10yr3 /3 none 1 lcsbk mfr gw 2f .2 .3 2 10 -29 10yr4 /4 none sil lcsbk mfr gw if .2 .3 3 29 -84 7.5yr4/4 none ms Osg mvfr na na .7 .8 Ground L L elev. r 97.2 ft. Depth to limiting -!�! facto + 9 ,� -1, .9 a Remarks: c' `a coFF�c CST Name: -- Please Print Gary L. Steel Phone: 715- 246 -6200 Address: 1554 200th. v New Richmon W 54017 Signature: Date: 7 -23 -98 CST Number: m02298 I PROPERTYOWNER Daniel C. DAvis SOIL DESCRIPTION REPORT Page �of 3 PARCEL I.D. # 030 - 1024 -70 Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bounclary Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 1 0 -10 10yr3 /3 none 1 2msbk mfr gw 2f .5 .6 _x. 2 10 -23 10yr4 /4 none sil lcsbk mfr gw if .2 .3 Ground 3 23 -36 7.5yr4/4 none sl lcsbk mfr gw if .4 .5 elev. 9 6.7 ft. 4 36 -84 7.5yr4/4 none ms Osg mvfr na na .7 .8 Depth to limiting factor +A4 Remarks: Boring # 1 0 -8 10yr3 /3 none 1 lsbk mfr gw 2f .2 .3 2 8 -13 10yr4 /4 none sl lcsbk mfr gw if .2 .3 3 13 -20 7.5yr4/4 none sl 2mgr mvfr 9w na .5 .6 Ground A N ft. 4 20 -84 7.5yr4/4 none ms Osg mvfr na na .7 .8 Depth to limiting factor +84 Remarks: Boring # 1 0 -11 10yr3 /3 none 1 lcsbk mfr cs 2f .2 .3 5<. 2 11 -25 10yr4/4 none sil lcsbk mfr gw if .2 .3 3 25 -36 7.5yr4/4 none sl 2mgr mfr gw na .5 .6 Ground elev. 4 36 -84 7.5yr4/6 none ms Osg mvfr na na .7 .8 9 5.9 ft. Depth to limiting factor +84 1, Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD- 8330(8.05/92) STEEL'S SOIL SERVICE Gary L. Steel 1554 200th Ave. Daniel C. DAvis CSTM2298 SW4SW4 New Richmond, WI 54017 S6- T29N -R19W 715 246 - 6200 MPRSW -3254 town of St. Joseph lot #k6 -Deer Haven This soil evaluation was conducted to satisfy.a zoning requirement, it may or may not be suitable for your use. The location of the test may or may not be as shown as permanent lot lines were not established at the time the test was conducted. N 1 =40' BM-= top of2" pvc pipe C e1.100' . Alt. BM.= top of 2 11 .pvc pipe C el. 95.90' Z8 , : 3 3C) l g -,7 � ell to r � � �3 �So) Gary L. Steel 7 -23 -98 i Wiscensin Department of Commerce Safety and Buildings Division PRIVATE SEWAGE SYSTEM Count y 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)]. 353394 Permit Holder's Name: ❑ City ❑ Village ❑ Tgyvn of: State Plan ID No.: D & K Construction, I St. Joseph Township CST BM Elev.:- Insp. BM Elev.: BM Description: Parcel Tax No.: (CID O� Oil r o r f3m O 0 — 2 tic) — 2e) —vir0 TANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark .3 IUD. 11) r 44 BA4 Dosing Aeration Bldg. Sewer Holding St/ Ht Inlet J 102 -93' TANK SETBACK INFORMATION St/ Ht Outlet TANK TO P/ L WELL BLDG. Air I ntake ROAD Dt Inlet Air Septic i r NA Dt Bottom Dosing NA Header/ Man. 7 30 1o2 -0 � Aeration NA Dist. Pipe 4 r L I o I ; 6$, Holding Bot. System r 1 w 10 •5-2 l oo -28 1 PUMP/ SIPHON INFORMATION Final Grade M turer d Model Number GPM TDH Lift L action S stem TDH Ft For ain Length Dia. Dis . well SOIL ABSORPTION SYSTEM Z , 6W THE Width t Len th , No Of Trenches PIT No. Of Pits Inside Dia. Liquid Depth DIMENSIONS $ " DIMENSION urer SETBACK Man SYSTEM TO P / L BLDG WELL LAKE/STREAM LEACHING INFORMATION Type Of I CHAMBER � M e Number: System: 11. "`�p,t OR UNIT i c DISTRIBUTION SYSTEM Header / nifold q Distribution Pipes) x Hole Size x Hole Spacing Vent To Air Intake Length I U Dia. — 1 Spacing CPO � + SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over '1� u Depth Over xx Depth Of xx Seeded / Sodded xx Mulched Bed/Tr nch Center pL� �' Bed /Trench Edges Topsoil ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.) Inspection #l: O'+/0b/M Inspection #2: --4 � Location: 324 Buck Run, udso�n, 54016 (SW 1/4 SW 1/4 6 T29N R1 W) - eer Haven -Lot 5 1 g 1.) Alt BM Description = (�P M . �� - �+_ Jll - 1 3V + I g 2.) Bldg sewer length= .�, +; / = 3� - amount of cover = 't-L a i -(.%, Plan revision required? []Yes No Use other side for additional information. U a k ml ( I S 1 2— E IR, SBD-671 (R.3197) Date Inspector's Signature Cert. No. ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: �.. _. s I t l i i i 4 E 3 CAl i Safety and Buildings Division Visconsin SANITARY PERMIT APPLICATION 2 1 Box Washington Avenue Department of Commerce In accord with wmv , , is. �fi fm. C Madison, WI 53707 - 7302 Attach complete plans (to the county copy only) for ; em, o paper j1ot,�ess County than 8 v2 x 11 inches in size. . } j' • See reverse side for instructions for completing t s plicati �ir�'Ll ` LJ k State Sanitary Permit Number 3 3 5 Personal information you provide may be used for secondary pu osell f f� 4 " Ira ❑ Check if revision to previous applicAtion (Privacy Law, s. 15.04 (1) (m)]. "' ST �X ; f State Plan I.D. Number I. APPLICATION INFORMATION -PLEAS E PRI LL TI Propert Owner Name r p ation K I 44 1/4, S T , N, R E (orl/ Property Owner's Mailing Address ! r r Block Number City 5 ate Zip Code Phone Number Subdivision Name or CSM Number 00 ( $ ) 4771 A4d,6E& II. TY PE OF BUILDING: (check one) ❑ State Owned Cl Nearest Road Public 1 or 2 Family Dwelling [I Vil age - No. of bedrooms Town OF Ill. BUILDING USE (If building type is public, check all that apply) \ Parcel Tax Number(s) 1 1 ❑ Apartment/ Condo C �p, ?31. 1G1 .�0�) p vwtAw.r^�g1 ! 0 ` 2,IID "-0 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 pQ New 2 ❑ Replacement 3, ❑ Replacement of 4 ❑ Reconnection of 5. ❑ Repair of an System ________System_____________ Tank Only______________ 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 43 ❑ Vault Privy 14 ❑ System -In -Fill V ABSORPT SYSTEM INFORMATION: 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) /Oar 0 Elevation ro /O /. S Feet /a �`� Feet VII TANK Capacity in gallo Total ,# Of r Prefab. Site Fiber- plastic Exper. INFORMATION Gallons Tanks Manufacturers Name r Con- Steel New Exist in C oncrete structed glass App. T nks Tanks i Septic Tank or Holding Tank I X 1 ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber ❑ 1 ❑ 1 ❑ 1 ❑ ❑ ❑ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility for inst allation of the onsite sewage system shown on the attached plans. Plumber's Name: (Print) Plu er's Signature: (No tamp MP /MPRSW No.: Business Phone Number: 1 17 V./ � Plumber's Address (Street, City, State, Zip Cod( ). r IX. COUNTY / DEPARTMENT USE ONLY []Disapproved Sanitary Permit Fee (Includes Groundwater D atelssued Issuing Agent Signature (No Stamps) Approved ❑ Owner Given Initial Surcharge Fee) Adverse Determination X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: 1 S -6398 (R. 4/99) DfSTRIBUTION: Original to County, One copy To: Safety & Buildings Division, Owner, Plumber INSTRUCTIONS 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at a time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer/ Renewal Form (SBD -6399) to be submitted to the county prior to installation 5. Onsite sewage systems must be properly rraintained. The septic tank(s) must be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety and Buildings Divi3 +on, , 608- 266 -3151. 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 be installed. ` 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. Vlll. 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 81/2 x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with coiplefe c5rTiensions, location of holding tank(s), 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 ors a 115 form; and F) all sizing information. ---------------------------------------------------------------------------------------------------- GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater contamination investigations and establishment of standards. r —_ f03 ,y 1 – - -- I �' L•7 �ok�GSi : 1 � � Y _. - i -- I /10 OS - {- OD J 4- } WELL. } � 1 - — t r i � S f i I a - - - - – -- — -- -- - - -- t — i - I -_ 1 QII!4:W AoAlf I — c� Y 1 t t { ! , r , , PP r d ` I E t - , , I 4 I r — r 1 I Y s r R E t , 1 , + f E f r , r ' iF i S i r r t t I t f E 1 '. S Z z 1 E y 3 , p . , ! B � I tl 0— — 4— — Li Wisconsin Department of Commerce SOCCKi[3 SITE EVALUATION Page 1 of 3 Division of Safety and Buildings in accord with Comm 83.05, Wis. Adm. Code Tom Schmitt Attach complete site plan on paper not less than 8'/: x 11 inches in size. Plan must County include, but not limited to: vertical and horizontal reference point (BM), direction and St. Croix percent slope, scale or dimemsions, north arrow, and location and distance to nearest road. Parcel I.D.# APPLICANT INFORMATION - Please print all information. 030- 1024 -70 Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). viewed By Qe J Property Owner Property Location Davis, Daniel Govt. Lot SW 1/4 SW 1/4 S 6 T 29 N,R 19 W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 324 Buck Run 5 na Deer Haven City State Zip Code PhoneNumber ❑ City ❑ Village ZTown Nearest Road Hudson WI 54016 715 381 -5264 StJoseph I Buck Run ❑ New Construction Use: Residential / Number of bedrooms 4 ❑Addition to existing building ❑ Replacement ❑ Public or commercial describe Code Derived daily flow 600 gpd Recommended design loading rate .7 bed, gpd/ft .8 trench, gpd/flz Absorption area required 857 bed, ftz 750 trench, ft Maximum design loading rate .7 bed, gpd /ft .8 t rench, gpd/ftz Recommended infiltration surface elevation(s) 100.75'& 100.35' ft (as referred to site plan benchmarl Additional design / site consideration Step trenches recommended (Original Area B4, B5, & B6) Alt Area Sys El. 103.20' B 1 B2, & B3 Parent material outwash Flood plain elevation, if applica ble na 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 I ® S U I ® S❑ U ❑ S 2 ❑ S® U SOIL DESCRIPTION REPORT Horizon Depth Dominant Color Mottles Texture Structure Consisten Boundary Roots GPD 1ft2 Boring# in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Trench F 4 -k wY 1-4,e C y.5 5",/s _ CST Name (Please Print) Signature: / Telephone No. Thomas 1. Schmitt 715 -549 -6651 Address Tom Schmitt Date CST Number Ref # 586 Valley View Trail, Somerset, WI 54025 6/22/00 227429 1010 4 1 0 -8 10yr3 /3 none 1 2msbk mfr gw 2f .5 .6 2 8 -25 7.5yr4/4 none is Osg mvfr gw if .7 .8 Ground elev 3 25 -100 7.5yr4/6 none ms Osg ml - - -- ---- -- .7 .8 105.21 ft Depth to limiting factor >100" Remarks: PROPERTY QWNER: Davis, Daniel SOIL DESCRIPTION REPORT 1010 Page 2 of 3 • PARCEL I.D.# 030 - 1024 -70 Tom Schmitt Horizon Depth Dominant Color Mottles Structure GPD/ftz in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. onsistence Boundary Roots Bed Trench 5 1 0 -6 10yr3/3 none 1 2msbk mfr cs 217 .5 .6 2 6 -13 1Oyr4 /4 none sl 2msbk mfr gw if .5 .6 Ground elev 3 13 -102 7.5yr4/6 none ms Osg ml - - -- - - - - -- _7 ,8 105.4 ft Depth to limiting factor >102" Remarks: 6 1 0 -8 10yr3 /3 none I 2mgr mfr 9W 2f .5 .6 2 8 -21 1Oyr4/4 none sil 2msbk mfr gw if .5 .6 Ground elev 3 21 -30 7.5yr4/6 none is Osg m1 gw ______ .7 . 8 103.41 ft 4 30 -100 1Oyr5 /6 none ms Osg ml 7 Depth to limiting factor >100" Remarks: Ground eiev Depth to limiting factor Remarks: ,. , f 't' '. .. I � . I I I I I I i i ;p �; ��� �j� Ili 141 ! l i i i l � I i i I I� 1 :__ e�� I IIfI���I! _ s , � I l l, t l l l l i �. TJ 33 aq .___ -_ -- 1 I I � f 1 I IC 1 40 4 —_ 1 1 it Iilllll I� 1 f - 114111 I I 1 .. I i {► i l l l � IJ S�A ek y 10 I oi. Wiscgn;fn Department of Commerce SOIL AND SITE EVALUATION Division of Safety and Buildings Page ! of Bureau of Integrated Services in accordance with s. ILHR 83.09, Wis. Adm. Code 1 2 r,. County Attach complete site plan on paper not less than 8 1/2 x 11 inches i key., rrmust include, but not limited to: vertical and horizontal reference point f' ection ld percent slope, scale or dimensions, north arrow, and location a n d1pi?fest rbad• Parcel I.D. # APPLICANT INFORMATION - Please print all in ormatiq Reviewed by Date Personal information you provide may be used for secondary purposes +rivacy Law, s. 15.04 (1) (m)). Property Owner Property Location 4 5 Govt. Lot 5dj 1 14 1 /4,S 6 T a9� ,N,R /9 Property Owner's Mailing Address Lot # Block# Subd. Name or CSM# 3 u S /vA tale City State Zip Code Phone Number ❑ City El Village Town Nearest Road sue, `V-o /6 c7�s )-3 i — s;76y z )&17 ❑ New Construction Use: ® Residential/ Number of bedrooms Addition to existing building ❑ Replacement ❑ Public or commercial - Describe: Code derived daily flow � gpd Recommended design loading rate 7 bed, gpd /ft trench, gpd/ft Absorption area required 0_7 bed, ft trench, ft Maximum design loading rate bed, gpd /ft trench, gpd /ft Recommended infiltration surface elevation(s) 0eic. Aeby 1 " 4 /obd iP /CO (as referred to site plan benchmark) Additional design /site considerations Al" A�oo '& A? e , Parent material &'" Flood plain elevation, if applicable N rt � ft S = Suitable for system Conventional Mound In- Ground Pressure AT -Grade System in Fill Holding Tank U = unsuitable for system S❑ U R S ❑ U NS ❑ U I ®S ❑ U EIS ®U ❑ S P9 U SOIL DESCRIPTION REPORT Boris # Horizon Depth Dominant Color Mottles Structure GPD /ft Boring Texture Consistence Boundary Roots in. Munsell Gu. Sz. Cont. Color Gr. Sz. Sh. nn Bed , Trench Ground 3 3 D 7-9 ,e 04 4 elev. Depth to limiting fac or in. yz 7W Remarks: Tis �� 6rWd1 `1 i0Ka1 borj!nq db e /y c'n /4rr1B V-Ae Boring # des erg ,b Q ,- le o? 3 - I- Ak Ground elev. ft. ' I ' Depth to limiting factor in. Remarks: CST Name (Please Print) j� Signature Telephone No. Address P Date CST Number SOIL DESCRIPTION REPORT ' PROPERTY OWNER Page of PARCEL I.D.# Boring Horizon Depth Dominant Color Mottles Structure 2 g in. Munsell Qu. Sz. Cont. Color Texture Gr. Sz. Sh. Consistence Boundary Roots Bed ; Trench Ground elev. ft. Depth to limiting factor in. Remarks: Boring # Ground elev. 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) , I . ! i 11 - I I ! w I ? I I � J a a � I � � I I i i I I f I _ ! I _ _ _ 3ay 13 ek' ' ES7ra .u�f�, 9 w' ,L I T � i I _ � i i �. i � I � ' � � 1 _ i. 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Plan moot include, but 9t. Croix 10 wrlicd aad bari mtW tel wome point (04. d reafim wW % of sbpe, scwlo or PARCEL I.D. s P" WOW. and 1004p6n end distenow b newest road. 0 30 -1024-70 '1 APPUC ° AMT INFORMATION PLEASE PRINT ALL INFORMATION REVIEWED BY AFT oWmm! PROMM W CAT ION � ` r., ®1 C. Davis GOVT. LOT SW 1/4 SW 114A 6 T 29 ,N,R t � w ;. ')iOREiT1f 01MNEA'� MAtLiNr3 ADDRESS LOT a BLOCK i SUBD. NAME OR CSM s na Deer Haven y A ZIP CODE PHONE NUMBER (]CITY []1ItI I ACE UOWN NEAREST ROAD W1. 54016 (715) 381 -5264 g , nx MN � QXGVudim► Use [1c] ResiderU i Num ber of bedr=M 4 AddWw ID e**Q Wift " �,;. � " t I "PtAb�a 0rdonatiercl>�l desalba I M s 1pd t1ii10Mt § ffl vd _ ReoMm-Od dOpn Wftq m* __.aZ_ bed, A 857 <: bed. b2 750 twvA g IAWmm deso W&Q rata .7 bed. ppolitZ - 1 8 Wx:k Advd btllrelion stirfaoa elelratlorT(s) 104.3 alt. area =103.2 it (as relerW to ske pbn bomfta*) doNpnYslbcoraidsre1ons na psm f ftMS11e1 Flood plM elemft, if applicable na R w,i m ' OONVONAL M�>IAYD 9�IMFCAROIAUO PRESSURE AT4iRADE SYSTEM W FILL CIS O ws CJ ms O Us O ®s OU s SOIL DESCRIPTION REPORT Doo Darrdnant Color Moues Structure: t3 R * ` IrL mur Qu. Card: Color . Texture s & or. Sz. Sh. � �� �� Saw al lcsbk _mfr 2f 4 �5' 1 0--12 L0yr4,/3 none 12 -21 10yr4/4 none 81 icsblc mfr 9w if !�4 .5 3 21-84 7.5 yr4/4 none Is Oe mvfr na na1, . .8 w ... R6maft: lOYr3 /3 nor 1 - 2msbk mfr gW 2f 5 .6 9-19 10gr4/4 nee oil lesbk mfr gir if Z ' .3 { ; 3 19-88 7.5yr4f6 nalaue ms Dag ml na na ' 7 .8 rdow Gay L Sad, ram: 715-246-6200 R:esnarlcs: t .; t 030 -- 1024 -70 Hori�rii bOminani color Mallow Te xture Smicturo CAr� Roof i GPO In. Munsev am SL Card. Color Gr. Sz. Sh. � 1 0-10 10yr3 /3 ncm 1 bk mfr yw Zf 2 10-1 7.5yr44/ none is On enfr gx if t7 ..8 aft 6 3 1,99 -68 7.5yr4/6 none ms Ong mm�r . rya � 7 1 R. ;k I 10yr3/3 none 1 2msb mfr gv 2f do6 2 8-24 7.5yr4/4 none Osg mvfr gw if 3 2±9� -8 7.S yr4/4 ncme ms 0sg m1 na na .,q w "t e pp . 1 � 10yr3/3 rx l 2msbk mfr cm 2f } .6 `.6-12 10yt9/4 noa�e $1 2csbk mfr gw if .6 t _ t 3 x;12 7.5yr4/6 no co Osg ml na na - ' .@ m now ne wisdonsin Department of Industry, SOIL AND SITE EVALUATION REPORT Page 1 of 3 "Labor 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 St. Croix not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or PARCEL I.D. # dimensioned, north arrow, and location and distance to nearest road. 030- 1024 -70 APPLICANT INFORMATION- PLEASE PRINT ALL INFORMATION IEWED BY DATE T fo ? PROPERTY OWNER: PROPERTY LOCATION Daniel C. Davis GOVT. LOT SW 1/4 SW 1/4,S 6 T 29 N,R 19 k4or) W PROPERTY OWNERS MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM # 1129 30th. St. 5 na Deer Haven CITY, STATE ZIP CODE PHONE NUMBER ❑CITY [ JFOWN NEAREST ROAD Hudson, WI. 54016 (715)381 -5264 St. Joseph I 30th. st. [ :j New Construction Use (x] Residential / Number of bedrooms 4 Addition to existing building j ] Replacement [ ] Public or commercial describe Code derived daily flow 600 gpd Recommended design loading rate .7 bed, gpd /ft gpd /ft Absorption area required 857 bed, ft 750 trench, ft Maximum design loading rate .7 bed, gpd /ft .8 trench, gpd /ft Recommended infiltration surface elevation(s) 104.3 alt. area =103.2 ft (as referred to site plan benchmark) Additional design / site considerations na Parent material outwash Flood plain elevation, if applicable na ft S = Suitable for system CONVENTIONAL I MOUND IN- GROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING TANK U = Unsuitable fors stem 1 ® S ❑ U ®S ❑ LI I ®S ❑ U ®S ❑ U ®S ❑ U ❑ S Fi U SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft .................. in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench 1 0 -12 10yr4 /3 none sl lcsbk mfr gw 2f .4 .5 2 12 -21 10yr4 /4 none sl lcsbk mfr gw if .4 .5 Ground 3 21 -84 7.5yr4/4 none is Osg mvfr na na .7 .8 elev. 10 ft. Depth to limiting factor +84 Remarks: Boring # 1 0 -9 10yr3 /3 none 1 2msbk mfr gw 2f .5 .6 2 2 9 -19 10yr4 /4 none sil lcsbk mfr gw if .2 .3 3 19 -88 7.5yr4/6 none ms Osg ml na na .7 .8 ............... . Ground elev. 10 ft. f i ✓ Depth to I limitingfactor +88" l ac N Remarks: ,NGQ�F CST N ame: - - Please Print G ary L. Steel Phone: 715- 246 -6200 .. ~�` {. Address: 1554 200th. Ave,;, New Richwond, WI 54017 ° Signature Date: 7_23 -98 CST Number: m02298 1 r - PROPERTyOWNER DAniel C. DAvis SOIL DESCRIPTION REPORT Page 2 of PARCEL I.D. # 030 - 1024 -70 } Depth Dominant Color Mottles Texture Structure Consistence Baxx3y Roots GPD /ft Boring # Horizon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trends 4..;. 1 0 -10 10yr3 /3 none 1 2msbk mfr gw ,.: 2 10 -1 7.5yr44/ none is Osg mfr gw if .7 ..8 Ground 3 19 -88 7.5yr4/6 none ms Osg mmfr na na .7 .8 elev. 10 ft. Depth to limiting factor +88" Remarks: Boring # 1 0 -8 10yr3 /3 none 1 2msbk mfr gw 2f .5 .6 4> 2 8 -24 7.5yr4/4 none is Osg mvfr gw if .7 .8 3 24-82 7.5yr4/4 none ms Osg ml na na .7 .8 Ground elev. 1 Depth to limiting factor +82" LEE Remarks: Boring # 1 0 -6 10yr3 /3 none 1 2msbk mfr cs 2f .5 .6 5< 2 6 -12 10yr4 /4 none sl 2csbk mfr gw If .5 .6 3 12-84 7.5yr4/6 none co E Osg ml na na .7 .8 Ground elev. 105. Depth to limiting $ factor Remarks: Boring # ................. Ground elev. ft. Depth to limiting factor Remarks: SBD- 8330(8.05/92) STEEL'S SOIL SERVICE Gary L. Steel 1554 200th Ave. CSTM2298 DAniel C. DAvis New Richmond, WI 54017 MPRSW -3254 Sw4SW4 S6-T29N -R19w (715) 246 -6200 town of St. Joseph lot #5 -Deer Haven This soil evaluation was conducted to satisfy.a zoning requirement, it may or may not be suitable for your use. The location of the test may or may not be as shown as permanent lot lines were not established at the time the test was conducted. N 1 " =40' BM.= top of outlot survey stake C el. 100' Alt. BM.= top of 1 1- 2 11 pvc pipe @ el. 103.85' - jzz/ '1'8 1 1 0 / 7 0 90 19 q 4- 18� d� q S� ,2 r� � Gary L. S eel 7 -23 -98 l Cal f . QQ c� 'A 55 3 95 � r 7 G° i _ • ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP �ERTIFICATION FORM Owner/Buyer s Mailing Address 3:g2 12., u. c K lZ u Property Address o2 uC �t vt (Verification required from Planning Department for new construction) City /State ltd so 91, (A) Parcel Identification Number 6, 9 , / , 96 LEGAL DESCRIPTION 6 3c - zfl 0 - ZO - 0VD Property Location 5 LV 1 /. , .emu? '/4, Sec. 6 T _2 1 � _ N -R l Q — W, Town of g f '-I os en Subdivision C Lot # � . Certified Survey Map # S? BOOS - . Volume Page # 3 Warranty Deed # 3 , Volume J.3 1 .5 - , Page # 0 Spec house ❑ yes ❑ no Lot lines identifiable ❑ yes ❑ no SYSTEM MAINTENANCE Improper use and maintenance of 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 mastcrplumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewaterdisposal 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 yea expiration date. SIGNATURE OF APPLICANT 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. SIGNATURE OF APPLICANT 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 ' SrArc u�o�Y�v���oN IN poxx 3 - 1482 .� 0u/T cLmw nccn oocuwsw`wu -`- � � ` � � --_-Dap��L_Q`Q4/1�-Au�_d�r� hno��.and ` ' __�i�m�_------------------- ------- D_and K Con truction of 'g\�����_�'�,/_-_-- -_-__-'---------------'------S6� CS—oi x--------' c -- � mr�x"`"`gu"�n*./ua m ,am� ^^'x� slate ^/x^scou^" THIS S p^r1osSE,.e , ""`ccoo.''Nc»^rA � NAME ^°npe�R°^no"u, 0GL/\yJD The West Half ofthe Southwest Quarter the West 711 z" E:!rcrn & Or|an� �. P.O. 80. /59 - Half ofthe Northeast Quarter of the Southwest f[udn/n WI 54016 Quarter-, and the North Half ofthe Sout Quarter of the Southwest Quarter; all in Section 030-1024-80-�00; 8]0-102]-00-Oo0 ! Six (0). Township Twenty-nine (29) North. Range ' Nineteen (19) West.. -^"'EL.uE°",'°""~NUMBER . Excepting from this conveyance z purzc\ of land in the Southwest Quarter of Section 6. Township 29 North. Range 19 West, 3[ Croix County, VVisrondn, described as hmUowz Commencing at the West Quarter corner of Section h` as the PLACE OF BEGINNING � thence East on the center line of Section 6 for 1897.4 feet; thence 3nu/b pumU6 to the West / |ioc of said section for 1147.88 feet; dance \Vea puo|lc| to the center line of said section 1897.4 feet to ds West line of Section 6, thence Nonb un Lhe West section line of Section 6 for }l47.88 feet m the PLACE 0FBEGINNING. Excepting therefrom Lot I of Certified Survey kvIxp iu Vol. g. Px�r 2590. and Lot 111 Cer Survey Map in Vo >l. Page 2937, and Lo/ } n[ Certified Survey Map in Vol. \l. Pa-c3253. FEE °���.^___ _«^/^/ o^ Oct __ -- (SEAL) us�� P. Davi . Daniel C. Davis Karen P ` - s ocAu -________'-___'--'__ kScu/ AucncNT'~arIOw ac KNOW csocN\ENT nAniel C. rxavia and S "[Yriscvn,in` s.x"^�",,(,`--_-�-------------------- is nazen p Davis husband and wiff,___ ______.__________c^"m/ | r.,m"^xv'u*W before =, this __----__-_-_day ,/ the ,h^,"^".,u Kristina v - ------------------------------ ^__��-�������s�����_--- ---- ------------------------------------ r1 /Ls uswucxsTAr oAnoFm/ScuwsIw (If riot, -__-_-_-_--____-____ authorized b Sua] to m' known t be the p*n__--°xo'xe`u`'u the fonxo"`g Instrument and j �xp tile same THIS /wurnuucw' wmoopA,,poo, xttocney Rristina 0glpnd ---'--'---------- ------------------- c a � __-Hudson/-_W154016 w.mr eu.c.'--____--_-__---__''_ s.g",,` ", m^> be ^"' lien u`*`"u or ack"^°leo�u n.m ^n! not M .^=".u/"" is r'n"^nmt. 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