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HomeMy WebLinkAbout030-1040-20-200 Wisconsin Department of Commerce PRIVATE SEWAGE SYSTEM County: St. Croix Safety and Building Division INSPECTION REPORT Sanitary Permit No: 399606 0 GENERAL INFORMATION (ATTACH TO PERMIT) State Plan ID No: Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m) Permit Holder's Name: City Village X Township Parcel Tax No: Phene er, Gre o St. Joseph Township 030 - 1040 -20 -200 CST BM Elev: Insp. BM Elev: BM Description: 7 CST BM Elev: - I t TANK INFORMATION ` "ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI FS ELEV. Septic Benchmark , Dosing Alf 13M I I s� ' y Aeration Bldg. Sewer LL Holding St/Ht Inlet - f TANK SETBACK INFORMATION St/Ht outlet ; _ :,, TANK TO P/L WELL BLDG. Vent to Air Intake ROAD Dt Inlet Septic Dt'Bottom N f " (,73 Dosing Header /Man. Aeration _ Dist. Pip e d Holding -- Bot. System =- �/ - -7 3L Final Grade� PUMP /SIPHON INFORMATION Manufacturer Demand C 4. ! _ — -- t ove _�______ GPM Model Number ^, TDH Lift Friction Loss System Head TDH Ft Forpemain Length Dia., T - Dist. to Well SOIL ABSORPTION SYSTEM BEDrrRENCH Width Length No. Of Trenches . PIT DIMENSIONS No. Of Pits Inside Dia. Liquid Depth DIMENSIONS SETBACK SYSTEM TO P/L JBLDG WELL LAKE /STREAM ; 'LEACHING M an u facturer: INFORMATION CHAMBER OR -- Type Of §ystem h i Model Number. - UNIT /' DISTRIBUTION SYSTEM Header /Manifold .i` Distributioh x Hole Size x Hole Spacing Vent to Air Intake -- - -- Pi e s Length Dia Length Dia . Spacing 1 SOIL COVER x Pressure Systems dnly � � xx Mound Or At -Grade Systems Only Depth Over Depth Over xx Depth of xx Seeded /Sodded hed `1 Bed/Trench Center ( Bed(rrench Edges Topsoil El Yes Mulc 'L Yes No 1:1 Yes No COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: / C / v Inspection #2: Location: 1401 County Road V Hudson, WI 54016 (SW 1/4 SW 1/4 19 T30N R19W) NA Lot 3 Parcel No: 19.30.19.141A 20 'i�F(r , u l k:' cV jr' �- .�C' =lt.` EDrG �` j'�. ,- � ✓ 1.) Alt BM Description 2.) Bldg sewer length - amount of cover = T. Plan revision Required? ❑ Yes V'No f Use other side for additional information. ' - ' . !' - - ' f SBO -6710 (R.3/97) Date Insepc is Signature Cert. No. LOT PLAN PROJECT Grea Phenea ADDRESS 8408 16th Ave. S Minneaoolis Mn 55425 SW 1/4 SW 1 /4S 19 /T N/R 19 W TOWN St. Joseph COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 11 /12/01 BEDROOM 4 CONVENTIONAL IN= OUND PRESSURE CONVENTIONAL LIFT )00C HOLDING TANK MOUND SEPTIC TANK SIZE 1260 LIFT TANK SIZE800 DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 891 # of chambers 52 IL BENCHMARK V.R.P. Top of Nail in Wood Corner Post \ ASSUME ELEVATIO 100' Zabel A -100 ❑ k BOREHOLE WELL •H. R. P Same as Benchmar ) Filter SYSTEM ELEVATION 97.6 Alt. BM Base of Wood Corner Post @ 97.0' � 100' Plans Designed Using 5% Slope 101' Conventional Powts B- 100' Manual Version 2.0 4 -3' X 82' Cells with >3' Spacing B 8% Slope Pro 4 Alt r Bedroom Z z House W� B.M. 40' 250' B -2 50' ���'t"�S �(r'�,.. Z !,e �cti• 1� l r iotb 1000' Vent > 12" Sidewinder High of Cover Ca a ' Leaching amber 6' Lon 16 " 3i • Uf �� 3 4 Grade at System Elevation 'ice c ,G7c�, �,(� �� �:5 z County Road V � e 4 � 4 t b . i r,'�}? • � ..� ..� �Y f, y� Vi is rita,-+ 9oe� fi 1 .+�uc a►� aax rMAWMO&.t Cavit+►, .!AnowOR NR C1 ,►rR !At ANC ! L l ! GKAk0c I JJ yy���yy w+ Of r.w ENS At�'rI�M'!' ��l►t. � I � I parr � A t • � # f Ai.AAM *APPROVED o►a _ c JOINT WI T?i � f P T APPROVED PIPE 3 ONTO *U M ..•., _ J a L 0 SOLID SOIL oft � GOUCRtT[ r1.QC.K K IM CXtT *CRA 7rco OQA v rr TAwK MAVU ►ACTt,iRCR rMA,� tLiGM A *I�RDuA{. ♦ ww s�r `` � (� 1. R� , MA4tL11�ACTV te1 -� rrw A3tiMfflRR ofi irVf<4.fi✓ air it DA TAWK flti: 0049 Y06UMC Ig �AWiPAGP re,( o AQl)t6 WUMIRRI . swinoi - rop i t� � � , � ....M.,.. arcKrr oN o�►f.�o�r� AAI!iidPU►cTldAft'R: /. aw ►TC ►1 T� P�; p�T� '9"O bAr r1��itlMtilh fpffCKAlRdfx R+�TC �rK i --N1T 4.t.RO ON PAAATf: CNlCtifT� VttlTftA4 ��IRiRRA1Ct �R1'�fCf>r �LIMf O � � * kilok u-rat . NCTW*OkK 3UMV f�tt f<uRt .... ... �`��,, �..ZLL Pfifi`T OP raitct MAI X �:.r....: �iee t4 TrfR ikA 6 0 1AC Q 4� OF TAUX,' L l ...�L�,, r�,tlDT l i �,.!QI�ioY? a C 1p T ENGINEERING DETAILS - SW25/33 r tits.. t it Wzm ■rr�r■ ■■rr�rrrrrw�riri ■ ■,� ■i! ■wrirrirrrr�srrrr■rrr■ ` womm=Now ■iii r�:!�r��:rfi�wi ■riiirri ■rrr�i�lii�li�7ArAiii� /ilii =T Mason rb: mb:%Nirriii /i/ ��„"�'.*�+, ■ra�wrw rrrr�r•_�r�:�rirrr r■r�t• --- - -.�.� - ■rrrarrrt�� ��rr�r;.rrr�r�r■ ' _ r�a�arr��an�rrrr�� +,�rF�rr�i.��r►�YC�rir�r'��■ rri■r�r�rrr �t�rr�rr►���ir�wr.■ ��� �rrrrrr�rrrrri�irr�►:�.•rr�rrr ■rr■ ■r ■arrrrrrrrrrrr��r■ , irr■■iiAiiiriiirri�iirrr y � M ! N 1 7 7711 " 1 Wisco Department of Commerce SOIL EVALUATION REPORT Page of Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code County e Attach ow%Ate the plan on paper not less than 8 1/2 x 11 Inches in size. Plan must L r 1 Include, but not limited to: vertical and horizontal reference point (BM), direction and Parcel L D. 11� percent slope, scale or dimensions, north arrow, and location and distance to nearest road. O -20 — )/ 00 Please print all Information. Reviewed by Date Persona) information you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Z S Property Owner Property Location C7� r Govt. Lot - 1/45'(.J S t T3 N R l E { r) Property Own s allin �ddrei3s Lot # Block # Subd. Name or CSM# city tats Zip Code Phone Number City [] Village own Neares Road i. 69& o9� (� Z 3 Z7S New Construction lJse4;2 / Number of bedrooms Code derived design flow rate _ _g6,10 GPD Replacementc� / P ubli r mmercial - Describe: Parent material 7 T /I {R��y Flood Plain elevation if applicable _ /L l ft. General comments and recommendations: J�'.,�`tr/t F I Boring # ❑ Boring pit Ground surface elev. v ft. Depth to limiting factor Da in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDMV In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff #1 'Eff#2 2 2- 3� a ® Boring # Boring pit Ground surface elev. /4� ft. Depth to limiting facto 1v In. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ftx In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. `Eff#1 `Eff#2 D L� f/ s✓f.� , . �u ` Effluent #1 = BOD > 30 < 220 mg /L and TSS >30 _< 150 mg /L ` Effluent #2 = BOD < 30 mg/L and TSS < 30 mg/L CST Name (Pleas* Print) S otdo CST N mbar Address Date Evaluation Conducted Telephone Number r Property Owner Parcel ID # Page of 7 Boring # ❑ Boring Pit Ground surface elev. I O ft. Depth to limiting factor / W in. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff' In. Munsell Qu. Sz. Cont. Color Gr, Sz. Sh. 'Eff#1 'Eff#2 2 �I- ) (_ �[ —(' — 1L. �. �' — P e " o yr. -t <, J/ kN j �t F-1 Boring # ❑ Boring ❑ Pit Ground surface eiev, ft. Depth to limiting factor In. Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/W In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'EM 'Eff#2 ❑ Boring # ❑ Boring Ground surface elev. ft. Depth to limiting factor in. ❑ Pit Soil Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ft' In. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 'Eff#1 'Eff#2 ' Effluent #1 = BOD > 30 < 220 mg/L and TSS >30 < 150 mg /L ' Effluent #2 = BOO, 30 mg/L and TSS < 30 mg/L The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an alternate format, please contact the department at 608 -266 -3151 or TTY 608 -264 -8777. M-8710 (R 07100) Soil Test Plot Plan Project Name Greg Pheneger Shaun Address 8408 16th Ave So. Minneapolis Mn 55425 M #226900 Lot 3 Subdivision ------- Dat 11 /8/01 S W 1/4 SW 1/4S 1 9 T 3 N/13 W Township St. Joseph Boring Q Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of nail in Wood Corner Post System Elevation 97.6 *HRPSame as Benchmark Alt. BM Base of Wood Corner Post Qa 97.0' 100' 5% Slope 101' 100' B -1 0 ' B -3 40 8% Slope 50' Pro 4 Bedroom Alt. House B.M. M 40 250' B -2 1000' County Road V SSfetY and Buildings Division County 201 W- Wypm Ave.. P.O. Box 7162 f WI '$3707 - 7162 Sias AbQteri ros l�ao74 � �- 8>�ueit�ry PerzWt Appl c on hs NOW a1W Comm 0.21, W11. Mim. Cob, yt aW ie assWa ya , h4ant'tro - i'hw lYtrlto�t Au ' 1 a t�teak u 8.vition sate rltut I.b. Nmfber Pto" OtrASe s 3+hma r 03 A), y2 -ate SINAI zip co& , �� use • �� N x sr- - H. T�►p. of sdft rib at ttn ow gib). jnw 2 ho Dht►dit - Mtmbor of / ar r , D IoitolCoom�eaial 0 tar 0sud ooutrrr � `r zoNirra Of FtGE Rorrtt of» k ota4 00 boot as m. s (motatwrlos i e s it 13 � 3 CI �) t a t1 � 8. 3 0***&o q h0* Pn vieru ,laved I+aatoltNntoobec N. 7Captt el P�mW �C'�tt�t Mp Matt q �� oahems is tar iutaarnal wQ) - �etiRUlsrd rawa 210aa 47 Q Bata tar so Coastlw'W`.dx�d 2= 13 Ptrraudaid 1o�tlsOadti 410 Noioil�'i'anit 4813 ft& Pap 31 ❑ D* Line a &bie Unit - 30 ©cam q ' Am �P =wow Ate Area 1pO$ Phm�l Reposed (Os1e.JDayslSq.Fk) (hq�.Jlzsab) llleva oe VL 7 " 110% Zwolw In grow N a c sut�1... imllomt at Tub or o _ TM NI1UMM I t1r >o namodMiky f'JDx mrlon of We APWTB sbowa ata t>te Nheiled t OAM Number ftAi Number 2 60 ' ,p ci�a�«tr 17.a► Msae symmrt a ( LI ow�i%r . >rn1�u Adrrrr.. eez 0E) � 3 - 1X. fow � Di�ppro�at � 1. Effluent filter to be installed and maintained per manufacturer's recommendations. 2. Wain well and waterline setbacks per COMM 83.43 (8)(c), "Woo AM U as Camp ■db!) q*W =;M" W a U 1 LOT PLAN PROJECT :Grea Pheneaer ADDRESS 8408 16th Ave. S Minneapolis Mn 55425 SW f /4 SW 1 /4S 19 /T N/R 19 W TOWN St. Joseph COUNTY ST. CROIX MPRS Shaun Bird 226900 DATE 11 /12/01 BEDROOM 4 CONVENTIONAL IN= &VOUND PRESSURE CONVENTIONAL LIFT XXX HOLDING TANK MOUND SEPTIC TANK SIZE 1260 LIFT TANK SIZE800 DOSE TANK SIZE HOLDING TANK SIZE LOAD RATE .7 ABSORPTION AREA 891 # of chambers 52 IL BENCHMARK V.R.P. Top of Nail in Wood Corner Post ASSUME ELEVATION 100° Filter Zabel A -100 ❑ BOREHOLE O WELL - H.R.P. Same as Benchmark SYSTEM ELEVATION 97.6 Alt. BM Base of Wood Corner Post @ 97.0' 100' Plans Designed Using 5% Slope 101' Conventional Powts B- 100' Manual Version 2.0 4 -3' X 82' Cells with >3' Spacing B- 8% Slope Pro 4 ( Z Alt. Bedroom I House W� B.M. B.M. 40' 250' B -2 50' 150' T 30' 1000' Vent > 12" Sidewinder High of Cover Capacity Leaching Chamber 6' Long 16" Grade at System Elevation 34" County Road V Safety sad Buildings DivWon County 201 W- W"hWV0p Ave.. P.O. Box 7162 S t b�/x l a scor�sln _ 7162 Mary Perm It App&adon l . m wooed W& Cam U-21, W* MM Code, P� Wl�oer Wa you 1�rvA& I7 �ec)r it � L w tin IWYemsWo - ram blot All Ip sam >Plaa LD. Nttiaeber PaPWW s Name phalod NutabeT ``'�' 1R�P�'4r O 3O � /o /"r� - W Arapetry Locsdor R eao S `�1 J 1~ • 8/ T �C/ N Chy Numbet n vitlat Naoee C�K NtuAw I P o . 32 57" II• (deoctt s61 tha4 app4), J 4 s per N _ _ t ... S S �ikr�k]�7 R i O P+ebi - :DeeoTEe U" ' + . ,�— - • 1 (IPL X C / `� 1 ROM 6 tlhYlled O y WY I �� / L— V J JIL ZytM oAb' oo* boot m i9m A, (aumbatox `; � kte 11na E If 1N , A d 9❑ etepu � - 11A6k . S S. O If Y bate P+n*v* hftd taae low lY.7* att .� It eY, t,epp baiaf khans Is tar irteernal sue) :a01►aow,d 47 0 sane % Q ` &NUUMd Wedow 2 d ftmi*W b4MISSd 41 1, 1 1 3 of T 46 p ft& Nu 51 fl DdP Line 4d 0 AWaW M!!nM tlnie 49 O © , S -0 tBpep Acre 04pnd Aaea Sa APplbadon Prnooistioa ii.te > _. >R.«ce?�1../D�,/sa.>F�.� t>►e3tt.tznole) ,9te,tdon r /ao. VL ?I* mEo' 1d+ lw ToW Nam AatmmsFroturbr h*Ab s Pfaatc 1111.... . . of T"nlu . CAOM eT Caakeaoad awe ee .. o_ Qa . , 810102819- I fir. ...,�. 1oe rVawallitioo of the POWIS dm m an case sil !t" Pewm6ar'e 1dPlMPBe Number ftwm Rom 2Z a o / s :L - 1 15 • )= Ma -EWSZ, i o* F" twee. � DW r ewd +O wle,�pwved � tswiaj si{adam Ado ❑await am mwat Adweee OD 3 IDC. C letorta Ott' Apyi+aalU=W= for DWp*o►al 1. Effluent filter to be installed and maintained per manufacturer's recommendations. 2. Maintain well and waterline setbacks per COMM 83.43 (8)(c). FS emit) 4r dw g wR perw ref tw Ohm a U No Favi in IVe SBD%M (R:, 05101 1443 IL EVALUATION REPORT SO EV Maer>t of Commerce � t of 3 Wisconsin Depa Division of Safety and Buildings in accordance with Comm 85, Wis. Adm. Code AC.E. Sal & Site Evaluations Attach complete site plan on paper not less than 8'% x 11 inches in size. Plan must Coin St. CrOD( include, but not limited to: vertical and horizontal reference point (BM), dkectlon and percent slope, scale or dimemsions, north arrow, and location and distance to nearest road. Parcel I.D. 030 - 1040 -20 -200, ID#19.30.19.141A -20 Please print all Information. Revieiied B Dace Personal i nformaBon you provide may be used for secondary purposes (Privacy Law, s. 15.04 (1) (m)). Property Owner Property location Gregory P. & Leslie D. Pheneger Govt. Lot S W 1/4 SW 1/4 S 19 T 3 N R 19 W Property Ownees Mailing Address Lot # ock Bl # Subd. Name or Csw 840816th Ave.So. 3 CSM Vol. 11, Pg. 3251 City State Zip Code Phone Number J City J Village a Town Nearest Road Minneapolis I MN 55425 612 -670 -9642 St.Joseph County Hwy. V New Construction Use: ! Residential / Number of bedrooms 4 Code derived n — GPD j Replac eimerd J Public or commercial - Describe: _ •~ y� Parent material Glacial Till Flood p« General continents ~--, and recommendations: Mound system elev. = 100.00' at 12" above 99.00' contour. F._.__ �! Boring # 'I Boring :p Pit Ground Surface elev. 99.70 ft. Depth to limiting factor Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence GPD/ft: +Eff#1 • 1 0 - 10yr3/3 none sl 2 fsbk ds as 2f,1m 0.5 0.9 2 9 -20 10yr4 /4 none Is 1 msbk ds gs 2f,1 m 0.7 1.2 3 20 -32 7.5yr4/6 none Is 1 msbk ds cw 1 fm 0.7 1_2 4 32 -50 7.5yr4/4 f2f7.5yr5/8 sicl 2msbk mfr gw 1vf 0.4 0.6 5 50-62 10yr5/4 m2d 7.5yr5/8 so 2msbk mfr aw - 0.5 0.8 6 62 -70 7.5yr4/4 1 d I 6 sl 1csbk mfi - - 0.4 0.6 - -- - - 71 1 Fil Boring # Baring 01 Pit Ground Surface elev. _ 99.37 it Depth to limiting factor 26" in. Soil Appkation Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDM - Eff#i - Eff#2 1 0 -8 10yr3/2 none so 2fsbk ds Cs TmO.5 0.8 2 8 -16 10yr5 /4 none sill 2m ds aw 0.8 3 16 -26 10yr4/4 none sl 2msbk mfr Cw 0.9 4 26 -34 10yr4 /4 f2f 7.5yr5/6 sl 2msb mfr Cw If 0.5 0.9 5 34 -50 10yr5/4 f2d 5yr5/8 sl 1csbk mfr - - 0.4 0.6 ILI Effluent #1= 800 ? 30 < 220 mot and TSS 30 < 150 mg/L = BOD <_30 mg/L and TSS <-0 mgi& CST Name (Please Print) Sig tire: CST Number James K. Thompson t 3602 Address AC.E. Soil & Site Evaluations Evaluation Conduced Telephone Number 340 Paulson Lake Lane, Osceola, WI 7/27/01 715- 248 -7767 pity owner Gregory P. & Leslie D. Pheneger Parcel ID # 030 - 1040 -20 -2 ID# Pap 2 of 3 F #� to limiting factor 24" in � Pit Ground Surface elev. 97.68 ft. Depth ng . Soil application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPDN *Eff#1 *Eff#2 1 0 -8 10yr3/2 none sil 2fsbk ds Cs 2fm 0.5 0.8 2 8 -19 10yr5/4 none sil 2msbk ds aw 2f,1m 0.5 0.8 3 19 -24 10yr4 /4 none sl 2msbk mfr Cw if 0.5 0.9 4 24 -33 10yr4/4 f2f7.5yr5 /6 $l 2msbk mfr cw if 0.5 0.9 5 33 -52 10yr5 /4 f2d 5yr5/8 sl _1csbk _ mfr — _ _1f,vf 0.4 _0_6 F-1 Boring # I Boring Pit Ground Surface elev. ft. Depth to limiting factor in. Sol Apps Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots *Eff#1 *Eff#2 F—I Bori # I Bori ft. Depth to tirniting factor in. Pit Ground Surface elev. Sol Application Rate Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots *Eff#1 *Eff#2 * Effluent #1= BOD ? 30 < 220 nv/L and TSS >30 < 150 mg/L * Effluent 02 = BOD < 30 mg& and TSS <.30 mgll. The DepwUnent of Cornrtrerce is an equal opportunity service provider and employer. If you need assistance to access services or need material in an WWnu fe fond, please contact the department at 608 -266 -3151 or TTY 608-264-8777. I 11 e *103 61et/Q �(— Ex�S�in9 �'ence% Gteq t kes /ie Phen ler Prop. 5wk y6wyy, :S./9, T,1. 0,1' SE.. �To5ep 4,, L3enc.4 yKa re: 7 A ssu rn.td a(eLt = lc)vx' 0 Bz ■ V q9.o C A; .v �,'J►9e.�' i Fi V 99o' ■ ' o' 910 98.0 99. /00.0'C�mEou� , i) uJ tOc�an �eilce �0 5� . polo. t33.*' ST CROIX COUNTY SEPTIC TANK MAINTENANCE AGREEMENT AND OWNERSHIP AND FORM Owner/Buyer Mailing Address Property Address _ 4 0- e? (Verification required from Planning Department for new construction) City /State Parcel Identification Number LEGAL DESCRIPTION /� tion: V, ' �t/ N -R Properly Lora , �� /4, Sec. / 4W, Town of �, T Subdivision .- Lot # Certified Survey Map # `� > /Z -v _, Volume Page # Warranty Deed # S / �'�' J , Volume Page Spec house ❑ yedno Lot lines identifia 0 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 master plumber, journeyman plumber, restricted plumber or a li cense d 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. Uwe, 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 y s ys a be en maintained must be completed and returned to the St. Croix County Zoning Office within 30 da ce ear expire ' n date. SiWA DATE OWNER CERTIFICATION I (we) certify tha all statements on this form are true to the best of my (our) knowledge. I (we) am (are) the owners) of the pro desc above, b virtue of a warranty deed recorded in Register of Deeds Office. SI PLIC DATE « « « « «« A 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 Maintenance and Contingency Plan for a .Septic System Maintenance Plan 1. Septic Tank is to be pumped once every 3 years. 2. Effluent filter is to be cleaned once a year. Please note: a larger filter is being installed in order to extend the maintenance interval of the filter. 3. Once every 3 years, cells are to be inspected via the inspections pipes at the ends of the cells. 4. Owner agrees to limit greases, garbage, and water conditioner discharge into the system. 5. The owner agrees to save this plan. 6. Do not plant trees nor park nor drive over system. 7. Watershed is to be diverted away from system. 8. Discharge into system is not exceed those required as per Comm. 83 Contingency Plan 1. If system fails, determine cause of failure, use alternate area and install new system or install system at a lower elevation. 2. Replace any other failing components as needed. Plumber: Shaun Bird 715 - 246 -4516 s C OX a rJ 7-6 m - �nZ� Shaun Bir #226900 n VOL 1403 ?91265 597694 STATE BAR OF WISCONSIN FORM 2 - 1982 '; KATHLEEN H. WALSH WARRANTY DEED ;j REGISTER OF DEEDS ST. CROIX CO., WI DOCUMENT N0. RECEIVED FOR RECORD Sam E. Miller, a single person, 02 9:30 All it WARRANTY DEED EXEMPT N CERT COPY FEE: COPY FEE: conveys and warrants to Gregory P. Pheneger and TRANSFER FEE: 201.00 Leslie D. Pheneger, husband and wife, as P FEE: 22 survivorship marital property, i i l THIS SPACE RESERVED FOR RECORDING DATA NAME ND RETURN ADDRESS the following described real estate in St. Croix County, State of Wisconsin: ! / See attached description. I � Jl I 030- 1040 -20 -100 030- 1040 -20 -200 i PARCEL IDENTIFICATION NUMBER .1 'I . 'I J I , I• ii This is not homestead property (is) (is not) Exception to warranties: Subject to easements, reservations and restrictions of record. Dated this day of February A.D., 192. (SEAL) a .,(SEAL) If SAM E. MILLER • (SEAL) k ' — _J `. AUTHENTICATION ACKNOWLEDGMENT,, Signature(s) State of Wisconsin, 55. St. Croix County. authenticated this day of 19_ Personally came before me this day of February 19_22_, the above named Sam E Miller TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by §706.06, Wis. Slats.) to me known to be the person who executed the foregoing instrum t and / kryoly!€�ge a same. THIS INSTRUMENT WAS DRAFTED BY OYJ/ STEPHEN J. DUNLAP Xj�/(� r �lw0 E2Sor✓ Hudson, Wisconsin Notary Public, St. Croix County, Wis. (Signatures may be authenticated or acknowledged. Both are not My commission is r vent. (If n t, O state expiration date: necessary. - 19—.) • Names of persons signing in any capacity should be typed or printed below their signatures. STATE BAR OF WISCONSIN Wisconsin Leger 9" Co.. Im WARRANTY DEED For. No. 2 — 1982 Milwekee. Wrs. vat 1403 PACE 7OO Part of the SW 1/4 of SW 1/4 of Section 19, Township 30 orth, Range 19 West, St. Croix County, Wisconsin described as follows: t 3 f Certified Survey Map filed May 8, 1997 in Vol "il" Page 325 Doc. 59126 EXCEPT part to William A. Hendrickson and Carol E. Hendrickson in Vol. 1299, Page 332, Doc. No. 573691 ALSO, A parcel of land located in part of the SW 1/4 of the SW 1/4 of Section 19, Township 30 North, Range 19 West, Town of St. Joseph , St. Croix County, Wisconsin being a part of Lot 2 of Certified Survey Map in Vol. 11, Page 3251 as recorded in the office of the St. Croix County Register of Deeds described as follows: Commencing at the Southwest corner of said Section 19; thence along the west line of said SW 1/4; N00 °38'20 "E a distance of 400.00 feet; thence along the North line of said Lot 3 of said Certified Survey Map in Vol. 11, Page 3251, S88 0 51'26 "E a distance of 213.58 feet to the point of beginning; thence continuing along said line 588 °51'26 "E a- distance- of 163 -.57- feet to. the. No- theast_ corner of said Lot 3;- thence N00 0 38'20 "E a distance of 25.00 feet; thence S82 °26 "W a distance of 165.26 feet to the point of beginning AND A parcel of land located in part of the SW 1/4 of SW 1/4 of Section 19, Township 30 North, Range 19 West, Town of St. Joseph, St. Croix County, Wisconsin being a part of Lot 4 of Certified Survey Map in Vol. 12, Page 3255 as recorded in the office of the St. Croix County Register of Deeds described as follows: Commencing at the Southwest corner of said Section 19; thence S88 0 51 1 26 11 E along the South line of said SW 1/4, 377.15 feet to the Southeast corner of Lot 3 of Certified Survey Map in Vol. 11, Page 3251 as recorded in said office and the point of beginning; thence N00 °38'20 "E along the east line of said Lot 3, 400.00 feet to the northeast corner thereof; thence S88 °51 "E 864.70 feet to the east line of said Lot 4; thence S00 1 18 1 55 11 W along said line, 400.03 feet to the southeast corner of said Lot 4; thence N68 °51 1 26 "W along the South line of said Lot 4, 866.96 feet to the point of beginning. U gf� T.. `•k J) SS9i26 k , CERTIFIED SURVEY MAP Located in SW1 of the SW1 4 of the art 4 of Section 19 T30N, R19W, p / / Town of St. Joseph, St. Croix County, Wisconsin. W 4J N �� M N wao OWNERS o 0*6 Q) ° o Jl William & Carol Hendrickson Z -A 1405 County Road "V" z° ,•+ m =I W1 /4 Corner of Houlton, WI 54082 0 .0 �1 Section 19 0 m �0 01 n 4J G]ql + > ¢' m N � Y V r- UNPLATTED LANDS N66 ° 27 1 2 7 "E / j >, c0 V) _ 107.17' o V ID rn - ® 2 3143.65' w c s o. % q 6 g m vii . 26'9 66 - OI JI 001 N n S32028'40"E.' 011 en e n � d0 ' �� 10.00' � t � 0 N ,� F- Z w �' LOT 1 N �i 3.84 Acres Inc R/W 10 o (167,146 Sq. Ft.) �� �•/ 3.00 Acres Exc R/W z 4 Ft K UI (130,85 Sq. .) /V.ti: � 4r l I 52.24'/; 427.18' BM 1 ' �S89 ° 21'40 "E 479.42' Elev. = 100.00 W House LOT 2 x r Cn 27.38 Acres Inc R/W P d so' 5 0' / Well —S (1,192 753 Sq. Ft.) 26.76 Acres Exc R/W © ? (1,165,521 Sq. Ft.) OI - - 01 C/)1 C-4 (n C4 ,� Shed J' Ui f�l o ° 588 0 51 1 26 11 E 377.15 1 BM 2 \ Elev. = 86.15 I N 327.15' N —! - 50.00' 0 0o ro t Ln N O g 0 W W ;LOT 3 0 N - - ° 3.46 Acres Inc R/W co 0 0 0 a0 (150,854 Sq. Ft.) g 0 0 0 0 3.00 Acres Exc R/W o 8 �IL�D Ai 3 z z (130,855 Sq. Ft.) OD zl M � Q81997 l h 1 Z i o f w�Ivi 2 q1 — 50.00' 377.15' Cf 1111 ;327.15' 1 S84 *22'19"E 1244.04'1 866.96 , +wJ I--1 SW Corner of N88 ° 51'26 "W 1244.11' Oj tJ� F• Section 19 ¢1 I South line of the SWl /4 of Section 19 C,t —A 5 0 z1 I LOT 3 C.S.M. 2/549 SCALE IN FEET I SHEE T 1 OF 2 SHEETS o 100 200 400 Vol. 11 Pane 3251 6 \,a LOT I L I �v � 139E 139 F 451.99 � � 968 C. S. M. 15 /4174 �V N, - 971 v� 8 h 9 969 c . 1406 I 1 2519 — -- 970 I I 1081115 140 650.81' LO T 5 I 516 I - -- 141 B / 843 IA 141A / 1426 10 gh. 1413/f73 S. 3 LOT I `� ` �2,' I LOT 1 141 J �1 , 16t 7a' C.S.M. 8/2175 SW - • 51s' 479.42' 1 tn T N 4 C. 844 1 CERTIFIED SURVEY MAP VOL. 1299/332 _ _ _ 99/335 1 L 5 ' s a 141 A 'o 1299/ 33 8 d oSo -101 -7 -0 ' 66.96' —. i� rD I 0j ] 1; I iC" I l0 1 I 1� 1 i to W I I I I I I I ---I— I I N 0 0'38'20 " E N 0038 E WEST LINE OF THE SW 1/4, SEC 191 N 00'38'20" E 367.36' g o 150.9 it �- - 2124.73' 0 ° V DEDICATED N IN 00'38'2D E T �f 0 C R w — � -l43.2 Du;z j.YYYY 1111 1 0 ; i o f •.A \ �' � W ih i� �� o \ �Ff P°D /ctiT. 1 j m � I� s �' o �O 1 t l •l s f0 N 00'38'20" E 25.00' 9�`, N lw 1' 9 Ith w 1 IV II \ W.E. _ J 922.0 � N 00'3820" E 533.21' O y 467.44' F < co O m N W N \ S a rn cr is J m D �- 0, W r�*1 O 1 frl t y d's � .• � /� i 1 C CD p I O ;;o zj z v a N 1� c z cn D \ Z co z CD CID y / F pO 1 O / 0 .A `q m I �s N W � m _ -------- - - - - -= - - - -- X — S 00'18'55" W 521.49'; Z EAST LINE OF THE SW1 /4 OF THE SW1 /4, SECTION 191 0 1 UNPLATTED LANDS j �m I Z - iTV i i� iy I 4: 10% 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 © 3 a,S Attach complete site plan or aper not less than 8 1/2 x 11 inches in size. Plan must include, but 6 not limited to vertical and horizontal reference point (BM), direction and % of slope, scale or TREVIEW9 CEL L �ot�6 - dimensioned, north arrow, and location and distance to nearest road. F �a1!(� Pen = APPLICANT INFORMATION PLEASE PRINT ALL INFORMATION ED BY T E PROPERTY OWNER: PROPERTY LOCATION Wm. & Carol Hendrickson GOVT. LOT 1/4 S 1 R f (or) W PROPERTY OWNER':S MAILING ADDRESS LOT BLOCK # SUB 0aft # 1405 Co. Rd. "V" na CS in CITY, STATE ZIP CODE PHONE NUMBER CI ❑VILLAGE ®TOWN 1 N A, SLROAD Houlton, WI. 54082 (715 549 -6063 t. Jose h Co. Rd. "V" [X] New Construction Use Residential / Number of bedrooms 3 ( ] Addition to existing building j ] Replacement [ ] Public or commercial describe Code derived daily flow 450 gpd Recommended design loading rate • 7 bed, gpd /ft •8 trench, gpd/ft Absorption area required 643 bed, 112 563 trench, ft Maximum design loading rate • 7 bed, gpd /ft - - 8 trench, gpd/ft Recommended infiltration surface elevation(s) 98.15 ft (as referred to site plan benchmark) Additional design / site considerations na Parent material pitted glacial drift Flood plain elevation, if applicable na ft S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable fors stem ®S ❑U 91S ❑U ®S ❑U ®S ❑U ®S ❑U ❑S ®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 1 0 -10 10 r3 3 none 1 2msbk 2 10 - 10yr4 /4 none sicl 2msbk mfr 9W if .4 .5 Ground 3 28 -80 7.5 r4/4 none m os cr mvfr na na .7 .8 elev. 101 ft. Depth to limiting factor +80" Remarks: Boring # 1 0 -11 10 r3/3 none 1 2msbk mfr CrW 2f .5 i.6 2 11 -34 10 r4/4 none sicl 2msbk mfr qw If .4 .5 3 34 -80 7.5 r4 4 none cos oscr MV Ground elev. 101 ft. Depth to limiting f � t3� Remarks: CST Name: Please Print Gary L. Steel Phone: 715 246 - 6200 A ddress: 1554 200th/24e., Ridfinond, WT. 54017 m02298 Signature: Date: CST Number: 2 L.- 7 -13 -96 I PROPERTYOWNER WM• Hendrickson SOIL DESCRIPTION REPORT Page 2 of , Y PARCEL I.D.# pending Y Depth Dominant Color Mottles Texture Structure Consistence Y Roots GPD /ft Boring # Horizon in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed Trench Li 1 0 -6 10 r3 3 n 2 6 -13 10yr4 /4 none sil 2msbk m Ground 3 113-84 7.5yr4/6 none cos oscl ml na na .7 .8 1 O g le V l 5 1t. Depth to limiting fact Remarks: Boring # 1 10-14 10 r3 3 4 2 114-24 10 r4/4 none sicl 2msbk mfr 3 24 -33 10 r4/4 2d7.5 r5 8 sicl m na Ground elev. 4 33 -80 7.5 r4/6 none cos osq ml na na .7 .8 10 Depth to limiting factor +80" Remarks: Boring # 1 10-10 5 2 110-18 10 r4 4 none s'1 2msbk Mfr Qw if -9 .6 3 18 -80 7.5 r4 6 none cos osa ml Ground elev. 10 0.95 ft. Depth to limiting factor 80 Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: SBD- 8330(R.05/92) STEEL'S SOIL SERVICE Gary L. Steel Wm. & Carol Hendrickson 1554 200th Ave. CSTM2298 SWQSW4 S19- T30N -R19W New Richmond, WI 54017 MPRSW -3254 town of St. Joseph (715) 246 -6200 1 V C. i — f . JPr `�- o1- 3 Crs&' 1 =40' BM.= top of 12" pvc pipe C el. 100' Alt. bm= top of steel fence post C el. 103.48' Yb �0 1 le ' N'W 2� Sk .j Z�Io S O Gary L. Steel 7 -13 -96 n Wisconp�* Department of Industry SOIL AND S I E EVALUATION REPORT Page 1 of 3 Wbor and Human Relations Division of Safety 8 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. Cr 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 - 1040 -20 APPLICANT INFORMATION- PLEASE PRINT ALL INFORMATION REVIEWED BY DATE T PROPERTY OWNER: PROPERTY LOCATION Carol & Wm. Hendrickson GOVT. LOT fin] IASW 1/4,S 19 T PROPERTY OWNERS MAILING ADDRESS LOT # I BLOCK # SUBD. NAME OR CSM # 303 North Fourth St. na I P' Lr�g CITY, STATE ZIP CODE PHONE NUMBER ❑CI ❑VILLAGE EITOWN NEAREST ROAD Still (612 549 -6063 St. Joseph I Co. Rd. "V" 1c) New Construction Use [x] Residential / Number of bedrooms 'I [ J Addition to existing building I J Replacement [ J Public or commercial describe Code derived daily flow 450 gpd Recommended design loading rate .4 bed, gpd /ft trench, gpd /ft Absorption area required 375 bed, ft 375 trench, ft Maximum design loading rate .4 bed, gpd /ft .5 trench, gpd /ft Recommended infiltration surface elevation(s) 101.20 ft (as referred to site plan benchmark) Additional design/ site considerations system el based on contour line of el 100-9171 LndLl ati ng ground Parent material glacial dri Flood plain elevation, if applicable _ ft S = Suitable for system CONVENTIONAL MOUND IN GROUND PRESSURE I AT GRADE SYSTEM IN FILL HOLDING TANK U = Unsuitable fors stem ❑ S Z U ®S ❑ U ❑ S f7 U ❑ S [ U ❑ S [au El S fc7 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 -15 10 r 3 .5 .6 2 15 -30 10 r 4/4 none sil 2msbk mfr gw if .5 .6 Ground 3 30 -55 7.5 r 4/4 p2p7.5yr 5/8 sicl lcsbk mfr na na .2 .3 elev. 9 8.2 ft. Depth to limiting factor 30" I Remarks: Boring # 1 L13 r 3/3 none 1 2msbk mfr qw 2f .5 .6 2 13 -26 10 r 4 4 none sicl 2msbk mfr gw if .4 .5 Ground 3 1 26-50 7.5 r 4/4 c2 7.5 r 5/8 sicl lcsbk mfr 9 •3 elev. 10 ft. p n 1� Depth to limiting J UN ''? 97 factor "A 261, % S Z Remarks: 'l CST Name: -- Please Print Ga ry L. Steel Phone: 715- 246 -6200 £ Address: 1554 200th. Ave. Ne !Z chmond W1 54 17 Signature: Date: 6 -14 -97 CST Number: m02298 ,� PROPERTYOWNER Carol K WM. Hendr;Ck, OIL DESCRIPTION REPORT Page-2, of PARCEL I.D. # 030 - 1040 -20 Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Bounds Roots GPD /ft in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trench ................. k :. 3 1 0 -12 1 0yr 313 none I 2mqbk mfr 9w 2 12 -30 10 r 4 4 none Ground 3 1 30-60 10 r 4/4 none elev. 1 Depth to limiting factor 30" Remarks: Boring # Ground — elev. ft. Depth to limiting factor Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # 13 Ground elev. ft. Depth to limiting factor Remarks: SBD- 8330(8.05/92) j STEEL'S SOIL SERVICE Gary L. Steel 1554 200th Ave. CSTM2298 SW & Carol Hendrickson 1 New Richmond, WI 54017 MPRSW 3254 4SW4 S19- T301V -R19w town of St. Joseph (715) 246 - 6200 T � N �� 1 =40' BM.= nail in corner post C el. 100' Alt. BM.= top of steel fence post el. 101.20' 1 d aaswS\ o- )04-, �-n \ tN 00 �ol ly T Gary L. Steel 6 -14 -97 I Wisconsin Department of Indust , SOIL AND SITE EVALUATION REPORT Page i of I_ 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. _ _ -- lV u APPLICANT INFORMATION- PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION Carol & Wm. GOVT. LOT SW 1/4 SW 1/4,S 19 T 30 AR 19 XX(or) W PROPERTY OWNER':S MAILING ADDRESS OT # BLOCK # SUBD. NAME OR CSM # 303 North Fourth St. na Pine Curve Addn. CITY, STATE ZIP CODE PHONE NUMBER QC []VILLAGE [ZrOWN NEAREST ROAD ( St. Joseph I Co. Rd. "V" [d New Construction Use [ Residential / Number of bedrooms 3 [ ] Addition to existing building J] Replacement [ ] Public or commercial describe Code derived daily flow 450 gpd Recommended design loading rate • 4 bed, gpd /ft - 5 trench, gpd /ft Absorption area required 375 bed, ft 375 trench, ft Maximum design loading rate .4 bed, gpd /ft .5 trench, gpd /ft Recommended infiltration surface elevation(s) 100.05 ft (as referred to site plan benchmark) Additional design / site considerations system el. based on contour line of el. 99.95' Parent material gi a i a1 drift . Flood plain elevation, if applicable na ft S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING TANK U = Unsuitable fors stem E3 ® U ®S ❑ U EIS ®U El ®U ❑ S ®U ❑ S ® 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 .................. 0 1 Qyr '143 none 2 2 10 -37 7.5yr 4/4 none Sici 2msbk mfr qW if .4 .5 Ground 3 37 -60 5 r 4/4 none scl m na n elev. 10 Depth to limiting factor +60" Remarks: Boring # 1 0 -12 10 r 4/3 none 1 2m r m 2 2 12 -26 10yr 4/4 none si 2m r mvfr if .5 .6 Ground 3 26 -50 7.5 r 4/4 c2p7.5yr 5/6 scl m na na n .2 elev. 9 orrmIM 'e Depth to limiting factor 26 11 T 0 ' V C J DLM Remarks: CST Name:-- Please Print Gary L. Steel Phone: 715- 246 -6200 Address: 1554 200th. Awv, New Richmond al 54017 I Signature: Date: 6- 114 -97 CST Number: m02298 PROPERTYOWNER Carol & Wm. Hendric ksgOIL DESCRIPTION REPORT Page - 2 of 3 1 PARCEL I.D. # 030 - 1040 -20 Boring # Horizon Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft in. Munsell Ou. Sz. Cont Color Gr. Sz. Sh. Bed Tw& 2 11 -30 10 r 4/4 none sl 2mcfr mvfr Crw if .5 .6 Ground 3 30 -55 7.5 r 4/4 c2d7.5 r 5/6 scl m na na na n .2 elev. l on _ 9� Depth to limiting factor 30" 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(8.05/92) 7 STEEL'S SOIL SERVICE Gary L . Steel W & Carol Hendrickson 1554 200th Ave. CSTM2298 SWgSwq S19- T30N -R19W New Richmond, WI 54017 MPRSW 3254 town of St. Joseph (715) 246 -6200 7 N 1 " =40' BM.= nail in wooden post C el. 100' Alt. BM.= nail in wooden post C el. 105.70' �1 6 I " 6-3 2 An Gary L. Steel 6 -14 -97 Wiscons Department of Industry SOIL AND Silt E A L U AT I O N 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 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. 030-104002 – APPLICANT INFORMATION– PLEASE PRINT ALL INFORMATION REVIEWED BY DATE PROPERTY OWNER: PROPERTY LOCATION Carol & Wm. Hendrickson GOVT. LOT SW 1/4 SW 1/4,S 19 T 30 AR 19 :k (or) W PROPERTY OWNERS MAILING ADDRESS LOT # BLOCK # SUBD. NAME OR CSM # 303 North Fourth St - in na Pine Curve Addn. CITY, STATE ZIP CODE PHONE NUMBER ❑CITY ❑VILLAGE ®TOWN NEAREST ROAD S ) _ S n n [x] New Construction Use k ] Residential / Number of bedrooms [ j Addition to existing building ( ] Replacement [ ] Public or commercial describe Code derived daily flow 450 gpd Recommended design loading rate gpd /ft - r - trench, gpd /ft Absorption area required 375 bed, ft 375 trench, ft Maximum design loading rate .4 bed, gpd /ft .5 trench, gpd /ft Recommended infiltration surface elevation(s) 99.70 ft (as referred to site plan benchmark) Additional design / site considerations system based on ocntour line of el 98.70 undulating ground Parent material glacial drift Flood plain elevation, if applicable na ft S = Suitable for system CONVENTIONAL MOUND IN- GROUND PRESSURE AT -GRADE SYSTEM IN FILL HOLDING TANK U= Unsuitable fors stem [IS ®U [2 S El U I El S 5U I fl S ® U fl S ®U ❑ S El l) SOIL DESCRIPTION REPORT Depth Dominant Color Mottles Texture Structure Consistence Boundary Roots GPD /ft Boring # Horizon in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. 7Be Tren ch 1 0 -10 10 r 4 3 none 2 10 -25 7.5 r 4/4 none sicl 2msbk mfr if .5 Ground 3 25 -45 10 r 5/4 e2 t)7. elev. 97.7 ft. Depth to limiting factor 25" Remarks: Boring # 1 0 -9 10 r 3/3 none 2msbk mfr 9f .5 i.6 aw 2 2 9 -27 Ground 3 27-30 1 elev. 4 30 -50 7.5 r 4 4 98 ft. A. Depth to limiting factor , . 30" 1 1 1 1 1 1 R OT IJ Remarks: t�Nd pFF1C.E CST Name: -- Please Print Gary L. Steel Phone: 715- 246 -6200 Address: 1554 2000 , Ave New Richmolid, WI 54017 Signature: - Date: CST Number: m02298 �t/ "" 6 -14 -97 PROPERTYOWNER Carol & Wm. uendr;r &PIL DESCRIPTION REPORT Page ,of PARCEL I.D. # 030 - 1040 -20 Depth Dominant Color Mottles Structure GPD /ft Boring # Horizon p Texture Consistence Bouxfary Roots g in. Munsell Qu. Sz. Cont. Color Gr. Sz. Sh. Bed Trends 3 — °` 2 10 -27 7.5 r 4/4 none scl 2msbk mfr C1W if .4 .5 Ground 3 27 -50 5 r 4/4 f1f7.5 r 5/8 scl m na na na n .2 elev. 9 7.9 ft. Depth to limiting factor 27" Remarks: Boring # Ground elev. ft. Depth to limiting factor Remarks: Boring # ROME Ground elev. ft. 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 W & Carol Hendrickson 1554 200th Ave. CSTM2298 SW4SW'j S19- T30N -R19W New Richmond, WI 54017 MPRSW 3254 town of St. Joseph (715) 246 -6200 1 =40' BM.= nail in wooden corner post @ el. 100' Alt. BM.= top of steel fence post @ el. 100.50' 2 P 0 V 3 Gary L. Steel 6 -14 -97 l 00 ' 2 r:8 i AG — RES c 2 ° C.S_M 7/2013 I C M. _M 7/1998 UPd AT _ w - -- -- T E _,- �J 046 x :,x I Yr _ ? q q 2124.7 - x� E � x D oo 2 o � r - n X _° W N x q Y 6 ° I• ID x tJ1 �Z No q tO X °x ' - s o x cn N V XO ` - ° x X fir► " b w Oo �� °x�° L4 &) IV° q I - e 0 \ 0 , 0 p .p N o X w X ro ID K N V q N X �� o N N O ' .D W tv X O q 00, w tD = 0 L X w o� •G o . N x �� ° N \W O O X p X x ID N "° t 20 FE w53� � a t0 • W Gx ID k =' x N L 0 6f4 tp OD ..� ./' Q do to t0 o C x G IC (n a O - N + X ID q ;" N X N o N Q •� ol W N � x a N -max ' Rl OD ' O ID T + + " x O q D - a ID CID N x t0 � N ox Crn xo r- r a 1 - w x V 0 x x c 0 \ x / 1 V q .T 2 M ID X q to o N x W x N ID u = O+ OD D a c° r NX O N . Wx 0 ./1 2 ° x N N ID X N x w 'X nw v 0 = x x ° \ } 1 EAST LINE WI /4 I/4 0 so 21.5 a i X ° I ERTI Fl ED VEY °° AG ORES --- - -� - -- -- - -- o UNPLATTED LANDS o i VOI R P 17�,